1. Lewis Gale Regional Health System
HCA Virginia

2. Geographic Location of Services
Southwest Virginia

3. Ownership Parent company is Hospital Corporation of America (HCA Inc.)
headquartered in Nashville, Tennessee
nation's leading provider of healthcare services
comprised of locally managed healthcare facilities
hundreds of hospitals and freestanding surgery centers in 20 states and England.
LewisGale is part of HCA's Capital Division.
Chairman and Chief Executive Officer of HCA-- Milton Johnson

4. Type For profit Multihospital system
Acute Services and Post-acute Services
e.g. subacute, outpatient, long-term care
vertical integration
physician-hospital organization

5. Network 4 hospitals 6 outpatient centers 2 cancer centers
Imaging centers
Surgery centers
700 physicians
>160 affiliated locations

6. Services *Core Services listed in blue Heart and Vascular Care
Tests & Imaging
Gastrointestinal
Dermatology
Rehabilitation
Urogynecology
Ophthamology
Wound Healing
Pulmonary Care
Orthopedic and Spine Care
Oral Surgery & Pediatric Dentistry
Urology
Palliative Care
Workplace Wellness
Inner Workings of Hip, Knee, Shoulder
Pain Management
Services
Sports Medicine
Primary Care
Sleep Center
Nephrology
Surgical
Podiatry
Women’s Care
Diabetes
Emergency
Allergy & Immunology
Cancer Care
Neuro & Stroke
Senior Care
Ear, Nose,Throat
ICU/NICU
Mental Health Care
Arthritis & Rheumatology
Endrocrinology
Hematology
InfectiousDisease

7. Leadership Lewis Gale Regional Health System Administrative Team
Jon Bartlett - President/CEO
Angela Reynolds – Chief Financial Officer
Jayme Carrico – VP Oncology Services
Loressa Cole - Chief Nurse Executive 
Nancy May – VP Public Relations & Marketing
Scott Kendrick - VP Cardiovascular Services
Open Position – VP Orthopedic & Spine Services
Paula Mitchell – VP Behavioral Health Services
RJ Redstrom – VP Human Resources
Steven Urglavitch – Assistant VP Sales

8. Insurance & Billing
Participate in all major insurance and managed care programs in Southwest Virginia
Charity care and financial discount policy
free hospital care for patients that have received non-elective care, who do not meet qualifications for Medicaid, and whose income is less than 200% of the Federal Poverty Level (with proper documentation)
patients not meeting the charity criteria and expected to pay out of pocket are offered a managed care like discount
All uninsured patients (except those getting cosmetic procedures and certain "package" procedures) are given an uninsured discount.

9. Other financial services
Financial counselors
“Healthcare Payment System” online
 Online Cost Estimates

10. Rehab Services Full continuum of rehab services
acute care
inpatient rehab
outpatient and sports medicine clinics
Outpatient: offer one-on-one 45-minute treatment sessions by licensed therapists.
Physician referral required for all rehab services

11. 4 Hospital Facilities
Montgomery: 146 bed, general acute care, Level III trauma center
Pulaski: 54 beds, general medical and surgical
Alleghany: 204 beds
Regional Medical Center-Salem: 506 beds, serves as a regional referral center for comprehensive medical services

12. Focusing on Montgomery
Magnet recognition for nursing excellence
designation held by less than seven percent of U.S. hospitals
Leadership
Chief Executive Officer – Alan Fabian
Chief Operating Officer – Matt Mathias
Chief Financial Officer – Tim Haasken

13. LewisGale Hospital Montgomery Board Officers
Aaron Prussin, M.D., ENT, LewisGale Physicians – Chairperson
Dr. Jack Lewis, President, New River Community College – Vice Chairperson
Alan Fabian, Chief Executive Officer, LewisGale Hospital Montgomery – Secretary - Treasurer
Joseph Joyce, M.D. – Chief of Medical Staff Ellen Linkenhoker – Chief Nursing Officer
LewisGale Hospital Montgomery Board Members
Michael Aronson, M.D.
Larry Ball, CEO, MOOG Components Group
Richard Ballengee, Mayor, Town of Christiansburg
Mildred Johnson, Director of Undergraduate Admissions, VT
Jim Rakes, President and CEO, National Bankshares Inc. and NBB
Joe Meredith, Ph.D., President, Virginia Tech Corporate Research Center
Ron Rordam, Mayor, Town of Blacksburg
Kristi Snyder, Administrator, Rainbow Riders
David Stoeckle, M.D., LewisGale Physicians

14. Comments
Montgomery Regional is an excellent leadership example because the team represents a diverse cross section of the community in order to satisfy the complex dynamic of a small town/rural area that is home to a major university and it’s subsequent infrastructure and population
Lewis Gale is a comprehensive regional health system that is managed by a national company, but seems to do a good job addressing local needs and utilizing/embracing local leadership.

15. Resources http://lewisgale.com/ http://hcahealthcare.com/
Sandstrom, R.W., Lohman, H.L., & Bramble, J.D. (2014). Health Services: Policy and Systems for Therapists, 3 ed. New Jersey: Pearson Education, Inc.