Sky Lakes Medical Center

Sky Lakes Medical Center, located in Klamath Falls, Oregon, is a community-owned, internationally accredited, not-for-profit healthcare provider. Serving over 120,000 people in south-central Oregon and northeastern California, we combine small-town neighborliness with big-city medical expertise. Our 176-bed facility offers a full range of services, including emergency care, specialized treatments in cardiology, orthopedics, and oncology, and a Family Birth Center recognized for its high-quality, family-centered care. As a nationally accredited hospital equipped with modern technology and dedicated professionals, we are committed to providing compassionate, patient-centered care to ensure comprehensive healthcare for you and your family. At Sky Lakes, your journey to better health begins here.

Identifiers

Hospital Name Sky Lakes Medical Center
Facility ID 380050

Location

Address 2865 DAGGETT AVENUE
City/Town Klamath Falls
State OR
ZIP Code 97601
County/Parish KLAMATH

Health System

Health System Independent
Health System Website Domain skylakes.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 176
Health System Hospital Locations Oregon

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Independent
Emergency Services Yes

David Cauble

President and Chief Executive Officer

David Cauble has served as President and Chief Executive Officer of Sky Lakes Medical Center since February 2022. [14] He is a 25-year veteran of the healthcare industry. [3] Prior to this role, he was Executive Vice President and Chief Financial Officer at Children's Mercy Hospital. [14] His experience includes leadership roles at St. Vincent's Health System, CarolinaEast Health System, and Trover Health Systems. [14] He holds an MBA from the University of South Carolina Darla Moore School of Business and a B.B.A. from the University of Louisville. [14] He also previously worked in healthcare consulting for CapGemini Ernst & Young. [14] He is engaged in the community and has served as a member of the University of Missouri – Kansas City Board of Trustees. [17]

Richard Rico

Vice President and Chief Financial Officer

Richard Rico has served as the CFO at Sky Lakes Medical Center since January 2009. [7] He has over 20 years of seasoned healthcare financial experience in various hospitals across the West Coast. [8] He earned his MBA from California State University, Fresno. [7] Prior to Sky Lakes, he held CFO positions at hospitals in California and Oregon, and also served as COO and CFO of St. Anthony Hospital. [8, 11] He was also CFO of NorthBay Healthcare System and McKenzie-Willamette Medical Center. [8, 11] He is a Certified Public Accountant (CPA) and a Fellow of the Healthcare Financial Management Association (FHFMA). [7]

Ron Woita

RN, Chief Nursing Officer and Vice President of Patient Care Services

Ron Woita arrived at Sky Lakes in June 2011 as the Emergency Department Director and is now the Chief Nursing Officer and Vice President of Patient Care Services. [15] He previously worked as a clinical manager for a smaller hospital in Lincoln, Nebraska. [15] He is a Registered Nurse (RN). [22] He has served as Director of the Emergency Department, ACD, and IV Therapy for 9 years prior to his current role. [13]

Grant Niskanen

MD, Chief Quality Officer

Dr. Grant Niskanen is a long-time Family Practice physician in Klamath Falls. [6] He has over 30 years of experience in the medical field. [9] He graduated from George Washington University School of Medicine & Health Sciences in 1992. [9] He completed his residency at the Cascades East Family Practice program at Sky Lakes in 1996. [6] He served as the Sky Lakes Vice President of Medical Affairs since 2013. [6] His accomplishments include establishing the medical center's Hospitalist Service and creating several patient-care services. [6]

Bryan Fix

MA, SHRM-SCP, Vice President and Chief Human Resources Officer

Bryan Fix was named Chief Human Resources Officer in 2022. [7] He is an experienced healthcare human resources professional. [7] He holds an MA and is SHRM-SCP certified. [22] He previously served as CHRO at Providence in Spokane. [7, 19] He has also held positions at Ambassadors Group, Inc., SolarWorld, and FEI Co. [19] He has significantly contributed to Career and Technical Education (CTE) initiatives at Sky Lakes. [5]

Jon French

J.D., M.B. A., Vice President and General Counsel

Jon French joined Sky Lakes Medical Center as Vice President and General Counsel, effective November 18, 2024. [33] He oversees all legal affairs and provides counsel on Sky Lakes' strategic direction. [33] He holds a J.D. and an M.B.A. [22]

Erin Gonzales

MD, Vice President, Chief Physician Executive and Chief Medical Officer

Dr. Erin Gonzales is a Family Medicine physician. [23] She is board certified in Family Medicine and completed her residency with Cascades East in 2018. [4] She has been an active member of the Sky Lakes medical staff since completing her residency. [4] She received her medical education at the University of Colorado School of Medicine. [4] Prior to her medical career, she served over five years as an officer in the U.S. Navy and was twice deployed to the Middle East. [4] She also holds a BS in Civil and Environmental Engineering from Duke University and an Master of Science in Engineering Management from Old Dominion University. [4] She has served as the medical director for the hospitalist program since January 2023 and has been active on the medical staff serving as the Performance Improvement Committee chair since 2021. [4]

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs Yes
Pediatric Residency Program No

Capacity & Services

Licensed Beds 176

Staffing & Personnel

FTE Employees on Payroll 1250.4
FTE Interns & Residents 22.12

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 8348
Inpatient Days (Title XIX) 6176
Total Inpatient Days 22733
Bed Count 90
Available Bed Days 32850
Discharges (Title V) NA
Discharges (Title XVIII) 1616
Discharges (Title XIX) 1618
Total Discharges 5401

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 8348
Inpatient Days (Title XIX; Adults & Peds) 5237
Total Inpatient Days (Adults & Peds) 21449
Bed Count (Adults & Peds) 90
Available Bed Days (Adults & Peds) 32850
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1616
Discharges (Title XIX; Adults & Peds) 1618
Total Discharges (Adults & Peds) 5401

Quality Summary

Care Quality Stengths High overall patient satisfaction. Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns Hospital has multiple significant high-patient-mortality concerns. Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 63%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients Worse Than National Average
Mortality Group – Pressure Ulcer Rate Worse Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite Worse Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 189

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -9
Readmission Score Hospital Return Days for Heart Failure Patients 20.3
Readmission Score Hospital Return Days for Pneumonia Patients -24.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.4
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.4
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.8
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.6
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 16.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20
Readmission Score Rate of Readmission After Hip/Knee Replacement 4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.1
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 14.5
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Fewer Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) Better Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.000
CAUTI SIR (Standardized Infection Ratio) 0.000
SSI SIR (Standardized Infection Ratio) 0.345
CDI SIR (Standardized Infection Ratio) 0.374
MRSA SIR (Standardized Infection Ratio) 0.000

Fiscal Period

Fiscal Year Begin Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $4,953
Bad Debt Expense $6,346
Uncompensated Care Cost $6,938
Total Uncompensated Care $6,938

Operating Expenses ($ thousands)

Total Salaries $113,123
Overhead Expenses (Non-Salary) $190,933
Depreciation Expense $11,846
Total Operating Costs $215,233

Charges ($ thousands)

Inpatient Charges $234,440
Outpatient Charges $500,430
Total Patient Charges $734,870

Wage-Related Details ($ thousands)

Core Wage Costs $22,593
Wage Costs (RHC/FQHC)
Adjusted Salaries $113,123
Contract Labor (Patient Care) $20,937
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents) $68

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $17,227
Short-Term Investments
Notes Receivable
Accounts Receivable $109,749
Allowance for Doubtful Accounts $-79,006
Inventory $7,257
Prepaid Expenses $5,593
Other Current Assets
Total Current Assets $85,577

Balance Sheet – Fixed Assets ($ thousands)

Land Value $4,825
Land Improvements Value $6,790
Building Value $198,598
Leasehold Improvements $343
Fixed Equipment Value
Major Movable Equipment $89,671
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $126,945

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $183,253
Other Assets $8,569
Total Other Assets $191,822
Total Assets $404,344

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-41,325
Salaries & Wages Payable $17,560
Payroll Taxes Payable $2,275
Short-Term Debt $4,864
Deferred Revenue
Other Current Liabilities $68,686
Total Current Liabilities $52,058

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $72,463
Total Long-Term Liabilities $72,463
Total Liabilities $124,521

Balance Sheet – Equity ($ thousands)

General Fund Balance $279,823
Total Fund Balances $279,823
Total Liabilities & Equity $404,344

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1) $18,147
Outlier Payments
DSH Adjustment $855
Eligible DSH % $0
Simulated MC Payments $8,428
Total IME Payments $2,025

Revenue & Income Statement ($ thousands)

Inpatient Revenue $234,440
Outpatient Revenue $551,967
Total Patient Revenue $786,407
Contractual Allowances & Discounts $535,000
Net Patient Revenue $251,408
Total Operating Expenses $304,056
Net Service Income $-52,648
Other Income $60,817
Total Income $8,169
Other Expenses $-414
Net Income $8,583

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP SAP
ERP Version NA
EHR is Changing No