UNC Health Johnston

UNC Health Johnston, located in Smithfield, NC, has been serving Johnston County since 1951. As part of the UNC Health system, we are committed to providing expert care close to home, focusing on quality healthcare and investing in the well-being of our community. Our state-of-the-art facility offers a wide range of medical specialties, including cardiology, oncology, orthopedics, and a birthing center, supported by advanced technology and a team of over 200 physicians. We strive to be the provider and employer of choice, dedicated to making Johnston County a great place to live, work, and play. With a focus on patient comfort, we offer amenities such as private suites, comfortable waiting areas, and ample free parking.

Identifiers

Hospital Name UNC Health Johnston
Facility ID 340090

Location

Address 509 BRIGHT LEAF BLVD
City/Town Smithfield
State NC
ZIP Code 27577
County/Parish JOHNSTON

Health System

Health System UNC Health
Health System Website Domain unchealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 17
Health System Total Beds 3517
Health System Hospital Locations North Carolina

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details UNC Health
Emergency Services Yes

Tommy Williams

Chief Executive Officer

Tommy Williams served as interim CEO at UNC Health Johnston for five months before being named to the permanent position in May, 2020. Before coming aboard, he was a long-time leader at UNC REX Healthcare in Raleigh, most recently as the vice president of Ambulatory and Support Services.

Ruth Marler

Chief Operating Officer, Chief Nursing Officer

Starting in 2008, Ruth Marler was the chief operating officer and chief nursing officer for six years at UNC Health Johnston. In 2015, she accepted operations and nursing oversight for UNC Health Johnston Clayton. She lives in Pine Level with her husband, Jimmy.

April Culver

Vice President, External Affairs

NA

Kyle McDermott

Vice President, Support Services

NA

Rodney McCaskill, MD

Chief Medical Officer

Dr. Rodney McCaskill is the Chief Medical Officer at UNC Health Johnston. He is a member of Wake Emergency Physicians, which provides care in the emergency departments at both campuses. Outside of the hospital, he is the assistant director of Johnston County EMS. He is a graduate of East Carolina University and the Brody School of Medicine. He completed his residency in emergency medicine at the University of North Carolina.

Kevin Cielinski

Vice President, Finance

Kevin Cielinski joined UNC Health Johnston in 2008 and has held a financial leadership position since 2011. His responsibilities include coordination of company financial planning, debt financing and budget management functions. He, his wife Erica and their three children, live in Smithfield.

Robert Cupp

Human Resources Executive

NA

Tracey Carson

Vice President, Clinical Operations

NA

Residency Programs

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

Capacity & Services

Licensed Beds 175

Staffing & Personnel

FTE Employees on Payroll 1317.34
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 12838
Inpatient Days (Title XIX) 3220
Total Inpatient Days 46953
Bed Count 179
Available Bed Days 65335
Discharges (Title V) NA
Discharges (Title XVIII) 2659
Discharges (Title XIX) 807
Total Discharges 12054

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 11913
Inpatient Days (Title XIX; Adults & Peds) 2763
Total Inpatient Days (Adults & Peds) 39486
Bed Count (Adults & Peds) 155
Available Bed Days (Adults & Peds) 56575
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 2659
Discharges (Title XIX; Adults & Peds) 807
Total Discharges (Adults & Peds) 12054

Quality Summary

Care Quality Stengths High overall patient satisfaction. The hospital is average in every measured mortality rate
Care Quality Concerns Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

Hospital Overall Rating

Patient Experience Star Ratings

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

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 69%

Mortality Group Indicators

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

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 202

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -0.5
Readmission Score Hospital Return Days for Heart Failure Patients 10.5
Readmission Score Hospital Return Days for Pneumonia Patients 4.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.7
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 11.3
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.3
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.5
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 20.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 22.5
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.6
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.1
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.073
CAUTI SIR (Standardized Infection Ratio) 1.530
SSI SIR (Standardized Infection Ratio) 1.307
CDI SIR (Standardized Infection Ratio) 0.549
MRSA SIR (Standardized Infection Ratio) 1.023

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $10,696
Bad Debt Expense $42,599
Uncompensated Care Cost $20,128
Total Uncompensated Care $21,279

Operating Expenses ($ thousands)

Total Salaries $124,493
Overhead Expenses (Non-Salary) $175,352
Depreciation Expense $7,007
Total Operating Costs $284,037

Charges ($ thousands)

Inpatient Charges $452,724
Outpatient Charges $845,406
Total Patient Charges $1,298,131

Wage-Related Details ($ thousands)

Core Wage Costs $22,688
Wage Costs (RHC/FQHC)
Adjusted Salaries $124,493
Contract Labor (Patient Care) $6,609
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $61,060
Short-Term Investments
Notes Receivable
Accounts Receivable $27,141
Allowance for Doubtful Accounts
Inventory $6,031
Prepaid Expenses
Other Current Assets $27,841
Total Current Assets $127,096

Balance Sheet – Fixed Assets ($ thousands)

Land Value $6,519
Land Improvements Value $6,244
Building Value $217,617
Leasehold Improvements
Fixed Equipment Value $13,071
Major Movable Equipment $125,804
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $147,219

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $54,943
Other Assets $44,458
Total Other Assets $99,401
Total Assets $373,716

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $7,145
Salaries & Wages Payable $12,499
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $68,415
Total Current Liabilities $88,059

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $75,368
Unsecured Loans
Other Long-Term Liabilities $23,603
Total Long-Term Liabilities $98,970
Total Liabilities $187,029

Balance Sheet – Equity ($ thousands)

General Fund Balance $186,687
Total Fund Balances $186,687
Total Liabilities & Equity $373,716

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,673
DRG (Post-Oct 1) $19,413
Outlier Payments
DSH Adjustment $879
Eligible DSH % $0
Simulated MC Payments $24,733
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $452,724
Outpatient Revenue $877,004
Total Patient Revenue $1,329,728
Contractual Allowances & Discounts $998,010
Net Patient Revenue $331,718
Total Operating Expenses $299,846
Net Service Income $31,873
Other Income $9,871
Total Income $41,743
Other Expenses $22,498
Net Income $19,245

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $41,672
Medicaid Charges $195,680
Net CHIP Revenue $11
CHIP Charges $78

EHR Information

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

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No