2021
HOSPITAL STATISTICS
ARKANSAS HOSPITAL ASSOCIATION 2021 HOSPITAL STATISTICS 25 COVID-19 Response by the Numbers 26 Arkansas Hospitals 2021 by the Numbers 27 Member Organizations by Type 28 AHA Members by City, Type, Size, and Services 30 Statewide Hospital Financial and Utilization Indicators, 2015-2019 31 Arkansas Hospitals Receiving Local Tax Support, 2021 32 Key Financial Indicators: Arkansas and Surrounding States, 2019 33 Comparative Financial Indicators: U.S. Community Hospitals 34 Hospital Access by County 35 AHA-Member Organizations by Congressional District 36 AHA Members by Control and System Affiliation 38 Inpatient and Emergency Department Discharges by Payer, 2019 Uninsured Inpatient Admissions and Costs, 2010-2019
39 Hospital Uncompensated Care Costs, 2015-2019
Top 20 DRGs, 2019
40 Arkansas Hospitals Locator Map, 2021
Hospital Statistics uses the latest data available. This year, most of the financial and utilization data come from 2019. Because these predate the COVID-19 pandemic, they do not reflect the difficulties faced by Arkansans and our healthcare system in 2020 and 2021. Data from the COVID-19 pandemic will be better represented beginning in the Summer 2022 edition of Hospital Statistics. We thank AHA Vice President of Financial Policy and Data Analytics Melanie Thomasson for compiling this annual edition of Hospital Statistics.
24 SUMMER 2021 | ARKANSAS HOSPITALS
ARKANSAS HOSPITALS’ COVID-19 RESPONSE BY THE NUMBERS 44% of adult Arkansans are at higher risk of severe complications
due to COVID-19 because of their underlying health-related conditions. Hospitals across the state stood up testing centers in Spring 2020, helping increase the daily testing in Arkansas by more than 400% between April and June. In the first year of the pandemic, Arkansas hospitals cared for nearly 15,000 inpatients confirmed to have COVID-19. In mid-January, at the height of the Winter 2020-21 surge, hospitals reported more than 1,300 inpatients with confirmed COVID-19, representing 20% of the total hospitalized patient population. Hospitals are integral to the vaccination effort and worked with other providers in the state to vaccinate more than 1 million Arkansans in the first six months of the COVID-19 vaccination effort.
HOSPITALIZED COVID-19 PATIENTS IN ARKANSAS Hospitalized COVID-19 Patients in Arkansas Midnight Snapshot, 4/9/20 - 6/9/21 Midnight Snapshot, 4/9/20 - 6/9/21
1400 1200 1000 800 600 400 200 0 9-Apr 9-May 9-Jun
9-Jul
9-Aug
9-Sep
9-Oct
Confirmed in ICU beds
9-Nov 9-Dec
9-Jan
Confirmed in Other Beds
9-Feb 9-Mar
9-Apr 9-May 9-Jun
Suspected
Source: Self-reported by hospitals to EMResource
ARKANSAS HOSPITALS | SUMMER 2021 25
ARKANSAS HOSPITALS 2021 BY THE NUMBERS 113
Hospitals of all types are located in cities, towns and communities throughout Arkansas.
105
Hospitals and other health care organizations are members of the Arkansas Hospital Association.
59
Community hospitals have fewer than 100 acute care beds.
28
Hospitals are designated by the federal government as Critical Access Hospitals, having no more than 25 acute care beds.
40
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.
26
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.
21
Arkansas counties – nearly 30% of all counties in the state – do not have a local community hospital.
62%
Of AHA member organizations are charitable, not-for-profit organizations, while 25% are operated by private, for-profit companies, and 13% are public hospitals owned and operated by a city, county, state or federal government.
60
AHA members are designated Trauma Centers within the comprehensive, statewide trauma system, which was instrumental in helping develop the COVIDComm transfer system during the pandemic.
18,725
Arkansans sought inpatient or outpatient care from the state’s hospitals each day in 2019, on average, for illnesses, injuries, and other conditions that required medical attention.
34,678
Newborns were delivered in Arkansas hospitals in 2019. The Arkansas Medicaid program covered 68% of them.
26 SUMMER 2021 | ARKANSAS HOSPITALS
ARKANSAS HOSPITAL ASSOCIATION MEMBER ORGANIZATIONS BY TYPE, 2021 General Med-Surg Hospitals (44) Inpatient Psych Hospitals (11) Arkansas Methodist Medical Center Baptist Health Medical Center-Conway Baptist Health Medical CenterHot Spring County Baptist Health Medical Center-Little Rock Baptist Health Medical CenterNorth Little Rock Baptist Health Medical Center-Stuttgart Baptist Health-Fort Smith Baptist Health-Van Buren Baptist Memorial Hospital-Crittenden Baxter Regional Medical Center Chambers Memorial Hospital CHI St. Vincent Hot Springs CHI St. Vincent Infirmary CHI St. Vincent North Conway Regional Health System Drew Memorial Health System Forrest City Medical Center Great River Medical Center Helena Regional Medical Center Jefferson Regional Johnson Regional Medical Center Levi Hospital Magnolia Regional Medical Center Medical Center of South Arkansas Mena Regional Health System Mercy Hospital Fort Smith Mercy Hospital Northwest Arkansas National Park Medical Center NEA Baptist Memorial Hospital North Arkansas Regional Medical Center Northwest Health Physicians' Specialty Hospital Northwest Medical Center Bentonville Northwest Medical Center Springdale Ouachita County Medical Center Saint Mary's Regional Medical Center Saline Memorial Hospital Siloam Springs Regional Hospital St. Bernards Five Rivers St. Bernards Medical Center UAMS Medical Center Unity Health Unity Health - Harris Medical Center Washington Regional Medical System White River Health System
Arkansas State Hospital Conway Behavioral Health Methodist Behavioral Hospital Perimeter Behavioral Hospital of West Memphis Pinnacle Pointe Behavioral Healthcare System Rivendell Behavioral Health Services Riverview Behavioral Health Springwoods Behavioral Health Hospital The BridgeWay Valley Behavioral Health System Vantage Point of NWA
Inpatient Rehab Hospitals (5)
Baptist Health Rehabilitation Institute CHI St. Vincent Hot Springs Rehabilitation Hospital CHI St. Vincent Sherwood Rehabilitation Hospital Conway Regional Rehabilitation Hospital Encompass Health Rehabilitation Hospital
Veterans Affairs Hospitals (2)
Central Arkansas Veterans Healthcare System Veterans Healthcare System of the Ozarks
Long Term Care Hospitals (6)
Advanced Care Hospital of White County Arkansas Continued Care Hospital Ashley County Medical Center Baptist Health Medical Center-Arkadelphia of Jonesboro Baptist Health Extended Care Hospital Baptist Health Medical CenterCHRISTUS Dubuis Hospital of Fort Smith Heber Springs CHRISTUS Dubuis Hospital of Bradley County Medical Center Hot Springs CHI St. Vincent Morrilton Cornerstone Speciality Hospitals Chicot Memorial Medical Center Little Rock CrossRidge Community Hospital Dallas County Medical Center Special Focus Hospitals (3) Dardanelle Regional Medical Center Arkansas Children's Hospital Delta Health System Arkansas Children's Northwest DeWitt Hospital & Nursing Home Willow Creek Women's Hospital Eureka Springs Hospital Fulton County Hospital Out-of-State Border City Howard Memorial Hospital Hospitals (2) Izard County Medical Center CHRISTUS St. Michael Health System Lawrence Memorial Hospital Regional One Health Little River Medical Center McGehee Hospital Non-Hospital Facilities (3) Mercy Hospital Berryville 19th Medical Group Mercy Hospital Booneville Arkansas Hospice Mercy Hospital Ozark CARTI Mercy Hospital Paris Mercy Hospital Waldron New, Under Construction (1) Ozark Health Medical Center Sevier County Medical Center Ozarks Community Hospital Piggott Community Hospital SMC Regional Medical Center Stone County Medical Center
Critical Access Hospitals (28)
ARKANSAS HOSPITALS | SUMMER 2021 27
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES LICENSED BEDS
TRAUMA SYSTEM
MEDICAL-SURGICAL
25
LEVEL IV
MEDICAL-SURGICAL
25
VALLEY BEHAVIORAL HEALTH SYSTEM
PSYCHIATRIC
114
BATESVILLE
WHITE RIVER HEALTH SYSTEM
MEDICAL-SURGICAL
210
BENTON
RIVENDELL BEHAVIORAL HEALTH SERVICES
PSYCHIATRIC
80
BENTON
SALINE MEMORIAL HOSPITAL
MEDICAL-SURGICAL
177
LEVEL III
OB/PSYCH/REHAB/HH
BENTONVILLE
NORTHWEST MEDICAL CENTER BENTONVILLE
MEDICAL-SURGICAL
128
LEVEL III
HH/PALL
BERRYVILLE
MERCY HOSPITAL BERRYVILLE
MEDICAL-SURGICAL
25
BLYTHEVILLE
GREAT RIVER MEDICAL CENTER
MEDICAL-SURGICAL
99
LEVEL IV
OB
BOONEVILLE
MERCY HOSPITAL BOONEVILLE
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH/PALL
CALICO ROCK
IZARD COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
CAMDEN
OUACHITA COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
98
LEVEL IV
OB/PSYCH/SB/SNF/REHAB/HH
CLARKSVILLE
JOHNSON REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
90
LEVEL IV
OB/PSYCH/REHAB/HH
CLINTON
OZARK HEALTH MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/SNF/HH
CONWAY
BAPTIST HEALTH MEDICAL CENTER-CONWAY
MEDICAL-SURGICAL
111
LEVEL III
OB/REHAB
CONWAY
CONWAY BEHAVIORAL HEALTH
PSYCHIATRIC
80
CONWAY
CONWAY REGIONAL HEALTH SYSTEM
MEDICAL-SURGICAL
150
CONWAY
CONWAY REGIONAL REHABILITATION HOSPITAL
REHABILITATION
26
CROSSETT
ASHLEY COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
33
LEVEL IV
OB/SB/REHAB/HH
DANVILLE
CHAMBERS MEMORIAL HOSPITAL
MEDICAL-SURGICAL
42
LEVEL IV
PSYCH/SB/HH
DARDANELLE
DARDANELLE REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
35
LEVEL IV
SB/PSYCH/HH
DEWITT
DEWITT HOSPITAL & NURSING HOME
MEDICAL-SURGICAL
25
DUMAS
DELTA HEALTH SYSTEM
MEDICAL-SURGICAL
25
EL DORADO
MEDICAL CENTER OF SOUTH ARKANSAS
MEDICAL-SURGICAL
166
LEVEL III
OB/REHAB
EUREKA SPRINGS
EUREKA SPRINGS HOSPITAL
MEDICAL-SURGICAL
15
LEVEL IV
SB/HH
FAYETTEVILLE
ENCOMPASS HEALTH REHABILITATION HOSPITAL
REHABILITATION
80
FAYETTEVILLE
NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL
MEDICAL-SURGICAL
20
FAYETTEVILLE
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
PSYCHIATRIC
80
PSYCH
FAYETTEVILLE
VANTAGE POINT OF NWA
PSYCHIATRIC
114
PSYCH
FAYETTEVILLE
VETERANS HEALTHCARE SYSTEM OF THE OZARKS
VETERANS ADMIN.
73
FAYETTEVILLE
WASHINGTON REGIONAL MEDICAL SYSTEM
MEDICAL-SURGICAL
425
LEVEL II
HH/PALL
FORDYCE
DALLAS COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
FORREST CITY
FORREST CITY MEDICAL CENTER
MEDICAL-SURGICAL
118
LEVEL IV
OB/PSYCH/SB/HH
FORT SMITH
BAPTIST HEALTH-FORT SMITH
MEDICAL-SURGICAL
492
LEVEL III
PSYCH/HH
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
174
LEVEL III
OB/PSYCH/HH
HEBER SPRINGS
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
HELENA
HELENA REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
155
HOT SPRINGS
CHI ST. VINCENT HOT SPRINGS
MEDICAL-SURGICAL
282
HOT SPRINGS
CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL
REHABILITATION
48
REHAB
HOT SPRINGS
CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS
LONG TERM CARE
27
PALL
HOT SPRINGS
LEVI HOSPITAL
MEDICAL-SURGICAL
50
PSYCH/REHAB
HOT SPRINGS
NATIONAL PARK MEDICAL CENTER
MEDICAL-SURGICAL
163
OB/PSYCH/REHAB
JACKSONVILLE
19TH MEDICAL GROUP
INFIRMARY
JOHNSON
WILLOW CREEK WOMEN'S HOSPITAL
MED-SURG (OB/GYN)
64
OB
JONESBORO
ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO
LONG TERM CARE
89
JONESBORO
NEA BAPTIST MEMORIAL HOSPITAL
MEDICAL-SURGICAL
228
LEVEL IV
OB/REHAB/PALL
JONESBORO
ST. BERNARDS MEDICAL CENTER
MEDICAL-SURGICAL
440
LEVEL III
OB/PSYCH/HH/PALL
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
CITY
HOSPITAL
TYPE OF HOSPITAL
ARKADELPHIA
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
ASHDOWN
LITTLE RIVER MEDICAL CENTER
BARLING
28 SUMMER 2021 | ARKANSAS HOSPITALS
ADDITIONAL SERVICE LINES OB/SB/HH SB/ICF/HH PSYCH
LEVEL III
OB/PSYCH/SNF/REHAB/PALL PSYCH
SB/HH/PALL
SB/HH
PSYCH LEVEL III
OB/PSYCH/REHAB/HH/PALL REHAB
SB/ICF SB/HH
REHAB
PSYCH
PALL LEVEL III
REHAB/HH SB
OB/SB/HH LEVEL II
OB/PSYCH/REHAB/HH
PALL
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES LICENSED BEDS
TRAUMA SYSTEM
CITY
HOSPITAL
TYPE OF HOSPITAL
LITTLE ROCK
ARKANSAS STATE HOSPITAL
PSYCHIATRIC
222
LITTLE ROCK
BAPTIST HEALTH EXTENDED CARE HOSPITAL
LONG TERM CARE
55
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
127
LITTLE ROCK
UAMS MEDICAL CENTER
MEDICAL-SURGICAL
450
LEVEL I
OB/PALL
MAGNOLIA
MAGNOLIA REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
49
LEVEL IV
OB/SB/HH
MALVERN
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY
MEDICAL-SURGICAL
72
LEVEL IV
PSYCH/SB/HH
MAUMELLE
METHODIST BEHAVIORAL HOSPITAL
PSYCHIATRIC
60
MCGEHEE
MCGEHEE HOSPITAL
MEDICAL-SURGICAL
25
MEMPHIS, TN
REGIONAL ONE HEALTH
MEDICAL-SURGICAL
620
LEVEL I
MENA
MENA REGIONAL HEALTH SYSTEM
MEDICAL-SURGICAL
65
LEVEL IV
MONTICELLO
DREW MEMORIAL HEALTH SYSTEM
MEDICAL-SURGICAL
49
MORRILTON
CHI ST. VINCENT MORRILTON
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
MOUNTAIN HOME
BAXTER REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
268
LEVEL III
OB/PSYCH/REHAB/HH
MOUNTAIN VIEW
STONE COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB
NASHVILLE
HOWARD MEMORIAL HOSPITAL
MEDICAL-SURGICAL
20
LEVEL IV
SB/HH
NEWPORT
UNITY HEALTH - HARRIS MEDICAL CENTER
MEDICAL-SURGICAL
133
LEVEL IV
SB/PSYCH
NORTH LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK
MEDICAL-SURGICAL
225
LEVEL III
OB/REHAB/PALL
NORTH LITTLE ROCK
THE BRIDGEWAY
PSYCHIATRIC
127
OSCEOLA
SMC REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB
OZARK
MERCY HOSPITAL OZARK
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH/PALL
PARAGOULD
ARKANSAS METHODIST MEDICAL CENTER
MEDICAL-SURGICAL
129
LEVEL IV
OB/SB/REHAB/HH
PARIS
MERCY HOSPITAL PARIS
MEDICAL-SURGICAL
16
LEVEL IV
SB/HH/PALL
PIGGOTT
PIGGOTT COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
PINE BLUFF
JEFFERSON REGIONAL
MEDICAL-SURGICAL
300
LEVEL III
OB/PSYCH/REHAB/HH
POCAHONTAS
ST. BERNARDS FIVE RIVERS
MEDICAL-SURGICAL
50
LEVEL IV
PSYCH/SB/HH
ROGERS
MERCY HOSPITAL NORTHWEST ARKANSAS
MEDICAL-SURGICAL
208
LEVEL III
REHAB/HH
RUSSELLVILLE
SAINT MARY'S REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
170
LEVEL III
OB/PSYCH/REHAB
SALEM
FULTON COUNTY HOSPITAL
MEDICAL-SURGICAL
25
LEVEL IV
SB
SEARCY
ADVANCED CARE HOSPITAL OF WHITE COUNTY
LONG TERM CARE
27
SEARCY
UNITY HEALTH
MEDICAL-SURGICAL
438
LEVEL III
OB/PSYCH/REHAB/HH/PALL
SHERWOOD
CHI ST. VINCENT NORTH
MEDICAL-SURGICAL
69
LEVEL IV
HH/PALL
SHERWOOD
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL
REHABILITATION
80
SILOAM SPRINGS
SILOAM SPRINGS REGIONAL HOSPITAL
MEDICAL-SURGICAL
73
LEVEL IV
SPRINGDALE
ARKANSAS CHILDREN'S NORTHWEST
MED-SURG (PED)
24
LEVEL IV
SPRINGDALE
NORTHWEST MEDICAL CENTER SPRINGDALE
MEDICAL-SURGICAL
222
LEVEL III
OB/PSYCH/SB/REHAB/HH
STUTTGART
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
MEDICAL-SURGICAL
49
LEVEL IV
OB/SB/PALL
TEXARKANA
RIVERVIEW BEHAVIORAL HEALTH
PSYCHIATRIC
62
TEXARKANA, TX
CHRISTUS ST. MICHAEL HEALTH SYSTEM
MEDICAL-SURGICAL
312
LEVEL III
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/PALL
WARREN
BRADLEY COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
33
OB/PSYCH/SB/HH
WEST MEMPHIS
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
MEDICAL-SURGICAL
11
WEST MEMPHIS
PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS
PSYCHIATRIC
54
WYNNE
CROSSRIDGE COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
ADDITIONAL SERVICE LINES PSYCH PALL
LEVEL II
OB/PSYCH/SNF/HH/PALL PALL PSYCH/REHAB
LEVEL II
PSYCH/HH/PALL PSYCH
SB OB/PSYCH/REHAB OB/PSYCH/SB/REHAB/HH
PSYCH
PALL
REHAB OB/SB/PALL
PSYCH
SB/HH/PALL
SB/HH
OB=Obstetrics, Psych=Psychatric, SB=Swing Beds, ICF=Intermediate Care Facility, SNF=Skilled Nursing Facility, Rehab=Rehabilitation, HH=Home Health, Hosp=Hospice Sources: American Hospital Association, Hospital Statistics 2021; Arkansas Department of Health
ARKANSAS HOSPITALS | SUMMER 2021 29
STATEWIDE HOSPITAL FINANCIAL AND UTILIZATION INDICATORS, 2015 - 2019 INDICATOR
2015
2016
2017
2018
2019
BEDS AVAILABLE
9,569
9,634
9,664
9,517
9,145
ADMISSIONS
357,286
359,359
363,070
358,222
364,291
PATIENT DAYS
1,859,244
1,846,634
1,861,122
1,828,470
1,826,976
AVG. LENGTH OF STAY
5.2
5.1
5.1
5.1
5.0
NON-EMERGENCY OP VISITS
4,184,351
4,570,177
4,629,383
4,925,120
4,914,195
OUTPATIENT VISITS
5,676,710
6,086,166
6,148,539
6,434,568
6,470,401
73.7%
75.1%
75.3%
76.5%
75.9%
3,942,232
3,963,653
4,125,703
4,148,600
4,276,157
53.2%
52.5%
52.8%
52.6%
54.7%
NON-EMERGENCY AS A % OF TOTAL OP VISITS ADJUSTED PATIENT DAYS OCCUPANCY RATE INPATIENT SURGERIES
94,607
94,627
95,013
94,924
92,357
OUTPATIENT SURGERIES
195,650
200,832
203,105
215,656
226,136
TOTAL SURGERIES
290,257
295,459
298,118
310,580
318,493
OUTPATIENT AS % OF TOTAL SURGERIES
67.4%
68.0%
68.1%
69.4%
71.0%
TOTAL FULL-TIME EQUIVALENT EMPLOYEES
47,102
47,825
49,832
50,358
50,173
4.36
4.40
4.41
4.43
4.28
GROSS REVENUE, INPATIENT
$11,700,149,701
$12,460,694,916
$13,396,489,708
$13,777,391,679
$14,814,502,613
GROSS REVENUE, OUTPATIENT
$11,967,218,307
$12,952,790,887
$14,212,477,805
$15,450,146,464
$17,025,641,576
GROSS PATIENT REVENUE
$23,667,368,008
$25,413,485,803
$27,608,967,513
$29,227,538,143
$31,840,144,189
BAD DEBTS
$543,253,884
$444,692,383
$469,305,416
$502,016,281
$509,174,368
CHARITY
$336,830,549
$376,732,202
$339,342,080
$358,871,422
$442,315,671
MEDICARE, MEDICAID & OTHER PAYER WRITEOFFS
$16,168,309,507
$17,636,673,879
$19,440,530,333
$20,647,010,804
$22,702,507,161
TOTAL DEDUCTIONS
$17,048,393,940
$18,458,098,464
$20,249,177,829
$21,507,898,507
$23,653,997,200
NET PATIENT REVENUE
$6,618,974,068
$6,955,387,339
$7,359,789,684
7,719,639,636
$8,186,146,989
$250,191,038
$307,097,211
$381,973,773
$395,516,849
$433,117,737
FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED
OTHER OPERATING REVENUE NONOPERATING REVENUE
$42,144,248
$82,544,865
$118,736,986
$44,821,792
$145,788,360
TOTAL NET REVENUE
$6,911,309,354
$7,345,029,415
$7,860,500,443
$8,159,978,277
$8,765,053,086
PAYROLL EXPENSE
$2,367,195,116
$2,510,431,790
$2,833,267,007
$2,989,469,225
$3,040,326,208
TOTAL EXPENSE
$6,428,954,340
$6,803,364,553
$7,372,516,174
$7,797,448,234
$8,049,927,966
PATIENT REVENUE MARGIN
2.87%
2.19%
-0.17%
-1.01%
1.66%
TOTAL MARGIN
6.98%
7.37%
6.21%
4.44%
8.16%
CHARGE PER ADJUSTED INPATIENT DAY
$6,003.55
$6,411.63
$6,691.94
$7,045.16
$7,445.97
PAYMNT PER ADJUSTED INPATIENT DAY
$1,678.99
$1,754.79
$1,783.89
$1,860.78
$1,914.37
EXPENSE PER ADJUSTED INPATIENT DAY
$1,630.79
$1,716.44
$1,786.97
$1,879.54
$1,882.51
PAYROLL PER ADJUSTED INPATIENT DAY
$600.47
$633.36
$686.74
$720.60
$710.99
PAYROLL AS % OF TOTAL EXPENSE
36.8%
36.9%
38.4%
38.3%
37.8%
BAD DEBT AND CHARITY AS % OF TOTAL CHARGE
3.7%
3.2%
2.9%
2.9%
3.0%
TOTAL DEDUCTIONS AS % OF TOTAL CHARGE
72.0%
72.6%
73.3%
73.6%
74.3%
OUTPT. REVENUE AS % TOTAL PATIENT REVENUE
50.6%
51.0%
51.5%
52.9%
53.5%
ADMISSIONS PER BED
37.3
37.3
37.6
37.6
39.8
PATIENT DAYS PER 1,000 POPULATION
624.3
618.0
619.5
606.7
605.4
ADMISSIONS PER 1,000 POPULATION
120.0
120.3
120.9
118.9
120.7
POPULATION (000'S)
2,978
2,988
3,004
3,014
3,018
Source: American Hospital Association, Hospital Statistics 2021
30 SUMMER 2021 | ARKANSAS HOSPITALS
ARKANSAS HOSPITALS RECEIVING LOCAL TAX SUPPORT, 2021 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%
2020
$2,200,000
DALLAS COUNTY MEDICAL CENTER
YES
1.00%
2005
$840,000
DELTA HEALTH SYSTEM
YES
1.25%
2019
$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
GREAT RIVER MEDICAL CENTER
YES
0.50%
JOHNSON REGIONAL MEDICAL CENTER
NO
LAWRENCE MEMORIAL HOSPITAL
YES
LITTLE RIVER MEDICAL CENTER
YES
MAGNOLIA REGIONAL MEDICAL CENTER (A)
YES
INDICATOR
TAX
RATE
YES
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY
ASHLEY COUNTY MEDICAL CENTER
MAGNOLIA REGIONAL MEDICAL CENTER (B)
MILLAGE
YES
RATE
.5 MILL
YES
1 MILL
2015/1952
$2,439,800
YES
.3 MILL
1977
$65,000
1.00%
2014
$1,900,000
1.125%
2007
$2,600,000
0.25%
2004
$540,000
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
1951
$150,000
2010
$360,000
2015/1952
$829,300
2007
$800,000
OZARK HEALTH MEDICAL CENTER
YES
PIGGOTT COMMUNITY HOSPITAL
YES
1.00%
SMC REGIONAL MEDICAL CENTER
YES
0.50%
ST. BERNARDS FIVE RIVERS
YES
1.00%
YES
.6 MILL
1 MILL
NA=Information not available Source: Self-reported information provided to the Arkansas Hospital Association
ARKANSAS HOSPITALS | SUMMER 2021 31
32 SUMMER 2021 | ARKANSAS HOSPITALS 8.16%
$715,125,120
That resulted in total funds available to reinvest in new equipment, update facilities, expand programs and repay debt equalling:
For a return on investment totalling:
$145,788,360
6.61%
$569,336,760
Hospitals also collected other types of revenue from sources including contributions, tax appropriations, and the rental of office space. Those amounted to:
As a result, the "operating margin" rose to:
Which raised total operating income to:
$433,117,737
7.39%
$1,203,046,742
$280,550,018
5.77%
$922,496,724
$1,179,587,455
-1.74%
1.66%
Yielding a "patient service" margin of:
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:
($35.47)
($257,090,731)
7,248,832
$15,069,875,085
$31.86
$136,219,023
4,276,157
$8,049,927,966
$14,812,784,354
$44,578,381,239
$59,391,165,593
Louisiana
In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:
So the revenue excess (loss) was:
…to patients needing care for this many adjusted patient days while being served.
At the same time, hospitals spent this much providing patient care services…
$8,186,146,989
$23,653,997,200
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:
As a result, actual payments to hospitals were:
$31,840,144,189
Hospitals charged this amount for the inpatient and outpatient care they provided in 2019:
Arkansas
4.99%
$428,050,453
$97,459,379
3.90%
$330,591,074
$259,694,972
0.86%
$12.15
$70,896,102
5,832,924
$8,148,566,981
$8,219,463,083
$28,118,389,497
$36,337,852,580
Mississippi
6.58%
$1,710,294,021
$472,574,787
4.85%
$1,237,719,234
$1,571,948,238
-1.40%
($33.72)
($334,229,004)
9,911,142
$24,264,933,681
$23,930,704,677
$60,326,122,841
$84,256,827,518
Missouri
8.44%
$991,438,467
$108,214,528
7.59%
$883,223,939
$347,257,456
4.75%
$104.99
$535,966,483
5,104,726
$10,758,963,822
$11,294,930,305
$38,119,486,791
$49,414,417,096
Oklahoma
5.96%
$1,222,646,923
$232,989,610
4.88%
$989,657,313
$914,710,142
0.39%
$7.87
$74,947,171
9,526,893
$19,292,745,024
$19,367,692,195
$67,227,510,526
$86,595,202,721
Tennessee
12.35%
$10,551,228,784
$1,188,040,961
11.11%
$9,363,187,823
$6,655,120,964
3.49%
$96.09
$2,708,066,859
28,182,982
$74,912,405,760
$77,620,472,619
$300,993,198,996
$378,613,671,615
Texas
8.83%
$102,380,606,846
$21,220,276,450
7.13%
$81,160,330,396
$73,503,463,990
0.72%
$19.08
$7,656,866,406
401,318,395
$1,056,497,068,465
$1,064,153,934,871
$3,047,888,562,684
$4,112,042,497,555
United States
KEY FINANCIAL INDICATORS ARKANSAS AND SURROUNDING STATES, 2019
Source: American Hospital Association, Hospital Statistics 2021
COMPARATIVE FINANCIAL INDICATORS U.S. COMMUNITY HOSPITALS AVERAGE CHARGE PER HOSPITAL STAY
AVERAGE PAYMENT PER HOSPITAL STAY
AVERAGE OPERATING COST PER HOSPITAL STAY
MARGIN ON PATIENT CARE SERVICES
1.
ALASKA
98,609
ALASKA
27,813
DISTRICT OF COLUMBIA
24,529
ALASKA
18.69%
2.
DISTRICT OF COLUMBIA
89,167
DISTRICT OF COLUMBIA
24,640
ALASKA
22,615
IDAHO
18.15%
3.
COLORADO
87,169
UTAH
20,770
NEW YORK
21,724
UTAH
17.52%
4.
CALIFORNIA
86,880
CALIFORNIA
20,324
CALIFORNIA
20,310
COLORADO
11.48%
5.
NEVADA
77,982
COLORADO
20,115
MAINE
19,761
VIRGINIA
7.91%
6.
TEXAS
72,048
NEW YORK
19,753
WASHINGTON
19,385
NORTH CAROLINA
7.35%
7.
PENNSYLVANIA
68,871
WASHINGTON
19,399
MASSACHUSETTS
19,093
NEVADA
7.14%
8.
FLORIDA
68,301
MAINE
18,746
MINNESOTA
17,961
INDIANA
6.64%
9.
UTAH
67,710
DELAWARE
18,484
COLORADO
17,806
MONTANA
5.86%
10.
NEW JERSEY
66,120
MINNESOTA
17,654
OREGON
17,676
DELAWARE
5.84%
11.
WASHINGTON
65,651
MONTANA
17,601
HAWAII
17,594
SOUTH CAROLINA
5.79%
12.
NEW YORK
65,650
NEBRASKA
17,415
DELAWARE
17,405
ARIZONA
5.78%
13.
ARIZONA
65,457
OREGON
17,337
UTAH
17,130
FLORIDA
5.02%
14.
WSC REGION
64,430
MASSACHUSETTS
16,967
NEBRASKA
17,057
OKLAHOMA
4.75%
15.
U.S.
60,605
NEW HAMPSHIRE
16,953
MARYLAND
16,874
KENTUCKY
4.69%
16.
INDIANA
58,768
IDAHO
16,730
NEW HAMPSHIRE
16,760
NEW MEXICO
4.64%
17.
ILLINOIS
56,136
INDIANA
16,681
MONTANA
16,569
TEXAS
3.49%
18.
OKLAHOMA
55,660
MARYLAND
16,336
VERMONT
16,452
WISCONSIN
3.30%
19.
VIRGINIA
55,188
WISCONSIN
15,971
SOUTH DAKOTA
16,161
WSC REGION
2.79%
20.
OHIO
55,173
CONNECTICUT
15,805
CONNECTICUT
16,053
NEBRASKA
2.05%
21.
KANSAS
53,221
SOUTH DAKOTA
15,769
NORTH DAKOTA
15,771
WYOMING
1.68%
22.
TENNESSEE
52,889
U.S.
15,684
OHIO
15,628
ARKANSAS
1.66%
23.
KENTUCKY
52,640
OHIO
15,676
INDIANA
15,575
GEORGIA
1.49%
24.
NEW HAMPSHIRE
52,592
HAWAII
15,576
U.S.
15,571
ALABAMA
1.38%
25.
HAWAII
52,528
PENNSYLVANIA
15,453
WISCONSIN
15,444
NEW HAMPSHIRE
1.14%
26.
GEORGIA
51,888
WYOMING
15,357
PENNSYLVANIA
15,308
PENNSYLVANIA
0.94%
27.
NEBRASKA
51,739
VERMONT
14,979
WYOMING
15,100
MISSISSIPPI
0.86%
28.
IDAHO
51,680
NORTH DAKOTA
14,925
ILLINOIS
14,746
U.S.
0.72%
29.
SOUTH CAROLINA
51,643
TEXAS
14,771
MICHIGAN
14,495
DISTRICT OF COLUMBIA
0.45%
30.
MASSACHUSETTS
50,975
ILLINOIS
14,701
MISSOURI
14,479
TENNESSEE
0.39%
31.
MISSOURI
50,276
VIRGINIA
14,654
TEXAS
14,255
OHIO
0.31%
32.
CONNECTICUT
50,166
MICHIGAN
14,531
NEW JERSEY
13,910
MICHIGAN
0.24%
33.
NEW MEXICO
48,826
ARIZONA
14,378
KANSAS
13,809
KANSAS
0.23%
34.
MINNESOTA
48,794
MISSOURI
14,279
WEST VIRGINIA
13,792
WASHINGTON
0.07%
35.
SOUTH DAKOTA
48,684
NEW MEXICO
14,279
RHODE ISLAND
13,771
CALIFORNIA
36.
LOUISIANA
48,677
WSC REGION
13,886
IDAHO
13,694
ILLINOIS
-0.31%
37.
ALABAMA
48,190
KANSAS
13,840
NEW MEXICO
13,617
WEST VIRGINIA
-0.96%
38.
NORTH CAROLINA
47,905
NEVADA
13,835
ARIZONA
13,547
NEW JERSEY
-0.99%
39.
WISCONSIN
45,872
NEW JERSEY
13,773
WSC REGION
13,499
MISSOURI
-1.40%
40.
MISSISSIPPI
45,438
GEORGIA
13,688
VIRGINIA
13,495
CONNECTICUT
-1.57%
41.
DELAWARE
44,912
NORTH CAROLINA
13,679
GEORGIA
13,484
LOUISIANA
-1.74%
42.
MAINE
44,570
WEST VIRGINIA
13,661
IOWA
12,917
MINNESOTA
-1.74%
43.
OREGON
43,820
KENTUCKY
13,080
NEVADA
12,847
OREGON
-1.95%
44.
MICHIGAN
43,182
OKLAHOMA
12,722
NORTH CAROLINA
12,674
SOUTH DAKOTA
-2.49%
45.
WEST VIRGINIA
42,351
RHODE ISLAND
12,703
KENTUCKY
12,466
MARYLAND
-3.30%
46.
ARKANSAS
40,667
SOUTH CAROLINA
12,452
LOUISIANA
12,351
IOWA
-4.96%
47.
RHODE ISLAND
39,843
FLORIDA
12,385
OKLAHOMA
12,119
MAINE
-5.41%
48.
MONTANA
39,711
IOWA
12,307
TENNESSEE
11,783
NORTH DAKOTA
-5.66%
49.
WYOMING
38,539
LOUISIANA
12,140
FLORIDA
11,763
RHODE ISLAND
-8.40%
50.
NORTH DAKOTA
38,155
TENNESSEE
11,829
SOUTH CAROLINA
11,731
VERMONT
-9.83%
51.
IOWA
37,704
ALABAMA
10,459
ALABAMA
10,314
NEW YORK
52.
VERMONT
36,152
ARKANSAS
10,455
ARKANSAS
10,281
MASSACHUSETTS
-12.53%
53.
MARYLAND
22,757
MISSISSIPPI
10,278
MISSISSIPPI
10,189
HAWAII
-12.95%
0.07%
-9.98%
Source: American Hospital Association, Hospital Statistics 2021
ARKANSAS HOSPITALS | SUMMER 2021 33
HOSPITAL ACCESS BY COUNTY COUNTY
NO ACUTE CARE COMMUNITY HOSPITAL (21)
SINGLE CRITICAL ACCESS HOSPITAL (18)
SINGLE NON-CAH COMMUNITY HOSPITAL (22)
MULTIPLE COMMUNITY HOSPITALS (14)
COUNTY
ARKANSAS
GARLAND
ASHLEY
GRANT
BAXTER
GREENE
BENTON
HEMPSTEAD
BOONE
HOT SPRING
BRADLEY
HOWARD
CALHOUN
INDEPENDENCE
CARROLL
IZARD
CHICOT
JACKSON
CLARK
JEFFERSON
CLAY
JOHNSON
CLEBURNE
LAFAYETTE
CLEVELAND
LAWRENCE
COLUMBIA
LEE
CONWAY
LINCOLN
CRAIGHEAD
LITTLE RIVER
CRAWFORD
LOGAN
CRITTENDEN
LONOKE
CROSS
MADISON
DALLAS
MARION
DESHA
MILLER
DREW
MISSISSIPPI
FAULKNER
MONROE
FRANKLIN
MONTGOMERY
FULTON
NEVADA NEWTON
NO ACUTE CARE COMMUNITY HOSPITAL (21)
•
•
POINSETT
• • •
• • •
•
• • • • • • • • • • •
POPE PULASKI
•
•
POLK PRAIRIE
MULTIPLE COMMUNITY HOSPITALS (14)
• •
PHILLIPS PIKE
SINGLE NON-CAH COMMUNITY HOSPITAL (22)
•
OUACHITA PERRY
SINGLE CRITICAL ACCESS HOSPITAL (18)
•
RANDOLPH
• • • • • •
SALINE
•
SCOTT SEARCY
•
•
SEBASTIAN SEVIER SHARP ST. FRANCIS
• •
STONE
• •
UNION VAN BUREN WASHINGTON
•
WHITE WOODRUFF YELL
34 SUMMER 2021 | ARKANSAS HOSPITALS
•
• •
AHA-MEMBER ORGANIZATIONS BY CONGRESSIONAL DISTRICT 1st Congressional District
Congressman Rick Crawford Arkansas Continued Care Hospital of Jonesboro Arkansas Methodist Medical Center Baptist Health Medical Center-Heber Springs Baptist Health Medical Center-Stuttgart Baptist Memorial Hospital-Crittenden Baxter Regional Medical Center Chicot Memorial Medical Center CrossRidge Community Hospital Delta Health System DeWitt Hospital & Nursing Home Forrest City Medical Center Fulton County Hospital Great River Medical Center Helena Regional Medical Center Izard County Medical Center Lawrence Memorial Hospital McGehee Hospital NEA Baptist Memorial Hospital Perimeter Behavioral Hospital of W. Memphis Piggott Community Hospital SMC Regional Medical Center St. Bernards Five Rivers St. Bernards Medical Center Stone County Medical Center Unity Health - Harris Medical Center White River Health System
Total = 26
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 Center-N. 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 Conway Behavioral Health Conway Regional Health System Conway Regional Rehabilitation Hospital Cornerstone Specialty Hospitals Little Rock Methodist Behavioral Hospital Ozark Health Medical Center Pinnacle Pointe Behavioral Healthcare System Rivendell Behavioral Health Services Saline Memorial Hospital The BridgeWay UAMS Medical Center Unity Health
Total = 28
3rd Congressional District
Congressman Steve Womack Arkansas Children’s 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 Springwoods Behavioral Health Hospital Valley Behavioral Health System Vantage Point of NWA Veterans Health Care System of the Ozarks Washington Regional Medical System Willow Creek Women’s Hospital
Total = 22
4th Congressional District
Congressman Bruce Westerman Ashley County Medical Center Baptist Health Medical Center-Arkadelphia Baptist Health Medical Center-Hot Spring County Bradley County Medical Center Chambers Memorial Hospital CHI St. Vincent Hot Springs CHI St. Vincent Hot Springs Rehabilitation Hospital CHRISTUS Dubuis Hospital of Hot Springs Dallas County Medical Center Dardanelle Regional Medical Center Drew Memorial Health System Howard Memorial Hospital Jefferson Regional 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 = 26 Additional AHA Member Hospitals Include: CHRISTUS St. Michael Health System, Texarkana, TX Regional One Health, Memphis, TN
ARKANSAS HOSPITALS | SUMMER 2021 35
AHA MEMBERS BY CONTROL AND SYSTEM AFFILIATION TYPE OF CONTROL
DESIGNATION
NONPROFIT
CORPORATE
19TH MEDICAL GROUP
MULTIHOSPITAL GOV'T
CONTROLLING ORGANIZATION
SYSTEM
SYSTEM HOME
U.S. DEPARTMENT OF DEFENSE
√
ADVANCED CARE HOSPITAL OF WHITE COUNTY
LTCH
√
Y
UNITY HEALTH
SEARCY
ARKANSAS CHILDREN'S HOSPITAL
CHILDREN'S
√
Y
ARKANSAS CHILDREN'S
LITTLE ROCK
ARKANSAS CHILDREN'S NORTHWEST
CHILDREN'S
√
Y
ARKANSAS CHILDREN'S
LITTLE ROCK
ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO LTCH
√
Y
COMMUNITY HOSPITAL CORPORATION
PLANO, TX
ARKANSAS HOSPICE
√
LOCAL BOARD
√
LOCAL BOARD
ARKANSAS METHODIST MEDICAL CENTER
RURAL/RRC
ARKANSAS STATE HOSPITAL
IP PSYCH
ASHLEY COUNTY MEDICAL CENTER
CAH
√
BAPTIST HEALTH EXTENDED CARE HOSPITAL
LTCH
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
CAH
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-CONWAY
URBAN
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS
CAH
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY RURAL/MDH
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
URBAN
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK
URBAN
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
RURAL/MDH
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH REHABILITATION INSTITUTE
IRF
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH-FORT SMITH
URBAN
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH-VAN BUREN
URBAN
√
Y
BAPTIST HEALTH
LITTLE ROCK
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
URBAN
√
Y
BAPTIST MEMORIAL HEALTHCARE CORP.
MEMPHIS, TN
BAXTER REGIONAL MEDICAL CENTER
RURAL/SCH/RRC
√
LOCAL BOARD
BRADLEY COUNTY MEDICAL CENTER
CAH
√
LOCAL BOARD
CARTI
STATE
√
LOCAL BOARD
LOCAL BOARD
√
CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
U.S. DEPARTMENT OF VETERANS AFFAIRS
√
CHAMBERS MEMORIAL HOSPITAL
RURAL/SCH
√
CHI ST. VINCENT HOT SPRINGS
URBAN/RRC
√
CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL IRF
LOCAL BOARD Y √
COMMONSPIRIT HEALTH
CHICAGO, IL
ENCOMPASS HEALTH
BIRMINGHAM, AL
CHI ST. VINCENT INFIRMARY
URBAN
√
Y
COMMONSPIRIT HEALTH
CHICAGO, IL
CHI ST. VINCENT MORRILTON
CAH
√
Y
COMMONSPIRIT HEALTH
CHICAGO, IL
CHI ST. VINCENT NORTH
URBAN
√
Y
COMMONSPIRIT HEALTH
CHICAGO, IL
Y
ENCOMPASS HEALTH
BIRMINGHAM, AL
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL IRF
√
CHICOT MEMORIAL MEDICAL CENTER
CAH
√
CHRISTUS DUBUIS HOSPITAL OF FORT SMITH
LTCH
√
Y
CHRISTUS HEALTH
IRVING, TX
CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS
LTCH
√
Y
LHC CORPORATION
LAFAYETTE, LA
CHRISTUS ST. MICHAEL HEALTH SYSTEM
URBAN (TX)
√
Y
CHRISTUS HEALTH
IRVING, TX
CONWAY BEHAVIORAL HEALTH
IP PSYCH
Y
ACADIA HEALTHCARE
FRANKLIN, TN
CONWAY REGIONAL HEALTH SYSTEM
URBAN
Y
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
CONWAY REGIONAL REHABILITATION HOSPITAL
IRF
√
Y
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK
LTCH
√
Y
CORNERSTONE HEALTHCARE GROUP
DALLAS, TX
CROSSRIDGE COMMUNITY HOSPITAL
CAH
Y
ST. BERNARDS HEALTH SYSTEM
JONESBORO
DALLAS COUNTY MEDICAL CENTER
CAH
DARDANELLE REGIONAL MEDICAL CENTER
CAH
√
DELTA HEALTH SYSTEM
CAH
√
LOCAL BOARD
DEWITT HOSPITAL & NURSING HOME
CAH
√
LOCAL BOARD
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
36 SUMMER 2021 | ARKANSAS HOSPITALS
LOCAL BOARD
√ √
√
COUNTY
√ Y
Y √ Y
√ √
CONWAY
COUNTY
√ √
CONWAY REGIONAL HEALTH SYSTEM
ENCOMPASS HEALTH
BIRMINGHAM, AL
EUREKA SPRINGS HOSPITAL COMMISSION
EUREKA SPRINGS, AR
QUORUM HEALTH
FRANKLIN, TN
COUNTY
TYPE OF CONTROL
DESIGNATION
NONPROFIT
CORPORATE
MULTIHOSPITAL GOV'T
CONTROLLING ORGANIZATION
SYSTEM HOME
SYSTEM
GREAT RIVER MEDICAL CENTER
RURAL/SCH/RRC
HELENA REGIONAL MEDICAL CENTER
RURAL/SCH
COUNTY
HOWARD MEMORIAL HOSPITAL
CAH
√
LOCAL BOARD
IZARD COUNTY MEDICAL CENTER
CAH
√
LOCAL BOARD
JEFFERSON REGIONAL
URBAN/SCH
√
LOCAL BOARD
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
RURAL/SCH
MENA REGIONAL HEALTH SYSTEM
RURAL/SCH
MERCY HOSPITAL BERRYVILLE
CAH
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HOSPITAL BOONEVILLE
CAH
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HOSPITAL FORT SMITH
URBAN
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HOSPITAL NORTHWEST ARKANSAS
URBAN
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HOSPITAL OZARK
CAH
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HOSPITAL PARIS
CAH
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HOSPITAL WALDRON
CAH
√
Y
MERCY HEALTH SYSTEM
ST. LOUIS, MO
METHODIST BEHAVIORAL HOSPITAL
IP PSYCH
√
Y
METHODIST FAMILY HEALTH
LITTLE ROCK
NATIONAL PARK MEDICAL CENTER
URBAN/RRC
Y
LIFEPOINT
BRENTWOOD, TN
NEA BAPTIST MEMORIAL HOSPITAL
URBAN/RRC
√
Y
BAPTIST MEMORIAL HEALTHCARE CORP.
MEMPHIS, TN
NORTH ARKANSAS REGIONAL MEDICAL CENTER
RURAL/SCH/RRC
√
NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL
URBAN
√
Y
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
NORTHWEST MEDICAL CENTER BENTONVILLE
URBAN
√
Y
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
NORTHWEST MEDICAL CENTER SPRINGDALE
URBAN
√
Y
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
OUACHITA COUNTY MEDICAL CENTER
RURAL/SCH
√
OZARK HEALTH MEDICAL CENTER
CAH
√
OZARKS COMMUNITY HOSPITAL
CAH
√
Y
OZARKS COMMUNITY HOSPITAL HEALTH SYSTEM
GRAVETTE, AR
PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS
IP PSYCH
√
Y
WOODRIDGE BEHAVIORAL CARE
JACKSON, TN
PIGGOTT COMMUNITY HOSPITAL
CAH
√ Y
√
FRANKLIN, TN
LOCAL BOARD Y
ST. BERNARDS HEALTH SYSTEM
JONESBORO
LOCAL BOARD COUNTY
√
LOCAL BOARD LOCAL BOARD Y
√
√
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
CITY
√
LOCAL BOARD
LOCAL BOARD LOCAL BOARD
CITY
√
PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM IP PSYCH
QUORUM HEALTH
Y
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
Y
REGIONAL ONE HEALTH
MEMPHIS, TN
√
Y
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
IP PSYCH
√
Y
ACADIA HEALTHCARE
FRANKLIN, TN
SAINT MARY'S REGIONAL MEDICAL CENTER
RURAL/RRC
√
Y
LIFEPOINT
BRENTWOOD, TN
SALINE MEMORIAL HOSPITAL
URBAN
√
Y
LIFEPOINT
BRENTWOOD, TN
SILOAM SPRINGS REGIONAL HOSPITAL
URBAN
√
Y
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
SMC REGIONAL MEDICAL CENTER
CAH
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
IP PSYCH
ST. BERNARDS FIVE RIVERS
RURAL/SCH
ST. BERNARDS MEDICAL CENTER
URBAN/RRC
STONE COUNTY MEDICAL CENTER
CAH
THE BRIDGEWAY
IP PSYCH
UAMS MEDICAL CENTER
URBAN
UNITY HEALTH
RURAL/SCH/RRC
√
Y
UNITY HEALTH
SEARCY
UNITY HEALTH - HARRIS MEDICAL CENTER
RURAL
√
Y
UNITY HEALTH
SEARCY
VALLEY BEHAVIORAL HEALTH SYSTEM
IP PSYCH
√
Y
ACADIA HEALTHCARE
FRANKLIN, TN
VANTAGE POINT OF NWA
IP PSYCH
√
Y
ACADIA HEALTHCARE
FRANKLIN, TN
REGIONAL ONE HEALTH
URBAN (TN)
RIVENDELL BEHAVIORAL HEALTH SERVICES
IP PSYCH
RIVERVIEW BEHAVIORAL HEALTH
√ √
COUNTY
√ Y
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
√
Y
ST. BERNARDS HEALTH SYSTEM
JONESBORO
√
Y
ST. BERNARDS HEALTH SYSTEM
JONESBORO
√
Y
WHITE RIVER HEALTH SYSTEM
BATESVILLE
Y
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
√
√
STATE
√
VETERANS HEALTHCARE SYSTEM OF THE OZARKS
U.S. DEPARTMENT OF VETERANS AFFAIRS
√
WASHINGTON REGIONAL MEDICAL SYSTEM
URBAN
√
WHITE RIVER HEALTH SYSTEM
RURAL/SCH/RRC
√
WILLOW CREEK WOMEN'S HOSPITAL
URBAN
LOCAL BOARD √
Y
WHITE RIVER HEALTH SYSTEM
BATESVILLE
Y
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 | SUMMER 2021 37
INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES BY PAYER, 2019 ED
33%
23%
27%
2% 7%
9%1
HMO/COMM.INS MEDICAID MEDICARE OTHER GOV. PROGRAMS
INPATIENT
27%
0%
23%
20%
40%
40%
60%
1Percentages rounded to nearest whole number for clarity.
2% 5% 3%
80%
OTHER UNKNOWN SELF PAY/NO CHARGE
100%
Arkansas Department of Health, Hospital Discharge Program, 2019
In 2019, hospitals saw a second year of increasing uncompensated costs and greater numbers of uninsured patients.
UNINSURED INPATIENT ADMISSIONS AND COSTS, 2010-2019 35,000
$250
$200
25,000 $150
20,000 15,000
$100
10,000 $50
5,000 0
2010
2011
38 SUMMER 2021 | ARKANSAS HOSPITALS
2012
2013
2014
2015
2016
2017
2018
2019
COST ($MILLIONS)
ADMISSIONS
30,000
SELF-PAY/ NO CHARGE PATIENTS ADMITTED EST. TOTAL UNCOVERED COSTS ($MILLIONS)
$0
Arkansas Department of Health, Hospital Discharge Program, 2019
HOSPITAL UNCOMPENSATED CARE COSTS, 2015-2019 YEAR
GROSS REVENUES (BILLED CHARGES)
NET REVENUES (AMOUNT COLLECTED)
OTHER OPERATING REVENUE
GROSS+ OTHER REVENUE
TOTAL OPERATING COSTS
COST-TO-CHARGE RATIO
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%
2018
$29,227,538,143
$7,719,639,636
$395,516,849
$29,623,054,992
$7,797,448,234
24.63%
2019
$31,840,144,189
$8,186,146,989
$433,117,737
$32,273,261,926
$8,049,927,966
23.37%
CHANGE
34.53%
23.68%
73.11%
34.94%
25.21%
YEAR
TOTAL UNCOLLECTED AMOUNTS DUE
BAD DEBT
CHARITY CARE
UNCOMPENSATED CARE CHARGES
UNCOMPENSATED CARE COSTS
UNCOMPENSATED CARE % OF TOTAL COSTS
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%
2018
$21,507,898,507
$502,016,281
$358,871,422
$860,887,703
$212,015,528
2.72%
2019
$23,653,997,200
$509,174,368
$442,315,671
$951,490,039
$222,318,771
2.76%
CHANGE
40.89%
-6.27%
31.32%
8.11%
2.65% Source: American Hospital Association, Hospital Statistics 2021
TOP 20 DRGS, 2019 # DISCHARGES
TOTAL CHARGES
MEAN CHARGES PER DISCHARGE
MEAN STAY PER DISCHARGE
MEAN DAILY RATE
885 - PSYCHOSES
33,601
$593,979,017
$17,677
9.6
$1,843
795 - NORMAL NEWBORN
20,032
$103,139,986
$5,149
1.7
$3,083
807 - VAGINAL DELIVERY WITHOUT STERILIZATION
17,277
$249,412,060
$14,436
1.8
$7,932
871 - SEPTICEMIA W/O MV 96+ HOURS W MCC
14,983
$704,628,457
$47,029
6.1
$7,659
470 - MAJ JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
11,487
$497,816,389
$43,337
2.6
$16,668
794 - NEONATE W OTHER SIGNIFICANT PROBLEMS
8,746
$65,359,622
$7,473
2.2
$3,397
8,529
$283,049,731
$33,187
6.1
$5,423
788 - CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
6,547
$138,827,449
$21,205
2.7
$7,767
189 - PULMONARY EDEMA & RESPIRATORY FAILURE
6,431
$204,301,552
$31,768
5.1
$6,241
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
5,366
$100,412,147
$18,713
3.3
$5,671
193 - SIMPLE PNEUMONIA & PLEURISY W MCC
4,573
$159,898,485
$34,966
5.0
$7,021
872 - SEPTICEMIA W/O MV 96+ HOURS W/O MCC
4,386
$105,782,674
$24,118
4.2
$5,702
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
4,265
$148,506,309
$34,820
12.7
$2,744
881 - DEPRESSIVE NEUROSES
4,262
$66,058,289
$15,499
6.6
$2,363
897 - ALCOHOL/DRUG ABUSE/DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
4,125
$55,047,981
$13,345
4.2
$3,177
194 - SIMPLE PNEUMONIA & PLEURISY W CC
3,755
$78,014,875
$20,776
3.8
$5,482
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC
3,725
$65,048,374
$17,463
3.6
$4,824
247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC
3,554
$258,176,869
$72,644
2.5
$29,651
603 - CELLULITIS W/O MCC
3,547
$63,766,331
$17,978
3.8
$4,756
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
3,525
$96,902,447
$27,490
4.3
$6,378
172,716
$4,038,129,046
$25,954
4.6
$5,650
DIAGNOSIS-RELATED GROUP
291 - HEART FAILURE & SHOCK W MCC
TOP 20 DRGS
Source: Arkansas Department of Health, Hospital Discharge Program, 2019
ARKANSAS HOSPITALS | SUMMER 2021 39
40 SUMMER 2021 | ARKANSAS HOSPITALS
Eureka Springs Eureka Springs Hospital
CARROLL
Berryville Mercy Hospital–Berryville
Mountain Home Baxter Regional Medical Center Pocahontas St. Bernards Five Rivers Medical Center Paragould Arkansas Methodist Medical Center
KEY
SOURCE: https://www.hrsa.gov/ruralhealth/programopportunities/ fundingopportunities/?id=b56d4504-7bf6-4f79-b0e8-37b766f2213e
BENTON
BOONE
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