31 ARKANSAS HOSPITALS | SUMMER 2023
VIII VII VI V IV III II I 2023
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HOSPITAL STATISTICS
GUIDE
ARKANSAS HOSPITAL ASSOCIATION 2023 HOSPITAL STATISTICS
33 Workforce Challenges by the Numbers
34 Arkansas Hospitals 2023 by the Numbers
35 Arkansas Hospital Association Member Organizations by Type, 2023
36 AHA Members by City, Type, Size, and Services
38 Statewide Hospital Financial and Utilization Indicators, 2016-2021
39 Arkansas Hospitals Receiving Local Tax Support, 2023
40 Key Financial Indicators: Arkansas and Surrounding States, 2021
41 Comparative Financial Indicators: U.S. Community Hospitals
42 Hospital Access by County
43 AHA-Member Organizations by Congressional District
44 AHA Members by Control and System Affiliation
46 Inpatient and Emergency Department Discharges by Payer, 2021
Uninsured Inpatient Admissions and Costs, 2011-2021
47 Hospital Uncompensated Care Costs, 2016-2021
Top 20 DRGs, 2021
48 Arkansas Hospitals Locator Map, 2023
Hospital Statistics uses the latest data available, and this year includes utilization and financial data reflecting the impact of the COVID-19 pandemic. Hospitals experienced massive disruptions in 202021, with reductions in revenue due to deferred and delayed care, expenditures related to pandemic preparedness and response, supply chain issues, staffing shortages, and several major surges of COVID-19. At the same time, federal and state COVID-19 relief funding provided some much-needed assistance, though occasionally with future repayment requirements. Financial and utilization measures included are reported based on hospital fiscal year, and not all 2021 data reflect the same 12-month period for each hospital. This year’s edition of Hospital Statistics reflects a full year’s view of hospital operations during the COVID-19 pandemic, and year-over-year changes in measures should be interpreted with caution.
32 SUMMER 2023 | ARKANSAS
HOSPITALS
2023 WORKFORCE CHALLENGES BY THE NUMBERS
A 2023 study commissioned by AHA found that Arkansas’s current shortfall of 9,000 registered nurses will not be resolved by 2035 if no interventions are made.
RN SUPPLY ADEQUACY BY REGION, 2021 AND 2035
Note: 100% supply adequacy means supply is sufficient to provide the 2021 national average level of care.
RN SUPPLY ADEQUACY BY COUNTY, ADJUSTED FOR HOSPITAL LOCATION, 2021 (LEFT) AND 2035 (RIGHT)
WORKFORCE CHALLENGES BEYOND RN STAFF
To maintain current Arkansas use patterns, the licensed practical nurse (LPN) workforce would need to grow by an additional 55 LPN full-time employees per year above anticipated status quo growth. By 2035, there will be a shortfall of approximately 240 to 580 respiratory therapists to meet the projected demand.
Other specialties showing shortfalls include:
• Physician assistants.
• Phlebotomists.
• Clinical laboratory technicians.
• Emergency medical technicians.
33 ARKANSAS HOSPITALS | SUMMER 2023
No. Region Adjusting for Hospital Location 2021 2035 1 Arkansas Valley 74% 87% 2 Metro 74% 82% 3 North Central 76% 98% 4 Northeast 75% 100% 5 Northwest 82% 91% 6 Southeast 76% 90% 7 Southwest 74% 89%
ARKANSAS HOSPITALS 2023 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.
41 Counties are served by a single hospital. Eighteen of those counties are served by a single Critical Access Hospital.
$15.2 BILLION
Is contributed by hospitals toward Arkansas’s economy, through the impacts of well-paid, consistent employment, purchases of goods and services, and construction and capital spending.
11% 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.
20 Arkansas counties – over a quarter of all counties in the state – do not have a local community hospital.
60% 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.
65,655 Hospitalizations due to COVID-19 were reported by Arkansas hospitals during the period of August 2020-May 2023.
18,016 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.
35,471 Newborns were delivered in Arkansas hospitals in 2021. Over 40% of those births were covered by Medicaid.
34 SUMMER 2023 | ARKANSAS HOSPITALS
ARKANSAS HOSPITAL ASSOCIATION MEMBER ORGANIZATIONS BY TYPE, 2023
General Med-Surg Hospitals (46)
Arkansas Methodist Medical Center
Baptist Health Medical Center-Conway
Baptist Health Medical Center-Hot
Spring County
Baptist Health Medical Center-Little Rock
Baptist Health Medical Center-N. Little Rock
Baptist Health Medical CenterStuttgart
Baptist Health-Fort Smith
Baptist Health-Fort Smith
Baptist Memorial Hospital-Crittenden
Baxter Health
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
Sevier County Medical Center
Siloam Springs Regional Hospital
St. Bernards Five Rivers
St. Bernards Medical Center
UAMS Medical Center
Unity Health
Unity Health Jacksonville
Unity Health Newport
Washington Regional Medical System
White River Health
Critical Access Hospitals (28)
Ashley County Medical Center
Baptist Health Medical CenterArkadelphia
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 Memorial Hospital
DeWitt Hospital & Nursing Home
Eureka Springs Hospital
Fulton County Hospital
Howard Memorial Hospital
Izard Regional Hospital
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 Health System
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 W. 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 (7)
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
Mercy Rehabilitation ServicesNorthwest Arkansas
Veterans Affairs Hospitals (2)
Central Arkansas Veterans Healthcare System
Veterans Health Care System of the Ozarks
Long Term Care Hospitals (4)
Advanced Care Hospital of White County
Arkansas Continued Care Hospital of Jonesboro
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
35 ARKANSAS HOSPITALS | SUMMER 2023
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES
36 SUMMER 2023 | ARKANSAS HOSPITALS CITY HOSPITAL TYPE OF HOSPITAL LICENSED BEDS TRAUMA SYSTEM SELECTED SPECIALTY SERVICE LINES ARKADELPHIA BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA MEDICAL-SURGICAL 25 LEVEL IV OB/SB/HH ASHDOWN LITTLE RIVER MEDICAL CENTER MEDICAL-SURGICAL 25 SB/ICF/HH BARLING VALLEY BEHAVIORAL HEALTH SYSTEM PSYCHIATRIC 114 PSYCH BATESVILLE WHITE RIVER HEALTH MEDICAL-SURGICAL 224 LEVEL III OB/PSYCH/SNF/REHAB/PALL BENTON RIVENDELL BEHAVIORAL HEALTH SERVICES PSYCHIATRIC 80 PSYCH BENTON SALINE MEMORIAL HOSPITAL MEDICAL-SURGICAL 177 OB/PSYCH/REHAB BENTONVILLE NORTHWEST MEDICAL CENTER BENTONVILLE MEDICAL-SURGICAL 128 LEVEL III HH/PALL BERRYVILLE MERCY HOSPITAL BERRYVILLE MEDICAL-SURGICAL 25 SB/HH/PALL 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 REGIONAL HOSPITAL MEDICAL-SURGICAL 25 SB/HH 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 120 LEVEL III OB/REHAB CONWAY CONWAY BEHAVIORAL HEALTH PSYCHIATRIC 80 PSYCH CONWAY CONWAY REGIONAL HEALTH SYSTEM MEDICAL-SURGICAL 150 LEVEL III OB/PSYCH/REHAB/HH/PALL CONWAY CONWAY REGIONAL REHABILITATION HOSPITAL REHABILITATION 26 REHAB 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 DE QUEEN SEVIER COUNTY MEDICAL CENTER MEDICAL-SURGICAL 14 DEWITT DEWITT HOSPITAL & NURSING HOME MEDICAL-SURGICAL 25 SB/ICF DUMAS DELTA MEMORIAL HOSPITAL MEDICAL-SURGICAL 25 OB/SB/HH 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 REHAB 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 AFFAIRS 73 PSYCH FAYETTEVILLE WASHINGTON REGIONAL MEDICAL SYSTEM MEDICAL-SURGICAL 425 LEVEL II HH/PALL FORDYCE DALLAS COUNTY MEDICAL CENTER MEDICAL-SURGICAL 25 LEVEL IV SB 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 MERCY HOSPITAL FORT SMITH MEDICAL-SURGICAL 348 LEVEL III REHAB/HH FORT SMITH MERCY REHABILITATION HOSPITAL FORT SMITH REHABILITATION 50 REHAB GRAVETTE OZARKS COMMUNITY HOSPITAL MEDICAL-SURGICAL 25 SB 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 SB/HH HOT SPRINGS CHI ST. VINCENT HOT SPRINGS MEDICAL-SURGICAL 282 LEVEL II OB/PSYCH/REHAB/HH 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 JACKSONVILLE UNITY HEALTH JACKSONVILLE MEDICAL-SURGICAL 29 PSYCH 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 III 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 STATE HOSPITAL PSYCHIATRIC 222 PSYCH
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES
37 ARKANSAS HOSPITALS | SUMMER 2023 CITY HOSPITAL TYPE OF HOSPITAL LICENSED BEDS TRAUMA SYSTEM SELECTED SPECIALTY SERVICE LINES LITTLE ROCK BAPTIST HEALTH EXTENDED CARE HOSPITAL LONG TERM CARE 36 PALL LITTLE ROCK BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK MEDICAL-SURGICAL 871 LEVEL II OB/PSYCH/HH/PALL LITTLE ROCK BAPTIST HEALTH REHABILITATION INSTITUTE REHABILITATION 120 PALL LITTLE ROCK CARTI OP CANCER CENTER LITTLE ROCK CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM VETERANS AFFAIRS 505 PSYCH/REHAB/HH/PALL/LTC LITTLE ROCK CHI ST. VINCENT INFIRMARY MEDICAL-SURGICAL 615 LEVEL II PSYCH/HH/PALL LITTLE ROCK CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK LONG TERM CARE 40 LITTLE ROCK PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM PSYCHIATRIC 127 PSYCH LITTLE ROCK UAMS MEDICAL CENTER MEDICAL-SURGICAL 535 LEVEL I OB/PALL LITTLE ROCK, HOT SPRINGS, RUSSELLVILLE ARKANSAS HOSPICE INPATIENT HOSPICE 24 PALL MAGNOLIA MAGNOLIA REGIONAL MEDICAL CENTER MEDICAL-SURGICAL 49 LEVEL IV OB/HH MALVERN BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY MEDICAL-SURGICAL 72 LEVEL IV PSYCH/SB/HH MAUMELLE METHODIST BEHAVIORAL HOSPITAL PSYCHIATRIC 60 PSYCH MCGEHEE MCGEHEE HOSPITAL MEDICAL-SURGICAL 25 SB MEMPHIS, TN REGIONAL ONE HEALTH MEDICAL-SURGICAL 620 LEVEL I MENA MENA REGIONAL HEALTH SYSTEM MEDICAL-SURGICAL 65 LEVEL IV OB/PSYCH/REHAB MONTICELLO DREW MEMORIAL HEALTH SYSTEM MEDICAL-SURGICAL 49 OB/PSYCH/SB/REHAB/HH MORRILTON CHI ST. VINCENT MORRILTON MEDICAL-SURGICAL 25 LEVEL IV SB/HH MOUNTAIN HOME BAXTER HEALTH 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 SB/HH NEWPORT UNITY HEALTH NEWPORT MEDICAL-SURGICAL 35 LEVEL IV OB/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 PSYCH 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 HEALTH SYSTEM 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 275 LEVEL III REHAB/HH ROGERS MERCY REHABILITATION SERVICES - NORTHWEST ARKANSAS REHABILITATION REHAB 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 20 PALL 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 REHAB SILOAM SPRINGS SILOAM SPRINGS REGIONAL HOSPITAL MEDICAL-SURGICAL 73 LEVEL IV OB/SB/PALL 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 PSYCH TEXARKANA, TX CHRISTUS ST. MICHAEL HEALTH SYSTEM MEDICAL-SURGICAL 354 LEVEL III VAN BUREN BAPTIST HEALTH-VAN BUREN MEDICAL-SURGICAL 103 LEVEL IV WALDRON MERCY HOSPITAL WALDRON MEDICAL-SURGICAL 24 LEVEL IV SB/HH/PALL 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 PSYCH WYNNE CROSSRIDGE COMMUNITY HOSPITAL MEDICAL-SURGICAL 25 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: Arkansas Department of Health; Self-reported information provided to the Arkansas Hospital Association
STATEWIDE HOSPITAL FINANCIAL AND UTILIZATION INDICATORS, 2016 - 2021
38 SUMMER 2023 | ARKANSAS HOSPITALS
INDICATOR 2016 2017 2018 2019 2020 2021 BEDS AVAILABLE 9,634 9,664 9,517 9,145 9,518 9,590 ADMISSIONS 359,359 363,070 358,222 364,291 342,864 347,411 PATIENT DAYS 1,846,634 1,861,122 1,828,470 1,826,976 1,791,995 1,935,306 AVG. LENGTH OF STAY 5.1 5.1 5.1 5.0 5.2 5.6 NON-EMERGENCY OP VISITS 4,570,177 4,629,383 4,925,120 4,914,195 4,377,227 4,817,914 OUTPATIENT VISITS 6,086,166 6,148,539 6,434,568 6470401 5,729,718 6,228,647 NON-EMERGENCY AS A % OF TOTAL OP VISITS 75.1% 75.3% 76.5% 75.9% 76.4% 77.4% ADJUSTED PATIENT DAYS 3,963,653 4,125,703 4,148,600 4,276,157 4,215,730 4,381,777 OCCUPANCY RATE 52.5% 52.8% 52.6% 54.7% 51.6% 55.3% INPATIENT SURGERIES 94,627 95,013 94,924 92,357 83,032 79,866 OUTPATIENT SURGERIES 200,832 203,105 215,656 226,136 194,138 207,801 TOTAL SURGERIES 295,459 298,118 310,580 318,493 277,170 287,667 OUTPATIENT AS % OF TOTAL SURGERIES 67.97% 68.13% 69.44% 71.00% 70.04% 72.24% TOTAL FULL-TIME EQUIVALENT EMPLOYEES 47,825 49,832 50,358 50,173 49,502 49,027 FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED 4.40 4.41 4.43 4.28 4.29 4.08 GROSS REVENUE, INPATIENT $12,460,694,916 $13,396,489,708 $13,777,391,679 $14,814,502,613 $14,965,703,755 $17,185,062,486 GROSS REVENUE, OUTPATIENT $12,952,790,887 $14,212,477,805 $15,450,146,464 $17,025,641,576 $16,733,703,930 $18,570,833,303 GROSS PATIENT REVENUE $25,413,485,803 $27,608,967,513 $29,227,538,143 $31,840,144,189 $31,699,407,685 $35,755,895,789 BAD DEBTS $444,692,383 $469,305,416 $502,016,281 $509,174,368 $503,958,456 $512,576,407 CHARITY $376,732,202 $339,342,080 $358,871,422 $442,315,671 $499,580,152 $574,072,837 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 $25,738,880,672 TOTAL DEDUCTIONS $18,458,098,464 $20,249,177,829 $21,507,898,507 $23,653,997,200 $23,710,238,082 $26,825,529,916 NET PATIENT REVENUE $6,955,387,339 $7,359,789,684 $7,719,639,636 $8,186,146,989 $7,989,169,603 $8,930,365,873 OTHER OPERATING REVENUE $307,097,211 $381,973,773 $395,516,849 $433,117,737 $760,697,334 $919,369,130 NONOPERATING REVENUE $82,544,865 $118,736,986 $44,821,792 $145,788,360 $164,859,866 $246,467,868 TOTAL NET REVENUE $7,345,029,415 $7,860,500,443 $8,159,978,277 $8,765,053,086 $8,914,726,803 $10,096,202,871 PAYROLL EXPENSE $2,510,431,790 $2,833,267,007 $2,989,469,225 $3,040,326,208 $3,122,035,492 $3,542,564,965 TOTAL EXPENSE $6,803,364,553 $7,372,516,174 $7,797,448,234 $8,049,927,966 $8,206,104,259 $9,161,715,585 PATIENT REVENUE MARGIN 2.19% -0.17% -1.01% 1.66% -2.72% -2.59% TOTAL MARGIN 7.37% 6.21% 4.44% 8.16% 7.95% 9.26% CHARGE PER ADJUSTED INPATIENT DAY $6,411.63 $6,691.94 $7,045.16 $7,445.97 $7,519.32 $8,160.14 PAYMENT PER ADJUSTED INPATIENT DAY $1,754.79 $1,783.89 $1,860.78 $1,914.37 $1,895.09 $2,038.07 EXPENSE PER ADJUSTED INPATIENT DAY $1,716.44 $1,786.97 $1,879.54 $1,882.51 $1,946.54 $2,090.87 PAYROLL PER ADJUSTED INPATIENT DAY $633.36 $686.74 $720.60 $710.99 $740.57 $808.48 PAYROLL AS % OF TOTAL EXPENSE 36.9% 38.4% 38.3% 37.8% 38.0% 38.7% BAD DEBT AND CHARITY AS % OF TOTAL CHARGE 3.2% 2.9% 2.9% 3.0% 3.2% 3.0% TOTAL DEDUCTIONS AS % OF TOTAL CHARGE 72.6% 73.3% 73.6% 74.3% 74.8% 75.0% OUTPT. REVENUE AS % TOTAL PATIENT REVENUE 51.0% 51.5% 52.9% 53.5% 52.8% 51.9% ADMISSIONS PER BED 37.3 37.6 37.6 39.8 36.0 36.2 PATIENT DAYS PER 1,000 POPULATION 618.0 619.5 606.7 605.4 591.2 639.6 ADMISSIONS PER 1,000 POPULATION 120.3 120.9 118.9 120.7 113.1 114.8 POPULATION (000’S) 2,988 3,004 3,014 3,018 3,031 3,026 Source: American Hospital Association, Hospital Statistics
ARKANSAS HOSPITALS RECEIVING LOCAL TAX SUPPORT, 2023
39 ARKANSAS HOSPITALS | SUMMER 2023
HOSPITAL TAX RATE MILLAGE RATE YEAR APPROVED ANNUAL AMOUNT ESTIMATE ASHLEY COUNTY MEDICAL CENTER YES 0.25% 2016 $649,000 BAPTIST HEALTH MEDICAL CENTERHOT SPRING COUNTY YES 0.5% 2009 $1,600,000 BAPTIST HEALTH MEDICAL CENTERSTUTTGART 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% YES .5 MILL 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% YES 1 MILL 2015/1952 $2,439,800 JOHNSON REGIONAL MEDICAL CENTER 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 OZARK HEALTH MEDICAL CENTER YES .6 MILL 1951 $150,000 PIGGOTT COMMUNITY HOSPITAL YES 1.00% 2010 $360,000 SMC REGIONAL MEDICAL CENTER YES 0.50% YES 1 MILL 2015/1952 $829,300 ST. BERNARDS FIVE RIVERS YES 1.00% 2007 $800,000 NA=Information not available. Source: Self-reported information provided to the Arkansas Hospital Association
KEY FINANCIAL INDICATORS ARKANSAS AND SURROUNDING STATES, 2021
Hospitals charged this amount for the inpatient and outpatient care they provided in 2021:
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:
At the same time, hospitals spent this much providing patient care services…
…to patients needing care for this many adjusted patient days while being served.
So the revenue excess (loss) was:
In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:
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:
Which raised total operating income to:
As a result, the “operating margin” rose to:
Hospitals also collected other types of revenue from sources including contributions, tax appropriations, and investments. Those amounted to:
That resulted in total funds available to reinvest in new equipment, update facilities, expand programs and repay debt equalling:
Source: American Hospital Association Hospital Statistics
40 SUMMER 2023 | ARKANSAS HOSPITALS
ARKANSAS
LOUISIANA
MISSISSIPPI
MISSOURI
OKLAHOMA
TENNESSEE
TEXAS
UNITED STATES
$35,755,895,789 $67,435,045,649 $37,643,334,521 $95,931,336,978 $55,391,500,253 $97,141,348,020 $439,159,689,906 $4,699,267,017,842
$26,825,529,916 50,807,486,919 29,138,247,404 69,802,922,212 43,481,825,430 75,627,281,740 349,956,574,150 $3,523,744,135,034
8,930,365,873 16,627,558,730 8,505,087,117 26,128,414,766 11,909,674,823 21,514,066,280 89,203,115,756 1,175,522,882,808
9,161,715,585 17,650,751,751 8,694,534,816 26,509,098,117 11,743,640,210 23,110,301,517 85,183,477,210 $1,193,613,054,823
4,381,777 7,119,826 6,660,638 10,016,515 5,317,234 9,429,759 29,239,174 414,003,966
($231,349,712) ($1,023,193,021) ($189,447,699) ($380,683,351) $166,034,613 ($1,596,235,237) $4,019,638,546 ($18,090,172,015)
($52.80) ($143.71) ($28.44) ($38.01) $31.23 ($169.28) $137.47 ($43.70)
-2.59% -6.15% -2.23% -1.46% 1.39% -7.42% 4.51% -1.54%
919,369,130 2,072,775,036 634,745,944 2,267,824,468 933,111,292 2,384,047,591 9,235,474,798 $114,638,278,813
$688,019,418 $1,049,582,015 $445,298,245 $1,887,141,117 $1,099,145,905 $787,812,354 $13,255,113,344 $27,465,885,741
6.99% 5.61% 4.87% 6.65% 8.56% 3.30% 13.47% 2.13%
246,467,868 443,347,943 360,236,827 1,295,197,961 639,869,331 436,143,095 4,985,093,768 $58,168,592,954
$934,487,286 $1,492,929,958 $805,535,072 $3,182,339,078 $1,739,015,236 $1,223,955,449 $18,240,207,112 $85,634,478,695
on investment totalling: 9.26% 7.80% 8.48% 10.72% 12.90% 5.03% 17.64% 6.35%
For a return
COMPARATIVE FINANCIAL INDICATORS U.S. COMMUNITY HOSPITALS
41 ARKANSAS HOSPITALS | SUMMER 2023 AVERAGE CHARGE PER HOSPITAL STAY ($) AVERAGE PAYMENT PER HOSPITAL STAY ($) AVERAGE OPERATING COST PER HOSPITAL STAY ($) MARGIN ON PATIENT CARE SERVICES ($) DISTRICT OF COLUMBIA 115,248 DISTRICT OF COLUMBIA 31,670 DISTRICT OF COLUMBIA 31,779 UTAH 17.65% COLORADO 109,184 CALIFORNIA 24,148 NEW YORK 26,325 IDAHO 16.93% CALIFORNIA 107,732 UTAH 24,057 MAINE 25,058 COLORADO 10.79% NEVADA 100,544 COLORADO 23,491 CALIFORNIA 24,923 VIRGINIA 8.14% TEXAS 88,793 MAINE 23,258 WASHINGTON 23,473 NEW MEXICO 8.07% FLORIDA 87,349 NEW YORK 23,031 MASSACHUSETTS 22,257 ALASKA 6.97% PENNSYLVANIA 84,708 WASHINGTON 22,728 HAWAII 21,815 KENTUCKY 4.74% ARIZONA 84,704 ALASKA 22,471 OREGON 21,311 TEXAS 4.51% UTAH 81,474 DELAWARE 21,376 COLORADO 20,957 FLORIDA 4.23% NEW MEXICO 79,506 IDAHO 20,939 ALASKA 20,905 ARIZONA 4.20% NEW YORK 79,464 NEW MEXICO 20,515 MINNESOTA 20,832 DELAWARE 4.19% WSC REGION 79,185 OREGON 20,104 DELAWARE 20,480 WISCONSIN 3.33% ALASKA 78,732 NEBRASKA 20,065 MARYLAND 19,933 INDIANA 2.61% NEW JERSEY 76,820 MONTANA 19,896 NEBRASKA 19,870 ALABAMA 2.58% IDAHO 75,565 HAWAII 19,821 CONNECTICUT 19,849 WYOMING 2.39% WASHINGTON 74,599 MINNESOTA 19,813 UTAH 19,810 WSC REGION 2.31% U.S. 74,130 MARYLAND 19,071 MONTANA 19,692 OKLAHOMA 1.39% INDIANA 69,972 INDIANA 19,023 NORTH DAKOTA 19,229 MONTANA 1.03% KENTUCKY 67,853 MASSACHUSETTS 18,977 VERMONT 19,162 NEBRASKA 0.97% VIRGINIA 67,787 U.S. 18,544 NEW MEXICO 18,859 GEORGIA 0.95% OKLAHOMA 66,828 CONNECTICUT 18,502 U.S. 18,829 OHIO 0.91% ILLINOIS 65,883 NORTH DAKOTA 18,261 INDIANA 18,526 NORTH CAROLINA 0.37% KANSAS 65,810 OHIO 18,214 OHIO 18,048 DISTRICT OF COLUMBIA -0.34% GEORGIA 64,881 ARIZONA 18,128 PENNSYLVANIA 18,046 PENNSYLVANIA -0.83% TENNESSEE 63,763 VIRGINIA 18,041 NEW HAMPSHIRE 17,991 KANSAS -1.01% OHIO 63,583 TEXAS 18,036 NEVADA 17,595 MISSOURI -1.46% SOUTH CAROLINA 63,219 WISCONSIN 17,972 SOUTH DAKOTA 17,595 U.S. -1.54% MINNESOTA 63,038 PENNSYLVANIA 17,899 ILLINOIS 17,420 NEVADA -2.00% MAINE 62,011 NEW HAMPSHIRE 17,623 IDAHO 17,393 NEW HAMPSHIRE -2.09% CONNECTICUT 61,058 NEVADA 17,251 WISCONSIN 17,372 MISSISSIPPI -2.23% ALABAMA 60,942 SOUTH DAKOTA 17,103 ARIZONA 17,366 SOUTH CAROLINA -2.44% MISSOURI 59,987 ILLINOIS 16,822 TEXAS 17,223 ARKANSAS -2.59% MASSACHUSETTS 59,104 WSC REGION 16,781 MICHIGAN 16,727 SOUTH DAKOTA -2.88% LOUISIANA 58,687 KENTUCKY 16,692 MISSOURI 16,577 CALIFORNIA -3.21% HAWAII 58,433 VERMONT 16,634 VIRGINIA 16,573 WASHINGTON -3.27% NEBRASKA 58,115 MISSOURI 16,338 KANSAS 16,482 NEW JERSEY -3.28% NORTH CAROLINA 57,367 KANSAS 16,318 NEW JERSEY 16,470 ILLINOIS -3.55% NEW HAMPSHIRE 56,895 GEORGIA 16,304 WSC REGION 16,392 MICHIGAN -3.56% DELAWARE 54,162 WYOMING 16,246 WEST VIRGINIA 16,325 WEST VIRGINIA -3.74% MISSISSIPPI 54,043 MICHIGAN 16,151 GEORGIA 16,149 MARYLAND -4.52% WISCONSIN 53,894 NORTH CAROLINA 16,043 RHODE ISLAND 16,068 MINNESOTA -5.14% SOUTH DAKOTA 53,387 NEW JERSEY 15,947 IOWA 15,989 NORTH DAKOTA -5.30% OREGON 52,212 WEST VIRGINIA 15,736 NORTH CAROLINA 15,984 OREGON -6.00% NORTH DAKOTA 50,638 FLORIDA 15,313 KENTUCKY 15,901 LOUISIANA -6.15% MICHIGAN 50,476 IOWA 14,953 WYOMING 15,857 IOWA -6.92% WEST VIRGINIA 50,431 SOUTH CAROLINA 14,662 LOUISIANA 15,361 CONNECTICUT -7.28% ARKANSAS 49,466 LOUISIANA 14,470 TENNESSEE 15,170 TENNESSEE -7.42% IOWA 45,890 RHODE ISLAND 14,396 SOUTH CAROLINA 15,021 MAINE -7.74% MONTANA 44,006 OKLAHOMA 14,369 FLORIDA 14,665 HAWAII -10.06% RHODE ISLAND 43,922 TENNESSEE 14,122 OKLAHOMA 14,168 RHODE ISLAND -11.61% VERMONT 40,076 ALABAMA 12,806 ARKANSAS 12,675 NEW YORK -14.30% WYOMING 39,019 ARKANSAS 12,355 MISSISSIPPI 12,482 VERMONT -15.20% MARYLAND 28,282 MISSISSIPPI 12,210 ALABAMA 12,475 MASSACHUSETTS -17.28% Source: American Hospital Association Hospital Statistics. Calculated using most recent data (hospital fiscal year 2021)
HOSPITAL ACCESS BY COUNTY
42 SUMMER 2023 | ARKANSAS HOSPITALS
COUNTY NO ACUTE CARE COMMUNITY HOSPITAL (20) SINGLE CRITICAL ACCESS HOSPITAL (18) SINGLE NON-CAH COMMUNITY HOSPITAL (23) MULTIPLE COMMUNITY HOSPITALS (14) ARKANSAS • ASHLEY • BAXTER • BENTON • BOONE • BRADLEY • CALHOUN • CARROLL • CHICOT • CLARK • CLAY • CLEBURNE • CLEVELAND • COLUMBIA • CONWAY • CRAIGHEAD • CRAWFORD • CRITTENDEN • CROSS • DALLAS • DESHA • DREW • FAULKNER • FRANKLIN • FULTON • GARLAND • COUNTY NO ACUTE CARE COMMUNITY HOSPITAL (20) SINGLE CRITICAL ACCESS HOSPITAL (18) SINGLE NON-CAH COMMUNITY HOSPITAL (23) MULTIPLE COMMUNITY HOSPITALS (14) GRANT • GREENE • HEMPSTEAD • HOT SPRING • HOWARD • INDEPENDENCE • IZARD • JACKSON • JEFFERSON • JOHNSON • LAFAYETTE • LAWRENCE • LEE • LINCOLN • LITTLE RIVER • LOGAN • LONOKE • MADISON • MARION • MILLER • MISSISSIPPI • MONROE • MONTGOMERY • 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 •
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 Regional Hospital
Lawrence Memorial Health Foundation, Inc.
McGehee Hospital
NEA Baptist Memorial Hospital
North Arkansas Regional Medical Center
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
WoodRidge of West Memphis, LLC
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
Unity Health Jacksonville
Total = 30
3RD
CONGRESSIONAL DISTRICT
Arkansas Children’s Northwest
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
Mercy Rehabilitation Services - Northwest Arkansas
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
4TH CONGRESSIONAL DISTRICT
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 = 27
ADDITIONAL AHA MEMBER HOSPITALS
INCLUDE:
CHRISTUS St. Michael Health System, Texarkana, TX
Regional One Health, Memphis, TN
43 ARKANSAS HOSPITALS | SUMMER 2023
AHA MEMBERS BY CONTROL AND SYSTEM AFFILIATION
44 SUMMER 2023 | ARKANSAS HOSPITALS HOSPITAL DESIGNATION CONTROL NONPROFIT CORPORATE GOV’T SYSTEM INFORMATION MULTI-HOSPITAL SYSTEM? CONTROLLING ORGANIZATION SYSTEM HOME 19TH MEDICAL GROUP √ 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 √ LOCAL BOARD ARKANSAS HOSPICE INPATIENT HOSPICE √ LOCAL BOARD NORTH LITTLE ROCK ARKANSAS METHODIST MEDICAL CENTER RURAL/RRC √ LOCAL BOARD ARKANSAS STATE HOSPITAL IP PSYCH √ STATE ASHLEY COUNTY MEDICAL CENTER CAH √ LOCAL BOARD 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 HEALTH RURAL/SCH/RRC √ LOCAL BOARD BRADLEY COUNTY MEDICAL CENTER CAH √ LOCAL BOARD CARTI √ LOCAL BOARD LITTLE ROCK CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM URBAN/IP PSYCH/LTCH/ IRF/HOSP √ Y U.S. DEPARTMENT OF VETERANS AFFAIRS LITTLE ROCK/NLR CHAMBERS MEMORIAL HOSPITAL RURAL/SCH √ LOCAL BOARD CHI ST. VINCENT HOT SPRINGS URBAN/RRC √ Y COMMONSPIRIT HEALTH CHICAGO, IL CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL IRF √ Y 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 CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL IRF √ Y ENCOMPASS HEALTH BIRMINGHAM, AL CHICOT MEMORIAL MEDICAL CENTER CAH √ LOCAL BOARD 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 SCIONHEALTH LOUISVILLE, KY CROSSRIDGE COMMUNITY HOSPITAL CAH √ Y ST. BERNARDS HEALTH SYSTEM JONESBORO DALLAS COUNTY MEDICAL CENTER CAH √ COUNTY DARDANELLE REGIONAL MEDICAL CENTER CAH √ Y CONWAY REGIONAL HEALTH SYSTEM CONWAY DELTA MEMORIAL HOSPITAL CAH √ LOCAL BOARD DEWITT HOSPITAL & NURSING HOME CAH √ LOCAL BOARD DREW MEMORIAL HEALTH SYSTEM RURAL/SCH √ COUNTY ENCOMPASS HEALTH REHABILITATION HOSPITAL, A PARTNER OF WASHINGTON REGIONAL IRF √ Y ENCOMPASS HEALTH BIRMINGHAM, AL EUREKA SPRINGS HOSPITAL CAH √ EUREKA SPRINGS HOSPITAL COMMISSION EUREKA SPRINGS FORREST CITY MEDICAL CENTER RURAL/SCH √ Y QUORUM HEALTH FRANKLIN, TN FULTON COUNTY HOSPITAL CAH √ COUNTY GREAT RIVER MEDICAL CENTER RURAL/SCH/RRC √ COUNTY
45 ARKANSAS HOSPITALS | SUMMER 2023 HOSPITAL DESIGNATION CONTROL NONPROFIT CORPORATE GOV’T SYSTEM INFORMATION MULTI-HOSPITAL SYSTEM? CONTROLLING ORGANIZATION SYSTEM HOME HELENA REGIONAL MEDICAL CENTER RURAL/SCH √ Y QUORUM HEALTH FRANKLIN, TN HOWARD MEMORIAL HOSPITAL CAH √ LOCAL BOARD IZARD REGIONAL HOSPITAL CAH √ LOCAL BOARD JEFFERSON REGIONAL URBAN/SCH √ LOCAL BOARD JOHNSON REGIONAL MEDICAL CENTER RURAL/MDH √ LOCAL BOARD LAWRENCE MEMORIAL HOSPITAL CAH √ Y ST. BERNARDS HEALTH SYSTEM JONESBORO LEVI HOSPITAL URBAN √ LOCAL BOARD LITTLE RIVER MEDICAL CENTER CAH √ LOCAL BOARD MAGNOLIA REGIONAL MEDICAL CENTER RURAL/SCH √ LOCAL BOARD MCGEHEE HOSPITAL CAH √ LOCAL BOARD MEDICAL CENTER OF SOUTH ARKANSAS RURAL/SCH √ Y COMMUNITY HEALTH SYSTEMS FRANKLIN, TN MENA REGIONAL HEALTH SYSTEM RURAL/SCH √ CITY 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 MERCY REHABILITATION SERVICES - NORTHWEST ARKANSAS IRF √ 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 RRC √ Y BAPTIST MEMORIAL HEALTHCARE CORP. MEMPHIS, TN NORTH ARKANSAS REGIONAL MEDICAL CENTER RURAL/SCH/RRC √ LOCAL BOARD 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 √ Y WOODRIDGE BEHAVIORAL CARE JACKSON, TN PIGGOTT HEALTH SYSTEM CAH √ CITY PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM IP PSYCH √ Y UNIVERSAL HEALTH SERVICES KING OF PRUSSIA, PA REGIONAL ONE HEALTH URBAN (TN) √ Y REGIONAL ONE HEALTH MEMPHIS, TN RIVENDELL BEHAVIORAL HEALTH SERVICES IP PSYCH √ Y UNIVERSAL HEALTH SERVICES KING OF PRUSSIA, PA RIVERVIEW BEHAVIORAL HEALTH 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 SEVIER COUNTY MEDICAL CENTER RURAL √ COUNTY SILOAM SPRINGS REGIONAL HOSPITAL URBAN √ Y COMMUNITY HEALTH SYSTEMS FRANKLIN, TN SMC REGIONAL MEDICAL CENTER CAH √ COUNTY 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 √ STATE UNITY HEALTH RURAL/SCH/RRC √ Y UNITY HEALTH SEARCY UNITY HEALTH JACKSONVILLE URBAN √ Y UNITY HEALTH SEARCY UNITY HEALTH NEWPORT CAH √ 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 VETERANS HEALTH CARE SYSTEM OF THE OZARKS √ U.S. DEPARTMENT OF VETERANS AFFAIRS WASHINGTON REGIONAL MEDICAL SYSTEM RURAL √ LOCAL BOARD WHITE RIVER HEALTH RURAL/SCH/RRC √ Y WHITE RIVER HEALTH SYSTEM BATESVILLE WILLOW CREEK WOMEN’S HOSPITAL URBAN √ 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. Source: Self-reported information provided to the Arkansas Hospital Association
INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES BY PAYER, 2021
UNINSURED INPATIENT ADMISSIONS AND COSTS, 2011-2021
46 SUMMER 2023 | ARKANSAS HOSPITALS
Arkansas Department of Health, Hospital Discharge Program ED INPATIENT 0% 25% 50% 75% 100% HMO/COMM. INS. MEDICAID MEDICARE OTHER GOV. PROGRAMS OTHER UNKNOWN SELF PAY/NO CHARGE 30% 35% 22% 29% 37% 19% 2% 2% 5% 6% 4% 9% $220 $160 $110 $55 $0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 30,000 22,500 15,000 7,500 0 Arkansas Department of Health, Hospital Discharge Program SELF-PAY/ NO CHARGE PATIENTS ADMITTED EST. TOTAL UNCOVERED COSTS ($MILLIONS) COST ($MILLIONS) ADMISSIONS
HOSPITAL UNCOMPENSATED CARE COSTS, 2017-2021 TOP 20 DRGS, 2021
47 ARKANSAS HOSPITALS | SUMMER 2023 YEAR GROSS REVENUES (BILLED CHARGES) NET REVENUES (AMOUNT COLLECTED) OTHER OPERATING REVENUE GROSS+ OTHER REVENUE TOTAL OPERATING COSTS CHARGE RATIO 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% 2020 $31,699,407,685 $7,989,169,603 $760,697,334 $32,460,105,019 $8,206,104,259 23.73% 2021 $35,755,895,789 $8,930,365,873 $919,369,130 $36,675,264,919 $9,161,715,585 23.58% CHANGE 29.5% 21.3% 140.7% 31.0% 24.3% YEAR TOTAL UNCOLLECTED AMOUNTS DUE BAD DEBT CHARITY CARE UNCOMPENSATED CARE CHARGES UNCOMPENSATED CARE COSTS UNCOMPENSATED CARE % OF TOTAL COSTS 2017 $20,249,177,829 $469,305,416 $339,342,080 $808,647,496 $199,431,095.82 2.71% 2018 $21,507,898,507 $502,016,281 $358,871,422 $860,887,703 $212,015,528.38 2.72% 2019 $23,653,997,200 $509,174,368 $442,315,671 $951,490,039 $222,318,771.23 2.76% 2020 $23,710,238,082 $503,958,456 $499,580,152 $1,003,538,608 $238,120,014.50 2.90% 2021 $26,825,529,916 $512,576,407 $574,072,837 $1,086,649,244 $256,264,830.53 2.80% CHANGE 32.48% 9.22% 69.17% 34.38% 28.50% Source: American Hospital Association, Hospital Statistics
DIAGNOSIS-RELATED GROUP # DISCHARGES TOTAL CHARGES MEAN CHARGES PER DISCHARGE MEAN STAY PER DISCHARGE MEAN DAILY CHARGE 885 - PSYCHOSES 32,647 $645,239,562 $19,764 9.9 $1,998 795 - NORMAL NEWBORN 18,124 $107,001,168 $5,904 1.5 $3,859 807 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C W/O CC/MCC 16,512 $259,829,657 $15,736 1.7 $9,096 177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 15,521 $712,890,130 $45,931 6.3 $7,256 871 - SEPTICEMIA W/O MV 96+ HOURS W MCC 14,731 $775,058,072 $52,614 6.5 $8,119 794 - NEONATE W OTHER SIGNIFICANT PROBLEMS 9,948 $79,678,555 $8,010 2.0 $4,005 291 - HEART FAILURE & SHOCK W MCC 8,037 $274,478,781 $34,152 7.8 $4,395 788 - CESAREAN SECTION W/O STERILIZATION W/O CC/ MCC 6,171 $142,305,138 $23,060 2.6 $8,973 189 - PULMONARY EDEMA & RESPIRATORY FAILURE 5,282 $175,214,022 $33,172 5.1 $6,569 897 - ALCOHOL/DRUG ABUSE/DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 5,045 $77,717,456 $15,405 5.4 $2,879 392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 4,276 $87,994,537 $20,579 3.1 $6,575 470 - MAJ JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 4,144 $189,271,096 $45,674 2.0 $22,723 057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 3,850 $146,074,940 $37,942 13.0 $2,921 193 - SIMPLE PNEUMONIA & PLEURISY W MCC 3,820 $143,722,951 $37,624 5.0 $7,585 872 - SEPTICEMIA W/O MV 96+ HOURS W/O MCC 3,651 $92,975,105 $25,466 4.2 $6,122 806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C W CC 3,226 $50,272,932 $15,584 2.0 $7,677 690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC 3,179 $62,692,248 $19,721 3.6 $5,433 682 - RENAL FAILURE W MCC 2,971 $116,265,016 $39,133 5.6 $6,939 881 - DEPRESSIVE NEUROSES 2,922 $44,791,618 $15,329 6.8 $2,258 683 - RENAL FAILURE W CC 2,921 $67,435,032 $23,086 3.7 $6,240 Top 20 DRGs 166,978 $4,250,908,017 $26,694 4.9 $5,462 Source: Arkansas Department of Health, Hospital Discharge Program