Johnson City Medical Center

Johnson City Medical Center, located at 400 N State of Franklin Rd in Johnson City, TN, is a 445-bed regional tertiary referral center and Level 1 Trauma Center, dedicated to providing exceptional care since 1911. As a comprehensive acute-care teaching hospital affiliated with East Tennessee State University, we offer advanced services including heart and cancer care, orthopedics, and neurosurgery. Johnson City Medical Center is also home to Highlands Emergency Air Rescue and Transport (HEART), ensuring critical care access for the region. We are committed to helping you achieve your highest possible level of health with a full range of specialized services and advanced techniques.

Identifiers

Hospital Name Johnson City Medical Center
Facility ID 440063

Location

Address 400 N STATE OF FRANKLIN RD
City/Town Johnson City
State TN
ZIP Code 37604
County/Parish WASHINGTON

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

Kenny Shafer

Chief Executive Officer, Johnson City Medical Center

NA

David Wild, MD

Chief Medical Officer, Southern Region

NA

Chase Wilson

Chief Financial Officer

NA

Davis Greene

Chief Operating Officer

NA

Tara Chadwell

Associate Administrator

NA

Crystal Letterman

Assistant Chief Nursing Officer

NA

Alison Johnson

Chief Nursing Officer

Began her role as chief nursing officer of Johnson City Medical Center on Oct. 6 [3]. She has served at Johnson City Medical Center since 2004, starting as a bedside nurse and rising through the leadership ranks [3]. Before her tenure as CNO, she served as director of critical care and led the hospital's critical care stepdown and respiratory therapy departments [2]. She previously served as the hospital's assistant chief nursing officer [3]. She holds bachelor of science degrees in business management and nursing from East Tennessee State University, and she earned her master of science in nursing from King University [3]. She was a 2018 “40 under Forty Honoree” and a 2020 Healthcare Hero, both selected by the Business Journal of Tri-Cities/Virginia [3].

Residency Programs

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

Capacity & Services

Licensed Beds 585

Staffing & Personnel

FTE Employees on Payroll 1868.36
FTE Interns & Residents 115.87

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 23701
Inpatient Days (Title XIX) 10408
Total Inpatient Days 142668
Bed Count 537
Available Bed Days 196005
Discharges (Title V) NA
Discharges (Title XVIII) 4357
Discharges (Title XIX) 1587
Total Discharges 26947

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 21416
Inpatient Days (Title XIX; Adults & Peds) 7394
Total Inpatient Days (Adults & Peds) 113663
Bed Count (Adults & Peds) 408
Available Bed Days (Adults & Peds) 148920
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 4357
Discharges (Title XIX; Adults & Peds) 1587
Total Discharges (Adults & Peds) 26947

Quality Summary

Care Quality Stengths Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Low overall patient satisfaction. Patients report that the care team can be slow at times in meeting their needs. Patients report challenges the cleanliness of the hospital. Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated Hospital does not do a good job of treating conditions like heart attacks so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital.

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 49%

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 Worse Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients Worse Than National Average
Mortality Group – Death Rate for Pneumonia Patients Worse Than National Average
Mortality Group – Death Rate for Stroke Patients Worse Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications Worse 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) 198

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 17.5
Readmission Score Hospital Return Days for Heart Failure Patients 18.8
Readmission Score Hospital Return Days for Pneumonia Patients 27.1
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.8
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.6
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 4.8
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 15.2
Readmission Score Rate of Readmission for CABG 12.5
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.7
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.4
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.7
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 18.2
Readmission Group Hospital Return Days for Heart Attack Patients More Days Than Average 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 More 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 No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
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) 1.042
CAUTI SIR (Standardized Infection Ratio) 0.928
SSI SIR (Standardized Infection Ratio) 1.986
CDI SIR (Standardized Infection Ratio) 0.315
MRSA SIR (Standardized Infection Ratio) 0.910

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $21,102
Bad Debt Expense $32,049
Uncompensated Care Cost $26,591
Total Uncompensated Care $26,591

Operating Expenses ($ thousands)

Total Salaries $159,939
Overhead Expenses (Non-Salary) $432,910
Depreciation Expense $18,554
Total Operating Costs $491,046

Charges ($ thousands)

Inpatient Charges $1,725,495
Outpatient Charges $1,266,325
Total Patient Charges $2,991,820

Wage-Related Details ($ thousands)

Core Wage Costs $27,505
Wage Costs (RHC/FQHC)
Adjusted Salaries $131,808
Contract Labor (Patient Care) $35,755
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-33
Short-Term Investments
Notes Receivable
Accounts Receivable $372,932
Allowance for Doubtful Accounts $-301,831
Inventory $12,934
Prepaid Expenses $2,471
Other Current Assets
Total Current Assets $111,432

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,403
Land Improvements Value $7,461
Building Value $322,008
Leasehold Improvements $231
Fixed Equipment Value $281,102
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $188,600

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $14,501
Total Other Assets $14,501
Total Assets $314,533

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $27,889
Salaries & Wages Payable $16,571
Payroll Taxes Payable
Short-Term Debt $4,599
Deferred Revenue
Other Current Liabilities $332
Total Current Liabilities $51,189

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $12,923
Total Long-Term Liabilities $12,923
Total Liabilities $64,112

Balance Sheet – Equity ($ thousands)

General Fund Balance $250,421
Total Fund Balances $250,421
Total Liabilities & Equity $314,533

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $10,252
DRG (Post-Oct 1) $35,876
Outlier Payments
DSH Adjustment $2,687
Eligible DSH % $0
Simulated MC Payments $86,083
Total IME Payments $4,186

Revenue & Income Statement ($ thousands)

Inpatient Revenue $2,083,951
Outpatient Revenue $908,161
Total Patient Revenue $2,992,111
Contractual Allowances & Discounts $2,446,013
Net Patient Revenue $546,098
Total Operating Expenses $592,849
Net Service Income $-46,751
Other Income $28,617
Total Income $-18,134
Other Expenses $202
Net Income $-18,336

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $62,282
Medicaid Charges $469,435
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