Ashe Memorial Hospital

**Option 1 (Focus on Community & Comprehensive Care):** For over 80 years, Ashe Memorial Hospital has been dedicated to providing the highest quality medical care to the people of Jefferson, Ashe County, and surrounding areas in the Blue Ridge Mountains. As a full-service medical center, we offer a wide range of services, from 24/7 emergency care and the Mountain Family Care Center to prenatal care at the Wilma Vannoy Birthing Center, rehabilitation services, and advanced surgeries. Our board-certified physicians, nurses, and staff are members of your community, committed to keeping you and your family healthy, close to home. At Ashe Memorial Hospital, you'll receive the routine and emergency care you expect, along with wellness services and community resources that might surprise you. **Option 2 (Focus on Advanced Services & Patient-Centered Approach):** Ashe Memorial Hospital in Jefferson, NC, combines advanced medical technology with a patient-centered approach to deliver exceptional healthcare. Our services include a 24-hour emergency room, urgent care, orthopedics, oncology, women's health services, and rehabilitation. We focus on providing patient-centered, high-quality healthcare to meet the needs of our community. Experience the difference of personalized care at Ashe Memorial Hospital, where your health is our priority. **Option 3 (Short & Sweet):** Ashe Memorial Hospital is your community healthcare provider in Jefferson, NC, offering quality and compassionate care close to home. We provide a wide range of services, including emergency care, family care, and specialized treatments. Our mission is to meet the needs of the community by delivering patient-centered, high-quality healthcare.

Identifiers

Hospital Name Ashe Memorial Hospital
Facility ID 341325

Location

Address 200 HOSPITAL AVE
City/Town Jefferson
State NC
ZIP Code 28640
County/Parish ASHE

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 76
Health System Hospital Locations North Carolina

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Independent
Emergency Services Yes

Brian Yates

Chief Executive Officer

Quoted regarding the hospital's safety award and the opening of Ashe Urology. [2, 5, 14]

Laura Lambeth

Chief Executive Officer

RN, BSN, MHS. Had a plan to improve the hospital's financial situation. [4, 11]

Charles Wright

CFO

Based in Jefferson, North Carolina. [3]

JoAnn Smith

Chief Nursing Officer

Quoted regarding a nurse receiving the Great 100 award. [5]

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 76

Staffing & Personnel

FTE Employees on Payroll 245.48
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1563
Inpatient Days (Title XIX) 112
Total Inpatient Days 3862
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 381
Discharges (Title XIX) 38
Total Discharges 1043

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1500
Inpatient Days (Title XIX; Adults & Peds) 104
Total Inpatient Days (Adults & Peds) 3606
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 381
Discharges (Title XIX; Adults & Peds) 38
Total Discharges (Adults & Peds) 1043

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
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 60%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
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
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 180

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -12.3
Readmission Score Hospital Return Days for Pneumonia Patients -29.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 15.2
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.2
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.8
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.7
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Fewer Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
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 Number of Cases Too Small
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) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense $48
Uncompensated Care Cost $17
Total Uncompensated Care $211

Operating Expenses ($ thousands)

Total Salaries $15,826
Overhead Expenses (Non-Salary) $23,275
Depreciation Expense $1,305
Total Operating Costs $32,208

Charges ($ thousands)

Inpatient Charges $13,519
Outpatient Charges $77,977
Total Patient Charges $91,496

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $7,153
Short-Term Investments $4
Notes Receivable
Accounts Receivable $18,099
Allowance for Doubtful Accounts $-13,949
Inventory $1,366
Prepaid Expenses $329
Other Current Assets
Total Current Assets $12,419

Balance Sheet – Fixed Assets ($ thousands)

Land Value $175
Land Improvements Value $1,367
Building Value $19,211
Leasehold Improvements
Fixed Equipment Value $617
Major Movable Equipment $17,911
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $9,358

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $621
Other Assets $11
Total Other Assets $632
Total Assets $22,409

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $1,657
Salaries & Wages Payable $327
Payroll Taxes Payable $102
Short-Term Debt $58
Deferred Revenue
Other Current Liabilities $1,107
Total Current Liabilities $3,251

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $2,088
Unsecured Loans
Other Long-Term Liabilities $-58
Total Long-Term Liabilities $2,030
Total Liabilities $5,281

Balance Sheet – Equity ($ thousands)

General Fund Balance $17,128
Total Fund Balances $17,128
Total Liabilities & Equity $22,409

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $13,714
Outpatient Revenue $82,477
Total Patient Revenue $96,191
Contractual Allowances & Discounts $54,548
Net Patient Revenue $41,643
Total Operating Expenses $45,897
Net Service Income $-4,254
Other Income $4,909
Total Income $655
Other Expenses
Net Income $655

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $2,919
Medicaid Charges $8,847
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH MAGIC
EHR Version MAGIC
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No