eastern shore rural health system, inc

Serving You Better - Through Projects Big and Small

Eastville Community Health CenterGroundbreaking

Eastern Shore Rural Health System, Inc.

2018 Annual Report

Eastern Shore Rural Health System, Inc. is a Community Health Center organization committed to enhancing the quality of life for people on the Eastern Shore. We seek to serve the needs of this rural community by providing accessible, comprehensive, affordable medical, dental and health services in a caring, professional and safe environment.

Eastern Shore Rural Health shall be the provider of choice for primary and preventive services offering comprehensive care of exceptional quality for all people on the Eastern Shore.

Our work is characterized by quality, integrity, teamwork and communication.

Our relationships with patients demonstrate respect, compassion and confidentiality.

We strive for the empowerment of patients and colleagues as our partners in improving the quality of our community, our health and our lives.

www.esrh.orgFollow us on Facebook:www.facebook.com/esrhs

Mission Statement

Vision Statement

Value Statement

On The Cover

What our patients are saying:“Very professional and kind.”

Letter from ESRHSBoard President

Denise Bland

Eastern Shore Rural Health System, Inc.’s governing Board of Directors continues to serve as the voice of our community, representing the needs of a diverse population. It has been my pleasure to work with this passionate and committed group of directors in leading ESRHS to carry out its mission of enhancing the quality of life for people on the Eastern Shore. The diligence and activism of the board members has been recognized through their work in grassroots advocacy – sharing the goals, values, and needs of this worthwhile organization with local, state, and national legislators.

I am pleased to welcome dynamic new members to the Board. The experience and skill sets of our members enhances the board’s functionality. Not only do we have Shore representation from both counties, but we are also blessed with a variety of professional backgrounds that continues to enrich and engage us in our work. We are consistently recruiting new board members, so you are encouraged to reach out if you have an interest in joining!

One of the exciting elements of serving on a working board is the opportunity to connect with others from all over the Shore, with the ultimate goal of leaving our community a better place than we found it. ESRHS collaborates extensively with numerous area partners – Community Services Board, Accomack County Public Schools, and the Eastern Shore Health District – to name just a few. Each of our directors serves on a committee, and many enjoy serving on multiple committees. These committees range from finance and personnel, to advocacy, strategic planning and development, to compliance, and more. There are incredible opportunities for training and networking throughout the year – and these opportunities continue to yield meaningful results.

In closing, I am grateful to the directors for their dedication and commitment to fundraising for the new Eastville Community Health Center – we proudly celebrated the milestone of breaking ground on the new facility this past August! Now that construction is well underway, I look forward to witnessing our dream become a reality.

We use the slogan, “Built by the community, for the community” to honor the efforts and generosity of our friends and neighbors throughout the Eastville Capital Campaign. As president of the board of directors, I sincerely thank you for your unrivaled support.

Warmest regards,

Denise Bland

Groundbreaking for the new Eastville Community Health Center was held August 15, 2018. Featured on the cover (from left to right) Eastern Shore Rural Health COO Anne Crabbe, ESRHS Board President Denise Bland, Governor Ralph Northam, ESRHS CEO Nancy Stern, Eastville Campaign Vice Chairman Kristin Webb, Campaign Chairman George McMath, VA Senator Lynwood Lewis and Northampton County Board of Supervisors Chairman Spencer Murray. Photo courtesy of Virginia Community Healthcare Association

Eastern Shore Rural Health System, Inc. • 2018 Annual Report 1

Letter from ESRHS Chief Executive Officer

Nancy Stern

By The Numbers . . . A look at last fiscal year

While community health centers and the people who work in them may differ, there is one characteristic we share in common – and that is the amazing, compassionate, quality care provided to all patients. Over our 43 years, we have grown to serve as the healthcare provider of choice for 31,391 people. We continue to be here for those who have nowhere to go for healthcare, and for those who could go anywhere and choose ESRHS. From our awesome outreach to our amazing clinical team of medical and dental providers and nurses, to our astounding educators and business employees, we have one mission and that is to provide comprehensive, accessible, affordable care in a caring, professional and safe environment.

Our accomplishments are numerous this past year. Many thanks go out to our donors and employees who have made it possible for the groundbreaking of the new Eastville Community Health Center. Continued accolades go out to our employees for their focus on quality care yielding not only improved patient outcomes, but also grant awards allowing us to invest in our infrastructure. Congratulations to all who participated in our telecommunications and emergency preparedness drills held in our centers and those who supported our efforts in assuring our facilities are ready for community emergencies; ESRHS is your community health center, ready to respond to your community’s needs.

We continue to be overwhelmed with gratitude for the community support toward “raising the roof” of the new Eastville Community Health Center. Whether you volunteered on a committee for the capital campaign, purchased a silent auction item, golfed in the rain at the 2018 Eastern Shore Open or donated to ESRHS, the new Eastville Center will indeed be built by the community, for the community!

Not only are we building a state-of-the-art facility that will offer medical, dental, and mental health services as well as an on-site pharmacy, we continue to expand our dental program and outreach services, collaborate with numerous organizations on the Shore, and actively engage with local, state, and national legislators to raise awareness of the Community Health Center movement.

I am incredibly proud of the accomplishments of such dedicated staff and board of directors, and recognize that being the Shore’s “best kept secret” has remained a persistent challenge; but we have been making significant strides! From local presentations to cohosting the Healthcare Forum for Governor Northam, being featured in Virginia Health Care Foundation’s and Eastern Shore Healthy Communities’ Annual Report, to hosting visits for our commonwealth leaders, we remain steadfast in raising awareness about ESRHS. Please join us in this effort.

Many thanks to all and be well,

Nancy J Stern, CEO

97, 422 medical visits provided.

17,232 dental visits provided.

$3,374,694 in “slide” services provided to uninsured patients.

ESRHS receives federal dollars to care for the

uninsured based on income and family size as a Federally Qualified

Health Center.

34 medical providers, 14 dental providers, and

218 support staff work for ESRHS as of presstime.

$6,123,079 = 4,605requests for medications

and 414 supply

26,680 immunizations given. 31,391 patients seen.

142 corporate accounts were provided with employment

physicals,

How patients paid:Private Insurance 41%

Medicaid 23%Uninsured 17%Medicare 19%

$18,483 in pediatric safety

services provided through Safe Kids

1,857 migrant and seasonal farm workers seen.

125 students hosted from 16 schools.

5,176X-rays taken system wide.

requests fulfilled through our Pharmacy Assistance Program for 995 indigent

patients.

breathalyzer tests and drug screenings.

Eastern Shore including carseats, smoke and carbon

monoxide alarms.

$104,832 = 8,064 Tickets for the Chesapeake

Bay Bridge Tunnel distributed through medical pass program to qualifying

individuals.

2 Eastern Shore Rural Health System, Inc. 2018 Annual Report 3


Statement of Financial PositionM a y 3 1 , 2 0 1 8 a n d 2 0 1 7


Statement of ActivitiesYe a r E n d e d M a y 3 1 , 2 0 1 8

3

2018 2017

CURRENT ASSETSCash and cash equivalents $ 9,825,516 $ 6,306,703 Accounts Receivable:

Patient service, net of allowances 878,492 1,293,915Medicare and Medicaid cost reimbursement 1,453,000 1,280,000Other 484,683 407,301

Pledges receivable 526,047 295,049 Prepaid expenses 9,357 20,982

Total current assets $ 13,177,095 $ 9,603,950

NONCURRENT ASSETSInvestment in Community Care Network of Virginia $ 6,000 $ 6,000Property and equipment, net 13,293,888 13,072,485

Total noncurrent assets $ 13,299,888 $ 13,078,485

Total assets $ 26,476,983 $ 22,682,435

CURRENT LIABILITIESCurrent portion of long-term debt $ 41,693 $ 40,388Accounts payable 398,960 389,364Accrued expenses 984,047 950,608Other liabilities 425 611

Total current liabilities $ 1,425,125 $ 1,380,971

LONG-TERM DEBT, NET OF CURRENT PORTION 2,208,761 2,250,424

Total liabilities $ 3,633,886 $ 3,631,395

NET ASSETSUnrestricted $ 21,880,218 $ 18,624,999 Temporarily restricted 962,879 426,041

Total net assets $ 22,843,097 $ 19,051,040

Total liabilities and net assets $ 26,476,983 $ 22,682,435

The accompanying notes to financial statements are an integral part of this statement.

LIABILITIES AND NET ASSETS

EASTERN SHORE RURAL HEALTH SYSTEM, INC.

Statements of Financial PositionMay 31, 2018 and 2017

ASSETS

4

Temporarily 2018Unrestricted Restricted Total

REVENUES, GAINS AND OTHER SUPPORTTotal patient service revenue $ 23,802,469 $ - $ 23,802,469Less: Discounts and allowances (9,675,943) - (9,675,943)

Net patient service revenue $ 14,126,526 $ - $ 14,126,526

GrantsFederal 4,984,521 50,000 5,034,521State 177,883 - 177,883 Local 128,370 347,500 475,870

Contributions 14,728 564,702 579,430 340B program 4,152,797 - 4,152,797Meaningful use 59,500 - 59,500 Other income 52,773 - 52,773 Loss on sale of assets (7,576) - (7,576) Net assets released from restrictions 425,364 (425,364) -

Total revenues, gains and other support $ 24,114,886 $ 536,838 $ 24,651,724

EXPENSESProgram services $ 18,015,992 $ - $ 18,015,992General and administrative 2,440,014 - 2,440,014Fundraising 403,661 - 403,661

Total expenses $ 20,859,667 $ - $ 20,859,667

Increase (decrease) in net assets $ 3,255,219 $ 536,838 $ 3,792,057

NET ASSETSBeginning of year 18,624,999 426,041 19,051,040

End of year $ 21,880,218 $ 962,879 $ 22,843,097

The accompanying notes to financial statements are an integral part of this statement.

EASTERN SHORE RURAL HEALTH SYSTEM, INC.

Statement of ActivitiesYear Ended May 31, 2018

What our patients are saying:“Always does a great job keeping the office fresh and clean.”


2018 Employee of the Year #

Employee’s Choice Awards

Atlantic Community Health CenterAngie MatthewsHealth Education for Atlantic & Chincoteague Centers

Bayview Community Health CenterCandy GeorgeSenior Business Assistant

Chincoteague Island Community Health Center Randall StapletonCustodian

CorporateAndrea MisenerExecutive Administrative Assistant

Anniversaries

Dental ServicesRosa Birrueta SanchezBusiness Assistant/Interpreter/Translator

Franktown Community Health Center Shirley PhillipsSenior Business Assistant

Onley Community Health Center Jean SnyderCenter Manager

Dr. Gabriella Richardson

Dr. Gabriella Richardson was named Employee of the Year for 2018. This award recognizes an employee, nominated by employees and selected by the Board of Directors, who performs exceptionally and excels in all areas of his or her job responsibilities. Dr. Richardson, who joined ESRHS in 2016, is a pediatrician at Onley Community Health Center.

Her fellow staff members cited Dr. Richardson’s positive personality and her ability to both recognize areas of need before they become issues, and find innovative solutions to challenges. She also is recognized as a trustworthy, hard working person and great team player who gives great feedback and explanations.

These employees were nominated by their coworkers for providing excellent customer service.

Employee 5 YearsCortina BaileyLucinda BradfordNicole CrockettShanell CunninghamTerra CustisJessica GladdingErin HandyLatoya HarmonBarbara Hovey

Jennifer IngramJaime LewisAllison LittleAlisa LuckenbachLucero MontalvoMeghan NevillePatty ParksDr. Scott WolpinAmanda Woodhurst

Board Member 5 YearsDr. Arthur Fournier

Employee 10 YearsLesa DuerDr. Edward GriggsTammy JusticeLori Savage

Employee 15 YearsTerry DaughertyShirley Edwards-TaylorMichelle KillmonLaura LewisAnnette ParksTanya Taylor

Employee 25 YearsKaren DardenKatherine EbertsDeventili PooleDr. Jeanne Roll

Roxanne SheaElena Torres CintronTanya Varney

Employee 30 YearsRobert ConiglioDeloise HallNancy Stern

Consolidated Call Center Opens

New Software Detects Gaps in CareEastern Shore Rural Health will soon be implementing software that will allow electronic point

of care identification of care gaps. The software, named Mediquire, will allow our care teams to identify and address issues not currently being taken care of in house during the patient visit or refer the patient to the appropriate specialist when needed. Examples of care gaps are patients who have not completed preventive care testing such as colorectal cancer screening, cervical cancer screening and breast cancer screening, necessary immunizations and chronic care gaps such as diabetes control, blood pressure control and appropriate treatment for heart and vascular disease. This tool will help ESRHS clinical support staff and providers address all of the patient’s needs.

Non-Health Care Needs Assessed In addition to new software to identify care gaps, patients are asked about factors in their lives,

known as social determinants of health, that can impact their health such as if they have a safe place to live and enough food to eat, and if they are depressed. A new support services brochure is available outlining services Eastern Shore Rural Health provides that can link a patient to help outside of the health care arena. This is done in recognition that health is determined in part by access to social and economic opportunities; the resources and support available in our homes, neighborhoods, and communities; and other conditions in which we live. Differences in living conditions explain in part why some Americans are healthier than others and why Americans more generally are not as healthy as they could be. See www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health for more information.

This needs assessment is part of our Patient Centered Medical Home approach to both support your health needs and goals, and create a proactive plan for your care, after considering all factors that impact your health.

Eastern Shore Rural Health consolidated all of its call centers into one facility starting Aug. 6, 2018.The consolidated center was formed to more quickly and efficiently handle patient calls. Patients still dial the phone number for their center, but the call now goes to a centralized call center.

The center started with a staff of five business assistants who worked previously at different centers and one manager, Carrie Wilson, who was formerly the center manager at Bayview Community Health Center. A triage nurse and two more business assistants have since joined the call center to handle the volume of calls and accommodate patients in a timely manner. The center has increased the percentage of answered calls – before a patient hangs up - from around 50% to 85% to 93%. Call center staff are also able to make an appointment for you at all ESRHS facilities – you no longer have to call each center separately. Two dental business assistants may be added in the near future.

Use Patient Portal to Reach Us!With our patient portal you can ask your care provider questions that aren’t urgent, request

medication refills, and check lab results. You can also review and print your list of medications and review notes from your visit with a provider. To sign up for the patient portal, go to www.esrh.org/patient-info/patient-portal/. There is a link to sign up for the patient portal on this page. Once you have set up your patient portal, go to esrh.org and click on the patient portal login button shown here to go to the login page.


Groundbreaking for new Eastville Community Health Center

held August 15A groundbreaking ceremony was held for the new Eastville Community Health Center on Aug. 15. Governor

Ralph Northam addressed attendees at the special event. The new medical and dental center replaces the aging Bayview and Franktown Community Health Centers and will open in late 2019.

The new facility will have more than 24,000 square feet compared to the 13,700 square feet that the current Bayview and Franktown have combined. By consolidating the two centers, ESRHS will be able to offer a state-of-the-art facility that will provide potential expanded hours to include 10-hour days and Saturday hours, medical digital x-ray, expanded lab services and hours, potential telemedicine and additional providers and staff. Medical digital x-ray is currently not at either facility. Additionally, the current Franktown has dental services, but Bayview does not, so the new center will allow residents in the southern part of Northampton County increased access to dental care.

A Request for HelpESRHS is a 501(c)(3) non-profit Federally Qualified Health Center. As part of the nation’s health care safety net,

we serve both insured and uninsured patients. The annual federal grant we receive can only be used to cover the medical and dental expenses of safety net patients who are underinsured or uninsured and meet federal poverty guidelines. The funds may not be used for construction. ESRHS plans to finance the project through a combination of federal and state grants, bank loans, and this capital campaign. As of press time, $10,000,506 has been raised to fund the new center.

We’ve recently been awarded a $150,000 one-to-one

matching grant by The Cabell Foundation –

please help us raise the match!

To make a donation in support of the new Eastville center go online at

www.esrh.org/eastvillechc/ or mail a donation to 20280 Market St., Onancock VA 23417, ATTN:

Development Department. Contact Amy Bull with questions at abull@esrh.

org or by calling 757-414-0400 ext. 1122.

Photo by Dr. Walt Roll


Photo courtesy of Virginia Community Healthcare Assoc.




125 students hosted from 16 schools.


Quality Performace RecognizedEastern Shore Rural Health was awarded another quality award by the Health Resources and

Services Administration (HRSA) this year. The top 30 percent of performers on HRSA clinical quality measures across the country were rewarded for superior overall clinical performance. ESRHS received $150,858 in quality money. HRSA is a federal agency that provides funding to ESRHS and other community health centers across the nation to provide care to uninsured and underinsured patients who pay a minimal fee based on family size and income.

ESRHS New Chief Nursing Officer Dr. Sandra (Sandie) Hearn, PNP joined Eastern Shore Rural Health March 19 as CNO. Dr. Hearn hails from Boston and recently retired from the U.S. Navy af-ter 30 years of service. She received her bachelor’s of science in nursing from Northeastern University, her master’s degree as a Pediatric Nurse Practitioner (PNP) from Catholic University of America, and her doctorate in nursing prac-tice from Old Dominion University in May 2018. She has extensive clinical and administrative expertise including serving as the CNO at the Naval Medical Center in Portsmouth with a 225-bed facility, nine outpatient clinics and 1000 nursing staff that she supervised upon her retirement. As CNO she supervises all ESRHS nursing and support staff. Dr. Sandra Hearn

ESRHS Hosts US and State Officials

U.S. Congressman Scott Taylor met with ESRHS Senior Leadership Team and Board Members in August of 2018. From left: Board member Jeff Holland, Chief Nursing Officer Dr. Sandie Hearn, Congressman Taylor, Chief Medical Officer Dr. Tom Hollandsworth, Board member Dr. Betty Bibbins, Board President Denise Bland and Chief Clinical Informatics Officer Jennifer Tyler at the Onley Community Health Center.

What our patients are saying: “Professional and great attitude.”

Organizations Pledge Support

Sentara Healthcare/Optima Health has awarded Eastern Shore Rural Health System, Inc. a $250,000 grant in support of the new Eastville Community Health Center. The grant is administered by the Sentara Foundation of Hampton Roads.

Hermitage Eastern Shore presented the 2018 Eastern Shore Golf Open tournament and dinner in October 2018 in support of the new Eastville center.

Mountaire Farms Inc. presented a donation in support of the new Eastville center in 2017 and 2018!

Union Bank & Trust presented a check to ESRHS last winter in support of the new Eastville center.

Taylor Bank presented a check in support of the new Eastville center at the ESRHS May board meeting

Virginia Secretary of Veterans and Defense Affairs Carlos Hopkins visited with Eastern Shore Rural Health and Shore-based veterans’ organization officials in April 2018. From left: then ESRHS Board Vice President Dr. John Schulz, Frank Collins (Legion Post 56), VEC Vet Rep. Alex Hightower, ESRHS CEO Nancy Stern, Sec. Hopkins, ESRHS Chief Nursing Officer Dr. Sandie Hearn, and Wilson Leggett (Legion Post 56), at the ESRHS corporate office.

Commissioner S. Hughes Melton, MD and Deputy Commissioner Mira Signer of the Virginia Department of Behavioral Health and Developmental Services visited the Eastern Shore in June 2018 and met with the Community Services Board and Eastern Shore Rural Health to learn how both organizations collaborate to meet the behavioral healthcare needs of the community. Pictured here is the visit that took place at Onley Community Health Center. From left: Commissioner Melton, Center Manager Jean Snyder, Deputy Commissioner Signer, ESRHS Chief Medical Officer Dr. Tom Hollandworth and ESRHS CEO Nancy Stern.


Health Care Plan Measures and ResultsEastern Shore Rural Health tracks key health measures each year and strives to address any issues a patient may

face when seeking preventive care or managing a disease. The chart below highlights key health measures - green indicates the measures in which ESRHS is considered a high quality performer by the federal Health Resources and Services Administration, the 2nd and 3rd columns show national and state averages for community health centers and the 4th column shows actual performance versus ESRHS goals.

Category Quality National State Health Care Performance Average Average Plan Goal 2019 2018

1. Child weight assessment 77% 63% 58% Goal Exceeded and counseling

2. Adult weight screening 87% 62% 68% Goal Exceeded and follow up

3. Tobacco use screening 97% 85% 82% Goal Exceeded and cessation

4. Colorectal cancer screening 53% 40% 36% 96% of goal met

5. Cervical cancer screening 59% 54% 45% 91% of goal met

6. Childhood immunizations 58% 43% 38% 89% of goal met

7. Asthma treatment 94% 87% 89% 97% of goal met

8. Coronary Artery Disease w/lipid lowering therapy (adult) 86% 79% 78% Goal Exceeded

9. Ischemic Vascular Disease 91% 78% 78% 98% of goal met Therapy

10. Blood pressure control 72% 62% 58% Goal Exceeded

11. Diabetes control 23% 32% 33% 91% of goal met Goal is below 21%

12. Depression screening 63% 60% 60% 90% of goal met

13. Dental sealants 63% 49% 36% Goal Exceeded

14. New HIV cases with 100% 83% 89% Goal Met with timely follow up

15. Access to prenatal care 78% 74% 60% Goal Exceeded in the 1st. trimester

16. Low birth weight (<2500 grams) 12% 17% 8% 8% 47% of goal met Goal is below 8%

17. Migrant cervical cancer screening 60% N/A N/A Goal Exceeded

18. Migrant camp penetration rate 100% N/A N/A Goal Exceeded

Donors . . . funds received June 1, 2017 through November 1, 2018American Legion Post 56 Anonymous Atlantic Community Health Center Mr. & Mrs. William and Claudia Bagwell IV Mr. Eyre Baldwin Mr. Andrew Barbour and Ms. Louise Orlando Mr. & Mrs. Sam and Judy Barker Mr. & Mrs. Bob and Martha Barry Bayview Community Health Center BB&T Bank BB&T Scott & Stringfellow - Dale Mercadante Riggan Financial Group BB&T Wealth Mr. & Mrs. Steven and Eve Belote Mr. & Mrs. Gary and Susan Bennett Mr. & Mrs. John and Sandra Blackburn Ms. Melinda Blanchard Blarney Stone Pub Mr. & Mrs. Dick and Lisa Bohrer Mr. Matthew B. BoyntonBradley Family Foundation at Hampton Roads Community Foundation Mr. & Mrs. Eric and Kandy Bruno Mr. & Mrs. Mark and Jody Bundy Dr. Charles and Dr. Paula Cameron Cape Charles Bed and Breakfast - Mr. & Mrs. Bruce and Carol Evans Club Chautauqua St. Charles Catholic Church Cherrystone Aqua Farms Chesapeake Bay Bridge and Tunnel District Chesapeake ENT - Virginia Sinus Center Chesapeake Investment Planning, LLCMr. & Mrs. Walter and Randy Childs Chincoteague Island Community Health Center Christ Episcopal Church Mr. & Mrs. Patrick and Barbara Coady Dr. & Mrs. Ernest and Kathleen Coalter, Jr. Coastal Homes by Beracah Mr. & Mrs. John and Martina Coker Mr. & Mrs. Richard and Susan Comstock Mr. & Mrs. Mike and Mary Connelly ESRHS Corporate Office Crabbe Aviation Mr. & Mrs. Carter and Anne Crabbe Craddockville United Methodist Church Mr. Crile Crisler Mr. & Mrs. Eddie and June Crockett Mr. & Mrs. John and Abbi Custis

Custis Farms, Inc.Mr. & Mrs. Bill and Lola Custis Mr. & Mrs. Henry Custis, Jr. Mr. & Mrs. David and Roberta Dean Debedeavon Garden Club Delta Dental of Virginia Foundation Ms. Alice Denny Ms. Patricia Diem Mr. & Mrs. Thom and Charlene Dix Mr. & Mrs. Ralph and Lit Dodd Dr. & Mrs. Parker and Maureen Dooley Dr. & Mrs. Otis and Betty Doss Mr. James Douglas Dr. & Mrs. Paul J. Driscoll Mr. & Mrs. Pete and Brook Duer Eastern Shore of VA Community Foundation Eastville Baptist Church Mr. & Mrs. Tony and Jeannette Edwards Exmore Rotary Club Ms. Katherine Fiege Mr. Dee Fitch Franktown Community Health Center Franktown United Methodist Church Mr. & Mrs. Mark and Jeanine Freeze Dr. Carsten Frey Mr. Lucas Fussell Mr. & Mrs. Lynn and Linda Gayle Mr. & Mrs. Robert and Gloria Gladden GMB Architects/Engineers Ms. Sara N. Goffigon Mr. & Mrs. MJ and Suzanne Golibart Mr. & Mrs. Wayne and Kathy Greene Mr. Floyd Hall Mr. & Mrs. Richard F. Hall III Hall-Richardson Agency, Inc. Mr. & Mrs. Robert and Patricia Harris Dr. & Mrs. Richard and Karen Hatch Mr. Daniel R. Hawkins Ms. Barbara F. Haynes Mr. Brent and Dr. Sandra Hearn Mr. & Mrs. John M. Henderson Hermitage Eastern Shore Mr. & Mrs. Robert and Mary Hill Mr. & Mrs. Bruce and Debbie Holland Dr. & Mrs. Tom and Mary Hollandsworth Holmes Presbyterian Church Mr. & Mrs. Jody and Pat Hopkins The Hubbard Family Mr. William Hughes Hungars Episcopal Church

Intrepid Home Healthcare Island House Restaurant Mr. & Mrs. Crosby Johnson Mr. & Mrs. Walkey and Julie Johnson Johnson, Mirmiran & Thompson, Inc. Johnson’s United Methodist Church Ms. Laurie Zittrain Jones Mr. & Mrs. William F. Jones E. Polk Kellam Foundation Fund Mr. & Mrs. John and Anny Kellam Mr. & Mrs. Lloyd and Sue Kellam Mr. & Mrs. Luke and Patty Kellam Ms. Mary Anne Kellam Mr. & Mrs. David and Mary Klein Mr. & Mrs. John and Melody Kolos Mr. Joseph Konefal Mr. & Mrs. Pete and Debbie Lalor Mr. & Mrs. Roger and Barbara Latham Mr. Richard M. Leal Mr. & Mrs. John and Lynnette LeCato, Jr. Mr. & Mrs. Larry and Karin Lees Sen. Lynwood Lewis Hon. & Mrs. W. Revell and Lisa Lewis III Little Italy RestaurantLittle Pungo Ruritan Club Cape Charles Lions Club Lower Northampton Baptist Church Ms. Lisa Lunger Ms. Judy Maher Ms. Elizabeth Mapp Mr. John Martin Market Street United Methodist Church Marsh and McLennan Agency Ms. Wendy R. Martin Mr. Dennis McCoy Mr. Alfred McKegg McKenzie Construction Corporation Mr. & Mrs. Randy and Judy McKnight Mr. Jeremy McLean Mr. & Mrs. George N. and E.A. McMath E.A. and George N. McMath Edgewater Fund of the Hampton Roads Community Foundation Ms. Katty Mears Mr. & Mrs. Frank and Rose Moore Ms. Melissa Moore Ms. Sherry Morgan Mr. Thomas E. Morris Mountaire Farms of Delaware, Inc. Mr. Jefferson E.C. Moulds

Active GrantsAccomack County • BB&T • Bradley Family Foundation of the Hampton Roads Community Foundation

The Cabell Foundation • Delta Dental of VA FoundationRichard & Caroline T. Gwathmey Memorial Trust

E.A. and George N. McMath Edgewater Fund of the Hampton Roads Community FoundationE. Polk Kellam Foundation Fund II • E. Polk Kellam Foundation I

Eastern Shore of Virginia Community FoundationCharles R. Jenkins, Sr. - Joan W. Jenkins Foundation

Marietta McNeil Morgan & Samuel Tate Morgan, Jr. Trust • Mountaire Farms Inc.Payne Family Foundation • Sentara Healthcare/Optima Health administered by the Sentara

Foundation – Hampton Roads • Calvin B. Taylor Banking Co.U.S. Health Resources and Services Administration (HRSA) • U.S. Department of Agriculture

United Way of Virginia’s Eastern Shore • Virginia Community Healthcare AssociationVirginia Health Care Foundation • Walton Foundation • Xenith Bank


National Assoc. of Community Health Centers Naomi Makemie Presbyterian Church NASA Federal Credit Union Mr. & Mrs. William and Dawn Neville Northampton County High School Alumni Association, Inc. Mr. & Mrs. Spencer and Susan Nottingham Mr. & Mrs. Robert and Janyce O’Brien Mr. Tommy O’Connor Mr. & Mrs. Bill and Barbara O’Hare Ms. Virginia Olson Onancock Rotary Club Onley Community Health Center Mr. Tom Pace Ms. Ellen S. Papetti Mr. & Mrs. Harry and Pat Parker Mr. Matthew Parker Mr. & Mrs. John L. Parks III Payne Family Foundation Mr. Andrew Pierce PNC Bank - Onley, VA PNC Bank - Fruitland, MD Mr. & Mrs. Thomas and Joan Potts Ms. Joan Prescott Rayfield’s Pharmacy Mr. & Mrs. Robert and Carolyn Richardson Mr. & Mrs. Scott and Teri Rigell Ms. Robin Rinaca Drs. David and Cathy Riopel

Donors . . . funds received June 1, 2017 through November 1, 2018 (continued)Ms. Deborah B. Roberts Dr. Jeanne Roll Rotary Club of Cape Charles Two Farms, Inc. - Royal Farms Pungoteague Ruritan Club Salvation Army Mr. & Mrs. Wes and Dicksie Sandifer Mr. & Mrs. Bob and Kimberly Savage Mr. & Mrs. George Savage Sentara Foundation-Hampton Roads Mr. & Mrs. Ace and Betsy Seybolt Mr. & Mrs. Duke and Joyce Shannahan Shore United Bank Mr. & Mrs. Robert and Phyllis Simpson Mr. Percy Smith Mr. & Mrs. Phil and Jan Snyder Soroptimist Club of Accomack County Mr. & Mrs. Denard C. Spady Dr. Heather Stark Ms. Nancy J. Stern Dr. & Mrs. Drury and Patsy StithDr. & Mrs. Paul and Virginia Strong Mr. Matthew Strickler Mr. & Mrs. Billy and Janet Sturgis II Mr. & Mrs. Ed and Amy Tankard Mr. Phillip Tankard Calvin B. Taylor Banking Co. Ms. Tanya Taylor Mr. Herbert Thom and Ms. Mary Brogan

Special ContributorsA&N Electric Cooperative Abbi Custis of Abbi Custis Art Accomack Soroptimist Club Amy Brandt Art Schwendeman At Altitude Gallery Bay Haven Bed & Breakfast Becca’s Bernie Rolley Bill Parr Bill Petka of Crop Production Services Billy Crockett Blue Crab Bay Co. Bob and Betty Kerns Brook Layton Buskey Cider on the Bay Cape Charles Brewery Cape Charles Distillery Captain Lynn Gayle Captain’s Cove Golf Course Caramine Kellam CBBT Charlie and Bev Misuna Charlotte Hotel

Mr. & Mrs. Michael and Jennifer Ash- In honor of Family and FriendsDr. Oluseyi A. Adegoroye - In honor of Mrs. Duti Adegoroye, RN

Mr. Robert Alpino and Ms. Lisa Odabasi- In memory of Carol RienerthBallard Fish and Oyster Co., LLC- In memory of Carroll Chadwick Ballard Sr. and Jr.

Ms. Lisa Brasch and Ms. Mary Anne Mosser - In memory of Margaret Barnes PelletierMs. Audrey Brickhouse - In memory Mr. Calvin L. Brickhouse

Ms. Eliza McBride - In memory of Evan Clements • Dr. Hans Brehm - In memory of Carol RienerthHon. & Mrs. Robert and Pat Bloxom - In memory of Carol Rienerth

Mr. & Mrs. Oroon and Frances Barnes - In memory of Dr. Kirk MarinerMs. Debbie Belote and Ms. Ginny Morgan - In memory of Lovell Frear Najari

Mr. & Mrs. Jesse and Erin Beck - In honor of Mr. George N. McMathMr. & Mrs. Paul and Amy Bull - In honor of Amy’s father, Dr. W.T. Giles

Mr. & Mrs. Rick and Ann Bull - In honor of Ann’s grandparentsMs. Shanna Colls - In honor of the Baldwin Family

Dr. & Mrs. Robert and Gloria Colls - In honor of the Baldwin FamilyChincoteague Kiwanis Club - In honor of John Sparkman

Daughters of the American Revolution, Northampton Co. Chapter - In memory of Dana Latimer VanDykeMs. Dianne Davis - In memory of Mrs. Ida J. Williams

Mr. & Mrs. Harry and Mary Deitch - In memory of Cinda HillMr. Hunter Edwards - In honor of Tony and Jeannette Edwards

Mr. & Mrs. Jerry and June Evans - In memory of Holly June EvansDr. William T. Greer, Jr. - In honor of Fann Greer

Ms. Jenean Hall - In honor of Mrs. Denise W. BlandMs. Jenean Hall - In memory of Evan Clements

Ms. Sharon Hayden - In memory of Carol RienerthMr. & Mrs. Jeff and Penney Holland - In memory of Bill and Una Holland

Mr. & Mrs. Bob and Maria Hood - In honor of Dr. Robert M. PaschallMr. & Mrs. Ben and Shirley Hutchinson - In memory of Carol Rienerth

Rev. & Mrs. Alex and Suzanne Joyner - In honor of the people of Franktown UMCMs. Patricia N. Killmon - In honor of Dr. Hamilton Bice

Dr. & Mrs. Lloyd J. Kellam III - In honor of Lloyd Joseph Kellam, Jr.Mr. & Mrs. Kevin and Marilyn Kellam - In honor of Lloyd Joseph Kellam, Jr.

Mr. & Mrs. Peter and Jane Kafigian - In memory of Evan ClementsMr. & Mrs. J.B. and Kay Laird - In honor of Preston Laird, Chayce Wayman, Makayla Laird and Aria Laird

Mr. & Mrs. Hillary and Amy Little - In honor of Dr. Cathy and Dr. David RiopelMrs. Cary Milliner, Jr. - In memory of Cary F. Milliner, Jr.

Ms. Betty Mariner - In memory of Jesse and Helen MarinerMr. David Mason - In memory of Millie Mason

Mr. & Mrs. Al and Bev McMath - In honor of Mr. George N. McMathMr. & Mrs. Thomas R. McKnight - In honor of Lisa and Dick Bohrer

Mr. & Mrs. Arthur and Betsy McCray - In memory of William K. Neal and Elizabeth T. NealMs. Pauline Milbourne - In honor of Ms. Nancy C. Matthews

Ms. Katie Neptune and Ms. Judy Underhill - In memory of Michael, Clyde and Libby UnderhillMr. & Mrs. Tom and Bonnie Nelson - In memory of Alice McLaughlin

Mr. & Mrs. Ray and Joyce Newman - In memory of Mary Eyre PeacockMr. William K. Neal III - In memory of William K. Neal and Elizabeth T. Neal

Mr. David Outten - In memory of Weston Outten-AshbyMr. & Mrs. Keith and Jeanette Oxendine - In memory of Carol Rienerth

Mr. & Mrs. Jim and Karen Parker - In honor of Audrey and Douglas CoburnMr. Hugh L. Patterson - In memory of Douglas Kellam Patterson

Ms. Thelma Peterson - In memory Dr. William Bernart on behalf of the Barrier Islands CenterMr. & Mrs. George and Mary Lou Podelco - In honor of Mr. George N. McMath

Ms. Susan Stinson - In memory of Mary Eyre PeacockSalvation Army - In memory of Carol RienerthMs. Nancy J. Stern - In memory of Toby Kubala

Ms. Nancy J. Stern - In memory of Carol RienerthMs. Nancy J. Stern - In memory of Evan Clements

Ms. Lawrence N. Smith - In honor of Paula AtkinsonMs. Anne R. Tankard - In memory of Mary Eyre Peacock

Dr. & Mrs. Ashby B. Taylor - In memory of William K. Neal II and Dr. William F. BernartThe Family of Giles C. Upshur, Jr. - In memory of Giles C. Upshur, Jr.

Ms. Fabiola P. Van Kesteren - In memory of Tim Aldous Meakin HollandVFW Post 2296 - In memory and in honor of all Shore Veterans

Ms. Ann McMath Weinheimer - In memory of Nannie Dunton Savage and Sophie T. McMathMr. & Mrs. William A. and Ann Hayward Walker - In memory of Elisabeth C.W. Dowd

Mr. & Mrs. William A. and Ann Hayward Walker - In honor of Lois Ann RooneyMrs. Harrison G. Wehner - In memory of Harrison Wehner

Ms. Nancy Weaver - In memory of Bill WeaverMs. Nancy Weaver - In memory of Evan Clements

Mr. Thomas Wilkins and Ms. Robin Patteson - In memory of Evan ClementsMr. & Mrs. Paul and Janice Ward - In memory of Carol Rienerth

Ms. Ann Beamer Williams - In honor of the children of Jamie Nalls and Ann Beamer Williams

Chatham Vineyards Chris’ Bait & Tackle Copper Creations Corner Bakery Darryl Lilliston Dr. Walt Roll Eastern Shore Custom Carts Eastern Shore Signs Eastern Shore Yacht and Country Club Edwards SeafoodFairfield Inn & Suites, ChincoteagueGull Hummock Gourmet MarketHermitage Eastern Shore Hill Sand and Gravel Hook U Up GourmetIsland House Restaurant, Blake JohnsonJay Lucas Joan Bull Joan’s Heavenly Creations John and Cindy Downing John L. Parks Kate Ward Linda ArvidsonLittle Italy Restaurant, Franco Nocera

Louise Oliver Major JonesMarina Bay Hotel & Suites, ChincoteagueMary Ann Kellam Meriweather Payne Moonrise Jewelry Moore’s Portable Solutions New Ravenna Nicolle Smith Northampton Hotel Pat Parker PTG Rayfield’s Pharmacy Ricky and Doreen Ross Shirley Deeds/Creative DeedsShorely TherapeuticRachel WivellStephanie Zodun Tim’s Place Turner SculptureWachapreague Inn, Chris and Nikki WardiusWaterside Inn, ChincoteagueWillie Crockett

Tidewater Medical Sales and Service, Inc.Mr. & Mrs. Rhet and Cathy Tignor Mr. & Mrs. James and Nancy Townsend Mr. & Mrs. David G. Tyler III Hon. & Mrs. Glen and Myree Tyler Mr. & Mrs. Adair and Jennifer Tyler Union Bank & Trust United States Dept of Agriculture United Way of Virginia’s Eastern Shore Ms. Carol M. Upshur Virginia Community Healthcare Assoc. Mr. & Mrs. Brooks and Brenda Wallace Walmart Mr. & Mrs. Bill and Bev Watson Ed Weber Contracting Mr. & Mrs. Jon and Mills Wehner Mr. Jack Wescoat Ms. Martha L. White Mr. & Mrs. William and Dora-Weston Wilkins Mr. & Mrs. Johnny and Peggy Williams Mr. John T. Williams, Jr. Drs. Scott and Michele Wolpin Woman’s Club of the Eastern Shore Worldwide Business Brokers Mr. & Mrs. Ron and Sherry Wrucke Xenith Bank Mr. Tom Young Mr. & Mrs. Mike and Stephanie Zodun

Donors of Honorary & Memorial Giftsfunds received June 1, 2017 through November 1, 2018

Donors of Honorary & Memorial Giftsfunds received June 1, 2017 through November 1, 2018 (continued)


Dr. Sandra BalmoriaFamily Practice

Dr. Jeanne Roll Internal Medicine/Geriatrics

Clinical Director

Kathy HallPediatric Nurse Practitioner

Robert ConiglioPhysician Assistant

Dr. David HoshinoFamily Practice

Dr. Sue MurrayPediatrics

Rebecca NightingalePhysician Assistant

Bayview Community Health Center

Dr. Joan LingenOB/GYN - Adult Medicine • Clinical Director

Jynnifer AlbanoFamily Nurse Practitioner

Dental Program

Dr. Noel RootDentist

Dr. Edward GriggsDentist

Dr. Stephanie ShelleyDentist

Dr. Carsten FreyDentist

Dr. Tanvir SinghDentist

Dr. Robert MormileDentist

Heather FlemingDental Hygienist

ESRHS Medical and Dental Providers

Megan DorisPhysician Assistant

Jean LaughmanFamily Nurse Practioner

Molly O’BrienPhysician Assistant

Atlantic Community Health Center

What our patients are saying: “Made us feel welcomed.”

Dr. Nidya de la TorrePediatric Dentist

Dr. Tiffany NightengaleDentist

Pam ReynoldsDental Hygienist

Alison ParksDental Hygientist

Dr. Michael SnyderDentist

Franktown Community Health Center

Dr. Joan LingenOB/GYN - Adult Medicine

Clinical Director

Dr. David RiopelPediatrics

Lakeila Powell Physician Assistant

Nancy HargisFamily Nurse Practitioner

Dr. Cathy RiopelPediatrics

Emily PatrickPhysician Assistant

Onley Community Health Center

Tori HoutrouwPhysician Assistant

Dr. Al HallsFamily Practice

Lucas FussellFamily Nurse Practitioner

Dr. Nicole MarshPediatrics

Clinical Director

Sierra CuppettPhysician Assistant

Dr. Walt RollInternal Medicine

Dr. Heather StarkFamily Practice

Judy WicklundAdult Nurse Practitioner

Dr. Jeremy SiegristPediatrics

Chincoteague Island Community Health Center

Dr. Tom HollandsworthChief Medical Officer • Clinical Director

Mary Clark • Family Nurse Practioner

Jennifer LucasPhysician Assistant

John MooreFamily Practice

Dr. Brad MurrayInternal Medicine/Geriatrics

Dr. Gabriella RichardsonPediatrics

Sarah ShotwellFamily Nurse Practitioner

What our patients are saying: “Very informative, nice and gentle; I am very impressed and will be back.”

Dr. Randi WingateDentist


Lindsey Plato-JohnsonFamily Nurse Practitioner

Kim SavageChief Compliance Officer

Keith Colonna

Denise Bland - President

Dr. Betty Bibbins Dr. Art Fournier

Jeff Holland -Vice President

Garnett Kellam

William Sturgis

Sheila Kerpelman

Tom Pace

Robert Kerns -Treasurer

Alice Jones -Secretary

ESRHS Senior Leadership Team

Kandice BrunoChief Financial Officer

Mike ZodunChief Information

Officer

Nancy SternChief Executive Officer

Dr. Scott WolpinChief Dental Officer

Anne CrabbeChief Operations

Officer

Jeannette EdwardsChief Human Resources

Officer

Jennifer TylerChief Clinical

Informatics Officer

Luther Byrd

John Sparkman

Dr. Tom HollandsworthChief Medical

Officer

ESRHS Board of Directors

Marisa Sanchez Dr. John Schulz

Dr. Sandra HearnChief Nursing Officer

Eastern Shore Rural Health Corporate Office20280 Market Street • Onancock, Virginia 23417

(757) 414-0400 • www.esrh.org

eastern shore rural health system, inc

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