Appalachian Regional Behavioral Health Hospital

Appalachian Regional Behavioral Health Hospital, located at 432 Hospital Dr in Linville, NC, is a haven for healing and empowerment. As a 27-bed inpatient facility, we provide top-tier treatment in a healing environment filled with natural light and stunning mountain views. Our dedicated professionals partner with you to offer coping skills and therapy to help you thrive. With a 96% patient and family satisfaction rate, we are committed to providing a safe and secure space for mental health patients. Walk-ins are welcome for assessments to determine the best course of care, and we offer 24-hour emergency support for active clients.

Identifiers

Hospital Name	Appalachian Regional Behavioral Health Hospital
Facility ID	344034

Location

Address	432 HOSPITAL DR
City/Town	Linville
State	NC
ZIP Code	28646
County/Parish	AVERY

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	Psychiatric
Hospital Ownership	Voluntary non-profit - Private
Ownership Details	UNC Health
Emergency Services	No

Stephanie Greer

President, Appalachian Regional Behavioral Health

NA

Ivy de León

FNP-C

Specialties: Psychiatry and Psychology

Gregory Edwards

PMHNP-BC

Specialties: Psychiatry and Psychology

David H. Johnson

NP

Specialties: Psychiatry and Psychology

Holly Rose McNew

MD

Specialties: Psychiatry and Psychology

Steven E. Sand

MD

Specialties: Psychiatry and Psychology

Jessica L. Storer

NP, PMHNP

Specialties: Psychiatry and Psychology

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	29

Staffing & Personnel

FTE Employees on Payroll	47.48
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	311
Inpatient Days (Title XIX)	709
Total Inpatient Days	3954
Bed Count	37
Available Bed Days	9657
Discharges (Title V)	NA
Discharges (Title XVIII)	31
Discharges (Title XIX)	102
Total Discharges	569

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	311
Inpatient Days (Title XIX; Adults & Peds)	709
Total Inpatient Days (Adults & Peds)	3954
Bed Count (Adults & Peds)	37
Available Bed Days (Adults & Peds)	9657
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	31
Discharges (Title XIX; Adults & Peds)	102
Total Discharges (Adults & Peds)	569

Quality Summary

Care Quality Stengths	The hospital is average in every measured mortality rate
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

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
Mortality Group – Death Rate for Heart Failure Patients
Mortality Group – Death Rate for Pneumonia Patients
Mortality Group – Death Rate for Stroke Patients
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)	NA

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	NA
Readmission Score Hospital Return Days for Heart Failure Patients	NA
Readmission Score Hospital Return Days for Pneumonia Patients	NA
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	NA
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	NA
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	NA
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	NA
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	NA
Readmission Score Rate of Readmission for CABG	NA
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	NA
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	NA
Readmission Score Rate of Readmission After Hip/Knee Replacement	NA
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	NA
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	NA
Readmission Group Hospital Return Days for Heart Attack Patients	NA
Readmission Group Hospital Return Days for Heart Failure Patients	NA
Readmission Group Hospital Return Days for Pneumonia Patients	NA
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	NA
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	NA
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	NA
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	NA
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	NA
Readmission Group Rate of Readmission for CABG	NA
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	NA
Readmission Group Heart Failure (HF) 30-Day Readmission Rate	NA
Readmission Group Rate of Readmission After Hip/Knee Replacement	NA
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide)	NA
Readmission Group Pneumonia (PN) 30-Day Readmission Rate	NA

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 13, 2022
Fiscal Year End	Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense
Uncompensated Care Cost
Total Uncompensated Care

Operating Expenses ($ thousands)

Total Salaries	$2,650
Overhead Expenses (Non-Salary)	$6,077
Depreciation Expense	$243
Total Operating Costs	$7,679

Charges ($ thousands)

Inpatient Charges	$8,468
Outpatient Charges	$31
Total Patient Charges	$8,498

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	$1,213
Short-Term Investments
Notes Receivable	$-8,370
Accounts Receivable	$2,124
Allowance for Doubtful Accounts	$-348
Inventory	$22
Prepaid Expenses
Other Current Assets
Total Current Assets	$-5,360

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets	$-5,360

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$104
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities	$104

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities	$104

Balance Sheet – Equity ($ thousands)

General Fund Balance	$-5,464
Total Fund Balances	$-5,464
Total Liabilities & Equity	$-5,360

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	$9,738
Outpatient Revenue	$41
Total Patient Revenue	$9,780
Contractual Allowances & Discounts	$6,792
Net Patient Revenue	$2,988
Total Operating Expenses	$8,727
Net Service Income	$-5,739
Other Income	$304
Total Income	$-5,435
Other Expenses
Net Income	$-5,435

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Epic
EHR Version	EpicCare Inpatient (not Community Connect)
EHR is Changing	Yes--In Process of Replacing

ERP Information

ERP	Infor
ERP Version	Unknown
EHR is Changing	No