2026-08-04T14:26:44-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2024-10-01 930508781 SKY LAKES MEDICAL CENTER SKYL 5412746311 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 ANDREW MOLATORE CFO 5412746150 2026-08-03 1 1 WENDY CAMPOS P00448102 5032421447 2026-08-03 2024 2025-03-06 01:10:19Z DAVID CAUBLE 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 1040960333 0 X WWW.SKYLAKES.ORG X 1979 OR 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. 8 6 2076 65 0 0 1335160 3104994 916106568 997741587 -701782 7443341 6205491 8475565 922945437 1016765487 20120992 23143400 0 0 180701648 192630552 0 0 0 715266162 800522764 916088802 1016296716 6856635 468771 478660589 475343010 113050466 110715087 365610123 364627923 X 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. 0 0 969262966 23143400 997847661 PATIENT CARE - 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.UNCOMPENSATED CARE - CHARGES WRITTEN OFF UNDER OUR BROAD-REACHING CHARITY CARE POLICY TOTALED $22,511,520. IN ADDITION TO CHARITY CARE WRITEOFFS, CHARGES WRITTEN OFF AS BAD DEBT TOTALED $2,140,466.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. 969262966 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 283 0 1 2076 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OR X ANDREW MOLATORE CFO 5412746150 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 JOHN BELL CHAIRMAN 3.00 1.00 X X 0 0 0 ROD WENDT VICE CHAIRMAN 1.00 1.00 X X 0 0 0 DAVID STORK BOARD MEMBER 1.00 1.00 X 0 0 0 DOUGLAS MCINNIS DVM BOARD MEMBER 1.00 1.00 X 0 0 0 HEIDI NEEL BIGGS BOARD MEMBER 1.00 1.00 X 0 0 0 WENDY WARREN MD BOARD MEMBER 1.00 1.00 X 0 0 0 DR JAY T WILLIAMS BOARD MEMBER, MEDICAL PROVIDER 1.00 0.00 X 442654 0 17601 DR JONATHAN SPICHER BOARD MEMBER, MEDICAL PROVIDER 1.00 0.00 X 336176 0 29559 CAUBLE DAVID A PRESIDENT AND CEO 40.00 1.00 X 796028 0 53809 RICO RICHARD E VICE PRESIDENT & CFO 40.00 0.00 X 502024 0 59976 NARAGHI FRED F MEDICAL PROVIDER 40.00 0.00 X 1105616 0 43608 CUMMINGS JEFFREY MEDICAL PROVIDER 40.00 0.00 X 927817 0 43608 KUBAC GEORGE MEDICAL PROVIDER 40.00 0.00 X 813225 0 34026 OGAO JARED MEDICAL PROVIDER 40.00 0.00 X 733909 0 43608 MILLER NATHAN G MEDICAL PROVIDER 40.00 0.00 X 671053 0 41806 6328502 0 367601 540 0 1 0 KLAMATH ORTHOPEDIC CLINIC 2200 BRYANT WILLIAMS DRIVE KLAMATH FALLS OR 97601 PHYSICIAN PRACTICE 14025489 ANESTHESIA ASSOCIATES NW LLC 11501 STERLING CANYON DRIVE RENO NV 89511 PHYSICIAN PRACTICE 6112410 KLAMATH RADIOLOGY ASSOCIATES 2900 DAGGETT AVENUE KLAMATH FALLS OR 976017101 PHYSICIAN PRACTICE 5901875 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 STAFFING SERVICES 4868932 HUDSON STAFFING LLC 4409 IVAN CREEK RD FRANKLIN TN 37064 STAFFING SERVICES 4081843 18 3104994 3104994 PATIENT REVENUE 622110 989605432 989605432 OTHER PROGRAM REVENUE 622110 8136155 8136155 997741587 8270562 8270562 406872 1934231 -1527359 -1527359 -1527359 827221 -827221 -827221 -827221 31330244 21433394 9896850 9896850 PARTNERSHIP INCOME 901101 106074 106074 106074 1016765487 997847661 0 15812832 208548 208548 22934852 22934852 2439072 2439072 157624959 142520153 15104806 7969336 6874007 1095329 13788051 12624293 1163758 10809134 8703154 2105980 1646474 132987 1513487 138637 138637 206756 206756 42822784 42803211 19573 665783 17941 647842 1720683 678348 1042335 14631779 1370895 13260884 4139967 2152050 1987917 67128 60902 6226 612487 441277 171210 3945241 3945241 11200995 10793604 407391 3479188 2593589 885599 CONTRACTUAL ALLOWANCE 630543536 630543536 SUPPLIES 70365796 69956528 409268 BAD DEBTS 2140466 2140466 12195064 7767384 4427680 1016296716 969262966 47033750 0 5586257 14182138 23140232 1165814 44410748 58487036 2027095 0 10328099 11756181 6409661 6436338 316301857 193431654 116993084 122870203 10776225 6580683 155221556 145792278 103767632 108072339 478660589 475343010 46265540 50542283 2805488 2140546 60546157 55359052 3433281 2673206 113050466 110715087 X 365610123 364627923 365610123 364627923 478660589 475343010 X 468771 -1351824 -2 -99145 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10137943 1160626 322728 221103 11400194 7550481 57022 2655149 124709 10137943 6328288 140000 1223786 141593 7550481 6981087 674284 -1322860 4223 6328288 5079505 220491 1757202 39000 37111 6981087 0.00000 0.00000 1.00000 0 1 1 5351474 5351474 202097300 108967957 93129343 7619446 5236556 2382890 98103827 78577757 19526070 3129810 649384 2480426 122870203 INVESTMENTS IN OTHER COMPANIES 9834891 C LIFE INSURANCE 129524035 F DEFERRED COMP PLAN ASSETS 6433352 F 145792278 ASSETS LIMITED AS TO USE 1572 OTHER ASSETS 842509 RISK POOL WITHHOLD RECEIVABLE 10428629 CONSTRUCTION IN PROCESS 10469487 OTHER RECEIVABLES 86330142 108072339 ROU LEASE LIABILITIES 1731248 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 941958 2673206 X PART V, LINE 4: ENDOWMENTS ARE HELD BY A RELATED ORGANIZATION, SKY LAKES MEDICAL CENTER FOUNDATION, FOR THE BENEFIT OF SKY LAKES MEDICAL CENTER. PART X, LINE 2: UNCERTAIN TAX POSITION FOOTNOTE - THE MEDICAL CENTER AND FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS AND ARE NOT SUBJECT TO STATE OR FEDERAL INCOME TAXES, EXCEPT ON UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER AND FOUNDATION HAD NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2025 OR 2024. THE MEDICAL CENTER AND FOUNDATION RECOGNIZE INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024, THE MEDICAL CENTER AND FOUNDATION RECOGNIZED NO INTEREST AND PENALTIES. THE MEDICAL CENTER FILES AN EXEMPT ORGANIZATION INFORMATION RETURN AND AN UNRELATED BUSINESS INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION AND AN UNRELATED BUSINESS INCOME TAX RETURN WITH THE OREGON DEPARTMENT OF REVENUE. THE FOUNDATION FILES AN EXEMPT ORGANIZATION INFORMATION RETURN IN THE U.S. FEDERAL JURISDICTION. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 7976340 7976340 0.00790 101231365 84223264 17008101 0.01680 109207705 84223264 24984441 0.02470 2463248 421329 2041919 0.00200 11444717 2099426 9345291 0.00920 13096809 7736727 5360082 0.00530 224628 224628 0.00020 27229402 10257482 16971920 0.01670 136437107 94480746 41956361 0.04140 0 2140466 160535 129044984 166577293 -37532309 X 1 1 1 1 SKY LAKES MEDICAL CENTER 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 SKYLAKES.ORG 14-0724 X X X X SKY LAKES MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 24 1 0 0 1 X SKYLAKES.ORG X HEALTHYKLAMATH.ORG X X 1 24 1 SKYLAKES.ORG 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SKYLAKES.ORG X SKYLAKES.ORG X SKYLAKES.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 3J: THE PRIMARY GOAL OF THE CHNA IS TO BETTER UNDERSTAND THE HEALTH OF OUR COMMUNITY AND TO DEVELOP LOCAL STRATEGIES TO ADDRESS OUR COMMUNITY'S SPECIFIC NEEDS AND IDENTIFIED PRIORITY ISSUES. THE CHNA HELPS SET COMMUNITY PRIORITIES, ESTABLISHES BENCHMARKS, AND MONITORS TRENDS IN THE HEALTH STATUS OF KLAMATH COUNTY RESIDENTS.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 2024 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMPANION 2025 COMMUNITY HEALTH IMPROVEMENT PLAN. TOGETHER, THE DOCUMENTS DESCRIBE AND HELP US UNDERSTAND THE POPULATION'S HEALTH AND POTENTIAL WAYS TO ADDRESS THOSE NEEDS AS WE WORK TOGETHER TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE.THE MAJOR PARTNERS WITH WHICH SKY LAKES MEDICAL CENTER ENGAGED FOR THE COMMUNITY HEALTH ASSESSMENT INCLUDE KLAMATH COUNTY PUBLIC HEALTH; KLAMATH HEALTH PARTNERSHIP (A.K.A. KLAMATH OPEN DOOR), WHICH OPERATES LOCAL FEDERALLY QUALIFIED FAMILY MEDICINE AND DENTAL CLINICS; AND CASCADE HEALTH ALLIANCE, THE LOCAL COORDINATED CARE ORGANIZATION (CCO), WHICH OVERSEES CARE FOR MEDICAID RECIPIENTS IN THE AREA. ADDITIONALLY, KLAMATH BASIN BEHAVIORAL HEALTH, WHICH SERVES ADULTS, CHILDREN, AND ADOLESCENTS WHO ARE ELIGIBLE FOR MEDICAID COVERAGE UNDER THE OREGON HEALTH PLAN IN KLAMATH COUNTY, AND SKY LAKES MEDICAL CENTER'S HEALTHY KLAMATH DEPARTMENT, WHICH ACTIVELY PROMOTES HEALTH-IMPROVEMENT INITIATIVES THAT ALIGN WITH THE COMMUNITY HEALTH IMPROVEMENT PLAN, CONTRIBUTED TIME AND RESOURCES TO HELP COMPLETE THE ASSESSMENT. THESE AND OTHER COMMUNITY PARTNERS ARE ORGANIZED IN THE HEALTHY KLAMATH NETWORK.THE NETWORK REPRESENTS THE TALENT, ASSISTANCE, AND SUPPORT OF MORE THAN 50 LOCAL ORGANIZATIONS, AGENCIES, AND BUSINESSES, INCLUDING CASCADES EAST FAMILY MEDICINE CENTER, A RURAL RESIDENCY PROGRAM AND CLINIC IN KLAMATH FALLS; KLAMATH TRIBAL HEALTH & FAMILY SERVICES; OREGON HEALTH & SCIENCE UNIVERSITY'S PRESENCE AT OREGON INSTITUTE OF TECHNOLOGY (OIT) IN KLAMATH FALLS; THE CITY OF KLAMATH FALLS AND KLAMATH COUNTY GOVERNMENTS; LOCAL SCHOOL DISTRICTS; AND OTHERS. SKY LAKES, THE LOCAL PUBLIC HEALTH AGENCY, KLAMATH HEALTH PARTNERSHIP, AND CASCADE HEALTH ALLIANCE COMPRISE THE HEALTHY KLAMATH NETWORK'S FIVE CORE LEADERSHIP ORGANIZATIONS, ALONGSIDE KLAMATH BASIN BEHAVIORAL HEALTH.KLAMATH COUNTY'S FIRST COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2013, FOLLOWED IMMEDIATELY BY A COMMUNITY HEALTH IMPROVEMENT PLAN. ASSESSMENTS HAVE BEEN COMPLETED IN 2015, 2018, 2021, AND 2024, WITH IMPROVEMENT PLANS FOLLOWING EACH. THE CYCLE FOR CHNA AND CHIP COMPLETION IS EVERY THREE YEARS, THE MINIMUM AMOUNT OF TIME RECOMMENDED TO RECOGNIZE TRENDS IN DATA AND TO MONITOR PROGRESS IN ADDRESSING HEALTH ISSUES AND POOR HEALTH OUTCOMES. THE CURRENT 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN IS IN EFFECT THROUGH SEPTEMBER 2028.TO GATHER DATA FOR THE 2024 CHNA, THE HEALTHY KLAMATH NETWORK UTILIZED THE MAPP 2.0 (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) FRAMEWORK, UPDATED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) TO EMPHASIZE COMMUNITY ENGAGEMENT, HEALTH EQUITY, AND DATA-DRIVEN ASSESSMENTS. MAPP 2.0 INCLUDES THREE PHASES AND THREE ASSESSMENT TOOLS: THE COMMUNITY PARTNERS ASSESSMENT, THE COMMUNITY STATUS ASSESSMENT, AND THE COMMUNITY CONTEXT ASSESSMENT. THE 2024 CYCLE INCLUDED AN EXTENSIVE COMMUNITY HEALTH SURVEY FIELDED IN BOTH ENGLISH AND SPANISH, LISTENING SESSIONS HELD ACROSS KLAMATH COUNTY COMMUNITIES INCLUDING CHILOQUIN, BLY, ROCKY POINT, SPRAGUE RIVER, KENO, AND MERRILL, AND TARGETED OUTREACH TO THE TRIBAL POPULATION, HISPANIC COMMUNITY, AND OTHER UNDERREPRESENTED GROUPS.HEALTH INDICATORS ARE CONTINUOUSLY MONITORED THROUGH THE HEALTHY COMMUNITIES INSTITUTE PLATFORM AT HEALTHYKLAMATH.ORG, WHICH TRACKS MORE THAN 120 HEALTH AND SOCIOECONOMIC INDICATORS COVERING ACCESS TO CARE, CHRONIC DISEASE, MATERNAL AND INFANT HEALTH, MENTAL HEALTH, SUBSTANCE USE, AND SOCIAL DETERMINANTS OF HEALTH. SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 5: THE 2024 CHNA WAS COORDINATED BY SKY LAKES MEDICAL CENTER IN PARTNERSHIP WITH THE HEALTHY KLAMATH NETWORK, AND REFLECTS EXTENSIVE COMMUNITY ENGAGEMENT ACROSS KLAMATH COUNTY. THE CORE LEADERSHIP ORGANIZATIONS INVOLVED INCLUDED CASCADE HEALTH ALLIANCE, KLAMATH BASIN BEHAVIORAL HEALTH, KLAMATH COUNTY PUBLIC HEALTH, KLAMATH HEALTH PARTNERSHIP, AND SKY LAKES MEDICAL CENTER.COMMUNITY INPUT WAS GATHERED THROUGH MULTIPLE METHODS. A COUNTYWIDE HEALTH ASSESSMENT SURVEY WAS FIELDED IN ENGLISH AND SPANISH AND DISTRIBUTED THROUGH QR CODES, PAPER COPIES AT PARTNER AGENCIES, AND DIRECT OUTREACH TO HISTORICALLY UNDERREPRESENTED POPULATIONS. LISTENING SESSIONS WERE HELD IN NUMEROUS COMMUNITIES THROUGHOUT THE COUNTY, INCLUDING ROCKY POINT, CHILOQUIN, BLY, KENO, SPRAGUE RIVER, MERRILL, AND CRESCENT, AND WITH SPECIFIC POPULATION GROUPS INCLUDING THE KLAMATH TRIBES, HISPANIC HEALTH COMMITTEE PARTICIPANTS, PRIDE CIRCLE, SENIORS, AND COMMUNITY CORRECTIONS CLIENTS. KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED.SPECIAL OUTREACH EFFORTS TARGETED THE TRIBAL POPULATION THROUGH THE CHILOQUIN FIRST COALITION AND ANNOUNCEMENTS BY KLAMATH TRIBAL HEALTH'S COMMUNICATIONS OFFICER. THE HISPANIC HEALTH COMMITTEE FACILITATED MULTIPLE SESSIONS, INCLUDING SESSIONS WITH OREGON CHILD DEVELOPMENT COALITION FAMILIES. COMMUNITY MEETINGS HELD IN NOVEMBER 2024 WERE OPEN TO THE PUBLIC AND ADVERTISED ON SOCIAL MEDIA AND THE HEALTHYKLAMATH.ORG WEBSITE.INPUT FROM COMMUNITY MEMBERS AND PARTNER AGENCIES INFORMED THE SELECTION OF THE FOUR IMPROVEMENT PLAN FOCUS AREAS: BEHAVIORAL HEALTH, FOOD INSECURITY, HEALTH PROMOTION: ACCESS TO SERVICES, AND PHYSICAL ACTIVITY. HEALTH EQUITY WAS INTEGRATED AS A CROSS-CUTTING THEME THROUGHOUT EACH AREA RATHER THAN TREATED AS A SEPARATE FOCUS AREA. SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 7D: PRINTED COPIES AT SKY LAKES MEDICAL CENTER, CASCADES EAST FAMILY MEDICINE CLINIC, KLAMATH COUNTY HEALTH DEPARTMENT, AND ON REQUEST. SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 11: SKY LAKES MEDICAL CENTER IS PARTNERING WITH ORGANIZATIONS ACROSS THE COMMUNITY TO ADDRESS THE FOUR PRIORITY AREAS IDENTIFIED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTED THROUGH THE 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN.BEHAVIORAL HEALTH: THE 2024 CHNA FOUND THAT 19% OF KLAMATH COUNTY RESIDENTS EXPERIENCE FREQUENT MENTAL DISTRESS, RESIDENTS AVERAGE 6 POOR MENTAL HEALTH DAYS PER MONTH, 19% ARE CURRENT SMOKERS, AND 15% ENGAGE IN EXCESSIVE DRINKING. MENTAL HEALTH PROVIDER SHORTAGES PERSIST, AND ONLY 63% OF RESIDENTS KNEW HOW TO ACCESS BEHAVIORAL HEALTH SERVICES. NATIVE AMERICAN AND ALASKA NATIVE POPULATIONS BEAR A DISPROPORTIONATE BURDEN OF BEHAVIORAL HEALTH CHALLENGES.SKY LAKES MEDICAL CENTER OPERATES A BEHAVIORAL HEALTH CLINIC STAFFED BY PSYCHIATRISTS AND BEHAVIORAL HEALTH PROVIDERS AND IS ACTIVELY WORKING TO EXPAND DIRECT SERVICES. SKY LAKES PARTICIPATES IN AND CO-LEADS THE COMMUNITY'S BEHAVIORAL HEALTH STRATEGIC PLAN IN PARTNERSHIP WITH KLAMATH BASIN BEHAVIORAL HEALTH AND OTHER NETWORK MEMBERS. THROUGH HEALTHY KLAMATH, SKY LAKES CO-SPONSORS DE-STIGMATIZATION CAMPAIGNS, COMMUNITY AWARENESS EVENTS, AND BEHAVIORAL HEALTH TRAINING INCLUDING MENTAL HEALTH FIRST AID, QPR (QUESTION, PERSUADE, REFER), AND NARCAN TRAINING. SKY LAKES PARTICIPATES IN THE LOCAL ALCOHOL AND DRUG PREVENTION COUNCIL AND SUPPORTS SUBSTANCE USE PREVENTION AND RECOVERY PROGRAMMING ACROSS THE COUNTY.FOOD INSECURITY: THE 2024 CHNA FOUND THAT 26% OF COMMUNITY SURVEY RESPONDENTS REPORTED FOOD INSECURITY, AND FEEDING AMERICA ESTIMATES 16% OF KLAMATH COUNTY RESIDENTS EXPERIENCE FOOD INSECURITY. CHILD FOOD INSECURITY IS ESTIMATED AT 24%. NATIVE AMERICAN AND ALASKA NATIVE RESIDENTS AND HISPANIC INDIVIDUALS EXPERIENCE FOOD INSECURITY AT ELEVATED RATES. THE COUNTY RANKS IN THE LOWEST 25% OF U.S. COUNTIES FOR FOOD ACCESS, WITH 13% OF RESIDENTS HAVING LIMITED ACCESS TO HEALTHY FOODS.SKY LAKES MEDICAL CENTER ADDRESSES FOOD INSECURITY THROUGH MULTIPLE PROGRAMS. THE SKY LAKES WELLNESS CENTER OFFERS NUTRITION EDUCATION, DIABETES PREVENTION, AND LIFESTYLE CHANGE PROGRAMS. IN FY2025, THE WELLNESS CENTER CONTRIBUTED $800,066 IN NET COMMUNITY BENEFIT TO 1,479 PARTICIPANTS THROUGH PROGRAMS INCLUDING THE NATIONAL DIABETES PREVENTION PROGRAM, LIFESTYLE CHANGE SUPPORT, AND CHRONIC DISEASE MANAGEMENT.SKY LAKES SUPPORTS THE PRODUCE CONNECTION PROGRAM, PROVIDING ADDITIONAL FRUITS AND VEGETABLES TO FAMILIES, EMPLOYEES, AND PATIENTS. SKY LAKES HAS ALSO IMPLEMENTED CLINIC-BASED FOOD KITS AT PRIMARY CARE CLINICS AND IS WORKING TO EXPAND DISCHARGE FOOD KITS TO ADDRESS FOOD INSECURITY AT THE POINT OF CARE. OUTPATIENT CARE MANAGEMENT STAFF DELIVER FOOD BOXES DURING HOME VISITS TO VULNERABLE PATIENTS WITH DOCUMENTED FOOD INSECURITY NEEDS. SKY LAKES COLLABORATES WITH INTEGRAL YOUTH SERVICES TO FUND MOBILE SERVICES THAT DELIVER FOOD AND EDUCATIONAL MATERIALS TO REMOTE COMMUNITIES.HEALTH PROMOTION, ACCESS TO SERVICES: THE 2024 CHNA FOUND THAT 10% OF KLAMATH COUNTY RESIDENTS ARE UNINSURED, 32% OF RESIDENTS REPORTED DIFFICULTY FINDING A PROVIDER, AND 44% HAD TRAVELED OUTSIDE KLAMATH COUNTY FOR HEALTHCARE SERVICES. THE COUNTY FACES HEALTH PROFESSIONAL SHORTAGE AREA DESIGNATIONS FOR PRIMARY CARE, DENTAL, AND MENTAL HEALTH. GEOGRAPHIC SIZE, LIMITED TRANSPORTATION OPTIONS, AND RURAL PROVIDER SHORTAGES ARE PRIMARY BARRIERS TO ACCESS, PARTICULARLY IN EAST KLAMATH COUNTY.SKY LAKES OPERATES THE CASCADES EAST FAMILY MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH OHSU, TRAINING EIGHT PHYSICIANS PER YEAR IN A THREE-YEAR FAMILY MEDICINE SPECIALTY PROGRAM. IN FY2025, SKY LAKES INVESTED $6,995,907 IN THE RESIDENCY PROGRAM, GENERATING $5,217,351 IN NET COMMUNITY BENEFIT AND SUPPORTING 31,927 PATIENT ENCOUNTERS. THE PHARMACY RESIDENCY PROGRAM CONTRIBUTED AN ADDITIONAL $595,786 IN GROSS INVESTMENT ($235,786 NET BENEFIT).TOTAL HEALTH PROFESSIONS EDUCATION INVESTMENT IN FY2025 REACHED $11,444,717 GROSS, WITH $9,306,161 IN NET COMMUNITY BENEFIT, SUPPORTING 119 MEDICAL AND CLINICAL TRAINEES INCLUDING INTERNS, RESIDENTS, FELLOWS, NURSES, AND ALLIED HEALTH PROFESSIONALS.SKY LAKES LAUNCHED AN IMMEDIATE CARE CLINIC IN FALL 2025 TO EXPAND SAME-DAY ACCESS AND REDUCE UNNECESSARY EMERGENCY DEPARTMENT UTILIZATION. SKY LAKES IS ALSO LAUNCHED A NEW MOBILE HEALTH CLINIC TO SERVE OUTLYING COMMUNITIES AND EXTEND THE REACH OF PREVENTIVE SERVICES ACROSS KLAMATH COUNTY'S MORE THAN 10,000 SQUARE MILES.IN FY2025, SKY LAKES PROVIDED CHARITY CARE TO 15,508 PATIENTS ACROSS ALL PAYER TYPES, REPRESENTING $7,793,160 IN TOTAL CHARITY CARE COST WITH NO DIRECT OFFSETTING REVENUE. UNREIMBURSED MEDICAID COSTS REACHED $15,152,313 NET (95,232 PATIENT VISITS), AND UNREIMBURSED OTHER PUBLIC PAYER COSTS TOTALED $3,419,861 NET (24,769 PATIENT VISITS). SUBSIDIZED HEALTH SERVICES PROVIDED $5,059,307 IN NET COMMUNITY BENEFIT ACROSS 43,691 ENCOUNTERS.SKY LAKES PROVIDED $133,414 IN TRANSPORTATION SUPPORT (CAB FARE, BUS TOKENS, SHUTTLE SERVICES) TO 3,467 INDIVIDUALS TO REDUCE GEOGRAPHIC BARRIERS TO CARE. FINANCIAL COUNSELING SERVICES ($222,081 NET BENEFIT) WERE PROVIDED TO 12,496 INDIVIDUALS TO ENSURE COST DOES NOT PREVENT ACCESS TO CARE.SKY LAKES CONTINUES TO INVEST IN HEALTHCARE WORKFORCE DEVELOPMENT TO ADDRESS PROVIDER SHORTAGES. WORKFORCE DEVELOPMENT PROGRAMS IN FY2025 TOTALED $4,085,024, SUPPORTING 110 INDIVIDUALS THROUGH THE CMA PROGRAM ($232,000), RN 1 PROGRAM ($3,831,745), AND CTE CENTER ($21,279). SKY LAKES IS ALSO PARTNERING WITH LOCAL SCHOOL DISTRICTS TO EXPAND CAREER PATHWAYS INTO HEALTHCARE FOR STUDENTS FROM UNDERSERVED BACKGROUNDS. CASH AND IN-KIND CONTRIBUTIONS OF $224,628 SUPPORTED COMMUNITY HEALTH OUTREACH AND PARTNER ORGANIZATIONS.PHYSICAL ACTIVITY: THE 2024 CHNA FOUND THAT 23% OF KLAMATH COUNTY ADULTS ARE PHYSICALLY INACTIVE, 18% OF ADULTS OVER AGE 20 ARE SEDENTARY, AND ONLY 75% OF RESIDENTS HAVE ACCESS TO EXERCISE OPPORTUNITIES. PHYSICAL INACTIVITY CONTRIBUTES SIGNIFICANTLY TO THE COUNTY'S ELEVATED RATES OF CHRONIC DISEASE.SKY LAKES SUPPORTS PHYSICAL ACTIVITY THROUGH THE SKY LAKES FITNESS CENTER AND WELLNESS CENTER PROGRAMMING. IN FY2025, THE FITNESS CENTER SERVED 55,651 PARTICIPANTS WITH $964,688 IN TOTAL INVESTMENT AND $641,768 IN NET COMMUNITY BENEFIT AFTER FEE REVENUE. THE WELLNESS CENTER PROVIDED $800,066 IN NET COMMUNITY BENEFIT TO 1,479 PARTICIPANTS THROUGH PROGRAMS ADDRESSING CHRONIC DISEASE MANAGEMENT, LIFESTYLE CHANGE, AND FITNESS SUPPORT.THROUGH HEALTHY KLAMATH, SKY LAKES CO-LEADS THE PHYSICAL ACTIVITY WORKGROUP. ACTIVITIES INCLUDE DEVELOPMENT OF A FIVE-YEAR PLACE-MAKING AND COMMUNITY INFRASTRUCTURE ACTION PLAN, SUPPORT FOR BIKE INFRASTRUCTURE GRANT APPLICATIONS, AND INVESTMENT IN TRAIL DEVELOPMENT. SKY LAKES STAFF AND COMMUNITY PARTNERS CONTINUE TO SPONSOR CHILDREN'S RUNNING PROGRAMS AND COLLABORATE WITH THE CITY OF KLAMATH FALLS AND KLAMATH COUNTY ON PARKS, RECREATION, AND BUILT ENVIRONMENT IMPROVEMENTS.OTHER COMMUNITY SUPPORT: IN ADDITION TO ADDRESSING THE FOUR FOCUS AREAS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN, SKY LAKES ALSO FULFILLS ITS MISSION TO SERVE THE COMMUNITY THROUGH A RANGE OF ADDITIONAL PROGRAMS AND PARTNERSHIPS.CARES (CHILD ABUSE RESPONSE AND EVALUATION SERVICES) CONDUCTS MEDICAL EVALUATIONS, SCREENINGS, AND FOLLOW-UP SERVICES FOR CHILDREN WHO MAY BE VICTIMS OF ABUSE. IN FY2025, SKY LAKES INVESTED $691,117 IN CARES, WITH A NET COMMUNITY BENEFIT OF $245,982, SERVING APPROXIMATELY 5,500 INDIVIDUALS. AT CARES, CHILDREN RECEIVE A WELL-CHILD MEDICAL EXAMINATION, AND IF A DISCLOSURE OF ABUSE IS MADE, THEY ARE SAFE TO SHARE THEIR EXPERIENCES. STAFF ASSESS CHILDREN FOR POSSIBLE ABUSE INCLUDING SEXUAL ABUSE, PHYSICAL ABUSE, DRUG-ENDANGERED CHILDREN, DOMESTIC VIOLENCE EXPOSURE, AND NEGLECT. FAMILIES LEAVE CARES WITH PROFESSIONAL RECOMMENDATIONS AND ARE FOLLOWED FOR AT LEAST THREE MONTHS AFTER ASSESSMENT. IF CARES WERE NOT ASSOCIATED WITH SKY LAKES MEDICAL CENTER, THIS SERVICE WOULD LIKELY NOT EXIST LOCALLY.IN FY2025, SKY LAKES SUPPORTED 243,297 TOTAL ENCOUNTERS THROUGH VARIOUS COMMUNITY BENEFIT PROGRAMS. TOTAL COMMUNITY BENEFIT EXPENSE WAS $155,309,834, WITH DIRECT OFFSETTING REVENUE OF $112,066,503, LEAVING A NET COMMUNITY BENEFIT EXPENSE OF $43,243,331. SKY LAKES MEDICAL CENTER PART V, SECTION B, LINE 13H: SKY LAKES PROVIDES PRESUMPTIVE ELIGIBILITY BY RELYING ON OUTSIDE AGENCIES DETERMINATION OF INCOME STATUS. 17 1 - SKY LAKES PRIMARY CARE CLINIC 2821 DAGGETT AVENUE KLAMATH FALLS OR 97601 MEDICAL CLINIC 2 - FAMILY MEDICINE RESIDENCY 2801 DAGGETT AVENUE KLAMATH FALLS OR 97601 MEDICAL CLINIC & MEDICAL RESIDENCY PROGRAM 3 - OUTPATIENT IMAGING 2900 DAGGETT AVENUE KLAMATH FALLS OR 97601 OUTPATIENT DIAGNOSTIC IMAGING CENTER 4 - MOB II 3000 BRYANT WILLIAMS DRIVE KLAMATH FALLS OR 97601 MEDICAL CLINIC 5 - MOB I 2200 BRYANT WILLIAMS DRIVE KLAMATH FALLS OR 97601 MEDICAL CLINIC 6 - CANCER TREATMENT CENTER 2610 URHMAN KLAMATH FALLS OR 97601 MEDICAL CLINIC 7 - CENTER FOR OCCUPATIONAL HEALTH 2621 CROSBY AVENUE KLAMATH FALLS OR 97603 HOME HEALTH SERVICES, EMPLOYEE ASSISTANCE PROGRAM 8 - DIETITIAN AND CODERS 2630 CAMPUS DRIVE KLAMATH FALLS OR 97601 MEDICAL CLINIC 9 - MOB III 2680 UHRMANN ROAD KLAMATH FALLS OR 97601 MEDICAL CLINIC 10 - DERMATOLOGY 2617 ALMOND STREET KLAMATH FALLS OR 97601 MEDICAL CLINIC 11 - BEHAVIORAL HEALTH CLINIC 2301 MOUNTAIN VIEW BLVD SUITE A KLAMATH FALLS OR 97601 MEDICAL CLINIC 12 - WELLNESS CENTER 128 SOUTH 11TH STREET KLAMATH FALLS OR 97601 MEDICAL CLINIC 13 - PULMONARY MEDICINE 2301 CLAIRMONT KLAMATH FALLS OR 97601 MEDICAL CLINIC 14 - RECOVERY ZONE 2846 EBERLEIN AVE KLAMATH FALLS OR 97601 REHABILITATION SERVICES 15 - PEDIATRIC REHAB 2686 CAMPUS DRIVE KLAMATH FALLS OR 97601 REHABILITATION SERVICES 16 - COMMUNITY HEALTHEDUCATION 2200 NORTH ELDORADO AVENUE KLAMATH FALLS OR 97601 COMMUNITY EDUCATION FACILITY 17 - HUGH CURRIN HOUSE 2601 DAGGETT AVENUE KLAMATH FALLS OR 97603 RESIDENTIAL FACILITY FOR FAMILIES UNDERGOING CARE 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 $ 2,140,466. 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.THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS CONTAINED ON THE ATTACHED FINANCIAL STATEMENTS AND ENTITLED 'PATIENT ACCOUNTS RECEIVABLE.' PART III, LINE 8: MEDICARE REIMBURSEMENTS DO NOT COVER THE COSTS OF DELIVERING CARE TO THE COMMUNITY. IN ADDITION, SKY LAKES IS A TEACHING HOSPITAL THAT PROVIDES ACCESS TO PRIMARY CARE IN A RURAL COMMUNITY THAT HAS A PHYSICIAN SHORTAGE.SKY LAKES DOES NOT UTILIZE A COST ACCOUNTING SYSTEM. VENDORS AND SURVEYING AGENCIES (GOVERNMENTAL AND NON-GOVERNMENTAL) ARE PROVIDED WITH THE MEDICARE COST REPORT COST-TO-CHARGE RATIO WHEN THEY REQUEST IT.COSTS OF ROUTINE AND ICU NURSING SERVICES ARE CALCULATED ON A PER DIEM. ANCILLARY SERVICE COSTS ARE CALCULATED BASED ON TOTAL COSTS INCLUDING OVERHEAD TO TOTAL CHARGES BY ANCILLARY SERVICE TO DEVELOP A RATIO OF COSTS-TO-CHARGES (RCC), WITH MEDICARE'S APPORTIONMENT CALCULATED BY TAKING MEDICARE CHARGES MULTIPLIED BY THE RCC DEVELOPED ON THE COST REPORT. PART III, LINE 9B: SKY LAKES PLACES ALL ACCOUNTS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE ON HOLD AND THEN MAKES ANY NECESSARY ADJUSTMENTS BEFORE STATEMENTS ARE SENT. MANY OF THESE ACCOUNTS ARE ADJUSTED OFF COMPLETELY AND NO STATEMENTS ARE SENT. SKY LAKES ALSO CALLS PAST DUE ACCOUNTS (THIRD STATEMENT) AND REVIEWS TO SEE IF FINANCIAL ASSISTANCE IS AVAILABLE. LARGER ACCOUNTS ARE REVIEWED BY FINANCIAL COUNSELORS AND CHANGE HEALTHCARE FOR FINANCIAL ASSISTANCE ELIGIBILITY OR MEDICAID ELIGIBILITY. BOTH GROUPS MAKE PROACTIVE CALLS AND FOLLOW UP WITH PATIENTS TO GET THE NECESSARY INFORMATION TURNED IN. PART VI, LINE 2: SKY LAKES MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY ACTIVELY MONITORING THE HEALTHY COMMUNITIES INSTITUTE (HCI) INDICATORS TRACKED AND DISPLAYED AT HEALTHYKLAMATH.ORG. THAT WEBSITE IS THE COMMUNICATIONS TOOL OF HEALTHY KLAMATH, THE LOCAL COMMUNITY COLLABORATIVE AIMED AT IMPROVING THE LIVABILITY OF THE REGION. THERE ARE MORE THAN 120 INDICATORS THAT MONITOR ACCESS TO CARE, RATES OF DISEASES INCLUDING CANCER AND DIABETES, MATERNAL AND INFANT HEALTH, MENTAL HEALTH, AND INDIRECT INFLUENCES OF HEALTH SUCH AS SUBSTANCE USE AND STRESS.THE ORGANIZATION ALSO ACTIVELY USES THE ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN'S ANNUAL COUNTY HEALTH RANKINGS TO MONITOR INDICATORS FOR HEALTH OUTCOMES, HEALTH BEHAVIORS, AND CLINICAL CARE TO FURTHER REFINE STRATEGIES AND PRIORITIZE ACTIVITIES. SKY LAKES CONDUCTS NRC PATIENT SURVEYS AND ASKS ADULTS TO SELF-REPORT THEIR HEALTH STATUS THROUGH RANDOMIZED SURVEYS MAILED TO RECENTLY DISCHARGED PATIENTS.THE HEALTHY KLAMATH NETWORK, IN PARTNERSHIP WITH KLAMATH COUNTY PUBLIC HEALTH AND THE OREGON HEALTH AUTHORITY, PERIODICALLY PERFORMS HEALTH ASSESSMENTS OF THE PEOPLE IN THE COMMUNITIES SERVED BY SKY LAKES MEDICAL CENTER. THE MEDICAL CENTER WORKS WITH LOCAL HEALTH AUTHORITIES AND AGENCIES TO DETERMINE HEALTH-IMPROVEMENT INITIATIVES THAT CAN BE JOINTLY ADDRESSED BY COMMUNITY LEADERS, WITH SKY LAKES SERVING A SIGNIFICANT LEADERSHIP AND FUNDING ROLE. PART VI, LINE 3: SKY LAKES MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR ASSISTANCE ARE LOCATED ON THE HOSPITAL'S WEBSITE IN ENGLISH AND SPANISH, REFERENCED IN THE ONLINE BILL-MANAGEMENT SECTION, AND AVAILABLE AS HANDOUT MATERIALS IN THE HOSPITAL AND OUTPATIENT CLINICS IN BOTH LANGUAGES. THE FINANCIAL ASSISTANCE POLICY AND ASSISTANCE APPLICATION ARE ALSO PROVIDED WHEN PATIENTS REGISTER FOR SERVICES, AT PATIENT FINANCIAL SERVICES WHEN PATIENTS PAY THEIR BILLS IN PERSON, AND WHEN PATIENTS INQUIRE ABOUT THEIR BILLS OR ASSISTANCE. A REMINDER WITH THE WEBSITE URL IS ON THE BACK OF EVERY PATIENT BILL.UNINSURED PATIENTS ARE PROVIDED ADVOCACY-BASED ELIGIBILITY AND ENROLLMENT SERVICES FOR MEDICAID AND OTHER BENEFIT PROGRAMS. SKY LAKES CONTRACTS WITH A THIRD-PARTY PARTNER TO HELP IDENTIFY UNINSURED PATIENTS WHO MAY QUALIFY FOR COVERAGE THROUGH GOVERNMENT PROGRAMS INCLUDING MEDICARE AND MEDICAID. ON-SITE STAFF HELP PATIENTS ORGANIZE PAPERWORK AT NO COST. THEY ALSO WORK WITH PATIENTS WHO DO NOT QUALIFY FOR MEDICAID TO FIND OTHER OPTIONS INCLUDING STATE AND LOCAL PROGRAMS, DISABILITY BENEFITS, AFFORDABLE CARE ACT INSURANCE, THE SKY LAKES CHARITY PROGRAM, OR OTHER PAYMENT ARRANGEMENTS.THE MEDICAL CENTER ENSURES INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE AT ALL PATIENT REGISTRATION AREAS, AND SPECIALLY TRAINED FINANCIAL COUNSELORS HELP APPLICANTS COMPLETE THE FORM. FINANCIAL COUNSELORS ALSO PROACTIVELY TELEPHONE UNINSURED PATIENTS WITH LARGE BALANCES TO OFFER ASSISTANCE. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS LISTED ON EVERY PATIENT STATEMENT AND MOST FORM LETTERS. IN FY2025, FINANCIAL COUNSELING SERVICES REACHED 12,496 INDIVIDUALS, REPRESENTING $222,081 IN NET COMMUNITY BENEFIT.THE SKY LAKES CANCER TREATMENT CENTER ALSO HAS FINANCIAL COUNSELORS WHO ASSIST PATIENTS WITH PHARMACEUTICAL CO-PAY RELIEF THROUGH DRUG MANUFACTURERS, AND THE MEDICAL CENTER ROUTINELY PROVIDES NO-CHARGE MEDICATIONS TO QUALIFYING PATIENTS THROUGH MAJOR PHARMACEUTICAL COMPANIES VIA A THIRD-PARTY RELATIONSHIP. PART VI, LINE 4: SKY LAKES MEDICAL CENTER SERVES KLAMATH COUNTY, OREGON, A LARGELY RURAL REGION SPANNING MORE THAN 10,000 SQUARE MILES. THE COUNTY'S POPULATION IS APPROXIMATELY 70,212, WITH KLAMATH FALLS AS THE LARGEST CITY. THE URBAN GROWTH BOUNDARY'S ESTIMATED POPULATION IS APPROXIMATELY 60% OF THE COUNTY TOTAL. SKY LAKES ALSO SERVES PATIENTS FROM PORTIONS OF LAKE COUNTY, OREGON, AND NORTHERN CALIFORNIA.THE REGION IS PREDOMINANTLY NON-HISPANIC WHITE (75.8%). THE POPULATION IDENTIFYING AS HISPANIC OR LATINO IS STEADILY GROWING, REACHING 14.9% IN 2024, UP FROM 10% IN 2010. THE REGION HAS A MEANINGFUL AMERICAN INDIAN AND ALASKA NATIVE PRESENCE, COMPRISING APPROXIMATELY 5% OF THE POPULATION. AGE PLAYS A SIGNIFICANT ROLE IN COMMUNITY HEALTH: THOSE 65 AND OLDER COMPRISE 22.1% OF THE POPULATION, WHILE THOSE UNDER 18 REPRESENT 21.7%.THE MEDIAN HOUSEHOLD INCOME IN KLAMATH COUNTY IS $57,219, COMPARED TO $86,780 FOR OREGON STATEWIDE. SIXTY-FIVE PERCENT OF CHILDREN QUALIFY FOR FREE OR REDUCED-PRICE LUNCH, COMPARED TO 51% IN OREGON AND 32% NATIONALLY. THE COUNTY FACES PERSISTENT ECONOMIC CHALLENGES, WITH POVERTY, LIMITED TRANSPORTATION, AND GEOGRAPHIC ISOLATION SERVING AS COMPOUNDING BARRIERS TO HEALTH AND WELL-BEING.THE COUNTY CARRIES A SIGNIFICANT PUBLIC PAYER BURDEN. IN FY2025, 45% OF RESIDENTS WERE COVERED BY GOVERNMENT INSURANCE (MEDICARE OR MEDICAID), AND 10% REMAINED UNINSURED. KLAMATH COUNTY HOLDS HEALTH PROFESSIONAL SHORTAGE AREA DESIGNATIONS FOR PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROVIDERS, WHICH LIMITS ACCESS TO TIMELY CARE FOR MANY RESIDENTS. THE 2024 CHNA DOCUMENTS KEY HEALTH NEEDS INCLUDING BEHAVIORAL HEALTH CHALLENGES, FOOD INSECURITY, LIMITED ACCESS TO SERVICES, AND PHYSICAL INACTIVITY, WITH DISPARITIES CONCENTRATED AMONG NATIVE AMERICAN, HISPANIC, LOW-INCOME, ELDERLY, AND RURAL POPULATIONS. PART VI, LINE 5: SKY LAKES MEDICAL CENTER FURTHERS ITS TAX-EXEMPT PURPOSE AND FULFILLS ITS MISSION TO THE COMMUNITY THROUGH A WIDE RANGE OF ACTIVITIES. THOSE ACTIVITIES INCLUDE CLASSES, SUPPORT GROUPS, HEALTH SCREENINGS, AND SELF-HELP PROGRAMS; FREE CHILDBIRTH PREPARATION AND LACTATION EDUCATION; A COMMUNITY HEALTH FAIR; FITNESS AND NUTRITION PROGRAMMING INCLUDING FOOD PREPARATION INSTRUCTION; AND SUPPORT GROUPS FOR PEOPLE AFFECTED BY CANCER, PULMONARY DISEASE, AND DIABETES. SKY LAKES STAFF AND VOLUNTEERS ALSO SUPPORT REGULAR BLOOD DRIVES HELD AT SKY LAKES FACILITIES.IN FY2025, SKY LAKES INVESTED $466,671 THROUGH HEALTHY KLAMATH TO PROMOTE HEALTHIER LIFESTYLES AND DRIVE COMMUNITY HEALTH IMPROVEMENT THROUGH THE HEALTHY KLAMATH NETWORK. TRANSPORTATION SUPPORT OF $133,414 WAS PROVIDED TO 3,467 INDIVIDUALS TO REDUCE A KEY BARRIER TO CARE. THE WELLNESS CENTER PROVIDED $800,066 IN NET COMMUNITY BENEFIT TO 1,479 PARTICIPANTS. THE CARES DEPARTMENT PROVIDED CHILD ABUSE EVALUATION AND FOLLOW-UP SERVICES WITH A NET COMMUNITY BENEFIT OF $245,982, SERVING APPROXIMATELY 5,500 INDIVIDUALS. TOTAL NET COMMUNITY BENEFIT FOR FY2025 REACHED $43,243,331.SKY LAKES IS GOVERNED BY A BOARD OF DIRECTORS THAT SERVES AS OUR DIRECT CONNECTION TO THE COMMUNITY. BOARD MEMBERS INCLUDE BUSINESS LEADERS, A VETERINARIAN, A NONPROFIT EXECUTIVE, AND ACTIVE PHYSICIANS, ALL OF WHOM SERVE AS VOLUNTEERS. THE BOARD SETS POLICY DIRECTION THAT IS IMPLEMENTED THROUGH THE SENIOR MANAGEMENT TEAM, LED BY THE PRESIDENT AND CEO, WORKING WITH DIRECTORS AND FRONTLINE STAFF.SKY LAKES MEDICAL CENTER IS THE PRINCIPAL UNDERWRITER FOR CASCADES EAST FAMILY MEDICINE, A CLINIC AND FAMILY PRACTICE RESIDENCY PROGRAM OPERATED IN PARTNERSHIP WITH OHSU. IN FY2025, HEALTH PROFESSIONS EDUCATION INVESTMENT TOTALED $11,444,717 IN GROSS EXPENSE ($9,306,161 NET), SUPPORTING 119 TRAINEES AND ADDRESSING THE COUNTY'S LONGSTANDING PROVIDER SHORTAGE.SKY LAKES TAKES AN ACTIVE ROLE IN DEVELOPING PROGRAMS TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE DISORDER ACROSS KLAMATH COUNTY. THE LOCAL ALCOHOL AND DRUG PLANNING COMMITTEE EVALUATES TREATMENT PROGRAM AVAILABILITY AND ENHANCES COMMUNICATION AMONG PROVIDERS. SEVERAL SKY LAKES STAFF MEMBERS SERVE ON THE COMMITTEE DURING REGULAR WORK TIME. SKY LAKES SUPPORTS THE BEHAVIORAL HEALTH WORKGROUP IN PARTNERSHIP WITH KLAMATH BASIN BEHAVIORAL HEALTH AND COMMUNITY PARTNERS, IMPLEMENTING A BEHAVIORAL HEALTH STRATEGY TO IMPROVE OUTCOMES ACROSS KLAMATH COUNTY.SKY LAKES WILLINGLY CONTRIBUTES TO CIVIC PROJECTS AND ENTHUSIASTICALLY SPONSORS COMMUNITY PROJECTS, EVENTS, AND PROGRAMS THAT ENCOURAGE HEALTH, WELL-BEING, AND PHYSICAL ACTIVITY. SKY LAKES ALSO PURSUES HEALTHCARE CAREER PIPELINE INVESTMENTS WITH LOCAL SCHOOL DISTRICTS AND COMMUNITY COLLEGES, SUPPORTING STUDENTS FROM UNDERSERVED BACKGROUNDS IN ACCESSING WELL-PAYING CAREERS IN HEALTHCARE, AS A LONG-TERM STRATEGY FOR ADDRESSING BOTH PROVIDER SHORTAGES AND GENERATIONAL POVERTY IN KLAMATH COUNTY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 KLAMATH COMMUNITY COLLEGE 7390 S 6TH STREET KLAMATH FALLS OR 97603 931211933 GOVERNMENT ENTITY 100000 0 SURGICAL TECH PROGRAM OREGON TECH FOUNDATION INC 3201 CAMPUS DRIVE KLAMATH FALLS OR 97601 237056213 501(C)(3) 52500 0 RESPIRATORY CARE, ELITE SPONSORSHIP, FUN RUN CITY OF KLAMATH FALLS 500 KLAMATH AVE PO BOX 237 KLAMATH FALLS OR 97601 936002195 GOVERNMENT ENTITY 16548 0 EVERYONE SWIMS PROGRAM KLAMATH ICE SPORTS INC 5075 FOX SPARROW DR KAMATH FALLS OR 97601 931279736 501(C)(3) 6000 0 RINK SUPPORT 4 0 EDUCATION GRANTS 29 261096 PATIENT CARE GRANTS 3739 162236 GENERAL CHARITY CARE 2000 22511520 PART I, LINE 2: 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. X X X 0 1 0 0 0 0 0 0 0 NARAGHI FRED F MEDICAL PROVIDER 1105616 0 0 0 0 0 20700 0 22908 0 1149224 0 0 0 CUMMINGS JEFFREY MEDICAL PROVIDER 682009 0 245808 0 0 0 20700 0 22908 0 971425 0 0 0 CAUBLE DAVID A PRESIDENT AND CEO 616028 0 180000 0 0 0 30901 0 22908 0 849837 0 0 0 KUBAC GEORGE MEDICAL PROVIDER 813225 0 0 0 0 0 17250 0 16776 0 847251 0 0 0 OGAO JARED MEDICAL PROVIDER 733909 0 0 0 0 0 20700 0 22908 0 777517 0 0 0 MILLER NATHAN G MEDICAL PROVIDER 646053 0 25000 0 0 0 18898 0 22908 0 712859 0 0 0 RICO RICHARD E VICE PRESIDENT & CFO 465978 0 36046 0 0 0 43200 0 16776 0 562000 0 0 0 DR JAY T WILLIAMS BOARD MEMBER, MEDICAL PROVIDER 428350 0 14304 0 0 0 2313 0 15288 0 460255 0 0 0 DR JONATHAN SPICHER BOARD MEMBER, MEDICAL PROVIDER 313741 0 22435 0 0 0 20403 0 9156 0 365735 0 0 0 PART I, LINE 4B A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IS PROVIDED FOR EXECUTIVE MANAGEMENT. CONTRIBUTIONS AND DISTRIBUTIONS FOR THE YEAR, AS APPLICABLE, WERE AS FOLLOWS: -DAVID CAUBLE, PRESIDENT & CEO: CONTRIBUTIONS $82,505 A KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY 931061020 498413FR9 2016-06-23 59146386 REFUNDING OF 2006 BONDS; NEW MEDICAL OFFICE BUILDINGS; PARKING FACILITIES 0 0 0 B KLAMATH FALLS INTERCOMMUNITY HOSPITAL AUTHORITY 931061020 498413FK4 2022-12-14 11000000 REFUNDING OF 2012 BONDS; CAFETERIA REMODEL 0 0 0 A 983000 59146386 846856 25000000 33299530 2016 0 1 1 1 B 11000000 220000 5366720 5413280 0 1 1 1 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 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, CFO AND OTHER STAFF BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE DUTY OF THE BOARD OF DIRECTORS OF SKY LAKES MEDICAL CENTER TO SAFEGUARD THE TAX EXEMPT STATUS OF SKY LAKES MEDICAL CENTER, AND AS SUCH THE BOARD WILL TAKE SERIOUSLY ANY CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER OR POTENTIAL BOARD MEMBER. ALL BOARD MEMBERS AND POTENTIAL MEMBERS MUST DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. AN UPDATED STATEMENT OF SUCH POTENTIAL CONFLICTS SHALL BE SUBMITTED YEARLY BY ALL BOARD MEMBERS FOR REVIEW AT THE BOARD'S ANNUAL MEETING. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT OF INTEREST AND AFTER ANY DISCUSSION WITH THE INTERESTED PARTY, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE MINUTES OF THE BOARD AND ALL COMMITTEES OF THE BOARD SHALL CONTAIN 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST; 2) THE NATURE OF THE FINANCIAL INTEREST; 3) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR THE DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT; 4) THE CONTENT OF THE DISCUSSION INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 5) ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND, 6) THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARATIVE DATA FOR THE CEO. FOR THE CEO POSITION ONLY, THE EVALUATION COMMITTEE COMPLETES A PERSONNEL ACTION FORM, WHICH IS SIGNED BY THE BOARD CHAIR. FOR ALL VP POSITIONS, ALL EVALUATIONS ARE MADE BY THE CEO, BASED ON A REVIEW OF MARKET DATA. THE COMPENSATION REVIEW PROCESS IS COMPLETED ANNUALLY. 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 PARTNERSHIPS -99,145. 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