Hospital Statistics 2019
ARKANSAS HOSPITAL ASSOCIATION
ARKANSAS HOSPITALS MAGAZINE . 33
ARK ANSAS HOSPITAL S 2019 BY THE NUMBERS 105
Hospitals of all types are located in cities, towns, and communities throughout Arkansas.
102
Hospitals and other health care organizations are members of the Arkansas Hospital Association.
43
Community hospitals have fewer than 100 beds.
28
Hospitals are designated by the federal government as Critical Access Hospitals, having no more than 25 acute care beds.
39
Counties are served by a single hospital. Eighteen of those counties are served by a single Critical Access Hospital.
38
Counties in the state count hospitals among their top five employers. In 22 counties, a hospital is among the top three employers.
25
Arkansas counties and cities believe their hospitals to be important enough that people in those areas have voted to provide local tax support for the hospital.
23
Arkansas counties – more than 30 percent of all counties in the state – do not have a local community hospital.
61% 56
Of AHA member hospitals are charitable, not-for-profit organizations, while 28 percent of the hospitals are operated by private, for-profit companies, and 14 percent are public hospitals – owned and operated by a city, county, state, or federal government. AHA members are designated Trauma Centers within the comprehensive, statewide trauma system, which has been credited with cutting the rate of preventable deaths due to injuries by 50 percent.
17,840
Arkansans sought inpatient or outpatient care from the state’s hospitals each day in 2017*, on average, for illnesses, injuries, and other conditions that required medical attention.
35,517
Newborns were delivered in Arkansas hospitals in 2017. The Arkansas Medicaid program covered almost 65 percent of them.
34 . STATS | SUMMER 2019
*The latest year for which data is available.
IN-STATE HOSPITAL MEMBERS
97
GENERAL MEDICAL-SURGICAL HOSPITALS
44
INPATIENT PSYCHIATRIC FACILITIES
11
CRITICAL ACCESS HOSPITALS
28
INPATIENT REHABILITATION FACILITIES
4
VETERANS AFFAIRS HOSPITALS
2
LONG-TERM CARE HOSPITALS
5
SPECIAL-FOCUS HOSPITALS
3
OUT-OF-STATE BORDER CITY HOSPITALS
2
NON-HOSPITAL MEMBERS
3
TOTAL AHA MEMBERS
102 Source: American Hospital Association, Hospital Statistics, 2019
ANNUAL ECONOMIC IMPAC T OF ARK ANSAS HOSPITAL S $11.5B = The total estimated annual economic impact of AR hospitals. 45,800 = The number of jobs provided by AR hospitals. $3.4B = The combined payroll expenditure of AR hospitals. These dollars, earned by Arkansas hospital employees, generate approximately
$5.4B in economic activity in the state, which creates an additional estimated 42,700 jobs. $652.8M = The annual capital spending total of AR hospitals.
$5.5B = The annual total of other, non-salary expenditures of AR hospitals. ARKANSAS HOSPITALS MAGAZINE . 35
AHA MEMBERS BY CIT Y, T YPE, SIZE AND SERVICES CITY
HOSPITAL
TYPE OF HOSPITAL
LICENSED BEDS
ARKADELPHIA
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
MEDICAL-SURGICAL
25
ASHDOWN
LITTLE RIVER MEDICAL CENTER
MEDICAL-SURGICAL
25
BARLING
VALLEY BEHAVIORAL HEALTH SYSTEM
PSYCHIATRIC
114
BATESVILLE
WHITE RIVER HEALTH SYSTEM
MEDICAL-SURGICAL
210
BENTON
RIVENDELL BEHAVIORAL HEALTH SERVICES
PSYCHIATRIC
80
TRAUMA SYSTEM LEVEL IV
ADDITIONAL SERVICE LINES SB/HH/OB/HOSP SB/HH/IMF
LEVEL III
SNF/PSYCH/REHAB/OB/PALL
BENTON
SALINE MEMORIAL HOSPITAL
MEDICAL-SURGICAL
177
LEVEL III
PSYCH/REHAB/HH/OB/HOSP
BENTONVILLE
NORTHWEST MEDICAL CENTER BENTONVILLE
MEDICAL-SURGICAL
128
LEVEL III
HH
BERRYVILLE
MERCY HOSPITAL BERRYVILLE
MEDICAL-SURGICAL
25
BLYTHEVILLE
GREAT RIVER MEDICAL CENTER
MEDICAL-SURGICAL
99
LEVEL IV
OB
SB/HH/PALL/HOSP LEVEL IV
SB/HH/PALL/HOSP
BOONEVILLE
MERCY HOSPITAL BOONEVILLE
MEDICAL-SURGICAL
25
CALICO ROCK
IZARD COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
CAMDEN
OUACHITA COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
98
LEVEL IV
SB/SNF/PSYCH/REHAB/HH/OB/HOSP
CLARKSVILLE
JOHNSON REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
90
LEVEL IV
SB/SNF/PSYCH/REHAB/HH/OB
CLINTON
OZARK HEALTH MEDICAL CENTER
MEDICAL-SURGICAL
25
SB/HH/IMF
CONWAY
BAPTIST HEALTH MEDICAL CENTER-CONWAY
MEDICAL-SURGICAL
111
OB
CONWAY
CONWAY BEHAVIORAL HEALTH
PSYCHIATRIC
80
CONWAY
CONWAY REGIONAL HEALTH SYSTEM
MEDICAL-SURGICAL
150
CONWAY
CONWAY REGIONAL REHABILITATION HOSPITAL
REHABILITATION
26
SB/HH
LEVEL III
PSYCH/REHAB/HH/OB/PALL
CROSSETT
ASHLEY COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
33
LEVEL IV
SB/PSYCH/HH/OB
DANVILLE
CHAMBERS MEMORIAL HOSPITAL
MEDICAL-SURGICAL
41
LEVEL IV
SB/HH
LEVEL IV
SB/PSYCH/HH
DARDANELLE
DARDANELLE REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
35
DEWITT
DEWITT HOSPITAL & NURSING HOME
MEDICAL-SURGICAL
85
DUMAS
DELTA MEMORIAL HOSPITAL
MEDICAL-SURGICAL
25
EL DORADO
MEDICAL CENTER OF SOUTH ARKANSAS
MEDICAL-SURGICAL
166
LEVEL III
REHAB/OB
LEVEL IV
SB/HH
LEVEL II
HH/OB/PALL/HOSP
EUREKA SPRINGS
EUREKA SPRINGS HOSPITAL
MEDICAL-SURGICAL
15
FAYETTEVILLE
ENCOMPASS HEALTH REHABILITATION HOSPITAL
REHABILITATION
80
FAYETTEVILLE
NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL
MEDICAL-SURGICAL
20
FAYETTEVILLE
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
PSYCHIATRIC
80
FAYETTEVILLE
VANTAGE POINT OF NWA
PSYCHIATRIC
114
FAYETTEVILLE
VETERANS HEALTHCARE SYSTEM OF THE OZARKS
VETERANS ADMIN.
73
FAYETTEVILLE
WASHINGTON REGIONAL MEDICAL SYSTEM
MEDICAL-SURGICAL
425
SB/IMF HH/SB
PSYCH
FORDYCE
DALLAS COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
FORREST CITY
FORREST CITY MEDICAL CENTER
MEDICAL-SURGICAL
118
LEVEL IV
PSYCH/HH/OB
LEVEL III
HH/OB
FORT SMITH
BAPTIST HEALTH-FORT SMITH
MEDICAL-SURGICAL
492
FORT SMITH
CHRISTUS DUBUIS HOSPITAL OF FORT SMITH
LONG TERM CARE
25
FORT SMITH
MERCY HOSPITAL FORT SMITH
MEDICAL-SURGICAL
348
GRAVETTE
OZARKS COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
HARRISON
NORTH ARKANSAS REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
PALL/HOSP LEVEL III
SNF/REHAB/HH/OB/PALL/HOSP
174
LEVEL III
HH/PSYCH/OB/HOSP
LEVEL IV
HEBER SPRINGS
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS
MEDICAL-SURGICAL
25
HELENA
HELENA REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
155
SB/OP GERIPSYCH/WOUND CLINIC SB/HH/HOSP SB/REHAB/HH/OB
HOT SPRINGS
CHI ST. VINCENT HOT SPRINGS
MEDICAL-SURGICAL
282
HOT SPRINGS
CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS
LONG TERM CARE
27
LEVEL II
PSYCH/REHAB/HH/OB PALL/HOSP
HOT SPRINGS
LEVI HOSPITAL
MEDICAL-SURGICAL
50
PSYCH/REHAB
HOT SPRINGS
NATIONAL PARK MEDICAL CENTER
MEDICAL-SURGICAL
163
REHAB/OB
JACKSONVILLE
19TH MEDICAL GROUP
INFIRMARY
0
JACKSONVILLE
NORTH METRO MEDICAL CENTER
MEDICAL-SURGICAL
113
PALL
JOHNSON
WILLOW CREEK WOMEN'S HOSPITAL
MED-SURG (OB/GYN)
64
OB
JONESBORO
NEA BAPTIST MEMORIAL HOSPITAL
MEDICAL-SURGICAL
228
LEVEL IV
REHAB/OB/PALL
JONESBORO
ST. BERNARDS MEDICAL CENTER
MEDICAL-SURGICAL
438
LEVEL III
PSYCH/HH/OB/PALL/HOSP
LAKE VILLAGE
CHICOT MEMORIAL MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
LITTLE ROCK
ARKANSAS CHILDREN'S HOSPITAL
MED-SURG (PED)
336
LEVEL I
REHAB/PALL
LITTLE ROCK
ARKANSAS HOSPICE
INPATIENT HOSPICE
40
36 . STATS | SUMMER 2019
PALL/HOSP
LICENSED BEDS
CITY
HOSPITAL
TYPE OF HOSPITAL
LITTLE ROCK
ARKANSAS STATE HOSPITAL
PSYCHIATRIC
LITTLE ROCK
BAPTIST HEALTH EXTENDED CARE HOSPITAL
LONG TERM CARE
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
MEDICAL-SURGICAL
843
LITTLE ROCK
BAPTIST HEALTH REHABILITATION INSTITUTE
REHABILITATION
120
LITTLE ROCK
CARTI
OP CANCER CENTER
LITTLE ROCK
CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
VETERANS AFFAIRS
635
LITTLE ROCK
CHI ST. VINCENT INFIRMARY
MEDICAL-SURGICAL
615
LITTLE ROCK
CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK
LONG TERM CARE
40
LITTLE ROCK
PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM
PSYCHIATRIC
124
LITTLE ROCK
UAMS MEDICAL CENTER
MEDICAL-SURGICAL
450
TRAUMA SYSTEM
ADDITIONAL SERVICE LINES
321 55
PALL/HOSP LEVEL II
SNF/PSYCH/HH/OB/PALL/HOSP PALL/HOSP
0 PSYCH/REHAB LEVEL II
PSYCH/HH/OB/PALL
LEVEL I
OB/PALL
OUTPT. PSYCH
MAGNOLIA
MAGNOLIA REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
49
LEVEL IV
SB/HH/OB
MALVERN
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY MEDICAL-SURGICAL
72
LEVEL IV
PSYCH/HH/HOSP
MAUMELLE
METHODIST BEHAVIORAL HOSPITAL
60
PSYCHIATRIC
MCGEHEE
MCGEHEE HOSPITAL
MEDICAL-SURGICAL
25
MEMPHIS, TN
REGIONAL ONE HEALTH
MEDICAL-SURGICAL
620
LEVEL I LEVEL IV
MENA
MENA REGIONAL HEALTH SYSTEM
MEDICAL-SURGICAL
65
MONTICELLO
DREW MEMORIAL HEALTH SYSTEM
MEDICAL-SURGICAL
49
SB/HH SB/PSYCH/REHAB/OB SB/HH
MORRILTON
CHI ST. VINCENT MORRILTON
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH/HOSP
MOUNTAIN HOME
BAXTER REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
268
LEVEL III
PSYCH/REHAB/HH/OB/HOSP SB
MOUNTAIN VIEW
STONE COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
NASHVILLE
HOWARD MEMORIAL HOSPITAL
MEDICAL-SURGICAL
20
LEVEL IV
SB/HH
NEWPORT
UNITY HEALTH - HARRIS MEDICAL CENTER
MEDICAL-SURGICAL
133
LEVEL IV
SB/PSYCH
LEVEL III
REHAB/HH/OB/PALL/HOSP
NORTH LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK
MEDICAL-SURGICAL
225
NORTH LITTLE ROCK
THE BRIDGEWAY
PSYCHIATRIC
127
OSCEOLA
SMC REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/PSYCH
OZARK
MERCY HOSPITAL OZARK
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH/PALL/HOSP
PARAGOULD
ARKANSAS METHODIST MEDICAL CENTER
MEDICAL-SURGICAL
129
LEVEL IV
SB/REHAB/HH/OB
PARIS
MERCY HOSPITAL PARIS
MEDICAL-SURGICAL
16
LEVEL IV
SB/HH/PALL/HOSP
PIGGOTT
PIGGOTT COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
PINE BLUFF
JEFFERSON REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
471
LEVEL III
SNF/PSYCH/REHAB/HH/OB
POCAHONTAS
ST. BERNARDS FIVE RIVERS
MEDICAL-SURGICAL
50
LEVEL IV
PSYCH/HH
ROGERS
MERCY HOSPITAL NORTHWEST ARKANSAS
MEDICAL-SURGICAL
208
LEVEL III
PSYCH/HH/OB/PALL
RUSSELLVILLE
SAINT MARY'S REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
170
LEVEL III
PSYCH/REHAB
SALEM
FULTON COUNTY HOSPITAL
MEDICAL-SURGICAL
25
LEVEL IV
SB
438
LEVEL III
PSYCH/REHAB/HH/OB/PALL
69
LEVEL IV
HH/PALL
SEARCY
ADVANCED CARE HOSPITAL OF WHITE COUNTY
LONG TERM CARE
SEARCY
UNITY HEALTH - WHITE COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
27
SHERWOOD
CHI ST. VINCENT NORTH
MEDICAL-SURGICAL
SHERWOOD
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL REHABILITATION
80
SILOAM SPRINGS
SILOAM SPRINGS REGIONAL HOSPITAL
MEDICAL-SURGICAL
73
SPRINGDALE
ARKANSAS CHILDREN'S HOSPITAL NORTHWEST
MED-SURG (PED)
24
PALL
SB/OB/PALL/HOSP
SPRINGDALE
NORTHWEST MEDICAL CENTER SPRINGDALE
MEDICAL-SURGICAL
222
LEVEL III
PSYCH/REHAB/HH/OB
STUTTGART
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
MEDICAL-SURGICAL
49
LEVEL IV
SB/OB/PALL/HOSP
TEXARKANA, TX
CHRISTUS ST. MICHAEL HEALTH SYSTEM
MEDICAL-SURGICAL
312
LEVEL III
TEXARKANA
RIVERVIEW BEHAVIORAL HEALTH
PSYCHIATRIC
62
VAN BUREN
BAPTIST HEALTH-VAN BUREN
MEDICAL-SURGICAL
105
LEVEL IV
WALDRON
MERCY HOSPITAL WALDRON
MEDICAL-SURGICAL
24
LEVEL IV
WALNUT RIDGE
LAWRENCE MEMORIAL HOSPITAL
MEDICAL-SURGICAL
25
SB/ICF/PALL SB/PSYCH/HH/OB
WARREN
BRADLEY COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
33
WEST MEMPHIS
PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS
PSYCHIATRIC
54
WYNNE
CROSSRIDGE COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
615
SB/HH/PALL/HOSP
SB/HH
SB=Swing Beds; HH=Home Health; ICF=Intermediate Care Facility; OB = Obstetrics, Pall=Palliative Care, Hosp=Hospice
ARKANSAS HOSPITALS MAGAZINE . 37
STATEWIDE HOSPITAL FINANCIAL AND UTILIZ ATION INDIC ATORS, 2013-2017 INDICATOR
2013
2014
2015
2016
2017
BEDS AVAILABLE
9,617
9,449
9,569
9,634
9,664
ADMISSIONS
358,359
350,431
357,286
359,359
363,070
PATIENT DAYS
1,842,902
1,795,753
1,859,244
1,846,634
1,861,122
5.1
5.1
5.2
5.1
5.1
NON-EMERGENCY OUTPATIENT VISITS
3,728,501
3,790,058
4,184,351
4,570,177
4,629,383
OUTPATIENT VISITS
5,174,684
5,149,087
5,676,710
6,086,166
6,148,539
72.1%
73.6%
73.7%
75.1%
75.3%
3,637,218
3,701,153
3,942,232
3,963,653
4,125,703
52.5%
52.1%
53.2%
52.5%
52.8%
INPATIENT SURGERIES
100,360
96,353
94,607
94,627
95,013
OUTPATIENT SURGERIES
181,402
180,684
195,650
200,832
203,105
TOTAL SURGERIES
281,762
277,037
290,257
295,459
298,118
OUTPATIENT AS % OF TOTAL SURGERIES
64.38%
65.22%
67.41%
67.97%
68.13%
TOTAL FULL-TIME EQUIVALENT EMPLOYEES
44,524
45,916
47,102
47,825
49,832
4.47
4.53
4.36
4.40
4.41
$10,605,082,886
$11,007,915,107
$11,700,149,701
$12,460,694,916
$13,396,489,708
GROSS REVENUE, OUTPATIENT
$9,645,405,883
$10,568,638,798
$11,967,218,307
$12,952,790,887
$14,212,477,805
GROSS PATIENT REVENUE
$20,250,488,769
$21,576,553,905
$23,667,368,008
$25,413,485,803
$27,608,967,513
BAD DEBTS
$787,481,517
$576,942,240
$543,253,884
$444,692,383
$469,305,416
CHARITY
$607,543,781
$432,816,585
$336,830,549
$376,732,202
$339,342,080
AVERAGE LENGTH OF STAY
NON-EMERGENCY AS A % OF TOTAL OUTPATIENT VISITS ADJUSTED PATIENT DAYS OCCUPANCY RATE
FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED GROSS REVENUE, INPATIENT
MEDICARE, MEDICAID & OTHER PAYER WRITEOFFS
$12,964,897,661
$14,535,076,964
$16,168,309,507
$17,636,673,879
$19,440,530,333
TOTAL DEDUCTIONS
$14,359,922,959
$15,544,835,789
$17,048,393,940
$18,458,098,464
$20,249,177,829
NET PATIENT REVENUE
$5,890,565,810
$6,031,718,116
$6,618,974,068
$6,955,387,339
$7,359,789,684
OTHER OPERATING REVENUE
$271,018,970
$310,383,539
$250,191,038
$307,097,211
$381,973,773
NONOPERATING REVENUE
$88,171,599
$98,655,117
$42,144,248
$82,544,865
$118,736,986
TOTAL NET REVENUE
$6,249,756,379
$6,440,756,772
$6,911,309,354
$7,345,029,415
$7,860,500,443
PAYROLL EXPENSE
$2,233,697,013
$2,209,410,939
$2,367,195,116
$2,510,431,790
$2,833,267,007
TOTAL EXPENSE
6,020,388,342
6,090,855,820
6,428,954,340
6,803,364,553
7,372,516,174
PATIENT REVENUE MARGIN
-2.20%
-0.98%
2.87%
2.19%
-0.17%
TOTAL MARGIN
3.67%
5.43%
6.98%
7.37%
6.21%
CHARGE PER ADJUSTED INPATIENT DAY
$5,567.58
$5,829.68
$6,003.55
$6,411.63
$6,691.94
PAYMENT PER ADJUSTED INPATIENT DAY
$1,619.53
$1,629.69
$1,678.99
$1,754.79
$1,783.89
EXPENSE PER ADJUSTED INPATIENT DAY
$1,655.22
$1,645.66
$1,630.79
$1,716.44
$1,786.97
PAYROLL PER ADJUSTED INPATIENT DAY
$614.12
$596.95
$600.47
$633.36
$686.74
PAYROLL AS % OF TOTAL EXPENSE
37.1%
36.3%
36.8%
36.9%
38.4%
BAD DEBT AND CHARITY AS % OF TOTAL CHARGE
6.9%
4.7%
3.7%
3.2%
2.9%
TOTAL DEDUCTIONS AS % OF TOTAL CHARGE
70.9%
72.0%
72.0%
72.6%
73.3%
OUTPATIENT REVENUE AS % TOTAL PATIENT REVENUE
47.6%
49.0%
50.6%
51.0%
51.5%
37.3
37.1
37.3
37.3
37.6
ADMISSIONS PER BED PATIENT DAYS PER 1,000 POPULATION
622.8
605.4
624.3
618.0
619.5
ADMISSIONS PER 1,000 POPULATION
121.1
118.1
120.0
120.3
120.9
POPULATION (000's)
2,959
2,966
2,978
2,988
3,004
38 . STATS | SUMMER 2019
Source: American Hospital Association, Hospital Statistics, 2019
ARK ANSAS HOSPITAL S RECEIVING LOC AL TA X SUPPORT, 2019 YEAR APPROVED
ANNUAL AMOUNT ESTIMATE
0.25%
2016
$649,000
YES
0.5%
2009
$1,200,000
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
YES
1.00%
2014
$2,300,000
BRADLEY COUNTY MEDICAL CENTER
YES
1.00%
YES
.4 MILL
2009
$1,200,000
CHI ST. VINCENT MORRILTON
YES
0.25%
YES
.25 MILL
2008
$1,000,000
CHICOT MEMORIAL MEDICAL CENTER**
YES
1.00%
YES
.5 MILL
2003
$1,100,000
CROSSRIDGE COMMUNITY HOSPITAL
YES
1.00%
2000
$2,100,000
DALLAS COUNTY MEDICAL CENTER
YES
1.00%
2005
$840,000
DELTA MEMORIAL HOSPITAL*
YES
2.00%
2004
$840,000
DEWITT HOSPITAL & NURSING HOME
YES
1.50%
2003
$850,000
DREW MEMORIAL HEALTH SYSTEM
YES
0.25%
2015
$670,000
FULTON COUNTY HOSPITAL
YES
0.50%
2007
$310,000
JOHNSON REGIONAL MEDICAL CENTER
NO
1977
$65,000
LAWRENCE MEMORIAL HOSPITAL
YES
1.00%
2014
$1,850,000
LITTLE RIVER MEDICAL CENTER
YES
NA
NA
NA
MAGNOLIA REGIONAL MEDICAL CENTER (A)
YES
1.125%
2007
$2,600,000
0.25%
2004
$540,000
INDICATOR
TAX
RATE
ASHLEY COUNTY MEDICAL CENTER
YES
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY
MAGNOLIA REGIONAL MEDICAL CENTER (B)
MILLAGE
YES
YES
RATE
.5 MILL
.3 MILL
MCGEHEE HOSPITAL
YES
1.00%
1999
$600,000
MERCY HOSPITAL BOONEVILLE
YES
1.00%
2003
$360,000
MERCY HOSPITAL OZARK
YES
1.00%
2001
$350,000
MERCY HOSPITAL PARIS
YES
1.00%
NA
NA
OUACHITA COUNTY MEDICAL CENTER***
YES
1.00%
2015
$2,400,000
OZARK HEALTH MEDICAL CENTER
YES
1.00%
2000
$1,800,000
PIGGOTT COMMUNITY HOSPITAL
YES
1.00%
2010
$360,000
SMC REGIONAL MEDICAL CENTER
YES
0.50%
2015/1952
$2,732,000
ST. BERNARDS FIVE RIVERS
YES
1.00%
2007
$750,000
YES
1 MILL
Source: Self-reported information provided to the Arkansas Hospital Association. *A 2% sales tax was approved in 2004/2005 to build the hospital building. Due to refinancing, a portion of that 2% now goes to support other city bulidings. Another refinancing in 2013 allowed some savings to be allocated to maintenance and equipment for the hospital for a 5-year period. That is expected to generate about $360,000 annually. **Annually receives approximately $1.1 mill on a bond issue that was used to build the new building; Â plus $1.1 mill received from a sales and use tax; plus $264,000 from a 1/2 millage property tax. ***50% for maintenance, 50% for bond debt retirement. The portion for maintenance will sunset in 2020 (approved for 5 years). NA=Information not available
ARKANSAS HOSPITALS MAGAZINE . 39
KE Y FINANCIAL INDIC ATORS ARK ANSA S AND SURROUNDING S TATES, 2017 Many Arkansas hospitals are surviving on slim margins, with non-patient revenue playing a key role in survival. Which raised total operating income to:
In addition, hospitals also received revenues from normal, day-today operations from services other than health care provided to patients, such as space rental, cafeteria and gift shop sales, and operating gains:
Yielding a "patient service" margin of:
In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:
At the same time, hospitals spent this much providing patient care services‌
As a result, actual payments to hospitals were:
But patients and payer groups didn't pay the full amount of billed charges for various reasons. Government programs like Medicare and Medicaid, workers' comp programs and others never pay the full hospital bill. Managed care plans and other insurers typically pay discounted amounts only, and individual patients often can't afford to pay some or any of the out-of-pocket costs related to their hospital bills. For those reasons, hospitals had to forfeit this much of their billed charges:
Hospitals charged this amount for the inpatient and outpatient care they provided in 2017:
$118,736,986
3.83%
$293,693,972
$306,420,462
-0.17%
($3.44)
($12,726,490)
3,701,007
7,372,516,174
7,359,789,684
20,249,177,829
$27,608,967,513
Arkansas
$736,264,034
$160,894,753
3.87%
$575,369,281
$1,159,947,074
-4.27%
($92.16)
($584,577,793)
6,343,186
14,288,866,792
13,704,288,999
40,544,198,814
$54,248,487,813
Louisiana
3.93%
$319,386,336
$84,966,831
2.92%
$234,419,505
$270,227,976
-0.46%
($8.83)
($35,808,471)
4,053,308
7,806,529,535
7,770,721,064
24,746,105,041
$32,516,826,105
Mississippi
5.46%
$1,305,307,436
$518,082,536
3.36%
$787,224,900
$1,375,671,345
-2.67%
($69.72)
($588,446,445)
8,439,639
22,608,623,983
22,020,177,538
51,954,522,721
$73,974,700,259
Missouri
10.41%
$1,122,751,626
$221,877,932
8.52%
$900,873,694
$343,746,238
5.45%
$125.14
$557,127,456
4,452,195
9,667,546,273
10,224,673,729
31,692,210,283
$41,916,884,012
Oklahoma
8.03%
$1,677,931,690
$246,181,994
6.94%
$1,431,749,696
$1,124,098,322
1.58%
$34.68
$307,651,374
19,520,869,157
62,427,271,778
$81,948,140,935
Tennessee
9.70%
$7,620,002,690
$1,484,197,097
7.96%
$6,135,805,593
$6,190,973,473
-0.08%
($2.06)
($55,167,880)
26,814,364
70,961,691,860
70,906,523,980
250,340,000,000
$321,246,523,980 ,935
Texas
8.35%
$88,017,259,306
$22,129,124,318
6.38%
$65,888,134,988
$62,161,422,278
0.38%
$10.27
$3,726,712,710
362,954,751
966,204,238,616
969,930,951,326
2,593,749,705,025
$3,563,680,656,351
US
So the revenue excess (loss) was:
As a result, the "operating margin" rose to:
8,871,638
19,213,217,783
Hospitals also collected other types of revenue from sources including contributions, tax appropriations, investments, and the rental of office space. Those amounted to:
$412,430,958
4.90%
‌to patients needing care for this many adjusted patient days while being served.
That resulted in total funds available to reinvest in new equipment, update facilities, expand programs and repay debt equalling:
5.30%
For a return on investment totaling:
Source: American Hospital Association, Hospital Statistics, 2019
40 . STATS | SUMMER 2019
COMPAR ATIVE FINANCIAL INDIC ATORS AVERAGE CHARGE PER HOSPITAL STAY
AVERAGE PAYMENT PER HOSPITAL STAY
AVERAGE OPERATING COST PER HOSPITAL STAY
MARGIN ON PATIENT CARE
1
ALASKA
87,060
ALASKA
23,788
ALASKA
23,929
COLORADO
9.39%
2
DISTRICT OF COLUMBIA
77,318
DISTRICT OF COLUMBIA
22,437
DISTRICT OF COLUMBIA
22,260
FLORIDA
8.33%
3
COLORADO
75,865
IDAHO
19,000
NEW YORK
19,427
NEVADA
8.30%
4
CALIFORNIA
75,569
CALIFORNIA
18,512
CALIFORNIA
18,567
UTAH
8.06%
5
NEVADA
66,263
COLORADO
18,346
IDAHO
18,259
NORTH CAROLINA
7.32%
6
TEXAS
62,677
NEW YORK
18,029
WASHINGTON
18,109
VIRGINIA
6.97%
7
PENNSYLVANIA
62,555
WASHINGTON
17,654
MAINE
17,390
NEW MEXICO
6.79%
8
NEW JERSEY
61,512
DELAWARE
17,532
MASSACHUSETTS
17,161
DELAWARE
6.46%
9
ARIZONA
59,407
UTAH
17,105
NORTH DAKOTA
17,120
MONTANA
6.16%
10
UTAH
58,206
NORTH DAKOTA
16,860
MINNESOTA
16,973
INDIANA
5.49%
11
WASHINGTON
57,348
MINNESOTA
16,821
OREGON
16,772
OKLAHOMA
5.45%
12
FLORIDA
57,178
OREGON
16,622
COLORADO
16,623
SOUTH CAROLINA
4.85%
13
WSC REGION
56,548
MAINE
16,431
HAWAII
16,492
ARIZONA
4.34%
14
NEW YORK
55,251
MONTANA
16,143
DELAWARE
16,399
IDAHO
3.90%
15
U.S.
53,292
NEBRASKA
15,838
UTAH
15,726
NEBRASKA
2.27%
16
NEW MEXICO
52,576
WYOMING
15,665
SOUTH DAKOTA
15,584
NEW HAMPSHIRE
2.07%
17
INDIANA
51,845
HAWAII
15,536
WYOMING
15,516
GEORGIA
1.45%
18
IDAHO
51,354
INDIANA
15,441
NEBRASKA
15,478
WYOMING
0.95%
19
OHIO
50,272
NEW MEXICO
15,436
MONTANA
15,148
PENNSYLVANIA
0.90%
20
ILLINOIS
50,227
MASSACHUSETTS
14,784
VERMONT
14,988
KENTUCKY
0.88% 0.79%
21
OKLAHOMA
49,550
NEW HAMPSHIRE
14,633
WISCONSIN
14,803
DISTRICT OF COLUMBIA
22
SOUTH CAROLINA
48,800
OHIO
14,525
MARYLAND
14,620
ILLINOIS
0.78%
23
TENNESSEE
48,784
U.S.
14,504
CONNECTICUT
14,617
KANSAS
0.77%
24
VIRGINIA
48,284
WISCONSIN
14,456
INDIANA
14,592
OHIO
0.73%
25
GEORGIA
47,503
MARYLAND
14,411
U.S.
14,449
MICHIGAN
0.46%
26
KANSAS
47,119
PENNSYLVANIA
14,402
OHIO
14,420
U.S.
0.38%
27
ALABAMA
45,996
SOUTH DAKOTA
14,275
NEW MEXICO
14,388
ALABAMA
0.22%
28
KENTUCKY
45,742
CONNECTICUT
14,151
NEW HAMPSHIRE
14,330
TEXAS
-0.08%
29
HAWAII
45,515
VERMONT
14,128
PENNSYLVANIA
14,272
WSC REGION
-0.09%
30
LOUISIANA
45,373
TEXAS
13,834
TEXAS
13,845
ARKANSAS
-0.17%
31
CONNECTICUT
45,006
ILLINOIS
13,475
MISSOURI
13,586
CALIFORNIA
-0.30%
32
SOUTH DAKOTA
44,840
ARIZONA
13,414
ILLINOIS
13,370
MISSISSIPPI
-0.46%
33
MISSOURI
44,453
VIRGINIA
13,403
RHODE ISLAND
13,277
ALASKA
-0.59%
34
MINNESOTA
43,743
MISSOURI
13,232
MICHIGAN
13,065
NEW JERSEY
-0.80%
35
NEBRASKA
43,560
NORTH CAROLINA
13,165
WSC REGION
12,998
MINNESOTA
-0.90%
36
NORTH DAKOTA
43,119
MICHIGAN
13,125
NEW JERSEY
12,897
OREGON
-0.91%
37
NORTH CAROLINA
42,766
WSC REGION
12,986
ARIZONA
12,832
WEST VIRGINIA
-1.10%
38
WISCONSIN
41,761
KANSAS
12,853
KANSAS
12,754
MARYLAND
-1.45%
39
MASSACHUSETTS
41,527
GEORGIA
12,807
GEORGIA
12,621
NORTH DAKOTA
-1.54%
40
MISSISSIPPI
41,449
NEW JERSEY
12,795
VIRGINIA
12,470
WISCONSIN
-2.40% -2.57%
41
NEW HAMPSHIRE
41,290
NEVADA
12,670
IOWA
12,353
WASHINGTON
42
DELAWARE
40,949
RHODE ISLAND
12,244
WEST VIRGINIA
12,275
MISSOURI
-2.67%
43
OREGON
39,488
SOUTH CAROLINA
12,236
NORTH CAROLINA
12,200
CONNECTICUT
-3.29%
44
MAINE
38,394
WEST VIRGINIA
12,142
LOUISIANA
11,951
LOUISIANA
-4.27%
45
MICHIGAN
37,905
OKLAHOMA
12,087
SOUTH CAROLINA
11,643
MAINE
-5.84%
46
RHODE ISLAND
37,154
FLORIDA
11,770
NEVADA
11,619
VERMONT
-6.09%
47
ARKANSAS
36,281
KENTUCKY
11,641
KENTUCKY
11,539
HAWAII
-6.15%
48
WYOMING
36,217
IOWA
11,636
TENNESSEE
11,438
IOWA
-6.16%
49
MONTANA
36,022
LOUISIANA
11,462
OKLAHOMA
11,428
NEW YORK
-7.76%
50
WEST VIRGINIA
35,926
TENNESSEE
10,561
FLORIDA
10,790
TENNESSEE
-8.31% -8.43%
51
VERMONT
34,752
MISSISSIPPI
9,905
MISSISSIPPI
9,951
RHODE ISLAND
52
IOWA
33,581
ALABAMA
9,704
ARKANSAS
9,688
SOUTH DAKOTA
53
MARYLAND
22,093
ARKANSAS
9,672
ALABAMA
9,683
MASSACHUSETTS
Source: American Hospital Association, Hospital Statistics, 2019
-9.18% -16.08%
ARKANSAS HOSPITALS MAGAZINE . 41
HOSPITAL ACCESS BY COUNT Y SINGLE NON-CAH COMMUNITY HOSPITAL (21)
SINGLE CRITICAL ACCESS HOSPITAL (18)
NO ACUTE CARE COMMUNITY HOSPITAL (23)
COUNTY
MULTIPLE COMMUNITY HOSPITALS (13)
COUNTY
•
GARLAND
ARKANSAS
•
ASHLEY
GRANT
•
BAXTER
• •
• • • • •
CHICOT CLARK CLAY CLEBURNE
• •
IZARD
• • •
JEFFERSON JOHNSON LAFAYETTE
• •
LAWRENCE
•
COLUMBIA
LEE
•
CONWAY
LINCOLN
•
CRAIGHEAD
•
CRAWFORD
• •
DALLAS
MADISON MARION
•
DESHA
•
DREW
• • •
FULTON
•
MILLER
• • • • •
MISSISSIPPI
FAULKNER FRANKLIN
•
LITTLE RIVER
LONOKE
CROSS
• •
LOGAN
•
CRITTENDEN
•
JACKSON
•
CLEVELAND
• • •
HEMPSTEAD
INDEPENDENCE
CARROLL
MONROE MONTGOMERY NEVADA NEWTON
• • • • •
OUACHITA BENTON
CARROLL
WASHINGTON
BOONE
FULTON
BAXTER
MARION
IZARD
MADISON NEWTON
FRANKLIN
JOHNSON
VAN BUREN
JACKSON
FAULKNER YELL
PERRY LONOKE
PRAIRIE
SALINE
HOT SPRING
JEFFERSON
CRITTENDEN
LEE
CLARK
HEMPSTEAD
DALLAS
CLEVELAND
ARKANSAS
OUACHITA
LAFAYETTE
ARKANSAS COUNTIES WITH NO HOSPITAL ARKANSAS COUNTIES WITH A SINGLE CRITICAL ACCESS HOSPITAL
•
SCOTT
SEVIER
ASHLEY
CHICOT
• • • • • •
STONE
•
UNION
ARKANSAS COUNTIES WITH A SINGLE NON-CAH HOSPITAL ARKANSAS COUNTIES WITH MULTIPLE HOSPITALS
•
VAN BUREN
•
WASHINGTON
•
WHITE WOODRUFF YELL
42 . STATS | SUMMER 2019
• • •
RANDOLPH
ST. FRANCIS
MILLER UNION
•
PULASKI
SHARP
BRADLEY
COLUMBIA
• •
SEBASTIAN
LINCOLN
DREW
CALHOUN
PRAIRIE
SEARCY
DESHA NEVADA
• •
SALINE
PIKE
SEVIER
POINSETT
POPE
MONROE
GRANT
•
POLK
PHILLIPS
HOWARD
LITTLE RIVER
GARLAND
POINSETT
ST. FRANCIS
PULASKI MONTGOMERY
MISSISSIPPI
WOODRUFF
SCOTT
POLK
CRAIGHEAD
•
PHILLIPS PIKE
CROSS
WHITE
CONWAY
LOGAN
SEBASTIAN
PERRY
LAWRENCE
INDEPENDENCE
CLEBURNE
POPE
CLAY
GREENE
SHARP
SEARCY STONE
CRAWFORD
RANDOLPH
MULTIPLE COMMUNITY HOSPITALS (13)
•
HOWARD
•
CALHOUN
SINGLE NON-CAH COMMUNITY HOSPITAL (21)
•
HOT SPRING
•
BRADLEY
SINGLE CRITICAL ACCESS HOSPITAL (18)
GREENE
BENTON BOONE
NO ACUTE CARE COMMUNITY HOSPITAL (23)
• •
AHA MEMBER ORGANIZ ATIONS BY CO N G R E S S I O N A L D I S T R I C T 1st Congressional District
BENTON
CARROLL
3
Congressman Rick Crawford
Arkansas Methodist Medical Center
WASHINGTON
Baptist Health Medical CenterHeber Springs
CRAWFORD
Baxter Regional Medical Center
NEWTON
FRANKLIN
SEBASTIAN
Izard County Medical Center
LITTLE RIVER
Lawrence Memorial Hospital McGehee Hospital
2nd Congressional District Congressman French Hill 19th Medical Group
Advanced Care Hospital of White County Arkansas Children's Hospital Arkansas Hospice
Arkansas State Hospital
Baptist Health Extended Care Hospital
Baptist Health Medical Center-Conway
Baptist Health Medical Center-Little Rock Baptist Health Medical CenterN. Little Rock
Baptist Health Rehabilitation Institute CARTI
Central Arkansas Veterans Healthcare System CHI St. Vincent Infirmary
CHI St. Vincent Morrilton CHI St. Vincent North
CHI St. Vincent Sherwood Rehabilitation Hospital
LEE MONROE
GRANT
4 CLARK
HEMPSTEAD
NEVADA
DALLAS
JEFFERSON
ARKANSAS
CLEVELAND
LINCOLN DESHA
OUACHITA
DREW
CALHOUN
COLUMBIA LAFAYETTE
UNION
Ozark Health Medical Center Pinnacle Pointe Behavioral Healthcare System
Rivendell Behavioral Health Services Saline Memorial Hospital The BridgeWay
UAMS Medical Center
Unity Health - White County Medical Center Total - 29
3rd Congressional District
Congressman Steve Womack
Arkansas Children’s Hospital Northwest Baptist Health-Fort Smith Baptist Health-Van Buren
CHRISTUS Dubuis Hospital of Fort Smith
Encompass Health Rehabilitation Hospital Eureka Springs Hospital
Mercy Hospital Berryville
Mercy Hospital Fort Smith
Mercy Hospital Northwest Arkansas
North Arkansas Regional Medical Center Northwest Health Physicians’ Specialty Hospital
Northwest Medical Center Bentonville Northwest Medical Center Springdale Ozarks Community Hospital
Saint Mary's Regional Medical Center Siloam Springs Regional Hospital
Conway Behavioral Health
Springwoods Behavioral Health Hospital
Conway Regional Rehabilitation Hospital
Vantage Point of NWA
Conway Regional Health System
Valley Behavioral Health System
Cornerstone Specialty Hospitals Little Rock
Veterans Health Care System of the Ozarks
North Metro Medical Center
Total - 22
Methodist Behavioral Hospital
PRAIRIE
BRADLEY
Perimeter Behavioral Hospital of W. Memphis
Total - 24
LONOKE
MILLER
NEA Baptist Memorial Hospital
White River Health System
CRITTENDEN
PIKE
SEVIER
Helena Regional Medical Center
CROSS
PHILLIPS HOT SPRING
HOWARD
Great River Medical Center
Unity Health - Harris Medical Center
MONTGOMERY
POLK
POINSETT
ST. FRANCIS
SALINE
GARLAND
MISSISSIPPI
WOODRUFF
PULASKI
Fulton County Hospital
Stone County Medical Center
2
PERRY
CRAIGHEAD
1
WHITE FAULKNER
SCOTT
Forrest City Medical Center
LAWRENCE
JACKSON
CLEBURNE
CLAY
GREENE
SHARP
INDEPENDENCE
CONWAY
LOGAN
DeWitt Hospital & Nursing Home
St. Bernards Medical Center
VAN BUREN
YELL
Delta Memorial Hospital
RANDOLPH
SEARCY
JOHNSON
CrossRidge Community Hospital
St. Bernards Five Rivers
IZARD
MADISON
POPE
Chicot Memorial Medical Center
SMC Regional Medical Center
FULTON
BAXTER
MARION
STONE
Baptist Health Medical Center-Stuttgart
Piggott Community Hospital
BOONE
Washington Regional Medical System Willow Creek Women’s Hospital
ASHLEY
CHICOT
4th Congressional District
Congressman Bruce Westerman Ashley County Medical Center
Baptist Health Medical Center-Arkadelphia Baptist Health Medical CenterHot Spring County
Bradley County Medical Center Chambers Memorial Hospital CHI St. Vincent Hot Springs
CHRISTUS Dubuis Hospital of Hot Springs Dallas County Medical Center
Dardanelle Regional Medical Center Drew Memorial Health System Howard Memorial Hospital
Jefferson Regional Medical Center Johnson Regional Medical Center Levi Hospital
Little River Medical Center
Magnolia Regional Medical Center Medical Center of South Arkansas Mena Regional Health System Mercy Hospital Booneville Mercy Hospital Ozark Mercy Hospital Paris
Mercy Hospital Waldron
National Park Medical Center
Ouachita County Medical Center Riverview Behavioral Health Total - 25
Additional AHA Member Hospitals Include: CHRISTUS St. Michael Health System, Texarkana, TX Regional One Health, Memphis, TN
ARKANSAS HOSPITALS MAGAZINE . 43
AHA MEMBERS BY CONTROL AND SYSTEM AFFILIATION TYPE OF HOSPITAL
TYPE OF CONTROL
PNP CORPORATE GOV'T
✓
19TH MEDICAL GROUP ADVANCED CARE HOSPITAL OF WHITE COUNTY
LTCH
ARKANSAS CHILDREN'S HOSPITAL
CHILDREN'S
ARKANSAS CHILDREN'S HOSPITAL NORTHWEST
CHILDREN'S
ARKANSAS HOSPICE ARKANSAS METHODIST MEDICAL CENTER
RRC
ARKANSAS STATE HOSPITAL
IP PSYCH
ASHLEY COUNTY MEDICAL CENTER
CAH
BAPTIST HEALTH EXTENDED CARE HOSPITAL
LTCH
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
CAH
BAPTIST HEALTH MEDICAL CENTER-CONWAY
URBAN
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS
CAH
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY RURAL/MDH BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
URBAN
BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK
URBAN
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
RURAL/MDH
BAPTIST HEALTH REHABILITATION INSTITUTE
IRF
BAPTIST HEALTH-FORT SMITH
URBAN
BAPTIST HEALTH-VAN BUREN
URBAN
BAXTER REGIONAL MEDICAL CENTER
RRC/SCH
BRADLEY COUNTY MEDICAL CENTER
CAH
CARTI
✓ ✓ ✓ ✓ ✓
RURAL
CHI ST. VINCENT HOT SPRINGS
URBAN
CHI ST. VINCENT INFIRMARY
URBAN
CHI ST. VINCENT MORRILTON
CAH
CHI ST. VINCENT NORTH
URBAN
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL
IRF
CHICOT MEMORIAL MEDICAL CENTER
CAH
CHRISTUS DUBUIS HOSPITAL OF FORT SMITH
LTCH
CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS
LTCH
CHRISTUS ST. MICHAEL HEALTH SYSTEM
URBAN (TX)
CONWAY BEHAVIORAL HEALTH
IP PSYCH
CONWAY REGIONAL HEALTH SYSTEM
URBAN
CONWAY REGIONAL REHABILITATION HOSPITAL
IRF
CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK
LTCH
CROSSRIDGE COMMUNITY HOSPITAL
CAH
DALLAS COUNTY MEDICAL CENTER
CAH
DARDANELLE REGIONAL MEDICAL CENTER
CAH
DELTA MEMORIAL HOSPITAL
CAH
DEWITT HOSPITAL & NURSING HOME
CAH
DREW MEMORIAL HEALTH SYSTEM
RURAL/SCH
ENCOMPASS HEALTH REHABILITATION HOSPITAL
IRF
EUREKA SPRINGS HOSPITAL
CAH
FORREST CITY MEDICAL CENTER
RURAL/SCH
FULTON COUNTY HOSPITAL
CAH
GREAT RIVER MEDICAL CENTER
RURAL
HELENA REGIONAL MEDICAL CENTER
RURAL
44 . STATS | SUMMER 2019
✓ ✓ ✓ ✓ ✓ ✓ ✓
SYSTEM HOME
U.S. DEPARTMENT OF DEFENSE
✓ ✓ ✓
UNITY HEALTH
SEARCY
ARKANSAS CHILDREN'S
LITTLE ROCK
ARKANSAS CHILDREN'S
LITTLE ROCK
LOCAL BOARD
✓
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
CONTROLLING ORGANIZATION
SYSTEM
LOCAL BOARD
STATE LOCAL BOARD
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
LOCAL BOARD LOCAL BOARD LOCAL BOARD
✓
CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM CHAMBERS MEMORIAL HOSPITAL
MULTIHOSPITAL
U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD
✓ ✓ ✓ ✓ ✓
✓
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
ENCOMPASS HEALTH
BIRMINGHAM, AL
LOCAL BOARD
✓
✓ ✓
✓ ✓ ✓
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
CHRISTUS HEALTH
IRVING, TX
CHRISTUS HEALTH
IRVING, TX
CHRISTUS HEALTH
IRVING, TX
ACADIA HEALTHCARE
FRANKLIN, TN
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
CORNERSTONE HEALTHCARE GROUP
DALLAS, TX
ST. BERNARDS HEALTH SYSTEM
JONESBORO
COUNTY
✓
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
LOCAL BOARD LOCAL BOARD
✓ ✓ ✓
✓
✓
✓ ✓
COUNTY
✓ ✓ ✓
ENCOMPASS HEALTH
BIRMINGHAM, AL
ALLEGIANCE HEALTH MANAGEMENT
SHREVEPORT, LA
QUORUM HEALTH
FRANKLIN, TN
COUNTY COUNTY
✓
QUORUM HEALTH
FRANKLIN, TN
TYPE OF HOSPITAL HOWARD MEMORIAL HOSPITAL
CAH
IZARD COUNTY MEDICAL CENTER
CAH
JEFFERSON REGIONAL MEDICAL CENTER
URBAN/SCH
JOHNSON REGIONAL MEDICAL CENTER
RURAL/MDH
LAWRENCE MEMORIAL HOSPITAL
CAH
LEVI HOSPITAL
URBAN
LITTLE RIVER MEDICAL CENTER
CAH
MAGNOLIA REGIONAL MEDICAL CENTER
RURAL/SCH
MCGEHEE HOSPITAL
CAH
MEDICAL CENTER OF SOUTH ARKANSAS
RRC/SCH
MENA REGIONAL HEALTH SYSTEM
RURAL/SCH
MERCY HOSPITAL BERRYVILLE
CAH
MERCY HOSPITAL BOONEVILLE
URBAN
MERCY HOSPITAL FORT SMITH
URBAN
MERCY HOSPITAL NORTHWEST ARKANSAS
CAH
MERCY HOSPITAL OZARK
CAH
MERCY HOSPITAL PARIS
CAH
MERCY HOSPITAL WALDRON
CAH
METHODIST BEHAVIORAL HOSPITAL
IP PSYCH
NATIONAL PARK MEDICAL CENTER
RRC
NEA BAPTIST MEMORIAL HOSPITAL
URBAN
NORTH ARKANSAS REGIONAL MEDICAL CENTER
RRC/SCH
NORTH METRO MEDICAL CENTER
URBAN
TYPE OF CONTROL
PNP CORPORATE GOV'T
✓ ✓ ✓ ✓ ✓ ✓
✓
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL URBAN NORTHWEST MEDICAL CENTER BENTONVILLE
URBAN
NORTHWEST MEDICAL CENTER SPRINGDALE
URBAN
OUACHITA COUNTY MEDICAL CENTER
RURAL/SCH
OZARK HEALTH MEDICAL CENTER
CAH
OZARKS COMMUNITY HOSPITAL
CAH
PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS
IP PSYCH
PIGGOTT COMMUNITY HOSPITAL
CAH
PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM
IP PSYCH
REGIONAL ONE HEALTH
URBAN (TN)
RIVENDELL BEHAVIORAL HEALTH SERVICES
IP PSYCH
RIVERVIEW BEHAVIORAL HEALTH
IP PSYCH
SAINT MARY'S REGIONAL MEDICAL CENTER
RRC
SALINE MEMORIAL HOSPITAL
URBAN
SILOAM SPRINGS REGIONAL HOSPITAL
URBAN
SMC REGIONAL MEDICAL CENTER
CAH
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
IP PSYCH
ST. BERNARDS FIVE RIVERS
RURAL/SCH
ST. BERNARDS MEDICAL CENTER
RRC
STONE COUNTY MEDICAL CENTER
CAH
THE BRIDGEWAY
IP PSYCH
UAMS MEDICAL CENTER
URBAN
UNITY HEALTH - WHITE COUNTY MEDICAL CENTER
RRC/SCH
UNITY HEALTH - HARRIS MEDICAL CENTER
RURAL
VALLEY BEHAVIORAL HEALTH SYSTEM
IP PSYCH
VANTAGE POINT OF NWA
IP PSYCH
✓ ✓
✓
✓ ✓ ✓
✓ ✓
URBAN
WHITE RIVER HEALTH SYSTEM
RRC/SCH
WILLOW CREEK WOMEN'S HOSPITAL
URBAN
✓ ✓
CONTROLLING ORGANIZATION
SYSTEM
SYSTEM HOME
LOCAL BOARD LOCAL BOARD LOCAL BOARD LOCAL BOARD
✓
ST. BERNARDS HEALTH SYSTEM
JONESBORO
LOCAL BOARD
✓ ✓
COUNTY CITY LOCAL BOARD
✓
✓
✓
✓
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
CITY
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
METHODIST FAMILY HEALTH
LITTLE ROCK
LIFEPOINT HEALTH
BRENTWOOD, TN
BAPTIST MEMORIAL HEALTHCARE CORP.
MEMPHIS, TN
LOCAL BOARD
✓ ✓ ✓ ✓
✓ ✓ ✓ ✓
ALLEGIANCE HEALTH MANAGEMENT
SHREVEPORT, LA
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
LOCAL BOARD LOCAL BOARD
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
✓
✓ ✓
VETERANS HEALTHCARE SYSTEM OF THE OZARKS WASHINGTON REGIONAL MEDICAL SYSTEM
MULTIHOSPITAL
✓
✓
✓
✓
✓ ✓
OZARKS COMMUNITY HOSPITAL HEALTH SYSTEM SPRINGFIELD, MO WOODRIDGE BEHAVIORAL CARE
JACKSON, TN
CITY
✓ ✓ ✓ ✓ ✓ ✓ ✓
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
REGIONAL ONE HEALTH
MEMPHIS, TN
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
ACADIA HEALTHCARE
FRANKLIN, TN
LIFEPOINT HEALTH
BRENTWOOD, TN
LIFEPOINT HEALTH
BRENTWOOD, TN
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
COUNTY
✓ ✓ ✓ ✓ ✓
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
ST. BERNARDS HEALTH SYSTEM
JONESBORO
ST. BERNARDS HEALTH SYSTEM
JONESBORO
WHITE RIVER HEALTH SYSTEM
BATESVILLE
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
STATE
✓ ✓ ✓ ✓
UNITY HEALTH
SEARCY
UNITY HEALTH
SEARCY
ACADIA HEALTHCARE
FRANKLIN, TN
ACADIA HEALTHCARE
FRANKLIN, TN
U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD
✓
✓ ✓
WHITE RIVER HEALTH SYSTEM
BATESVILLE
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
CAH=Critical Access Hospital; MDH=Medicare Dependent Hospital; RRC=Rural Referral Center; SCH=Sole Community Hospital; IRF=Inpatient Rehabilitation Facility; LTCH = Long-term Care Hospital ; IP Psych=Inpatient Psychiatric
ARKANSAS HOSPITALS MAGAZINE . 45
INPATIENT AND EMERGENC Y DEPARTMENT DISCHARGES BY PAYER
ED
34%
29%
20%
1% 7%
9%
HMO/COMM.INS MEDICAID MEDICARE OTHER GOV. PROGRAMS OTHER UNKNOWN
INPATIENT
29%
21%
42%
1% 5%2%
SELF PAY/NO CHARGE
Source: Arkansas Department of Health, Hospital Discharge Program, 2017
Medicare is the primary payer for most inpatient stays, but commercial insurance and Medicaid cover most Emergency Department visits.
IMPAC T OF UNINSURED INPATIENTS 2008-2017 35,000
$250
30,000
$200
ADMISSIONS
25,000 $150
20,000 15,000
$100
10,000
SELF-PAY/ NO CHARGE PATIENTS ADMITTED
EST. TOTAL UNCOVERED COSTS ($MILLIONS)
$50 5,000 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 46 . STATS | SUMMER 2019
$0
Source: Arkansas Department of Health, Hospital Discharge Program, 2017
HOSPITALS' UNCOMPENSATED C ARE COSTS, 2013-2017 YEAR
GROSS REVENUES (BILLED CHARGES)
NET REVENUES (AMOUNT COLLECTED)
OTHER OPERATING REVENUE
GROSS+OTHER REVENUE
TOTAL OPERATING COSTS
COST-TO-CHARGE RATIO
2013
$20,250,488,769
5,890,565,810
271,018,970
20,521,507,739
6,020,388,342
25.50%
2014
$21,576,553,905
6,031,718,116
310,383,539
21,886,937,444
6,090,855,820
25.19%
2015
$23,667,368,008
6,618,974,068
250,191,038
23,917,559,046
6,428,954,340
24.61%
2016
$25,413,485,803
6,955,387,339
307,097,211
25,720,583,014
6,803,364,553
24.72%
2017
$27,608,967,513
7,359,789,684
381,973,773
27,990,941,286
7,372,516,174
24.66%
CHANGE
36.34%
24.94%
40.94%
36.40%
22.46%
YEAR
TOTAL UNCOLLECTED AMOUNTS DUR
BAD DEBT
CHARITY CARE
UNCOMPENSATED CARE CHARGES
UNCOMPENSATED CARE COSTS
UNCOMPENSATED CARE % OF TOTAL COSTS
2013
14,135,092,803
$787,481,517
$607,543,781
1,395,025,298
355,726,173
5.91%
2014
15,305,292,104
$576,942,240
$432,816,585
1,009,758,825
254,385,654
4.18%
2015
16,788,731,845
$543,253,884
$336,830,549
880,084,433
216,573,662
3.37%
2016
18,458,098,464
$444,692,383
$376,732,202
821,424,585
203,073,532
2.98%
2017
20,249,177,829
$469,305,416
$339,342,080
808,647,496
199,431,096
2.71%
CHANGE
43.25%
-40.40%
-44.15%
-42.03%
-43.94%
Source: American Hospital Association, Hospital Statistics, 2019
TOP 20 DRGs # DISCHARGES
TOTAL CHARGES
MEAN CHARGES PER DISCHARGE
885 - PSYCHOSES
27,495
$392,414,539
14,272
9.9
$1,437
795 - NORMAL NEWBORN
20,280
$90,949,742
4,485
1.7
$2,685
DIAGNOSIS-RELATED GROUP
MEAN STAY PER DISCHARGE
MEAN DAILY RATE
775 - VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES
18,968
$236,826,033
12,486
1.8
$6,898
871 - SEPTICEMIA W/O MV 96+ HOURS W MCC
12,463
$522,076,900
41,890
6.2
$6,800 $14,404
470 - MAJ JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
12,184
$493,138,171
40,474
2.8
794 - NEONATE W OTHER SIGNIFICANT PROBLEMS
8,473
$54,797,910
6,467
3.1
$2,107
766 - CESAREAN SECTION W/O CC/MCC
7,769
$139,402,407
17,943
2.5
$7,064
291 - HEART FAILURE & SHOCK W MCC
6,626
$200,135,380
30,205
5.3
$5,731
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
6,064
$103,712,677
17,103
3.7
$4,648
189 - PULMONARY EDEMA & RESPIRATORY FAILURE
5,706
$175,640,113
30,782
5.7
$5,400
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
5,101
$136,466,831
26,753
4.5
$5,972
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC
4,317
$68,045,364
15,762
3.8
$4,115
881 - DEPRESSIVE NEUROSES
4,249
$43,654,703
10,274
6.8
$1,511
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
4,120
$123,172,390
29,896
12.8
$2,337 $4,390
872 - SEPTICEMIA W/O MV 96+ HOURS W/O MCC
4,081
$89,046,469
21,820
5.0
897 - ALCOHOL/DRUG ABUSE/DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
3,948
$43,939,168
11,129
4.3
$2,564
765 - CESAREAN SECTION W CC/MCC
3,944
$87,761,071
22,252
4.3
$5,223
194 - SIMPLE PNEUMONIA & PLEURISY W CC
3,697
$74,518,993
20,157
4.1
$4,952
603 - CELLULITIS W/O MCC
3,691
$60,125,775
16,290
3.9
$4,220
3,443
$255,074,516
74,085
2.6
$29,053
166,619
3,390,899,151
23,226
4.7
$4,911
247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC TOP 20 DRG'S
Source: Arkansas Department of Health, Hospital Discharge Program, 2017
ARKANSAS HOSPITALS MAGAZINE . 47