2019 Hospital Statistics

Hospital Statistics 2019

ARKANSAS HOSPITAL ASSOCIATION

ARKANSAS HOSPITALS MAGAZINE . 33

ARK ANSAS HOSPITAL S 2019

BY THE NUMBERS 105

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

102

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

43

Community hospitals have fewer than 100 beds.

28

Hospitals are designated by the federal government as Critical Access Hospitals, having no more than 25 acute care beds.

39

Counties are served by a single hospital. Eighteen of those counties are served by a single Critical Access Hospital.

38

Counties in the state count hospitals among their top five employers. In 22 counties, a hospital is among the top three employers.

25

Arkansas counties and cities believe their hospitals to be important enough that people in those areas have voted to provide local tax support for the hospital.

23

Arkansas counties – more than 30 percent of all counties in the state – do not have a local community hospital.

61% 56

Of AHA member hospitals are charitable, not-for-profit organizations, while 28 percent of the hospitals are operated by private, for-profit companies, and 14 percent are public hospitals – owned and operated by a city, county, state, or federal government.

AHA members are designated Trauma Centers within the comprehensive, statewide trauma system, which has been credited with cutting the rate of preventable deaths due to injuries by 50 percent.

17,840

Arkansans sought inpatient or outpatient care from the state’s hospitals each day in 2017*, on average, for illnesses, injuries, and other conditions that required medical attention.

35,517

Newborns were delivered in Arkansas hospitals in 2017. The Arkansas Medicaid program covered almost 65 percent of them.

34 . STATS | SUMMER 2019

*The latest year for which data is available.

IN-STATE HOSPITAL MEMBERS

97

GENERAL MEDICAL-SURGICAL HOSPITALS

44

INPATIENT PSYCHIATRIC FACILITIES

11

CRITICAL ACCESS HOSPITALS

28

INPATIENT REHABILITATION FACILITIES

4

VETERANS AFFAIRS HOSPITALS

2

LONG-TERM CARE HOSPITALS

5

SPECIAL-FOCUS HOSPITALS

3

OUT-OF-STATE BORDER CITY HOSPITALS

2

NON-HOSPITAL MEMBERS

3

TOTAL AHA MEMBERS

102 Source: American Hospital Association, Hospital Statistics, 2019

ANNUAL ECONOMIC IMPAC T OF ARK ANSAS HOSPITAL S $11.5B = The total estimated annual economic impact of AR hospitals.

45,800 = The number of jobs provided by AR hospitals. $3.4B = The combined payroll expenditure of AR hospitals.

These dollars, earned by Arkansas hospital employees, generate approximately

$5.4B in economic activity in the state, which creates an additional estimated 42,700 jobs. $652.8M = The annual capital spending total of AR hospitals.

$5.5B = The annual total of other, non-salary expenditures of AR hospitals.

ARKANSAS HOSPITALS MAGAZINE . 35

AHA MEMBERS BY CIT Y, T YPE, SIZE AND SERVICES CITY

HOSPITAL

TYPE OF HOSPITAL

LICENSED BEDS

ARKADELPHIA

BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA

MEDICAL-SURGICAL

25

ASHDOWN

LITTLE RIVER MEDICAL CENTER

MEDICAL-SURGICAL

25

BARLING

VALLEY BEHAVIORAL HEALTH SYSTEM

PSYCHIATRIC

114

BATESVILLE

WHITE RIVER HEALTH SYSTEM

MEDICAL-SURGICAL

210

BENTON

RIVENDELL BEHAVIORAL HEALTH SERVICES

PSYCHIATRIC

80

TRAUMA SYSTEM LEVEL IV

ADDITIONAL SERVICE LINES SB/HH/OB/HOSP SB/HH/IMF

LEVEL III

SNF/PSYCH/REHAB/OB/PALL

BENTON

SALINE MEMORIAL HOSPITAL

MEDICAL-SURGICAL

177

LEVEL III

PSYCH/REHAB/HH/OB/HOSP

BENTONVILLE

NORTHWEST MEDICAL CENTER BENTONVILLE

MEDICAL-SURGICAL

128

LEVEL III

HH

BERRYVILLE

MERCY HOSPITAL BERRYVILLE

MEDICAL-SURGICAL

25

BLYTHEVILLE

GREAT RIVER MEDICAL CENTER

MEDICAL-SURGICAL

99

LEVEL IV

OB

SB/HH/PALL/HOSP LEVEL IV

SB/HH/PALL/HOSP

BOONEVILLE

MERCY HOSPITAL BOONEVILLE

MEDICAL-SURGICAL

25

CALICO ROCK

IZARD COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

25

CAMDEN

OUACHITA COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

98

LEVEL IV

SB/SNF/PSYCH/REHAB/HH/OB/HOSP

CLARKSVILLE

JOHNSON REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

90

LEVEL IV

SB/SNF/PSYCH/REHAB/HH/OB

CLINTON

OZARK HEALTH MEDICAL CENTER

MEDICAL-SURGICAL

25

SB/HH/IMF

CONWAY

BAPTIST HEALTH MEDICAL CENTER-CONWAY

MEDICAL-SURGICAL

111

OB

CONWAY

CONWAY BEHAVIORAL HEALTH

PSYCHIATRIC

80

CONWAY

CONWAY REGIONAL HEALTH SYSTEM

MEDICAL-SURGICAL

150

CONWAY

CONWAY REGIONAL REHABILITATION HOSPITAL

REHABILITATION

26

SB/HH

LEVEL III

PSYCH/REHAB/HH/OB/PALL

CROSSETT

ASHLEY COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

33

LEVEL IV

SB/PSYCH/HH/OB

DANVILLE

CHAMBERS MEMORIAL HOSPITAL

MEDICAL-SURGICAL

41

LEVEL IV

SB/HH

LEVEL IV

SB/PSYCH/HH

DARDANELLE

DARDANELLE REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

35

DEWITT

DEWITT HOSPITAL & NURSING HOME

MEDICAL-SURGICAL

85

DUMAS

DELTA MEMORIAL HOSPITAL

MEDICAL-SURGICAL

25

EL DORADO

MEDICAL CENTER OF SOUTH ARKANSAS

MEDICAL-SURGICAL

166

LEVEL III

REHAB/OB

LEVEL IV

SB/HH

LEVEL II

HH/OB/PALL/HOSP

EUREKA SPRINGS

EUREKA SPRINGS HOSPITAL

MEDICAL-SURGICAL

15

FAYETTEVILLE

ENCOMPASS HEALTH REHABILITATION HOSPITAL

REHABILITATION

80

FAYETTEVILLE

NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL

MEDICAL-SURGICAL

20

FAYETTEVILLE

SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL

PSYCHIATRIC

80

FAYETTEVILLE

VANTAGE POINT OF NWA

PSYCHIATRIC

114

FAYETTEVILLE

VETERANS HEALTHCARE SYSTEM OF THE OZARKS

VETERANS ADMIN.

73

FAYETTEVILLE

WASHINGTON REGIONAL MEDICAL SYSTEM

MEDICAL-SURGICAL

425

SB/IMF HH/SB

PSYCH

FORDYCE

DALLAS COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH

FORREST CITY

FORREST CITY MEDICAL CENTER

MEDICAL-SURGICAL

118

LEVEL IV

PSYCH/HH/OB

LEVEL III

HH/OB

FORT SMITH

BAPTIST HEALTH-FORT SMITH

MEDICAL-SURGICAL

492

FORT SMITH

CHRISTUS DUBUIS HOSPITAL OF FORT SMITH

LONG TERM CARE

25

FORT SMITH

MERCY HOSPITAL FORT SMITH

MEDICAL-SURGICAL

348

GRAVETTE

OZARKS COMMUNITY HOSPITAL

MEDICAL-SURGICAL

25

HARRISON

NORTH ARKANSAS REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

PALL/HOSP LEVEL III

SNF/REHAB/HH/OB/PALL/HOSP

174

LEVEL III

HH/PSYCH/OB/HOSP

LEVEL IV

HEBER SPRINGS

BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS

MEDICAL-SURGICAL

25

HELENA

HELENA REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

155

SB/OP GERIPSYCH/WOUND CLINIC SB/HH/HOSP SB/REHAB/HH/OB

HOT SPRINGS

CHI ST. VINCENT HOT SPRINGS

MEDICAL-SURGICAL

282

HOT SPRINGS

CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS

LONG TERM CARE

27

LEVEL II

PSYCH/REHAB/HH/OB PALL/HOSP

HOT SPRINGS

LEVI HOSPITAL

MEDICAL-SURGICAL

50

PSYCH/REHAB

HOT SPRINGS

NATIONAL PARK MEDICAL CENTER

MEDICAL-SURGICAL

163

REHAB/OB

JACKSONVILLE

19TH MEDICAL GROUP

INFIRMARY

0

JACKSONVILLE

NORTH METRO MEDICAL CENTER

MEDICAL-SURGICAL

113

PALL

JOHNSON

WILLOW CREEK WOMEN'S HOSPITAL

MED-SURG (OB/GYN)

64

OB

JONESBORO

NEA BAPTIST MEMORIAL HOSPITAL

MEDICAL-SURGICAL

228

LEVEL IV

REHAB/OB/PALL

JONESBORO

ST. BERNARDS MEDICAL CENTER

MEDICAL-SURGICAL

438

LEVEL III

PSYCH/HH/OB/PALL/HOSP

LAKE VILLAGE

CHICOT MEMORIAL MEDICAL CENTER

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH

LITTLE ROCK

ARKANSAS CHILDREN'S HOSPITAL

MED-SURG (PED)

336

LEVEL I

REHAB/PALL

LITTLE ROCK

ARKANSAS HOSPICE

INPATIENT HOSPICE

40

36 . STATS | SUMMER 2019

PALL/HOSP

LICENSED BEDS

CITY

HOSPITAL

TYPE OF HOSPITAL

LITTLE ROCK

ARKANSAS STATE HOSPITAL

PSYCHIATRIC

LITTLE ROCK

BAPTIST HEALTH EXTENDED CARE HOSPITAL

LONG TERM CARE

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK

MEDICAL-SURGICAL

843

LITTLE ROCK

BAPTIST HEALTH REHABILITATION INSTITUTE

REHABILITATION

120

LITTLE ROCK

CARTI

OP CANCER CENTER

LITTLE ROCK

CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM

VETERANS AFFAIRS

635

LITTLE ROCK

CHI ST. VINCENT INFIRMARY

MEDICAL-SURGICAL

615

LITTLE ROCK

CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK

LONG TERM CARE

40

LITTLE ROCK

PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM

PSYCHIATRIC

124

LITTLE ROCK

UAMS MEDICAL CENTER

MEDICAL-SURGICAL

450

TRAUMA SYSTEM

ADDITIONAL SERVICE LINES

321 55

PALL/HOSP LEVEL II

SNF/PSYCH/HH/OB/PALL/HOSP PALL/HOSP

0 PSYCH/REHAB LEVEL II

PSYCH/HH/OB/PALL

LEVEL I

OB/PALL

OUTPT. PSYCH

MAGNOLIA

MAGNOLIA REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

49

LEVEL IV

SB/HH/OB

MALVERN

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY MEDICAL-SURGICAL

72

LEVEL IV

PSYCH/HH/HOSP

MAUMELLE

METHODIST BEHAVIORAL HOSPITAL

60

PSYCHIATRIC

MCGEHEE

MCGEHEE HOSPITAL

MEDICAL-SURGICAL

25

MEMPHIS, TN

REGIONAL ONE HEALTH

MEDICAL-SURGICAL

620

LEVEL I LEVEL IV

MENA

MENA REGIONAL HEALTH SYSTEM

MEDICAL-SURGICAL

65

MONTICELLO

DREW MEMORIAL HEALTH SYSTEM

MEDICAL-SURGICAL

49

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

MORRILTON

CHI ST. VINCENT MORRILTON

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH/HOSP

MOUNTAIN HOME

BAXTER REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

268

LEVEL III

PSYCH/REHAB/HH/OB/HOSP SB

MOUNTAIN VIEW

STONE COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

25

LEVEL IV

NASHVILLE

HOWARD MEMORIAL HOSPITAL

MEDICAL-SURGICAL

20

LEVEL IV

SB/HH

NEWPORT

UNITY HEALTH - HARRIS MEDICAL CENTER

MEDICAL-SURGICAL

133

LEVEL IV

SB/PSYCH

LEVEL III

REHAB/HH/OB/PALL/HOSP

NORTH LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK

MEDICAL-SURGICAL

225

NORTH LITTLE ROCK

THE BRIDGEWAY

PSYCHIATRIC

127

OSCEOLA

SMC REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

25

LEVEL IV

SB/PSYCH

OZARK

MERCY HOSPITAL OZARK

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH/PALL/HOSP

PARAGOULD

ARKANSAS METHODIST MEDICAL CENTER

MEDICAL-SURGICAL

129

LEVEL IV

SB/REHAB/HH/OB

PARIS

MERCY HOSPITAL PARIS

MEDICAL-SURGICAL

16

LEVEL IV

SB/HH/PALL/HOSP

PIGGOTT

PIGGOTT COMMUNITY HOSPITAL

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH

PINE BLUFF

JEFFERSON REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

471

LEVEL III

SNF/PSYCH/REHAB/HH/OB

POCAHONTAS

ST. BERNARDS FIVE RIVERS

MEDICAL-SURGICAL

50

LEVEL IV

PSYCH/HH

ROGERS

MERCY HOSPITAL NORTHWEST ARKANSAS

MEDICAL-SURGICAL

208

LEVEL III

PSYCH/HH/OB/PALL

RUSSELLVILLE

SAINT MARY'S REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

170

LEVEL III

PSYCH/REHAB

SALEM

FULTON COUNTY HOSPITAL

MEDICAL-SURGICAL

25

LEVEL IV

SB

438

LEVEL III

PSYCH/REHAB/HH/OB/PALL

69

LEVEL IV

HH/PALL

SEARCY

ADVANCED CARE HOSPITAL OF WHITE COUNTY

LONG TERM CARE

SEARCY

UNITY HEALTH - WHITE COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

27

SHERWOOD

CHI ST. VINCENT NORTH

MEDICAL-SURGICAL

SHERWOOD

CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL REHABILITATION

80

SILOAM SPRINGS

SILOAM SPRINGS REGIONAL HOSPITAL

MEDICAL-SURGICAL

73

SPRINGDALE

ARKANSAS CHILDREN'S HOSPITAL NORTHWEST

MED-SURG (PED)

24

PALL

SB/OB/PALL/HOSP

SPRINGDALE

NORTHWEST MEDICAL CENTER SPRINGDALE

MEDICAL-SURGICAL

222

LEVEL III

PSYCH/REHAB/HH/OB

STUTTGART

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

MEDICAL-SURGICAL

49

LEVEL IV

SB/OB/PALL/HOSP

TEXARKANA, TX

CHRISTUS ST. MICHAEL HEALTH SYSTEM

MEDICAL-SURGICAL

312

LEVEL III

TEXARKANA

RIVERVIEW BEHAVIORAL HEALTH

PSYCHIATRIC

62

VAN BUREN

BAPTIST HEALTH-VAN BUREN

MEDICAL-SURGICAL

105

LEVEL IV

WALDRON

MERCY HOSPITAL WALDRON

MEDICAL-SURGICAL

24

LEVEL IV

WALNUT RIDGE

LAWRENCE MEMORIAL HOSPITAL

MEDICAL-SURGICAL

25

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

WARREN

BRADLEY COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

33

WEST MEMPHIS

PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS

PSYCHIATRIC

54

WYNNE

CROSSRIDGE COMMUNITY HOSPITAL

MEDICAL-SURGICAL

25

615

SB/HH/PALL/HOSP

SB/HH

SB=Swing Beds; HH=Home Health; ICF=Intermediate Care Facility; OB = Obstetrics, Pall=Palliative Care, Hosp=Hospice

ARKANSAS HOSPITALS MAGAZINE . 37

STATEWIDE HOSPITAL FINANCIAL AND UTILIZ ATION INDIC ATORS, 2013-2017 INDICATOR

2013

2014

2015

2016

2017

BEDS AVAILABLE

9,617

9,449

9,569

9,634

9,664

ADMISSIONS

358,359

350,431

357,286

359,359

363,070

PATIENT DAYS

1,842,902

1,795,753

1,859,244

1,846,634

1,861,122

5.1

5.1

5.2

5.1

5.1

NON-EMERGENCY OUTPATIENT VISITS

3,728,501

3,790,058

4,184,351

4,570,177

4,629,383

OUTPATIENT VISITS

5,174,684

5,149,087

5,676,710

6,086,166

6,148,539

72.1%

73.6%

73.7%

75.1%

75.3%

3,637,218

3,701,153

3,942,232

3,963,653

4,125,703

52.5%

52.1%

53.2%

52.5%

52.8%

INPATIENT SURGERIES

100,360

96,353

94,607

94,627

95,013

OUTPATIENT SURGERIES

181,402

180,684

195,650

200,832

203,105

TOTAL SURGERIES

281,762

277,037

290,257

295,459

298,118

OUTPATIENT AS % OF TOTAL SURGERIES

64.38%

65.22%

67.41%

67.97%

68.13%

TOTAL FULL-TIME EQUIVALENT EMPLOYEES

44,524

45,916

47,102

47,825

49,832

4.47

4.53

4.36

4.40

4.41

$10,605,082,886

$11,007,915,107

$11,700,149,701

$12,460,694,916

$13,396,489,708

GROSS REVENUE, OUTPATIENT

$9,645,405,883

$10,568,638,798

$11,967,218,307

$12,952,790,887

$14,212,477,805

GROSS PATIENT REVENUE

$20,250,488,769

$21,576,553,905

$23,667,368,008

$25,413,485,803

$27,608,967,513

BAD DEBTS

$787,481,517

$576,942,240

$543,253,884

$444,692,383

$469,305,416

CHARITY

$607,543,781

$432,816,585

$336,830,549

$376,732,202

$339,342,080

AVERAGE LENGTH OF STAY

NON-EMERGENCY AS A % OF TOTAL OUTPATIENT VISITS ADJUSTED PATIENT DAYS OCCUPANCY RATE

FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED GROSS REVENUE, INPATIENT

MEDICARE, MEDICAID & OTHER PAYER WRITEOFFS

$12,964,897,661

$14,535,076,964

$16,168,309,507

$17,636,673,879

$19,440,530,333

TOTAL DEDUCTIONS

$14,359,922,959

$15,544,835,789

$17,048,393,940

$18,458,098,464

$20,249,177,829

NET PATIENT REVENUE

$5,890,565,810

$6,031,718,116

$6,618,974,068

$6,955,387,339

$7,359,789,684

OTHER OPERATING REVENUE

$271,018,970

$310,383,539

$250,191,038

$307,097,211

$381,973,773

NONOPERATING REVENUE

$88,171,599

$98,655,117

$42,144,248

$82,544,865

$118,736,986

TOTAL NET REVENUE

$6,249,756,379

$6,440,756,772

$6,911,309,354

$7,345,029,415

$7,860,500,443

PAYROLL EXPENSE

$2,233,697,013

$2,209,410,939

$2,367,195,116

$2,510,431,790

$2,833,267,007

TOTAL EXPENSE

6,020,388,342

6,090,855,820

6,428,954,340

6,803,364,553

7,372,516,174

PATIENT REVENUE MARGIN

-2.20%

-0.98%

2.87%

2.19%

-0.17%

TOTAL MARGIN

3.67%

5.43%

6.98%

7.37%

6.21%

CHARGE PER ADJUSTED INPATIENT DAY

$5,567.58

$5,829.68

$6,003.55

$6,411.63

$6,691.94

PAYMENT PER ADJUSTED INPATIENT DAY

$1,619.53

$1,629.69

$1,678.99

$1,754.79

$1,783.89

EXPENSE PER ADJUSTED INPATIENT DAY

$1,655.22

$1,645.66

$1,630.79

$1,716.44

$1,786.97

PAYROLL PER ADJUSTED INPATIENT DAY

$614.12

$596.95

$600.47

$633.36

$686.74

PAYROLL AS % OF TOTAL EXPENSE

37.1%

36.3%

36.8%

36.9%

38.4%

BAD DEBT AND CHARITY AS % OF TOTAL CHARGE

6.9%

4.7%

3.7%

3.2%

2.9%

TOTAL DEDUCTIONS AS % OF TOTAL CHARGE

70.9%

72.0%

72.0%

72.6%

73.3%

OUTPATIENT REVENUE AS % TOTAL PATIENT REVENUE

47.6%

49.0%

50.6%

51.0%

51.5%

37.3

37.1

37.3

37.3

37.6

ADMISSIONS PER BED PATIENT DAYS PER 1,000 POPULATION

622.8

605.4

624.3

618.0

619.5

ADMISSIONS PER 1,000 POPULATION

121.1

118.1

120.0

120.3

120.9

POPULATION (000's)

2,959

2,966

2,978

2,988

3,004

38 . STATS | SUMMER 2019

Source: American Hospital Association, Hospital Statistics, 2019

ARK ANSAS HOSPITAL S RECEIVING LOC AL TA X SUPPORT, 2019 YEAR APPROVED

ANNUAL AMOUNT ESTIMATE

0.25%

2016

$649,000

YES

0.5%

2009

$1,200,000

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

YES

1.00%

2014

$2,300,000

BRADLEY COUNTY MEDICAL CENTER

YES

1.00%

YES

.4 MILL

2009

$1,200,000

CHI ST. VINCENT MORRILTON

YES

0.25%

YES

.25 MILL

2008

$1,000,000

CHICOT MEMORIAL MEDICAL CENTER**

YES

1.00%

YES

.5 MILL

2003

$1,100,000

CROSSRIDGE COMMUNITY HOSPITAL

YES

1.00%

2000

$2,100,000

DALLAS COUNTY MEDICAL CENTER

YES

1.00%

2005

$840,000

DELTA MEMORIAL HOSPITAL*

YES

2.00%

2004

$840,000

DEWITT HOSPITAL & NURSING HOME

YES

1.50%

2003

$850,000

DREW MEMORIAL HEALTH SYSTEM

YES

0.25%

2015

$670,000

FULTON COUNTY HOSPITAL

YES

0.50%

2007

$310,000

JOHNSON REGIONAL MEDICAL CENTER

NO

1977

$65,000

LAWRENCE MEMORIAL HOSPITAL

YES

1.00%

2014

$1,850,000

LITTLE RIVER MEDICAL CENTER

YES

NA

NA

NA

MAGNOLIA REGIONAL MEDICAL CENTER (A)

YES

1.125%

2007

$2,600,000

0.25%

2004

$540,000

INDICATOR

TAX

RATE

ASHLEY COUNTY MEDICAL CENTER

YES

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY

MAGNOLIA REGIONAL MEDICAL CENTER (B)

MILLAGE

YES

YES

RATE

.5 MILL

.3 MILL

MCGEHEE HOSPITAL

YES

1.00%

1999

$600,000

MERCY HOSPITAL BOONEVILLE

YES

1.00%

2003

$360,000

MERCY HOSPITAL OZARK

YES

1.00%

2001

$350,000

MERCY HOSPITAL PARIS

YES

1.00%

NA

NA

OUACHITA COUNTY MEDICAL CENTER***

YES

1.00%

2015

$2,400,000

OZARK HEALTH MEDICAL CENTER

YES

1.00%

2000

$1,800,000

PIGGOTT COMMUNITY HOSPITAL

YES

1.00%

2010

$360,000

SMC REGIONAL MEDICAL CENTER

YES

0.50%

2015/1952

$2,732,000

ST. BERNARDS FIVE RIVERS

YES

1.00%

2007

$750,000

YES

1 MILL

Source: Self-reported information provided to the Arkansas Hospital Association. *A 2% sales tax was approved in 2004/2005 to build the hospital building. Due to refinancing, a portion of that 2% now goes to support other city bulidings. Another refinancing in 2013 allowed some savings to be allocated to maintenance and equipment for the hospital for a 5-year period. That is expected to generate about $360,000 annually. **Annually receives approximately $1.1 mill on a bond issue that was used to build the new building; Â plus $1.1 mill received from a sales and use tax; plus $264,000 from a 1/2 millage property tax. ***50% for maintenance, 50% for bond debt retirement. The portion for maintenance will sunset in 2020 (approved for 5 years).

NA=Information not available

ARKANSAS HOSPITALS MAGAZINE . 39

KE Y FINANCIAL INDIC ATORS ARK ANSA S AND SURROUNDING S TATES, 2017 Many Arkansas hospitals are surviving on slim margins, with non-patient revenue playing a key role in survival.

Which raised total operating income to:

In addition, hospitals also received revenues from normal, day-today operations from services other than health care provided to patients, such as space rental, cafeteria and gift shop sales, and operating gains:

Yielding a "patient service" margin of:

In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:

At the same time, hospitals spent this much providing patient care services‌

As a result, actual payments to hospitals were:

But patients and payer groups didn't pay the full amount of billed charges for various reasons. Government programs like Medicare and Medicaid, workers' comp programs and others never pay the full hospital bill. Managed care plans and other insurers typically pay discounted amounts only, and individual patients often can't afford to pay some or any of the out-of-pocket costs related to their hospital bills. For those reasons, hospitals had to forfeit this much of their billed charges:

Hospitals charged this amount for the inpatient and outpatient care they provided in 2017:

$118,736,986

3.83%

$293,693,972

$306,420,462

-0.17%

($3.44)

($12,726,490)

3,701,007

7,372,516,174

7,359,789,684

20,249,177,829

$27,608,967,513

Arkansas

$736,264,034

$160,894,753

3.87%

$575,369,281

$1,159,947,074

-4.27%

($92.16)

($584,577,793)

6,343,186

14,288,866,792

13,704,288,999

40,544,198,814

$54,248,487,813

Louisiana

3.93%

$319,386,336

$84,966,831

2.92%

$234,419,505

$270,227,976

-0.46%

($8.83)

($35,808,471)

4,053,308

7,806,529,535

7,770,721,064

24,746,105,041

$32,516,826,105

Mississippi

5.46%

$1,305,307,436

$518,082,536

3.36%

$787,224,900

$1,375,671,345

-2.67%

($69.72)

($588,446,445)

8,439,639

22,608,623,983

22,020,177,538

51,954,522,721

$73,974,700,259

Missouri

10.41%

$1,122,751,626

$221,877,932

8.52%

$900,873,694

$343,746,238

5.45%

$125.14

$557,127,456

4,452,195

9,667,546,273

10,224,673,729

31,692,210,283

$41,916,884,012

Oklahoma

8.03%

$1,677,931,690

$246,181,994

6.94%

$1,431,749,696

$1,124,098,322

1.58%

$34.68

$307,651,374

19,520,869,157

62,427,271,778

$81,948,140,935

Tennessee

9.70%

$7,620,002,690

$1,484,197,097

7.96%

$6,135,805,593

$6,190,973,473

-0.08%

($2.06)

($55,167,880)

26,814,364

70,961,691,860

70,906,523,980

250,340,000,000

$321,246,523,980 ,935

Texas

8.35%

$88,017,259,306

$22,129,124,318

6.38%

$65,888,134,988

$62,161,422,278

0.38%

$10.27

$3,726,712,710

362,954,751

966,204,238,616

969,930,951,326

2,593,749,705,025

$3,563,680,656,351

US

So the revenue excess (loss) was:

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

8,871,638

19,213,217,783

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

$412,430,958

4.90%

‌to patients needing care for this many adjusted patient days while being served.

That resulted in total funds available to reinvest in new equipment, update facilities, expand programs and repay debt equalling:

5.30%

For a return on investment totaling:

Source: American Hospital Association, Hospital Statistics, 2019

40 . STATS | SUMMER 2019

COMPAR ATIVE FINANCIAL INDIC ATORS AVERAGE CHARGE PER HOSPITAL STAY

AVERAGE PAYMENT PER HOSPITAL STAY

AVERAGE OPERATING COST PER HOSPITAL STAY

MARGIN ON PATIENT CARE

1

ALASKA

87,060

ALASKA

23,788

ALASKA

23,929

COLORADO

9.39%

2

DISTRICT OF COLUMBIA

77,318

DISTRICT OF COLUMBIA

22,437

DISTRICT OF COLUMBIA

22,260

FLORIDA

8.33%

3

COLORADO

75,865

IDAHO

19,000

NEW YORK

19,427

NEVADA

8.30%

4

CALIFORNIA

75,569

CALIFORNIA

18,512

CALIFORNIA

18,567

UTAH

8.06%

5

NEVADA

66,263

COLORADO

18,346

IDAHO

18,259

NORTH CAROLINA

7.32%

6

TEXAS

62,677

NEW YORK

18,029

WASHINGTON

18,109

VIRGINIA

6.97%

7

PENNSYLVANIA

62,555

WASHINGTON

17,654

MAINE

17,390

NEW MEXICO

6.79%

8

NEW JERSEY

61,512

DELAWARE

17,532

MASSACHUSETTS

17,161

DELAWARE

6.46%

9

ARIZONA

59,407

UTAH

17,105

NORTH DAKOTA

17,120

MONTANA

6.16%

10

UTAH

58,206

NORTH DAKOTA

16,860

MINNESOTA

16,973

INDIANA

5.49%

11

WASHINGTON

57,348

MINNESOTA

16,821

OREGON

16,772

OKLAHOMA

5.45%

12

FLORIDA

57,178

OREGON

16,622

COLORADO

16,623

SOUTH CAROLINA

4.85%

13

WSC REGION

56,548

MAINE

16,431

HAWAII

16,492

ARIZONA

4.34%

14

NEW YORK

55,251

MONTANA

16,143

DELAWARE

16,399

IDAHO

3.90%

15

U.S.

53,292

NEBRASKA

15,838

UTAH

15,726

NEBRASKA

2.27%

16

NEW MEXICO

52,576

WYOMING

15,665

SOUTH DAKOTA

15,584

NEW HAMPSHIRE

2.07%

17

INDIANA

51,845

HAWAII

15,536

WYOMING

15,516

GEORGIA

1.45%

18

IDAHO

51,354

INDIANA

15,441

NEBRASKA

15,478

WYOMING

0.95%

19

OHIO

50,272

NEW MEXICO

15,436

MONTANA

15,148

PENNSYLVANIA

0.90%

20

ILLINOIS

50,227

MASSACHUSETTS

14,784

VERMONT

14,988

KENTUCKY

0.88% 0.79%

21

OKLAHOMA

49,550

NEW HAMPSHIRE

14,633

WISCONSIN

14,803

DISTRICT OF COLUMBIA

22

SOUTH CAROLINA

48,800

OHIO

14,525

MARYLAND

14,620

ILLINOIS

0.78%

23

TENNESSEE

48,784

U.S.

14,504

CONNECTICUT

14,617

KANSAS

0.77%

24

VIRGINIA

48,284

WISCONSIN

14,456

INDIANA

14,592

OHIO

0.73%

25

GEORGIA

47,503

MARYLAND

14,411

U.S.

14,449

MICHIGAN

0.46%

26

KANSAS

47,119

PENNSYLVANIA

14,402

OHIO

14,420

U.S.

0.38%

27

ALABAMA

45,996

SOUTH DAKOTA

14,275

NEW MEXICO

14,388

ALABAMA

0.22%

28

KENTUCKY

45,742

CONNECTICUT

14,151

NEW HAMPSHIRE

14,330

TEXAS

-0.08%

29

HAWAII

45,515

VERMONT

14,128

PENNSYLVANIA

14,272

WSC REGION

-0.09%

30

LOUISIANA

45,373

TEXAS

13,834

TEXAS

13,845

ARKANSAS

-0.17%

31

CONNECTICUT

45,006

ILLINOIS

13,475

MISSOURI

13,586

CALIFORNIA

-0.30%

32

SOUTH DAKOTA

44,840

ARIZONA

13,414

ILLINOIS

13,370

MISSISSIPPI

-0.46%

33

MISSOURI

44,453

VIRGINIA

13,403

RHODE ISLAND

13,277

ALASKA

-0.59%

34

MINNESOTA

43,743

MISSOURI

13,232

MICHIGAN

13,065

NEW JERSEY

-0.80%

35

NEBRASKA

43,560

NORTH CAROLINA

13,165

WSC REGION

12,998

MINNESOTA

-0.90%

36

NORTH DAKOTA

43,119

MICHIGAN

13,125

NEW JERSEY

12,897

OREGON

-0.91%

37

NORTH CAROLINA

42,766

WSC REGION

12,986

ARIZONA

12,832

WEST VIRGINIA

-1.10%

38

WISCONSIN

41,761

KANSAS

12,853

KANSAS

12,754

MARYLAND

-1.45%

39

MASSACHUSETTS

41,527

GEORGIA

12,807

GEORGIA

12,621

NORTH DAKOTA

-1.54%

40

MISSISSIPPI

41,449

NEW JERSEY

12,795

VIRGINIA

12,470

WISCONSIN

-2.40% -2.57%

41

NEW HAMPSHIRE

41,290

NEVADA

12,670

IOWA

12,353

WASHINGTON

42

DELAWARE

40,949

RHODE ISLAND

12,244

WEST VIRGINIA

12,275

MISSOURI

-2.67%

43

OREGON

39,488

SOUTH CAROLINA

12,236

NORTH CAROLINA

12,200

CONNECTICUT

-3.29%

44

MAINE

38,394

WEST VIRGINIA

12,142

LOUISIANA

11,951

LOUISIANA

-4.27%

45

MICHIGAN

37,905

OKLAHOMA

12,087

SOUTH CAROLINA

11,643

MAINE

-5.84%

46

RHODE ISLAND

37,154

FLORIDA

11,770

NEVADA

11,619

VERMONT

-6.09%

47

ARKANSAS

36,281

KENTUCKY

11,641

KENTUCKY

11,539

HAWAII

-6.15%

48

WYOMING

36,217

IOWA

11,636

TENNESSEE

11,438

IOWA

-6.16%

49

MONTANA

36,022

LOUISIANA

11,462

OKLAHOMA

11,428

NEW YORK

-7.76%

50

WEST VIRGINIA

35,926

TENNESSEE

10,561

FLORIDA

10,790

TENNESSEE

-8.31% -8.43%

51

VERMONT

34,752

MISSISSIPPI

9,905

MISSISSIPPI

9,951

RHODE ISLAND

52

IOWA

33,581

ALABAMA

9,704

ARKANSAS

9,688

SOUTH DAKOTA

53

MARYLAND

22,093

ARKANSAS

9,672

ALABAMA

9,683

MASSACHUSETTS

Source: American Hospital Association, Hospital Statistics, 2019

-9.18% -16.08%

ARKANSAS HOSPITALS MAGAZINE . 41

HOSPITAL ACCESS BY COUNT Y SINGLE NON-CAH COMMUNITY HOSPITAL (21)

SINGLE CRITICAL ACCESS HOSPITAL (18)

NO ACUTE CARE COMMUNITY HOSPITAL (23)

COUNTY

MULTIPLE COMMUNITY HOSPITALS (13)

COUNTY

•

GARLAND

ARKANSAS

•

ASHLEY

GRANT

•

BAXTER

• •

• • • • •

CHICOT CLARK CLAY CLEBURNE

• •

IZARD

• • •

JEFFERSON JOHNSON LAFAYETTE

• •

LAWRENCE

•

COLUMBIA

LEE

•

CONWAY

LINCOLN

•

CRAIGHEAD

•

CRAWFORD

• •

DALLAS

MADISON MARION

•

DESHA

•

DREW

• • •

FULTON

•

MILLER

• • • • •

MISSISSIPPI

FAULKNER FRANKLIN

•

LITTLE RIVER

LONOKE

CROSS

• •

LOGAN

•

CRITTENDEN

•

JACKSON

•

CLEVELAND

• • •

HEMPSTEAD

INDEPENDENCE

CARROLL

MONROE MONTGOMERY NEVADA NEWTON

• • • • •

OUACHITA BENTON

CARROLL

WASHINGTON

BOONE

FULTON

BAXTER

MARION

IZARD

MADISON NEWTON

FRANKLIN

JOHNSON

VAN BUREN

JACKSON

FAULKNER YELL

PERRY LONOKE

PRAIRIE

SALINE

HOT SPRING

JEFFERSON

CRITTENDEN

LEE

CLARK

HEMPSTEAD

DALLAS

CLEVELAND

ARKANSAS

OUACHITA

LAFAYETTE

ARKANSAS COUNTIES WITH NO HOSPITAL ARKANSAS COUNTIES WITH A SINGLE CRITICAL ACCESS HOSPITAL

•

SCOTT

SEVIER

ASHLEY

CHICOT

• • • • • •

STONE

•

UNION

ARKANSAS COUNTIES WITH A SINGLE NON-CAH HOSPITAL ARKANSAS COUNTIES WITH MULTIPLE HOSPITALS

•

VAN BUREN

•

WASHINGTON

•

WHITE WOODRUFF YELL

42 . STATS | SUMMER 2019

• • •

RANDOLPH

ST. FRANCIS

MILLER UNION

•

PULASKI

SHARP

BRADLEY

COLUMBIA

• •

SEBASTIAN

LINCOLN

DREW

CALHOUN

PRAIRIE

SEARCY

DESHA NEVADA

• •

SALINE

PIKE

SEVIER

POINSETT

POPE

MONROE

GRANT

•

POLK

PHILLIPS

HOWARD

LITTLE RIVER

GARLAND

POINSETT

ST. FRANCIS

PULASKI MONTGOMERY

MISSISSIPPI

WOODRUFF

SCOTT

POLK

CRAIGHEAD

•

PHILLIPS PIKE

CROSS

WHITE

CONWAY

LOGAN

SEBASTIAN

PERRY

LAWRENCE

INDEPENDENCE

CLEBURNE

POPE

CLAY

GREENE

SHARP

SEARCY STONE

CRAWFORD

RANDOLPH

MULTIPLE COMMUNITY HOSPITALS (13)

•

HOWARD

•

CALHOUN

SINGLE NON-CAH COMMUNITY HOSPITAL (21)

•

HOT SPRING

•

BRADLEY

SINGLE CRITICAL ACCESS HOSPITAL (18)

GREENE

BENTON BOONE

NO ACUTE CARE COMMUNITY HOSPITAL (23)

• •

AHA MEMBER ORGANIZ ATIONS

BY CO N G R E S S I O N A L D I S T R I C T 1st Congressional District

BENTON

CARROLL

3

Congressman Rick Crawford

Arkansas Methodist Medical Center

WASHINGTON

Baptist Health Medical CenterHeber Springs

CRAWFORD

Baxter Regional Medical Center

NEWTON

FRANKLIN

SEBASTIAN

Izard County Medical Center

LITTLE RIVER

Lawrence Memorial Hospital McGehee Hospital

2nd Congressional District Congressman French Hill 19th Medical Group

Advanced Care Hospital of White County Arkansas Children's Hospital Arkansas Hospice

Arkansas State Hospital

Baptist Health Extended Care Hospital

Baptist Health Medical Center-Conway

Baptist Health Medical Center-Little Rock Baptist Health Medical CenterN. Little Rock

Baptist Health Rehabilitation Institute CARTI

Central Arkansas Veterans Healthcare System CHI St. Vincent Infirmary

CHI St. Vincent Morrilton CHI St. Vincent North

CHI St. Vincent Sherwood Rehabilitation Hospital

LEE MONROE

GRANT

4 CLARK

HEMPSTEAD

NEVADA

DALLAS

JEFFERSON

ARKANSAS

CLEVELAND

LINCOLN DESHA

OUACHITA

DREW

CALHOUN

COLUMBIA LAFAYETTE

UNION

Ozark Health Medical Center Pinnacle Pointe Behavioral Healthcare System

Rivendell Behavioral Health Services Saline Memorial Hospital The BridgeWay

UAMS Medical Center

Unity Health - White County Medical Center Total - 29

3rd Congressional District

Congressman Steve Womack

Arkansas Children’s Hospital Northwest Baptist Health-Fort Smith Baptist Health-Van Buren

CHRISTUS Dubuis Hospital of Fort Smith

Encompass Health Rehabilitation Hospital Eureka Springs Hospital

Mercy Hospital Berryville

Mercy Hospital Fort Smith

Mercy Hospital Northwest Arkansas

North Arkansas Regional Medical Center Northwest Health Physicians’ Specialty Hospital

Northwest Medical Center Bentonville Northwest Medical Center Springdale Ozarks Community Hospital

Saint Mary's Regional Medical Center Siloam Springs Regional Hospital

Conway Behavioral Health

Springwoods Behavioral Health Hospital

Conway Regional Rehabilitation Hospital

Vantage Point of NWA

Conway Regional Health System

Valley Behavioral Health System

Cornerstone Specialty Hospitals Little Rock

Veterans Health Care System of the Ozarks

North Metro Medical Center

Total - 22

Methodist Behavioral Hospital

PRAIRIE

BRADLEY

Perimeter Behavioral Hospital of W. Memphis

Total - 24

LONOKE

MILLER

NEA Baptist Memorial Hospital

White River Health System

CRITTENDEN

PIKE

SEVIER

Helena Regional Medical Center

CROSS

PHILLIPS HOT SPRING

HOWARD

Great River Medical Center

Unity Health - Harris Medical Center

MONTGOMERY

POLK

POINSETT

ST. FRANCIS

SALINE

GARLAND

MISSISSIPPI

WOODRUFF

PULASKI

Fulton County Hospital

Stone County Medical Center

2

PERRY

CRAIGHEAD

1

WHITE FAULKNER

SCOTT

Forrest City Medical Center

LAWRENCE

JACKSON

CLEBURNE

CLAY

GREENE

SHARP

INDEPENDENCE

CONWAY

LOGAN

DeWitt Hospital & Nursing Home

St. Bernards Medical Center

VAN BUREN

YELL

Delta Memorial Hospital

RANDOLPH

SEARCY

JOHNSON

CrossRidge Community Hospital

St. Bernards Five Rivers

IZARD

MADISON

POPE

Chicot Memorial Medical Center

SMC Regional Medical Center

FULTON

BAXTER

MARION

STONE

Baptist Health Medical Center-Stuttgart

Piggott Community Hospital

BOONE

Washington Regional Medical System Willow Creek Women’s Hospital

ASHLEY

CHICOT

4th Congressional District

Congressman Bruce Westerman Ashley County Medical Center

Baptist Health Medical Center-Arkadelphia Baptist Health Medical CenterHot Spring County

Bradley County Medical Center Chambers Memorial Hospital CHI St. Vincent Hot Springs

CHRISTUS Dubuis Hospital of Hot Springs Dallas County Medical Center

Dardanelle Regional Medical Center Drew Memorial Health System Howard Memorial Hospital

Jefferson Regional Medical Center Johnson Regional Medical Center Levi Hospital

Little River Medical Center

Magnolia Regional Medical Center Medical Center of South Arkansas Mena Regional Health System Mercy Hospital Booneville Mercy Hospital Ozark Mercy Hospital Paris

Mercy Hospital Waldron

National Park Medical Center

Ouachita County Medical Center Riverview Behavioral Health Total - 25

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

ARKANSAS HOSPITALS MAGAZINE . 43

AHA MEMBERS

BY CONTROL AND SYSTEM AFFILIATION TYPE OF HOSPITAL

TYPE OF CONTROL

PNP CORPORATE GOV'T

✓

19TH MEDICAL GROUP ADVANCED CARE HOSPITAL OF WHITE COUNTY

LTCH

ARKANSAS CHILDREN'S HOSPITAL

CHILDREN'S

ARKANSAS CHILDREN'S HOSPITAL NORTHWEST

CHILDREN'S

ARKANSAS HOSPICE ARKANSAS METHODIST MEDICAL CENTER

RRC

ARKANSAS STATE HOSPITAL

IP PSYCH

ASHLEY COUNTY MEDICAL CENTER

CAH

BAPTIST HEALTH EXTENDED CARE HOSPITAL

LTCH

BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA

CAH

BAPTIST HEALTH MEDICAL CENTER-CONWAY

URBAN

BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS

CAH

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY RURAL/MDH BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK

URBAN

BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK

URBAN

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

RURAL/MDH

BAPTIST HEALTH REHABILITATION INSTITUTE

IRF

BAPTIST HEALTH-FORT SMITH

URBAN

BAPTIST HEALTH-VAN BUREN

URBAN

BAXTER REGIONAL MEDICAL CENTER

RRC/SCH

BRADLEY COUNTY MEDICAL CENTER

CAH

CARTI

✓ ✓ ✓ ✓ ✓

RURAL

CHI ST. VINCENT HOT SPRINGS

URBAN

CHI ST. VINCENT INFIRMARY

URBAN

CHI ST. VINCENT MORRILTON

CAH

CHI ST. VINCENT NORTH

URBAN

CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL

IRF

CHICOT MEMORIAL MEDICAL CENTER

CAH

CHRISTUS DUBUIS HOSPITAL OF FORT SMITH

LTCH

CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS

LTCH

CHRISTUS ST. MICHAEL HEALTH SYSTEM

URBAN (TX)

CONWAY BEHAVIORAL HEALTH

IP PSYCH

CONWAY REGIONAL HEALTH SYSTEM

URBAN

CONWAY REGIONAL REHABILITATION HOSPITAL

IRF

CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK

LTCH

CROSSRIDGE COMMUNITY HOSPITAL

CAH

DALLAS COUNTY MEDICAL CENTER

CAH

DARDANELLE REGIONAL MEDICAL CENTER

CAH

DELTA MEMORIAL HOSPITAL

CAH

DEWITT HOSPITAL & NURSING HOME

CAH

DREW MEMORIAL HEALTH SYSTEM

RURAL/SCH

ENCOMPASS HEALTH REHABILITATION HOSPITAL

IRF

EUREKA SPRINGS HOSPITAL

CAH

FORREST CITY MEDICAL CENTER

RURAL/SCH

FULTON COUNTY HOSPITAL

CAH

GREAT RIVER MEDICAL CENTER

RURAL

HELENA REGIONAL MEDICAL CENTER

RURAL

44 . STATS | SUMMER 2019

✓ ✓ ✓ ✓ ✓ ✓ ✓

SYSTEM HOME

U.S. DEPARTMENT OF DEFENSE

✓ ✓ ✓

UNITY HEALTH

SEARCY

ARKANSAS CHILDREN'S

LITTLE ROCK

ARKANSAS CHILDREN'S

LITTLE ROCK

LOCAL BOARD

✓

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

CONTROLLING ORGANIZATION

SYSTEM

LOCAL BOARD

STATE LOCAL BOARD

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH

LITTLE ROCK

LOCAL BOARD LOCAL BOARD LOCAL BOARD

✓

CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM CHAMBERS MEMORIAL HOSPITAL

MULTIHOSPITAL

U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD

✓ ✓ ✓ ✓ ✓

✓

CATHOLIC HEALTH INITIATIVES

ENGLEWOOD, CO

CATHOLIC HEALTH INITIATIVES

ENGLEWOOD, CO

CATHOLIC HEALTH INITIATIVES

ENGLEWOOD, CO

CATHOLIC HEALTH INITIATIVES

ENGLEWOOD, CO

ENCOMPASS HEALTH

BIRMINGHAM, AL

LOCAL BOARD

✓

✓ ✓

✓ ✓ ✓

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

CHRISTUS HEALTH

IRVING, TX

CHRISTUS HEALTH

IRVING, TX

CHRISTUS HEALTH

IRVING, TX

ACADIA HEALTHCARE

FRANKLIN, TN

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

CORNERSTONE HEALTHCARE GROUP

DALLAS, TX

ST. BERNARDS HEALTH SYSTEM

JONESBORO

COUNTY

✓

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

LOCAL BOARD LOCAL BOARD

✓ ✓ ✓

✓

✓

✓ ✓

COUNTY

✓ ✓ ✓

ENCOMPASS HEALTH

BIRMINGHAM, AL

ALLEGIANCE HEALTH MANAGEMENT

SHREVEPORT, LA

QUORUM HEALTH

FRANKLIN, TN

COUNTY COUNTY

✓

QUORUM HEALTH

FRANKLIN, TN

TYPE OF HOSPITAL HOWARD MEMORIAL HOSPITAL

CAH

IZARD COUNTY MEDICAL CENTER

CAH

JEFFERSON REGIONAL MEDICAL CENTER

URBAN/SCH

JOHNSON REGIONAL MEDICAL CENTER

RURAL/MDH

LAWRENCE MEMORIAL HOSPITAL

CAH

LEVI HOSPITAL

URBAN

LITTLE RIVER MEDICAL CENTER

CAH

MAGNOLIA REGIONAL MEDICAL CENTER

RURAL/SCH

MCGEHEE HOSPITAL

CAH

MEDICAL CENTER OF SOUTH ARKANSAS

RRC/SCH

MENA REGIONAL HEALTH SYSTEM

RURAL/SCH

MERCY HOSPITAL BERRYVILLE

CAH

MERCY HOSPITAL BOONEVILLE

URBAN

MERCY HOSPITAL FORT SMITH

URBAN

MERCY HOSPITAL NORTHWEST ARKANSAS

CAH

MERCY HOSPITAL OZARK

CAH

MERCY HOSPITAL PARIS

CAH

MERCY HOSPITAL WALDRON

CAH

METHODIST BEHAVIORAL HOSPITAL

IP PSYCH

NATIONAL PARK MEDICAL CENTER

RRC

NEA BAPTIST MEMORIAL HOSPITAL

URBAN

NORTH ARKANSAS REGIONAL MEDICAL CENTER

RRC/SCH

NORTH METRO MEDICAL CENTER

URBAN

TYPE OF CONTROL

PNP CORPORATE GOV'T

✓ ✓ ✓ ✓ ✓ ✓

✓

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL URBAN NORTHWEST MEDICAL CENTER BENTONVILLE

URBAN

NORTHWEST MEDICAL CENTER SPRINGDALE

URBAN

OUACHITA COUNTY MEDICAL CENTER

RURAL/SCH

OZARK HEALTH MEDICAL CENTER

CAH

OZARKS COMMUNITY HOSPITAL

CAH

PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS

IP PSYCH

PIGGOTT COMMUNITY HOSPITAL

CAH

PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM

IP PSYCH

REGIONAL ONE HEALTH

URBAN (TN)

RIVENDELL BEHAVIORAL HEALTH SERVICES

IP PSYCH

RIVERVIEW BEHAVIORAL HEALTH

IP PSYCH

SAINT MARY'S REGIONAL MEDICAL CENTER

RRC

SALINE MEMORIAL HOSPITAL

URBAN

SILOAM SPRINGS REGIONAL HOSPITAL

URBAN

SMC REGIONAL MEDICAL CENTER

CAH

SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL

IP PSYCH

ST. BERNARDS FIVE RIVERS

RURAL/SCH

ST. BERNARDS MEDICAL CENTER

RRC

STONE COUNTY MEDICAL CENTER

CAH

THE BRIDGEWAY

IP PSYCH

UAMS MEDICAL CENTER

URBAN

UNITY HEALTH - WHITE COUNTY MEDICAL CENTER

RRC/SCH

UNITY HEALTH - HARRIS MEDICAL CENTER

RURAL

VALLEY BEHAVIORAL HEALTH SYSTEM

IP PSYCH

VANTAGE POINT OF NWA

IP PSYCH

✓ ✓

✓

✓ ✓ ✓

✓ ✓

URBAN

WHITE RIVER HEALTH SYSTEM

RRC/SCH

WILLOW CREEK WOMEN'S HOSPITAL

URBAN

✓ ✓

CONTROLLING ORGANIZATION

SYSTEM

SYSTEM HOME

LOCAL BOARD LOCAL BOARD LOCAL BOARD LOCAL BOARD

✓

ST. BERNARDS HEALTH SYSTEM

JONESBORO

LOCAL BOARD

✓ ✓

COUNTY CITY LOCAL BOARD

✓

✓

✓

✓

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

CITY

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HEALTH SYSTEM

ST. LOUIS, MO

METHODIST FAMILY HEALTH

LITTLE ROCK

LIFEPOINT HEALTH

BRENTWOOD, TN

BAPTIST MEMORIAL HEALTHCARE CORP.

MEMPHIS, TN

LOCAL BOARD

✓ ✓ ✓ ✓

✓ ✓ ✓ ✓

ALLEGIANCE HEALTH MANAGEMENT

SHREVEPORT, LA

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

LOCAL BOARD LOCAL BOARD

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

✓

✓ ✓

VETERANS HEALTHCARE SYSTEM OF THE OZARKS WASHINGTON REGIONAL MEDICAL SYSTEM

MULTIHOSPITAL

✓

✓

✓

✓

✓ ✓

OZARKS COMMUNITY HOSPITAL HEALTH SYSTEM SPRINGFIELD, MO WOODRIDGE BEHAVIORAL CARE

JACKSON, TN

CITY

✓ ✓ ✓ ✓ ✓ ✓ ✓

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

REGIONAL ONE HEALTH

MEMPHIS, TN

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

ACADIA HEALTHCARE

FRANKLIN, TN

LIFEPOINT HEALTH

BRENTWOOD, TN

LIFEPOINT HEALTH

BRENTWOOD, TN

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

COUNTY

✓ ✓ ✓ ✓ ✓

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

ST. BERNARDS HEALTH SYSTEM

JONESBORO

ST. BERNARDS HEALTH SYSTEM

JONESBORO

WHITE RIVER HEALTH SYSTEM

BATESVILLE

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

STATE

✓ ✓ ✓ ✓

UNITY HEALTH

SEARCY

UNITY HEALTH

SEARCY

ACADIA HEALTHCARE

FRANKLIN, TN

ACADIA HEALTHCARE

FRANKLIN, TN

U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD

✓

✓ ✓

WHITE RIVER HEALTH SYSTEM

BATESVILLE

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

CAH=Critical Access Hospital; MDH=Medicare Dependent Hospital; RRC=Rural Referral Center; SCH=Sole Community Hospital; IRF=Inpatient Rehabilitation Facility; LTCH = Long-term Care Hospital ; IP Psych=Inpatient Psychiatric

ARKANSAS HOSPITALS MAGAZINE . 45

INPATIENT AND EMERGENC Y DEPARTMENT DISCHARGES BY PAYER

ED

34%

29%

20%

1% 7%

9%

HMO/COMM.INS MEDICAID MEDICARE OTHER GOV. PROGRAMS OTHER UNKNOWN

INPATIENT

29%

21%

42%

1% 5%2%

SELF PAY/NO CHARGE

Source: Arkansas Department of Health, Hospital Discharge Program, 2017

Medicare is the primary payer for most inpatient stays, but commercial insurance and Medicaid cover most Emergency Department visits.

IMPAC T OF UNINSURED INPATIENTS 2008-2017 35,000

$250

30,000

$200

ADMISSIONS

25,000 $150

20,000 15,000

$100

10,000

SELF-PAY/ NO CHARGE PATIENTS ADMITTED

EST. TOTAL UNCOVERED COSTS ($MILLIONS)

$50 5,000 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 46 . STATS | SUMMER 2019

$0

Source: Arkansas Department of Health, Hospital Discharge Program, 2017

HOSPITALS' UNCOMPENSATED C ARE COSTS, 2013-2017 YEAR

GROSS REVENUES (BILLED CHARGES)

NET REVENUES (AMOUNT COLLECTED)

OTHER OPERATING REVENUE

GROSS+OTHER REVENUE

TOTAL OPERATING COSTS

COST-TO-CHARGE RATIO

2013

$20,250,488,769

5,890,565,810

271,018,970

20,521,507,739

6,020,388,342

25.50%

2014

$21,576,553,905

6,031,718,116

310,383,539

21,886,937,444

6,090,855,820

25.19%

2015

$23,667,368,008

6,618,974,068

250,191,038

23,917,559,046

6,428,954,340

24.61%

2016

$25,413,485,803

6,955,387,339

307,097,211

25,720,583,014

6,803,364,553

24.72%

2017

$27,608,967,513

7,359,789,684

381,973,773

27,990,941,286

7,372,516,174

24.66%

CHANGE

36.34%

24.94%

40.94%

36.40%

22.46%

YEAR

TOTAL UNCOLLECTED AMOUNTS DUR

BAD DEBT

CHARITY CARE

UNCOMPENSATED CARE CHARGES

UNCOMPENSATED CARE COSTS

UNCOMPENSATED CARE % OF TOTAL COSTS

2013

14,135,092,803

$787,481,517

$607,543,781

1,395,025,298

355,726,173

5.91%

2014

15,305,292,104

$576,942,240

$432,816,585

1,009,758,825

254,385,654

4.18%

2015

16,788,731,845

$543,253,884

$336,830,549

880,084,433

216,573,662

3.37%

2016

18,458,098,464

$444,692,383

$376,732,202

821,424,585

203,073,532

2.98%

2017

20,249,177,829

$469,305,416

$339,342,080

808,647,496

199,431,096

2.71%

CHANGE

43.25%

-40.40%

-44.15%

-42.03%

-43.94%

Source: American Hospital Association, Hospital Statistics, 2019

TOP 20 DRGs # DISCHARGES

TOTAL CHARGES

MEAN CHARGES PER DISCHARGE

885 - PSYCHOSES

27,495

$392,414,539

14,272

9.9

$1,437

795 - NORMAL NEWBORN

20,280

$90,949,742

4,485

1.7

$2,685

DIAGNOSIS-RELATED GROUP

MEAN STAY PER DISCHARGE

MEAN DAILY RATE

775 - VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES

18,968

$236,826,033

12,486

1.8

$6,898

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

12,463

$522,076,900

41,890

6.2

$6,800 $14,404

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

12,184

$493,138,171

40,474

2.8

794 - NEONATE W OTHER SIGNIFICANT PROBLEMS

8,473

$54,797,910

6,467

3.1

$2,107

766 - CESAREAN SECTION W/O CC/MCC

7,769

$139,402,407

17,943

2.5

$7,064

291 - HEART FAILURE & SHOCK W MCC

6,626

$200,135,380

30,205

5.3

$5,731

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

6,064

$103,712,677

17,103

3.7

$4,648

189 - PULMONARY EDEMA & RESPIRATORY FAILURE

5,706

$175,640,113

30,782

5.7

$5,400

190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC

5,101

$136,466,831

26,753

4.5

$5,972

690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC

4,317

$68,045,364

15,762

3.8

$4,115

881 - DEPRESSIVE NEUROSES

4,249

$43,654,703

10,274

6.8

$1,511

057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC

4,120

$123,172,390

29,896

12.8

$2,337 $4,390

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

4,081

$89,046,469

21,820

5.0

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

3,948

$43,939,168

11,129

4.3

$2,564

765 - CESAREAN SECTION W CC/MCC

3,944

$87,761,071

22,252

4.3

$5,223

194 - SIMPLE PNEUMONIA & PLEURISY W CC

3,697

$74,518,993

20,157

4.1

$4,952

603 - CELLULITIS W/O MCC

3,691

$60,125,775

16,290

3.9

$4,220

3,443

$255,074,516

74,085

2.6

$29,053

166,619

3,390,899,151

23,226

4.7

$4,911

247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC TOP 20 DRG'S

Source: Arkansas Department of Health, Hospital Discharge Program, 2017

ARKANSAS HOSPITALS MAGAZINE . 47