SMYTH COUNTY COMMUNITY HOSPITAL
P O BOX 880, MARION, VA 24354 balladhealth.org

Total Revenue
$49,592,231
Total Expenses
$46,442,166
Net Assets
$84,945,804

Organizations Filed Purposes: OUR MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE

OUR MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE OUR VISION: TO BUILD A LEGACY OF SUPERIOR HEALTH BY LISTENING TO AND CARING FOR THOSE WE SERVE

SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) HAS A 55-PLUS YEAR HISTORY OF PROVIDING HEALTHCARE SERVICES WITHIN THE COMMUNITY OF MARION, VIRGINIA. SCCH IS A 44-BED COMMUNITY-BASED HOSPITAL THAT OFFERS BOTH ACUTE CARE AND INPATIENT REHABILITATION CARE. THE HOSPITAL PROVIDES COMPREHENSIVE OUTPATIENT SERVICES AND A VARIETY OF OUTREACH PROGRAMS SUCH AS HOMECARE. ADDITIONALLY, SCCH HAS A 109-BED NURSING CARE FACILITY, FRANCIS MARION MANOR HEALTH AND REHABILITATION (FMM). FMM PROVIDES BOTH SKILLED-LEVEL AND NURSING FACILITY-LEVEL HEALTH CARE SERVICES. (CONTINUED ON SCHEDULE O) (CONTINUED) OUR MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND SMYTH COUNTY COMMUNITY FOUNDATION. IN FEBRUARY 2018, MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND WELLMONT HEALTH SYSTEM (WHS) MERGED TO FORM BALLAD HEALTH, A TAX-EXEMPT ENTITY AND PARENT COMPANY OF MSHA AND WHS. BALLAD OPERATES 3,293 LICENSED BEDS IN 21 HOSPITALS, AN OUTPATIENT ADDICTION TREATMENT FACILITY, LONG-TERM CARE FACILITIES, HOME CARE AND HOSPICE SERVICES, RETAIL PHARMACIES, OUTPATIENT SERVICES AND A COMPREHENSIVE MEDICAL MANAGEMENT CORPORATION. FOR THE YEAR ENDING JUNE 30, 2018, SCCH RECORDED 1,372 INPATIENT HOSPITAL ADMISSIONS AND 284 NURSING HOME ADMISSIONS. THERE WERE 74,951 OUTPATIENT VISITS, 16,459 EMERGENCY VISITS AND 10,891 HOME HEALTH VISITS. SCCH SUBSIDIZED A PHYSICIAN CLINIC LOCATED IN A RURAL, MEDICALLY UNDERSERVED AREA. THE CLINIC ALLOWS RESIDENTS TO RECEIVE QUALITY CARE WITHOUT HAVING TO TRAVEL OUTSIDE OF THEIR HOME AREA. THIS IS ESPECIALLY IMPORTANT FOR ELDERLY RESIDENTS AND OTHERS THAT REQUIRE FAMILY OR FRIENDS TO PROVIDE TRANSPORTATION TO PHYSICIAN APPOINTMENTS. OUR COST DURING THE YEAR TO SUBSIDIZE THE CLINIC WAS 77,863. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) ISSUED A PRESS RELEASE DATED APRIL 11, 2018 STATING THAT THE UNITED STATES COULD SEE A SHORTAGE OF UP TO 120,000 PHYSICIANS BY 2030. THE U.S. POPULATION IS ESTIMATED TO GROW BY NEARLY 11%, WITH THOSE OVER AGE 65 INCREASING 50% BY 2030. MUCH OF THE INCREASED DEMAND COMES FROM A GROWING, AGING POPULATION. THE AGING POPULATION WILL ALSO AFFECT PHYSICIAN SUPPLY SINCE ONE-THIRD OF ALL CURRENTLY ACTIVE DOCTORS WILL BE OLDER THAN 65 IN THE NEXT DECADE AND LIKELY TO RETIRE. THE AAMC POINTS OUT THAT DATA CONDUCTED IN 2017 INDICATED THAT AN ADDITIONAL 31,600 PHYSICIANS WOULD HAVE BEEN NEEDED IF UNDERSERVED POPULATIONS UTILIZED THE SAME HEALTH CARE SERVICES AS INSURED INDIVIDUALS. THE DATA LOOKED AT PEOPLE IN NON-METROPOLITAN AREAS AND PEOPLE WITHOUT INSURANCE COMPARED TO PEOPLE LIVING IN METROPOLITAN AREAS. FURTHERMORE, THE STUDY INDICATED NEARLY HALF OF THE SHORTAGE WAS IN THE SOUTH. SCCH SPENT 329,279 DURING FY18 TO RECRUIT AND RETAIN PHYSICIANS. SCCH RECRUITMENT EFFORTS ARE BASED ON DOCUMENTED COMMUNITY NEED. SCCH IS LOCATED IN A MUA (MEDICALLY UNDERSERVED AREA), AS DESIGNATED BY THE U.S. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA). MUA DESIGNATION INDICATES AN AREA AS: HAVING TOO FEW PRIMARY CARE PROVIDERS, HAVING A HIGH INFANT MORTALITY, A HIGH POVERTY RATE OR A HIGH ELDERLY POPULATION. SCCH, ALONG WITH THE SMYTH COUNTY HOSPITAL HEALTHTRUST AND THE SMYTH COUNTY HEALTH DEPARTMENT, HOSTED THEIR SECOND ANNUAL FREE HEALTH FAIR FOR LOCAL LAW ENFORCEMENT AGENTS IN THE COUNTY. THE ALL-DAY EVENT PROVIDED OFFICERS A VARIETY OF SCREENINGS FREE OF CHARGE, INCLUDING LAB WORK, VISION, SLEEP, VARIOUS VACCINATIONS INCLUDING FLU SHOTS, BLOOD PRESSURE AND BMI CHECKS, AND MORE. GUESTS WERE ABLE TO SPEND TIME WITH HEALTH CARE PROVIDERS AND ASK QUESTIONS ABOUT THEIR RESULTS OR OTHER HEALTH CONCERNS. HEALTH EDUCATION CLASSES WERE PROVIDED THROUGHOUT THE YEAR. FOR EXAMPLE, WE OFFER CPR CLASSES FOR LOCAL BUSINESSES AND AGENCIES AND A JOINT CLASS IS OFFERED FOR PEOPLE WITH HIP AND KNEE PAIN. DURING THE YEAR SCCH HOSTED TWO CHAMBER OF COMMERCE BREAKFASTS. AT THE FIRST BREAKFAST A SURGEON PROVIDED EDUCATION ON BREAST CANCER/BREAST CANCER AWARENESS AND AT THE SECOND BREAKFAST A CARDIOLOGIST PROVIDED EDUCATION ON CARDIOVASCULAR HEALTH. IN AUGUST 2018, SCCH HOSTED THE FIRST MEETING OF THE SOUTHWESTERN CHAPTER OF THE VIRGINIA NURSES ASSOCIATION (VNA). NURSES FROM ACROSS SOUTHWEST VIRGINIA ATTENDED. THE EVENT WAS OPEN TO MEMBERS AS WELL AS NONMEMBERS, BOTH RNS AND LPNS. GUESTS INCLUDED REPRESENTATIVES FROM THE VNA, A DELEGATE FOR THE 5TH DISTRICT OF VIRGINIA, AND A NURSE EDUCATOR AND CO-LEAD OF THE NURSING TASK FORCE AND COALITION FOR NURSES ON BOARDS FOR THE STATE OF VIRGINIA. ATTENDEES WERE PROVIDED UPDATES ON NURSING ACTIVITIES ACROSS THE STATE, UPCOMING CONFERENCES AND SCHOLARSHIP OPPORTUNITIES, UPDATES ON LEGISLATION AND BILLS RELATED TO HEALTH CARE AND NURSING, AND AN INTERACTIVE PROGRAM FOCUSED ON HARNESSING NURSING PERSPECTIVES AND THE VALUE OF NURSES ON BOARDS. SEVERAL SCCH TEAM MEMBERS WERE SELECTED LAST YEAR TO SERVE AS OFFICERS FOR THE SOUTHWESTERN CHAPTER OF THE VNA. IN OCTOBER 2018, SCCH HOSTED A LEGISLATIVE RECEPTION SPONSORED BY THE SOUTHWEST CHAPTER OF THE VNA AND THE VIRGINIA COUNCIL OF NURSE PRACTITIONERS (VCNP). THE EVENT BROUGHT TOGETHER SEVERAL LEGISLATORS AND THEIR REPRESENTATIVES TO TALK ABOUT HEALTHCARE REFORM, FOCAL POINTS FOR THE UPCOMING SESSION AND THEIR POSITION ON VIRGINIA NURSING'S PUBLIC POLICY PLATFORM. MUCH OF THE FOCUS OF THE EVENING WAS TARGETED AT POPULATION HEALTH, PRACTICE AUTHORITY IN THE STATE OF VIRGINIA, EDUCATION RESOURCES TO SUPPORT LOCAL COLLEGES, ESPECIALLY THOSE WITH NURSING PROGRAMS, CURRENT LEGISLATION AROUND THE CARE OF PSYCHIATRIC PATIENTS AND ITS IMPACT ON THE ACUTE CARE SETTING, AND THE OPIOID CRISIS. ATTENDEES CAME FROM ACROSS SOUTHWEST VIRGINIA AND REPRESENTED A VASTLY DIVERSE NURSING POPULATION FROM COLLEGE DEANS TO NURSING STUDENTS TO NURSES WITH THE STATE HOSPITAL AND CORRECTIONAL FACILITIES, AS WELL AS CHIEF NURSING OFFICERS FROM THE REGION, LONG-TERM CARE PROVIDERS, AND ACUTE-CARE NURSES FROM HOME HEALTH AND HOSPITALS. AS WE NOTED ON SCCH'S FY17 FORM 990, MSHA IS ONE OF ONLY 32 ORGANIZATIONS IN THE COUNTRY SELECTED TO BE PART OF THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) NEW INITIATIVE, ACCOUNTABLE HEALTH COMMUNITIES (AHC), AIMED AT IMPROVING THE HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES. THE NEW CMS PROGRAM IS DESIGNED TO INTEGRATE CARE FOR HEALTH-RELATED SOCIAL NEEDS INTO USUAL CARE BY IMPLEMENTING SYSTEMATIC SCREENING, REFERRAL, AND PATIENT NAVIGATION SERVICES FOR NEEDS SUCH AS FOOD INSECURITY, HOUSING INSTABILITY, SAFETY, TRANSPORTATION NEEDS, AND UTILITY ASSISTANCE. MOUNTAIN STATES SERVES AS THE BRIDGE ORGANIZATION FOR THE PROJECT LOCALLY, LEADING A COLLABORATIVE OF MULTIPLE ORGANIZATIONS AND CLINICAL DELIVERY SITES TO BRING NEEDED SERVICES TO BENEFICIARIES RESIDING IN SOUTHWEST VIRGINIA. THE FIRST STEPS IN IMPLEMENTING THE AHC COOPERATIVE AGREEMENT WERE COMPLETED DURING FY18. SIX FULL-TIME TEAM MEMBERS WERE HIRED, WHOSE POSITIONS ARE FINANCED BY THE FEDERAL FUNDS, (3 NAVIGATORS, 1 LEAD NAVIGATOR, 1 SCREENING AND REFERRAL SPECIALIST, AND 1 PROGRAM MANAGER), WHILE THREE FULL-TIME AND ONE PART-TIME NAVIGATOR POSITIONS REMAINED OPEN AS OF 6/30/18. IN ADDITION, MSHA ADMINISTRATIVE TEAM MEMBERS PROVIDED MORE THAN 700 HOURS OF THEIR TIME TO THIS INITIATIVE. WHEN FULLY IMPLEMENTED, OVER 50 UNITS AT CLINICAL DELIVERY SITES IN SOUTHWEST VIRGINIA, INCLUDING SMYTH COUNTY COMMUNITY HOSPITAL, AND NORTHEAST TENNESSEE WILL HAVE A SCREENING PROCESS IN PLACE TO IDENTIFY HEALTH-RELATED SOCIAL NEEDS. PATIENTS THAT SCREEN POSITIVE FOR HEALTH- RELATED SOCIAL NEEDS ARE GIVEN A "COMMUNITY REFERRAL SUMMARY", WHICH CONTAINS CONTACT AND PROGRAM INFORMATION FOR RELEVANT RESOURCES THAT ASSIST WITH THE NEEDS IDENTIFIED BY THE SCREENING. DURING FY18, EDUCATION AND PILOT TESTING FOR SCREENING PROCESSES OCCURRED AT 17 PRIMARY CARE PHYSICIAN OFFICES, TEN EMERGENCY DEPARTMENTS, THREE INPATIENT LABOR AND DELIVERY UNITS, THREE INPATIENT PSYCHIATRY UNITS, AND ONE INTENSIVE OUTPATIENT PSYCHIATRY UNIT. DURING THE FALL OF 2017 AND WINTER OF 2018, A PROCESS WAS TESTED USING A DATA SYSTEM DEVELOPED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. IN TOTAL, 2,547 HEALTH-RELATED SOCIAL NEEDS SCREENINGS OF VIRGINIA MEDICARE AND MEDICAID BENEFICIARIES WERE COMPLETED USING THE SYSTEM. DURING THIS PILOT TESTING, A NUMBER OF OPERATIONAL OBSTACLES WERE IDENTIFIED, INCLUDING DUPLICATIVE DATA ENTRY TASKS, LENGTHY LOG-IN STEPS, AND MANUAL CREATION OF THE COMMUNITY REFERRAL SUMMARIES. DATA ENTRY TIME TOOK TOO LONG, SO MOUNTAIN STATES TRANSITIONED FROM THE CMS DATA SYSTEM TO AN INTERNALLY-PRODUCED SYSTEM. THIS TRANSITION IMPROVED OPERATIONAL EFFICIENCY BY AT LEAST FIVE-FOLD. PATIENT NAVIGATORS WERE TRAINED IN DISCIPLINES SUCH AS MENTAL HEALTH FIRST AID, INTERPERSONAL COMMUNICATION, AND MANY OTHER RELATED TOPICS. THE NAVIGATORS WERE DEPLOYED TO WORK FROM FIVE VIRGINIA COMMUNITY SERVICES BOARDS IN OUR SERVICE AREA. NAVIGATORS WORK FROM COMMUNITY SERVICES BOARDS TO IMPROVE THE REFERRAL PROCESS, AS WE EXPECT A LARGE NUMBER OF BEHAVIORAL HEALTH-RELATIVE NEEDS TO BE IDENTIFIED DURING NAVI

FRANICS MARION MANOR HEALTH AND REHABILITATION (FMM), PROVIDES BOTH SKILLED-LEVEL AND NURSING FACILITY-LEVEL HEALTH CARE SERVICES. THERE WERE 284 ADMISSIONS AND 32,970 PATIENT DAYS DURING FY18.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
Cathy MaineFORMER SCCH0$0
Linda WhiteFORMER SCCH0$0
Gregory RinehardtREHAB THER.40$0
Lori MartinADMINISTRATO45$0
Beldon FlemingPHARMACY MGR45$0
James TylerSCCH CEO45$0
Dr Mike RobinsonDIRECTOR0.2$0
Dr Scott RichardsDIRECTOR0.2$0
Gary PeacockSECRETARY0.3$0
Paul HolcombeDIRECTOR0.3$0
Bryan HaynesDIRECTOR0.2$0
Chelsea Hamman MdDIRECTOR0.2$0
Amanda CurrinCHAIR0.3$0
Andy BlevinsVICE CHAIR0.2$0
John JeterTREAS./CFO5.2$0
Eric Sacknoff MdDIRECTOR30$0
Stan HicksonVP, PRES. SW3.25$0
Brian Miller DoDIRECTOR44$0
Tony KeckMSHA EVP, CP0.1$0

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/201921309349300617_public.xml