Nationally ranked integrated healthcare delivery system 501 c 3 not-for-profit $1.5 billion in annual revenue Headquartered in Roanoke 12,800 employees 1,000 employed providers 7 hospitals Urgent care, home health agencies, retail pharmacies, wellness, patient transportation Children’s Hospital Jefferson College of Health Sciences VTC School of Medicine & Research Institute

Carilion Stonewall Jackson Hospital 80% Carilion Ownership 20% Community Ownership Stonewall Jackson Hospital Community Health Foundation 12 Member Board Asset Oversight 2005

Critical Access Hospital Federal Designation – Received 2004 25 Inpatient Beds 24/7 Emergency Room Services Average Length of Stay < 4 days 35 miles from closest Health Care facility Cost reimbursement

CSJH Services Med Surg ICU OR – General surgery, Orthopaedics, Ophthalmology, Infusion ED Full Line Imaging Services Sleep Center Wound Center Respiratory Services Lab Cardiac Rehab Therapy Services – Physical, Occupational, Speech Cardiovascular Lab

Local Board Members Larry Boetsch Chuck Carr Greg Cavallaro Dr. Crews Buddy Derrick Sidney Evans Dr. Gallagher Juliet Gibson Joseph Hess Farris Hotchkiss Lisa Sprinkle Richard Teaff Kerri Thornton Jay Williams

Swing Beds Number of Admissions FY13 48 FY14 81 FY15 89 FY16 109 Patient / Family satisfier Non-Acute / Lower Level of Care

Statistics Admissions …………………. 1,250 Inpatient Days ……………… 5,209 ED Visits ……………………. 14,501 OR Procedures …………….. 1,738 Imaging Procedures ………. 22,458

American Healthcare Finance 101 2.0 Results in: Unaffordable Insurance for Business and Individuals, rationing, and increased taxes to keep up with it all. Charge Profit Commercial Insurers Profit Cost 1.0 Medicare Loss Medicaid 0.0 Self or No Pay 0% 100%

Closed Rural Hospitals – As of 12/28/16 Source: The Cecil B. Sheps Center for Health Services Research

CIT Assessment Center

Velocity Care Opened June 2016 37 Patients per Day Hours Monday through Saturday 8am – 8pm Sunday 10am – 6pm Test results can be viewed by Carilion PCP or ED physician.

Community Health Needs Assessment Identified 4 top priorities for the community Urgent Care Mental Health Services General Wellness (including nutrition, physical activity, and chronic disease management) Care Coordination How are we helping to address these needs?

Physician Update Dr. Lu – Anesthesiology (on-site) Dr. Pickard – Dermatology (tbd) Dr. Casey – Gynecology (tbd) Dr. Jonas – Gynecology (tbd) Dr. Clemmons (on site) Velocity Care Dr. Childress - Velocity Care

Whites Travel Center

What the patient should see... An Accountable Care Organization (ACO)

Questions