Brock Hughes Medical Center Annual Report Fiscal Year 2023-2024

F I S C A L Y E A R O C T 2 0 2 3 – S E P T 2 0 2 4 A N N U A L R E P O R T

THE MISSION of Brock Hughes Medical Center is to provide affordable, compassionate, and high-quality medical, pharmaceutical, and preventive health care services to the uninsured and insured residents of Wythe and Bland Counties.

We believe that every person has the right to health care services that are:

A B O U T U S

VISION

Brock Hughes Medical Center envisions a community of healthy people made possible through accessible and dignified health care services for all.

Accessible Affordable Culturally Appropriate

High-Quality Equitable Timely

BOARD OF D I RECTORS Julia S. Jackson King, Chair Gary Houseman, Vice-Chair Sarah Sarver, Secretary Barb Sewell, Treasurer Kimberly Ayers, Parliamentarian Michael Cole Lennon Counts Amie Harden Curtis Hawkins Joe Salerno Sheri Shelton Allyson Williams Cassie Yonce

CORE VALUES

Delivered with Dignity and Respect

• Accountability • Collaboration • Cost-Effectiveness

• Prevention • Responsiveness • Transparency

• Community Wellness • Flexibility

Top left (left to right) : Julia S. Jackson King and Kimberly Ayers both served on the Board of Directors from January 2019-December 2024. Julia served as Chair of the Board of Directors from January 2020-December 2024. As Chair, Julia served on the Executive, Finance, Personnel, Governance, and Development Committees. Kimberly served as Parliamentarian of the Board of Directors from January 2022-December 2024. Kimberly served on the Personnel Committee but was also a volunteer for “Trivia Night” at 7 Dogs Brewpub; a weekly event coordinated by the Development Committee since 2022. Bottom left (left to right) : Chair Julia handed her gavel over to new Chair, Lennon Counts .

STATEMENT OF DIVERSITY

At BHMC, our commitment to diversity is simple — it’s about embracing everyone. We ensure each person feels seen, included, and valued: patients, staff members, volunteers, students and board members.

O U R H I S T O R Y

F R O M T H E C H A I R

the most out of every dollar. The clinic has taken on the role of not just treating patients with acute and chronic health conditions, but also providing community wellness and education opportunities to preserve the health state of the community prior to the occurrence of disease. The current staff and service providers have embraced the roles of wellness experts and have established programs such as chronic care management, medication reconciliation, continuous blood glucose monitoring, Blue Bag Program, annual wellness visits and immunizations, as well as disease state education and self-care education. The clinic has taken responsibility for provision of medical transportation financial assistance, with funding from the Wythe-Bland Foundation, for consultative medical appointments to regional providers. BHMC has also partnered with Big Walker Dentistry to refer patients for needed dental interventions and with the Virginia Telemental Health Initiative (VTMHI) to offer behavioral health services via telehealth. The clinic realizes that without the ongoing support of the community it serves the services listed above would not be possible and the clinic’s role in the community would regress. We are grateful for the support of so many donors who have given so generously to our cause. 2025 marks the 30th anniversary of the Brock Hughes Free Clinic formation. As we celebrate this landmark anniversary, the Clinic and I look forward with great anticipation toward the opportunities that lie ahead for growth and further ministry to those citizens of Wythe and Bland Counties who depend upon BHMC for their healthcare now, for another 30 years, and beyond. I know that I will be cheering it on and I am sure you will be, too!

2025 marks a time of change and transition for the Brock Hughes Medical Center (BHMC) and for me. The Clinic will be celebrating 30 years of service to the citizens of Wythe and Bland Counties, providing low cost, compassionate, and high-quality medical, pharmaceutical, and preventive health care. I am rotating off the Board of Directors after fulfilling my 6 year term, five of which was as Chair. So what have we accomplished? The clinic was born in 1995 out of the compassion of volunteer nurses and medical practitioners who sought to provide basic health care to those citizens of Wythe and Bland counties who could not afford or access health care services otherwise. It was primarily a part-time endeavor working out of a variety of rented facilities and providing well-intentioned but basic primary care services. Since that time, the clinic has grown to the entity it is today — a robust hybrid clinic which not only serves the underinsured and uninsured with low-cost but high quality medical care, but also serves individuals who are insured but who choose BHMC as their primary health care provider for the warm, caring atmosphere and convenience of schedule and location. The clinic now has a permanent home located on West Monroe Street in Wytheville which is modern, bright and appealing. The clinic employs 10 full and part time staff, including a nurse practitioner, medical director, a pharmacist, pharmacy technician, and several health care support and administrative personnel. From humble beginnings to its current status as a valuable pillar of the community, BHMC has grown with the ever-changing healthcare industry while still maintaining that home grown atmosphere of compassionate service. As I reflect on these past 6 years, I realize that I have been privileged to witness the establishment of our current clinic as an in-demand hybrid care provider while weathering the unprecedented challenges of low reimbursement rates by insurers and the global pandemic health crisis. Through it all, the clinic has sought diversified funding sources to allow for continued provision of high-quality health care, as well as strategizing ways to optimize the funding that has been received, squeezing

Brock Hughes Free Clinic begins at the Wythe County Health Department. Relocated to the Edgemont Center, staffed by part time employees, with clinic hours during the day. *More accessible for patients

1995

1997

2004

Received 501(c)(3) nonprofit status.

2010

Relocated to the leased Pine Street location.

Began doing business as Brock Hughes Medical Center (BHMC). relocated to 450 West Monroe Street. The building was purchased with a grant from the Wythe-Bland Foundation, allowing for funds to be allocated to services instead of lease payments. BHMC began offering primary healthcare services to children under 18. Began offering the Medication Assistance Program to anyone in the community needing assistance with obtaining prescriptions, insured or uninsured. After extensive interior renovations, the clinic Medicaid expanded in Virginia and BHMC became a hybrid clinic, providing services to patients of all ages who are uninsured or insured with Medicaid or Medicare. *Some commercial insurances accepted Began offering lab services onsite, Covid testing and treatment, and Chronic Care Management program. Partnered with Bland Ministry Center to provide dental services to BHMC patients in the same building (Big Walker Dentistry). Began offering monthly wellness classes and the Medical Transportation Assistance Program for the Wythe-Bland communities. Completed “Project Raise the Roof” renovations. Partnered with VTMHI to offer telehealth behavioral health services to the uninsured and Medicaid patients at BHMC. Began offering VHSL sports physicals. Kicked off the “Raise the Roof” campaign to raise funds for a new roof and parking lot.

2013

2014

2016

2017

2019

2020

2021

Julia S. Jackson King Chair, Board of Directors

2022

2023

F I N A N C I A L R E P O R T ( U N A U D I T E D ) Grants 58%

I N C OM E

Donations

$57,110

Grants

$557,818 $43,659 $234,174 $32,974 $48,622 $974,357

Donations 6%

In-kind, Net

Clinic Fees, Net Special Events

Other/Misc 5%

Other/Miscellaneous

TOTAL

In-kind, Net

Clinic Fees, Net 24%

4% Special Events 3%

Fundraising 1%

Program Services

$914,138 $102,353

Management & General 10%

Management & General

Fundraising

$11,917

Program Services 89%

TOTAL

$1,028,408

E X P E N S E S

For every $100 donated to BHMC, $89 is spent on program services.

Without reservation, I recommend BHMC for your healthcare needs. They have wonderful providers who listen, value your input, provide treatment options and make decisions collaboratively. The caring support staff always provide excellent customer service. —Current Patient

P R O G R A M S E R V I C E S

ACUTE CARE Colds, Strep & Flu Covid Testing Covid Treatment Ear Infections & Drainage Injuries Sinus Infections Urinary Tract Infections Injections Minor skin procedures (skin tag, lesion, cyst removal)

CHRONIC CARE Diabetes

PHARMACY Prescriptions for uninsured patients Medication Reconciliation Disease State Education Chronic Care Management Continuous Glucose Monitoring (CGM) Nutritional Counseling

PREVENTIVE & ROUTINE MEDICINE Annual Wellness Visits Sports Physicals Immunizations Blood Pressure Screenings Cholesterol Screenings Skin Checks Self-Care Education Emotional Wellness Coaching

Heart Disease Hypertension High Cholesterol COPD Thyroid Disease Migraines Depression/Anxiety

OTHER SERVICES Laboratory Onsite Specialist & Diagnostic Testing Referrals

SERVICES AVAILABLE TO THE COMMUNITY: Medication Assistance Program Medical Transportation Assistance Program Healthy Lifestyle Series

C OMM U N I T Y I M P A C T

47 Unduplicated Pediatric Patients (patients under 18) 52 Patients enrolled in Chronic Care Management Program (CMM)

767 Unduplicated Adult Patients

3,592 Total Visits/ Encounters

110 New Patients

20 Continuous Glucose Monitoring (CGM) Patients actively enrolled in

Total Attendees in the 6 Monthly Health Education Classes 67

9,189 Prescriptions (provided on-site)

ME E T Alicia

A licia Grizzle is a long-term employee of a local nursing home in the admissions department. Her employer offers health insurance, however, being a single mother and always conscientious of her finances like so many others, she found it very difficult to

seen by the clinic; she feared her income was too high to qualify for services. She was shocked that BHMC was in fact able to see her. When she established care as a new patient at BHMC in May 2024, her A1C was 10.1%. The American Diabetes Association (ADA) recommends an A1C goal of less than 7% for most adults with diabetes. Her level was high because she had been unable to afford the diabetic medications. She was relieved to learn she could in fact obtain the diabetic medications she desperately needed through the prescription assistance program at BHMC, with the help of Medication Assistance Coordinator Teresa Gilman, CPhT. Alicia participates in BHMC’s Chronic Care Management program, which allows her the opportunity for individualized visits with Keri Sword, Pharmacist and Certified Diabetes Care & Education Specialist for the clinic. Participation in this program provides her with Continuous Glucose Monitoring equipment. According to her most recent lab work, her A1C was at 7.1%, almost at the goal for those with Type 2 diabetes. “The regular visits with Dr. Sword help me stay on track, knowing someone is watching over me. The attentive and caring staff, coupled with the services BHMC offers, make it possible for me to take care of my health, and family, and feel better than I have since being diagnosed as diabetic.”

afford the cost of the insurance. After being diagnosed with diabetes, she was very disheartened that her high-premium health insurance would not cover most of the diabetic medications she needed. She found herself unable to seek the necessary treatment for her chronic disease. Alicia saw several different providers and even a diabetes specialist, but she felt that no one truly cared about her on a personal level or about her inability to afford her medications. “I felt like I was at a dead end, consistently running into a brick wall, despite my efforts to take care of my health.” A co worker recommended Brock Hughes Medical Center (BHMC). Initially, Alicia did not believe that she would be able to be

GOL F TOURNAME NT H E L D A T T H E W Y T H E V I L L E GO L F C L U B

Thank You TO OUR SPONSORS, TEAMS, & VOLUNTEERS

SPONSORS : TEAMS: 29 7 Gold 6 Silver 11 Bronze

42 Hole 29 In-Kind

Jerry's family

J E R R Y H U R T T he BHMC golf tournament is named for the late Jerry Hurt who was serving as treasurer of the Brock Hughes Medical Center Board of Directors at the time of his untimely death in 2018. Jerry Hurt was a pillar in our community. He graduated from Rural Retreat High School, Wytheville Community College, Virginia Tech, and received his MBA from the West Virginia College of Graduate Studies (WVU). He began his professional career with the

Mining and Metals Division of Union Carbide Corporation, which later became Elkem Metals USA, where he served as President. Later, Jerry specialized in the development and diversification of numerous small business ventures. He retired from Starck Van Lines (Pittsburgh) in 2014 after serving as CEO. Upon retirement, Jerry and his wife Phyllis returned to the town they loved, Rural Retreat, VA,

and the extended family they treasured. Jerry contributed an enormous amount of his time, talents and money to churches, this community, foundations, boards, civic organizations and individuals throughout Wythe County. A successful businessman, he led with intelligence and kindness, garnering respect along the way. Hurt was very passionate in his work at BHMC. He believed that a golf tournament was just what BHMC needed as a “signature” fundraiser, an event that would be recognizable to the community every year. Executive Director Stacey Linkous, along with several board members, ensured that Jerry’s vision became a reality in 2019. The Hurt Family has supported the tournament since its inaugural year. BHMC was very fortunate to have Jerry. His vision for BHMC has been fulfilled; the Jerry Hurt Memorial Golf Tournament has become a very special community event each summer. It’s a time to celebrate and remember Jerry, while also supporting BHMC.

Jerry and his wife Phyllis

D O N O R S

G I V I N G T R E E The “Giving Tree” is located on the wall in the patient waiting room. A leaf can be purchased and a plate will be engraved with the donor’s chosen wording. A gift to BHMC in honor, or in memory, of someone important to you is a meaningful way to celebrate the person, and in turn benefit BHMC as well. There are 3 levels of giving:

Pamela Montgomery Mt. Pleasant United Women in Faith Donnie & Cathy Pattison S&W Fertilizer Seed & Chemical Co., Inc. Patricia Snapp St. Johns Episcopal Church Women St. Paul United Methodist Church Lynda Stuart Jerry & Barbara Umberger Sandy Vernon & Chip Vernon In Memory of Jerry Hurt Peggy Wagy In Memory of Robert "Bob" Wagy Colin Wheat

7 Dogs Brewpub Frank Akers Dr. Phyllis C. Ashworth

Linda Gravley Grayson Hill Farm Tommy & Barbara Duncan Ronald & Kathryn Haight In Memory of Jerry Hurt Shirley Hale Phyllis Hurt In Memory of Jerry Hurt

In Memory of Shirley D. McCormick Jim & Betty Bear Brown, Edwards & Company, L.L.P. Melissa Stanley Jerry & Kay Corvin Edward & Doris Daugherty Paul & Maxine Dellinger Jeannie Duncan Patty DuPuis In Memory of Tom DuPuis Darrell & Janie Fisher In Memory of Brenda Tucker Dwayne Fisher In Memory of Bob Fisher In Honor of Sue Fisher Fraternal Order of Eagles 4554

GOLD LEVEL (Yellow Leaf) $1000-up

SILVER LEVEL (Green Leaf) $500-$999

A.B. Johnson Erica Jones John Jones Robert Kegley

BRONZE LEVEL (Red Leaf) $100-$499

Richard & Naomi King Freddie & Debra Kitts Donald Lawson Joyce Martin In Memory of Willow Aker Max Meadows Ruritan Club Patricia McClane

James & Susan Wheat Wytheville Rotary Club

Thank you to all our supporters who made donations during this past fiscal year, October 1, 2023-September 30, 2024. Without our donors, we could not continue to meet the medical needs of our community. Please keep in mind that BHMC is a participant with the NAP state tax credit program. An individual donation over $500 (or over $616 for businesses), could qualify. Ask me for more details, if not familiar with this program. It’s a Win-Win for the donor and BHMC! –Stacey, Executive Director

WH A T ' S H A P P E N I N G

Join us every Wednesday night, beginning at 7 pm, for TEAM TRIVIA NIGHT at 7 Dogs Brewpub for a chance to have some fun, expand your knowledge, win prizes, and support a local business and nonprofit. 7 Dogs Brewpub makes a donation to BHMC each month for hosting. Any time you visit 7 Dogs Brewpub, you have the option to “Bump UP” your tab to the nearest dollar or you can donate more. These proceeds go directly to BHMC to support our mission.

During 2025, BHMC will be celebrating 30 years in the community!

S E P T E M B E R 1 9 9 5 : 1 st BHMC patient seen

FOLLOW CELEBRATION EVENTS THROUGHOUT 2025! Watch your email, social media and the BHMC website!!

S A V E T H E D A T E June 26, 2025 DRAPER VALLEY GOLF CLUB

7 th Annual

NEW LOCATION!

MEMORIAL GOLF TOURNAMENT

Online Registration available at brockhughes.org

O U R P A R T N E R S

ADDRESS 450 West Monroe Street Wytheville, VA 24382

WEBSITE brockhughes.org PHONE FAX (276) 223-0558 (276) 223-0015

EXECUTIVE DIRECTOR Stacey Linkous slinkous@brockhughes.org