2022 Guide to Hospital Statistics

Page 1

GUIDE TO

HOSPITAL STATISTICS


ARKANSAS HOSPITAL ASSOCIATION 2022 HOSPITAL STATISTICS 25 COVID-19 Response by the Numbers 26 Arkansas Hospitals 2022 by the Numbers 27 Member Organizations by Type 28 AHA Members by City, Type, Size, and Services 30 Statewide Hospital Financial and Utilization Indicators, 2016-2020 31 Arkansas Hospitals Receiving Local Tax Support, 2022 32 Key Financial Indicators: Arkansas and Surrounding States, 2020 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, 2020 Uninsured Inpatient Admissions and Costs, 2011-2020

39 Hospital Uncompensated Care Costs, 2016-2020 Top 20 DRGs, 2020

40 Arkansas Hospitals Locator Map, 2022

Hospital Statistics uses the latest data available, and includes utilization and financial data reflecting the earliest impact of the COVID-19 pandemic. Hospitals experienced massive disruptions in 2020, with reductions in revenue due to deferred and delayed care, expenditures related to pandemic preparedness and response, supply chain issues, staffing shortages, and Arkansas’s first major surge later in the year. At the same time, federal and state COVID-19 relief funding provided some much-needed assistance. Financial and utilization measures included are reported based on hospital fiscal year, and not all 2020 data reflect the same 12-month period for each hospital. Most hospitals’ data included in these statistics represent three to nine months of pandemic data. Data included in the Summer 2023 edition of Hospital Statistics will reflect a full year’s view of hospital operations during the COVID-19 pandemic.

24 SUMMER 2022 | ARKANSAS HOSPITALS


ARKANSAS HOSPITALS’ COVID-19 RESPONSE BY THE NUMBERS In the first two years of the pandemic, Arkansas hospitals cared for more than 36,000 inpatients confirmed to have COVID-19. In late January, at the height of the Omicron surge of Winter 2021-22, hospitals reported nearly 1,800 inpatients with confirmed COVID-19, representing more than 25% of the total hospitalized patient population. Hospitals are integral to the vaccination effort and worked with other providers in the state to administer more than 4 million vaccine doses in the first eighteen months of the COVID-19 vaccination effort. As of June, nearly 55% of the population is fully vaccinated. Arkansas hospitals offer early treatments to reduce the likelihood of severe disease and have helped provide monoclonal antibodies to more than 46,000 patients since July 2021.

64% of

Following the Omicron surge, the CDC estimated that Arkansans had experienced at least one COVID-19 infection.

Hospitalized COVID-19 Patients in Arkansas Midnight Snapshot, 4/9/20 - 6/8/22

2,000 1,500 1,000 500

Confirmed in ICU beds

Confirmed in Other Beds

9-May

9-Apr

9-Mar

9-Feb

9-Jan

9-Dec

9-Nov

9-Oct

9-Sep

9-Aug

9-Jul

9-Jun

9-May

9-Apr

9-Mar

9-Feb

9-Jan

9-Dec

9-Nov

9-Oct

9-Sep

9-Aug

9-Jul

9-Jun

9-May

9-Apr

-

Suspected

Source: Self-reported by hospitals to EMResource

ARKANSAS HOSPITALS | SUMMER 2022 25


ARKANSAS HOSPITALS 2022 BY THE NUMBERS 113

Hospitals of all types are located in cities, towns and communities throughout Arkansas.

106

Hospitals and other health care organizations are members of the Arkansas Hospital Association.

55

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.

12%

Of Arkansas workers are employed by hospitals or other health care organizations.

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.

21

Arkansas counties – nearly 30% of all counties in the state – do not have a local community hospital.

61%

Of AHA member organizations are charitable, not-for-profit organizations, while 26% are operated by private, for-profit companies, and 13% are public hospitals owned and operated by a city, county, state or federal government.

59

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.

16,637

Arkansans sought inpatient or outpatient care from the state’s hospitals each day in 2020, on average, for illnesses, injuries, and other conditions that required medical attention.

33,511

Newborns were delivered in Arkansas hospitals in 2020. Figures from 2020 are the most current available

26 SUMMER 2022 | ARKANSAS HOSPITALS


ARKANSAS HOSPITAL ASSOCIATION MEMBER ORGANIZATIONS BY TYPE, 2022 General Med-Surg Hospitals (44) Critical Access Hospitals (28) 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 Newport Washington Regional Medical System White River Health System

Ashley County Medical Center Baptist Health Medical Center-Arkadelphia Baptist Health Medical Center -Heber Springs Bradley County Medical Center CHI St. Vincent Morrilton Chicot Memorial Medical Center CrossRidge Community Hospital Dallas County Medical Center Dardanelle Regional Medical Center Delta Health System DeWitt Hospital & Nursing Home Eureka Springs Hospital Fulton County Hospital Howard Memorial Hospital Izard County Medical Center Lawrence Memorial Hospital Little River Medical Center McGehee Hospital Mercy Hospital Berryville Mercy Hospital Booneville Mercy Hospital Ozark Mercy Hospital Paris Mercy Hospital Waldron Ozark Health Medical Center Ozarks Community Hospital Piggott Community Hospital SMC Regional Medical Center Stone County Medical Center

Inpatient Psych Hospitals (11)

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 (6)

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, a partner of Washington Regional Mercy Rehabilitation Hospital Fort Smith

Veterans Affairs Hospitals (2) Central Arkansas Veterans Healthcare System Veterans Health Care System of the Ozarks

Long Term Care Hospitals (6)

Advanced Care Hospital of White County Arkansas Continued Care Hospital of Jonesboro Arkansas Extended Care Hospital – Fort Smith Arkansas Extended Care Hospital – Hot Springs Baptist Health Extended Care Hospital Cornerstone Speciality Hospitals Little Rock

Special Focus Hospitals (3) Arkansas Children's Hospital Arkansas Children's Northwest Willow Creek Women's Hospital

Out-of-State, Border City Hospitals (2)

CHRISTUS St. Michael Health System Regional One Health

Non-Hospital Facilities (3) 19th Medical Group Arkansas Hospice CARTI

New, Under Construction (1) Sevier County Medical Center

ARKANSAS HOSPITALS | SUMMER 2022 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

224

BENTON

RIVENDELL BEHAVIORAL HEALTH SERVICES

PSYCHIATRIC

80

BENTON

SALINE MEMORIAL HOSPITAL

MEDICAL-SURGICAL

177

BENTONVILLE

NORTHWEST MEDICAL CENTER BENTONVILLE

MEDICAL-SURGICAL

128

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/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

180

CONWAY

CONWAY REGIONAL REHABILITATION HOSPITAL

REHABILITATION

26

CROSSETT

ASHLEY COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

33

LEVEL IV

OB/SB/REHAB

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, A PARTNER OF WASHINGTON REGIONAL

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 HEALTH CARE 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

ARKANSAS EXTENDED CARE HOSPITAL – FORT SMITH

LONG TERM CARE

25

FORT SMITH

BAPTIST HEALTH-FORT SMITH

MEDICAL-SURGICAL

492

LEVEL III

PSYCH/HH

FORT SMITH

MERCY HOSPITAL FORT SMITH

MEDICAL-SURGICAL

348

LEVEL III

REHAB/HH

FORT SMITH

MERCY REHABILITATION HOSPITAL FORT SMITH

REHABILITATION

50

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

ARKANSAS EXTENDED CARE HOSPITAL – HOT SPRINGS

LONG TERM CARE

27

HOT SPRINGS

CHI ST. VINCENT HOT SPRINGS

MEDICAL-SURGICAL

282

HOT SPRINGS

CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL

REHABILITATION

48

REHAB

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

99

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

CITY

HOSPITAL

TYPE OF HOSPITAL

ARKADELPHIA

BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA

ASHDOWN

LITTLE RIVER MEDICAL CENTER

BARLING

28 SUMMER 2022 | ARKANSAS HOSPITALS

ADDITIONAL SERVICE LINES OB/SB/HH SB/ICF/HH PSYCH

LEVEL III

OB/PSYCH/SNF/REHAB/PALL PSYCH OB/PSYCH/REHAB

LEVEL III

HH/PALL SB/HH/PALL

SB/HH

PSYCH LEVEL III

OB/PSYCH/REHAB/HH/PALL REHAB

SB/ICF SB/HH

REHAB

PSYCH

PALL

REHAB SB

SB/HH PALL LEVEL II

OB/PSYCH/REHAB/HH


AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES CITY

HOSPITAL

TYPE OF HOSPITAL

LITTLE ROCK

ARKANSAS HOSPICE

INPATIENT HOSPICE

LITTLE ROCK

ARKANSAS STATE HOSPITAL

LITTLE ROCK

BAPTIST HEALTH EXTENDED CARE HOSPITAL

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK

LITTLE ROCK

BAPTIST HEALTH REHABILITATION INSTITUTE

LITTLE ROCK

CARTI

LITTLE ROCK

CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM

LITTLE ROCK

CHI ST. VINCENT INFIRMARY

LITTLE ROCK

CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK

LITTLE ROCK

PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM

LITTLE ROCK

UAMS MEDICAL CENTER

MAGNOLIA

MAGNOLIA REGIONAL MEDICAL CENTER

MALVERN

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY

MAUMELLE

METHODIST BEHAVIORAL HOSPITAL

MCGEHEE

MCGEHEE HOSPITAL

MEMPHIS, TN

REGIONAL ONE HEALTH

MENA

MENA REGIONAL HEALTH SYSTEM

MONTICELLO

DREW MEMORIAL HEALTH SYSTEM

MORRILTON

CHI ST. VINCENT MORRILTON

MOUNTAIN HOME

BAXTER REGIONAL MEDICAL CENTER

MOUNTAIN VIEW

STONE COUNTY MEDICAL CENTER

NASHVILLE

HOWARD MEMORIAL HOSPITAL

NEWPORT

UNITY HEALTH NEWPORT

NORTH LITTLE ROCK BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK NORTH LITTLE ROCK THE BRIDGEWAY OSCEOLA

SMC REGIONAL MEDICAL CENTER

OZARK

MERCY HOSPITAL OZARK

PARAGOULD

ARKANSAS METHODIST MEDICAL CENTER

PARIS

MERCY HOSPITAL PARIS

PIGGOTT

PIGGOTT COMMUNITY HOSPITAL

PINE BLUFF

JEFFERSON REGIONAL

POCAHONTAS

ST. BERNARDS FIVE RIVERS

ROGERS

MERCY HOSPITAL NORTHWEST ARKANSAS

RUSSELLVILLE

SAINT MARY'S REGIONAL MEDICAL CENTER

SALEM

FULTON COUNTY HOSPITAL

SEARCY

ADVANCED CARE HOSPITAL OF WHITE COUNTY

SEARCY

UNITY HEALTH

SHERWOOD

CHI ST. VINCENT NORTH

SHERWOOD

CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL

SILOAM SPRINGS

SILOAM SPRINGS REGIONAL HOSPITAL

SPRINGDALE

ARKANSAS CHILDREN'S NORTHWEST

SPRINGDALE

NORTHWEST MEDICAL CENTER SPRINGDALE

STUTTGART

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

TEXARKANA

RIVERVIEW BEHAVIORAL HEALTH

TEXARKANA, TX

CHRISTUS ST. MICHAEL HEALTH SYSTEM

VAN BUREN

BAPTIST HEALTH-VAN BUREN

WALDRON

MERCY HOSPITAL WALDRON

WALNUT RIDGE

LAWRENCE MEMORIAL HOSPITAL

WARREN

BRADLEY COUNTY MEDICAL CENTER

WEST MEMPHIS

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN

WEST MEMPHIS

PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS

WYNNE

CROSSRIDGE COMMUNITY HOSPITAL

PSYCHIATRIC LONG TERM CARE MEDICAL-SURGICAL REHABILITATION OP CANCER CENTER VETERANS AFFAIRS MEDICAL-SURGICAL LONG TERM CARE PSYCHIATRIC MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL PSYCHIATRIC MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL PSYCHIATRIC MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL LONG TERM CARE MEDICAL-SURGICAL MEDICAL-SURGICAL REHABILITATION MEDICAL-SURGICAL MED-SURG (PED) MEDICAL-SURGICAL MEDICAL-SURGICAL PSYCHIATRIC MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL MEDICAL-SURGICAL PSYCHIATRIC MEDICAL-SURGICAL

LICENSED BEDS

TRAUMA SYSTEM

PALL

24

PSYCH

222

PALL

36 871 120

LEVEL II

40

LEVEL II

49 72 60

LEVEL I LEVEL IV LEVEL IV

65 49 25 268 25 20 133 225 127 25 25 129 16 25 300 50 275 170 25 27 438 69 80 73 24 222 49 62 354 103 24 25 33 11 54 25

PSYCH/HH/PALL

OB/PALL OB/HH PSYCH/SB/HH PSYCH SB

25 620

PALL

PSYCH

127 450

OB/PSYCH/HH/PALL

PSYCH/REHAB

635 615

ADDITIONAL SERVICE LINES

LEVEL I LEVEL IV

OB/PSYCH/REHAB

LEVEL IV

SB/HH

LEVEL III LEVEL IV LEVEL IV LEVEL IV

OB/PSYCH/SB/REHAB/HH OB/PSYCH/REHAB/HH SB SB/HH SB/PSYCH

LEVEL III

OB/REHAB/PALL

LEVEL IV

SB

LEVEL IV LEVEL IV LEVEL IV LEVEL IV LEVEL III LEVEL IV LEVEL III LEVEL III

PSYCH SB/HH/PALL OB/SB/REHAB/HH SB/HH/PALL SB/HH OB/PSYCH/REHAB/HH PSYCH/SB/HH REHAB/HH OB/PSYCH/REHAB

LEVEL IV

SB

LEVEL III

OB/PSYCH/REHAB/HH/PALL

PALL

LEVEL IV

HH/PALL

LEVEL IV

OB/SB/PALL

LEVEL IV LEVEL III LEVEL IV

REHAB

OB/PSYCH/SB/REHAB/HH OB/SB/PALL PSYCH

LEVEL III LEVEL IV LEVEL IV

SB/HH/PALL SB/PALL OB/PSYCH/SB/HH PSYCH SB/HH

OB=Obstetrics, Psych=Psychatric, SB=Swing Beds, ICF=Intermediate Care Facility, SNF=Skilled Nursing Facility, Rehab=Rehabilitation, HH=Hope Health, Hosp=Hospice Sources: Arkansas Department of Health; Self-reported information provided to the Arkansas Hospital Association

ARKANSAS HOSPITALS | SUMMER 2022 29


STATEWIDE HOSPITAL FINANCIAL AND UTILIZATION INDICATORS, 2016 - 2020 INDICATOR

2016

2017

2018

2019

2020

BEDS AVAILABLE

9,634

9,664

9,517

9,145

9,518

ADMISSIONS

359,359

363,070

358,222

364,291

342,864

PATIENT DAYS

1,846,634

1,861,122

1,828,470

1,826,976

1,791,995

AVG. LENGTH OF STAY

5.1

5.1

5.1

5.0

5.2

NON-EMERGENCY OP VISITS

4,570,177

4,629,383

4,925,120

4,914,195

4,377,227

OUTPATIENT VISITS

6,086,166

6,148,539

6,434,568

6,470,401

5,729,718

75.1%

75.3%

76.5%

75.9%

76.4%

3,963,653

4,125,703

4,148,600

4,276,157

4,215,730

52.5%

52.8%

52.6%

54.7%

51.6%

NON-EMERGENCY AS A % OF TOTAL OP VISITS ADJUSTED PATIENT DAYS OCCUPANCY RATE INPATIENT SURGERIES

94,627

95,013

94,924

92,357

83,032

OUTPATIENT SURGERIES

200,832

203,105

215,656

226,136

194,138

TOTAL SURGERIES

295,459

298,118

310,580

318,493

277,170

OUTPATIENT AS % OF TOTAL SURGERIES

68.0%

68.1%

69.4%

71.0%

70.0%

TOTAL FULL-TIME EQUIVALENT EMPLOYEES

47,825

49,832

50,358

50,173

49,502

4.40

4.41

4.43

4.28

4.29

GROSS REVENUE, INPATIENT

$12,460,694,916

$13,396,489,708

$13,777,391,679

$14,814,502,613

$14,965,703,755

GROSS REVENUE, OUTPATIENT

$12,952,790,887

$14,212,477,805

$15,450,146,464

$17,025,641,576

$16,733,703,930

GROSS PATIENT REVENUE

$25,413,485,803

$27,608,967,513

$29,227,538,143

$31,840,144,189

$31,699,407,685

BAD DEBTS

$444,692,383

$469,305,416

$502,016,281

$509,174,368

$503,958,456

CHARITY

$376,732,202

$339,342,080

$358,871,422

$442,315,671

$499,580,152

MEDICARE, MEDICAID & OTHER PAYER WRITEOFFS

$17,636,673,879

$19,440,530,333

$20,647,010,804

$22,702,507,161

$22,706,699,474

TOTAL DEDUCTIONS

$18,458,098,464

$20,249,177,829

$21,507,898,507

$23,653,997,200

$23,710,238,082

NET PATIENT REVENUE

$6,955,387,339

$7,359,789,684

7,719,639,636

$8,186,146,989

$7,989,169,603

$307,097,211

$381,973,773

$395,516,849

$433,117,737

$760,697,334

FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED

OTHER OPERATING REVENUE

$82,544,865

$118,736,986

$44,821,792

$145,788,360

$164,859,866

TOTAL NET REVENUE

$7,345,029,415

$7,860,500,443

$8,159,978,277

$8,765,053,086

$8,914,726,803

PAYROLL EXPENSE

$2,510,431,790

$2,833,267,007

$2,989,469,225

$3,040,326,208

$3,122,035,492

TOTAL EXPENSE

$6,803,364,553

$7,372,516,174

$7,797,448,234

$8,049,927,966

$8,206,104,259

PATIENT REVENUE MARGIN

2.19%

-0.17%

-1.01%

1.66%

-2.72%

TOTAL MARGIN

7.37%

6.21%

4.44%

8.16%

7.95%

CHARGE PER ADJUSTED INPATIENT DAY

$6,411.63

$6,691.94

$7,045.16

$7,445.97

$7,519.32

PAYMNT PER ADJUSTED INPATIENT DAY

$1,754.79

$1,783.89

$1,860.78

$1,914.37

$1,895.09

EXPENSE PER ADJUSTED INPATIENT DAY

$1,716.44

$1,786.97

$1,879.54

$1,882.51

$1,946.54

PAYROLL PER ADJUSTED INPATIENT DAY

$633.36

$686.74

$720.60

$710.99

$740.57

PAYROLL AS % OF TOTAL EXPENSE

36.9%

38.4%

38.3%

37.8%

38.0%

BAD DEBT AND CHARITY AS % OF TOTAL CHARGE

3.2%

2.9%

2.9%

3.0%

3.2%

TOTAL DEDUCTIONS AS % OF TOTAL CHARGE

72.6%

73.3%

73.6%

74.3%

74.8%

OUTPT. REVENUE AS % TOTAL PATIENT REVENUE

51.0%

51.5%

52.9%

53.5%

52.8%

NONOPERATING REVENUE

ADMISSIONS PER BED

37.3

37.6

37.6

39.8

36.0

PATIENT DAYS PER 1,000 POPULATION

618.0

619.5

606.7

605.4

591.2

ADMISSIONS PER 1,000 POPULATION

120.3

120.9

118.9

120.7

113.1

POPULATION (000'S)

2,988

3,004

3,014

3,018

3,031

Source: American Hospital Association, Hospital Statistics 2022

30 SUMMER 2022 | ARKANSAS HOSPITALS


ARKANSAS HOSPITALS RECEIVING LOCAL TAX SUPPORT, 2022 YEAR APPROVED

ANNUAL AMOUNT ESTIMATE

0.25%

2016

$649,000

YES

0.5%

2009

$1,600,000

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

$2,500,000

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%

INDICATOR

TAX

RATE

ASHLEY COUNTY MEDICAL CENTER

YES

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY

JOHNSON REGIONAL MEDICAL CENTER

MILLAGE

YES

RATE

.5 MILL

YES

1 MILL

2015/1952

$2,439,800

YES

.3 MILL

1977

$65,000

LAWRENCE MEMORIAL HOSPITAL

YES

1.00%

2014

$2,100,000

LITTLE RIVER MEDICAL CENTER

YES

0.50%

2000

$834,000

MAGNOLIA REGIONAL MEDICAL CENTER (A)

YES

1.125%

2007

$2,600,000

MAGNOLIA REGIONAL MEDICAL CENTER (B)

YES

0.250%

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

1951

$150,000

2010

$360,000

2015/1952

$829,300

2007

$800,000

YES

OZARK HEALTH MEDICAL CENTER 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 2022 31


32 SUMMER 2022 | ARKANSAS HOSPITALS 7.95%

$708,622,544

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:

$164,859,866

6.21%

$543,762,678

Hospitals also collected other types of revenue from sources including contributions, tax appropriations, and investments. Those amounted to:

As a result, the "operating margin" rose to:

Which raised total operating income to:

$760,697,334

9.63%

$1,717,808,177

$396,440,458

7.57%

$1,321,367,719

$2,139,977,165

-5.35%

-2.72%

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 COVID relief dollars, space rental, cafeteria and gift shop sales, and operating gains:

($120.36)

($818,609,446)

6,801,315

$16,123,257,871

($51.46)

($216,934,656)

4,215,730

$8,206,104,259

$15,304,648,425

$45,405,402,605

$60,710,051,030

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…

$7,989,169,603

$23,710,238,082

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 patietns 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:

$31,699,407,685

Hospitals charged this amount for the inpatient and outpatient care they provided in 2020:

Arkansas

5.21%

$461,148,994

$271,349,718

2.21%

$189,799,276

$503,053,831

-3.88%

($49.00)

($313,254,555)

6,393,555

$8,383,443,117

$8,070,188,562

$27,674,608,113

$35,744,796,675

Mississippi

4.01%

$1,050,290,523

$340,485,230

2.75%

$709,805,293

$2,325,087,571

-6.86%

($171.41)

($1,615,282,278)

9,423,737

$25,145,244,674

$23,529,962,396

$60,312,276,725

$83,842,239,121

Missouri

9.65%

$1,158,361,394

$207,513,809

8.06%

$950,847,585

$866,973,504

0.77%

$17.06

$83,874,081

4,915,665

$10,846,610,101

$10,930,484,182

$39,636,077,633

$50,566,561,815

Oklahoma

4.65%

$1,035,942,413

$271,228,614

3.47%

$764,713,799

$2,516,085,800

-8.97%

($193.53)

($1,751,372,001)

9,049,744

$21,266,347,579

$19,514,975,578

$67,464,976,324

$86,979,951,902

Tennessee

12.65%

$11,294,344,694

$2,155,757,441

10.49%

$9,138,587,253

$8,469,463,252

0.85%

$25.07

$669,124,001

26,692,316

$78,014,228,786

$78,683,352,787

$301,940,919,499

$380,624,272,286

Texas

4.60%

$54,931,771,482

$27,465,885,741

2.35%

$27,465,885,741

$120,946,416,292

-5.41%

($147.44)

($56,567,713,032)

383,668,480

$1,102,282,383,008

$1,045,714,669,976

$3,063,767,342,670

$4,109,482,012,646

United States

KEY FINANCIAL INDICATORS ARKANSAS AND SURROUNDING STATES, 2020

Source: American Hospital Association, Hospital Statistics 2022


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.

DISTRICT OF COLUMBIA

97,858

ALASKA

28,589

DISTRICT OF COLUMBIA

28,466

IDAHO

15.71%

2.

ALASKA

97,304

DISTRICT OF COLUMBIA

27,305

NEW YORK

26,885

UTAH

13.10%

3.

COLORADO

96,868

CALIFORNIA

22,360

ALASKA

26,152

ALASKA

8.52%

4.

CALIFORNIA

95,950

UTAH

22,304

MAINE

23,672

COLORADO

5.16%

5.

NEVADA

87,374

NEW YORK

21,868

CALIFORNIA

23,637

ARIZONA

3.80%

6.

TEXAS

80,194

WASHINGTON

21,665

WASHINGTON

22,861

VIRGINIA

2.97%

7.

ARIZONA

78,621

COLORADO

21,433

MASSACHUSETTS

21,509

INDIANA

2.84%

8.

FLORIDA

78,603

MAINE

20,369

HAWAII

20,348

KENTUCKY

1.99%

9.

PENNSYLVANIA

75,761

DELAWARE

19,558

COLORADO

20,327

MONTANA

1.35%

10.

UTAH

74,852

MINNESOTA

18,714

MINNESOTA

20,001

TEXAS

0.85%

11.

NEW JERSEY

74,711

NEBRASKA

18,632

DELAWARE

19,951

OKLAHOMA

0.77%

12.

NEW YORK

74,405

MONTANA

18,630

OREGON

19,671

SOUTH CAROLINA

0.48%

13.

WSC REGION

71,396

OREGON

18,321

VERMONT

19,611

ALABAMA

0.37%

14.

WASHINGTON

68,969

INDIANA

18,275

NEW HAMPSHIRE

19,448

NORTH CAROLINA

15.

U.S.

67,100

IDAHO

18,107

UTAH

19,383

FLORIDA

-0.24%

16.

INDIANA

65,124

MASSACHUSETTS

17,408

CONNECTICUT

19,172

WSC REGION

-0.25%

17.

OKLAHOMA

61,867

NEW HAMPSHIRE

17,284

NEBRASKA

18,765

NEW MEXICO

-0.30%

18.

VIRGINIA

61,769

U.S.

17,074

MONTANA

18,378

NEVADA

-0.42%

19.

ILLINOIS

60,470

MARYLAND

17,051

MARYLAND

18,357

NEBRASKA

-0.71%

20.

OHIO

59,824

ARIZONA

17,050

U.S.

17,998

WISCONSIN

-1.89%

21.

GEORGIA

59,204

CONNECTICUT

16,938

INDIANA

17,755

DELAWARE

-2.01%

22.

SOUTH CAROLINA

58,762

OHIO

16,924

OHIO

17,644

GEORGIA

-2.31%

23.

KENTUCKY

58,424

WISCONSIN

16,651

SOUTH DAKOTA

17,453

ARKANSAS

-2.72%

24.

KANSAS

58,234

TEXAS

16,578

PENNSYLVANIA

17,174

KANSAS

-3.07%

25.

IDAHO

58,072

VIRGINIA

16,406

NEW JERSEY

17,133

MISSISSIPPI

-3.88%

26.

NEW HAMPSHIRE

56,478

VERMONT

16,325

WISCONSIN

16,967

DISTRICT OF COLUMBIA

-4.25%

27.

TENNESSEE

56,279

PENNSYLVANIA

16,322

NORTH DAKOTA

16,940

OHIO

-4.26%

28.

NEW MEXICO

56,104

SOUTH DAKOTA

16,280

ILLINOIS

16,696

WYOMING

-5.01%

29.

NEBRASKA

55,127

HAWAII

16,006

MICHIGAN

16,580

PENNSYLVANIA

-5.22%

30.

HAWAII

54,988

NEW MEXICO

15,989

TEXAS

16,437

LOUISIANA

-5.35%

31.

MINNESOTA

54,569

NORTH DAKOTA

15,898

ARIZONA

16,402

U.S.

-5.41%

32.

CONNECTICUT

54,249

ILLINOIS

15,483

MISSOURI

16,191

WASHINGTON

-5.52%

33.

MAINE

54,224

NEW JERSEY

15,476

WYOMING

16,086

CALIFORNIA

-5.71%

34.

ALABAMA

54,098

WSC REGION

15,396

NEW MEXICO

16,037

NORTH DAKOTA

-6.55%

35.

MISSOURI

53,985

WYOMING

15,319

WEST VIRGINIA

15,956

WEST VIRGINIA

-6.60%

36.

LOUISIANA

53,256

MICHIGAN

15,198

VIRGINIA

15,918

MISSOURI

-6.86%

37.

MASSACHUSETTS

52,815

MISSOURI

15,151

RHODE ISLAND

15,629

MINNESOTA

-6.88%

38.

NORTH CAROLINA

50,577

GEORGIA

15,138

GEORGIA

15,487

SOUTH DAKOTA

-7.20%

39.

SOUTH DAKOTA

50,544

WEST VIRGINIA

14,969

WSC REGION

15,434

OREGON

-7.37%

40.

WEST VIRGINIA

50,452

KANSAS

14,914

KANSAS

15,371

MARYLAND

-7.66%

41.

DELAWARE

49,042

NEVADA

14,644

IDAHO

15,262

ILLINOIS

-7.84%

42.

MISSISSIPPI

48,699

KENTUCKY

14,539

NEVADA

14,706

TENNESSEE

-8.97%

43.

WISCONSIN

48,661

NORTH CAROLINA

14,467

IOWA

14,531

MICHIGAN

-9.09%

44.

OREGON

46,931

FLORIDA

13,768

NORTH CAROLINA

14,435

IOWA

45.

MICHIGAN

46,848

SOUTH CAROLINA

13,734

KENTUCKY

14,249

NEW JERSEY

-10.71%

46.

ARKANSAS

43,649

RHODE ISLAND

13,479

LOUISIANA

14,144

NEW HAMPSHIRE

-12.52%

47.

RHODE ISLAND

42,663

LOUISIANA

13,426

FLORIDA

13,802

CONNECTICUT

-13.19%

48.

NORTH DAKOTA

40,946

OKLAHOMA

13,373

TENNESSEE

13,760

RHODE ISLAND

-15.95%

49.

IOWA

40,672

IOWA

13,269

SOUTH CAROLINA

13,669

MAINE

-16.22%

50.

MONTANA

40,253

TENNESSEE

12,627

OKLAHOMA

13,271

VERMONT

-20.13%

51.

VERMONT

40,208

ALABAMA

11,860

ALABAMA

11,817

NEW YORK

-22.94%

52.

WYOMING

40,041

ARKANSAS

11,001

MISSISSIPPI

11,422

MASSACHUSETTS

-23.56%

53.

MARYLAND

26,787

MISSISSIPPI

10,995

ARKANSAS

11,300

HAWAII

-27.13%

0.22%

-9.52%

Source: American Hospital Association, Hospital Statistics 2022

ARKANSAS HOSPITALS | SUMMER 2022 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 OUACHITA PERRY PHILLIPS PIKE POINSETT POLK POPE PRAIRIE PULASKI RANDOLPH SALINE SCOTT SEARCY SEBASTIAN SEVIER SHARP ST. FRANCIS STONE UNION VAN BUREN WASHINGTON WHITE WOODRUFF YELL

34 SUMMER 2022 | ARKANSAS HOSPITALS

NO ACUTE CARE COMMUNITY HOSPITAL (21)

SINGLE CRITICAL ACCESS HOSPITAL (18)

SINGLE NON-CAH COMMUNITY HOSPITAL (22)

MULTIPLE COMMUNITY HOSPITALS (14)


AHA-MEMBER ORGANIZATIONS BY CONGRESSIONAL DISTRICT 1st Congressional District

Arkansas Continued Care Hospital of Jonesboro Arkansas Methodist Medical Center Baptist Health Medical Center-Stuttgart Baptist Memorial Hospital-Crittenden Baxter Regional Medical Center Chicot Memorial Medical Center CrossRidge Community Hospital Delta Memorial Hospital 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 Health Foundation, Inc. McGehee Hospital NEA Baptist Memorial Hospital North Arkansas Regional Medical Center Perimeter Behavioral Hospital of West Memphis Piggott Community Hospital SMC Regional Medical Center St. Bernards Five Rivers St. Bernards Medical Center Stone County Medical Center Unity Health Newport White River Health System

Total = 26

2nd Congressional District

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-Heber Springs Baptist Health Medical Center-Little Rock Baptist Health Medical Center-North 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, a Partner of Encompass Health 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 = 29

3rd Congressional District

Arkansas Children’s Northwest Arkansas Extended Care Hospital – Fort Smith Baptist Health-Fort Smith Baptist Health-Van Buren Encompass Health Rehabilitation Hospital, a Partner of Washington Regional Eureka Springs Hospital Mercy Hospital Berryville Mercy Hospital Fort Smith Mercy Hospital Northwest Arkansas Mercy Rehabilitation Hospital Fort Smith Northwest Health Physicians’ Specialty Hospital Northwest Medical Center Bentonville Northwest Medical Center Springdale Ozarks Community Hospital 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 = 21

Additional AHA Member Hospitals Include: CHRISTUS St. Michael Health System, Texarkana, TX Regional One Health, Memphis, TN

4th Congressional District

Arkansas Extended Care Hospital – Hot Springs 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 Rehab Hospital, a Partner of Encompass Health 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, Inc. 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 Saint Mary's Regional Medical Center Sevier County Medical Center

Total = 28

ARKANSAS HOSPITALS | SUMMER 2022 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

ARKANSAS EXTENDED CARE HOSPITAL – FORT SMITH LTCH

Y

LHC CORPORATION

LAFAYETTE, LA

ARKANSAS EXTENDED CARE HOSPITAL – HOT SPRINGS LTCH

Y

LHC CORPORATION

LAFAYETTE, LA

ARKANSAS HOSPICE

IP HOSPICE

LOCAL BOARD

N. LITTLE ROCK

ARKANSAS METHODIST MEDICAL CENTER

RURAL/RRC

LOCAL BOARD

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 CHAMBERS MEMORIAL HOSPITAL

RURAL/SCH

CHI ST. VINCENT HOT SPRINGS

URBAN/RRC

CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL

IRF

CHI ST. VINCENT INFIRMARY

URBAN

CHI ST. VINCENT MORRILTON

CAH

CHI ST. VINCENT NORTH

URBAN

LOCAL BOARD Y

COMMONSPIRIT HEALTH

CHICAGO, IL

Y

ENCOMPASS HEALTH

BIRMINGHAM, AL

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

Y

ENCOMPASS HEALTH

BIRMINGHAM, AL

CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL IRF

CHICOT MEMORIAL MEDICAL CENTER

CAH

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 HEALTH SYSTEM

CAH

LOCAL BOARD

DEWITT HOSPITAL & NURSING HOME

CAH

LOCAL BOARD

DREW MEMORIAL HEALTH SYSTEM

RURAL/SCH

ENCOMPASS HEALTH REHABILITATION HOSPITAL, A PARTNER OF WASHINGTON REGIONAL

IRF

EUREKA SPRINGS HOSPITAL

CAH

FORREST CITY MEDICAL CENTER

RURAL/SCH

FULTON COUNTY HOSPITAL

CAH

36 SUMMER 2022 | ARKANSAS HOSPITALS

LITTLE ROCK

U.S. DEPARTMENT OF VETERANS AFFAIRS

LOCAL BOARD Y

CHRISTUS HEALTH

IRVING, TX

Y

ACADIA HEALTHCARE

FRANKLIN, TN

Y

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

Y

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

Y

CORNERSTONE HEALTHCARE GROUP

DALLAS, TX

Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

√ √

COUNTY

√ Y

Y √ Y

√ √

CONWAY

COUNTY

√ √

CONWAY REGIONAL HEALTH SYSTEM

ENCOMPASS HEALTH

BIRMINGHAM, AL

EUREKA SPRINGS HOSPITAL COMMISSION

EUREKA SPRINGS,

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

MERCY REHABILITATION HOSPITAL FORT SMITH

IRF

Y

LIFEPOINT

BRENTWOOD, TN

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

LOCAL BOARD

OZARK HEALTH MEDICAL CENTER

CAH

LOCAL BOARD

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

√ Y

QUORUM HEALTH

FRANKLIN, TN

LOCAL BOARD Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

LOCAL BOARD LOCAL BOARD

LOCAL BOARD LOCAL BOARD Y

√ √ √

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

CITY

LOCAL BOARD

Y

WOODRIDGE BEHAVIORAL CARE

JACKSON, TN

CITY

√ 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

Y

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

ST. BERNARDS FIVE RIVERS

RURAL/SCH

Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

ST. BERNARDS MEDICAL CENTER

URBAN/RRC

Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

STONE COUNTY MEDICAL CENTER

CAH

Y

WHITE RIVER HEALTH SYSTEM

BATESVILLE

THE BRIDGEWAY

IP PSYCH

Y

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

UAMS MEDICAL CENTER

URBAN

UNITY HEALTH

RURAL/SCH/RRC

Y

UNITY HEALTH

SEARCY

UNITY HEALTH NEWPORT

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

√ √

COUNTY

√ √

STATE

U.S. DEPARTMENT OF VETERANS AFFAIRS

VETERANS HEALTH CARE SYSTEM OF THE OZARKS WASHINGTON REGIONAL MEDICAL SYSTEM

RURAL

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=Inpatient Source: Self-reported information provided to the Arkansas Hospital Association

ARKANSAS HOSPITALS | SUMMER 2022 37


INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES BY PAYER, 2020 ED

32%

29%

19%

2% 7% 11%

HMO/COMM.INS MEDICAID MEDICARE OTHER GOV. PROGRAMS

INPATIENT

28%

0%

23%

20%

39%

40%

60%

2% 6% 3%

80%

OTHER UNKNOWN SELF PAY/NO CHARGE

100% Arkansas Department of Health, Hospital Discharge Program, 2020

In 2020, hospitals saw a third year of increasing uncompensated costs.

UNINSURED INPATIENT ADMISSIONS AND COSTS, 2011-2020 35,000

$250

$200

25,000 $150

20,000 15,000

$100

10,000 $50

5,000 0

2011

2012

38 SUMMER 2022 | ARKANSAS HOSPITALS

2013

2014

2015

2016

2017

2018

2019

2020

COST ($MILLIONS)

ADMISSIONS

30,000

SELF-PAY/ NO CHARGE PATIENTS ADMITTED EST. TOTAL UNCOVERED COSTS ($MILLIONS)

$0

Arkansas Department of Health, Hospital Discharge Program, 2020


HOSPITAL UNCOMPENSATED CARE COSTS, 2016-2020 YEAR

GROSS REVENUES (BILLED CHARGES)

NET REVENUES (AMOUNT COLLECTED)

OTHER OPERATING REVENUE

GROSS+ OTHER REVENUE

TOTAL OPERATING COSTS

COST-TO-CHARGE RATIO

2016

$25,413,485,803

$6,955,387,339

$307,097,211

$25,720,583,014

$6,803,364,553

24.7%

2017

$27,608,967,513

$7,359,789,684

$381,973,773

$27,990,941,286

$7,372,516,174

24.7%

2018

$29,227,538,143

$7,719,639,636

$395,516,849

$29,623,054,992

$7,797,448,234

24.6%

2019

$31,840,144,189

$8,186,146,989

$433,117,737

$32,273,261,926

$8,049,927,966

23.4%

2020

$31,699,407,685

$7,989,169,603

$760,697,334

$32,460,105,019

$8,206,104,259

23.7%

CHANGE

24.7%

14.9%

147.7%

26.2%

20.6%

YEAR

TOTAL UNCOLLECTED AMOUNTS DUE

BAD DEBT

CHARITY CARE

UNCOMPENSATED CARE CHARGES

UNCOMPENSATED CARE COSTS

UNCOMPENSATED CARE % OF TOTAL COSTS

2016

$18,458,098,464

$444,692,383

$376,732,202

$821,424,585

$203,073,532

3.0%

2017

$20,249,177,829

$469,305,416

$339,342,080

$808,647,496

$199,431,096

2.7%

2018

$21,507,898,507

$502,016,281

$358,871,422

$860,887,703

$212,015,528

2.7%

2019

$23,653,997,200

$509,174,368

$442,315,671

$951,490,039

$222,318,771

2.8%

2020

$23,710,238,082

$503,958,456

$499,580,152

$1,003,538,608

$238,120,014

2.9%

CHANGE

28.5%

13.3%

32.6%

22.2%

17.3% Source: American Hospital Association, Hospital Statistics 2022

TOP 20 DRGS, 2020 # DISCHARGES

TOTAL CHARGES

MEAN CHARGES PER DISCHARGE

MEAN STAY PER DISCHARGE

MEAN DAILY RATE

885 - PSYCHOSES

31,738

$607,812,662

$19,151

9.6

$1,991

795 - NORMAL NEWBORN

18,255

$99,881,350

$5,471

1.6

$3,530

807 - VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC

16,849

$253,569,916

$15,050

1.8

$8,503

871 - SEPTICEMIA W/O MV 96+ HOURS W MCC

14,685

$718,663,824

$48,939

6.3

$7,756

177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC

10,606

$450,262,636

$42,454

6.3

$6,739

794 - NEONATE W OTHER SIGNIFICANT PROBLEMS

9,601

$71,465,763

$7,444

2.0

$3,703

470 - MAJ JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC

7,301

$322,769,457

$44,209

2.6

$17,003

291 - HEART FAILURE & SHOCK W MCC

7,204

$239,339,482

$33,223

5.1

$6,540

788 - CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

6,028

$131,325,305

$21,786

2.7

$8,221

897 - ALCOHOL/DRUG ABUSE/DEPENDENCE W/O REHABILITATION THERAPY W/O MCC

4,715

$68,006,680

$14,423

4.6

$3,163

189 - PULMONARY EDEMA & RESPIRATORY FAILURE

4,583

$154,099,390

$33,624

5.3

$6,356

392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC

4,158

$83,393,242

$20,056

3.2

$6,229

193 - SIMPLE PNEUMONIA & PLEURISY W MCC

3,895

$142,648,673

$36,624

5.0

$7,310

057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC

3,743

$142,378,285

$38,039

13.4

$2,834

872 - SEPTICEMIA W/O MV 96+ HOURS W/O MCC

3,734

$91,191,736

$24,422

4.2

$5,843

690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC

3,194

$57,937,032

$18,139

3.6

$5,095

806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

3,111

$47,534,461

$15,279

2.1

$7,207

881 - DEPRESSIVE NEUROSES

3,109

$52,769,411

$16,973

6.7

$2,552

683 - RENAL FAILURE W CC

3,087

$67,875,872

$21,988

3.9

$5,638

793 - FULL TERM NEONATE W MAJOR PROBLEMS

2,933

$106,375,430

$36,268

5.6

$6,523

162,529

$3,909,300,604

$25,678

4.8

$5,386

DIAGNOSIS-RELATED GROUP

TOP 20 DRGS

Source: Arkansas Department of Health, Hospital Discharge Program, 2020

ARKANSAS HOSPITALS | SUMMER 2022 39


Arkansas Hospitals, 2022

MILLER

Magnolia Magnolia Regional COLUMBIA Medical Center

El Dorado Medical Center of South Arkansas

UNION

BRADLEY

ASHLEY

Crossett Ashley County Medical Center

CHICOT

Medicare Rural Hospital Flexibility Grant Program | HRSA-15-038 | Office of Rural Health Policy

Lake Village Chicot Memorial Medical Center

© 2022, AFMC, INC. ALL RIGHTS RESERVED.

KEY

SOURCE: https://www.hrsa.gov/ruralhealth/programopportunities/ fundingopportunities/?id=b56d4504-7bf6-4f79-b0e8-37b766f2213e Rogers Mountain Home Pocahontas Paragould Eureka Springs Mercy Hospital Northwest Arkansas Baxter Regional St. Bernards Five Rivers Arkansas Methodist Eureka Springs Berryville Bentonville Medical Center Medical Center Medical Center Hospital Mercy Hospital–Berryville Northwest Medical Piggott CARROLL Salem RANDOLPH BOONE MARION Center–Bentonville BAXTER Piggott Community Hospital BENTON CLAY Fulton County Harrison Siloam Springs FULTON Hospital North Arkansas Springdale IZARD Blytheville Siloam Springs Regional Medical Center • Arkansas Children’s Northwest Calico Rock Walnut Ridge Great River Regional Hospital GREENE • Northwest Medical Center–Springdale Izard County SHARP Lawrence Medical Center WASHINGTON Gravette Mountain View Johnson NEWTON SEARCY Medical Center Memorial Hospital MADISON Fayetteville (3) Ozarks Stone County LAWRENCE Northwest Medical Center– Batesville • Washington Regional Medical Center CRAIGHEAD Community Medical Center MISSISSIPPI Willow Creek Women’s Hospital STONE White River • Northwest Health Physicians’ Jonesboro (2) Hospital Heber Springs Osceola Clarksville VAN Medical Center Specialty Hospital • St. Bernards of Gravette Baptist Health Medical South Mississippi County Russellville BUREN Johnson Regional • Veterans Health Care System Newport POINSETT Medical Center Center–Heber Springs INDEPENDENCE Regional Medical Center Saint Mary’s Medical Center of the Ozarks FRANKLIN Unity Health Newport • NEA Baptist Clinton JOHNSON Regional JACKSON CRAWFORD Memorial Hospital Van Buren Ozark Health Medical Center CLEBURNE Ozark Baptist Health Medical Searcy Medical Center CROSS Mercy Hospital− WHITE CONWAY Center–Van Buren POPE Unity Health– White Paris Conway (2) Ozark Wynne CRITTENDEN Mercy SEBASTIAN • Conway Regional Medical Center County Medical Center LOGAN Fort Smith (2) CrossRidge West Memphis Hospital− Dardanelle • Baptist Health – Conway • Baptist Health Medical WOODRUFF ST. FRANCIS Community Morrilton Baptist Memorial Paris Dardanelle Booneville Center–Fort Smith Hospital Acute care SCOTT Hospital Regional PERRY CHI St. Vincent FAULKNER LONOKE YELL Mercy • Mercy Hospital− Forrest City hospitals Medical Center Morrilton PRAIRIE Sherwood Hospital Fort Smith Forrest City LEE Danville Bryant PULASKI CHI St. Vincent North Booneville Medical Center Critical access Chambers Memorial Hospital Encore Medical Center Waldron Helena SALINE North Little Rock (2) MONROE MONTGOMERY GARLAND hospitals Mercy Hospital− Helena Regional • Arkansas Surgical Hospital Hot Springs (3) Stuttgart PHILLIPS Waldron Benton Medical Center • Baptist Health – Acute care • CHI St. Vincent–Hot Springs Baptist Health POLK Saline Mena North Little Rock • Levi Hospital Medical Center−Stuttgart Little Rock (6) hospital–SHIP* Memorial Mena Regional • National Park Medical Center • Arkansas Children’s Hospital HOT SPRING Hospital DeWitt JEFFERSON Health System ARKANSAS Malvern *Small Rural Hospital GRANT • Arkansas Heart Hospital DeWitt CLARK PIKE Pine Bluff Baptist Health – Improvement Grant Program. • Baptist Health – Little Rock Hospital and HOWARD Jefferson Regional Arkadelphia Hot Spring County Map revised May 2022. SEVIER Nursing • CHI St. Vincent Infirmary Medical Center Baptist Health – Home Nashville DALLAS • Central Arkansas Veterans Healthcare Arkadelphia Dumas CLEVELAND LINCOLN Howard System – John L. McClellan Veterans Hospital Delta Memorial Memorial Hospital DESHA Fordyce • UAMS Medical Center Hospital HEMPSTEAD Monticello NEVADA LITTLE Dallas County RIVER McGehee Drew Camden Medical Center Hope McGehee Memorial Wadley Regional Ouachita County Warren CALHOUN Hospital Hospital Medical Center Medical Center Bradley County DREW OUACHITA at Hope Medical Center Ashdown Little River Memorial Hospital

LAFAYETTE

40 SUMMER 2022 | ARKANSAS HOSPITALS


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