JOHNSTON MEMORIAL HOSPITAL INC

Address
1106 W MARKET STREET
JOHNSON CITY, TN 37604
Contact
Website: https://balladhealth.org/jmh
Phone: +1 (276) 258-2800
Nonprofit
NTEE: E22 - Hospital, General
EIN: 54-0544705

Mission

JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH.
 20172016201520142013
Basic features of the organization
Year of formation1917
Subsection code03
Form of organization
CorporationTrue
Metropolitan statistical area3660
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$632,872.00$552,373.00$602,211.00$557,980.00$646,432.00
Sum of reportable (W2/1099) compensation $61,328.00  $32,500.00
Number of employees0202900
Number of people compensated >$100k  29  
Number of volunteers181366355242287
Number of highly compensated contractors23192122 
Personnel
Administrator, Stephen
TitleFMR JMH KEYFMR JMH KEY   
Name of key/compensated personSTEPHEN GIVENS RCMC ADMINISTRATORSTEPHEN GIVENS RCMC ADMINISTRATOR   
Position of compensated person
Former officers, key employees, highest compensated employees, directors or trusteesTrueTrue   
Average hours per week working for org0.00    
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$30,483.00$26,426.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $173,857.00$200,093.00   
Average hours per week working for related orgs45.0045.00   
Allen, Barbara
Title   TRUSTEE 
Name of key/compensated person   BARBARA ALLEN 
Position of compensated person
Average hours per week working for org   4.00 
Reportable compensation from org   $0.00 
Other comp, non-reportable, from org and related orgs   $0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00 
Average hours per week working for related orgs   7.00 
Armstrong, Paul
Title   TRUSTEETRUSTEE
Name of key/compensated person   PAUL ARMSTRONG MDPAUL ARMSTRONG MD
Position of compensated person
Average hours per week working for org   3.0040.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $36,131.00$37,645.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $465,440.00$317,688.00
Average hours per week working for related orgs   37.00 
Blankenship, Stephen
Name of key/compensated person    STEPHEN BLANKENSHIP MD
Position of compensated person
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $32,906.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $351,430.00
Brooks, Sandra
Title  TRUSTEE  
Name of key/compensated person  SANDRA BROOKS MD  
Position of compensated person
Average hours per week working for org  2.00  
Reportable compensation from org  $0.00  
Other comp, non-reportable, from org and related orgs  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00  
Average hours per week working for related orgs  5.00  
Carter, Kelly
Title  PHYSICIANPHYSICIAN 
Name of key/compensated person  KELLY CARTER MDKELLY CARTER MDKELLY CARTER MD
Position of compensated person
Average hours per week working for org  40.0040.00 
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $31,165.00$32,346.00$27,809.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $362,035.00$341,868.00$352,432.00
Condit, Brian
TitleVP/CMO NE MAVP/CMO NE MA   
Name of key/compensated personBRIAN CONDIT MDBRIAN CONDIT MD   
Position of compensated person
Average hours per week working for org45.0045.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$33,854.00$21,836.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $312,394.00$344,736.00   
David, Jacqueline
Name of key/compensated person    JACQUELINE DAVID MD
Position of compensated person
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $19,366.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $328,506.00
Dawson, Brian
TitleDIRECTORDIRECTORTRUSTEE  
Name of key/compensated personBRIAN DAWSON MDBRIAN DAWSON MDBRIAN DAWSON MD  
Position of compensated person
Average hours per week working for org2.903.002.00  
Reportable compensation from org$0.00$61,328.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$33,444.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$315,348.00  
Average hours per week working for related orgs  38.00  
Dudley, Otey
Title  TRUSTEETRUSTEETRUSTEE
Name of key/compensated person  OTEY DUDLEYOTEY DUDLEYOTEY DUDLEY
Position of compensated person
Average hours per week working for org  2.0012.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Dye, Mathew
Title  PHYSICIANPHYSICIAN 
Name of key/compensated person  MATHEW DYE MDMATHEW DYE MD 
Position of compensated person
Average hours per week working for org  40.0040.00 
Reportable compensation from org  $0.00$0.00 
Other comp, non-reportable, from org and related orgs  $27,979.00$34,070.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $322,490.00$308,669.00 
Early, Jacquelyn
Title  PHYSICIANPHYSICIAN 
Name of key/compensated person  JACQUELYN EARLY MDJACQUELYN EARLY MD 
Position of compensated person
Average hours per week working for org  40.0040.00 
Reportable compensation from org  $0.00$0.00 
Other comp, non-reportable, from org and related orgs  $32,212.00$30,861.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $310,596.00$302,185.00 
Edd, Rachel
Title  TRUSTEETRUSTEETRUSTEE
Name of key/compensated person  RACHEL FOWLKES EDDRACHEL FOWLKES EDDRACHEL FOWLKES EDD
Position of compensated person
Average hours per week working for org  2.0011.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Eichorn, Marvin
TitleMSHA EVP. COMSHA EVP. COMSHA EVP. CO  
Name of key/compensated personMARVIN EICHORNMARVIN EICHORNMARVIN EICHORN  
Position of compensated person
Average hours per week working for org6.707.007.00  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$39,746.00$39,264.00$42,125.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $590,395.00$747,271.00$705,370.00  
Average hours per week working for related orgs48.3048.0048.00  
Ferguson, Hugh
Title  TRUSTEECHAIRCHAIR
Name of key/compensated person  HUGH FERGUSONHUGH FERGUSONHUGH FERGUSON
Position of compensated person
Average hours per week working for org  2.0013.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Fleming, Ann
Title   TREASURERTREASURER
Name of key/compensated person   ANN FLEMINGANN FLEMING
Position of compensated person
Average hours per week working for org   13.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $73,411.00$66,282.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $753,909.00$426,280.00
Average hours per week working for related orgs   47.0059.00
Fowlkes, John
TitleDIRECTORDIRECTOR   
Name of key/compensated personJOHN THOMAS FOWLKESJOHN THOMAS FOWLKES   
Position of compensated person
Average hours per week working for org2.703.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Fowlkes, Rachel
TitleDIRECTORDIRECTOR   
Name of key/compensated personRACHEL FOWLKESRACHEL FOWLKES   
Position of compensated person
Average hours per week working for org2.903.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Fowlkes, Tom
Title   TRUSTEETRUSTEE
Name of key/compensated person   TOM FOWLKESTOM FOWLKES
Position of compensated person
Average hours per week working for org   6.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   4.505.00
Gail, Richard
TitleDIRECTORDIRECTORTRUSTEE  
Name of key/compensated personRICHARD DICK GAILRICHARD DICK GAILRICHARD DICK GAIL  
Position of compensated person
Average hours per week working for org3.003.002.00  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Gardner, Jim
Title  TRUSTEETRUSTEE 
Name of key/compensated person  JIM GARDNER MDJIM GARDNER MD 
Position of compensated person
Average hours per week working for org  2.0013.00 
Reportable compensation from org  $0.00$0.00 
Other comp, non-reportable, from org and related orgs  $27,740.00$26,193.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $223,671.00$227,657.00 
Average hours per week working for related orgs  38.0027.00 
Gilliam, Marvin
TitleDIRECTORDIRECTOR   
Name of key/compensated personMARVIN GILLIAMMARVIN GILLIAM   
Position of compensated person
Average hours per week working for org2.703.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Gilmer, Joanne
TitleVICE-CHAIRVICE-CHAIRVICE-CHAIRVICE-CHAIRVICE-CHAIR
Name of key/compensated personJOANNE GILMERJOANNE GILMERJOANNE GILMERJOANNE GILMERJOANNE GILMER
Position of compensated person
Average hours per week working for org4.804.003.0013.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs2.4010.007.006.009.00
Givens, Stephen
Title  RCMC AVP COO
Name of key/compensated person  STEPHEN GIVENS STEPHEN GIVENS
Position of compensated person
Former officers, key employees, highest compensated employees, directors or trustees  True  
Average hours per week working for org  0.00 1.00
Reportable compensation from org  $0.00 $0.00
Other comp, non-reportable, from org and related orgs  $25,844.00 $14,677.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $186,357.00 $176,548.00
Average hours per week working for related orgs  45.00 54.00
Hayter, Bill
TitleSECRETARYSECRETARYSECRETARYTRUSTEE 
Name of key/compensated personBILL HAYTERBILL HAYTERBILL HAYTERBILL HAYTER 
Position of compensated person
Average hours per week working for org4.803.002.0013.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Hickson, Stan
TitleCEO    
Name of key/compensated personSTAN HICKSON    
Position of compensated person
Average hours per week working for org39.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$8,782.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $174,305.00    
Average hours per week working for related orgs6.00    
Jeter, John
TitleCFO/ASST. ADCFO/ASST. ADCFOCFOCFO
Name of key/compensated personJOHN JETERJOHN JETERJOHN JETERJOHN JETERJOHN JETER
Position of compensated person
Average hours per week working for org25.0027.0029.0045.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$28,315.00$26,523.00$24,277.00$23,574.00$23,590.00
Corresponding comp from related orgs
Reportable compensation from related orgs $181,681.00$217,684.00$163,027.00$153,530.00$145,484.00
Average hours per week working for related orgs20.0018.0016.0010.0054.00
Lowe, Kathi
Title   TRUSTEETRUSTEE
Name of key/compensated person   KATHI LOWEKATHI LOWE
Position of compensated person
Average hours per week working for org   7.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Lyle, Joseph
Title DIRECTORTRUSTEE  
Name of key/compensated person JOSEPH B LYLEJOSEPH B LYLE  
Position of compensated person
Average hours per week working for org 3.002.00  
Reportable compensation from org $0.00$0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
McMurray, Sean
TitleJMH CEO, FORVP/CEO NE MKCEOCEOCEO
Name of key/compensated personSEAN MCMURRAYSEAN MCMURRAYSEAN MCMURRAYSEAN MCMURRAYSEAN MCMURRAY
Position of compensated person
Former officers, key employees, highest compensated employees, directors or trusteesTrue    
Average hours per week working for org45.0038.0039.5050.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$23,807.00$51,190.00$52,389.00$49,800.00$48,822.00
Corresponding comp from related orgs
Reportable compensation from related orgs $176,133.00$385,990.00$343,681.00$309,946.00$331,775.00
Average hours per week working for related orgs 7.005.505.0054.00
McSheehy, Brendan
TitleCHAIRCHAIRCHAIR TRUSTEE
Name of key/compensated personBRENDAN MCSHEEHYBRENDAN MCSHEEHYBRENDAN MCSHEEHY BRENDAN MCSHEEHY JR
Position of compensated person
Average hours per week working for org5.804.003.00 1.00
Reportable compensation from org$0.00$0.00$0.00 $0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 $0.00
Meadows, Donnie
TitleDIRECTOR    
Name of key/compensated personDONNIE MEADOWS    
Position of compensated person
Average hours per week working for org3.40    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Melton, Samuel
Title PHYSICIAN PHYSICIAN 
Name of key/compensated person SAMUEL MELTON MD SAMUEL MELTON MD 
Position of compensated person
Average hours per week working for org 40.00 40.00 
Reportable compensation from org $0.00 $0.00 
Other comp, non-reportable, from org and related orgs $28,330.00 $12,982.00 
Corresponding comp from related orgs
Reportable compensation from related orgs  $234,854.00 $317,898.00 
Miller, Eric
TitleDIRECTORDIRECTORTRUSTEETRUSTEE 
Name of key/compensated personERIC MILLERERIC MILLERERIC MILLERERIC MILLER 
Position of compensated person
Average hours per week working for org2.903.002.0013.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Mitchell, Kathy
TitleDIRECTORDIRECTORTRUSTEETRUSTEETRUSTEE
Name of key/compensated personKATHY MITCHELLKATHY MITCHELLKATHY MITCHELL MDKATHY MITCHELL MDKATHY MITCHELL
Position of compensated person
Average hours per week working for org2.903.002.0013.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs 0.00   
Mullins, Bryan
TitleCOOCOO   
Name of key/compensated personBRYAN MULLINSBRYAN MULLINS   
Position of compensated person
Average hours per week working for org45.0045.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$23,822.00$10,663.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $155,261.00$187,087.00   
New, Ronna
TitleDIRECTOR    
Name of key/compensated personRONNA NEW MD    
Position of compensated person
Average hours per week working for org40.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$29,486.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $241,062.00    
Pa, Scott
TitleHOSPITALISTHOSPITALIST   
Name of key/compensated personSCOTT HUNTER PASCOTT HUNTER PA   
Position of compensated person
Average hours per week working for org40.0040.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$36,920.00$30,525.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $273,474.00$283,162.00   
Pa, Wiley
TitleHOSPITALISTHOSPITALIST   
Name of key/compensated personWILEY KENT PAWILEY KENT PA   
Position of compensated person
Average hours per week working for org40.0040.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$38,514.00$39,037.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $263,985.00$305,607.00   
Peacock, Gary
TitleDIRECTORDIRECTORTRUSTEETRUSTEETRUSTEE
Name of key/compensated personGARY PEACOCKGARY PEACOCKGARY PEACOCKGARY PEACOCKGARY PEACOCK
Position of compensated person
Average hours per week working for org3.203.002.008.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs4.308.506.005.007.00
Phy, Jim
TitleDIRECTORDIRECTOR   
Name of key/compensated personJIM GARDNER MD APP PHYJIM GARDNER MD APP PHY   
Position of compensated person
Average hours per week working for org2.003.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$28,944.00$28,955.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $222,175.00$245,113.00   
Average hours per week working for related orgs38.0040.00   
Physician, Damian
TitleFMR JMH HIGHFMR JMH HIGH   
Name of key/compensated personDAMIAN SOOKLAL MD MSMG PHYSICIANDAMIAN SOOKLAL MD MSMG PHYSICIAN   
Position of compensated person
Former officers, key employees, highest compensated employees, directors or trusteesTrueTrue   
Average hours per week working for org0.00    
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$20,760.00$27,908.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $268,499.00$395,933.00   
Average hours per week working for related orgs40.00    
Ray, John
TitleHOSPITALISTHOSPITALIST   
Name of key/compensated personJOHN RAY MDJOHN RAY MD   
Position of compensated person
Average hours per week working for org40.0040.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$24,502.00$26,182.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $253,190.00$284,650.00   
Robinette, Emory
Title    TRUSTEE/PHYS
Name of key/compensated person    EMORY ROBINETTE MD
Position of compensated person
Average hours per week working for org    1.00
Reportable compensation from org    $32,500.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Sikora, Stephen
Title  PHYSICIAN  
Name of key/compensated person  STEPHEN SIKORA MD  
Position of compensated person
Average hours per week working for org  40.00  
Reportable compensation from org  $0.00  
Other comp, non-reportable, from org and related orgs  $33,098.00  
Corresponding comp from related orgs
Reportable compensation from related orgs   $327,723.00  
Simmons, David
Title  PHYSICIANPHYSICIAN 
Name of key/compensated person  DAVID SIMMONS MDDAVID SIMMONS MDDAVID SIMMONS MD
Position of compensated person
Average hours per week working for org  40.0040.00 
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $26,973.00$30,693.00$31,541.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $339,939.00$330,402.00$332,000.00
Sooklal, Damian
Title  MSMG PHYSIC  
Name of key/compensated person  DAMIAN SOOKLAL MD DAMIAN SOOKLAL MD
Position of compensated person
Former officers, key employees, highest compensated employees, directors or trustees  True  
Average hours per week working for org  0.00  
Reportable compensation from org  $0.00 $0.00
Other comp, non-reportable, from org and related orgs  $32,423.00 $28,207.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $395,464.00 $353,018.00
Average hours per week working for related orgs  40.00  
Spiegler, Michael
Title   SECRETARYSECRETARY
Name of key/compensated person   MICHAEL SPIEGLERMICHAEL SPIEGLER
Position of compensated person
Average hours per week working for org   10.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Spiegler, Mike
TitleDIRECTORDIRECTOR   
Name of key/compensated personMIKE SPIEGLERMIKE SPIEGLER   
Position of compensated person
Average hours per week working for org3.303.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Triplett, Laramie
Title    TRUSTEE/PHYS
Name of key/compensated person    LARAMIE TRIPLETT MD
Position of compensated person
Average hours per week working for org    40.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $35,501.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $272,301.00
Vonderfecht, Dennis
Title   TRUSTEETRUSTEE
Name of key/compensated person   DENNIS VONDERFECHTDENNIS VONDERFECHT
Position of compensated person
Average hours per week working for org   9.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $68,381.00$42,698.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $1,058,195.00$3,163,747.00
Average hours per week working for related orgs   51.0059.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesJOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH.JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH.JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH.JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH.PART I, LINE I - ORGANIZATION'S MISSION: JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH.
Program service expenses, total$109,920,830.00$106,029,569.00$96,683,051.00$92,403,416.00$88,348,863.00
Programs, including revenue & expenses
JOHNSTON MEMORIAL HOSPITAL (JMH) IS A 116-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN ABINGDON, VIRGINIA, PRIMARILY SERVING 7 COUNTIES IN SOUTHWEST VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH IS PART OF THE MOUNTAIN STATES HEALTH ALLIANCE NETWORK. ITS MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O). (CONT'D) DURING FY16, 8,409 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST UNDER 30,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,301 OBSERVATION DAYS AND JUST UNDER 1,500 NEWBORN DAYS. WE EXPERIENCED 239,399 OUTPATIENT VISITS THIS YEAR, AN INCREASE OF 4.5% OVER PRIOR YEAR. THERE WERE 41,030 VISITS TO OUR EMERGENCY DEPARTMENT. SURGERIES INCREASED 8.1% THIS YEAR TO 7,279. WE DELIVERED 701 BABIES. PROMOTE COMMUNITY HEALTH: IN AN EFFORT TO REDUCE READMISSION RATES AND IMPROVE THE PATIENT EXPERIENCE, JMH DEVELOPED COORDINATED CARE GUIDES. CARE GUIDES FOCUS ON PATIENT CARE BY ASSISTING WITH PATIENT NEEDS AT DISCHARGE AND WORKING DAILY WITH CASE MANAGEMENT, SOCIAL WORK, AND NURSING STAFF TO REDUCE THE FACTORS THAT COULD LEAD TO A PATIENT BEING READMITTED. ASSISTANCE IS PROVIDED WITH PATIENTS' MEDICATIONS, DURABLE MEDICAL EQUIPMENT, AND OTHER OUTPATIENT NEEDS FOLLOWING INPATIENT DISCHARGE. AFTER PLANNING A NURSE NAVIGATION PROGRAM FOR ONCOLOGY PATIENTS LAST YEAR, THE PROGRAM WAS UP AND OPERATIONAL THIS YEAR. OUR NAVIGATOR PROGRAM IS DESIGNED TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, ADVOCATE FOR THE PATIENT, AND TO HELP COORDINATE THE PATIENT'S CARE THROUGHOUT THE CONTINUUM OF TREATMENT - FROM DIAGNOSIS TO SURVIVORSHIP. THERE IS NO CHARGE FOR THESE SERVICES REGARDLESS OF WHETHER A PATIENT CHOOSES TO RECEIVE THEIR TREATMENT AT JMH OR AN UNRELATED FACILITY. THOSE THAT JOIN THE PROGRAM RECEIVE ONE- ON-ONE ASSISTANCE FROM SPECIALLY TRAINED ONCOLOGY PROFESSIONALS. OUR CANCER NAVIGATORS COMMUNICATE WITH THE PATIENT'S DOCTOR, WILL COORDINATE TRANSPORTATION, SET UP APPOINTMENT REMINDERS AND PROVIDE EMOTIONAL SUPPORT FOR BOTH THE PATIENT AND THE PATIENT'S FAMILY. OUR NAVIGATORS WILL ALSO COORDINATE SUPPORT SERVICES SUCH AS TREATMENT PLANNING, PROSTHESIS SELECTION, NUTRITION COUNSELING, AND IDENTIFICATION OF RESOURCES FOR SPIRITUAL CARE, FINANCIAL ASSISTANCE AND OTHER NEEDS. OUR NAVIGATORS PARTICIPATE IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CANCER EDUCATION EVENTS, AND CANCER SUPPORT GROUPS. THEY VISIT PHYSICIAN OFFICES, SENIORS' GROUPS, ATTEND MEETINGS WITH LOCAL BUSINESS ORGANIZATIONS, AND THEY WORK WITH MANY OTHER ORGANIZATIONS TO EXPLAIN THE NAVIGATION PROGRAM AND PROVIDE CANCER AWARENESS/EDUCATION THROUGH THE COMMUNITY. WE STARTED A DIAPER ASSISTANCE PROGRAM THE LAST QUARTER OF THIS FISCAL YEAR. DIAPERS ARE PROVIDED TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABIES LIFE. WE ENROLLED 23 BABIES THE FIRST MONTH THAT HAS GROWN TO AN AVERAGE OF 39 SINCE. BASED ON PROJECTIONS, WE EXPECT THE PROGRAM TO COST THE HOSPITAL 24,000 FOR A FULL YEAR. THE REGIONAL CANCER CENTER AT JMH HOSTED A FAMILY FUN DAY ON THE GROUNDS OF THE CENTER TO EDUCATE PATIENTS AND FAMILY AND TO CELEBRATE OUR COMMUNITY. IN ADDITION TO A COOK-OUT AND ENTERTAINMENT, A PRESENTATION WAS GIVEN ON HOW TO RECOGNIZE AND PREVENT COMMON SKIN CANCERS. SAMPLES OF SUN SCREEN AND SKIN CARE INFORMATION WERE DISTRIBUTED. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUED TO EXPERIENCE INCREASED VOLUMES THIS YEAR. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW AN ADDITIONAL 43% IN FY16. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES- RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. OUR FAMILY BIRTH CENTER HAS 16 LARGE PRIVATE ROOMS, 11 OF WHICH ARE DESIGNED FOR LABOR/DELIVERY/RECOVERY/POSTPARTUM STAYS. THE REMAINING FIVE ROOMS SERVE TO CARE FOR GYNECOLOGY PATIENTS. TRADITIONAL NURSES STATIONS HAVE BEEN REPLACED WITH "TOUCHDOWN STATIONS" THAT MAKE COMMUNICATION WITH FAMILY MEMBERS MORE INVITING. DEDICATED PEDIATRIC HOSPITALISTS ARE ONSITE DURING DELIVERY AND AFTERWARD TO CARE FOR BABIES AND COVERAGE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. OUR WOUND CENTER CONDUCTED A RAPID IMPROVEMENT EVENT THIS YEAR FOCUSED ON EXPEDITING PATIENT VISITS TO REDUCE WAIT TIMES IN TREATMENT ROOMS. PATIENTS SOMETIMES EXPERIENCE STRESS WHEN LEFT ALONE WHILE AWAITING A PHYSICIAN AND TREATMENT. THE WOUND CENTER WAS ABLE TO REDUCE PATIENT FLOW TIME 27% BY STANDARDIZING ALL ROOMS AND EQUIPMENT AND IMPLEMENTING A SUPPLY BIN SYSTEM. OTHER CHANGES INCLUDED ADDING SIGNAGE SETTING EXPECTATIONS TO REINFORCE THE PURPOSE OF ARRIVING ON TIME FOR APPOINTMENTS SO THAT OTHER PATIENTS ARE NOT NEGATIVELY IMPACTED BY PATIENTS ARRIVING OUTSIDE OF THEIR SCHEDULED APPOINTMENT TIMES. THIS SIMPLE CHANGE RESULTED IN A DROP OF 86% IN THE NUMBER OF PATIENTS ARRIVING OUTSIDE OF THEIR SCHEDULED APPOINTMENT AND THE NUMBER OF LATE PATIENT ARRIVALS CONTINUES TO DECLINE AS EXPECTATIONS FOR TIMELINESS ARE REINFORCED. MSHA HOLDS AN ANNUAL SYSTEM-WIDE QUALITY AWARDS COMPETITION. TEAM MEMBERS FROM ACROSS THE ORGANIZATION RECEIVE RECOGNITION FOR IMPROVEMENT PROJECTS THAT MAKE THINGS BETTER FOR OUR PATIENTS AS WELL AS FELLOW TEAM MEMBERS. PROJECTS MUST SHOW A MEASURED BENEFIT. JMH HAD 15 PROJECTS RECOGNIZED FOR RESULTS THEY ACHIEVED DURING THE YEAR. TWO OF THOSE PROJECTS RECEIVED SOME OF THE HIGHEST RECOGNITION, AS DETERMINED BY A TEAM OF EXPERT JUDGES FROM THE BUSINESS WORLD: -JMH'S CARDIAC CATH LAB'S PROJECT CALLED "THE HEART OF THE PROBLEM IS TIME", WHICH HELPED REDUCE THE AMOUNT OF TIME IT TAKES TO RECEIVE TREATMENT FOR STEMI HEART PATIENTS (ST SEGMENT ELEVATION MYOCARDIAL INFARCTION) WHO TRANSFER TO JMH FROM ANOTHER FACILITY. EVERY MINUTE IS CRUCIAL FOR HEART ATTACK PATIENTS. -"GOT SEPSIS" WAS A QUALITY PROJECT RECOGNIZED LAST YEAR FOR ITS REMARKABLE RESULTS IN LOWERING THE SEPSIS MORTALITY RATE AND THE AVERAGE LENGTH OF STAY AND COST FOR SEPSIS PATIENTS. THIS YEAR THE PROJECT WAS GIVEN A "HOLD THE GAINS AWARD" FOR CONTINUING TO DRIVE IMPROVEMENT. ANOTHER QUALITY PROJECT WITH OUTSTANDING RESULTS WAS A PROJECT TITLED "90 IN 90" TO INCREASE PHYSICIAN USE OF STANDARDIZED ORDER SETS AND PROTOCOLS THAT HAVE BEEN PROVEN TO IMPROVE THE QUALITY OF MEDICAL CARE AND ENHANCE PATIENT SAFETY. ORDER SET USAGE INVOLVES THE USE OF PRE-SET, CAREFULLY CREATED, BEST EVIDENCE-BASED PROCESSES ON WHAT KIND OF CARE THE PATIENT SHOULD RECEIVE FOR A PARTICULAR CONDITION. BY FOLLOWING THESE ORDER SETS, PATIENT CARE IS MORE EFFICIENT, MORE CONSISTENT AND HAS LESS CHANCE FOR ERROR OR REDUNDANCY. JMH'S PROJECT MEASURED ORDER SET USAGE FOR SEVEN COMMON ADMITTING MEDICAL DIAGNOSES AND FOUND USAGE WAS BETWEEN 45-49% AT THE BEGINNING OF THE PROJECT. THE PROJECT'S GOAL WAS TO INCREASE USAGE TO 90% WITHIN 90 DAYS. WITHIN JUST 60 DAYS, THE GOAL WAS MET WITH USAGE INCREASING TO 95% AND 97% COMPLIANCE WAS REACHED WITHIN 90 DAYS. BECAUSE THIS PROJECT SAW SUCH SUCCESS AT JMH, IT WAS ROLLED OUT TO ALL MSHA FACILITIES. JMH CONTINUES THE "LEAN" PROCESS OF PROVIDING VALUE TO CUSTOMERS (OUR PATIENTS, PHYSICIANS AND TEAM MEMBERS) THROUGH QUALITY IMPROVEMENT TEAMS THAT MEET ALL DAY FOR SEVERAL DAYS TO DEVELOP PROCESSES THAT WILL OPTIMIZE CARE OF PATIENTS, REDUCE RESOURCE UTILIZATION; AND, OFTENTIMES, IMPROVE BOTH. SOME OF THE PROJECTS THAT OCCURRED DURING THE YEAR INCLUDE: -MORE APPROPRIATE PATHWAYS WERE DEVELOPED FOR PATIENTS PRESENTING IN THE ER WITH LOW RISK CHEST PAIN RESULTING IN A LENGTH OF STAY REDUCTION OF 80%. -SEVERAL ADDITIONAL IMPROVEMENTS RELATING TO BED ASSIGNMENTS, DISCHARGE PROCESSES, ETC. POSITIVELY IMPACTED OTHER AREAS, SUCH AS AN 86% IMPROVEMENT IN AVOIDABLE DAYS (UNNECESSARY HOSPITAL DAYS DUE TO PLACEMENT, TESTING/TREATMENT ISSUES, AND OTHER PREVENTABLE FACTORS); A 57% REDUCTION IN ADMISSIONS HELD IN THE ER DUE TO A LIMITED BED CAPACITY WITHIN THE HOSPITAL; A 54% IMPROVEMENT IN DISCHARGE TURNAROUND TIME LESS THAN 90 MINUTES; AND A 21% IMPROVEMENT IN PATIENT SATISFACTION SCORES. -PROCESSES
Program expenses $106,029,569.00   
Program revenue $148,538,051.00   
Grants and allocations made $146,073.00   
Program description JOHNSTON MEMORIAL HOSPITAL (JMH) IS A 116-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN ABINGDON, VIRGINIA, PRIMARILY SERVING 7 COUNTIES IN SOUTHWEST VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH IS PART OF THE MOUNTAIN STATES HEALTH ALLIANCE NETWORK. ITS MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O). (CONT'D) DURING FY16, 8,409 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST UNDER 30,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,301 OBSERVATION DAYS AND JUST UNDER 1,500 NEWBORN DAYS. WE EXPERIENCED 239,399 OUTPATIENT VISITS THIS YEAR, AN INCREASE OF 4.5% OVER PRIOR YEAR. THERE WERE 41,030 VISITS TO OUR EMERGENCY DEPARTMENT. SURGERIES INCREASED 8.1% THIS YEAR TO 7,279. WE DELIVERED 701 BABIES. PROMOTE COMMUNITY HEALTH: IN AN EFFORT TO REDUCE READMISSION RATES AND IMPROVE THE PATIENT EXPERIENCE, JMH DEVELOPED COORDINATED CARE GUIDES. CARE GUIDES FOCUS ON PATIENT CARE BY ASSISTING WITH PATIENT NEEDS AT DISCHARGE AND WORKING DAILY WITH CASE MANAGEMENT, SOCIAL WORK, AND NURSING STAFF TO REDUCE THE FACTORS THAT COULD LEAD TO A PATIENT BEING READMITTED. ASSISTANCE IS PROVIDED WITH PATIENTS' MEDICATIONS, DURABLE MEDICAL EQUIPMENT, AND OTHER OUTPATIENT NEEDS FOLLOWING INPATIENT DISCHARGE. AFTER PLANNING A NURSE NAVIGATION PROGRAM FOR ONCOLOGY PATIENTS LAST YEAR, THE PROGRAM WAS UP AND OPERATIONAL THIS YEAR. OUR NAVIGATOR PROGRAM IS DESIGNED TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, ADVOCATE FOR THE PATIENT, AND TO HELP COORDINATE THE PATIENT'S CARE THROUGHOUT THE CONTINUUM OF TREATMENT - FROM DIAGNOSIS TO SURVIVORSHIP. THERE IS NO CHARGE FOR THESE SERVICES REGARDLESS OF WHETHER A PATIENT CHOOSES TO RECEIVE THEIR TREATMENT AT JMH OR AN UNRELATED FACILITY. THOSE THAT JOIN THE PROGRAM RECEIVE ONE- ON-ONE ASSISTANCE FROM SPECIALLY TRAINED ONCOLOGY PROFESSIONALS. OUR CANCER NAVIGATORS COMMUNICATE WITH THE PATIENT'S DOCTOR, WILL COORDINATE TRANSPORTATION, SET UP APPOINTMENT REMINDERS AND PROVIDE EMOTIONAL SUPPORT FOR BOTH THE PATIENT AND THE PATIENT'S FAMILY. OUR NAVIGATORS WILL ALSO COORDINATE SUPPORT SERVICES SUCH AS TREATMENT PLANNING, PROSTHESIS SELECTION, NUTRITION COUNSELING, AND IDENTIFICATION OF RESOURCES FOR SPIRITUAL CARE, FINANCIAL ASSISTANCE AND OTHER NEEDS. OUR NAVIGATORS PARTICIPATE IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CANCER EDUCATION EVENTS, AND CANCER SUPPORT GROUPS. THEY VISIT PHYSICIAN OFFICES, SENIORS' GROUPS, ATTEND MEETINGS WITH LOCAL BUSINESS ORGANIZATIONS, AND THEY WORK WITH MANY OTHER ORGANIZATIONS TO EXPLAIN THE NAVIGATION PROGRAM AND PROVIDE CANCER AWARENESS/EDUCATION THROUGH THE COMMUNITY. WE STARTED A DIAPER ASSISTANCE PROGRAM THE LAST QUARTER OF THIS FISCAL YEAR. DIAPERS ARE PROVIDED TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABIES LIFE. WE ENROLLED 23 BABIES THE FIRST MONTH THAT HAS GROWN TO AN AVERAGE OF 39 SINCE. BASED ON PROJECTIONS, WE EXPECT THE PROGRAM TO COST THE HOSPITAL 24,000 FOR A FULL YEAR. THE REGIONAL CANCER CENTER AT JMH HOSTED A FAMILY FUN DAY ON THE GROUNDS OF THE CENTER TO EDUCATE PATIENTS AND FAMILY AND TO CELEBRATE OUR COMMUNITY. IN ADDITION TO A COOK-OUT AND ENTERTAINMENT, A PRESENTATION WAS GIVEN ON HOW TO RECOGNIZE AND PREVENT COMMON SKIN CANCERS. SAMPLES OF SUN SCREEN AND SKIN CARE INFORMATION WERE DISTRIBUTED. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUED TO EXPERIENCE INCREASED VOLUMES THIS YEAR. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW AN ADDITIONAL 43% IN FY16. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES- RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. OUR FAMILY BIRTH CENTER HAS 16 LARGE PRIVATE ROOMS, 11 OF WHICH ARE DESIGNED FOR LABOR/DELIVERY/RECOVERY/POSTPARTUM STAYS. THE REMAINING FIVE ROOMS SERVE TO CARE FOR GYNECOLOGY PATIENTS. TRADITIONAL NURSES STATIONS HAVE BEEN REPLACED WITH "TOUCHDOWN STATIONS" THAT MAKE COMMUNICATION WITH FAMILY MEMBERS MORE INVITING. DEDICATED PEDIATRIC HOSPITALISTS ARE ONSITE DURING DELIVERY AND AFTERWARD TO CARE FOR BABIES AND COVERAGE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. OUR WOUND CENTER CONDUCTED A RAPID IMPROVEMENT EVENT THIS YEAR FOCUSED ON EXPEDITING PATIENT VISITS TO REDUCE WAIT TIMES IN TREATMENT ROOMS. PATIENTS SOMETIMES EXPERIENCE STRESS WHEN LEFT ALONE WHILE AWAITING A PHYSICIAN AND TREATMENT. THE WOUND CENTER WAS ABLE TO REDUCE PATIENT FLOW TIME 27% BY STANDARDIZING ALL ROOMS AND EQUIPMENT AND IMPLEMENTING A SUPPLY BIN SYSTEM. OTHER CHANGES INCLUDED ADDING SIGNAGE SETTING EXPECTATIONS TO REINFORCE THE PURPOSE OF ARRIVING ON TIME FOR APPOINTMENTS SO THAT OTHER PATIENTS ARE NOT NEGATIVELY IMPACTED BY PATIENTS ARRIVING OUTSIDE OF THEIR SCHEDULED APPOINTMENT TIMES. THIS SIMPLE CHANGE RESULTED IN A DROP OF 86% IN THE NUMBER OF PATIENTS ARRIVING OUTSIDE OF THEIR SCHEDULED APPOINTMENT AND THE NUMBER OF LATE PATIENT ARRIVALS CONTINUES TO DECLINE AS EXPECTATIONS FOR TIMELINESS ARE REINFORCED. MSHA HOLDS AN ANNUAL SYSTEM-WIDE QUALITY AWARDS COMPETITION. TEAM MEMBERS FROM ACROSS THE ORGANIZATION RECEIVE RECOGNITION FOR IMPROVEMENT PROJECTS THAT MAKE THINGS BETTER FOR OUR PATIENTS AS WELL AS FELLOW TEAM MEMBERS. PROJECTS MUST SHOW A MEASURED BENEFIT. JMH HAD 15 PROJECTS RECOGNIZED FOR RESULTS THEY ACHIEVED DURING THE YEAR. TWO OF THOSE PROJECTS RECEIVED SOME OF THE HIGHEST RECOGNITION, AS DETERMINED BY A TEAM OF EXPERT JUDGES FROM THE BUSINESS WORLD: -JMH'S CARDIAC CATH LAB'S PROJECT CALLED "THE HEART OF THE PROBLEM IS TIME", WHICH HELPED REDUCE THE AMOUNT OF TIME IT TAKES TO RECEIVE TREATMENT FOR STEMI HEART PATIENTS (ST SEGMENT ELEVATION MYOCARDIAL INFARCTION) WHO TRANSFER TO JMH FROM ANOTHER FACILITY. EVERY MINUTE IS CRUCIAL FOR HEART ATTACK PATIENTS. -"GOT SEPSIS" WAS A QUALITY PROJECT RECOGNIZED LAST YEAR FOR ITS REMARKABLE RESULTS IN LOWERING THE SEPSIS MORTALITY RATE AND THE AVERAGE LENGTH OF STAY AND COST FOR SEPSIS PATIENTS. THIS YEAR THE PROJECT WAS GIVEN A "HOLD THE GAINS AWARD" FOR CONTINUING TO DRIVE IMPROVEMENT. ANOTHER QUALITY PROJECT WITH OUTSTANDING RESULTS WAS A PROJECT TITLED "90 IN 90" TO INCREASE PHYSICIAN USE OF STANDARDIZED ORDER SETS AND PROTOCOLS THAT HAVE BEEN PROVEN TO IMPROVE THE QUALITY OF MEDICAL CARE AND ENHANCE PATIENT SAFETY. ORDER SET USAGE INVOLVES THE USE OF PRE-SET, CAREFULLY CREATED, BEST EVIDENCE-BASED PROCESSES ON WHAT KIND OF CARE THE PATIENT SHOULD RECEIVE FOR A PARTICULAR CONDITION. BY FOLLOWING THESE ORDER SETS, PATIENT CARE IS MORE EFFICIENT, MORE CONSISTENT AND HAS LESS CHANCE FOR ERROR OR REDUNDANCY. JMH'S PROJECT MEASURED ORDER SET USAGE FOR SEVEN COMMON ADMITTING MEDICAL DIAGNOSES AND FOUND USAGE WAS BETWEEN 45-49% AT THE BEGINNING OF THE PROJECT. THE PROJECT'S GOAL WAS TO INCREASE USAGE TO 90% WITHIN 90 DAYS. WITHIN JUST 60 DAYS, THE GOAL WAS MET WITH USAGE INCREASING TO 95% AND 97% COMPLIANCE WAS REACHED WITHIN 90 DAYS. BECAUSE THIS PROJECT SAW SUCH SUCCESS AT JMH, IT WAS ROLLED OUT TO ALL MSHA FACILITIES. JMH CONTINUES THE "LEAN" PROCESS OF PROVIDING VALUE TO CUSTOMERS (OUR PATIENTS, PHYSICIANS AND TEAM MEMBERS) THROUGH QUALITY IMPROVEMENT TEAMS THAT MEET ALL DAY FOR SEVERAL DAYS TO DEVELOP PROCESSES THAT WILL OPTIMIZE CARE OF PATIENTS, REDUCE RESOURCE UTILIZATION; AND, OFTENTIMES, IMPROVE BOTH. SOME OF THE PROJECTS THAT OCCURRED DURING THE YEAR INCLUDE: -MORE APPROPRIATE PATHWAYS WERE DEVELOPED FOR PATIENTS PRESENTING IN THE ER WITH LOW RISK CHEST PAIN RESULTING IN A LENGTH OF STAY REDUCTION OF 80%. -SEVERAL ADDITIONAL IMPROVEMENTS RELATING TO BED ASSIGNMENTS, DISCHARGE PROCESSES, ETC. POSITIVELY IMPACTED OTHER AREAS, SUCH AS AN 86% IMPROVEMENT IN AVOIDABLE DAYS (UNNECESSARY HOSPITAL DAYS DUE TO PLACEMENT, TESTING/TREATMENT ISSUES, AND OTHER PREVENTABLE FACTORS); A 57% REDUCTION IN ADMISSIONS HELD IN THE ER DUE TO A LIMITED BED CAPACITY WITHIN THE HOSPITAL; A 54% IMPROVEMENT IN DISCHARGE TURNAROUND TIME LESS THAN 90 MINUTES; AND A 21% IMPROVEMENT IN PATIENT SATISFACTION SCORES. -PROCESSES   
JOHNSTON MEMORIAL HOSPITAL (JMH) IS LOCATED IN ABINGDON, VIRGINIA (WASHINGTON COUNTY). THE HOSPITAL OWNS AND OPERATES A 116-BED NONPROFIT ACUTE CARE HOSPITAL AND HOME HEALTH AGENCY. OUR PRIMARY SERVICE AREA ENCOMPASSES 7 COUNTIES IN SOUTHWEST VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH IS PART OF THE MOUNTAIN STATES HEALTH ALLIANCE NETWORK. ITS MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O). (CONT'D) DURING FY17, 8,656 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST OVER 32,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,981 OBSERVATION DAYS AND JUST UNDER 1,400 NEWBORN DAYS. WE EXPERIENCED 234,109 OUTPATIENT VISITS THIS YEAR. THERE WERE 41,014 VISITS TO OUR EMERGENCY DEPARTMENT. THERE WERE 6,659 SURGERIES PERFORMED. WE DELIVERED 624 BABIES. PROMOTE COMMUNITY HEALTH: MOUNTAIN STATES HEALTH ALLIANCE IS ONE OF ONLY 32 ORGANIZATIONS IN THE COUNTRY THAT WERE CHOSEN RECENTLY TO BE PART OF THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) NEW PROGRAM AIMED AT IMPROVING THE HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES. THE NEW PROGRAM - CMS' ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL - WILL SEEK TO IMPROVE THE OVERALL HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES BY HELPING TO ADDRESS PATIENTS' HEALTH-RELATED SOCIAL NEEDS. THE PROGRAM SEEKS TO BRIDGE THE GAP BETWEEN CLINICAL AND COMMUNITY SERVICE PROVIDERS TO ADDRESS ISSUES SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, UTILITY NEEDS, INTERPERSONAL VIOLENCE AND TRANSPORTATION. MOUNTAIN STATES WILL SERVE AS THE BRIDGE ORGANIZATION FOR THE PROJECT LOCALLY, LEADING A COLLABORATIVE WITH MULTIPLE OTHER ORGANIZATIONS AND CARE SITES TO BRING THE NEEDED SERVICES TO BENEFICIARIES WHO LIVE IN SOUTHWEST VIRGINIA. THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES WILL ALSO PARTNER IN THE PROGRAM. THE AHC MODEL PROVIDES FEDERAL FUNDING TO HIRE PATIENT NAVIGATORS, ALONG WITH ADDITIONAL SUPPORT STAFF WHO WILL BE LOCATED AT COMMUNITY SERVICES BOARDS THROUGHOUT SOUTHWEST VIRGINIA. JMH, ALONG WITH FOUR OTHER MSHA VIRGINIA HOSPITALS, WILL PARTICIPATE IN THE NEW PROGRAM. APP, A NONPROFIT PHYSICIAN ORGANIZATION OWNED BY JMH, WILL ALSO PARTICIPATE IN THE PROGRAM. THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES MADE THE SELECTION NEAR THE END OF OUR FISCAL YEAR SO WE WERE IN THE VERY EARLY STAGE OF PLANNING AT JUNE 30, 2017. OUR TRIUMPH CANCER NAVIGATOR PROGRAM CELEBRATED ITS 1-YR ANNIVERSARY AND HAS EXPANDED ITS SCOPE TO COVER ALL TYPES OF CANCER. THE PROGRAM IS DESIGNED TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, ADVOCATE FOR THE PATIENT, AND TO HELP COORDINATE THE PATIENT'S CARE THROUGHOUT THE CONTINUUM OF TREATMENT - FROM DIAGNOSIS TO SURVIVORSHIP. THERE IS NO CHARGE FOR THESE SERVICES REGARDLESS OF WHETHER A PATIENT CHOOSES TO RECEIVE THEIR TREATMENT AT JMH OR AN UNRELATED FACILITY. THOSE THAT JOIN THE PROGRAM RECEIVE ONE- ON-ONE ASSISTANCE FROM SPECIALLY TRAINED ONCOLOGY PROFESSIONALS. OUR CANCER NAVIGATORS COMMUNICATE WITH THE PATIENT'S DOCTOR, WILL COORDINATE TRANSPORTATION, SET UP APPOINTMENT REMINDERS AND PROVIDE EMOTIONAL SUPPORT FOR BOTH THE PATIENT AND THE PATIENT'S FAMILY. OUR NAVIGATORS WILL ALSO COORDINATE SUPPORT SERVICES SUCH AS TREATMENT PLANNING, PROSTHESIS SELECTION, NUTRITION COUNSELING, AND IDENTIFICATION OF RESOURCES FOR SPIRITUAL CARE, FINANCIAL ASSISTANCE AND OTHER NEEDS. OUR NAVIGATORS PARTICIPATE IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CANCER EDUCATION EVENTS, AND CANCER SUPPORT GROUPS. THEY VISIT PHYSICIAN OFFICES, SENIORS' GROUPS, ATTEND MEETINGS WITH LOCAL BUSINESS ORGANIZATIONS, AND THEY WORK WITH MANY OTHER ORGANIZATIONS TO EXPLAIN THE NAVIGATION PROGRAM AND PROVIDE CANCER AWARENESS/EDUCATION THROUGH THE COMMUNITY. THE PROGRAM HAS MADE AN IMPACT, WITH THE TRIUMPH PROGRAM RECEIVING A PATIENT SATISFACTION SCORE OF 93. A COLLABORATIVE PROJECT, THE SEPSIS INITIATIVE, LAUNCHED BY CLINICAL TEAMS AT JMH AND MSHA HAS EARNED NATIONAL RECOGNITION FROM THE SOCIETY OF HOSPITAL MEDICINE. THE SEPSIS INITIATIVE IS ESTIMATED TO HAVE SAVED MORE THAN 70 LIVES OVER THE COURSE OF A YEAR. THE PROJECT TEAM WAS HONORED BY THE SOCIETY OF HOSPITAL MEDICINE WITH A 2017 AWARD FOR EXCELLENCE IN TEAMWORK IN QUALITY IMPROVEMENT, RESEARCH, TEACHING AND TEAMWORK. SEPSIS IS A POTENTIALLY DEADLY CONDITION CAUSED BY THE BODY'S OVERWHELMING RESPONSE TO AN INFECTION, WHICH CAN LEAD TO TISSUE DAMAGE, ORGAN FAILURE AND DEATH. ACCORDING TO THE NATIONAL INSTITUTES OF HEALTH, SEVERE SEPSIS STRIKES MORE THAN A MILLION AMERICANS EVERY YEAR, AND IT'S BEEN ESTIMATED THAT BETWEEN 28 AND 50 PERCENT OF THOSE PEOPLE DIE - FAR MORE THAN THE NUMBER OF U.S. DEATHS FROM BREAST CANCER, PROSTATE CANCER AND AIDS COMBINED. THE JMH TEAM WORKED TO IDENTIFY SEPSIS QUICKLY, THEN TO IMPROVE COMMUNICATION AMONG CLINICAL TEAMS. SEPSIS EDUCATION WAS MADE MANDATORY FOR NURSE ORIENTATION AND ANNUAL LEARNING REQUIREMENTS. THE TEAM BUILT PROTOCOL INTO THE ELECTRONIC MEDICAL RECORD SYSTEM IN THE FORM OF SEPSIS SCREENING TOOLS, AUTOMATIC ALERTS AND SEPSIS-SPECIFIC ORDER SETS. AND BECAUSE MOST SEPSIS PATIENTS COME INTO THE HOSPITAL THROUGH THE EMERGENCY ROOM, THE TEAM HARDWIRED SEPSIS SCREENING INTO THE ER TRIAGE PROCESSES. THE SEPSIS INITIATIVE IS NOW BEING USED AT SIX OTHER MSHA HOSPITALS. OUR DIAPER ASSISTANCE PROGRAM PROVIDES DIAPERS TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABY'S LIFE. WE HAD 371 WOMEN ENROLL WITH THEIR BABIES THIS YEAR AND INCURRED EXPENSE OF 8,652 FOR THIS PROGRAM. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUES TO EXPERIENCE INCREASED VOLUMES. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW 43% IN FY16 AND AN ADDITIONAL 15% IN FY17. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. DIABETES PREVALENCE IS 30% HIGHER IN WASHINGTON COUNTY THAN THE STATEWIDE RATE. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES-RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. THE CENTER CONTINUES TO SEE A GROWTH IN PATIENT VOLUME EACH YEAR. THERE WAS A 16.7% INCREASE IN PROCEDURES FROM FY16 TO FY17. JMH CONTINUES THE "LEAN" PROCESS OF PROVIDING VALUE TO CUSTOMERS (OUR PATIENTS, PHYSICIANS AND TEAM MEMBERS) THROUGH QUALITY IMPROVEMENT TEAMS (REFERRED TO AS RAPID IMPROVEMENT EVENTS) THAT MEET ALL DAY FOR SEVERAL DAYS TO DEVELOP PROCESSES THAT WILL OPTIMIZE CARE OF PATIENTS, REDUCE RESOURCE UTILIZATION; AND, OFTENTIMES, IMPROVE BOTH. THIS PROCESS OF IMPROVEMENT IS CALLED THE "VALUE OPTIMIZATION SYSTEM" (VOS). DURING FY17, WE CONTINUED VOS ACTIVITIES STARTED DURING FY16 AND PLANNED AND BEGAN ACTIVITIES THAT WILL CONTINUE INTO FY18. NEW ACTIVITIES STARTED DURING FY17 INCLUDE: A FOCUS ON PROCESSES IMPACTING PATIENT THROUGHPUT AND EXPERIENCE FROM POINT OF ENTRY (EMERGENCY DEPARTMENT) THROUGH DISCHARGE FROM THE HOSPITAL. THESE RAPID IMPROVEMENT EVENTS (RIE) ARE CONDUCTED OVER A 12 MONTH PERIOD TO ENSURE THE PATIENT IS THE CENTER OF OUR CONTINUOUS IMPROVEMENT ACTIVITIES. RESULTS WILL NOT BE AVAILABLE UNTIL FY18. GOALS WERE ESTABLISHED TO: REDUCE INPATIENT LENGTH OF STAY (LOS); SUSTAIN OBSERVATION LOS; IMPROVE ED PATIENTS' EXPERIENCE; IMPROVE PHYSICIAN COMMUNICATION; IMPROVE RN COMMUNICATION; IMPROVE COMMUNICATION ABOUT MEDICATIONS; AND, IMPROVE COMMUNICATION ABOUT PATIENT DISCHARGE. ANOTHER VOS ACTIVITY STARTED DURING THE YEAR THAT WILL CONTINUE INTO FY18 FOCUSES ON CARDIOVASCULAR SERVICES. THIS RAPID IMPROVEMENT EVENT DEVELOPED AND IMPLEMENTED PROCESSES TO REDUCE AVOIDABLE READMISSIONS FOR PATIENTS WITH CONGESTIVE HEART FAILURE; IMPROVE THE QUALITY OF CARE FOR PATIENTS THROUGHOUT ALL CARDIOVASCULAR SERVICES THROUGH EDUCATION; IMPROVE THE QUALITY OF TRANSFERS; INCLUDE OUTSIDE EMERGENCY MEDICAL STAFF IN TRAINING/EDUCATION (RESCUE SQUADS, FIRE DEPARTMENTS, ETC.); IMPLEMENT A LIMB SALVAGE PROGRAM; AND, IMPROVE MEDICATION ADMINISTRATION AT DISCHARGE. TARGETS ARE SET TO REDUCE CONGESTIVE HEART FAILURE READMISSIONS, REDUCE COST, AND IMPROVE DISCHARGE PERFORMANCE SCORE. BASED ON COMMUNITY NEED, JMH INCURR
Program expenses$109,920,830.00    
Program revenue$156,159,448.00    
Grants and allocations made$154,224.00    
Program descriptionJOHNSTON MEMORIAL HOSPITAL (JMH) IS LOCATED IN ABINGDON, VIRGINIA (WASHINGTON COUNTY). THE HOSPITAL OWNS AND OPERATES A 116-BED NONPROFIT ACUTE CARE HOSPITAL AND HOME HEALTH AGENCY. OUR PRIMARY SERVICE AREA ENCOMPASSES 7 COUNTIES IN SOUTHWEST VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH IS PART OF THE MOUNTAIN STATES HEALTH ALLIANCE NETWORK. ITS MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O). (CONT'D) DURING FY17, 8,656 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST OVER 32,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,981 OBSERVATION DAYS AND JUST UNDER 1,400 NEWBORN DAYS. WE EXPERIENCED 234,109 OUTPATIENT VISITS THIS YEAR. THERE WERE 41,014 VISITS TO OUR EMERGENCY DEPARTMENT. THERE WERE 6,659 SURGERIES PERFORMED. WE DELIVERED 624 BABIES. PROMOTE COMMUNITY HEALTH: MOUNTAIN STATES HEALTH ALLIANCE IS ONE OF ONLY 32 ORGANIZATIONS IN THE COUNTRY THAT WERE CHOSEN RECENTLY TO BE PART OF THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) NEW PROGRAM AIMED AT IMPROVING THE HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES. THE NEW PROGRAM - CMS' ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL - WILL SEEK TO IMPROVE THE OVERALL HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES BY HELPING TO ADDRESS PATIENTS' HEALTH-RELATED SOCIAL NEEDS. THE PROGRAM SEEKS TO BRIDGE THE GAP BETWEEN CLINICAL AND COMMUNITY SERVICE PROVIDERS TO ADDRESS ISSUES SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, UTILITY NEEDS, INTERPERSONAL VIOLENCE AND TRANSPORTATION. MOUNTAIN STATES WILL SERVE AS THE BRIDGE ORGANIZATION FOR THE PROJECT LOCALLY, LEADING A COLLABORATIVE WITH MULTIPLE OTHER ORGANIZATIONS AND CARE SITES TO BRING THE NEEDED SERVICES TO BENEFICIARIES WHO LIVE IN SOUTHWEST VIRGINIA. THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES WILL ALSO PARTNER IN THE PROGRAM. THE AHC MODEL PROVIDES FEDERAL FUNDING TO HIRE PATIENT NAVIGATORS, ALONG WITH ADDITIONAL SUPPORT STAFF WHO WILL BE LOCATED AT COMMUNITY SERVICES BOARDS THROUGHOUT SOUTHWEST VIRGINIA. JMH, ALONG WITH FOUR OTHER MSHA VIRGINIA HOSPITALS, WILL PARTICIPATE IN THE NEW PROGRAM. APP, A NONPROFIT PHYSICIAN ORGANIZATION OWNED BY JMH, WILL ALSO PARTICIPATE IN THE PROGRAM. THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES MADE THE SELECTION NEAR THE END OF OUR FISCAL YEAR SO WE WERE IN THE VERY EARLY STAGE OF PLANNING AT JUNE 30, 2017. OUR TRIUMPH CANCER NAVIGATOR PROGRAM CELEBRATED ITS 1-YR ANNIVERSARY AND HAS EXPANDED ITS SCOPE TO COVER ALL TYPES OF CANCER. THE PROGRAM IS DESIGNED TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, ADVOCATE FOR THE PATIENT, AND TO HELP COORDINATE THE PATIENT'S CARE THROUGHOUT THE CONTINUUM OF TREATMENT - FROM DIAGNOSIS TO SURVIVORSHIP. THERE IS NO CHARGE FOR THESE SERVICES REGARDLESS OF WHETHER A PATIENT CHOOSES TO RECEIVE THEIR TREATMENT AT JMH OR AN UNRELATED FACILITY. THOSE THAT JOIN THE PROGRAM RECEIVE ONE- ON-ONE ASSISTANCE FROM SPECIALLY TRAINED ONCOLOGY PROFESSIONALS. OUR CANCER NAVIGATORS COMMUNICATE WITH THE PATIENT'S DOCTOR, WILL COORDINATE TRANSPORTATION, SET UP APPOINTMENT REMINDERS AND PROVIDE EMOTIONAL SUPPORT FOR BOTH THE PATIENT AND THE PATIENT'S FAMILY. OUR NAVIGATORS WILL ALSO COORDINATE SUPPORT SERVICES SUCH AS TREATMENT PLANNING, PROSTHESIS SELECTION, NUTRITION COUNSELING, AND IDENTIFICATION OF RESOURCES FOR SPIRITUAL CARE, FINANCIAL ASSISTANCE AND OTHER NEEDS. OUR NAVIGATORS PARTICIPATE IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CANCER EDUCATION EVENTS, AND CANCER SUPPORT GROUPS. THEY VISIT PHYSICIAN OFFICES, SENIORS' GROUPS, ATTEND MEETINGS WITH LOCAL BUSINESS ORGANIZATIONS, AND THEY WORK WITH MANY OTHER ORGANIZATIONS TO EXPLAIN THE NAVIGATION PROGRAM AND PROVIDE CANCER AWARENESS/EDUCATION THROUGH THE COMMUNITY. THE PROGRAM HAS MADE AN IMPACT, WITH THE TRIUMPH PROGRAM RECEIVING A PATIENT SATISFACTION SCORE OF 93. A COLLABORATIVE PROJECT, THE SEPSIS INITIATIVE, LAUNCHED BY CLINICAL TEAMS AT JMH AND MSHA HAS EARNED NATIONAL RECOGNITION FROM THE SOCIETY OF HOSPITAL MEDICINE. THE SEPSIS INITIATIVE IS ESTIMATED TO HAVE SAVED MORE THAN 70 LIVES OVER THE COURSE OF A YEAR. THE PROJECT TEAM WAS HONORED BY THE SOCIETY OF HOSPITAL MEDICINE WITH A 2017 AWARD FOR EXCELLENCE IN TEAMWORK IN QUALITY IMPROVEMENT, RESEARCH, TEACHING AND TEAMWORK. SEPSIS IS A POTENTIALLY DEADLY CONDITION CAUSED BY THE BODY'S OVERWHELMING RESPONSE TO AN INFECTION, WHICH CAN LEAD TO TISSUE DAMAGE, ORGAN FAILURE AND DEATH. ACCORDING TO THE NATIONAL INSTITUTES OF HEALTH, SEVERE SEPSIS STRIKES MORE THAN A MILLION AMERICANS EVERY YEAR, AND IT'S BEEN ESTIMATED THAT BETWEEN 28 AND 50 PERCENT OF THOSE PEOPLE DIE - FAR MORE THAN THE NUMBER OF U.S. DEATHS FROM BREAST CANCER, PROSTATE CANCER AND AIDS COMBINED. THE JMH TEAM WORKED TO IDENTIFY SEPSIS QUICKLY, THEN TO IMPROVE COMMUNICATION AMONG CLINICAL TEAMS. SEPSIS EDUCATION WAS MADE MANDATORY FOR NURSE ORIENTATION AND ANNUAL LEARNING REQUIREMENTS. THE TEAM BUILT PROTOCOL INTO THE ELECTRONIC MEDICAL RECORD SYSTEM IN THE FORM OF SEPSIS SCREENING TOOLS, AUTOMATIC ALERTS AND SEPSIS-SPECIFIC ORDER SETS. AND BECAUSE MOST SEPSIS PATIENTS COME INTO THE HOSPITAL THROUGH THE EMERGENCY ROOM, THE TEAM HARDWIRED SEPSIS SCREENING INTO THE ER TRIAGE PROCESSES. THE SEPSIS INITIATIVE IS NOW BEING USED AT SIX OTHER MSHA HOSPITALS. OUR DIAPER ASSISTANCE PROGRAM PROVIDES DIAPERS TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABY'S LIFE. WE HAD 371 WOMEN ENROLL WITH THEIR BABIES THIS YEAR AND INCURRED EXPENSE OF 8,652 FOR THIS PROGRAM. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUES TO EXPERIENCE INCREASED VOLUMES. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW 43% IN FY16 AND AN ADDITIONAL 15% IN FY17. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. DIABETES PREVALENCE IS 30% HIGHER IN WASHINGTON COUNTY THAN THE STATEWIDE RATE. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES-RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. THE CENTER CONTINUES TO SEE A GROWTH IN PATIENT VOLUME EACH YEAR. THERE WAS A 16.7% INCREASE IN PROCEDURES FROM FY16 TO FY17. JMH CONTINUES THE "LEAN" PROCESS OF PROVIDING VALUE TO CUSTOMERS (OUR PATIENTS, PHYSICIANS AND TEAM MEMBERS) THROUGH QUALITY IMPROVEMENT TEAMS (REFERRED TO AS RAPID IMPROVEMENT EVENTS) THAT MEET ALL DAY FOR SEVERAL DAYS TO DEVELOP PROCESSES THAT WILL OPTIMIZE CARE OF PATIENTS, REDUCE RESOURCE UTILIZATION; AND, OFTENTIMES, IMPROVE BOTH. THIS PROCESS OF IMPROVEMENT IS CALLED THE "VALUE OPTIMIZATION SYSTEM" (VOS). DURING FY17, WE CONTINUED VOS ACTIVITIES STARTED DURING FY16 AND PLANNED AND BEGAN ACTIVITIES THAT WILL CONTINUE INTO FY18. NEW ACTIVITIES STARTED DURING FY17 INCLUDE: A FOCUS ON PROCESSES IMPACTING PATIENT THROUGHPUT AND EXPERIENCE FROM POINT OF ENTRY (EMERGENCY DEPARTMENT) THROUGH DISCHARGE FROM THE HOSPITAL. THESE RAPID IMPROVEMENT EVENTS (RIE) ARE CONDUCTED OVER A 12 MONTH PERIOD TO ENSURE THE PATIENT IS THE CENTER OF OUR CONTINUOUS IMPROVEMENT ACTIVITIES. RESULTS WILL NOT BE AVAILABLE UNTIL FY18. GOALS WERE ESTABLISHED TO: REDUCE INPATIENT LENGTH OF STAY (LOS); SUSTAIN OBSERVATION LOS; IMPROVE ED PATIENTS' EXPERIENCE; IMPROVE PHYSICIAN COMMUNICATION; IMPROVE RN COMMUNICATION; IMPROVE COMMUNICATION ABOUT MEDICATIONS; AND, IMPROVE COMMUNICATION ABOUT PATIENT DISCHARGE. ANOTHER VOS ACTIVITY STARTED DURING THE YEAR THAT WILL CONTINUE INTO FY18 FOCUSES ON CARDIOVASCULAR SERVICES. THIS RAPID IMPROVEMENT EVENT DEVELOPED AND IMPLEMENTED PROCESSES TO REDUCE AVOIDABLE READMISSIONS FOR PATIENTS WITH CONGESTIVE HEART FAILURE; IMPROVE THE QUALITY OF CARE FOR PATIENTS THROUGHOUT ALL CARDIOVASCULAR SERVICES THROUGH EDUCATION; IMPROVE THE QUALITY OF TRANSFERS; INCLUDE OUTSIDE EMERGENCY MEDICAL STAFF IN TRAINING/EDUCATION (RESCUE SQUADS, FIRE DEPARTMENTS, ETC.); IMPLEMENT A LIMB SALVAGE PROGRAM; AND, IMPROVE MEDICATION ADMINISTRATION AT DISCHARGE. TARGETS ARE SET TO REDUCE CONGESTIVE HEART FAILURE READMISSIONS, REDUCE COST, AND IMPROVE DISCHARGE PERFORMANCE SCORE. BASED ON COMMUNITY NEED, JMH INCURR    
JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA AND A MEMBER OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION, ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE HOSPITAL. DURING 2013, JMH CREATED JMH EMERGENCY PHYSICIANS, ORGANIZED TO PROVIDE EMERGENCY ROOM PHYSICIANS FOR THE HOSPITAL. (CONTINUED ON SCHEDULE O) JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY13, WE EXPERIENCED 7,310 ADMISSIONS, WITH ALMOST 24,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,645 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 131,000. THERE WERE 42,434 VISITS TO OUR EMERGENCY DEPARTMENT, WITH MORE THAN 5,000 RESULTING IN AN INPATIENT STAY. MORE THAN 7,200 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED MORE THAN 740 BABIES. JMH IS THE FIRST "GREEN" HOSPITAL IN SOUTHWEST VIRGINIA AND IS FOCUSED ON BEING AN ENVIRONMENTALLY SUSTAINABLE FACILITY FOLLOWING THE U.S. GREEN BUILDING COUNCIL'S LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GUIDELINES. JMH EARNED GOLD LEED CERTIFICATION SHORTLY AFTER OPENING. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM, PROVIDING THIRD-PARTY VERIFICATION THAT A BUILDING OR COMMUNITY WAS DESIGNED IN AN ENVIRONMENTALLY FRIENDLY MANNER, INCLUDING ENERGY SAVINGS, WATER EFFICIENCY, CO2 EMISSIONS REDUCTION, IMPROVED INDOOR ENVIRONMENTAL QUALITY, AND STEWARDSHIP OF RESOURCES AS WELL AS SENSITIVITY TO THEIR IMPACT. FIFTY PERCENT OF THE JMH SITE IS RESERVED FOR VEGETATED OPEN SPACE. WATER USAGE FOR LANDSCAPING IS 50 PERCENT LOWER THAN TRADITIONAL LANDSCAPE DESIGNS. THE HOSPITAL BUILDING USED LOW-EMITTING MATERIALS AND CONSTRUCTION WASTE WAS RECYCLED, DIVERTING MORE THAN 75% OF NORMAL WASTE MATERIAL AWAY FROM THE LANDFILL. INDOOR AIR QUALITY IS SUPERIOR DUE TO EFFICIENT VENTILATION AND ONGOING MONITORING AND WATER USE IS REDUCED THROUGH INSTALLATION OF HIGH EFFICIENCY PLUMBING FIXTURES. WATER USE IS REDUCED BY 40 PERCENT, A SAVINGS OF UP TO 1.6 MILLION GALLONS OF WATER PER YEAR. FURTHER ENERGY USAGE REDUCTIONS WERE ACHIEVED BY INSTALLING EFFICIENT HEATING AND COOLING SYSTEMS. BEYOND SMART ENERGY SAVINGS IMPLEMENTED WITH THE HOSPITAL'S CONSTRUCTION, JMH RECYCLES ON AN ONGOING BASIS AND ENCOURAGES THE USE OF FUEL EFFICIENT CARS BY DESIGNATING PARKING SPACES FOR LOW EMISSION VEHICLES CLOSE TO THE BUILDING. THE VIRGINIA HEALTH QUALITY CENTER (VHQC), A NON-PROFIT HEALTH QUALITY CONSULTING COMPANY, SELECTED WINNERS IN SIX CATEGORIES FOR THEIR CONTRIBUTIONS TO IMPROVING HEALTH CARE FOR PATIENTS IN VIRGINIA. MOUNTAIN STATES HEALTH ALLIANCE'S VIRGINIA HOSPITALS, INCLUDING JMH, EARNED THE HONOR FOR THEIR PATIENT-CENTERED CARE. THE WINNERS WERE ANNOUNCED DURING QUALITYSYNC, VHQC'S ANNUAL LEARNING EVENT, HELD IN RICHMOND, AND WERE SELECTED FROM NEARLY 30 NOMINATIONS. "MSHA'S VIRGINIA HOSPITALS DEVELOPED AN INNOVATIVE APPROACH TO BRINGING A PATIENT-CENTERED APPROACH TO ALL OF ITS FACILITIES", THE VHQC STATED IN A NEWS RELEASE. "BY ESTABLISHING 10 GUIDING PRINCIPLES AND INCORPORATING THEM INTO EACH HOSPITAL'S OPERATIONS, THIS ORGANIZATION HAS SIGNIFICANTLY IMPROVED PATIENT-PROVIDER RELATIONSHIPS, ENVIRONMENTS AND SERVICE DELIVERY". DURING FY13, TWO JMH PHYSICIANS, DOCTORS CARTER AND DAWSON, RECEIVED STATE AND NATIONAL RECOGNITION FOR TWO NEW COMPUTER-BASED TOOLS THEY DEVELOPED THAT DIRECTLY HELP DOCTORS AND PATIENTS. ONE TOOL, CALLED ALIGN, ANALYZES DATA ON PATIENTS THAT ARE SEEN OFTEN IN THE ER. THE SYSTEM PRESENTS KEY DATA IN SECONDS, WHICH ALLOWS THE PHYSICIAN TO MAKE FASTER AND MORE WELL-INFORMED DECISIONS. PLUS, THERE ARE FEWER REPEATED TESTS AND THE LENGTH OF STAY IS SHORTENED. THE SECOND TOOL, CALLED RADIATION RECONCILIATION, IS A SAFETY MEASURE THAT QUICKLY COUNTS RADIOLOGY STUDIES AND ESTIMATES RADIATION EXPOSURE, RAISING AWARENESS OF RADIATION EXPOSURE FOR PATIENTS AND THE MEDICAL COMMUNITY. THE INFORMATION IS PRESENTED IN A GRAPHICAL WAY TO HELP PATIENTS UNDERSTAND THEIR MEDICAL RADIATION EXPOSURE WITH SOME MEANINGFUL POINTS OF REFERENCE. THE DOCTORS WORKED WITH JMH IT STAFF TO DEVELOP THE PROGRAMS. THE JMH DIABETES EDUCATION CENTER HAS ASSISTED PATIENTS IN DIABETES CARE SINCE 1999. DR. ANDREW RHINEHART, DIRECTOR OF THE CENTER, WAS RECENTLY AWARDED RECOGNITION BY THE PRESTIGIOUS NATIONAL COMMITTEE FOR QUALITY ASSURANCE DIABETES RECOGNITION PROGRAM, A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. DR. RHINEHART IS BOARD-CERTIFIED IN ADVANCED DIABETES MANAGEMENT AND WAS THE FIRST PHYSICIAN IN THE U.S. TO GAIN THESE CREDENTIALS. HE RECENTLY BECAME ONE OF THE FIRST PHYSICIANS TO EARN DISTINCTION AS A CERTIFIED DIABETES TECHNOLOGY CLINICIAN (CDTC), THE HIGHEST PROFESSIONAL CREDENTIAL THAT RECOGNIZES A PHYSICIAN AS AN EXPERT IN USING TECHNOLOGY TO MANAGE DIABETES. A STAFF OF CERTIFIED DIABETES EDUCATORS ASSISTS HIM AT THE DIABETES CARE CENTER. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: CPR AND LIFE SAVING CLASSES; CARDIAC CARE; TOTAL JOINT; CANCER EDUCATION; PRENATAL AND PARENTING; AND, OTHERS. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFERS HYPERBARIC OXYGEN THERAPY- THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. JMH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY13, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,097 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE IS COMPENSATED BY JMH. DURING FY13, JMH'S COST FOR THIS PROGRAM WAS 183,566. JMH SIGNED A NON-PROFIT BLOOD CENTER TENANT TO A ONE YEAR LEASE FOR ONLY 1. THE ANNUAL FAIR MARKET VALUE OF THE LEASE IS 32,770. THE FMV FOR THE FOUR MONTHS FALLING WITHIN FY13 IS 10,923. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY13 INCLUDED 174 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 349,140. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 156 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST JMH 159,049. JMH SUPPORTS OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT PROVIDE HEALTHCARE SERVICES TO OUR RESIDENTS. WE DONATE MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS AND FIRE DEPARTMENTS AT A COST TO JMH OF MORE THAN 15,000 IN FY13. WE PROVIDED FINANCIAL ASSISTANCE TO A LOCAL COLLEGE FOR ITS NURSING PROGRAM. DURING FY13, WE CONTRIBUTED ALMOST 40,000 TO THE PROGRAM. MANY OTHER DONATIONS WERE MADE TO SUPPORT OUR SCHOOLS, LIBRARY, YMCA, ETC. BASED ON COMMUNITY NEEDS, JMH INCURRED EXPENSE OF 372,374 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON DOCUMENTED COMMUNITY NEED. TEAM MEMBERS AT JMH INTERESTED IN EDUCATING THE COMMUNITY ABOUT HEART DISEASE AND STROKE VISITED A LOCAL SENIOR CENTER TO INVOLVE SENIORS IN AN AMERICAN HEART ASSOCIATION (AHA) EVENT. TEAM MEMBERS DONATED ITEMS TO THE EVENT WHICH WERE RAFFLED TO RAISE MONEY FOR AHA.
Program expenses    $88,348,863.00
Program revenue    $126,871,264.00
Grants and allocations made    $116,677.00
Program description    JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA AND A MEMBER OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION, ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE HOSPITAL. DURING 2013, JMH CREATED JMH EMERGENCY PHYSICIANS, ORGANIZED TO PROVIDE EMERGENCY ROOM PHYSICIANS FOR THE HOSPITAL. (CONTINUED ON SCHEDULE O) JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY13, WE EXPERIENCED 7,310 ADMISSIONS, WITH ALMOST 24,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,645 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 131,000. THERE WERE 42,434 VISITS TO OUR EMERGENCY DEPARTMENT, WITH MORE THAN 5,000 RESULTING IN AN INPATIENT STAY. MORE THAN 7,200 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED MORE THAN 740 BABIES. JMH IS THE FIRST "GREEN" HOSPITAL IN SOUTHWEST VIRGINIA AND IS FOCUSED ON BEING AN ENVIRONMENTALLY SUSTAINABLE FACILITY FOLLOWING THE U.S. GREEN BUILDING COUNCIL'S LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GUIDELINES. JMH EARNED GOLD LEED CERTIFICATION SHORTLY AFTER OPENING. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM, PROVIDING THIRD-PARTY VERIFICATION THAT A BUILDING OR COMMUNITY WAS DESIGNED IN AN ENVIRONMENTALLY FRIENDLY MANNER, INCLUDING ENERGY SAVINGS, WATER EFFICIENCY, CO2 EMISSIONS REDUCTION, IMPROVED INDOOR ENVIRONMENTAL QUALITY, AND STEWARDSHIP OF RESOURCES AS WELL AS SENSITIVITY TO THEIR IMPACT. FIFTY PERCENT OF THE JMH SITE IS RESERVED FOR VEGETATED OPEN SPACE. WATER USAGE FOR LANDSCAPING IS 50 PERCENT LOWER THAN TRADITIONAL LANDSCAPE DESIGNS. THE HOSPITAL BUILDING USED LOW-EMITTING MATERIALS AND CONSTRUCTION WASTE WAS RECYCLED, DIVERTING MORE THAN 75% OF NORMAL WASTE MATERIAL AWAY FROM THE LANDFILL. INDOOR AIR QUALITY IS SUPERIOR DUE TO EFFICIENT VENTILATION AND ONGOING MONITORING AND WATER USE IS REDUCED THROUGH INSTALLATION OF HIGH EFFICIENCY PLUMBING FIXTURES. WATER USE IS REDUCED BY 40 PERCENT, A SAVINGS OF UP TO 1.6 MILLION GALLONS OF WATER PER YEAR. FURTHER ENERGY USAGE REDUCTIONS WERE ACHIEVED BY INSTALLING EFFICIENT HEATING AND COOLING SYSTEMS. BEYOND SMART ENERGY SAVINGS IMPLEMENTED WITH THE HOSPITAL'S CONSTRUCTION, JMH RECYCLES ON AN ONGOING BASIS AND ENCOURAGES THE USE OF FUEL EFFICIENT CARS BY DESIGNATING PARKING SPACES FOR LOW EMISSION VEHICLES CLOSE TO THE BUILDING. THE VIRGINIA HEALTH QUALITY CENTER (VHQC), A NON-PROFIT HEALTH QUALITY CONSULTING COMPANY, SELECTED WINNERS IN SIX CATEGORIES FOR THEIR CONTRIBUTIONS TO IMPROVING HEALTH CARE FOR PATIENTS IN VIRGINIA. MOUNTAIN STATES HEALTH ALLIANCE'S VIRGINIA HOSPITALS, INCLUDING JMH, EARNED THE HONOR FOR THEIR PATIENT-CENTERED CARE. THE WINNERS WERE ANNOUNCED DURING QUALITYSYNC, VHQC'S ANNUAL LEARNING EVENT, HELD IN RICHMOND, AND WERE SELECTED FROM NEARLY 30 NOMINATIONS. "MSHA'S VIRGINIA HOSPITALS DEVELOPED AN INNOVATIVE APPROACH TO BRINGING A PATIENT-CENTERED APPROACH TO ALL OF ITS FACILITIES", THE VHQC STATED IN A NEWS RELEASE. "BY ESTABLISHING 10 GUIDING PRINCIPLES AND INCORPORATING THEM INTO EACH HOSPITAL'S OPERATIONS, THIS ORGANIZATION HAS SIGNIFICANTLY IMPROVED PATIENT-PROVIDER RELATIONSHIPS, ENVIRONMENTS AND SERVICE DELIVERY". DURING FY13, TWO JMH PHYSICIANS, DOCTORS CARTER AND DAWSON, RECEIVED STATE AND NATIONAL RECOGNITION FOR TWO NEW COMPUTER-BASED TOOLS THEY DEVELOPED THAT DIRECTLY HELP DOCTORS AND PATIENTS. ONE TOOL, CALLED ALIGN, ANALYZES DATA ON PATIENTS THAT ARE SEEN OFTEN IN THE ER. THE SYSTEM PRESENTS KEY DATA IN SECONDS, WHICH ALLOWS THE PHYSICIAN TO MAKE FASTER AND MORE WELL-INFORMED DECISIONS. PLUS, THERE ARE FEWER REPEATED TESTS AND THE LENGTH OF STAY IS SHORTENED. THE SECOND TOOL, CALLED RADIATION RECONCILIATION, IS A SAFETY MEASURE THAT QUICKLY COUNTS RADIOLOGY STUDIES AND ESTIMATES RADIATION EXPOSURE, RAISING AWARENESS OF RADIATION EXPOSURE FOR PATIENTS AND THE MEDICAL COMMUNITY. THE INFORMATION IS PRESENTED IN A GRAPHICAL WAY TO HELP PATIENTS UNDERSTAND THEIR MEDICAL RADIATION EXPOSURE WITH SOME MEANINGFUL POINTS OF REFERENCE. THE DOCTORS WORKED WITH JMH IT STAFF TO DEVELOP THE PROGRAMS. THE JMH DIABETES EDUCATION CENTER HAS ASSISTED PATIENTS IN DIABETES CARE SINCE 1999. DR. ANDREW RHINEHART, DIRECTOR OF THE CENTER, WAS RECENTLY AWARDED RECOGNITION BY THE PRESTIGIOUS NATIONAL COMMITTEE FOR QUALITY ASSURANCE DIABETES RECOGNITION PROGRAM, A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. DR. RHINEHART IS BOARD-CERTIFIED IN ADVANCED DIABETES MANAGEMENT AND WAS THE FIRST PHYSICIAN IN THE U.S. TO GAIN THESE CREDENTIALS. HE RECENTLY BECAME ONE OF THE FIRST PHYSICIANS TO EARN DISTINCTION AS A CERTIFIED DIABETES TECHNOLOGY CLINICIAN (CDTC), THE HIGHEST PROFESSIONAL CREDENTIAL THAT RECOGNIZES A PHYSICIAN AS AN EXPERT IN USING TECHNOLOGY TO MANAGE DIABETES. A STAFF OF CERTIFIED DIABETES EDUCATORS ASSISTS HIM AT THE DIABETES CARE CENTER. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: CPR AND LIFE SAVING CLASSES; CARDIAC CARE; TOTAL JOINT; CANCER EDUCATION; PRENATAL AND PARENTING; AND, OTHERS. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFERS HYPERBARIC OXYGEN THERAPY- THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. JMH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY13, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,097 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE IS COMPENSATED BY JMH. DURING FY13, JMH'S COST FOR THIS PROGRAM WAS 183,566. JMH SIGNED A NON-PROFIT BLOOD CENTER TENANT TO A ONE YEAR LEASE FOR ONLY 1. THE ANNUAL FAIR MARKET VALUE OF THE LEASE IS 32,770. THE FMV FOR THE FOUR MONTHS FALLING WITHIN FY13 IS 10,923. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY13 INCLUDED 174 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 349,140. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 156 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST JMH 159,049. JMH SUPPORTS OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT PROVIDE HEALTHCARE SERVICES TO OUR RESIDENTS. WE DONATE MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS AND FIRE DEPARTMENTS AT A COST TO JMH OF MORE THAN 15,000 IN FY13. WE PROVIDED FINANCIAL ASSISTANCE TO A LOCAL COLLEGE FOR ITS NURSING PROGRAM. DURING FY13, WE CONTRIBUTED ALMOST 40,000 TO THE PROGRAM. MANY OTHER DONATIONS WERE MADE TO SUPPORT OUR SCHOOLS, LIBRARY, YMCA, ETC. BASED ON COMMUNITY NEEDS, JMH INCURRED EXPENSE OF 372,374 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON DOCUMENTED COMMUNITY NEED. TEAM MEMBERS AT JMH INTERESTED IN EDUCATING THE COMMUNITY ABOUT HEART DISEASE AND STROKE VISITED A LOCAL SENIOR CENTER TO INVOLVE SENIORS IN AN AMERICAN HEART ASSOCIATION (AHA) EVENT. TEAM MEMBERS DONATED ITEMS TO THE EVENT WHICH WERE RAFFLED TO RAISE MONEY FOR AHA.
JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA AND A MEMBER OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION, ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE HOSPITAL. DURING 2013, JMH CREATED JMH EMERGENCY PHYSICIANS, ORGANIZED TO PROVIDE EMERGENCY ROOM PHYSICIANS FOR THE HOSPITAL. (CONTINUED ON SCHEDULE O) JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY14, WE EXPERIENCED 7,109 ADMISSIONS, WITH ALMOST 24,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,760 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 146,000. THERE WERE 39,161 VISITS TO OUR EMERGENCY DEPARTMENT, WITH 5,403 RESULTING IN AN INPATIENT STAY. ALMOST 6,900 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED 752 BABIES. DURING FY14, JMH IMPLEMENTED AN ONLINE TOOL CALLED OWL (ONLINE WELLNESS LINK). OWL PROVIDES INPATIENTS WITH BETTER ACCESS TO THEIR HEALTH CARE INFORMATION SO THEY CAN VIEW A PORTION OF THEIR HEALTH RECORD ONLINE, INCLUDING: - A CONTINUITY OF CARE DOCUMENT WHICH PROVIDES A SUMMARY OF THE HOSPITAL VISIT - CURRENT MEDICATIONS - ALLERGIES AND ADVERSE REACTIONS - PAST MEDICAL HISTORY - CERTAIN LABORATORY AND RADIOLOGY RESULTS THE OWL PORTAL ALSO ALLOWS JMH CAREGIVERS TO EXCHANGE HEALTHCARE INFORMATION, WHICH HAS LED TO SAFER, MORE QUALTIY-ORIENTED AND STREAMLINED CARE FOR OUR PATIENTS. JMH SIGNED A NON-PROFIT BLOOD CENTER TENANT TO A ONE YEAR LEASE FOR ONLY 1. THE ANNUAL FAIR MARKET VALUE OF THE LEASE IS 32,770. THE FMV FOR THE EIGHT MONTHS FALLING WITHIN FY14 IS 21,846. BLOOD ASSURANCE IS A NON-PROFIT FULL SERVICE REGIONAL BLOOD CENTER SERVING 51 COUNTIES AND MORE THAN 70 HEALTHCARE FACILITIES IN VIRGINIA, TENNESSEE, NORTH CAROLINA, ALABAMA, AND GEORGIA. THE MISSION OF BLOOD ASSURANCE IS TO PROVIDE A SAFE AND ADEQUATE SUPPLY OF BLOOD AND BLOOD COMPONENTS IN A COST EFFECTIVE MANNER TO EVERY AREA PATIENT IN NEED. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: CPR AND LIFE SAVING CLASSES; CARDIAC CARE; TOTAL JOINT; CANCER EDUCATION; PRENATAL PARENTING; AND, OTHERS. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFERS HYPERBARIC OXYGEN THERAPY-THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. THE JMH DIABETES EDUCATION CENTER HAS ASSISTED PATIENTS IN DIABETES CARE SINCE 1999. DR. ANDREW RHINEHART, DIRECTOR OF THE CENTER, WAS AWARDED RECOGNITION, BY THE PRESTIGIOUS NATIONAL COMMITTEE FOR QUALITY ASSURANCE DIABETES RECOGNITION PROGRAM, A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. DR. RHINEHART IS BOARD-CERTIFIED IN ADVANCED DIABETES MANAGEMENT AND WAS THE FIRST PHYSICIAN IN THE U.S. TO GAIN THESE CREDENTIALS. HE BECAME ONE OF THE FIRST PHYSICIANS TO EARN DISTINCTION AS A CERTIFIED DIABETES TECHNOLOGY CLINICIAN, THE HIGHEST PROFESSIONAL CREDENTIAL THAT RECOGNIZES A PHYSICIAN AS AN EXPERT IN USING TECHNOLOGY TO MANAGE DIABETES. A STAFF OF CERTIFIED DIABETES EDUCATORS ASSISTS HIM AT THE DIABETES CARE CENTER. MOUNTAIN STATES REHABILITATION AT JMH HAS BEEN AWARDED AN OUTCOMES EXCELLENCE CERTIFICATE FROM FOCUS ON THERAPEUTIC OUTCOMES, INC. (FOTO), A NATIONWIDE OUTCOMES DATABASE AND REPORTING SERVICE FOR HEALTHCARE PROVIDERS ACROSS THE COUNTRY TO RECOGNIZE EXCELLENCE IN PATIENT OUTCOMES SUSTAINED OVER TIME. NATIONALLY, ONLY ABOUT 12 PERCENT OF NEARLY 3,000 ELIGIBLE CLINICS RECEIVED THIS AWARD OVER THE LAST YEAR. JMH RANKS HIGH COMPARED TO OTHER CLINICS IN THE FOTO NETOWRK WITH ITS PATIENTS ACHIEVING SIGNIFICANTLY HIGHER FUNCTIONAL IMPROVEMENTS, IN FEWER VISITS, AND WITH HIGHER PATIENT SATISFACTION. JMH HAS USED FOTO SINCE 2010 AS A WAY TO OBJECTIVELY TRACK PATIENTS' FUNCTIONAL OUTCOMES. PARTICIPATING IN THIS NATION-WIDE SYSTEM IS ANOTHER EXAMPLE OF JMH'S COMMITMENT TO PROVIDING EFFICIENT AND OUTSTANDING PATIENT CARE. FOTO HAS THE FIRST FUNCTIONAL HEALTH STATUS MEASURE APPROVED FOR PHYSICAL REHABILITATION BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' LIST OF APPROVED QUALITY MEASURES IN NATIONAL QUALITY MEASURES CLEARINGHOUSE. THE HEAL (HEALTHLY EATING ACTIVE LIVING) APPALACHIA PROGRAM, WHICH BATTLES CHILDHOOD OBESITY IN OUR REGION, WAS SELECTED AS A 2014 INDUCTEE INTO THE FIRST LADY OF VIRGINIA'S OPPORTUNITY HALL OF FAME. THIS HONOR RELATES TO HEAL APPALACHIA'S WORK IN SOUTHWEST VIRGINIA. HEAL APPALACHIA IS A COLLABORATIVE EFFORT OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND EAST TENNESSEE STATE UNIVERSITY. IT WAS CREATED TO BUILD MOMENTUM IN THE FIGHT AGAINST CHILDHOOD OBESITY IN SOUTHERN APPALACHIA. JMH SUPPORTS OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT PROVIDE HEALTHCARE SERVICES TO OUR RESIDENTS. WE DONATE MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS AND FIRE DEPARTMENTS. THESE DRUG AND SUPPLY DONATIONS EXCEEDED 13,000 IN FY14. WE PROVIDED FINANCIAL ASSISTANCE TO A LOCAL COLLEGE FOR ITS NURSING PROGRAM. DURING FY14, WE CONTRIBUTED OVER 75,000 TO THE PROGRAM. MANY OTHER DONATIONS WERE MADE TO SUPPORT OUR SCHOOLS, MARCH OF DIMES, ETC. WITH HEALTHCARE INSURANCE COVERAGE CHANGING RAPIDLY, PATIENT PAYMENT RESPONSIBILTY IS INCREASING AT A RATE OF 5 TO 6 PERCENT EACH YEAR. MOUNTAIN STATES INTRODUCED A NEW PAYMENT OPTION LAST YEAR THAT OFFERS MORE FLEXIBILITY TO OUR PATIENTS - THE ABILITY TO SPREAD PAYMENTS OVER A 36-MONTH PERIOD WITH NO INTEREST CHARGED. OF COURSE, FOR PATIENTS THAT ARE UNABLE TO PAY THEIR ACCOUNT BALANCES, PATIENT RESPRESENTATIVES ARE AVAILABLE TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS. JMH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY14, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 636 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE IS COMPENSATED BY JMH. DURING FY14, JMH'S COST FOR THIS PROGRAM WAS 88,193. DURING FY14, JMH'S BOARD OF DIRECTORS VOTED TO PARTNER WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) TO ESTABLISH A RESIDENCY PROGRAM IN ABINGDON. THE AGREEMENT IS EXPECTED TO PLACE UP TO NINE RESIDENTS AT JMH IN THE FIRST YEAR, WITH THE NUMBER POTENTIALLY INCREASING DURING THE INITIAL FIVE YEARS OF THE PROGRAM. VCOM WILL PROVIDE SUPPORT PERSONNEL AND OTHER RESOURCES DURING THE FIVE-YEAR START-UP PHASE. JMH BELIEVES PRIMARY CARE PHYSICIANS ARE PARTICULARLY NEEDED IN THE REGION, ESPECIALLY WITH THE INFLUX OF NEW PATIENTS EXPECTED TO COME AS MORE PEOPLE OBTAIN HEALTH INSURANCE UNDER THE AFFORDABLE CARE ACT. VCOM SPECIALIZES IN TRAINING PHYSICIANS FOR PRIMARY CARE; HOSPITAL OFFICIALS BELIEVE THE PARTNERSHIP IS A NATURAL FIT. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF THAT WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTHCARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY14 INCLUDED 349 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 724,962. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 174 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST JMH 173,134. BASED ON COMMUNITY NEEDS, JMH INCURRED EXPENSE OF 311,375 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON DOCUMENTED COMMUNITY NEED. MSHA'S VALUE OPTIMIZATION SYSTEM (VOS) GOAL IS TO ACCELERATE ACHIEVEMENT OF PATIENT CENTERED CARE TO MEET THE PATIENT'S
Program expenses   $92,403,416.00 
Program revenue   $120,090,523.00 
Grants and allocations made   $280,949.00 
Program description   JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA AND A MEMBER OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION, ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE HOSPITAL. DURING 2013, JMH CREATED JMH EMERGENCY PHYSICIANS, ORGANIZED TO PROVIDE EMERGENCY ROOM PHYSICIANS FOR THE HOSPITAL. (CONTINUED ON SCHEDULE O) JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY14, WE EXPERIENCED 7,109 ADMISSIONS, WITH ALMOST 24,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,760 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 146,000. THERE WERE 39,161 VISITS TO OUR EMERGENCY DEPARTMENT, WITH 5,403 RESULTING IN AN INPATIENT STAY. ALMOST 6,900 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED 752 BABIES. DURING FY14, JMH IMPLEMENTED AN ONLINE TOOL CALLED OWL (ONLINE WELLNESS LINK). OWL PROVIDES INPATIENTS WITH BETTER ACCESS TO THEIR HEALTH CARE INFORMATION SO THEY CAN VIEW A PORTION OF THEIR HEALTH RECORD ONLINE, INCLUDING: - A CONTINUITY OF CARE DOCUMENT WHICH PROVIDES A SUMMARY OF THE HOSPITAL VISIT - CURRENT MEDICATIONS - ALLERGIES AND ADVERSE REACTIONS - PAST MEDICAL HISTORY - CERTAIN LABORATORY AND RADIOLOGY RESULTS THE OWL PORTAL ALSO ALLOWS JMH CAREGIVERS TO EXCHANGE HEALTHCARE INFORMATION, WHICH HAS LED TO SAFER, MORE QUALTIY-ORIENTED AND STREAMLINED CARE FOR OUR PATIENTS. JMH SIGNED A NON-PROFIT BLOOD CENTER TENANT TO A ONE YEAR LEASE FOR ONLY 1. THE ANNUAL FAIR MARKET VALUE OF THE LEASE IS 32,770. THE FMV FOR THE EIGHT MONTHS FALLING WITHIN FY14 IS 21,846. BLOOD ASSURANCE IS A NON-PROFIT FULL SERVICE REGIONAL BLOOD CENTER SERVING 51 COUNTIES AND MORE THAN 70 HEALTHCARE FACILITIES IN VIRGINIA, TENNESSEE, NORTH CAROLINA, ALABAMA, AND GEORGIA. THE MISSION OF BLOOD ASSURANCE IS TO PROVIDE A SAFE AND ADEQUATE SUPPLY OF BLOOD AND BLOOD COMPONENTS IN A COST EFFECTIVE MANNER TO EVERY AREA PATIENT IN NEED. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: CPR AND LIFE SAVING CLASSES; CARDIAC CARE; TOTAL JOINT; CANCER EDUCATION; PRENATAL PARENTING; AND, OTHERS. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFERS HYPERBARIC OXYGEN THERAPY-THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. THE JMH DIABETES EDUCATION CENTER HAS ASSISTED PATIENTS IN DIABETES CARE SINCE 1999. DR. ANDREW RHINEHART, DIRECTOR OF THE CENTER, WAS AWARDED RECOGNITION, BY THE PRESTIGIOUS NATIONAL COMMITTEE FOR QUALITY ASSURANCE DIABETES RECOGNITION PROGRAM, A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. DR. RHINEHART IS BOARD-CERTIFIED IN ADVANCED DIABETES MANAGEMENT AND WAS THE FIRST PHYSICIAN IN THE U.S. TO GAIN THESE CREDENTIALS. HE BECAME ONE OF THE FIRST PHYSICIANS TO EARN DISTINCTION AS A CERTIFIED DIABETES TECHNOLOGY CLINICIAN, THE HIGHEST PROFESSIONAL CREDENTIAL THAT RECOGNIZES A PHYSICIAN AS AN EXPERT IN USING TECHNOLOGY TO MANAGE DIABETES. A STAFF OF CERTIFIED DIABETES EDUCATORS ASSISTS HIM AT THE DIABETES CARE CENTER. MOUNTAIN STATES REHABILITATION AT JMH HAS BEEN AWARDED AN OUTCOMES EXCELLENCE CERTIFICATE FROM FOCUS ON THERAPEUTIC OUTCOMES, INC. (FOTO), A NATIONWIDE OUTCOMES DATABASE AND REPORTING SERVICE FOR HEALTHCARE PROVIDERS ACROSS THE COUNTRY TO RECOGNIZE EXCELLENCE IN PATIENT OUTCOMES SUSTAINED OVER TIME. NATIONALLY, ONLY ABOUT 12 PERCENT OF NEARLY 3,000 ELIGIBLE CLINICS RECEIVED THIS AWARD OVER THE LAST YEAR. JMH RANKS HIGH COMPARED TO OTHER CLINICS IN THE FOTO NETOWRK WITH ITS PATIENTS ACHIEVING SIGNIFICANTLY HIGHER FUNCTIONAL IMPROVEMENTS, IN FEWER VISITS, AND WITH HIGHER PATIENT SATISFACTION. JMH HAS USED FOTO SINCE 2010 AS A WAY TO OBJECTIVELY TRACK PATIENTS' FUNCTIONAL OUTCOMES. PARTICIPATING IN THIS NATION-WIDE SYSTEM IS ANOTHER EXAMPLE OF JMH'S COMMITMENT TO PROVIDING EFFICIENT AND OUTSTANDING PATIENT CARE. FOTO HAS THE FIRST FUNCTIONAL HEALTH STATUS MEASURE APPROVED FOR PHYSICAL REHABILITATION BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' LIST OF APPROVED QUALITY MEASURES IN NATIONAL QUALITY MEASURES CLEARINGHOUSE. THE HEAL (HEALTHLY EATING ACTIVE LIVING) APPALACHIA PROGRAM, WHICH BATTLES CHILDHOOD OBESITY IN OUR REGION, WAS SELECTED AS A 2014 INDUCTEE INTO THE FIRST LADY OF VIRGINIA'S OPPORTUNITY HALL OF FAME. THIS HONOR RELATES TO HEAL APPALACHIA'S WORK IN SOUTHWEST VIRGINIA. HEAL APPALACHIA IS A COLLABORATIVE EFFORT OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND EAST TENNESSEE STATE UNIVERSITY. IT WAS CREATED TO BUILD MOMENTUM IN THE FIGHT AGAINST CHILDHOOD OBESITY IN SOUTHERN APPALACHIA. JMH SUPPORTS OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT PROVIDE HEALTHCARE SERVICES TO OUR RESIDENTS. WE DONATE MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS AND FIRE DEPARTMENTS. THESE DRUG AND SUPPLY DONATIONS EXCEEDED 13,000 IN FY14. WE PROVIDED FINANCIAL ASSISTANCE TO A LOCAL COLLEGE FOR ITS NURSING PROGRAM. DURING FY14, WE CONTRIBUTED OVER 75,000 TO THE PROGRAM. MANY OTHER DONATIONS WERE MADE TO SUPPORT OUR SCHOOLS, MARCH OF DIMES, ETC. WITH HEALTHCARE INSURANCE COVERAGE CHANGING RAPIDLY, PATIENT PAYMENT RESPONSIBILTY IS INCREASING AT A RATE OF 5 TO 6 PERCENT EACH YEAR. MOUNTAIN STATES INTRODUCED A NEW PAYMENT OPTION LAST YEAR THAT OFFERS MORE FLEXIBILITY TO OUR PATIENTS - THE ABILITY TO SPREAD PAYMENTS OVER A 36-MONTH PERIOD WITH NO INTEREST CHARGED. OF COURSE, FOR PATIENTS THAT ARE UNABLE TO PAY THEIR ACCOUNT BALANCES, PATIENT RESPRESENTATIVES ARE AVAILABLE TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS. JMH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY14, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 636 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE IS COMPENSATED BY JMH. DURING FY14, JMH'S COST FOR THIS PROGRAM WAS 88,193. DURING FY14, JMH'S BOARD OF DIRECTORS VOTED TO PARTNER WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) TO ESTABLISH A RESIDENCY PROGRAM IN ABINGDON. THE AGREEMENT IS EXPECTED TO PLACE UP TO NINE RESIDENTS AT JMH IN THE FIRST YEAR, WITH THE NUMBER POTENTIALLY INCREASING DURING THE INITIAL FIVE YEARS OF THE PROGRAM. VCOM WILL PROVIDE SUPPORT PERSONNEL AND OTHER RESOURCES DURING THE FIVE-YEAR START-UP PHASE. JMH BELIEVES PRIMARY CARE PHYSICIANS ARE PARTICULARLY NEEDED IN THE REGION, ESPECIALLY WITH THE INFLUX OF NEW PATIENTS EXPECTED TO COME AS MORE PEOPLE OBTAIN HEALTH INSURANCE UNDER THE AFFORDABLE CARE ACT. VCOM SPECIALIZES IN TRAINING PHYSICIANS FOR PRIMARY CARE; HOSPITAL OFFICIALS BELIEVE THE PARTNERSHIP IS A NATURAL FIT. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF THAT WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTHCARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY14 INCLUDED 349 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 724,962. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 174 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST JMH 173,134. BASED ON COMMUNITY NEEDS, JMH INCURRED EXPENSE OF 311,375 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON DOCUMENTED COMMUNITY NEED. MSHA'S VALUE OPTIMIZATION SYSTEM (VOS) GOAL IS TO ACCELERATE ACHIEVEMENT OF PATIENT CENTERED CARE TO MEET THE PATIENT'S 
JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH'S MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O) (CONT'D)JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY15, WE EXPERIENCED 9,009 INPATIENT ADMISSIONS, WITH ALMOST 30,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,159 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 154,000. THERE WERE 41,308 VISITS TO OUR EMERGENCY DEPARTMENT. 6,733 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED 746 BABIES. JMH RECEIVED HEALTHGRADES 2015 EXCELLENCE AWARD FOR PATIENT SAFETY. THE SAFETY AWARD PLACES JMH IN THE TOP 5% OF THE NATION FOR PATIENT SAFETY. HEALTHGRADES IS A COMPANY THAT PROVIDES INFORMATION ABOUT HOSPITALS, PHYSICIANS, AND HEALTHCARE PROVIDERS. THE PATIENT SAFETY AWARD RECOGNIZES HOSPITALS FOR HOW WELL A HOSPITAL PREVENTS INFECTIONS, MEDICAL ERRORS, AND OTHER COMPLICATIONS BASED ON 13 STANDARD PATIENT SAFETY INDICATORS. PATIENTS RECEIVING CARE AT PATIENT SAFETY EXCELLENCE AWARD RECIPIENT HOSPITALS HAVE, ON AVERAGE, A LOWER RISK OF EXPERIENCING PATIENT SAFETY EVENTS. IN ADDITION TO HEALTHGRADES SAFETY AWARD, JMH WAS NAMED ONE OF THE NATION'S NINE BEST HOSPITALS FOR INFECTION PREVENTION BY CONSUMER REPORTS. CONSUMER REPORTS RELEASED RATINGS ON HOW MORE THAN 3,000 U.S. HOSPITALS FARED AT PREVENTING HOSPITAL-ACQUIRED INFECTIONS WITH NINE FACILITIES RECEIVING THE HIGHEST RANKING FOR AVOIDING POTENTIALLY DEADLY PATHOGENS. CONSUMER REPORTS INCLUDED CENTER FOR DISEASE CONTROL DATA ON MRSA AND C DIFF IN ITS HOSPITAL RATINGS. THE RATINGS ALSO USED DATA ON CENTRAL-LINE ASSOCIATED BLOOD STREAM INFECTIONS, SURGICAL-SITE INFECTIONS, AND CATHETER-ASSOCIATED URINARY TRACT INFECTIONS TO GENERATE AN OVERALL INFECTION PREVENTION SCORE. JMH WAS THE ONLY FACILITY IN VIRGINIA TO BE NAMED TO THE LIST. CONSUMER REPORTS IS A NATIONALLY RECOGNIZED ORGANIZATION SERVING THE PUBLIC THROUGH "UNBIASED PRODUCT TESTING AND RATINGS, RESEARCH, JOURNALISM, PUBLIC EDUCATION, AND ADVOCACY". JMH EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA'S) ENERGY STAR CERTIFICATION, WHICH SIGNIFIES THAT THE BUILDING PERFORMS IN THE TOP 25 PERCENT OF SIMILAR FACILITIES NATIONWIDE FOR ENERGY EFFICIENCY AND MEETS STRICT ENERGY EFFICIENCY PERFORMANCE LEVELS SET BY THE EPA. COMMERCIAL BUILDINGS THAT EARN EPA'S ENERGY STAR CERTIFICATION USE AN AVERAGE OF 35 PERCENT LESS ENERGY THAN TYPICAL BUILDINGS AND ALSO RELEASE 35 PERCENT LESS CARBON DIOXIDE INTO THE ATMOSPHERE. THERE IS A NATIONAL SHORTAGE OF FAMILY MEDICINE DOCTORS, BUT A COLLABORATIVE EFFORT BY JMH AND THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) IS HELPING TO FILL THAT NEED IN OUR REGION. THE TWO ORGANIZATIONS PARTNERED TO CREATE A RESIDENCY PROGRAM AT JMH. THE FIRST CLASS OF NEW RESIDENTS WILL BEGIN TO PRACTICE ACROSS ALL SPECIALTIES AT JMH IN JULY 2015. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES RECENTLY PREDICTED A SHORTAGE OF NEARLY 100,000 PHYSICIANS IN THE U.S. BY 2020. NOWHERE IN VIRGINIA IS THE DOCTOR SHORTAGE MORE CRITICAL THAN IN THE SOUTHWESTERN PART OF THE STATE. LIKE ALLOPATHIC PHYSICIANS (MD), OSTEOPATHIC PHYSICIANS (DO) ALSO COMPLETE FOUR YEARS OF MEDICAL SCHOOL PRIOR TO ENTERING RESIDENCY TRAINING. VCOM'S MISSION READS "THE MISSION OF THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE IS TO PREPARE GLOBALLY- MINDED, COMMUNITY-FOCUSED PHYSICIANS TO MEET THE NEEDS OF RURAL AND MEDICALLY UNDERSERVED POPULATIONS AND PROMOTE RESEARCH TO IMPROVE HUMAN HEALTH." JMH AND ITS AFFILIATES LOCATED IN SOUTHWEST VIRGINIA SERVE RURAL COMMUNITIES SO VCOM'S MISSION ALIGNS WELL WITH JMH'S OWN MISSION AND VALUES. BECKER HOSPITAL REVIEW NAMED JMH AS ONE OF THE 50 GREENEST HOSPITALS IN AMERICA. THE HOSPITAL IS ALSO LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GOLD CERTIFIED. LEED-CERTIFIED BUILDINGS ARE RESOURCE EFFICIENT. THEY USE LESS WATER AND ENERGY AND REDUCE GREENHOUSE GAS EMISSIONS. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM THAT PROVIDES THIRD-PARTY VERIFICATION OF DESIGN AND ENVIRONMENTAL BENEFICIAL RESULTS. IN A MOVE THAT WILL SAVE LIVES AND IMPROVE HEALTH CARE FOR SOUTHWEST VIRGINIA, JMH IMPLEMENTED A NEW INTERVENTIONAL CARDIOLOGY PROGRAM THIS YEAR, ALLOWING HIGHLY EXPERIENCED DOCTORS TO NOT JUST DIAGNOSE BUT ALSO TO TREAT PATIENTS FOR URGENT HEART PROBLEMS. THIS LIFESAVING SERVICE IS AVAILABLE 24 HOURS A DAY. THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION AGREE THAT THE TIME BETWEEN A PATIENT'S ARRIVAL AT A HOSPITAL TO THE TIME HE OR SHE RECEIVES PERCUTANEOUS INTERVENTION (A PROCEDURE THAT OPENS BLOCKED ARTERIES AND RESTORES BLOOD FLOW TO THE HEART MUSCLE) SHOULD BE 90 MINUTES OR LESS IN ORDER TO MINIMIZE DAMAGE TO THE PATIENT'S HEART. WITH THE NEW SERVICES IN PLACE, JMH HAS BEEN ABLE TO ACHIEVE A TREATMENT TIME FROM DOOR-TO-INTERVENTION OF 20 TO 30 MINUTES. BY OFFERING THIS NEW SERVICE AT JMH, PATIENTS' TRAVEL TIME IS REDUCED AND THAT MAY BE THE DIFFERENCE BETWEEN LIFE AND DEATH. THE HOSPITAL ASSEMBLED A TEAM OF HIGHLY TRAINED AND EXPERIENCED CARDIOLOGISTS AND STAFF MEMBERS TO PROVIDE THESE EXPANDED SERVICES. THE HOSPITAL HAS ALSO WORKED WITH LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO TRAIN THEM TO INITIATE ON- THE-SPOT DIAGNOSTIC PROCEDURES AND STABILIZATION BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. THAT WAY, JMH WILL BE NOTIFIED WHILE THE PATIENT IS IN TRANSPORT SO THE HOSPITAL WILL BE READY AS SOON AS THE PATIENT ARRIVES. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: A DIABETES EDUCATION CENTER, CPR AND LIFE SAVING CLASSES; CARDIAC CARE EDUCATION AND SUPPORT; TOTAL JOINT REPLACEMENT; CANCER EDUCATION AND SUPPORT; PRENATAL PARENTING; AND, OTHERS. THE TOTAL ATHLETE PROGRAM (TAP) IS A NEW SPORTS-EDUCATION FOCUSED PROGRAM OFFERED AT JMH FOR HIGH SCHOOL ATHLETES AND COACHES. DURING THE SIX EDUCATION SESSIONS, SPORTS-RELATED INJURIES AND INJURY PREVENTION, CONCUSSIONS, SPORTS NUTRITION AND TIPS FOR PREPARING FOR COLLEGE ATHLETICS WILL BE DISCUSSED. THE PROGRAM IS OPEN TO HIGH SCHOOL STUDENTS AGES 14-18. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. OUR DEDICATED STAFF WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTHCARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY15 INCLUDED 308 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 617,104. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 260 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC, SOCIAL WORK, AND OTHER ALLIED-HEALTH DISCIPLINES. TRAINING FOR THESE CLINICAL STUDENTS COST JMH 266,357. IN ADDITION TO THE HANDS-ON TRAINING OF CLINICAL STUDENTS, JMH PROVIDES CASH DONATIONS TO LOCAL SCHOOLS. DURING FY15, JMH DONATED OVER 81,000 TO A LOCAL COLLEGE TO BE USED FOR NURSING FACULTY AND PLEDGED ANOTHER 37,000 FOR THE SAME PURPOSE, WHICH WAS PAID TO THE SCHOOL SHORTLY FOLLOWING THE END OF FY15. JMH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY15, REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,524 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE AND ADVANCED PATIENT ADVOCACY ARE COMPENSATED BY JMH. DURING FY15, OUR COST FOR THIS PROGRAM WAS 144,608. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFER HYPERBARIC OXYGEN THERAPY -THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO H
Program expenses  $96,683,051.00  
Program revenue  $141,536,911.00  
Grants and allocations made  $215,442.00  
Program description  JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH'S MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O) (CONT'D)JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY15, WE EXPERIENCED 9,009 INPATIENT ADMISSIONS, WITH ALMOST 30,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,159 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 154,000. THERE WERE 41,308 VISITS TO OUR EMERGENCY DEPARTMENT. 6,733 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED 746 BABIES. JMH RECEIVED HEALTHGRADES 2015 EXCELLENCE AWARD FOR PATIENT SAFETY. THE SAFETY AWARD PLACES JMH IN THE TOP 5% OF THE NATION FOR PATIENT SAFETY. HEALTHGRADES IS A COMPANY THAT PROVIDES INFORMATION ABOUT HOSPITALS, PHYSICIANS, AND HEALTHCARE PROVIDERS. THE PATIENT SAFETY AWARD RECOGNIZES HOSPITALS FOR HOW WELL A HOSPITAL PREVENTS INFECTIONS, MEDICAL ERRORS, AND OTHER COMPLICATIONS BASED ON 13 STANDARD PATIENT SAFETY INDICATORS. PATIENTS RECEIVING CARE AT PATIENT SAFETY EXCELLENCE AWARD RECIPIENT HOSPITALS HAVE, ON AVERAGE, A LOWER RISK OF EXPERIENCING PATIENT SAFETY EVENTS. IN ADDITION TO HEALTHGRADES SAFETY AWARD, JMH WAS NAMED ONE OF THE NATION'S NINE BEST HOSPITALS FOR INFECTION PREVENTION BY CONSUMER REPORTS. CONSUMER REPORTS RELEASED RATINGS ON HOW MORE THAN 3,000 U.S. HOSPITALS FARED AT PREVENTING HOSPITAL-ACQUIRED INFECTIONS WITH NINE FACILITIES RECEIVING THE HIGHEST RANKING FOR AVOIDING POTENTIALLY DEADLY PATHOGENS. CONSUMER REPORTS INCLUDED CENTER FOR DISEASE CONTROL DATA ON MRSA AND C DIFF IN ITS HOSPITAL RATINGS. THE RATINGS ALSO USED DATA ON CENTRAL-LINE ASSOCIATED BLOOD STREAM INFECTIONS, SURGICAL-SITE INFECTIONS, AND CATHETER-ASSOCIATED URINARY TRACT INFECTIONS TO GENERATE AN OVERALL INFECTION PREVENTION SCORE. JMH WAS THE ONLY FACILITY IN VIRGINIA TO BE NAMED TO THE LIST. CONSUMER REPORTS IS A NATIONALLY RECOGNIZED ORGANIZATION SERVING THE PUBLIC THROUGH "UNBIASED PRODUCT TESTING AND RATINGS, RESEARCH, JOURNALISM, PUBLIC EDUCATION, AND ADVOCACY". JMH EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA'S) ENERGY STAR CERTIFICATION, WHICH SIGNIFIES THAT THE BUILDING PERFORMS IN THE TOP 25 PERCENT OF SIMILAR FACILITIES NATIONWIDE FOR ENERGY EFFICIENCY AND MEETS STRICT ENERGY EFFICIENCY PERFORMANCE LEVELS SET BY THE EPA. COMMERCIAL BUILDINGS THAT EARN EPA'S ENERGY STAR CERTIFICATION USE AN AVERAGE OF 35 PERCENT LESS ENERGY THAN TYPICAL BUILDINGS AND ALSO RELEASE 35 PERCENT LESS CARBON DIOXIDE INTO THE ATMOSPHERE. THERE IS A NATIONAL SHORTAGE OF FAMILY MEDICINE DOCTORS, BUT A COLLABORATIVE EFFORT BY JMH AND THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) IS HELPING TO FILL THAT NEED IN OUR REGION. THE TWO ORGANIZATIONS PARTNERED TO CREATE A RESIDENCY PROGRAM AT JMH. THE FIRST CLASS OF NEW RESIDENTS WILL BEGIN TO PRACTICE ACROSS ALL SPECIALTIES AT JMH IN JULY 2015. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES RECENTLY PREDICTED A SHORTAGE OF NEARLY 100,000 PHYSICIANS IN THE U.S. BY 2020. NOWHERE IN VIRGINIA IS THE DOCTOR SHORTAGE MORE CRITICAL THAN IN THE SOUTHWESTERN PART OF THE STATE. LIKE ALLOPATHIC PHYSICIANS (MD), OSTEOPATHIC PHYSICIANS (DO) ALSO COMPLETE FOUR YEARS OF MEDICAL SCHOOL PRIOR TO ENTERING RESIDENCY TRAINING. VCOM'S MISSION READS "THE MISSION OF THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE IS TO PREPARE GLOBALLY- MINDED, COMMUNITY-FOCUSED PHYSICIANS TO MEET THE NEEDS OF RURAL AND MEDICALLY UNDERSERVED POPULATIONS AND PROMOTE RESEARCH TO IMPROVE HUMAN HEALTH." JMH AND ITS AFFILIATES LOCATED IN SOUTHWEST VIRGINIA SERVE RURAL COMMUNITIES SO VCOM'S MISSION ALIGNS WELL WITH JMH'S OWN MISSION AND VALUES. BECKER HOSPITAL REVIEW NAMED JMH AS ONE OF THE 50 GREENEST HOSPITALS IN AMERICA. THE HOSPITAL IS ALSO LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GOLD CERTIFIED. LEED-CERTIFIED BUILDINGS ARE RESOURCE EFFICIENT. THEY USE LESS WATER AND ENERGY AND REDUCE GREENHOUSE GAS EMISSIONS. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM THAT PROVIDES THIRD-PARTY VERIFICATION OF DESIGN AND ENVIRONMENTAL BENEFICIAL RESULTS. IN A MOVE THAT WILL SAVE LIVES AND IMPROVE HEALTH CARE FOR SOUTHWEST VIRGINIA, JMH IMPLEMENTED A NEW INTERVENTIONAL CARDIOLOGY PROGRAM THIS YEAR, ALLOWING HIGHLY EXPERIENCED DOCTORS TO NOT JUST DIAGNOSE BUT ALSO TO TREAT PATIENTS FOR URGENT HEART PROBLEMS. THIS LIFESAVING SERVICE IS AVAILABLE 24 HOURS A DAY. THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION AGREE THAT THE TIME BETWEEN A PATIENT'S ARRIVAL AT A HOSPITAL TO THE TIME HE OR SHE RECEIVES PERCUTANEOUS INTERVENTION (A PROCEDURE THAT OPENS BLOCKED ARTERIES AND RESTORES BLOOD FLOW TO THE HEART MUSCLE) SHOULD BE 90 MINUTES OR LESS IN ORDER TO MINIMIZE DAMAGE TO THE PATIENT'S HEART. WITH THE NEW SERVICES IN PLACE, JMH HAS BEEN ABLE TO ACHIEVE A TREATMENT TIME FROM DOOR-TO-INTERVENTION OF 20 TO 30 MINUTES. BY OFFERING THIS NEW SERVICE AT JMH, PATIENTS' TRAVEL TIME IS REDUCED AND THAT MAY BE THE DIFFERENCE BETWEEN LIFE AND DEATH. THE HOSPITAL ASSEMBLED A TEAM OF HIGHLY TRAINED AND EXPERIENCED CARDIOLOGISTS AND STAFF MEMBERS TO PROVIDE THESE EXPANDED SERVICES. THE HOSPITAL HAS ALSO WORKED WITH LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO TRAIN THEM TO INITIATE ON- THE-SPOT DIAGNOSTIC PROCEDURES AND STABILIZATION BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. THAT WAY, JMH WILL BE NOTIFIED WHILE THE PATIENT IS IN TRANSPORT SO THE HOSPITAL WILL BE READY AS SOON AS THE PATIENT ARRIVES. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: A DIABETES EDUCATION CENTER, CPR AND LIFE SAVING CLASSES; CARDIAC CARE EDUCATION AND SUPPORT; TOTAL JOINT REPLACEMENT; CANCER EDUCATION AND SUPPORT; PRENATAL PARENTING; AND, OTHERS. THE TOTAL ATHLETE PROGRAM (TAP) IS A NEW SPORTS-EDUCATION FOCUSED PROGRAM OFFERED AT JMH FOR HIGH SCHOOL ATHLETES AND COACHES. DURING THE SIX EDUCATION SESSIONS, SPORTS-RELATED INJURIES AND INJURY PREVENTION, CONCUSSIONS, SPORTS NUTRITION AND TIPS FOR PREPARING FOR COLLEGE ATHLETICS WILL BE DISCUSSED. THE PROGRAM IS OPEN TO HIGH SCHOOL STUDENTS AGES 14-18. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. OUR DEDICATED STAFF WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTHCARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY15 INCLUDED 308 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 617,104. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 260 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC, SOCIAL WORK, AND OTHER ALLIED-HEALTH DISCIPLINES. TRAINING FOR THESE CLINICAL STUDENTS COST JMH 266,357. IN ADDITION TO THE HANDS-ON TRAINING OF CLINICAL STUDENTS, JMH PROVIDES CASH DONATIONS TO LOCAL SCHOOLS. DURING FY15, JMH DONATED OVER 81,000 TO A LOCAL COLLEGE TO BE USED FOR NURSING FACULTY AND PLEDGED ANOTHER 37,000 FOR THE SAME PURPOSE, WHICH WAS PAID TO THE SCHOOL SHORTLY FOLLOWING THE END OF FY15. JMH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY15, REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,524 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE AND ADVANCED PATIENT ADVOCACY ARE COMPENSATED BY JMH. DURING FY15, OUR COST FOR THIS PROGRAM WAS 144,608. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFER HYPERBARIC OXYGEN THERAPY -THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO H  
Financial data
Revenue
Total revenue$163,543,348.00$154,501,121.00$147,595,613.00$128,206,070.00$134,362,035.00
Revenue from contributions (total)$58,108.00$55,626.00$201,573.00$101,108.00$54,039.00
Investment income, current yr$6,200,963.00$4,161,982.00$3,942,994.00$7,163,382.00$4,913,544.00
Total revenue from grants, etc., current yr$58,108.00$55,626.00$201,573.00$101,108.00$54,039.00
Total unrelated business revenue    $31,266.00
Other revenue, current yr$1,127,365.00$1,646,128.00$1,918,651.00$1,472,331.00$2,570,450.00
Net unrelated business taxable revenue$21,118.00$17,495.00$11,447.00$23,485.00$27,239.00
Program service revenue (total)$156,156,912.00$148,637,385.00$141,532,395.00$119,469,249.00$126,824,002.00
Sources of contributions
Contributions from related organizations$47,336.00$45,278.00$194,650.00$22,811.00$39,942.00
Revenue from gov't grants   $64,674.00$5,634.00
Revenue from all other contributions$10,772.00$10,348.00$6,923.00$13,623.00$8,463.00
Other types of revenue
Miscellaneous revenue (total)$881,866.00$1,472,989.00$1,586,175.00$1,365,896.00$971,429.00
Investment income$3,378,409.00$3,252,248.00$2,608,715.00$2,055,268.00$1,874,540.00
Net rental income$245,499.00$173,139.00$332,476.00$106,435.00$1,599,021.00
Expense categories (totals)
Total functional expenses: sum of all$134,402,951.00$131,676,250.00$121,237,413.00$118,897,126.00$117,086,357.00
Total functional expenses: program service $109,920,830.00$106,029,569.00$96,683,051.00$92,403,416.00$88,348,863.00
Total functional expenses: management and general$24,482,121.00$25,646,681.00$24,554,362.00$26,493,710.00$28,731,435.00
Total functional expenses: fundraising$0.00$0.00$0.00$0.00$6,059.00
Fees for services
Legal fees (total)$250,338.00$73,071.00$38,844.00$12,319.00$71,551.00
Fundraising service fees (total)$0.00$0.00$0.00$0.00$0.00
General management fees (total)$33,483.00$24,915.00$16,047.00$102,806.00$78,285.00
Investment management fees (total)$377,092.00$364,441.00$299,292.00$231,721.00$181,933.00
Assets and liabilities
Total assets$381,668,757.00$360,732,839.00$357,363,368.00$335,681,718.00$323,314,314.00
Total assets, beginning of year$360,732,839.00$357,363,368.00$335,681,718.00$323,314,314.00$311,573,030.00
Total liabilities$17,620,555.00$34,382,073.00$51,294,925.00$54,271,755.00$53,919,883.00
Total liabilities, beginning of year$34,382,073.00$51,294,925.00$54,271,755.00$53,919,883.00$54,093,206.00
Unrestricted net assets, end of yr$363,910,905.00$326,297,995.00$306,067,962.00$281,409,482.00$269,395,885.00
Temporarily restricted net assets$137,297.00$52,771.00$481.00$481.00-$1,454.00
Net assets$364,048,202.00$326,350,766.00$306,068,443.00$281,409,963.00$269,394,431.00
Net assets, beginning of year$326,350,766.00$306,068,443.00$281,409,963.00$269,394,431.00$257,479,824.00
Other liabilities$1,607,183.00$2,223,775.00$1,884,992.00$2,610,375.00$1,470,511.00
Bond liabilities $18,405,000.00$35,684,507.00$38,218,067.00$40,701,627.00
Intangible assets$35,200.00$35,200.00$35,200.00$35,200.00$35,200.00
Other assets$2,306,615.00$1,034,697.00$452,184.00 $1,491,766.00
Investments: publicly traded securities$189,998,223.00$170,814,547.00$164,507,633.00$130,127,592.00$105,055,305.00
Cash: non-interest bearing$10,432,434.00$9,574,841.00$7,500,362.00$11,263,537.00$11,763,287.00
Cash: non-interest bearing, beginning of year$9,574,841.00$7,500,362.00$11,263,537.00$11,763,287.00$9,921,892.00
Investments -- program-related$113,590.00$142,230.00$199,510.00$199,510.00 
Inventories for sale or use$3,128,400.00$3,143,185.00$2,934,503.00$2,954,107.00$2,990,250.00
Other financial variables
Revenue less expenses$29,140,397.00$22,824,871.00$26,358,200.00$9,308,944.00$17,275,678.00
Advertising (total)$485,355.00$547,985.00$466,562.00$275,887.00$219,886.00
Accounts receivable, net$21,869,482.00$19,890,264.00$20,618,495.00$20,502,390.00$20,851,685.00
Prepaid expenses & deferred charges$1,045,287.00$886,996.00$817,019.00$851,748.00$875,233.00
Accounts payable & accrued expenses$14,457,685.00$11,921,477.00$11,063,228.00$11,358,879.00$11,747,745.00
Deferred revenue$1,555,687.00$1,831,821.00$2,662,198.00$2,084,434.00 
Total net assets or fund balances$364,048,202.00$326,350,766.00$306,068,443.00$281,409,963.00$269,394,431.00
Depreciation, depletion, amortization$11,030,298.00$11,395,029.00$11,192,375.00$11,801,342.00$14,426,588.00
Governance and accountability
Number of voting members1515151515
Number of independent voting members1211101210
Financial sheets were auditedTrueTrueTrueTrueTrue
Audit on consolidated basisTrueTrueTrueTrueTrue
Accrual accountingTrueTrueTrueTrueTrue
Tax year start date2016-07-012015-07-012014-07-012013-07-012012-07-01
Tax year end date2017-06-012016-06-012015-06-012014-06-012013-06-01
Indicators for schedules (selected)
Business transaction with family memberTrueTrueTrue  
Business transaction with employee    True
Attached copy of audited financialsTrueTrueTrueTrueTrue
LobbiedTrueTrueTrueTrueTrue
Operate hospital facilitiesTrueTrueTrueTrueTrue
Grants to domestic org/gov't >$5kTrueTrueTrueTrueTrue
Org has controlled entityTrueTrueTrueTrueTrue
Org transacted with controlled entityTrueTrueTrueTrueTrue
Hospital data
Facility count11111
Hospital facilities
JOHNSTON MEMORIAL HOSPITAL INC
Facility nameJOHNSTON MEMORIAL HOSPITAL INCJOHNSTON MEMORIAL HOSPITAL INCJOHNSTON MEMORIAL HOSPITAL INCJOHNSTON MEMORIAL HOSPITAL INCJOHNSTON MEMORIAL HOSPITAL INC
Facility line number11111
Facility's websiteWWW.BALLADHEALTH.ORGWWW.MOUNTAINSTATESHEALTH.COMWWW.MOUNTAINSTATESHEALTH.COMHTTP://WWW.MSHA.COM/JMH 
Address 16000 JOHNSTON MEMORIAL DRIVE16000 JOHNSTON MEMORIAL DRIVE16000 JOHNSTON MEMORIAL DRIVE16000 JOHNSTON MEMORIAL DRIVE16000 JOHNSTON MEMORIAL DRIVE
StateVAVAVAVAVA
Zip code2421124211242112421124211
State license numberH 1864H 1864H 1864  
Type(s) of facility
Licensed facilityTrueTrueTrueTrueTrue
General medical and surgicalTrueTrueTrueTrueTrue
Teaching facilityTrueTrue   
ER - 24 hoursTrueTrueTrueTrueTrue
Community benefits and community building
Has financial assistance policyTrueTrueTrueTrueTrue
Provide discounts to medically indigentTrueTrueTrueTrue 
Financial assistance at cost, net community benefit $1,685,442.00$1,313,691.00$1,472,492.00$2,679,061.00$1,759,355.00
Financial assistance at cost, percent of total $0.01$0.01$0.01$0.02$0.01
Medicaid, net community benefit expense$3,121,456.00$3,948,630.00$1,629,329.00$3,751,857.00$4,662,264.00
Medicaid, percent of total expense$0.02$0.03$0.01$0.03$0.04
Community health improvement, net community benefit expense$893,482.00$474,974.00$539,516.00$175,428.00$196,092.00
Community health improvement, percent of total expense$0.01$0.00$0.00$0.00$0.00
Total benefits, net community benefit expense$10,705,402.00$10,492,074.00$5,724,840.00$8,711,178.00$8,762,382.00
Total community benefits as percent of total expense$0.08$0.08$0.05$0.07$0.07
Bad debt expense$16,505,073.00$20,435,845.00$19,534,549.00$16,035,231.00$19,146,046.00
Bad debt due to charity$11,994,761.00$14,300,303.00$14,260,221.00$12,026,423.00$14,742,455.00
Revenue from Medicare$49,148,327.00$44,851,834.00$43,518,100.00$37,453,513.00$38,893,892.00
Medicare allowable costs$46,778,678.00$44,336,935.00$43,352,590.00$40,349,827.00$42,953,283.00
Medicare surplus or shortfall$2,369,649.00$514,899.00$165,510.00-$2,896,314.00-$4,059,391.00
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990990
Reason for form submission
Amended returnTrue    
IRS schema version2016v3.12015v3.02014v6.02013v4.02012v2.3
Filing identifier201831179349301048201701249349300800201611049349300401201521279349301372201421329349302872
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