Skyline Health

What Skyline Health does

Skyline Health is a rural Critical Access Hospital system headquartered at 211 Skyline Drive in White Salmon, Washington, operated by Klickitat County Public Hospital District No. 2 — a self-governing government subdivision organized under Washington State law (RCW 70.44). Founded in 1952 under the Hill-Burton Act, it is the only integrated acute-care hospital serving the Columbia River Gorge across Klickitat County (WA), Eastern Skamania County (WA), and Hood River County (OR). The facility operates a 14-line clinical portfolio spanning a 24/7 Emergency Department (ranked in the Top 1% for ED satisfaction on the West Coast by Press Ganey), family medicine (with two clinic locations in White Salmon and Stevenson), pediatrics, surgical services, outpatient infusion, transitional care, rehabilitation and therapy, sports medicine, CLIA-certified laboratory, diagnostic imaging (64-slice CT with 3D reconstruction, Genius 3D Mammography, MRI, ultrasound, DEXA, X-ray), and ophthalmology delivered in partnership with the OHSU Casey Eye Institute.

The technology backbone is a conventional best-of-breed rural healthcare-IT stack: Oracle/Cerner EHR with the HealtheIntent platform powering the HealtheLife My Skyline Patient Portal and iQHealth online scheduling, NovaRad PACS/RIS for imaging, EPIC read access for external clinicians, Kronos UKG for workforce management, Relias for staff training, and Microsoft Teams for both patient virtual visits and internal collaboration. Recent capital deployment includes a new ED stroke robot and continued investment in advanced imaging and surgical capability. The recently announced $6.8M Advancing Rural Surgical and Rehabilitation Services Project, with $4M of state and federal appropriations already secured, is set to break ground in 2026.

Skyline's revenue model blends patient service fees and insurance reimbursement (Medicare, Medicaid, private, self-pay) with a public-hospital-district property tax levy ($0.46 per $1,000 of assessed value, generating approximately $1.4M in 2025), a philanthropic channel via the affiliated Skyline Health Foundation (Tax ID 91-1355848; Cultivate Columbia Gala raised $150K+ in 2026), and competitive grants/appropriations. A 2026 Levy Lid Lift (Proposition 1, on the April 28 ballot) would raise the property tax rate to $0.75/$1,000 to fund expanded surgical, imaging, pediatric, and workforce capacity. Go-to-market is direct-to-consumer across a geographically bounded rural catchment, supplemented by employer lab contracts (drug screening) and the embedded OHSU specialty partnership.

Name

Skyline Health

Legal name

Klickitat County Public Hospital District No. 2

Website

https://myskylinehealth.org

Company type

Private

Founded year

1952

Operating status

Operating

Headcount range

101–250 employees

Short description

Skyline Health is a rural Critical Access Hospital in White Salmon, Washington, operated by Klickitat County Public Hospital District No. 2, serving the Columbia River Gorge with emergency, primary care, surgical, imaging, rehabilitation, and outpatient infusion services across 14 clinical lines and two clinic locations.

Ownership category

akta.pro rank

Product category

Rural Hospital Services

NAICS

Ambulatory Health Care Services (621), Outpatient Care Centers (6214)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Home Health Care Services (8082), Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industry

Home-Based Primary Care / Medical House Call Practices (HLAFAEAI)

Keywords

• Rural hospital services
• Critical access healthcare
• Emergency medical care
• Diagnostic imaging services
• Outpatient rehabilitation

Headquarters

HQ city

White Salmon

HQ country

United States

HQ region

North America

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Others

Revenue model

1. Patient service fees and insurance reimbursement: Revenue from hospital, clinic, emergency, surgical, rehabilitation, imaging, laboratory, infusion, and outpatient services billed to patients and insurers (Medicare, Medicaid, private insurance, self-pay). Public Patient Price Estimator available; online bill pay through simpleepay portal.
2. Property tax levy (Public Hospital District funding): As Klickitat County Public Hospital District No. 2, Skyline is partially supported by property taxes. In 2025 the District received approximately $1.4 million in tax revenue. The current rate is $0.46 per $1,000 of assessed value; a 2026 Levy Lid Lift (Proposition 1, April 28, 2026) seeks to raise it to $0.75.
3. Foundation donations and fundraising events: Skyline Health Foundation (Tax-Exempt ID 91-1355848) raises funds through Cultivate Columbia Gala, Skyline Scramble Golf Tournament, Gifts of Gratitude, memorial gifts, planned giving, naming opportunities, and grants/scholarships. Cultivate Columbia 2026 raised more than $150,000.
4. Grants and scholarships administration: Foundation administers the 2025 Community Health Grant (for non-profits in the Gorge), the Brown Nursing Scholarship, and the Wayne M. Henkle MD Scholarship. Grants awarded on a rolling monthly basis.
5. State and federal appropriations: Secured $4 million in public funding ($1M from State of Washington, $3M federal) for the Advancing Rural Surgical and Rehabilitation Services Project, a $6.8 million initiative. Additional funding being pursued.

Pricing tiers

Go-to-market motion1 record

Core offering

Skyline Health operates a rural Critical Access Hospital providing 24/7 emergency services, primary and specialty care, surgical services, diagnostic imaging, laboratory, rehabilitation and therapy, pediatrics, infusion services, and telehealth across the Columbia River Gorge. It is organized as Klickitat County Public Hospital District No. 2 and serves community members regardless of ability to pay through a sliding-scale discount program.

Product overview

Skyline Health is a single integrated rural Critical Access Hospital system operated by Klickitat County Public Hospital District No. 2 in White Salmon, WA, organized as a unified portfolio of clinical service lines rather than a platform-plus-modules product architecture. Its core clinical offering spans Emergency Services, Family Medicine (Skyline Medical Clinic with two locations), Pediatrics, Surgical Services, Transitional Care, Outpatient Care and Infusion Services, Sports Medicine, Rehabilitation and Therapy Services (physical, occupational, speech therapy), Laboratory, Imaging (with Genius 3D Mammography, 64-slice CT, MRI, Ultrasound, Bone Density, X-Ray), Ophthalmology (operated with OHSU Casey Eye Institute), Community Health Services, and Senior Housing Resources — together serving the Columbia River Gorge. Layered on top are digital products including My Skyline Patient Portal (Cerner HealtheLife), Virtual Visits (Microsoft Teams), Online Bill Pay (simpleepay), the Patient Price Estimator (Para-HCFS), and the Skyline Health Foundation programs (Gift of Gratitude, grants/scholarships, Cultivate Columbia Gala, Skyline Scramble Golf Tournament). Internally, the hospital also runs systems such as NovaRad PACS/RIS, Oracle/Cerner, EPIC, Kronos UKG, and Relias to support radiology, EHR, HR/timekeeping, and staff training, while Microsoft Teams is embedded in both Virtual Visits and Levy Lid Lift Q&A community meetings.

Differentiator

Problem solved

Functional benefit

Brands

• Skyline Medical Clinic: Primary care / family medicine clinic operated by Skyline Health with locations on the White Salmon campus and at the Hegewald Center in Stevenson, WA.
• Skyline Rehabilitation and Therapy Services
• My Skyline Patient Portal
• OHSU Casey Eye Institute Clinic, White Salmon

Products and services

• Family Medicine Primary care delivered by Skyline Medical Clinic physicians at two locations on the White Salmon campus and at the Hegewald Center in Stevenson, WA. Includes virtual visits, COVID-19 testing, and serves patients regardless of ability to pay via a sliding-scale discount program.
• Emergency Services (24/7 Emergency Department) State-of-the-art 24/7 emergency room providing rapid response care to both children and adults with on-site diagnostic and laboratory services including X-Ray, CT, MRI, and ultrasound. Ranked in the Top 1% for Emergency Department Satisfaction on the West Coast by Press Ganey.
• Imaging Services Diagnostic imaging with state-of-the-art equipment and board-certified radiologists. Includes Genius 3D Mammography, 64-slice CT scanner with 3-D reconstructions, Bone Density (DEXA), Ultrasound, MRI, and X-Ray. Hours 8 am-7 pm Monday-Friday.
• Laboratory Full-service CLIA-certified laboratory operating 24 hours a day, 7 days a week to support urgent care and emergency needs with fast, accurate in-house testing. Walk-in lab available with weekday and Saturday hours; partners with Klickitat County Health Department and local businesses on confidential testing and employee drug screening.
• Ophthalmology (OHSU Casey Eye Institute Clinic, White Salmon) Outpatient ophthalmology clinic operated in partnership with the OHSU Casey Eye Institute, providing state-of-the-art eye care locally in White Salmon. Services include cataract extraction with intra-ocular lens replacement.
• Outpatient Care and Infusion Services 24/7 outpatient nursing services including infusion therapy (blood products, antibiotics, Orencia, Vitamin B-12, Aranesp, Neupogen/Granix, Remicade, IV iron, IVIG, Xolair, rabies vaccine, Reclast), wound care, central line maintenance, lab draws, and patient education. Chemotherapy infusions are not provided.
• Pediatrics Pediatric primary care including routine and school physical exams, immunizations, neonatal care, prenatal visits, breastfeeding support, nutritional and fitness education, disease prevention, and screenings. Accepting private insurance, Medicare, and Medicaid; now accepting new patients with virtual visits available.
• Rehabilitation and Therapy Services Physical, occupational, and speech therapy offered at 253 Rhine Village Drive, White Salmon. PT covers musculoskeletal, neurological, vestibular/balance issues, post-surgical recovery, sports rehab, post-concussion rehab, Parkinson's, post-stroke, and hand therapy. Occupational therapy focuses on ADLs; speech therapy addresses communication, articulation, cognition, and swallowing (inpatient only). Direct Access under Washington RCW 18.74.012.
• Surgical Services

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature6 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• PeaceHealth: Large Pacific Northwest Catholic health system headquartered in Vancouver, WA, with hospitals and clinics across Washington, Oregon, and Alaska. Represents a broad incumbent competitor for specialty referrals, employed physician recruitment, and population health initiatives in Skyline's Washington/Oregon service area.
• Asante: Large non-profit health system serving southern Oregon with hospitals in Medford, Grants Pass, and Ashland. Represents a broader incumbent whose specialty and tertiary services compete for referrals from the rural areas adjacent to Skyline's eastern Oregon catchment.

Regional players

• Adventist Health Columbia Gorge: Regional faith-based health system with a presence in the Columbia Gorge. Operates overlapping primary and specialty care in the same geography as Skyline and represents a regional competitor for outpatient and specialty market share.
• Samaritan Health Services: Non-profit regional health system based in Corvallis, OR, with multiple hospitals and clinics across the mid-Willamette Valley and central Oregon coast. Comparable in mission and rural service model and competes for patients in shared Oregon geography.

Direct peers

• Lake Chelan Health: Critical Access Hospital system serving the Lake Chelan valley in north-central Washington. Directly comparable in CAH designation, rural scale, county-level tax support model, and breadth of service line including emergency, imaging, surgery, and rehabilitation.
• WhidbeyHealth: Public Hospital District serving Whidbey Island, WA. Operates as a Critical Access Hospital under the same Washington State public hospital district framework (RCW 70.44) as Skyline, with overlapping service line, tax-levy financing model, and similar mid-size rural operating footprint.
• Klickitat Valley Health: Critical Access Hospital located in Goldendale, WA, also serving Klickitat County. It is the most directly comparable peer — same CAH designation, similar rural catchment in the same county, partnered with Skyline on the Klickitat County Community Health Survey, and offers overlapping primary care, emergency, and outpatient services.
• Mid-Columbia Medical Center: Hospital system based in The Dalles, OR, serving the Columbia River Gorge immediately adjacent to Skyline's catchment. Directly comparable in service line breadth (imaging, surgery, rehabilitation, primary care) and competes for the same Hood River County patient population across the river.
• Sky Lakes Medical Center: Non-profit community hospital in Klamath Falls, OR, serving a rural region of south-central Oregon. Comparable in service line breadth (emergency, imaging, surgery, rehabilitation, primary care) and rural non-urban scale, though larger than Skyline and not a CAH.
• Providence Hood River Memorial Hospital: Critical Access Hospital in Hood River, OR, part of the Providence health system. Directly comparable in designation, service line, and Gorge-area market, and the primary competitor for specialty and emergency referrals in Hood River County.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCsaa76gp-9WVGkz5PoefGZw
• Facebookfacebook.com/SkylineHospital
• Instagraminstagram.com/skyline_health
• Xx.com/skylinehospital

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles20 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Skyline Health