SKY LAKES MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SKY LAKES MEDICAL CENTER INC (EIN 93-0508781)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-15
IRS object ID: 201712279349303611
Schema version: 2015v3.0
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	2017-08-15T16:06:48-05:00	ReturnTs
Tax Period End	2016-09-30	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	2015-10-01	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	2017-08-15	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	2017-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$603,470,745	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	1600	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$7,176	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,136	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,151,024	PYContributionsGrantsAmt
CY Contributions Grants	$703,711	CYContributionsGrantsAmt
PY Program Service Revenue	$540,811,667	PYProgramServiceRevenueAmt
CY Program Service Revenue	$594,048,546	CYProgramServiceRevenueAmt
PY Investment Income	$3,853,551	PYInvestmentIncomeAmt
CY Investment Income	$4,418,026	CYInvestmentIncomeAmt
PY Other Revenue	$516,084	PYOtherRevenueAmt
CY Other Revenue	$908,549	CYOtherRevenueAmt
PY Total Revenue	$546,332,326	PYTotalRevenueAmt
CY Total Revenue	$600,078,832	CYTotalRevenueAmt
PY Grants And Similar Paid	$766,650	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$393,014	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$97,471,961	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$110,202,768	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$419,449,748	PYOtherExpensesAmt
CY Other Expenses	$459,799,032	CYOtherExpensesAmt
PY Total Expenses	$517,688,359	PYTotalExpensesAmt
CY Total Expenses	$570,394,814	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,643,967	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,684,018	CYRevenuesLessExpensesAmt
Total Assets BOY	$287,290,341	TotalAssetsBOYAmt
Total Assets EOY	$334,383,334	TotalAssetsEOYAmt
Total Liabilities BOY	$96,000,250	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$113,037,601	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$191,290,091	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$221,345,733	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	$475,562,772	ExpenseAmt
Grant	$330,144	GrantAmt
Revenue	$573,520,552	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	$23,258,362	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	UNCOMPENSATED CARE - DURING FISCAL YEAR 2016, 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 $8,122,728 (COMPARED TO $7,012,265 FOR THE FISCAL YEAR 2015). IN ADDITION TO CHARITY CARE WRITE OFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $15,135,634 (VERSUS $12,717,526 WRITTEN OFF IN FISCAL YEAR 2015). AS A PERCENTAGE OF CHARGES, FISCAL YEAR 2016 WRITE OFFS REPRESENT 1.4% (CHARITY CARE) AND 2.6% (BAD DEBT), RESPECTIVELY. THESE PERCENTAGES FOR THE PRIOR YEAR WERE 1.3% AND 2.4%. WE CONTINUE TO expand our Charity Care Policy to help people in our community get the necessary medical care they need.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,003,989	ExpenseAmt
Grant	$62,870	GrantAmt
Revenue	$2,371,153	RevenueAmt
Desc	EDUCATIONAL SUPPORT - SKY LAKES MEDICAL CENTER COMMITS SIGNIFICANT DOLLARS AND HOURS TO BENEFIT EDUCATIONAL EFFORTS IN AND FOR THE COMMUNITY. AMONG THOSE COMMITMENTS ARE THE FOLLOWING: OREGON HEALTH & SCIENCE UNIVERSITY AFFILIATED FAMILY PRACTICE RESIDENCY PROGRAM AND CLINIC; AN RN I TRAINING PROGRAM TO INCLUDE 6 MONTHS OF ONE-ON-ONE SUPERVISED ORIENTATION TO THE INPATIENT CARE AREAS; AWARDING OF SCHOLARSHIPS TO COMMUNITY MEMBERS AND/OR EMPLOYEES IN HEALTHCARE- RELATED PROGRAMS; A HOSPITAL DEPARTMENT, LEARNING RESOURCES, DEDICATED TO THE EDUCATION OF PHYSICIANS, EMPLOYEES AND COMMUNITY MEMBERS; COMMITMENT TO EMPLOYEES ACTING, EITHER FULL-TIME OR PART-TIME, AS INSTRUCTORS IN ACCREDITED COURSES AT THE HIGH SCHOOL, COMMUNITY COLLEGE OR UNIVERSITY LEVEL; STIPEND PAYMENTS TO STUDENTS PERFORMING WORK AND/OR ON-THE-JOB TRAINING WITHIN THE HOSPITAL SETTING; TUITION REIMBURSEMENTS PAID TO EMPLOYEES ENROLLED IN COLLEGE-LEVEL COURSEWORK; JOINT PARTICIPATION IN A SIMULATION LABORATORY WITH OIT; FREE OR MINIMAL COST COMMUNITY EDUCATIONAL OPPORTUNITIES SUCH AS DIABETES EDUCATION, NUTRITION AND OTHER EDUCATION PROGRAMS IN OR FOR THE SCHOOLS; AND HEALTH FAIRS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$31,391,698	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$18,176,445	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	$31,391,698	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$18,176,445	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$536,216,821	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	325	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1600	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)	$615,341	$0	$43,308
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)		$200	$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)		$22,000	$0	$0
DWIGHT SMITH MD
BOARD MEMBER	1.00	1.00	Yes (X)		$18,200	$0	$0
RICHARD E RICO
VP/CFO	50.00			Yes (X)	$430,444	$0	$49,439
SHAUN C SPALDING
MEDICAL PROVIDER	40.00				$448,798	$0	$20,468	Yes (X)
JARED OGAO MD
MEDICAL PROVIDER	40.00				$449,400	$0	$33,718	Yes (X)
RICHARD A DEVORE MD
MEDICAL PROVIDER	40.00				$452,597	$0	$33,958	Yes (X)
J ERIC BRUNSWICK MD
MEDICAL PROVIDER	40.00				$462,427	$0	$17,812	Yes (X)
STANTON T SMITH MD
MEDICAL PROVIDER	40.00				$507,673	$0	$33,718	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,407,080	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$232,421	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	148	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
Hudson Staffing
4625 Nadine Lane	Franklin	TN	37064	STAFFING SERVICES	$3,709,519
KLAMATH RADIOLOGY ASSOCIATES
2900 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	PHYSICIAN PRACTICE	$3,399,048
KLAMATH ORTHOPEDIC CLINIC
2220 BRYANT WILLIAMS DRIVE	KLAMATH FALLS	OR	97601	PHYSICIAN PRACTICE	$2,580,566
Pacific Radiation Oncology Care
7654 Andrew Lane	KLAMATH FALLS	OR	97603	PHYSICIAN PRACTICE	$776,958
Klamath Elite Anesthesia Group
611 Loma LInda Drive	KLAMATH FALLS	OR	97601	PHYSICIAN PRACTICE	$678,325

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Related Organizations	$703,711	RelatedOrganizationsAmt
Total Contributions	$703,711	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$573,520,552	$573,520,552
Other Program Revenue	622110	$20,527,994	$20,527,994

Field	Value	IRS element (for citing)
Total Program Service Revenue	$594,048,546	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,587,233	TotalRevenueColumnAmt
Exclusion	$4,587,233	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$922,972	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$986,159	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$63,187	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$63,187	TotalRevenueColumnAmt
Exclusion	-$63,187	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$169,207	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$169,207	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$169,207	TotalRevenueColumnAmt
Exclusion	-$169,207	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$3,997,584	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,236,547	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,761,037	TotalRevenueColumnAmt
Exclusion	$1,761,037	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PASSTHROUGH INCOME	622110	$106,212	$19,604	$7,176	$79,432
OTHER INCOME	900099	-$895,513			-$895,513

Field	Value	IRS element (for citing)
Other Revenue Total	-$789,301	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$600,078,832	TotalRevenueColumnAmt
Related Or Exempt Func Income	$594,068,150	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,176	UnrelatedBusinessRevenueAmt
Exclusion	$5,299,795	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$255,000	TotalAmt
Program Services	$255,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$138,014	TotalAmt
Program Services	$138,014	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,233,547	TotalAmt
Management And General	$1,233,547	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,757,392	TotalAmt
Program Services	$81,529,031	ProgramServicesAmt
Management And General	$7,228,361	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,633,203	TotalAmt
Program Services	$3,164,155	ProgramServicesAmt
Management And General	$469,048	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,758,830	TotalAmt
Program Services	$9,270,726	ProgramServicesAmt
Management And General	$1,488,104	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,819,796	TotalAmt
Program Services	$4,708,917	ProgramServicesAmt
Management And General	$1,110,879	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,915,398	TotalAmt
Program Services	$145,838	ProgramServicesAmt
Management And General	$2,769,560	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$227,612	TotalAmt
Management And General	$227,612	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$201,405	TotalAmt
Management And General	$201,405	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,372,906	TotalAmt
Program Services	$16,358,164	ProgramServicesAmt
Management And General	$14,742	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,112,216	TotalAmt
Program Services	$498,715	ProgramServicesAmt
Management And General	$613,501	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,378,568	TotalAmt
Program Services	$1,221,073	ProgramServicesAmt
Management And General	$1,157,495	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,311,281	TotalAmt
Program Services	$61,388	ProgramServicesAmt
Management And General	$6,249,893	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,435,444	TotalAmt
Program Services	$3,079,067	ProgramServicesAmt
Management And General	$1,356,377	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$135,112	TotalAmt
Program Services	$135,112	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$836,907	TotalAmt
Program Services	$534,554	ProgramServicesAmt
Management And General	$302,353	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,206,268	TotalAmt
Program Services	$3,216,260	ProgramServicesAmt
Management And General	-$9,992	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,260,110	TotalAmt
Program Services	$7,998,085	ProgramServicesAmt
Management And General	$5,262,025	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,912,257	TotalAmt
Program Services	$439,114	ProgramServicesAmt
Management And General	$1,473,143	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Contractual Allowance	$328,504,937	$328,504,937
Supplies	$34,464,705	$34,311,413	$153,292
BAD DEBTS	$15,212,404	$15,212,404
TAXES PAID ON UBI	$200		$200

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,311,302	TotalAmt
Program Services	$25,434,854	ProgramServicesAmt
Management And General	$2,876,448	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$570,394,814	TotalAmt
Program Services	$536,216,821	ProgramServicesAmt
Management And General	$34,177,993	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,670,202	BOYAmt
EOY	$32,207,245	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,718,077	BOYAmt
EOY	$5,576,792	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,780,051	BOYAmt
EOY	$36,321,734	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$465,042	BOYAmt
EOY	$630,383	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,229,462	BOYAmt
EOY	$3,939,835	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,774,698	BOYAmt
EOY	$2,540,788	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$206,948,221	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$114,323,082	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,984,105	BOYAmt
EOY	$92,625,139	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$49,174,033	BOYAmt
EOY	$48,441,303	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$35,105,634	BOYAmt
EOY	$45,167,942	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,389,037	BOYAmt
EOY	$66,932,173	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$287,290,341	BOYAmt
EOY	$334,383,334	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,574,991	BOYAmt
EOY	$27,902,325	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,474,430	BOYAmt
EOY	$2,440,992	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,895,845	BOYAmt
EOY	$73,612,390	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,054,984	BOYAmt
EOY	$9,081,894	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,000,250	BOYAmt
EOY	$113,037,601	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$191,290,091	BOYAmt
EOY	$221,345,733	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$191,290,091	BOYAmt
EOY	$221,345,733	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$287,290,341	BOYAmt
EOY	$334,383,334	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,684,018	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$394,491	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$22,867	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	$14,766,429	BeginningYearBalanceAmt
Contributions	$831,608	ContributionsAmt
Investment Earnings Or Losses	$1,640,023	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$21,511	GrantsOrScholarshipsAmt
Other Expenditures	$587,712	OtherExpendituresAmt
Administrative Expenses	$301,803	AdministrativeExpensesAmt
End Year Balance	$16,327,034	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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	$2,705,538	OtherCostOrOtherBasisAmt
Book Value	$2,705,538	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,819,688	OtherCostOrOtherBasisAmt
Depreciation	$63,202,605	DepreciationAmt
Book Value	$55,617,083	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,414,917	OtherCostOrOtherBasisAmt
Depreciation	$3,112,708	DepreciationAmt
Book Value	$1,302,209	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,434,221	OtherCostOrOtherBasisAmt
Depreciation	$47,754,989	DepreciationAmt
Book Value	$29,679,232	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,573,857	OtherCostOrOtherBasisAmt
Depreciation	$252,780	DepreciationAmt
Book Value	$3,321,077	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,625,139	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN OTHER COMPANIES	$7,795,799	C
LIFE INSURANCE	$36,470,808	F
DEFERRED COMP PLAN ASSETS	$901,335	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$45,167,942	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Assets LIMITED AS TO USE	$26,804,658
Other Assets	$1,358,022
RISK POOL WITHHOLD RECEIVABLE	$1,662,357
Deferred Financing Costs	$1,219,051
Construction in Process	$1,677,783
Other Receivables	$34,210,302

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$66,932,173	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Capital Lease obligations	$7,307,086
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,774,808

Field	Value	IRS element (for citing)
Total Liability	$9,081,894	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, 2016 or 2015. The Medical Center recognizes interest accrued and penalties related to unrecognized tax benefits as an administrative expense. During the years ended September 30, 2016 and 2015, 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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	12406	PersonsServedCnt
Total Community Benefit Expns	$14,093,656	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,093,656	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,144,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,823,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$679,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	12406	PersonsServedCnt
Total Community Benefit Expns	$74,237,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,823,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,414,281	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	15957	PersonsServedCnt
Total Community Benefit Expns	$1,382,452	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,649	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,281,803	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	24073	PersonsServedCnt
Total Community Benefit Expns	$4,682,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,803,150	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,879,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	290000	PersonsServedCnt
Total Community Benefit Expns	$19,578,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,132,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,445,383	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$490,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$490,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	330030	PersonsServedCnt
Total Community Benefit Expns	$26,132,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,036,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,096,247	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	61	ActivitiesOrProgramsCnt
Persons Served	342436	PersonsServedCnt
Total Community Benefit Expns	$100,370,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,860,154	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,510,528	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	9166	PersonsServedCnt
Total Community Benefit Expns	$623,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$299,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$324,001	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$609	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	49626	PersonsServedCnt
Total Community Benefit Expns	$231,554	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,554	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	623	PersonsServedCnt
Total Community Benefit Expns	$1,004,856	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,004,856	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	59440	PersonsServedCnt
Total Community Benefit Expns	$1,860,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$299,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,561,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$15,212,404	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,281,861	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,992,944	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,735,564	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,742,620	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
Existing Resources	Yes (X)	ExistingResourcesInd
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	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	skylakes.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HealthyKlamath.org	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	skylakes.org	StrategyWebsiteURLTxt
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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SKY LAKES MEDICAL CENTER	Part V, Section B, Line 3j: To better understand the health needs of the community it serves, Sky Lakes Medical Center worked with an assortment of community partners to develop a comprehensive Community Health Needs Assessment and the companion Community Health Improvement Plan. Together, the documents describe and help us understand the population's health needs and ways to address those needs as we work to improve the health of the community.The partners Sky Lakes Medical Center, Klamath Falls, Ore., engaged in the needs assessment include Klamath County (Ore.) Public Health Department; Klamath Open Door, a federally qualified family medicine clinic; and Cascade Health Alliance, which oversees care for some 18,000 Medicaid recipients in the area, based in Klamath Falls.To help address the needs identified in the report, Sky Lakes enlisted the help and support of local organizations and agencies including Cascades East Family Medicine Center, a rural residency program and clinic in Klamath Falls; Oregon State University's Extension in Klamath County; Oregon Health & Science University's nursing program at Oregon Institute of Technology in Klamath Falls; the City of Klamath Falls and Klamath County governments; local school districts; the local newspaper; and the region's largest radio station.It is this collaboration that also proved instrumental in bringing the Blue Zones Project to Klamath Falls. Data collected on behalf of the Blue Zones Project helped corroborate findings in the needs assessment and validate strategies in the improvement plan.The Community Health Needs Assessment (CHNA) formally assesses and documents the health of our community utilizing a coordinated and collaborative process. It is the first step to the ongoing process of community health improvement. The 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. The intent was to hear from many voices and to strive for harmony as we worked together to make changes that would result in healthier behaviors that would persist in the population. We monitor our progress using the more than 100 Healthy Communities Institute (HCI) indicators and displayed on a public website, HealthyKlamath.org; the site links from the medical center's site, SkyLakes.org, also. The indicators are continually updated as new data are collected.For the current CHNA, primary data were not collected because those efforts would generally duplicate recent efforts of partner organizations, which collected meaningful primary data through community surveys and focus groups. Results from those reports were synthesized into a comprehensive community assessment. Many data sources were utilized throughout this assessment, but certain key reports were heavily relied upon because of their rich qualitative data that provides the stories behind the numbers.Assessments and resources containing primary data include:Blue Zones Project - Klamath Falls, Assessment Report. The Blue Zones Project assessment team conducted 16 focus groups with more than 220 people and met with more than 25 key leaders and community groups to learn about Klamath Falls, its history, economy, and people. Focus groups were organized by sector and included schools, worksites, community policy, restaurants, grocery stores, and faith-based and civic groups. Additionally, a three-day built environment audit via walking, biking, and driving was conducted by national bike and walkability experts Dan Burden and Samantha Thomas.Gallup-Healthways Well-Being Index, Klamath Falls: This assessment team collected more than 700 mail surveys from residents in the Klamath Falls Urban Growth Boundary to analyze five elements of wellbeing: purpose, social, financial, community, and physical.Oregon Health and Science University (OHSU) School of Nursing Klamath County Youth Health and Behavior Assessment: Nursing students conducted focus groups with local teenagers from four high schools throughout Klamath County. The "Place Matters" focus groups provided youth perspective on things in their community that were positive and negative influences on their health. Students were also asked about tobacco usage and norms.Klamath Lake Community Action Services (KLCAS) Community Health Needs Assessment Report: A total of 662 surveys were collected from clients who were struggling with poverty and at-risk or currently homeless. In all, 348 surveys were collected from community partners. Participants were asked to share their views on poverty, self-sufficiency, and needed services.While the area served by Sky Lakes and its partners covers more than 10,000 square miles in four counties, two of them in northern California, the population is concentrated within the Klamath Falls Urban Growth Boundary (UGB). Community health improvement efforts are initially being implemented within the UGB, as to have the greatest impact on the highest concentration of residents.Klamath County's population of approximately 66,000 is predominantly white and non-Hispanic, however the population of people identifying as Hispanic or Latino is steadily rising at 11.6% versus the state's 12.3%. The region is also unique in that it has a strong American Indian presence that makes up 4.6% of the population. Nearly 4% of the population identifies as multi-racial, 1% as Asian, 0.7% percent non-Hispanic African American.Age plays a significant role on the health of a community, as different life stages tend to experience health outcomes unique to their age. In Klamath County, the largest age groups are 15-24 , 45-54 and 55-64 with a median age of 42 years. The aging population has been a pressing concern nationwide, and Klamath has a large population of older adults as nearly 1 in 5 residents are 65 years or older.Health rankings give a high-level snapshot of the overall health status of a community. The Robert Wood Johnson Foundation's County Health Rankings places Klamath County in the bottom quartile for both Health Outcomes and Health Factors. The Centers for Disease Control's (CDC) Community Health Status Indicators ranking tool, which matches counties with comparable "peer" counties across the nation, ranks Klamath County falls within the second and third quartiles. Gallup Relative Well Being Index (WBI) Scores indicates Klamath does well in the index's five measures (Purpose, Social, Financial, Community, and Physical) and classifies scores as Thriving, Struggling, and Suffering. Klamath Falls ranked in the middle (third quintile) when compared to all U.S. counties; its strongest elements were Purpose, Social and Physical, all of which exceed both state and national averages. Community and financial well-being rankings are both lower than Oregon and the U.S. with Thriving-to-Struggling ratios of 1:1 when the goal is to have a ratio of 5:1. Across all three 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 of adults have one or more chronic conditions.Cancer incidence in Klamath County is 438 per 100,000 people, making it among the top five chronic diseases in the region. The CHNA reveals the age-adjusted death rate per 100,000 due to lung cancer is 49.5, breast cancer is 23.2, colorectal cancer is 19.3, and prostate cancer is 18.8. It is important for individuals, especially those ages 40 and older, to be screened for cancer as a preventive measure.Prevalence of preventive screenings is 58 percent for colonoscopies 75 percent for mammograms, and 83 percent for pap smears.Obesity contributes to numerous chronic conditions including heart disease, stroke, diabetes, depression, and chronic pain. In Klamath County, 60 percent of adults are overweight or obese, which is consistent with the rest of the nation. The primary goal of the CHNA is to better understand the health of our community and to develop local strategies to address our community's specific needs and identified priority issues. The CHNA informs the group and helps set community priorities, establish benchmarks and monitor trends in the health status of Klamath County residents. There is an added benefit in that the improvement efforts extend to other regions in the catchment area outside the defined community.
SKY LAKES MEDICAL CENTER	Part V, Section B, Line 5: We acknowledge that the CHNA is a living document, allowing us to seek continuous improvement and further analyze the data and, ultimately, improve the health of our community. Understanding that health is a product of many conditions and factors, an adapted version of the strategic planning framework developed by the National Association of County and City Health Officials (NACCHO) in cooperation with the Centers for Disease Control and Prevention (CDC) was made to create this CHNA.The strategic planning framework that was adapted for Klamath County is known as Mobilizing Action through Planning and Partnerships (MAPP). MAPP is a community-driven process that results in the identification of health issues and health improvement strategies through community member and stakeholder engagement. Facilitated by community health leaders, MAPP is intended to improve the efficiency, effectiveness, and performance of local healthcare systems; Sky Lakes is a principal part of that local system. MAPP allows for an enhanced understanding of the influences on community health through the analysis of population-based quantitative data, locally gathered qualitative data, and the expertise of key stakeholders. These various data collection methods allow for a better understanding of the social determinants of health.The social determinants of health are the circumstances in which people are born, raised, live, and work, in addition to available resources. They provide a lens through which to view different populations and communities and identify conditions that promote health, rather than limit it. With this information we can collectively better understand the drivers of health outcomes in Klamath County and develop strategies for health improvement. While the standard MAPP includes four assessments: Community Health Status Assessment, Community Themes and Strengths Assessment, Local Public Health System Assessment, and the Forces of Change Assessment. The local partners tailored MAPP to better fit our community by combining the Local Public Health System Assessment and Forces of Change Assessment into a single assessment. This specific combination increased efficiency and utilized resources most effectively. The information for this combined assessment was collected from stakeholders with the ability to speak to the current system as well as the future opportunities and uncertainties that may affect the current system.Sky Lakes and our community partners collaboratively agreed to utilize the Healthy Communities Institute (HCI), which manages and continually updates a centralized publically available web-based source of population data and community health information, as a platform. With it, we have continual monitoring and tracking on more than 100 indicators that are routinely updated. These indicators were assessed on four factors:1) Comparison to Oregon and national benchmarks;2) Trends over time;3) Health disparities; and4) Severity of health issue.The health indicators selected met at least three of the four conditions:Klamath County's rate is higher than the Oregon state average and/or does not meet the national Healthy People 2020 benchmark;The trend is worsening;Certain populations are experiencing a disparity; or Long-term consequence, premature death, and/or high health-related expenditures are associated.The formulation of the CHNA coordinated by Sky Lakes Medical Center was strongly influenced by input from community partners and stakeholders as well as individuals in the communities we serve. Community involvement is essential to successful public health action, and the priority areas for health improvement should reflect the problems of greatest concern to the local communities. Sky Lakes and its partners regularly seek community input via listening sessions, focus groups, and surveys.Community perceptions regarding health needs are captured in non-scientific surveys and interviews conducted at the conclusion of community events hosted by the medical center. Information from these activities helps inform follow-on strategies and programs.The Klamath County CHNA coordinated by Sky Lakes Medical Center in partnership with other organizations takes into account an understanding of the environment within which we operate. Understanding the strengths and weaknesses of the current local healthcare system, as well as social, political, and economic conditions, are integral to developing priority areas of focus.Assessments and resources containing primary data include:Blue Zones Project - Klamath Falls, 2015 Assessment Report, which reflects information from 16 focus groups with more than 220 people, interviews of 25 key leaders and community groups to learn about Klamath Falls, its history, economy, and people. Focus groups were organized by sector and included schools, worksites, community policy, restaurants, grocery stores, and faith-based and civic groups. Additionally a three-day built environment audit via walking, biking, and driving was conducted by national bike and walkability experts Dan Burden and Samantha Thomas.Gallup-Healthways Well-Being Index Klamath Falls 2015 Report, which has data from more than 700 mail surveys from residents in the Klamath Falls Urban Growth Boundary to analyze five elements of wellbeing: purpose, social, financial, community, and physical.Oregon Health and Science University (OHSU) School of Nursing Klamath County Youth Health and Behavior Assessment based on focus groups with local teenagers. Four high schools throughout Klamath County participated in "Place Matters" focus groups to offer the youth perspective on what they felt were things in their community that were positive and negative influences on their health. Students were also asked about tobacco usage and norms.
SKY LAKES MEDICAL CENTER	Part V, Section B, Line 7d: PRINTED COPIES AT THE HOSPITAL, KLAMATH COUNTY HEALTH DEPARTMENT, KLAMATH COUNTY LIBRARY'S MAIN BRANCH, AND UPON REQUEST.
SKY LAKES MEDICAL CENTER	Part V, Section B, Line 11: According to the federal Centers for Disease Control (CDC), the top 10 leading causes of death in the United States are heart disease, cancer, chronic lower respiratory diseases, stroke, unintentional injuries, Alzheimer's disease, diabetes mellitus, pneumonia and influenza, kidney disease, and suicide. Seven of these 10 are chronic diseases that persist for years, decrease quality of life, and strain the healthcare system; treating people with chronic conditions accounts for 86 percent of the nation's healthcare costs. Klamath County's rates of COPD, arthritis, and diabetes are higher than state averages (approximately 6%, 27%, and 9%, respectively). Prevalence of asthma, heart attack, and stroke are similar to state averages (9%, 3%, and 3%, respectively).The number of people living with multiple chronic conditions continues to rise, and about half the adults in Klamath County have one or more chronic conditions. A strong partnership between health, senior, and human services agencies has grown as collaboration continues an effort to meet the needs of individuals living with chronic conditions. They worked together to bring Stanford University's Living Well with Chronic Conditions program to Klamath Falls. This evidence-based program teaches individuals how to manage their chronic conditions and improve their quality of life. Sky Lakes provides funds, facilities, and management and marketing services to help the program achieve its goals.Cancer screening and treatment have been identified as significant needs. Cancer incidence in Klamath County is 438 per 100,000 people. The age adjusted death rate per 100,000 due to lung cancer is 49.5, breast cancer is 23.2, colorectal cancer is 19.3, and prostate cancer is 18.8. Sky Lakes routinely communicates in a multimedia campaign that is important for individuals, especially those ages 40 and older, to be screened for cancer as a preventive measure. Prevalence of preventive screenings is 58 percent for colonoscopies 75 percent for mammograms, and 83 percent for Pap smears. In addition to its "early detection" campaign to educate the community on the importance of preventive screenings, the Sky Lakes Cancer Treatment Center actively promotes skin cancer prevention at area health fairs, and advocates for colorectal cancer screening in mass media and events.The Sky Lakes Cancer Treatment Center also organizes and promotes free monthly education and support groups for breast cancer and prostate cancer.Further, Sky Lakes paid the tuition and travel and lodging to ensure there was an adequate number of trained presenters to teach the American Cancer Society's Freedom From Smoking curricula. Sky Lakes promotes the classes and encourages providers to schedule their patients to them.Obesity and its collateral effects have been identified as significant issues in the region. Obesity contributes to numerous chronic conditions including heart disease, stroke, diabetes, depression, and chronic pain. In Klamath County, 60 percent of adults are overweight or obese, which is consistent with the rest of the nation.Perhaps even more concerning is 12 percent of preschoolers, 24 percent of eighth-graders and 26.5 percent of 11th graders are overweight or obese, according to research. Childhood obesity puts children at risk for high blood pressure and high cholesterol, which are risk factors for cardiovascular disease, type two diabetes, asthma, joint problems, and psychological issues such as depression.Sky Lakes is addressing obesity head on with the implementation of the Wellness Center, which offers nutrition, exercise, and stress management coaching. Many partner organizations including Oregon State University's Extension program, 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 dietitians regularly present at no charge to businesses and organizations in the community advocating for better nutrition choices.Sky Lakes invested $600,000 over three years ($200,000 a year) to leverage $1.2 million matching funding to bring the Blue Zones Project to Klamath Falls. The project has a staff of five full-time employees and an extensive local volunteer care. The city is the first Blue Zones demonstration city in the Pacific Northwest. Blue Zones employs evidence-based ways to help people live longer while living better. Since 2009, Blue Zones has applied the tenets of the books to communities and corporations across the U.S. and has successfully raised life expectancy and lowered health care costs while bringing down obesity rates. Blue Zones takes a systematic, environmental approach to well being, which focuses on optimizing policy, building design, social networks, and the built environment. The Blue Zones Project is based on this innovative approach.Work by Sky Lakes and local Blue Zones Project 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 -- to align with that philosophy.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 intervention options. The Diabetes Services Department continues its outreach with monthly support groups that are widely promoted by the department and other community agencies.Mental health is a growing concern identified in the needs assessment. Klamath County is a vibrant community faced with some concerning mental health challenges. There is a high prevalence of mental health problems and an unfortunate lack of mental health providers in Klamath County. Mental health issues often lead to other social and physical health issues, creating broader, community-wide problems.Sky Lakes employees take an active role in community mental health and substance disorder prevention and treatment activities. Sky Lakes was pivotal in creating the Klamath Works Human Services Campus, where key social services agencies can help their clients, by purchasing the 18-acre site. The campus will become home for a new sobering center that will also offer alcohol- and substance-abuse rehabilitation therapy services. Sky Lakes contributed $200,000 toward the facility's construction, which is due to begin in 2017.When complete, Sky Lakes will contribute to the facility's operation.Low breastfeed rates are identified as a significant concern. Breast milk is the ideal nutrition for infants. In Klamath County, 88% of new mothers initiate breastfeeding before leaving the hospital. The county reports high breastfeeding initiation rates, but continued breastfeeding rates at six and 12 months and exclusively breastfeeding rates are significantly less. Although Oregon is a national leader in breastfeeding rates, more efforts are needed in Klamath County to improve overall rates of breastfeeding. Sky Lakes offers 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 encourages breastfeeding moms in a variety of ways, all at no charge, including weekly lunch-time support groups.The needs assessment also identified areas of concern such as low birth weight, prenatal care, and reproductive health as a result of multiple risk factors including tobacco and alcohol use, and oral hygiene. Sky Lakes supports the work by community agencies to further understand the social and environmental risk factors and trends. 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. For example, social determinants of health are things like public safety, access to healthy food options, clean and safe housing, access to educational and employment opportunities, income, transportation, and social support. These factors explain why some people are healthier than others despite their health behaviors, and are clearly beyond the purview of a stand-along medical center.Sky Lakes is an enthusiastic partner with local schools in academic as well as athletic programs. Sky Lakes also encourages participation in extra-curricular activities at all levels by providing funding for robotics and running clubs and more.
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.

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Outpatient Imaging
2900 Daggett Avenue	Klamath Falls	OR	97601	Outpatient diagnostic imaging center
2 - Cancer Treatment Center
2610 Urhman	Klamath Falls	OR	97601	Medical clinic
3 - Family Practice Clinic
2617 Almond Street	Klamath Falls	OR	97601	Medical clinic
4 - Family Medicine Residency
2801 Daggett Avenue	Klamath Falls	OR	97601	Medical clinic & Medical Residency Pgm
5 - MEDICAL OFFICE BUILDING I
2200 Bryant Williams Drive	Klamath Falls	OR	97601	Medical clinic
6 - MEDICAL OFFICE BUILDING II
3000 Bryant Williams Drive	Klamath Falls	OR	97601	Medical clinic
7 - Center for Occupational Health
2621 Crosby Avenue	Klamath Falls	OR	97603	Rehabilitation services, home health services, Employee Assistance Program
8 - Adult Medicine & Family Practice
3001 Daggett Avenue	Klamath Falls	OR	97601	Medical clinics
9 - Family Practice Clinic
1905 Main	Klamath Falls	OR	97601	Medical clinic
10 - MEDICAL OFFICE BUILDING III
2680 Uhrmann Road	Klamath Falls	OR	97601	Medical clinic
11 - Urology Clinic
2630 Campus Drive	Klamath Falls	OR	97601	Medical clinic
12 - Pulmonary Medicine
2301 Clairmont	Klamath Falls	OR	97601	Medical clinic
13 - Hugh Currin House
2601 Daggett Avenue	Klamath Falls	OR	97601	Residential facility for families undergoing care
14 - Community HealthEducation
2200 North Eldorado Avenue	Klamath Falls	OR	97601	Community education facility
15 - Family Practice Clinic
2600 Clover	Klamath Falls	OR	97601	Medical clinic
16 - Wellness Center
128 South 11th Street	Klamath Falls	OR	97601	Medical clinic

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	A COST-TO-CHARGE RATIO WAS USED FOR THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS TABLE. THE RATIO WAS DERIVED USING WORKSHEET 2, 'RATIO OF PATIENT CARE COST-TO-CHARGES.'
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 15,212,404.
Part II, Community Building Activities:	COMMUNITY SUPPORT: Activities include Klamath-Lake Child Abuse Response and Evaluation Services (CARES). CARES is dedicated to providing safe, comprehensive, objective medical assessments, and to raising awareness about child abuse through coordinated, collaborative educational programs. Four times per year, discounted and free prescription drugs, along with educational support by licensed pharmacists, are provided to low income elderly through local senior centers. The No One Dies Alone program is a volunteer program that provides the reassuring presence of a volunteer companion to dying patients who would otherwise be alone. Sky Lakes also participates in Relay for Life, United Way and other local fundraising and awareness initiatives, as well as ongoing efforts in the Period of Purple Crying community education campaign. There are a number of other Community Support activities that are provided, including but not limited to sponsorship of support groups for cancer, adopting families at Christmas, transportation assistance to indigent patients, staff volunteer participation in community events, and free access to meeting rooms.COALITION BUILDING: The local health department, in conjunction with the Oregon Health Department, periodically performs health assessments of the people in the communities served by Sky Lakes. The medical center works with local health authorities to determine the health initiatives that can be jointly addressed by community leaders, with Sky Lakes Medical Center serving a significant leadership role. Sky Lakes Medical Center actively partners with agencies such as the Klamath County Health Department, Oregon Health & Science University, and the United Way of the Klamath Basin in health-improvement initiatives. Employees volunteer their time for Leadership Klamath, Klamath Hospice and many other community service organizations where leaders come together.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: Sky Lakes health improvement advocacy takes place via an annual health fair and ongoing educational offerings for heart disease, cholesterol screening, weight management, nutrition, DUII, eating on budget, breastfeeding, smoking cessation, car seat safety, AIDS/HIV, and diabetes. In addition to community members, educational offerings include nursing students, elementary, middle, high schools and local colleges. Employee support - time and monetary donations - of local food banks is also encouraged. WORKFORCE DEVELOPMENT: Sky Lakes underwrites the wages and benefits of selected new graduates from the local baccalaureate nursing program. These nurses spend 6 months orienting to various inpatient units by shadowing experienced Registered Nurses in order to determine the best employment "fit" for them and for Sky Lakes.
Part III, Line 4:	BAD DEBTS ARE ACCRUED MONTHLY AT A FIXED PERCENTAGE OF GROSS CHARGES. BOOKED BAD DEBT EXPENSE IS ROUTINELY COMPARED TO ACTUAL BAD DEBT WRITEOFFS, WHICH INCLUDE PAYMENTS TO PREVIOUSLY RECORDED BAD DEBTS, AND THE ACCRUAL PERCENTAGE IS ADJUSTED ACCORDINGLY. THIS PROCESS HAS THE INTENDED EFFECT OF REALIZING BAD DEBT EACH MONTH AS A LESS VOLATILE EXPENSE.BAD DEBT EXPENSE INCLUDES PAYMENTS - PATIENT AND INSURANCE - TO PREVIOUSLY RECORDED BAD DEBTS.SKY LAKES MEDICAL CENTER OFFERS A CHARITY CARE APPLICATION TO ALL PATIENTS, EITHER IN PERSON OR MAKING IT AVAILABLE VIA US MAIL OR ON THE HOSPITAL'S WEBSITE. A SAMPLE OF PROCESSED CHARITY CARE APPLICATIONS WAS TAKEN. WE FOUND THAT 15% OF CHARITY CARE APPLICATIONS WERE TURNED TO BAD DEBT DUE TO LACK OF INFORMATION SUPPLIED BY THE HOUSEHOLD. WE ASSUME THAT ALL REMAINING BAD DEBT ACCOUNTS WERE CORRECTLY CLASSIFIED DURING OUR COLLECTION PROCESS. THIS 15% REPRESENTS $2.3 MILLION.THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS CONTAINED ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS, ENTITLED 'PATIENT ACCOUNTS RECEIVABLE.'
Part III, Line 8:	MEDICARE REIMBURSEMENTS DO NOT COVER THE COSTS OF DELIVERING CARE TO THE COMMUNITY. IN ADDITION, SKY LAKES IS A TEACHING HOSPITAL THAT PROVIDES ACCESS TO PRIMARY CARE IN A RURAL COMMUNITY THAT HAS A PHYSICIAN SHORTAGE.SERVICES PROVIDED AND PAID ON THE MEDICARE FEE SCHEDULE (E.G. OUTPATIENT LAB TESTS, OUTPATIENT THERAPY SERVICES, OR PROVIDER BASED PHYSICIAN SERVICES) ARE NOT INCLUDED IN THE MEDICARE AMOUNTS INCLUDED IN PART III, SECTION B.SKY LAKES DOES NOT UTILIZE A COST ACCOUNTING SYSTEM. VENDORS AND SURVEYING AGENCIES (GOVERNMENTAL AND NON-GOVERNMENTAL) ARE PROVIDED WITH THE MEDICARE COST REPORT COST-TO-CHARGE RATIO WHEN THEY REQUEST IT.COSTS OF ROUTINE AND ICU NURSING SERVICES ARE CALCULATED ON A PER DIEM. ANCILLARY SERVICE COSTS ARE CALCULATED BASED ON TOTAL COSTS INCLUDING OVERHEAD TO TOTAL CHARGES BY ANCILLARY SERVICE TO DEVELOP A RATIO OF COSTS-TO-CHARGES (RCC), WITH MEDICARE'S APPORTIONMENT CALCULATED BY TAKING MEDICARE CHARGES MULTIPLIED BY THE RCC DEVELOPED ON THE COST REPORT.
Part III, Line 9b:	SKY LAKES PLACES ALL ACCOUNTS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE ON HOLD AND THEN MAKES ANY NECESSARY ADJUSTMENTS BEFORE STATEMENTS ARE SENT. MANY OF THESE ACCOUNTS ARE ADJUSTED OFF COMPLETELY AND NO STATEMENTS ARE SENT. SKY LAKES ALSO CALLS PAST DUE ACCOUNTS (THIRD STATEMENT) AND REVIEWS TO SEE IF FINANCIAL ASSISTANCE IS AVAILABLE. LARGER ACCOUNTS ARE REVIEWED BY FINANCIAL COUNSELORS AND CHAMBERLIN EDMONDS FOR FINANCIAL ASSISTANCE ELIGIBILITY OR MEDICAID ELIGIBILITY. BOTH GROUPS MAKE PROACTIVE CALLS AND FOLLOW UP WITH PATIENTS TO GET THE NECESSARY INFORMATION TURNED IN.
Part VI, Line 2:	Sky Lakes Medical Center assesses the health care needs of the community it serves by monitoring the Healthy Communities Institute (HCI) indicators tracked and displayed at HealthyKlamath.org. That website is the communications tool of the local community collaborative aimed at improving the livability of the region. There are more than 100 indicators that monitor access questions, rates of diseases including cancer and diabetes in the population, as well as maternal and infant health, mental health, and indirect influences of health such as substance abuse and stress.Sky Lakes also asks adults to self-report their health conditions via anonymous and randomized surveys mailed to patients recently discharged from the medical center (inpatients and Emergency Department), and people who have used Sky Lakes facilities for outpatient testing and treatments.Further, Sky Lakes uses secondary data such as the Klamath-Lake Community Action Services (KLCAS) assessment identifying ways to assist individuals who are trying to climb out of poverty.The medical center also uses the annual County Health Rankings data, a Robert Wood Johnson Foundation program, to monitor indicators for health outcomes, health behaviors, and clinical care.Sky Lakes also uses formal conversations with community partners and medical collaborators, and actively partners with agencies in health-improvement initiatives. The Klamath County Health Department, in conjunction with the Oregon Health Authority, periodically performs health assessments of the people in the communities served by Sky Lakes. The medical center works with local health authorities to determine the health initiatives that can be jointly addressed by community leaders, with Sky Lakes serving a significant leadership role. Community members' perceptions regarding health needs are captured in non-scientific surveys conducted at the conclusion of community events hosted by the medical center.
Part VI, Line 3:	Sky Lakes Medical Center's Financial Assistance Policy and application for assistance is located on the hospital's website, is referenced in the online bill-management section of the site, and is featured in a variety of medical center publications distributed to homes in the service area.The Financial Assistance Policy and assistance application also are provided when patients register for services, at Patient Financial Service when they pay their bills in person, and when patients inquire about their bills or assistance.Further, a reminder with the website URL is on the back of patient bills.In addition, uninsured patients are provided patient advocacy-based eligibility and enrollment services for Medicaid and other benefit programs. The medical center ensures information about financial assistance and applications for assistance is at all patient registration areas and our specially trained Financial Counselors help applicants complete the form. Financial Counselors telephone uninsured patients with large balances to proactively offer assistance. Our ability to offer financial assistance is clearly listed on every statement and on most form letters mailed to patients and families. It also is covered during courtesy phone calls if there is mention of difficulty in paying.Sky Lakes also provides information about federal, state or local government programs. We have engaged the services of Chamberlin Edmonds, a company that speaks with all uninsured inpatients who meet clearly defined criteria. Chamberlin Edmonds staff also review all qualifying outpatient accounts and contact patients to discuss their eligibility. Those staff further assist patients in completing financial assistance applications if they are unsuccessful getting on a government program.The Sky Lakes Cancer Treatment Center, a department of the medical center, also has financial counselors who assist with pharmaceutical co-pay relief through the drug manufacturers, relieving patients of some of that financial obligation. The medical center, through a third-party relationship, routinely provides no-charge medications to indigent patients through major pharmaceutical companies.
Part VI, Line 4:	COMMUNITIES IN A 10,000-SQUARE-MILE, FOUR-COUNTY AREA ENCOMPASSING SOUTH-CENTRAL OREGON AND NORTH-CENTRAL CALIFORNIA COMPRISE THE SKY LAKES MEDICAL CENTER SERVICE AREA. WHILE KLAMATH COUNTY IS THE LARGEST POLITICAL UNIT IN THE SERVICE AREA, A TOTAL OF ROUGHLY 80,000 TO 100,000 PEOPLE IN TWO OREGON COUNTIES, KLAMATH AND LAKE, AND TWO CALIFORNIA COUNTIES, MODOC AND SISKIYOU, RELY ON SKY LAKES FOR THEIR ACUTE HEALTHCARE NEEDS. BECAUSE THE POLITICAL BOUNDARIES OF THE SERVICE AREA MAKE ACCURATE MEASUREMENTS IMPOSSIBLE, DATA FOR KLAMATH COUNTY ARE USED FOR THIS NARRATIVE.THE CENSUS BUREAU'S POPULATION ESTIMATES PROGRAM (PEP), UTILIZING CURRENT DATA ON BIRTHS, DEATHS, AND MIGRATION TO CALCULATE POPULATION CHANGE SINCE THE MOST RECENT DECENNIAL CENSUS, ESTIMATES THE POPULATION IN 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 to the community by providing or subsidizing numerous classes, support groups, screenings and self-help programs; free childbirth preparation classes for moms-to-be, and lactation education for new moms; a free general community health fair attended by more than 2,500 people a year, and a separate free health fair focused on information for people with diabetes; a variety of programs aimed at encouraging better fitness and improved nutrition, including preparation instruction; and separate support groups for people affected by cancer and those who have diabetes. Also, Sky Lakes hosts free "Walk With a Doc" programs in cooperation with area physicians and clinics. The above activities are provided at no charge as public services of Sky Lakes.Sky Lakes routinely partners with OSU Extension to promote healthier nutrition choices, hands-on cooking classes, and food-preservation courses. To encourage people to be more active, Sky Lakes offers free pedometers to people interested in keeping track of their steps en route to a goal of 10,000 steps a day. Pedometers are offered via the medical center's quarterly Live Smart magazine and via social media.Sky Lakes staff members conduct hand-hygiene education and free blood pressure checks at the every-other-year area Safety Fair hosted by area emergency services agencies, and at similar community events. The medical center further promotes hand hygiene by offering free hand sanitizer, and skin protection using a UV demonstration followed up with free sun screen samples. These activities are in coordination with a multi-media public service campaign promoting early detection screenings and tests for cancer.Sky Lakes is the principal underwriter for Cascades East Family Medicine, a clinic and a family practice residency program operated in partnership with Oregon Health & Science University. Financial support from Sky Lakes for 2016 was nearly $4 million with a community benefit of some $2.5 million.Cascades East also operates a mobile clinic that provides no-charge healthcare services to un- and underinsured populations in the region; Sky Lakes covers the mobile clinic's expenses. Cascades East medical staff log more than 1,000 miles in the vehicle each year and perform more than 200 patient exams.Klamath-Lake Child Abuse Response and Evaluation Services (CARES) is a Sky Lakes department where children who may be victims of abuse receive a well-child medical examination. If a disclosure of abuse is made, they are safe to share their experiences. In 2016, some 350 children were assessed for possible abuse, most of them sexual abuse cases along with child physical abuse, drug-endangered children, exposure to domestic violence, and neglect. Even if suspected abuse is not verified during an exam, families leave CARES with professional recommendations ranging from a follow-up with a primary care physician, or a referral for counseling. CARES follows the family for at least three months after the assessment.Sky Lakes contributes $10,000 a year and provides staff to help coordinate and provide collateral support in the way of additional multi-media advertising to further the message of the local "Stop the Hurt" anti-child abuse campaign and "Periods of PURPLE Crying" anti-shaken baby campaign. The programs are aimed at stopping Incidents of infant and child abuse at the hands of adults.In addition, Klamath County is a physician-shortage area so physician recruitment efforts are also underwritten by the medical center rather than local medical practices incurring that expense. The medical center invests hundreds of thousands of dollars in recruiting activities and some $4 million in clinic start-up and support.Sky Lakes provides free education in or for the schools through its partnership with Oregon State University Extension's Nutrition Education Program. And a number of Sky Lakes employees provide volunteer educational support in the form of teaching, mentoring, program development, and tours and demonstrations for local schools and colleges.To promote more physical activity among young people, Sky Lakes provided all area third-graders swimming lessons at the city of Klamath Falls-owned municipal swimming pool over a four-year span.Sky Lakes encourages staff to seek opportunities to improve the health of the community beyond their normal duties.Among them:A Sky Lakes Outpatient Care Management employee helps put on classes at the local Senior Center promoting mental fitness and agility;Sky Lakes dietitians share their knowledge with participants of a bariatric support group;Sky Lakes diabetes educators regularly present to community groups how to prevent diabetes and how to recognize prediabetes;A Sky Lakes employee seeking her master's degree conducted education sessions regarding shopping and label reading, and cooking demonstrations centered on better nutrition choices.Sky Lakes Emergency Department physicians, nurses and staff donated nearly 500 hours again this year to assist the more than 15 community-partner agencies put on Operation Prom Night and support its mission of prevention.The program's aim is to help young adults realize the dangers of distracted driving. The performance the agencies orchestrate around the spring prom season for area high school students illustrates a grim reality: Distracted driving driving under the influence of alcohol or drugs, texting, or simply not paying attention accounts for the deaths of hundreds young drivers annually.Sky Lakes takes an active role in the development of programs to help provide mental health and substance-disorder services for the community. The Local Alcohol and Drug Planning Committee evaluates the availability of treatment programs and enhances communication among providers to improve access to treatment and support for recovery and prevention services.Sky Lakes helped build four tennis courts that will serve the population primarily in the southeast suburbs. Sky Lakes willingly contributes to projects and enthusiastically sponsors an assortment of events and programs to encourage increased physical activity. Sky Lakes is the title sponsor of the Kingsley Field Duathlons organized by the Kingsley Field Junior Enlisted Council. Sky Lakes sponsors the fall and spring Healthy Kids Running Series, a five-week running program at a local elementary school for kids from pre-K to eighth grade.To help motivate people to be more physically active, Sky Lakes works with community partners to develop projects that will make it easier to get outside. Sky Lakes donated $25,000 to the Klamath Trails Alliance to add three miles to a fully accessible trail on Spence Mountain. Sky Lakes managed a grant for and contributed to a handicap-friendly trail on the hillside between the medical center and Oregon Tech. Sky Lakes is providing leadership on a project that aims to create a protected bike lane between downtown Klamath Falls and Moore Park. Completion of the trails will mean more opportunities for quality outdoor experiences in nearby mountains and close to the urban area, and a protected bike lane would encourage safe bicycle ridership. Physical activity contributes to health and well-being.Similarly, Sky Lakes provided $300,000 funding and management to create a children's play area within Kit Carson Park, part of the Klamath Falls park system.Sky Lakes committed to a three-year, $600,000 gift ($200,000 per year), leveraging an additional $1.2 million gift from the Cambia Health Foundation and launched the Blue Zones Project that will help Klamath Falls be a healthier community.Klamath Falls is the first Blue Zone community in the Pacific Northwest, and Sky Lakes is the first designated Blue Zones Worksite in Klamath Falls.Being a major supporter of the Oregon Healthiest State to help Klamath Falls become the first Blue Zones demonstration community in the Northwest, and investing in the Blue Zones Project locally, Sky Lakes demonstrated its commitment to improving our community's health.Achieving the designation as the first Blue Zones worksite in the Northwest demonstrates our commitment to creating a healthier work environment by supporting the well-being of our employees.
Part VI, Line 6:	Other partnerships help ensure the success of programs such as:Klamath-Lake Community Action Services Program by donating material for its program to provide qualifying individuals and families access to medical and dental care, hygiene resources and the like;The Klamath County Relay for Life by contributing $2,500 in funding and in-kind support for the event that raises cancer-research funds;The Red Cross by giving at no-charge space in Sky Lakes facilities for community blood drives and spearheading a fundraising drive for a new Bloodmobile, contributing the first $50,000;Klamath Hospice's Camp Evergreen by providing emergency medications for camp nurses, and individual water bottles for participants to promote proper hydration;Medical missions to Central America by donating medications and related supplies;The local YMCA by providing $7,500 in funding to enhance a playground on the site with additional play structures for children and benches for adults to encourage use;The local chapters of the March of Dimes, Muscular Sclerosis organizations, Friends of the Children-Klamath Falls, and the local CASA (Court Appointed Special Advocates) by contributing thousands of dollars each to support their missions;The American Lung Association's Freedom From Smoking classes by providing training for educators, free meeting space for the classes, and marketing materials and advertising buys to promote the classes and their intent.Some of the other Sky Lakes community partnerships include:American Association of University WomenAmerican Cancer societyAmerican Lung AssociationBike to Work OregonKlamath Falls Gospel MissionHealthy Active KlamathKlamath Falls City Schools and studentsKlamath County School District and studentsKlamath Community College and studentsKlamath County CASAKlamath County Chamber of CommerceKlamath Crisis CenterKlamath Fire Prevention CooperativeKlamath HospiceKlamath-Lake Food BankKlamath Tribal Health and Family ServicesOregon Air National Guard at Kingsley FieldOregon Institute of Technology and Students (clinical precepting, etc.)Oregon Tech Veterans AssociationKlamath Basin Research and Extension CenterPregnancy Hope CenterSanford Health FoundationUnited Way Of The Klamath BasinArea 4-H ProgramsCitizens For Safe SchoolsKlamath PromiseElla Redkey Municipal Swimming PoolKlamath Falls Little League And Babe Ruth BaseballKlamath Trails AllianceSage Brush Rendezvous (a fundraiser for American Cancer Society and area charities)Klamath Basin United SoccerKlamath Ice SportsKlamath-Lake Food Bank
Part VI, Line 7, Reports Filed With States	OR

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 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	170(c)(1)	$18,000	HOSA Program Assistance
Klamath Falls Gospel Mission
823 Walnut Avenue	Klamath Falls	OR	97601	930514720	501(c)(3)	$50,000	New Building
Cascade Region Red Cross
3131 N Vancouver Avenue	Klamath Falls	OR	97227	530196605	501(c)(3)	$50,000	New Blood Mobile
Klamath Trails Alliance
PO Box 349	Klamath Falls	OR	97601	460879155	501(c)(3)	$25,500	Multipurpose paths for community
Klamath Lake County Food Bank
3231 Maywood	Klamath Falls	OR	97601	930873280	501(c)(3)	$15,000	Feed the hungry
Friends of the Children
3837 Altamont Drive	Klamath Falls	OR	97603	931290284	501(c)(3)	$13,800	Help Children
YMCA of Klamath Falls
1221 S Alameda Avenue	Klamath Falls	OR	97601	930386978	501(c)(3)	$7,000	Help Children
University of Oregon
1585 E 13th Avenue	Eugene	OR	97403	462727800	170(c)(1)	$16,500	Promote Education
Klamath Basin Senior Center
2045 Arthur Street	Klamath Falls	OR	97601	460716639	501(c)(3)	$10,000	Help Seniors
Favell Museum
125 W Main Street	Klamath Falls	OR	97601	200524744	501(c)(3)	$6,000	Promote Education
Citizens for Safe Schools
2316 S 6th Street	Klamath Falls	OR	97601	931292596	501(c)(3)	$20,000	Child Safety
City of Klamath Falls
222 S 6th Street	Klamath Falls	OR	97601	936002195	170(c)(1)	$15,700	Help Community
Casa for Children of Klamath County
731 Main Street Suite 202	Klamath Falls	OR	97601	931261640	501(c)(3)	$7,500	Help Children

Field	Value	IRS element (for citing)
Total501c3 Org	13	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	1	$14,327
EXTERNSHIP STIPENDS	4	$13,200
STUDENT LOAN ASSISTANCE TO EMPLOYEES	12	$35,343
PATIENT ASSISTANCE	201	$75,144

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	$375,341	$0	$240,000	$0	$0	$0	$28,296	$0	$15,012	$0	$658,649	$0	$0	$0
RICHARD E RICO
VP/CFO	$362,126	$0	$68,318	$0	$0	$0	$28,971	$0	$20,468	$0	$479,883	$0	$0	$0
SHAUN C SPALDING
MEDICAL PROVIDER	$448,798	$0	$0	$0	$0	$0	$0	$0	$20,468	$0	$469,266	$0	$0	$0
JARED OGAO MD
MEDICAL PROVIDER	$449,400	$0	$0	$0	$0	$0	$13,250	$0	$20,468	$0	$483,118	$0	$0	$0
RICHARD A DEVORE MD
MEDICAL PROVIDER	$452,597	$0	$0	$0	$0	$0	$13,250	$0	$20,708	$0	$486,555	$0	$0	$0
J ERIC BRUNSWICK MD
MEDICAL PROVIDER	$462,427	$0	$0	$0	$0	$0	$0	$0	$17,812	$0	$480,239	$0	$0	$0
STANTON T SMITH MD
MEDICAL PROVIDER	$507,673	$0	$0	$0	$0	$0	$13,250	$0	$20,468	$0	$541,391	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY
A	931061020	498413EF6	2012-11-29	$18,288,334	REFUNDING OF 2002 BONDS; ENERGY EFFICIENCY costs; reserve fund	0	0	0
KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY
B	931061020	498413FR9	2016-06-23	$59,146,386	Refunding of 2006 bonds; new Medical Office Buildings; parking facilities	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	PAUL R STEWART	PersonNm
Relationship With Org	PRES/CEO	RelationshipWithOrgTxt
Loan Purpose	LIFE INSURANCE POLICY PURCHASE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$600,000	OriginalPrincipalAmt
Balance Due	$630,383	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	$630,383	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. Sky Lakes Medical Center requires that all employees disclose any conflict of interest, actual or potential, in the manner described by policy. Any employee who believes that he or she may have a conflict of interest, actual or potential, is required to report all pertinent information to the employee's supervisor for evaluation. A conflict or potential conflict is deemed to exist when the actions or activities of an employee on behalf of the Sky Lakes Medical Center also include some element of, or potential for, (1) personal gain or advantage to the employee or members of the employee's family, (2) an adverse effect on the Medical Center's interests, or (3) improper gain or advantage to a third party. If any employee has a question or concern regarding a possible conflict of interest, it is expected that he or she shall consult with management and/or the Corporate Integrity Officer. The Corporate Integrity Committee shall have the final say in determining whether a conflict exists. Employees with a potential conflict of interest may not participate in any process leading to the approval or disapproval of the transaction creating the conflict, and may not directly or indirectly attempt to influence the decision-making process. Employees that fail to disclose potential conflicts of interest and/or avoid direct or indirect influence in accordance with policy are appropriately disciplined.
Form 990, Part VI, Section B, line 15	The compensation committee of the board of directors reviews comparative data for the CEO. For the CEO position only, the Evaluation Committee completes a personnel action form, which is signed by the board chair. for all VP positions, all evaluations are made by the CEO, based on a review of market data. This process was last undertaken in April 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 from PASSTHROUGH INCOME -22,867.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SKY LAKES MEDICAL CENTER FOUNDATION
2865 DAGGETT AVENUE	KLAMATH FALLS	OR	97601	930946020	FUNDRAISING AND STEWARDSHIP; SUPPORT MEDICAL CENTER	OR	501(c)(3)	Line 11a, I	SKY LAKES MEDICAL CENTER	0
Klamath Care Services Inc
2865 DAGGETT AVENUE	kLAMATH FALLS	OR	97601	930946018	SUPPORT MEDICAL 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	$86,608	ShareOfTotalIncomeAmt
Share Of EOY Assets	$553,615	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	$7,176	UBICodeVAmt
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2865 daggett avenue	AddressLine1Txt
City	klamath falls	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97601	ZIPCd

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$4,307,439	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,772,221	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST PHYSICIAN SERVICES LLC
D	$376,015	INCREASE IN LIABILITY
KLAMATH MEDICAL BUSINESS CENTER LLC
K	$124,590	CASH TRANSFERRED