Lonesome Pine Hospital

Lonesome Pine Hospital, located at 1990 Holton Avenue East in Big Stone Gap, VA, has been serving Wise County for 50 years by providing high-quality emergency and inpatient care. As part of Ballad Health, we offer comprehensive services, including cancer care at the Southwest Virginia Cancer Center, radiology, physical therapy, and surgical services. Our 71-bed facility is undergoing renovations to expand our wellness center and enhance the emergency department, demonstrating our commitment to the community's health. Lonesome Pine Hospital is also nationally recognized for medical excellence, particularly in pulmonary care. We are dedicated to improving the health of our region through exceptional care and advanced medical services.

Identifiers

Hospital Name Lonesome Pine Hospital
Facility ID 490114

Location

Address 1990 HOLTON AVENUE EAST
City/Town Big Stone Gap
State VA
ZIP Code 24219
County/Parish WISE

Health System

Health System Ballad Health
Health System Website Domain balladhealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 16
Health System Total Beds 2519
Health System Hospital Locations Tennessee and Virginia

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Ballad Health
Emergency Services Yes

Shannon Showalter

Vice President, Chief Executive Officer for Lee, Wise and Dickenson counties

NA

Cynthia Elkins

Assistant Vice President & Administrator

Cindy Elkins has been selected to serve as the next administrator and assistant vice president for Lee County Community Hospital and Lonesome Pine Hospital. [7] She transitioned into her new role in January and will lead the day-to-day administrative operations for Lee County Community and Lonesome Pine. [7] She will also coordinate service line functions for those facilities and serve as a key member of Ballad Health's market leadership team in Lee, Wise and Dickenson counties. [7] Elkins earned her bachelor's degree from Virginia Commonwealth University's School of Pharmacy in Richmond, Virginia, and holds a board certification as a pharmacotherapy specialist. [7] She is married with two adult children. [7]

Dr. Herb Ladley

Chief Medical Officer

NA

Jeremy Carlson

Chief Nursing Officer

NA

Valeri Colyer

Director, Human Resources

NA

Residency Programs

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

Capacity & Services

Licensed Beds 178

Staffing & Personnel

FTE Employees on Payroll 394.13
FTE Interns & Residents 34.87

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 3067
Inpatient Days (Title XIX) 787
Total Inpatient Days 13226
Bed Count 56
Available Bed Days 20440
Discharges (Title V) NA
Discharges (Title XVIII) 898
Discharges (Title XIX) 72
Total Discharges 3577

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2653
Inpatient Days (Title XIX; Adults & Peds) 62
Total Inpatient Days (Adults & Peds) 10375
Bed Count (Adults & Peds) 44
Available Bed Days (Adults & Peds) 16060
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 898
Discharges (Title XIX; Adults & Peds) 72
Total Discharges (Adults & Peds) 3577

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does a good job at treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns NA

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 68%

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
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
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
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
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) 142

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -31.7
Readmission Score Hospital Return Days for Pneumonia Patients 16.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.4
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.9
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.3
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
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 18.7
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.2
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Fewer Days Than Average 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 Number of cases too small
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) 3.010
CAUTI SIR (Standardized Infection Ratio) 0.398
SSI SIR (Standardized Infection Ratio) 2.065
CDI SIR (Standardized Infection Ratio) 0.413
MRSA SIR (Standardized Infection Ratio) 0.000

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,118
Bad Debt Expense $3,315
Uncompensated Care Cost $1,724
Total Uncompensated Care $1,724

Operating Expenses ($ thousands)

Total Salaries $35,343
Overhead Expenses (Non-Salary) $110,130
Depreciation Expense $7,352
Total Operating Costs $112,045

Charges ($ thousands)

Inpatient Charges $147,272
Outpatient Charges $685,131
Total Patient Charges $832,403

Wage-Related Details ($ thousands)

Core Wage Costs $4,475
Wage Costs (RHC/FQHC)
Adjusted Salaries $29,261
Contract Labor (Patient Care) $5,928
Wage Costs (Part A Teaching) $78
Wage Costs (Interns & Residents) $127

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $79
Short-Term Investments
Notes Receivable
Accounts Receivable $73,934
Allowance for Doubtful Accounts $-58,120
Inventory $1,982
Prepaid Expenses $224
Other Current Assets
Total Current Assets $24,361

Balance Sheet – Fixed Assets ($ thousands)

Land Value $3,774
Land Improvements Value $2,143
Building Value $91,241
Leasehold Improvements $1,713
Fixed Equipment Value $13,432
Major Movable Equipment $57,213
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $46,164

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $11,167
Total Other Assets $11,167
Total Assets $81,692

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $10,967
Salaries & Wages Payable $4,439
Payroll Taxes Payable
Short-Term Debt $441
Deferred Revenue
Other Current Liabilities $246
Total Current Liabilities $16,256

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $21,932
Unsecured Loans
Other Long-Term Liabilities $6,447
Total Long-Term Liabilities $28,378
Total Liabilities $44,635

Balance Sheet – Equity ($ thousands)

General Fund Balance $37,058
Total Fund Balances $37,058
Total Liabilities & Equity $81,692

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,751
DRG (Post-Oct 1) $5,291
Outlier Payments
DSH Adjustment $211
Eligible DSH % $0
Simulated MC Payments $11,936
Total IME Payments $1,297

Revenue & Income Statement ($ thousands)

Inpatient Revenue $149,242
Outpatient Revenue $683,170
Total Patient Revenue $832,412
Contractual Allowances & Discounts $656,810
Net Patient Revenue $175,602
Total Operating Expenses $145,473
Net Service Income $30,129
Other Income $4,266
Total Income $34,395
Other Expenses
Net Income $34,395

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $14,701
Medicaid Charges $154,579
Net CHIP Revenue
CHIP Charges

EHR Information

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

ERP Information

ERP Infor
ERP Version Cloudsuite
EHR is Changing No