SALEM REGIONALMEDICAL CENTER

2020 ANNUAL REPORT

A MESSAGE FROM OUR PRESIDENT/CEO

Dear Friends,

While the shadow of the COVID-19 pandemic has certainly changed our lives forever, it has also highlighted the strength, compassion and courage of our physicians, caregivers and generous supporters. SRMC’s Mission Statement has taken on a new meaning this year and I could not be more proud of the way our entire “SRMC Family” and our community partners have responded in the face of this national health crisis.   As the region’s only independent and not-for-profit hospital, we swiftly rallied together and rose to the challenge through our ability to make decisions locally and responsively, based on what was best for our patients and surrounding communities. Our staff responded quickly – reorganizing and reimagining how we provided care so we could be there for those who needed us most. Many milestones have occurred since our early preparations began in March 2020, and we have worked together “to do whatever it takes” to lead our region in a time of constantly changing circumstances.  I am very proud of how SRMC has navigated through the pandemic, and believe that this has truly been a defining moment in our long legacy of service. Throughout this journey, we have seen that the remarkable accomplishments of the past year were made possible through the unwavering commitment, dedication and flexibility of our physicians and staff. The heroic efforts of our healthcare workers highlight the compassion, excellence and courage they bring to work every day, tirelessly caring for our patients and keeping our communities safe.

Sincerely,

Anita Hackstedde, M.D.SRMC President & CEO

Anita Hackstedde, M.D.SRMC President & CEO

SRMCMISSION:- To Serve.- To Care.- To Heal.

SRMC STRONGSRMC’s response to the challenges of COVID-19 highlighted the strength and commitment of our healthcare heroes as they faced each day with courage, compassion, expertise and caring.

PREPARATIONS BEGIN

As the COVID-19 outbreak escalated across the nation in early March, SRMC quickly mounted an efficient response to this rapidly evolving public health crisis.

Advance preparations were vital for protecting physicians and staff, and ensuring the safe care and treatment of patients.

SRMC activated its Incident Command Center to plan and manage the hospital’s emergency preparedness efforts.

Countless hours of preparedness planning and the ongoing efficient management of personal protective equipment and infection control practices helped the SRMC team maximize and conserve its supplies.

Precautions were put in place to minimize the risk of transmitting the virus, including screening at entrances, physical distancing and enhancing the frequency of cleaning.

“WHY I MASK” CAMPAIGN

As the region’s healthcare leader, SRMC launched a public awareness campaign about the importance of masking as a tool to prevent virus transmission.

Note: Some photos were taken prior to masking mandates.

RISING TO THE CHALLENGEAs the first COVID-19 cases were diagnosed in the region, SRMC’s physicians and staff demonstrated an incredible commitment to tirelessly fight against the virus on behalf of our patients and communities.

Frontline workers faithfully attended to the incoming flood of those seeking care. In order to meet the continued demands, SRMC expanded its patient care and treatment areas to increase surge capacity and provide care for the rapid influx of COVID-19 patients seeking medical assistance.

SRMC utilized technology in new ways to deliver care, including the launch of:

- Telehealth visits enabling SCH Professional Corporation patients to receive care from their providers without leaving home.

- A “Virtual Visitor” service allowing patients to stay in contact with loved ones during their hospital stay.

- Tele-ICU program to enhance care for critically ill patients.

SRMC Opened Clinic ForTesting & Treatment

SRMC’s Respiratory Clinic opened in March to provide testing and treatment to meet the growing need for care and help offset patient flow in the Emergency Department.

Over 700 patients were evaluated and treated at the clinic, which was staffed by SRMC physicians and providers.

Fighting the Good FightAs COVID-19 patients were discharged to return home, SRMC staff celebrated and shared in these victories.

Thank You To Our SRMC Family

SALEM REGIONALMEDICAL CENTER

SRMC’s Healthcare Heroes received a 910th Airlift Wing salute from Hercs Over America

OUR COMMUNITYCOMES TOGETHER

SRMC has always valued the support of our local communities, and we were incredibly blessed by all those who helped meet the needs of our frontline caregivers during the pandemic. Numerous businesses, civic groups and individuals made community donations of gowns, gloves, face masks and other PPE to help protect our caregivers.

Donated masks, gowns, surgical caps and messages of encouragement were received almost daily from community supporters.

The Rotary Club of Salem (above) donated $6,150 for material to be sewn by local seamstresses into re-usable patient care gowns that were worn by SRMC staff (r).

Several local businesses showed their support for SRMC staff. Shown below are Mark Siegal and Cami Cope, Giant Eagle-Salem, providing lunches for caregivers.

Jalisco’s Mexican Restaurant in Salem dropped off meals for our staff on all three shifts.

Many community organizations and individuals donated snacks and food to help keep our busy care teams going.

A PATHWAY FOR HOPEOn December 22, 2020, SRMC received its first shipment of the Moderna COVID-19 vaccine, which represented a significant mile-marker toward the pandemic’s end. The very next day, the hospital launched its first official day of providing the vaccines to frontline healthcare workers and physicians through a series of staff vaccination clinics.

In Columbiana

CARING FOR OUR COMMUNITIESAmid the COVID-19 pandemic, SRMC continued to advance our mission of meeting the healthcare needs of the communities we serve.

- In June 2020, the Columbiana Family Care Center (CFCC) at Firestone Farms TownCenter began offering walk-in appointments.

- A walk-in Flu and Respiratory Clinic was added in Fall 2020 for patients of all ages with flu or respiratory symptoms.

- In September 2020, walk-in 3-D screening mammograms became available at SRMC’s Imaging Center at Firestone Farms TownCenter.

In Damascus

- To meet the healthcare needs of those in the hospital’s western service area, SRMC Primary Care-Damascus opened early in 2020.

- The practice is staffed by Board Certified Family Medicine physician, Dr. Steven Swain, and Gabrielle Dickerhoof, MSN, APRN, CN-P.

- Dr. Swain practices at both the SRMC Primary Care-Damascus and SRMC Primary Care-Salem offices.

SRMC at Firestone Farms TownCenter

SRMC Primary Care - Damascus

Several of our services were recognized by leading medical and professional organizations for performing among the best in the nation.

CONTINUING SRMC’SCOMMITMENT TO EXCELLENCE

New Physicians in 2020

- Wound Healing CenterSRMC’s Wound Healing Center was honored as a 2019 Healogics “Center of Distinction” for demonstrating clinical excellence in wound healing and superior patient satisfaction rates. We have provided life-changing treatment to thousands of patients with an average wound healing success rate over 95%.

- Advanced OrthopaedicsSRMC once again earned The Joint Commission’s Gold Seal of Approval® for its comprehensive hip and knee replacement program. This accomplishment demonstrates SRMC’s continued commitment to achieving national standards and excellent outcomes in healthcare quality and safety in disease-specific care. Our program is uniquely designed to support and guide patients through every stage of their joint replacement journey.

Anesthesiology- Lindsay J. Benedict, D.O.- Lanny R. South, D.O.

Cardiovascular Disease- Raffi Bardakjian, M.D. - Ataul Qureshi, M.D.

Emergency Medicine- Orlando P. Cortez, M.D.

Family Medicine- Steven M. Swain, M.D.

General Surgery/Endoscopy- Shawn C. Clark, D.O.

Hospitalist- Rimon Daoud, M.D.

Pediatric Gastroenterology- Ibrahim J. Haddad, M.D.

Podiatry- Joseph M. Barak, D.P.M. - David M. Bishop, D.P.M.

Pulmonary- Nicholas G. Proia, M.D.

New SRMC Pulmonologist Dr. Proia received his COVID-19 vaccine.

National Award ForClinical Excellence

The Joint Commission’s 2020 Disease-Specific Certification For Hip & Knee Replacements

INVESTING INOUR COMMUNITIES

As an independent and not-for-profit hospital, SRMC is committed to building stronger and healthier communities. Our community impact includes:

- Free screenings, preventive care and wellness education to residents throughout our service area.

- Reducing financial barriers to access.

- Training medical professionals and other community caregivers.

- Working with community partners to provide resources that help people lead healthy and productive lives.

Community members learned tips for healthy living at a “New Year, Healthy You” seminar featuring SRMC-affiliated health care professionals, including Dr. Elaine Boyd, left.

SRMC and the Columbiana County Health Department partnered to offer free community skin cancer screenings to 78 area residents.

SRMC co-hosted two traveling food pantries with Second Harvest Food Bank and provided approximately 62,000 pounds of food for nearly 500 families. Shown below at the first food pantry are (l-to-r) Dr. Hackstedde, Congressman Bill Johnson and Frank Iberis, Second Harvest; along with Ohio National Guardsmen (center photo), who assisted with the food distribution.

Healthcare professionals learned about new advances in medicine at the 2020 Medical/Surgical Education Conference. Orthopaedic Surgeon Dr. Jason Boyd was a featured speaker.

Several American Red Cross blood drives were held to help meet the region’s urgent need for blood donations.

SRMC MEDICAL STAFF LEADERSHIP

Avi Schiowitz, D.O.Anesthesia

Joseph C. Rettig, M.D.Emergency Medicine

Peter L. Apicella, M.D.Medical Imaging

Constantine V. Economous, M.D.Medicine

David B. Nash, M.D.Pathology

Dominic J. Peters, M.D.Surgery

DEPARTMENT CHAIRSMedical Staff Leaders appointed to serve in 2021 as Chief of Staff, Vice Chief of Staff and Secretary/Treasurer are:

Richard W.Beatty, M.D.Chief of Staff

Bart J.Brine, M.D.

Secretary/Treasurer

Joseph C.Rettig, M.D.

Vice Chief of Staff

SRMC BOARD OF DIRECTORS

Jeffrey M. Zimmerman, SRMC Board Chair

EXECUTIVE LEADERSHIP

Denise Harlan, CPAVice ChairChris MetaTreasurer

Nelson J. WitmerSecretary

Richard W. Beatty, M.D.Attorney Vito J. Abruzzino Peter L. Apicella, M.D. Terry Criss Bruce E. Rhodes, Jr.RuthAnn Rinto

Lawrence Schmetterer, M.D.Lynn B. Scullion, O.D.Lee T. Simon, M.D.Scott TuelWilliam Young, Ed.D.

Anita Hackstedde, M.D.President/CEO

Michael GiangardellaV.P. Finance and

Administration

Keith Meredith, PharmDV.P. Clinical Operations

Deborah PietrzakV.P. Marketing/Planning

Sue Agostinelli, Information ServicesTom Boosz, Outreach ServicesJackie Boyle, Human ResourcesSue Bryarly, PharmacyBill Cook, Sr. Director of Materials ManagementDeanna Danner, Environment of CareJeff Dixon, Revenue CycleMelissa Dwyer, Risk/Case ManagementKelly Earvin, Sr. Director of SCH Professional CorporationKim Jenkins, Sr. Director of FinanceAlissa Jordan, ComplianceDanielle Kiefaber, Health & Revenue Systems

Pam Mercer, Outpatient ServicesDebbie Mesmer, Medical Imaging/Cardiopulmonary ServicesMichele Perry, Laboratory ServicesCarlie Peshek, Food and NutritionLyn Pethtel, Quality Improvement/Infection ControlBrian Rafferty, Rehabilitation ServicesAmy Reed, DevelopmentPastor Robert Rowley, Pastoral CareMichael Santillo, Public Relations/MarketingJeff Turney, Salem Home MedicalRobin Weyant, NursingJerry Wheeler, II, Plant Operations

SRMC DEPARTMENT HEADS

OUR REGION’S SAFETY NET

3,176

14,292

3,117

20,329

During 2020, SRMC provided the following health care services to the people of our communities:

By The Numbers

Total Cost of Care to SRMC: $39.9M

Reimbursement Received: $32.3M

FY 2020 Medicare/MedicaidCost of Care vs. Reimbursement (in Millions)

We provide locally available healthcare and the security of a 24-hour Emergency Department to our patients regardless of their ability to pay. In addition, we invest in the health and well-being of the communities we serve through community programs and services, community partnerships, health professional education and unreimbursed care. Government programs continue to reimburse hospitals less than the cost of care provided, which means that hospitals must absorb these unreimbursed costs.

SRMC is an Independent, Private, Not-for-Profit Hospital

Salaries, Wages and Benefits$53.6 millionOther Expenses

$23.2 million

UncompensatedCare

$3.8 million

State Franchise Fee$2.1 million

Depreciation,Amortization & Interest

$11 million Medical/SurgicalSupplies

$11.9 million

Drugs &Pharmaceuticals

$11.6 million

Unreimbursed Costs: $7.6M

Admissions

Patient Days of Care

Surgeries

Emergency Dept. Visits

“Our Board of Directors, Medical Staff and Administration have continued to stand strong against the challenges of the pandemic, while maintaining our commitment to advance our services and care for our communities.”

SRMC FOUNDATIONSince 2010, the SRMC Foundation has raised over $2 million to advance Salem Regional Medical Center’s mission to provide innovative, world class care to the people of our region.

This year, the Foundation also played a vital role in supporting SRMC’s frontline caregivers and staff during the COVID-19 pandemic by establishing the SRMC Foundation COVID-19 Relief Fund. The SRMC Foundation received $19,975.60 in donations to the new COVID-19 Response Fund through mid-August.

Chick-fil-A Southern Park Mall Food Truck Fundraisers At SRMC

“Pink Out At The Farm” Breast Cancer Event

New Oncology Nursing Education Fund Scholarship

3rd Annual “Be the Difference Campaign” With Salem Giant Eagle

3rd Annual “Volley for a Cure” With Salem High School Volleyball

10th Annual Golf Classic

“Saturday Stretch At Firestone Farms” With Step By Step With LisaLuminary Lighting At Firestone Farms

Amy Reed, SRMC Director of Development

Dr. Lauren and Lee FredricksonDr. Austin and Liz FredricksonRichard FrydaMike and Myra GiangardellaCarolyn GivensGeorge GravesHack, Steer & Company, LLCDr. Anita and David HacksteddeJames and Debbie HatherhillHelp Network of Northeast OhioHolloway InsuranceHolly Ritchie Homes, LLCHomestead Kitchen & CocktailsHuntington InsuranceReverend Ross and Alice JacksonGary KimbleDr. Jeremy and Casey KingJeffrey KudlerMark and Shawna L’ItalienPatrick LorelliMackall OptometryMadison CornerYetta MarianRob and Debbie McCullochBill and Cheryl McDevittNeill McLachlanPaul and Pam MercerKeith and Heidi MeredithMoondance BoutiqueDaniel T. MoorePeg MooreDavid NesticOtis ElevatorLyn PethtelBrenda PostiyRAT CreativeDr. Stephanie and Zak RaynishAmy ReedDr. Joseph and Amanda RettigRiley Benefit and InvestmentsRuthAnn RintoDr. Maria and Ralph RyhalSalem Athletic Booster ClubSalem Healthcare Centers

Salem Radiologists, Inc.Dr. Larry Schmetterer and Dr. Susan WoodsSchroedel, Scullin & BesticDrs. Tom and Lynn ScullionBob and Linda SeboRichard SeidlerDr. Michael SevillaWilliam ShermanShirley ShoaffDr. Lee and Susan SimonSundog Cellars, LLCTartan Insurance CompanyThe Salem Community FoundationJim and Ellen TresselBob and Eugenia TullisRobin and Steve WeyantMatthew WickwireWillis Towers WatsonNelson and Kristine WitmerYork Mahoning Mechanical Contractors, Inc.William Yurchyk

Supporter (Up to $99)Phyllis BakerLory BakerLinda Buttermore

Matt and Debbie ButtsJane CroweKelly EarvinAmy GronerLinda HalesHarry and Cathy HofmeisterWilliam and Cathy HooverLinda HullKim JenkinsCrystal JonesDr. Ayla KesslerTheresa MarianJosephine ManciniMegan McConnellKatie NelsonOrange Leaf YogurtForest ParkeyDominic and Georgette PetersPaula RobertsReverend Bob and Tammy RowleyMargaret SanorMichael SantilloTarry SchaeferRon SchweitzerDr. Joe and Madeline ShiversMandy SmithJane WhitmanFrank and Glory Zamarelli

Every effort has been made to ensure the accuracy of our donor listings. Please bring any errors or omissions to the attention of the SRMC Foundation at 330-337-2883.

Ways To Give: Contact the SRMC Foundation Office at 330-337-2883 or e-mail Amy Reed at amy.reed@salemregional.com.

Pacesetter ($10,000 - $24,000)Ranga Brahmamdam, M.D.

Benefactor ($5,000 - $9,999)Medical Mutual of OhioMyers Family InsuranceProut Boiler, Heating & Welding, Inc.Rotary Club of SalemSalem Giant EagleVan Dyke-Swaney-Rettig Funeral HomeWarrick-Kummer-Rettig Funeral HomeWoods-Rettig Funeral Home

Patron ($2,500 - $4,999)Farmers National BankFirestone HomesteadXanitos, Inc.

Sponsor ($1,000 - $2,499)AVI FoodSystems, Inc.BKD, LLCBOC Water Hydraulics, Inc.Buckingham Doolittle & BurroughsCare4Me Skilled, LLCCentury 21 Lakeside RealtyCommunity HospiceCompco IndustriesConsumers National BankContinuing Health Care of Lisbon

Copeland OaksCovington Skilled NursingDDY, Inc.Ensemble Health PartnersGlobal-Pak, Inc.Grace Church of Columbiana OhioHarrington, Hoppe & Mitchell, Ltd.Home Savings and LoanHowells & Baird, Inc.Hunter AssociatesWilliam KlimMorris Financial GroupMVH FoundationJoe and Lorrie NelsonDr. Dominic PetersDan ScarpittiStone Creek AllianceThe Church Budget Envelope Co.Timberlanes Ltd.University HospitalsVisiting Angels of SalemYoungstown State UniversityYSU Foundation

Advocate ($100 - $999)A.T.&T.Shelly AdsitSue AgostinelliDr. Salvatore and Alma Apicella

Dr. Brianne and Brian BagwellChristine BegallaJohn and Debbie BiastroBirdfish Brewing Co., LLCBlossom Nursing & RehabilitationJames BoughtonTerry and Debby BowersDrs. Jason and Elaine BoydBrew Lounge Beer Co.Jodi BricelandNorman BrubeckJoe and Marsha CentofantiAl CervelloChick-Fil-A Southern Park MallErica ComaDr. Vidya CountoMr. and Mrs. Rick CrouseScot DarlingTom DarlingChristopher DatillioJohn and Gina DermottaDeSalvo ConstructionDT Moore & Company, LLCMelissa DwyerMark EquiziFamers Trust CompanyFiner Things BoutiqueMark and Sandi FlakeJarrod Flinn

Thank You to Our Generous Donors!“We graciously thank and appreciate those who continue to support our mission through your generous financial contributions to the SRMC Foundation made between January 1, 2020 and December 31, 2020.”

Peter Apicella, M.D.John BiastroJodi BricelandGina Dermotta

Vicki HallDaniel T. MooreTodd OlsonDan Scarpitti

COMMUNITY ADVISORY PANELFOUNDATION BOARDRuthAnn RintoChairWilliam Young, Ed.D.Vice Chair

Lynn Scullion, O.D.SecretaryTerry Criss

SRMC FOUNDATION MEMBERS

Area breast cancer survivors celebrated as fashion models to create awareness at the “Pink Out at the Farm” breast cancer event.

SALEM REGIONALMEDICAL CENTER

1995 East State StreetSalem, Ohio 44460

330-332-1551www.salemregional.com