SKY LAKES MEDICAL CENTER INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SKY LAKES MEDICAL CENTER INC (EIN 93-0508781)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201622289349306977
- Schema version
- 2014v6.0
- 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 | 2016-08-15T18:16:37-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | 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 | 2014-10-01 | 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 | 2016-08-15 | 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 | 2016-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | 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 | $548,370,940 | 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 | 1528 | TotalEmployeeCnt |
| Total Volunteers | 333 | TotalVolunteersCnt |
| Total Gross UBI | $8,962 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,647 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,216,620 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,151,024 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $507,426,845 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $540,811,667 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,072,795 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,853,551 | CYInvestmentIncomeAmt |
| PY Other Revenue | $201,359 | PYOtherRevenueAmt |
| CY Other Revenue | $516,084 | CYOtherRevenueAmt |
| PY Total Revenue | $510,917,619 | PYTotalRevenueAmt |
| CY Total Revenue | $546,332,326 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $178,642 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $766,650 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $90,469,004 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $97,471,961 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $397,685,998 | PYOtherExpensesAmt |
| CY Other Expenses | $419,449,748 | CYOtherExpensesAmt |
| PY Total Expenses | $488,333,644 | PYTotalExpensesAmt |
| CY Total Expenses | $517,688,359 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,583,975 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $28,643,967 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $237,247,168 | TotalAssetsBOYAmt |
| Total Assets EOY | $287,290,341 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $73,906,485 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $96,000,250 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $163,340,683 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $191,290,091 | 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 | $428,037,027 | ExpenseAmt |
| Grant | $652,929 | GrantAmt |
| Revenue | $525,183,547 | 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 | $19,729,791 | ExpenseAmt |
| Desc | UNCOMPENSATED CARE - DURING FISCAL YEAR 2015, SKY LAKES MEDICAL CENTER, LIKE MOST US HOSPITALS, SAW A SHIFT AWAY FROM CHARITY CARE APPLICATIONS DUE TO THE AFFORDABLE CARE ACT. CHARGES WRITTEN OFF UNDER OUR BROAD-REACHING CHARITY CARE POLICY TOTALED $7,012,265 (COMPARED TO $11,662,310 FOR THE FISCAL YEAR 2014). IN ADDITION TO CHARITY CARE WRITE OFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $12,717,526 (VERSUS$15,963,751 WRITTEN OFF IN FISCAL YEAR 2014). AS A PERCENTAGE OF CHARGES, FISCAL YEAR 2015 WRITE OFFS REPRESENT 1.3% (CHARITY CARE) AND 1.2% (BAD DEBT), RESPECTIVELY. THESE PERCENTAGES FOR THE PRIOR YEAR WERE 2.3% AND 2.5%. WE CONTINUE TO DO A MUCH BETTER JOB, AT THE TIME SERVICES ARE PROVIDED, IN IDENTIFYING PATIENTS REQUIRING CHARITY CARE. THIS ALLOWS US, AS MUCH AS POSSIBLE, THE ABILITY TO AVOID LATER WRITING OFF SERVICES TO BAD DEBT. THIS RESULTS IN ALSO LOWERING OUR BAD DEBT WRITE OFF PERCENTAGE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,020,836 | ExpenseAmt |
| Grant | $113,721 | GrantAmt |
| Revenue | $2,158,143 | RevenueAmt |
| Desc | EDUCATIONAL SUPPORT - SKY LAKES MEDICAL CENTER COMMITS SIGNIFICANT DOLLARS AND MAN-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 | $27,059,758 | ExpenseAmt |
| Revenue | $13,535,503 | 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 | $27,059,758 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $13,535,503 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $480,847,412 | 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 | 177 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1528 | 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) | $581,137 | $0 | $44,406 | |
| KERMIT HOUSER | ||||||||
| 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 | ||
| JOHN R PATTEE MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $26,750 | $0 | $0 | ||
| DWIGHT SMITH MD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD RICO | ||||||||
| VP/CFO | 50.00 | Yes (X) | $374,357 | $0 | $53,677 | |||
| RICHARD DEVORE MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $438,501 | $0 | $35,762 | Yes (X) | |||
| STANTON SMITH MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $401,172 | $0 | $35,919 | Yes (X) | |||
| JARED OGAO MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $387,643 | $0 | $35,762 | Yes (X) | |||
| PATRICK MAVEETY MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $397,968 | $0 | $9,249 | Yes (X) | |||
| ISKRA MATHURA MD | ||||||||
| MEDICAL PROVIDER | 40.00 | $372,745 | $0 | $9,305 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,980,273 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $224,080 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KLAMATH RADIOLOGY ASSOCIATES | |||||
| 2900 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $3,546,154 |
| KLAMATH ORTHOPEDIC CLINIC | |||||
| 2220 BRYANT WILLIAMS DRIVE | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $2,584,831 |
| HUDSON STAFFING | |||||
| 4625 NADINE LANE | FRANKLIN | TN | 37064 | STAFFING SERVICES | $1,489,892 |
| KLAMATH ELITE ANESTHESIA GROUP | |||||
| 611 LOMA LINDA DRIVE | KLAMATH FALLS | OR | 97601 | PHYSICIAN PRACTICE | $806,700 |
| RENOVO SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | STAFFING SERVICES | $650,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,151,024 | RelatedOrganizationsAmt |
| Total Contributions | $1,151,024 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621990 | $525,183,547 | $525,183,547 |
| OTHER PROGRAM REVENUE | 621990 | $15,628,120 | $15,628,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $540,811,667 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,851,221 | TotalRevenueColumnAmt |
| Exclusion | $3,851,221 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $799,677 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $797,785 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,892 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,892 | TotalRevenueColumnAmt |
| Exclusion | $1,892 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,090 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,760 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,330 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,330 | TotalRevenueColumnAmt |
| Exclusion | $2,330 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,949,613 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,230,069 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $719,544 | TotalRevenueColumnAmt |
| Exclusion | $719,544 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PASSTHROUGH INCOME | 621990 | $162,237 | $65,526 | $8,962 | $87,749 |
| OTHER INCOME | 900099 | -$367,589 | -$367,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$205,352 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $546,332,326 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $540,877,193 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,962 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,295,147 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,333 | TotalAmt |
| Program Services | $620,333 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,317 | TotalAmt |
| Program Services | $146,317 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185,050 | TotalAmt |
| Management And General | $1,185,050 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,437,012 | TotalAmt |
| Program Services | $68,596,462 | ProgramServicesAmt |
| Management And General | $9,840,550 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,398,987 | TotalAmt |
| Program Services | $2,194,090 | ProgramServicesAmt |
| Management And General | $204,897 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,271,464 | TotalAmt |
| Program Services | $8,442,262 | ProgramServicesAmt |
| Management And General | $1,829,202 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,179,448 | TotalAmt |
| Program Services | $4,406,903 | ProgramServicesAmt |
| Management And General | $772,545 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,051 | TotalAmt |
| Program Services | $153,610 | ProgramServicesAmt |
| Management And General | $543,441 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,203 | TotalAmt |
| Management And General | $264,203 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,308 | TotalAmt |
| Management And General | $132,308 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,548,008 | TotalAmt |
| Program Services | $14,543,117 | ProgramServicesAmt |
| Management And General | $4,891 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,627 | TotalAmt |
| Program Services | $377,605 | ProgramServicesAmt |
| Management And General | $668,022 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,348,773 | TotalAmt |
| Program Services | $1,065,080 | ProgramServicesAmt |
| Management And General | $1,283,693 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,141,783 | TotalAmt |
| Program Services | $66,500 | ProgramServicesAmt |
| Management And General | $4,075,283 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,320,022 | TotalAmt |
| Program Services | $2,817,344 | ProgramServicesAmt |
| Management And General | $1,502,678 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,730 | TotalAmt |
| Program Services | $116,729 | ProgramServicesAmt |
| Management And General | $1 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,281 | TotalAmt |
| Program Services | $584,544 | ProgramServicesAmt |
| Management And General | $201,737 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,955,747 | TotalAmt |
| Program Services | $3,658 | ProgramServicesAmt |
| Management And General | $2,952,089 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,354,725 | TotalAmt |
| Program Services | $4,640,338 | ProgramServicesAmt |
| Management And General | $5,714,387 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,163,861 | TotalAmt |
| Program Services | $724,458 | ProgramServicesAmt |
| Management And General | $1,439,403 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL ALLOWANCE | $302,917,607 | $302,917,607 | |
| SUPPLIES | $31,519,600 | $31,310,842 | $208,758 |
| BAD DEBTS | $12,717,526 | $12,717,526 | |
| TAXES PAID ON UBI | $500 | $500 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,419,396 | TotalAmt |
| Program Services | $24,402,087 | ProgramServicesAmt |
| Management And General | $4,017,309 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,688,359 | TotalAmt |
| Program Services | $480,847,412 | ProgramServicesAmt |
| Management And General | $36,840,947 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,795,518 | BOYAmt |
| EOY | $12,670,202 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,054,272 | BOYAmt |
| EOY | $12,718,077 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,347,970 | BOYAmt |
| EOY | $32,780,051 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,981 | BOYAmt |
| EOY | $465,042 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,181,720 | BOYAmt |
| EOY | $2,229,462 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,696,455 | BOYAmt |
| EOY | $2,774,698 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $197,546,786 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $101,562,681 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,632,841 | BOYAmt |
| EOY | $95,984,105 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,760,547 | BOYAmt |
| EOY | $49,174,033 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,557,044 | BOYAmt |
| EOY | $35,105,634 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,915,820 | BOYAmt |
| EOY | $43,389,037 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,247,168 | BOYAmt |
| EOY | $287,290,341 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,840,114 | BOYAmt |
| EOY | $32,574,991 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,507,868 | BOYAmt |
| EOY | $2,474,430 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,587,427 | BOYAmt |
| EOY | $52,895,845 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,971,076 | BOYAmt |
| EOY | $8,054,984 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,906,485 | BOYAmt |
| EOY | $96,000,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,340,683 | BOYAmt |
| EOY | $191,290,091 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,340,683 | BOYAmt |
| EOY | $191,290,091 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,247,168 | BOYAmt |
| EOY | $287,290,341 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $28,643,967 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$607,426 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$87,133 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,698,651 | BeginningYearBalanceAmt |
| Contributions | $20,361 | ContributionsAmt |
| Investment Earnings Or Losses | $2,760,201 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,270 | GrantsOrScholarshipsAmt |
| Other Expenditures | $220,861 | OtherExpendituresAmt |
| Administrative Expenses | $289,342 | AdministrativeExpensesAmt |
| End Year Balance | $13,956,740 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,339,426 | BeginningYearBalanceAmt |
| Contributions | $98,175 | ContributionsAmt |
| Investment Earnings Or Losses | -$202,310 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $32,407 | GrantsOrScholarshipsAmt |
| Other Expenditures | $256,108 | OtherExpendituresAmt |
| Administrative Expenses | $248,125 | AdministrativeExpensesAmt |
| End Year Balance | $11,698,651 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | 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 | $2,489,625 | OtherCostOrOtherBasisAmt |
| Book Value | $2,489,625 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $117,395,682 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,107,282 | DepreciationAmt |
| Book Value | $58,288,400 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,262,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,910,671 | DepreciationAmt |
| Book Value | $1,351,572 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,829,765 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,311,343 | DepreciationAmt |
| Book Value | $30,518,422 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,569,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $233,385 | DepreciationAmt |
| Book Value | $3,336,086 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $95,984,105 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN OTHER COMPANIES | $6,846,559 | C |
| LIFE INSURANCE | $27,558,685 | F |
| DEFERRED COMP PLAN ASSETS | $700,390 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $35,105,634 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE | $5,057,067 |
| OTHER ASSETS | $1,414,190 |
| RISK POOL WITHHOLD RECEIVABLE | $3,797,478 |
| DEFERRED FINANCING COSTS | $1,610,249 |
| CONSTRUCTION IN PROCESS | $2,053,096 |
| OTHER RECEIVABLES | $29,456,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $43,389,037 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $6,040,849 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $2,014,135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,054,984 | 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. THE CONTINUED GROWTH OF THE ENDOWMENT FUNDS ALLOWS FOR LARGER EXPENDITURES OF INVESTMENT AND OTHER INCOME TO BE SPENT WITHOUT EXPENDING ANY OF THE INITIAL GIFTED FUNDS OR DESIGNATED FUNDS, WHICH REMAIN AS ENDOWED FUNDS. |
| PART X, LINE 2: | FIN 48 (ASC 740) UNCERTAIN TAX POSITION FOOTNOTE - THE MEDICAL CENTER HAD NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2015 OR 2014. THE MEDICAL CENTER RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014, THE MEDICAL CENTER RECOGNIZED NO INTEREST AND PENALTIES. THE MEDICAL CENTER FILES AN EXEMPT ORGANIZATION INFORMATION 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 | 0 | ExpensesExceedBudgetInd |
| 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) |
|---|---|---|
| Persons Served | 9976 | PersonsServedCnt |
| Total Community Benefit Expns | $13,214,035 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,214,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,993,698 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,502,993 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,490,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9976 | PersonsServedCnt |
| Total Community Benefit Expns | $66,207,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,502,993 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,704,740 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 48148 | PersonsServedCnt |
| Total Community Benefit Expns | $664,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,053 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $658,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 10615 | PersonsServedCnt |
| Total Community Benefit Expns | $4,632,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,078,005 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,554,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 290276 | PersonsServedCnt |
| Total Community Benefit Expns | $20,267,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,005,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,262,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $247,367 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $247,367 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 349039 | PersonsServedCnt |
| Total Community Benefit Expns | $25,812,392 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,089,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,723,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 359015 | PersonsServedCnt |
| Total Community Benefit Expns | $92,020,125 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,592,335 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,427,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04450 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 25022 | PersonsServedCnt |
| Total Community Benefit Expns | $670,485 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $381,797 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $288,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $600 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 3846 | PersonsServedCnt |
| Total Community Benefit Expns | $68,548 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 288 | PersonsServedCnt |
| Total Community Benefit Expns | $685,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $685,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 29181 | PersonsServedCnt |
| Total Community Benefit Expns | $1,425,498 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $381,797 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,043,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,717,526 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,907,629 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $54,157,077 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $61,400,628 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,243,551 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | 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 |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SKYLAKES.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COORDINATED BY SKY LAKES MEDICAL CENTER AND IN CONCERT WITH KLAMATH COUNTY HEALTH REPRESENTS THE COLLABORATIVE WORK BETWEEN SKY LAKES AND ITS LOCAL PARTNERS. THE 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. IN DESCRIBING THE HEALTH NEEDS OF THE COMMUNITY THE CHNA ALSO OUTLINES THE RELATIONSHIPS OF THE GROUPS AND INDIVIDUALS WHO STRIVE TO ADDRESS THOSE NEEDS AND IMPROVE THE HEALTH OF THE COMMUNITY. THE GRASSROOTS COMMUNITY PARTNERS SEEKING BETTER HEALTH, A COLLABORATION INVOLVING PRIMARILY SKY LAKES MEDICAL CENTER, KLAMATH FALLS, ORE., AND THE HEALTH PROMOTION/DISEASE PREVENTION COORDINATOR AT KLAMATH COUNTY (ORE.) PUBLIC HEALTH EVOLVED INTO HEALTHY KLAMATH, A SEMI-FORMAL ORGANIZATION REPRESENTING A WIDE VARIETY OF PUBLIC-SECTOR AGENCIES AND DEPARTMENTS AS WELL AS PRIVATE PARTIES WITH INFLUENCE IN LOCAL HEALTH. HEALTHY KLAMATH CONTINUES AS A COOPERATIVE COMMITTED TO IMPROVING DIFFERENT ASPECTS OF HEALTH (PHYSICAL, MENTAL, ECONOMIC AND SOCIAL) IN OUR COMMUNITY BY FOCUSING ON THE SKILLS AND ASSETS OF ITS MEMBERS.AT HEALTHY KLAMATH'S CORE IS SKY LAKES MEDICAL CENTER; THE LOCAL HEALTH DEPARTMENT; A MANAGED CARE ORGANIZATION FOR THE MEDICAID POPULATION; AND A FEDERALLY QUALIFIED HEALTHCARE PRACTICE WITH TWO FAMILY PRACTICE CLINICS IN THE COUNTY. CITY, COUNTY, AND STATE GOVERNMENTS ARE REPRESENTED ALONG WITH LOCAL SCHOOLS, HIGHER EDUCATION, AND LOCAL MEDIA.THE CHNA 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.OUR SUCCESS IS MONITORED AND MEASURED BY THE MORE THAN 100 HEALTHY COMMUNITIES INSTITUTE (HCI) INDICATORS AND DISPLAYED ON A PUBLIC WEBSITE, HEALTHYKLAMATH.ORG. THE INDICATORS ARE CONTINUALLY UPDATED AS NEW DATA ARE COLLECTED. HCI MANAGES AND CONTINUALLY UPDATES A CENTRALIZED PUBLICALLY AVAILABLE WEB-BASED SOURCE OF POPULATION DATA AND COMMUNITY HEALTH INFORMATION.THE CHNA REFERENCED HERE WAS COMPILED USING SECONDARY DATA. PRIMARY DATA WAS NOT COLLECTED BECAUSE PARTNER ORGANIZATIONS EARLIER IN THE YEAR COLLECTED MEANINGFUL PRIMARY DATA THROUGH COMMUNITY SURVEYS AND FOCUS GROUPS. 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. WE ACKNOWLEDGE THAT THE CHNA IS A LIVING DOCUMENT, ALLOWING US TO SEEK CONTINUOUS IMPROVEMENT AND FURTHER ANALYZE THE DATA AND, ULTIMATELY, IMPROVE THE HEALTH OF OUR COMMUNITY. UNDERSTANDING THAT HEALTH IS A PRODUCT OF MANY CONDITIONS AND FACTORS, AN ADAPTED VERSION OF THE STRATEGIC PLANNING FRAMEWORK DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WAS MADE TO CREATE THIS CHNA.HCI PROVIDES A PLATFORM FOR CONTINUAL MONITORING AND TRACKING ON MORE THAN 100 INDICATORS SELECTED BY THE COMMUNITY PARTNERS; THE INDICATORS 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 ISSUE.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.OTHER DATA SOURCES INCLUDED: - OREGON HEALTH AND SCIENCE UNIVERSITY (OHSU) NURSING STUDENTS CONDUCTED FOCUS GROUPS WITH LOCAL TEENAGERS IN THE KLAMATH COUNTY YOUTH HEALTH AND BEHAVIOR ASSESSMENT. TEENS WERE ALSO ASKED ABOUT TOBACCO USAGE AND NORMS. - THE KLAMATH LAKE COMMUNITY ACTION SERVICES (KLCAS) 2014-2015 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN WHICH A TOTAL OF 662 SURVEYS WERE COLLECTED FROM CLIENTS WHO WERE STRUGGLING WITH POVERTY AND AT-RISK OR CURRENTLY HOMELESS. PARTICIPANTS WERE ASKED TO SHARE THEIR VIEWS ON POVERTY, SELF-SUFFICIENCY, AND NEEDED SERVICES. - COMMUNITY PERCEPTIONS REGARDING HEALTH NEEDS ARE CAPTURED IN NON-SCIENTIFIC SURVEYS AND INTERVIEWS CONDUCTED AT THE CONCLUSION OF FREE HEALTH- AND WELLNESS-RELATED SEMINARS AND SIMILAR COMMUNITY EVENTS HOSTED BY THE MEDICAL CENTER. INFORMATION FROM THESE ACTIVITIES HELP INFORM FOLLOW-ON STRATEGIES AND PROGRAMS.WHILE THE AREA SERVED BY SKY LAKES AND ITS PARTNERS COVERS MORE THAN 10,000 SQUARE MILES IN 4 COUNTIES, 2 OF THEM IN NORTHERN CALIFORNIA, THE POPULATION IS CONCENTRATED WITHIN THE KLAMATH FALLS URBAN GROWTH BOUNDARY (UGB), WHICH IS THE CENTRAL HUB OF ACTIVITIES AND SERVICES FOR SOUTH CENTRAL OREGON AND NORTHERN CALIFORNIA. COMMUNITY HEALTH IMPROVEMENT EFFORTS ARE INITIALLY BEING IMPLEMENTED WITHIN THE UGB, AS TO HAVE THE GREATEST IMPACT ON THE HIGHEST CONCENTRATION OF RESIDENTS.THE SERVICE AREA IS PREDOMINANTLY WHITE AND NON-HISPANIC. ABOUT 12 PERCENT OF THE POPULATION IDENTIFIES AS HISPANIC OR LATINO. THE REGION HAS AN AMERICAN INDIAN PRESENCE OF ABOUT 5 PERCENT OF THE POPULATION. THE REMAINDER IDENTIFIES AS MULTI-RACIAL, ASIAN, BLACK OR AFRICAN AMERICAN, AND NATIVE HAWAIIAN OR PACIFIC ISLANDER.AGE PLAYS A SIGNIFICANT ROLE ON THE HEALTH OF A COMMUNITY. THE LARGEST AGE GROUPS IN KLAMATH COUNTY ARE 15-24, 45-64 WITH A MEDIAN AGE OF 42. KLAMATH HAS A LARGE POPULATION OF OLDER ADULTS AS NEARLY A FOURTH ARE 60 OR OLDER.WHEN COMPARED TO OTHER OREGON COUNTIES, KLAMATH COUNTY HAS BEEN IN THE BOTTOM QUARTILE FOR BOTH HEALTH OUTCOMES AND HEALTH FACTORS FOR THE PAST THREE YEARS IN THE ANNUAL ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS. THE CENTERS FOR DISEASE CONTROL'S (CDC) COMMUNITY HEALTH STATUS INDICATORS RANKING TOOL, WHICH MATCHES COUNTIES WITH COMPARABLE "PEER" COUNTIES ACROSS THE NATION, SHOWS KLAMATH COUNTY FALLS WITHIN THE SECOND AND THIRD QUARTILES FOR MOST INDICATORS. IN THE GALLUP RELATIVE WELL BEING INDEX (WBI) SCORES, WHICH MEASURES FIVE ELEMENTS (PURPOSE, SOCIAL, FINANCIAL, COMMUNITY, AND PHYSICAL) AND CLASSIFIES SCORES AS THRIVING, STRUGGLING, AND SUFFERING, KLAMATH FALLS RANKED IN THE THIRD QUINTILE WHEN COMPARED TO ALL U.S. COUNTIES; ITS STRONGEST ELEMENTS WERE PURPOSE, SOCIAL AND PHYSICAL. COMMUNITY AND FINANCIAL WELL-BEING RANKINGS ARE BOTH LOWER THAN OREGON AND THE U.S. WITH THRIVING-TO-STRUGGLING RATIOS OF 1:1 VERSUS THE GOAL OF 5:1. ACROSS ALL 3 RANKING SYSTEMS, KLAMATH RANKS HIGH IN THE SOCIAL CATEGORIES, DEMONSTRATING RESILIENCE AND SOCIAL SUPPORT, BUT LOW ON PHYSICAL AND FINANCIAL HEALTH. 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 438 PER 100,000 PEOPLE, MAKING IT AMONG THE TOP 5 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. PREVALENCE OF PREVENTIVE SCREENINGS IS 58% FOR COLONOSCOPIES 75% FOR MAMMOGRAMS, AND 83% FOR PAP SMEARS.OBESITY CONTRIBUTES TO NUMEROUS CHRONIC CONDITIONS INCLUDING HEART DISEASE, STROKE, DIABETES, DEPRESSION, AND CHRONIC PAIN. IN KLAMATH COUNTY, 60% OF ADULTS ARE OVERWEIGHT OR OBESE.THE PRIMARY GOAL OF THE CHNA IS TO BETTER UNDERSTAND THE HEALTH OF OUR COMMUNITY AND TO DEVELOP LOCAL STRATEGIES TO ADDRESS OUR COMMUNITY'S SPECIFIC NEEDS AND IDENTIFIED PRIORITY ISSUES. THE CHNA HELPS SET COMMUNITY PRIORITIES, ESTABLISH BENCHMARKS AND MONITOR TRENDS IN THE HEALTH STATUS OF OUR RESIDENTS. THE CHNA WAS INFLUENCED BY INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS AS WELL AS INDIVIDUALS IN KLAMATH COUNTY COMMUNITIES. 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. HEALTHY KLAMATH PARTNERS REGULARLY SEEK COMMUNITY INPUT VIA LISTENING SESSIONS, FOCUS GROUPS, AND SURVEYS. |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 5: THE CHNA REFERENCED HERE WAS COMPILED USING SECONDARY DATA. PRIMARY DATA WAS NOT COLLECTED BECAUSE PARTNER ORGANIZATIONS EARLIER IN THE YEAR COLLECTED MEANINGFUL PRIMARY DATA THROUGH COMMUNITY SURVEYS AND FOCUS GROUPS. 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. WE ACKNOWLEDGE THAT THE CHNA IS A LIVING DOCUMENT, ALLOWING US TO SEEK CONTINUOUS IMPROVEMENT AND FURTHER ANALYZE THE DATA AND, ULTIMATELY, IMPROVE THE HEALTH OF OUR COMMUNITY. UNDERSTANDING THAT HEALTH IS A PRODUCT OF MANY CONDITIONS AND FACTORS, AN ADAPTED VERSION OF THE STRATEGIC PLANNING FRAMEWORK DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WAS MADE TO CREATE THIS CHNA.HCI PROVIDES A PLATFORM FOR CONTINUAL MONITORING AND TRACKING ON MORE THAN 100 INDICATORS SELECTED BY THE COMMUNITY PARTNERS; THE INDICATORS 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 ISSUE.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.OTHER DATA SOURCES INCLUDED: - OREGON HEALTH AND SCIENCE UNIVERSITY (OHSU) NURSING STUDENTS CONDUCTED FOCUS GROUPS WITH LOCAL TEENAGERS IN THE KLAMATH COUNTY YOUTH HEALTH AND BEHAVIOR ASSESSMENT. TEENS WERE ALSO ASKED ABOUT TOBACCO USAGE AND NORMS. - THE KLAMATH LAKE COMMUNITY ACTION SERVICES (KLCAS) 2014-2015 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN WHICH A TOTAL OF 662 SURVEYS WERE COLLECTED FROM CLIENTS WHO WERE STRUGGLING WITH POVERTY AND AT-RISK OR CURRENTLY HOMELESS. PARTICIPANTS WERE ASKED TO SHARE THEIR VIEWS ON POVERTY, SELF-SUFFICIENCY, AND NEEDED SERVICES. - COMMUNITY PERCEPTIONS REGARDING HEALTH NEEDS ARE CAPTURED IN NON-SCIENTIFIC SURVEYS AND INTERVIEWS CONDUCTED AT THE CONCLUSION OF FREE HEALTH- AND WELLNESS-RELATED SEMINARS AND SIMILAR COMMUNITY EVENTS HOSTED BY THE MEDICAL CENTER. INFORMATION FROM THESE ACTIVITIES HELP INFORM FOLLOW-ON STRATEGIES AND PROGRAMS. - HEALTHY KLAMATH PARTNERS REGULARLY SEEK COMMUNITY INPUT VIA LISTENING SESSIONS, FOCUS GROUPS, AND SURVEYS. |
| 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: KLAMATH COUNTY'S RATES OF COPD, ARTHRITIS, AND DIABETES ARE HIGHER THAN STATE AVERAGES (APPROXIMATELY 6, 27, AND 9 PERCENT 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 INCLUDING HEALTH, SENIOR, AND HUMAN SERVICES AGENCIES IS WORKING TO MEET THE NEEDS OF INDIVIDUALS LIVING WITH CHRONIC CONDITIONS USING STANFORD UNIVERSITY'S LIVING WELL WITH CHRONIC CONDITIONS PROGRAM. THIS EVIDENCE-BASED PROGRAM TEACHES INDIVIDUALS HOW TO MANAGE THEIR CHRONIC CONDITIONS AND IMPROVE THEIR QUALITY OF LIFE.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 MULTIMEDIA CHANNELS THAT IT IS IMPORTANT FOR PEOPLE, ESPECIALLY THOSE AGES 40 AND OLDER, TO BE SCREENED FOR CANCER AS A PREVENTIVE MEASURE. PREVALENCE OF PREVENTIVE SCREENINGS IS 58% FOR COLONOSCOPIES 75% FOR MAMMOGRAMS, AND 83% FOR PAP SMEARS.SKY LAKES CANCER TREATMENT CENTER ACTIVELY PROMOTES SKIN CANCER PREVENTION AT AREA HEALTH FAIRS, AND ADVOCATES FOR COLORECTAL CANCER SCREENING IN MASS MEDIA AND HEALTH FAIRS. THE SKY LAKES CANCER TREATMENT CENTER ALSO ORGANIZES AND PROMOTES FREE MONTHLY EDUCATION AND SUPPORT GROUPS FOR BREAST CANCER AND PROSTATE CANCER.FURTHER, SKY LAKES PROVIDES TRAINED PRESENTERS TO TEACH THE AMERICAN CANCER SOCIETY'S FREEDOM FROM SMOKING CURRICULA, AND ADVERTISES CLASSES AND ENCOURAGES PROVIDERS TO SCHEDULE THEIR PATIENTS TO THE CLASSES.OBESITY AND ITS COLLATERAL EFFECTS HAVE BEEN IDENTIFIED AS SIGNIFICANT CONCERNS IN THE REGION. THE WEIGHT OF THE NATION IS A GROWING CONCERN BECAUSE OF THE SIGNIFICANT HEALTH RISKS OBESITY POSES ON THE POPULATION. OBESITY CONTRIBUTES TO NUMEROUS CHRONIC CONDITIONS INCLUDING HEART DISEASE, STROKE, DIABETES, DEPRESSION, AND CHRONIC PAIN. IN KLAMATH COUNTY, 60% OF ADULTS AND A GROWING NUMBER OF CHILDREN ARE OVERWEIGHT OR OBESE, WHICH IS CONSISTENT WITH THE REST OF THE NATION.SKY LAKES IS ADDRESSING OBESITY HEAD ON WITH THE IMPLEMENTATION OF THE WELLNESS CENTER, WHICH OFFERS NUTRITION, EXERCISE, AND STRESS MANAGEMENT COACHING. ALSO PARTNER ORGANIZATIONS, OFTEN IN COOPERATION WITH SKY LAKES DEPARTMENTS, ARE IMPLEMENTING INTERVENTIONS TO PREVENT OBESITY BY OFFERING WALKING GROUPS, AFTER-SCHOOL ACTIVITIES, NUTRITION EDUCATION, AND RECREATION; SKY LAKES IS AN ACTIVE PARTNER IN MANY OF THE ACTIVITIES.WORK BY SKY LAKES STAFF IS AIMED AT IMPROVING THE BUILT ENVIRONMENT TO ENCOURAGE WALKING, PROMOTING SELF-AWARENESS ABOUT HEALTHFUL LIFESTYLES, AND CHANGING POLICIES - AT WORKPLACES, IN BUSINESS, AND AT GOVERNMENT LEVELS.RELATED TO OBESITY IS DIABETES. SKY LAKES HOSTS AN ANNUAL 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 INTERVENTIONS. THE DIABETES SERVICES DEPARTMENT CONTINUES ITS OUTREACH WITH MONTHLY SUPPORT GROUPS THAT ARE WIDELY PROMOTED BY THE DEPARTMENT AND OTHER COMMUNITY AGENCIES.SKY LAKES INCLUDES OBESITY- AND DIABETES-RELATED STORIES AS WELL AS CANCER-PREVENTION STRATEGIES IN ITS QUARTERLY LIVE SMART MAGAZINE DISTRIBUTED TO 16,000 HOUSEHOLDS IN THE CATCHMENT AREA.MENTAL HEALTH IS A GROWING CONCERN IDENTIFIED IN THE NEEDS ASSESSMENT. THERE IS A HIGH PREVALENCE OF MENTAL HEALTH PROBLEMS AND AN UNFORTUNATE LACK OF MENTAL HEALTH PROVIDERS IN KLAMATH COUNTY.SKY LAKES STAFF TAKE AN ACTIVE ROLE IN COMMUNITY MENTAL HEALTH AND SUBSTANCE DISORDER PREVENTION AND TREATMENT ACTIVITIES, AND WORKS WITH KLAMATH BASIN BEHAVIORAL HEALTH, WHICH HAS ASSUMED THE ROLE PREVIOUSLY HELD BY KLAMATH COUNTY MENTAL HEALTH SERVICES. SKY LAKES WAS PIVOTAL IN CREATING THE KLAMATH WORKS HUMAN SERVICES CAMPUS, WHERE KEY SOCIAL SERVICES AGENCIES CAN HELP THEIR CLIENTS. THE CAMPUS WILL BECOME HOME FOR A NEW SOBERING CENTER THAT WILL ALSO OFFER ALCOHOL- AND SUBSTANCE-ABUSE REHABILITATION THERAPY SERVICES.LOW RATES OF BREASTFEEDING IS IDENTIFIED AS A SIGNIFICANT CONCERN. IN KLAMATH COUNTY, 88% OF NEW MOTHERS INITIATE BREASTFEEDING BEFORE LEAVING THE HOSPITAL. SKY LAKES OFFERS ONE-ON-ONE CONSULTATION WITH LACTATION SPECIALISTS IN AN EFFORT TO ENCOURAGE CONTINUED BREASTFEEDING INTO THE FIRST SIX TO 12 MONTHS OF LIFE. SKY LAKES ALSO SUPPORTS BREASTFEEDING MOMS IN A VARIETY OF WAYS, ALL AT NO CHARGE.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 COMMUNITY AGENCIES RESEARCHING TO FURTHER UNDERSTAND THE SOCIAL AND ENVIRONMENTAL RISK FACTORS AND TRENDS.WHEN IT COMES TO HEALTH, ZIP CODE MAY BE MORE IMPORTANT THAN GENETIC CODE - PLACE 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. THINGS LIKE PUBLIC SAFETY, ACCESS TO HEALTHY FOOD OPTIONS, CLEAN AND SAFE HOUSING, ACCESS TO EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES, INCOME, TRANSPORTATION, AND SOCIAL SUPPORT CAN EXPLAIN WHY SOME PEOPLE ARE HEALTHIER THAN OTHERS DESPITE THEIR HEALTH BEHAVIORS, AND ARE CLEARLY BEYOND THE PURVIEW OF THE MEDICAL CENTER.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. THESE ARE AREAS IN WHICH SKY LAKES SUPPORTS PUBLIC AND PRIVATE AGENCIES AND GOVERNMENT AS THEY SEEK SOLUTIONS, BUT CANNOT BE EXPECTED TO ADDRESS THE NEEDS. OTHER SOCIAL DETERMINANTS OF HEALTH INCLUDE UNEMPLOYMENT, HOMELESSNESS, CRIME AND SAFETY. SKY LAKES IS INSTRUMENTAL IN THE FORMATION OF THE INNOVATIVE KLAMATH WORKS HUMAN SERVICES CAMPUS WHICH WILL EVENTUALLY CO-LOCATE TO A SINGLE SITE THE SOCIAL SERVICE AGENCIES REQUIRED TO HELP ADDRESS MANY OF THOSE ISSUES. ALSO, SUBSTANCE ABUSE, A MODIFIABLE HEALTH RISK, WILL BE ADDRESSED BY A SOBERING CENTER ON THE CAMPUS. SKY LAKES HAS COMMITTED $200,000 TO ITS CONSTRUCTION AND PLEDGED TO COVER A SUBSTANTIAL PART OF ITS ANNUAL OPERATION TO ENSURE PROPER PATIENT CARE AND REHABILITATION TREATMENT.THE CHNA NOTES THAT, 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 GREEN SPACES IN KLAMATH FALLS, TO HELP REHABILITATE A MAJOR NEIGHBORHOOD PARK NEAR THE MEDICAL CENTER, AND TO HELP CREATE HIKING AND BIKING TRAILS IN AND AROUND THE CITY. |
| 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. |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 22D: IRS 501(R) AND OAHHS (OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS) COMMUNITY BENEFIT POLICY PACKAGE 2014. |
| SKY LAKES MEDICAL CENTER | PART V, SECTION B, LINE 24: SOME PATIENTS ARE ONLY ELIGIBLE FOR AN ANNUAL MAXIMUM OUT-OF-POCKET REDUCTION. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: | SKYLAKES.ORG |
| SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: | SKYLAKES.ORG |
| SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: | SKYLAKES.ORG |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| OUTPATIENT IMAGING | ||||
| 2900 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | OUTPATIENT DIAGNOSTIC IMAGING CENTER |
| CANCER TREATMENT CENTER | ||||
| 2610 UHRMANN ROAD | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| FAMILY PRACTICE CLINIC | ||||
| 1905 MAIN | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| FAMILY MEDICINE RESIDENCY | ||||
| 2801 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC & MEDICAL RESIDENCY PROGRAM |
| MEDICAL OFFICE BUILDING I | ||||
| 2200 BRYANT WILLIAMS DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| MEDICAL OFFICE BUILDING II | ||||
| 3000 BRYANT WILLIAMS DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| CENTER FOR OCCUPATIONAL HEALTH | ||||
| 2621 CROSBY AVENUE | KLAMATH FALLS | OR | 97603 | REHABILITATION SERVICES, HOME HEALTH SERVICES, EMPLOYEE ASSISTANCE PROGRAM |
| ADULT MEDICINE & FAMILY PRACTICE | ||||
| 3001 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINICS |
| FAMILY PRACTICE CLINIC | ||||
| 2617 ALMOND STREET | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| MEDICAL OFFICE BUILDING III | ||||
| 2680 UHRMANN ROAD | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| UROLOGY CLINIC | ||||
| 2630 CAMPUS DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| PULMONARY MEDICINE | ||||
| 2301 CLAIRMONT DRIVE | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| HUGH CURRIN HOUSE | ||||
| 2601 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | RESIDENTIAL FACILITY FOR FAMILIES UNDERGOING CARE |
| COMMUNITY HEALTHEDUCATION | ||||
| 2200 NORTH ELDORADO AVENUE | KLAMATH FALLS | OR | 97601 | COMMUNITY EDUCATION FACILITY |
| FAMILY PRACTICE CLINIC | ||||
| 2600 CLOVER | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS USED FOR THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS TABLE. THE RATIO WAS DERIVED USING WORKSHEET 2, 'RATIO OF PATIENT CARE COST-TO-CHARGES.' |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 12,717,526. |
| 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.LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: SKY LAKES AND SKY LAKES EMPLOYEES WORK IN CONJUNCTION WITH THE KLAMATH COUNTY HIGH SCHOOLS AND OREGON INSTITUTE OF TECHNOLOGY TO DEVELOP AN AWARENESS OF HEALTH CARE, HEALTH CARE CAREERS, AND SUPPORT FOR HEALTH PROFESSIONS EDUCATION SUPPORT AND TRAINING. SENIORS IN THE OREGON HEALTH & SCIENCE UNIVERSITY NURSING PROGRAM IN KLAMATH FALLS CONDUCT QUALITATIVE SURVEILLANCE OF THE PERCEIVED HEALTH STATUS OF PEOPLE IN NEARBY COMMUNITIES AND REPORT ON BARRIERS TO ACCESS TO HEALTHCARE IDENTIFIED BY THOSE COMMUNITIES. THE STUDENTS USE TOOLS INCLUDING ONE-ON-ONE INTERVIEWS, FOCUS GROUPS, PUBLIC MEETINGS, AND PHONE SURVEYS. THEIR DATA ARE SHARED WITH COMMUNITY LEADERS AND COMPARED WITH OTHER DATA TO DEVELOP COMPREHENSIVE IMPROVEMENT STRATEGIES.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 ALSO SUPPORTS COMMUNITY HEALTH IMPROVEMENT ADVOCACY VIA THE SOUTHERN OREGON METH PROJECT. SOMP IS MADE UP OF COMMUNITY BUSINESSES THAT HOPE TO HAVE AN IMPACT ON THE 75% OF CHILDREN IN FOSTER CARE THAT ARE THERE BECAUSE OF METH AND ON THE 8 OUT OF 10 ARRESTS BEING RELATED TO METH. OVERWHELMED COURTS AND JAILS IN OUR COMMUNITY HELP DRIVE THE SOMP PARTNERS TO COME TOGETHER TO STOP THE NEXT GENERATION FROM WORSENING THE PROBLEM. OTHER 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 A BUDGET, BREASTFEEDING, SMOKING CESSATION, CAR SEAT SAFETY, AIDS/HIV, AND DIABETES. IN ADDITION TO COMMUNITY MEMBERS, EDUCATIONAL OFFERINGS INCLUDE NURSING STUDENTS, ELEMENTARY, MIDDLE, HIGH SCHOOLS AND LOCAL COLLEGES. EMPLOYEE SUPPORT - TIME AND MONETARY DONATIONS - OF LOCAL FOOD BANKS IS ALSO ENCOURAGED.WORKFORCE DEVELOPMENT: SKY LAKES UNDERWRITES THE WAGES AND BENEFITS OF SELECTED NEW GRADUATES FROM THE LOCAL BACCALAUREATE NURSING PROGRAM. THESE NURSES SPEND 6 MONTHS ORIENTING TO VARIOUS INPATIENT UNITS BY SHADOWING EXPERIENCED REGISTERED NURSES IN ORDER TO DETERMINE THE BEST EMPLOYMENT "FIT" FOR THEM AND FOR SKY LAKES. |
| PART III, LINE 4: | BAD DEBTS ARE ACCRUED MONTHLY AT A FIXED PERCENTAGE OF GROSS CHARGES. BOOKED BAD DEBT EXPENSE IS ROUTINELY COMPARED TO ACTUAL BAD DEBT WRITEOFFS, WHICH INCLUDE PAYMENTS TO PREVIOUSLY RECORDED BAD DEBTS, AND THE ACCRUAL PERCENTAGE IS ADJUSTED ACCORDINGLY. THIS PROCESS HAS THE INTENDED EFFECT OF REALIZING BAD DEBT EACH MONTH AS A LESS VOLATILE EXPENSE.BAD DEBT EXPENSE INCLUDES PAYMENTS - PATIENT AND INSURANCE - TO PREVIOUSLY RECORDED BAD DEBTS.SKY LAKES MEDICAL CENTER OFFERS A CHARITY CARE APPLICATION TO ALL PATIENTS, EITHER IN PERSON OR MAKING IT AVAILABLE VIA US MAIL OR ON THE HOSPITAL'S WEBSITE. A SAMPLE OF PROCESSED CHARITY CARE APPLICATIONS WAS TAKEN. WE FOUND THAT 15% OF CHARITY CARE APPLICATIONS WERE TURNED TO BAD DEBT DUE TO LACK OF INFORMATION SUPPLIED BY THE HOUSEHOLD. WE ASSUME THAT ALL REMAINING BAD DEBT ACCOUNTS WERE CORRECTLY CLASSIFIED DURING OUR COLLECTION PROCESS. THIS 15% REPRESENTS $1.9 MILLION.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: | IN ADDITION TO THE CHNA, SKY LAKES 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 AS INPATIENTS AND AS EMERGENCY DEPARTMENT PATIENTS, AND THOSE 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 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 FREE HEALTH- AND WELLNESS-RELATED SEMINARS AND SIMILAR 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, IS REFERENCED IN THE ONLINE BILL-MANAGEMENT SECTION OF THE SITE, AND IS FEATURED IN THE MEDICAL CENTER'S ANNUAL REPORT AND IN THE ANNUAL LIVE HEALTHY MAGAZINE PUBLISHED BY THE HERALD AND NEWS NEWSPAPER AND SKY LAKES. THE ANNUAL REPORT IS DISTRIBUTED TO SELECTED INDIVIDUALS IN THE MEDICAL CENTER'S SERVICE AREA, AND IS PUBLISHED ON THE SKY LAKES WEBSITE. THE LIVE HEALTHY MAGAZINE IS DISTRIBUTED TO ROUGHLY 17,000 HOUSEHOLDS IN THE MEDICAL CENTER'S CATCHMENT AREA USING THE LOCAL NEWSPAPER'S DISTRIBUTION NETWORK.THE FINANCIAL ASSISTANCE POLICY AND ASSISTANCE APPLICATION IS ALSO PROVIDED WHEN PATIENTS REGISTER FOR SERVICES, AT PATIENT FINANCIAL SERVICE WHEN THEY PAY THEIR BILLS IN PERSON OR WHEN PATIENTS INQUIRE ABOUT THEIR BILLS OR ASSISTANCE, AND 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. ADDITIONALLY, 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 WE MAIL. IT ALSO IS COVERED DURING COURTESY PHONE CALLS IF THERE IS MENTION OF DIFFICULTY IN PAYING. IN ADDITION, SKY LAKES 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. BESIDES THE MAIN MEDICAL CENTER, THE SKY LAKES CANCER TREATMENT 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 2015 AT 65,455. CENSUS DATA FROM THE OREGON SECRETARY OF STATE FOR 2015 SHOW KLAMATH COUNTY'S POPULATION AT 66,016. OF THE TOTAL, 21.5 PERCENT ARE YOUNGER THAN 18, AND 19.2 PERCENT ARE 65 OR OLDER. THOSE COMPARE WITH 21.6 PERCENT AND 16.0 PERCENT RESPECTIVELY FOR THE STATE OF OREGON IN THE SAME PERIOD.THE POPULATION'S GENDER SPLIT IS ALMOST EVEN WITH 50.1 PERCENT FEMALE, WITH 37.6 PERCENT OF THE TOTAL LISTED AS BEING "RURAL, AND 89.1 PERCENT LISTED AS WHITE, 4.7 PERCENT AS AMERICAN INDIAN, 12.2 PERCENT HISPANIC OR LATINO, AND 0.9 PERCENT AFRICAN AMERICAN.THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY IN 2015 IS REPORTED AT $39,534, DOWN FROM $41,066 TWO YEARS EARLIER, WITH 21.9 PERCENT OF THE POPULATION IN POVERTY. THAT COMPARES TO 14.8 PERCENT NATIONALLY.THE COUNTY HEALTH RANKINGS FOR 2015 SHOW KLAMATH COUNTY IS RANKED 34 OUT OF 34 RANKED OREGON COUNTIES. THE REPORT RANKS SUCH FACTORS AS: - POOR OR FAIR HEALTH (18 PERCENT VS THE NATIONAL BENCHMARK OF 10 PERCENT AND THE OREGON BENCHMARK OF 14 PERCENT), - ADULT SMOKING (23 PERCENT VS 14 PERCENT NATIONALLY AND 16 PERCENT IN OREGON), - UNINSURED ADULTS (20 PERCENT VS 11 PERCENT NATIONALLY AND 17 PERCENT IN OREGON), - PRIMARY CARE PROVIDERS (1,268:1 VS 1,045:1 NATIONALLY AND 1,105:1 IN OREGON), - UNEMPLOYMENT (10.7 PERCENT VS 4.0 PERCENT NATIONALLY AND 7.7 IN OREGON), - CHILDREN IN POVERTY (27 PERCENT VS 13 PERCENT NATIONALLY AND 22 PERCENT IN OREGON), AND - VIOLENT CRIME RATE (234 VS 59 NATIONALLY AND 249 IN OREGON).ACCORDING TO THE 2015 OREGON COMMUNITY HOSPITAL REPORT, DURING 2014, SKY LAKES HAD: - 5,183 INPATIENT DISCHARGES; - 19,443 INPATIENT DAYS; - AN AVERAGE LENGTH OF STAY OF 3.75 DAYS, DOWN FROM 4.06 THE YEAR EARLIER; AND - 21,848 EMERGENCY DEPARTMENT VISITS. |
| PART VI, LINE 5: | BESIDES PROVIDING HIGH-QUALITY HEALTHCARE, SKY LAKES MEDICAL CENTER FURTHERS ITS TAX-EXEMPT PURPOSE AND FULFILLS ITS MEDICAL MISSION BY PROVIDING OR SUBSIDIZING NUMEROUS CLASSES, SUPPORT GROUPS, SCREENINGS AND SELF-HELP PROGRAMS; FREE CHILD 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 LECTURES AIMED AT ENCOURAGING GREATER FITNESS; AND SEPARATE SUPPORT GROUPS AIMED AT PEOPLE AFFECTED BY CANCER AND THOSE WHO HAVE DIABETES. SKY LAKES HOSTS FREE WALK WITH A DOC PROGRAMS IN COOPERATION WITH AREA PHYSICIANS AND CLINICS. THESE ACTIVITIES ARE PROVIDED AT NO CHARGE BY SKY LAKES.SKY LAKES ROUTINELY PARTNERS WITH OTHER NOT-FOR-PROFITS 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 VIA THE MEDICAL CENTER'S QUARTERLY LIVE SMART MAGAZINE AND VIA SOCIAL MEDIA TO PEOPLE INTERESTED IN KEEPING TRACK OF THEIR STEPS EN ROUTE TO A GOAL OF 10,000 STEPS A DAY.SKY LAKES STAFF CONDUCT HAND-HYGIENE EDUCATION AND FREE BLOOD PRESSURE CHECKS AT THE EVERY-OTHER-YEAR AREA SAFETY FAIR HOSTED BY AREA EMERGENCY SERVICES AGENCIES. THE MEDICAL CENTER FURTHER PROMOTES HAND HYGIENE AND SKIN PROTECTION USING DEMONSTRATIONS FOLLOWED UP WITH FREE HAND SANITIZER AND SUN SCREEN SAMPLES. SKIN CANCER PROTECTION IS DONE 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 2015 WAS NEARLY $3 MILLION.CASCADES EAST ALSO OPERATES A MOBILE CLINIC THAT PROVIDES NO-CHARGE HEALTHCARE SERVICES TO UN- AND UNDERINSURED POPULATIONS IN THE REGION. THE MOBILE CLINIC LOGGED MORE THAN 1,000 MILES AND MORE THAN 200 PATIENT EXAMS. SKY LAKES COVERS THE MOBILE CLINIC'S EXPENSES.SKY LAKES HAS PROVIDED ON AVERAGE NEARLY $34 MILLION A YEAR WORTH OF SUBSIDIZED CARE, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY-BENEFIT SERVICES. COMMUNITY BENEFIT ACCOUNTED FOR ABOUT 19 PERCENT OF SKY LAKES EXPENSES IN 2014.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. IN 2014, MORE THAN 300 CHILDREN WERE ASSESSED FOR POSSIBLE ABUSE. 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.SKY LAKES, AS A COMMUNITY PARTNER IN THE "SOUTHERN OREGON METH PROJECT," WHICH TARGETS DRUG USE BY TEENS, CONTRIBUTED $9,000 TO THE PUBLIC AWARENESS CAMPAIGN.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 INVESTED ALMOST $500,000 IN 2014 IN RECRUITING ACTIVITIES AND NEARLY $4 MILLION IN CLINIC START-UP AND SUPPORT.SKY LAKES PROVIDES FREE EDUCATION IN OR FOR THE SCHOOLS THROUGH COMMUNITY PARTNERSHIPS, 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 DONATED $28,000 TO PROVIDE ALL AREA THIRD-GRADERS SWIMMING LESSONS AT THE CITY OF KLAMATH FALLS-OWNED MUNICIPAL SWIMMING POOL OVER FOUR YEARS.SKY LAKES EMERGENCY DEPARTMENT PHYSICIANS, NURSES AND STAFF DONATED NEARLY 500 HOURS IN 2014 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, WHICH ACCOUNTS FOR THE DEATHS OF HUNDREDS OF 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. AMONG THEM: - $20,000 TO BUILD FOUR TENNIS COURTS TO SERVE THE SOUTHEAST SUBURBS; - TITLE SPONSOR OF THE KINGSLEY FIELD DUATHLON MULTISPORT EVENT; AND - PRINCIPAL SPONSOR OF THE HEALTHY KID RUNNING SERIES FOR ELEMENTARY-AGED STUDENTS. 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 HELP WITH THE DEVELOPMENT OF A ONE-MILE, FULLY ACCESSIBLE TRAIL ON SPENCE MOUNTAIN. SKY LAKES IS MANAGING AN $85,000 GRANT FOR A HANDICAP-FRIENDLY TRAIL ON THE HILLSIDE BETWEEN THE MEDICAL CENTER AND OREGON TECH, AND WILL PROVIDE ABOUT $29,000 ADDITIONAL FUNDING. SKY LAKES IS ALSO 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. 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 KLAMATH COUNTY RELAY FOR LIFE BY CONTRIBUTING $2,000 TOWARD CANCER RESEARCH AND PROVIDING SOME 700 SERVINGS OF HOME-MADE SOUP TO THOSE AT THE EVENT; - 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; - THE LOCAL YMCA BY PROVIDING $7,000 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 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.SKY LAKES ALSO PARTNERS WITH DOZENS OF CIVIC AND NON-GOVERNMENTAL AGENCIES, SCHOOL DISTRICTS, AND PUBLIC SERVICE AGENCIES TO HELP IMPROVE AND PROMOTE THE HEALTH OF OUR COMMUNITY. |
| 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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| KLAMATH COUNTY SCHOOL DISTRICT | |||||||
| 10501 WASHBURN WAY | KLAMATH FALLS | OR | 97603 | 936000543 | KLAMATH COUNTY, OR | $20,333 | HOSA PROGRAM ASSISTANCE |
| OBC CHARITABLE INSTITUTE | |||||||
| 110 SW 6TH AVENUE SUITE 1608 | PORTLAND | OR | 97204 | 931240928 | 501(C)(3) | $600,000 | THE BLUE ZONES PROJECT IN OREGON - SPECIFICALLY KLAMATH FALLS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | 8 | $43,441 |
| EXTERNSHIP STIPENDS | 7 | $21,200 |
| STUDENT LOAN ASSISTANCE TO EMPLOYEES | 13 | $49,080 |
| PATIENT ASSISTANCE | 144 | $32,596 |
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 | $356,137 | $0 | $225,000 | $0 | $0 | $0 | $28,046 | $0 | $16,360 | $0 | $625,543 | $0 | $0 | $0 |
| RICHARD RICO | ||||||||||||||
| VP/CFO | $338,629 | $0 | $35,728 | $0 | $0 | $0 | $30,495 | $0 | $23,182 | $0 | $428,034 | $0 | $0 | $0 |
| RICHARD DEVORE MD | ||||||||||||||
| MEDICAL PROVIDER | $438,501 | $0 | $0 | $0 | $0 | $0 | $13,000 | $0 | $22,762 | $0 | $474,263 | $0 | $0 | $0 |
| STANTON SMITH MD | ||||||||||||||
| MEDICAL PROVIDER | $401,172 | $0 | $0 | $0 | $0 | $0 | $13,000 | $0 | $22,919 | $0 | $437,091 | $0 | $0 | $0 |
| JARED OGAO MD | ||||||||||||||
| MEDICAL PROVIDER | $387,643 | $0 | $0 | $0 | $0 | $0 | $13,000 | $0 | $22,762 | $0 | $423,405 | $0 | $0 | $0 |
| PATRICK MAVEETY MD | ||||||||||||||
| MEDICAL PROVIDER | $397,968 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,249 | $0 | $407,217 | $0 | $0 | $0 |
| ISKRA MATHURA MD | ||||||||||||||
| MEDICAL PROVIDER | $372,745 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,305 | $0 | $382,050 | $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 | 498413DQ3 | 2006-08-31 | $39,329,258 | REVENUE AND REFUNDING; MERLE WEST MEDICAL CENTER PROJECT | 0 | Yes (1) | 0 |
| KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY | ||||||||
| B | 931061020 | 498413EF6 | 2012-11-29 | $18,288,334 | REFUNDING OF 2002 BONDS; ENERGY EFFICIENCY COSTS; RESERVE FUND | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Bond DefeasedBondDefeasedAmt | In Reserve FundInReserveFundAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,910,000 | $39,329,258 | $558,445 | $1,170,952 | $15,000,000 | $22,599,861 | 2007 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $1,600,000 | $18,288,334 | $257,477 | $6,198,542 | 2013 | 0 | Yes (1) | Yes (1) | Yes (1) | $11,772,436 | $59,879 |
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 | 0 | 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 | $450,000 | OriginalPrincipalAmt |
| Balance Due | $465,042 | 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 | $465,042 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE CONTROLLER, CFO, CEO 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. IF AN EMPLOYEE OR MEMBER OF THEIR IMMEDIATE FAMILY HAS A FINANCIAL INTEREST IN A FIRM WHICH DOES BUSINESS WITH SKY LAKES MEDICAL CENTER ("SKY LAKES"), AND THE INTEREST IS POTENTIALLY SUFFICIENT ENOUGH TO AFFECT THE EMPLOYEE'S WORK DECISIONS OR ACTIONS, BY POLICY THE EMPLOYEE WILL NOT BE PERMITTED TO REPRESENT SKY LAKES IN TRANSACTIONS INVOLVING THE FIRM. EMPLOYEES ARE SIMILARLY PROHIBITED FROM ACCEPTING GIFTS FROM ANY PERSON OR FIRM DOING OR SEEKING TO DO BUSINESS WITH SKY LAKES UNDER CIRCUMSTANCES IN WHICH IT MIGHT REASONABLY BE INFERRED THAT THE PURPOSE OF THE GIFT WAS TO INFLUENCE THE EMPLOYEE IN THE CONDUCT OF SKY LAKES BUSINESS WITH THE DONOR. EMPLOYEES ARE NOT PROHIBITED FROM ACCEPTING ADVERTISING NOVELTIES SUCH AS PENS, PENCILS, CALENDARS, OR OTHER GIFTS OF NOMINAL VALUE, HOWEVER, WHEN CIRCUMSTANCES CLEARLY SHOW THAT THE GIFTS ARE OFFERED FOR REASONS OF PERSONAL ESTEEM AND AFFECTION. DUE TO THE DIFFICULTY OF DEFINING ALL OF THE SITUATIONS UNDER WHICH A CONFLICT OF INTEREST MAY ARISE, EMPLOYEES ARE INSTRUCTED BY POLICY TO SOLICIT ADVICE FROM MANAGEMENT REGARDING ANY POSSIBLE CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARATIVE DATA FOR CEO AND ALL VP POSITIONS. FOR THE CEO POSITION, THE COMPENSATION COMMITTEE COMPLETES A PERSONNEL ACTION FORM, WHICH IS SIGNED BY THE BOARD CHAIR. FOR ALL VP POSITIONS, THE COMMITTEE ACTS ON THE RECOMMENDATIONS MADE BY THE CEO. THIS PROCESS WAS LAST UNDERTAKEN IN MARCH 2016. |
| 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 ON PASSTHROUGH INCOME -87,133. |
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 | -$1,407,838 | 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 MED CENTER | OR | 501(C)(3) | LINE 11A, I | SKY LAKES MEDICAL CENTER | 0 |
| KLAMATH CARE SERVICES INC | ||||||||||
| 2865 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | 930946018 | SUPPORT MED CENTER (INACTIVE) | OR | 501(C)(3) | LINE 11C, 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 | $96,711 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $570,169 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | $8,962 | 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 | -$3,306,252 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,193,715 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WEST PHYSICIAN SERVICES LLC | ||
| D | $328,261 | BOOK CHANGE IN LIABILITY |
| KLAMATH MEDICAL BUSINESS CENTER LLC | ||
| K | $120,571 | CASH TRANSFERRED |