ARKANSAS HOSPITAL ASSOCIATION 2024 HOSPITAL STATISTICS
2 Arkansas Hospitals 2025 by the Numbers
3 Impact of Medicare Advantage Plans in Arkansas
4 Financial Impact of MA Plans on Arkansas Hospitals
6 AHA Members by City, Type, Size, and Services
9 AHA Members by Control and System Affiliation
11 Arkansas Hospitals Receiving Local Tax Support, 2025
12 AHA Member Organizations by Congressional District
13 Economic Impact of Arkansas Hospitals, 2024
14 Key Financial Indicators: Arkansas and Surrounding States, 2023
15 Statewide Hospital Financial and Utilization Indicators, 2019-2023
16 Comparative Financial Indicators: U.S. Community Hospitals
17 Inpatient and Emergency Department Discharges by Payer, 2023
XX Uninsured Inpatient Admissions and Costs, 2011-2023
18 Hospital Uncompensated Care Costs, 2019-2023
XX Top 20 Inpatient DRGs, 2023
19 Hospital Access by County, 2025
20 Arkansas Hospitals, 2025
Prepared by
Donald McCormick, MSHI, AHA Director of Analytics and Financial Policy
Hart Black, UAMS Graduate Assistant for AHA
Hospital Statistics uses the latest data available. This edition includes utilization and financial data reflecting the periods during and following the public health emergency declaration for the COVID-19 pandemic. When comparing data from 2022-2024 to previous years, it is important to remember that hospitals experienced massive disruptions in 2020-21. 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 associated with COVID-19 during previous years can bias trends seen in post-emergency data. Financial and utilization measures included are reported based on hospital fiscal year, and not all 2023 data reflect the same 12-month period for each hospital.
ARKANSAS HOSPITALS 2025
BY THE NUMBERS
Newborns were delivered in Arkansas hospitals in 2024. Over 60% of those births were covered by Medicaid. 116
Hospitals of all types are located in cities, towns, and communities throughout Arkansas.
Hospitals and other health care organizations are members of the Arkansas Hospital Association.
Community hospitals have fewer than 100 acute care beds.
Hospitals are designated by the federal government as critical access hospitals, having no more than 25 acute care beds.
Counties are served by a single hospital. Twenty-one of those counties are served by a single critical access hospital and two counties are served by a single rural emergency hospital.
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.
Of Arkansas workers are employed by hospitals or other health care organizations.
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.
Arkansas counties — more than 25% of all counties in the state – do not have a local community hospital.
Of AHA member organizations are charitable, not-for-profit organizations, while 25% are operated by private, for-profit companies, and 11% are public hospitals owned and operated by a city, county, state, or federal government.
Hospitals offer labor and delivery services for birthing mothers in Arkansas.
Arkansans sought inpatient or outpatient care from the state’s hospitals each day in 2023, on average, for illnesses, injuries, and other conditions that require medical attention.
IMPACT OF MEDICARE ADVANTAGE PLANS IN ARKANSAS
At the end of 2024, roughly 305,000 Arkansans — about 45% of all Medicare beneficiaries in the state — were enrolled in Medicare Advantage plans. Enrollment in these plans has climbed steadily over the last decade, with year-over-year gains first accelerating in 2019 and peaking in 2023 with a 5.5 percentage-point jump over the prior year. As more patients shift into MA plans, Arkansas hospitals have felt the financial squeeze of these plan’s reimbursement practices more acutely.
Nationally, hospitals report widespread struggles with inappropriate denials. In 2022, the Kaiser Family Foundation found that more than 83.2% of MA prior- authorization denials were overturned on appeal. Locally, MA plans deny services at twice the rate of traditional Medicare and downcode over 3,500 claims annually compared to fee - for- service Medicare. Even when denials are “cured” on appeal, MA plans take an average of over 70 days to pay — versus roughly 44 days under traditional Medicare.
For many Arkansas hospitals, these delays translate directly into a working - capital gap of 25-40 days. Considering this, a mid-sized community hospital with $10 million in monthly patient revenue suddenly carries an extra $1.3-$1.7 million in receivables on its balance sheet. To bridge this gap, institutions frequently draw on short - term lines of credit — and at current interest rates around 5.5%, holding a $2 million balance for an extra month can tack on more than $9,000 in interest expense alone. Those borrowing costs chip away at already razor- thin operating margins and force hospitals to postpone staffing hires, defer critical equipment purchases, and delay IT and quality - improvement initiatives — ultimately impacting both financial health and patient care.
THE FINANCIAL IMPACT OF MA PLANS ON ARKANSAS HOSPITALS
As Medicare Advantage (MA) enrollment continues to rise, Arkansas hospitals are experiencing measurable financial impacts compared to serving patients with Traditional Medicare. Data from the Vitality Index, which includes 40 participating hospitals over a 12-month period in Arkansas, reveals distinct differences in reimbursement levels, payment timeliness, denial trends, and other financial indicators. The following sections highlight these impacts in detail.
IMPACT TO REIMBURSEMENT
MA plans reimburse Arkansas hospitals 20.2% less than Traditional Medicare for the same services. For patients enrolled in these plans, the patient responsibility is also 36.7% lower. Based on current enrollment patterns, if MA plans reimbursed hospitals at the same rate as Traditional Medicare, the 40 hospitals participating in the Vitality Index would collectively receive an estimated $187 million more in payments each year. This disparity in reimbursement represents a significant loss of funding that directly impacts operational and care delivery opportunities across the state.
“One
of the largest MA plans in our market pays about
82% of Medicare.”
“Financially, MA reimburses us about 6 to 9 percent less than [Traditional] Medicare.”
IMPACT TO PAYMENT TIMELINES
When it comes to clean claims – those processed the first time without error or denial – MA and Traditional Medicare have similar payment timelines. However, the differences become evident when claims require reprocessing after an initial denial. Traditional Medicare typically issues payment within 55 days following resubmission, while MA plans take, on average, 25 days longer.
For hospitals that have already rendered care, these delays impose unnecessary financial strain, particularly when claims remain unpaid for an average of three months due to avoidable denials and administrative burdens.
“…account receivable [for claims] over 120 days are nearly three times higher with MA plans”
“…MA payers have forced us to allocate three full-time staff members to manage denials.”
“MA PLANS DENY SERVICES AT A FAR HIGHER RATE THAN COMMERCIAL PLANS.”
“WHEN WE DO APPEAL, MORE OFTEN THAN NOT, WE PREVAIL.
The MA plan is going to tout [this] as a ‘success’…. What no MA plan wants to acknowledge is that appeals take a lot of time and are very expensive for hospitals. Hospitals rely on physicians and nurses to fight for a service that never should have been denied in the first place.”
IMPACT TO DENIALS
Claims submitted to Medicare Advantage plans are denied at twice the rate of those submitted to Traditional Medicare. In some specialties, denial rates under MA plans are up to six times higher, creating a disproportionate administrative burden on hospital billing departments. Among our hospitals, no medical specialty shows a higher denial rate for Traditional Medicare compared to MA plans. Furthermore, although cured denials (denials reversed upon resubmission) are only 10% more frequent under MA plans, the financial value of these cured denials is twice as high.
“the denial itself can be for any number of reasons (some quite trivial) and always AFTER the service has been provided.”
“While MA plans are only 27% of our overall volume, they create 71% of our claims denials.”
IMPACT TO OTHER FINANCIAL INDICATORS
One significant concern is the practice of downcoding, where insurers alter a claim to reflect a lower level of care than was provided. Over a 12-month period, Medicare Advantage plans downcoded claims 475 times more often than Traditional Medicare. This aggressive cost containment tactic further reduces reimbursement, regardless of the actual acuity of care delivered. Additionally, patients covered by MA plans are more likely to be discharged earlier and less likely to be admitted for inpatient care, even for identical conditions. These patterns suggest care access restrictions driven not by clinical need, but by insurance practices.
While these tactics lower immediate costs for the insurer, they may compromise long-term patient outcomes leading to readmissions that place a downward pressure on hospital finances, ultimately reducing accessibility and quality of care across communities.
“We serve a large population of seniors, and Medicare Advantage (MA) plans have not provided them with the same level of consistent coverage as Original [Traditional] Medicare.”
“We routinely see MA plans challenging and delaying our physicians’ clinical decisions, including downcoding instances as well as 80 percent of reclassifications to observations status versus necessary inpatient care.”
“We spend approximately $200K PER YEAR with a vendor to fight downcoding claims – and that’s after considerable expense to get it right in the first place. Unfortunately, it is necessary as without the ability to fight downcoding, WE WOULD LOSE MUCH MORE THAN THAT.”
This pattern reflects not just added administrative cost but also delayed revenue recovery, compounding the burden on hospitals. Source:
“Traditional Medicare includes additional payments for things like Graduate Medical Education. This additional Medicare payment supports the training of physicians. As MA plans increase, funding for Physician Residents decrease making these programs more and more of a burden.”
SPRINGDALE
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES
General Medical-Surgical Hospitals (43)
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES
Critical Access Hospitals (27)
Inpatient Psych Hospitals (12)
Veterans Affairs Hospitals (2)
AHA MEMBERS BY CITY, TYPE, SIZE, AND SERVICES
Inpatient Rehab Hospitals (7)
Rural Emergency Hospitals (5)
Special Focus Hospitals (4)
Long Term Care Hospitals (3)
Non-Hospital Facilities (3)
Out-of-State,
19TH MEDICAL GROUP
AHA MEMBERS BY CONTROL AND SYSTEM AFFILIATION
ADVANCED CARE HOSPITAL OF WHITE COUNTY
ARKANSAS CHILDREN'S HOSPITAL
ARKANSAS CHILDREN'S NORTHWEST
ARKANSAS HOSPICE
ARKANSAS METHODIST MEDICAL CENTER
ARKANSAS STATE HOSPITAL
ASHLEY COUNTY MEDICAL CENTER
BAPTIST HEALTH EXTENDED CARE HOSPITAL
BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA
BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS
BAPTIST HEALTH MEDICAL CENTER-CONWAY
BAPTIST HEALTH MEDICAL CENTER-DREW COUNTY
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-NORTH LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
BAPTIST HEALTH REHABILITATION INSTITUTE
BAPTIST HEALTH-FORT SMITH
BAPTIST HEALTH-VAN BUREN
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN
BAXTER HEALTH
BAXTER HEALTH FULTON COUNTY HOSPITAL
BRADLEY COUNTY MEDICAL CENTER
CARTI
CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
CHAMBERS MEMORIAL HOSPITAL
CHI ST. VINCENT - INFIRMARY
CHI ST. VINCENT - MORRILTON
CHI ST. VINCENT - NORTH
CHI ST. VINCENT HOSPITAL HOT SPRINGS
CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL
CHICOT MEMORIAL MEDICAL CENTER
CHRISTUS ST. MICHAEL HEALTH SYSTEM
CONWAY BEHAVIORAL HEALTH
CONWAY REGIONAL HEALTH SYSTEM
CONWAY REGIONAL REHABILITATION HOSPITAL
CORNERSTONE SPECIALTY HOSPITALS - LITTLE ROCK
CROSSRIDGE COMMUNITY HOSPITAL
DALLAS COUNTY MEDICAL CENTER
DARDANELLE REGIONAL MEDICAL CENTER
DELTA MEMORIAL HOSPITAL
DEWITT HOSPITAL AND NURSING HOME
ENCOMPASS HEALTH REHABILITATION HOSPITAL, A PARTNER OF WASHINGTON REGIONAL
EUREKA SPRINGS HOSPITAL
FORREST CITY MEDICAL CENTER
GREAT RIVER MEDICAL CENTER
HELENA REGIONAL MEDICAL CENTER
HOWARD MEMORIAL HOSPITAL
IZARD REGIONAL HOSPITAL
JEFFERSON REGIONAL
JEFFERSON REGIONAL SPECIALTY HOSPITAL
LTCH
CHILDREN'S
CHILDREN'S
INPATIENT HOSPICE
RURAL/RRC
URBAN
RURAL/SCH
RURAL/MDH
URBAN
URBAN
RURAL/MDH
IRF
URBAN
URBAN
URBAN
RURAL/SCH/RRC
CAH
CAH
VETERANS AFFAIRS
RURAL/SCH
URBAN
CAH
URBAN
URBAN/RRC IRF IRF CAH
URBAN (TX) IP PSYCH
URBAN
RURAL/SCH/RRC REH CAH CAH
URBAN/SCH
U.S. DEPARTMENT OF DEFENSE
UNITY HEALTH
ARKANSAS CHILDREN'S
ARKANSAS CHILDREN'S
LOCAL BOARD
LOCAL BOARD
STATE
LOCAL BOARD
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST HEALTH
BAPTIST MEMORIAL HEALTHCARE CORP.
BAXTER HEALTH SYSTEM
BAXTER HEALTH SYSTEM
LOCAL BOARD
LOCAL BOARD
U.S. DEPARTMENT OF VETERANS AFFAIRS
LOCAL BOARD
COMMONSPIRIT HEALTH
COMMONSPIRIT HEALTH
COMMONSPIRIT HEALTH
COMMONSPIRIT HEALTH
ENCOMPASS HEALTH
ENCOMPASS HEALTH
LOCAL BOARD
CHRISTUS HEALTH
ACADIA HEALTHCARE
CONWAY REGIONAL HEALTH SYSTEM
CONWAY REGIONAL HEALTH SYSTEM
SCIONHEALTH
ST. BERNARDS HEALTHCARE COUNTY
CONWAY REGIONAL HEALTH SYSTEM
LOCAL BOARD
LOCAL BOARD
ENCOMPASS HEALTH
EUREKA SPRINGS HOSPITAL COMMISSION
QUORUM HEALTH
COUNTY
LOCAL BOARD
LOCAL BOARD
BOA VIDA HEALTHCARE
LOCAL BOARD
JEFFERSON REGIONAL
SEARCY
LITTLE ROCK
LITTLE ROCK
NORTH LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
MEMPHIS, TN
MOUNTAIN HOME
MOUNTAIN HOME
LITTLE ROCK
LITTLE ROCK/NLR
CHICAGO, IL
CHICAGO, IL
CHICAGO, IL
CHICAGO, IL
BIRMINGHAM, AL
BIRMINGHAM, AL
IRVING, TX
FRANKLIN, TN
CONWAY
CONWAY
LOUISVILLE, KY
JONESBORO N/A
CONWAY
BIRMINGHAM, AL
EUREKA SPRINGS FRANKLIN, TN
CROWN POINT, IN
PINE BLUFF
JOHNSON REGIONAL MEDICAL CENTER
LAWRENCE MEMORIAL HOSPITAL
LEVI HOSPITAL
LITTLE RIVER MEDICAL CENTER
MAGNOLIA REGIONAL MEDICAL CENTER
MCGEHEE HOSPITAL
MENA REGIONAL MEDICAL CENTER
MERCY HOSPITAL BERRYVILLE
MERCY HOSPITAL BOONEVILLE
MERCY HOSPITAL FORT SMITH
MERCY HOSPITAL NORTHWEST ARKANSAS
MERCY HOSPITAL OZARK
MERCY HOSPITAL PARIS
MERCY HOSPITAL WALDRON
MERCY REHABILITATION HOSPITAL FORT SMITH
MERCY REHABILITATION SERVICES - NORTHWEST AR
METHODIST CHILDREN'S BEHAVIORAL HOSPITALJONESBORO
METHODIST CHILDREN'S BEHAVIORAL HOSPITALMAUMELLE
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
OZARK HEALTH
OZARKS COMMUNITY HOSPITAL
PERIMETER BEHAVIORAL HOSPITAL OF WEST MEMPHIS
PIGGOTT HEALTH SYSTEM
PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM
REGIONAL ONE HEALTH
RIVENDELL BEHAVIORAL HEALTH SERVICES
RIVERVIEW BEHAVIORAL HEALTH
SAINT MARY'S REGIONAL MEDICAL CENTER
SALINE MEMORIAL HOSPITAL
SEVIER COUNTY MEDICAL CENTER
SILOAM SPRINGS REGIONAL HOSPITAL
SOUTH ARKANSAS REGIONAL HOSPITAL
SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER
SOUTHWEST ARKANSAS REGIONAL MEDICAL CENTER
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
ST. BERNARDS MEDICAL CENTER
ST. BERNARDS MEDICAL CENTER - FIVE RIVERS
ST. JUDE CHILDREN'S RESEARCH HOSPITAL
STONE COUNTY MEDICAL CENTER
THE BRIDGEWAY
UAMS MEDICAL CENTER
UNITY HEALTH - JACKSONVILLE
UNITY HEALTH - NEWPORT
UNITY HEALTH - SEARCY
VALLEY BEHAVIORAL HEALTH SYSTEM
VANTAGE POINT OF NWA
VETERANS HEALTH CARE SYSTEM OF THE OZARKS
WASHINGTON REGIONAL MEDICAL SYSTEM
WHITE RIVER HEALTH SYSTEM
WILLOW CREEK WOMEN'S HOSPITAL
RURAL/MDH
CAH
URBAN
CAH
RURAL/SCH
CAH
CAH
CAH
CAH
URBAN
URBAN
CAH
CAH
CAH
IRF
IRF
IP PSYCH
IP PSYCH
URBAN/RRC
RRC
RURAL/SCH/RRC
URBAN
URBAN
URBAN
RURAL/SCH
CAH
CAH
IP PSYCH
CAH
IP PSYCH
URBAN (TN)
IP PSYCH
IP PSYCH
RURAL/RRC
URBAN
RURAL
URBAN
RURAL/SCH
REH
RURAL
IP PSYCH
URBAN/RRC REH
CHILDREN'S
CAH
IP PSYCH
URBAN
URBAN
CAH
RURAL/SCH/RRC
IP PSYCH
IP PSYCH
VETERANS AFFAIRS
RURAL
RURAL/SCH/RRC
URBAN
LOCAL BOARD
ST. BERNARDS HEALTHCARE
LOCAL BOARD
LOCAL BOARD
LOCAL BOARD
LOCAL BOARD
CITY
MERCY
MERCY
MERCY
MERCY
MERCY
MERCY
MERCY
LIFEPOINT HEALTH
LIFEPOINT HEALTH
METHODIST FAMILY HEALTH
METHODIST FAMILY HEALTH
LIFEPOINT HEALTH
BAPTIST MEMORIAL HEALTHCARE CORP.
LOCAL BOARD
COMMUNITY HEALTH SYSTEMS
COMMUNITY HEALTH SYSTEMS
COMMUNITY HEALTH SYSTEMS
LOCAL BOARD
LOCAL BOARD
LOCAL BOARD
WOODRIDGE BEHAVIORAL CARE
CITY
UNIVERSAL HEALTH SERVICES
REGIONAL ONE HEALTH
UNIVERSAL HEALTH SERVICES
ACADIA HEALTHCARE
LIFEPOINT HEALTH
LIFEPOINT HEALTH
LOCAL BOARD
COMMUNITY HEALTH SYSTEMS
LOCAL BOARD
COUNTY
PAFFORD MEDICAL SERVICES
UNIVERSAL HEALTH SERVICES
ST. BERNARDS HEALTHCARE
ST. BERNARDS HEALTHCARE
WHITE RIVER HEALTH SYSTEM
UNIVERSAL HEALTH SERVICES
STATE
UNITY HEALTH
UNITY HEALTH
UNITY HEALTH
ACADIA HEALTHCARE
ACADIA HEALTHCARE
U.S. DEPARTMENT OF VETERANS AFFAIRS
LOCAL BOARD
WHITE RIVER HEALTH SYSTEM
COMMUNITY HEALTH SYSTEMS
JONESBORO
CHESTERFIELD, MO
CHESTERFIELD, MO
CHESTERFIELD, MO
CHESTERFIELD, MO
CHESTERFIELD, MO
CHESTERFIELD, MO
CHESTERFIELD, MO
BRENTWOOD, TN
BRENTWOOD, TN
LITTLE ROCK
LITTLE ROCK
BRENTWOOD, TN MEMPHIS, TN
FRANKLIN, TN
FRANKLIN, TN
FRANKLIN, TN
JACKSON, TN
KING OF PRUSSIA, PA MEMPHIS, TN
KING OF PRUSSIA, PA
FRANKLIN, TN
BRENTWOOD, TN
BRENTWOOD, TN
FRANKLIN, TN
HOPE
KING OF PRUSSIA, PA
JONESBORO
JONESBORO
BATESVILLE
KING OF PRUSSIA, PA
SEARCY
SEARCY
SEARCY
FRANKLIN, TN
FRANKLIN, TN
BATESVILLE
FRANKLIN, TN
ARKANSAS HOSPITALS
RECEIVING LOCAL TAX SUPPORT, 2025
INDICATOR
ASHLEY COUNTY MEDICAL CENTER
BAPTIST HEALTH MEDICAL CENTER-DREW COUNTY
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
BAXTER HEALTH FULTON COUNTY HOSPITAL
BRADLEY COUNTY MEDICAL CENTER
CHI ST. VINCENT - MORRILTON
CHICOT MEMORIAL MEDICAL CENTER
CROSSRIDGE COMMUNITY HOSPITAL
DALLAS COUNTY MEDICAL CENTER
DELTA MEMORIAL HOSPITAL
DEWITT HOSPITAL AND NURSING HOME
GREAT RIVER MEDICAL CENTER
JOHNSON REGIONAL MEDICAL CENTER
LAWRENCE
LITTLE
HOSPITAL
MERCY HOSPITAL BOONEVILLE
MERCY HOSPITAL OZARK
MERCY HOSPITAL PARIS
OUACHITA
OZARK
N/A=Information not available
Source: Self-reported information provided to the Arkansas Hospital Association
$649,000 $670,000 $1,600,000 $2,300,000 $600,000 $1,200,000 $1,000,000 $1,100,000 $2,500,000 $840,000 $1,000,000 $850,000 $2,439,800 $65,000 $1,900,000 $834,000 $2,600,000 $540,000 $600,000 $360,000 $350,000 N/A N/A $150,000 $500,000 $829,300 $800,000
AHA MEMBER ORGANIZATIONS
BY CONGRESSIONAL
1st Congressional District
Arkansas Methodist Medical Center
Baptist Health Medical Center-Stuttgart
Baptist Memorial Hospital-Crittenden
Baxter Health
Baxter Health Fulton County Hospital
Chicot Memorial Medical Center
CrossRidge Community Hospital
Delta Memorial Hospital
DeWitt Hospital & Nursing Home
Forrest City Medical Center
Great River Medical Center
Helena Regional Medical Center
Izard Regional Hospital
Lawrence Memorial Hospital
Methodist Children’s Behavioral Hospital-Jonesboro
McGehee Hospital
NEA Baptist Memorial Hospital
North Arkansas Regional Medical Center
Perimeter Behavioral Health 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 Children’s Behavioral Hospital-Maumelle
Ozark Health Medical Center
Pinnacle Pointe Behavioral Healthcare System
Rivendell Behavioral Health Services
Saline Memorial Hospital
The BridgeWay
UAMS Medical Center
Unity Health – Jacksonville
Unity Health – Searcy
Total = 30
3
DISTRICT
1
2
4
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
Additional AHA Member
Hospitals Include:
CHRISTUS St. Michael Health System, Texarkana, TX
Regional One Health, Memphis, TN
St. Judes Children’s Research Hospital, Memphis, TN
4th Congressional District
Ashley County Medical Center
Baptist Health Medical Center-Arkadelphia
Baptist Health Medical Center-Drew County
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
Howard Memorial Hospital
Jefferson Regional
Jefferson Regional Specialty Hospital
Johnson Regional Medical Center
Levi Hospital
Little River Medical Center
Magnolia Regional Medical Center
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
South Arkansas Regional Hospital
Southwest Arkansas Regional Medical Center
Total = 29
ECONOMIC IMPACT OF ARKANSAS HOSPITALS, 2024
Arkansas hospitals are economic powerhouses for our state. In 2022, hospitals directly employed 48,200 individuals with a total payroll of $4,335,511,000. Those payroll dollars, when spent on groceries, housing, and other goods and services, generated an additional $8,086,595,000 in economic activity and supported 46,200 more jobs across Arkansas. Hospitals also purchased $4,968,149,000 worth of supplies, utilities, and services, which rippled out to generate another $9,266,591,000 in the wider economy. Capital investments — $371,201,000 in building and equipment — created roughly $692,363,000 of economic impact. Altogether, Arkansas hospitals supported or created 94,400 jobs and delivered a total economic impact of $18,045,549,000.
Beyond their economic footprint, hospitals deliver lifesaving and lifeenhancing services around the clock. In 2023 alone, they cared for over 350,000 admitted patients and managed more than 6.5 million outpatient visits including 1.4 million visits to emergency departments. Surgeons in Arkansas hospitals performed over 300,000 inpatient and outpatient procedures, and 31,629 babies were welcomed into the world by our hospital staff. More than $690 million in charity care ensured that no one was turned away for inability to pay — all while hospitals provided high quality, efficient care, served as safe harbors in emergencies, offered end-of-life comfort, educated communities on disease prevention, and fought to retain critical health services in their regions.
In times of crisis, hospitals stand ready as pillars of community resilience. During the COVID-19 public health emergency, they provided care to tens of thousands of Arkansans, established comprehensive testing, treatment, and vaccination infrastructure, rolled out novel telemedicine programs, and expanded ICU capacity with negativepressure beds. In March 2023, when tornadoes tore through Little Rock’s Rodney Parham corridor, hospital teams and first responders treated at least 40 storm-injured patients. And through the statewide trauma system — now comprising 57 designated trauma centers (six of them Level I) — Arkansans in critical condition are expertly triaged and transported, cutting preventable deaths by nearly half and saving more than $180 million each year.
Source: Arkansas
KEY FINANCIAL
ARKANSAS AND SURROUNDING STATES, 2023
$5,536,649,596,244
Texas
Tennessee
$532,708,572,869
$113,145,100,826
$4,206,366,870,821.00 $1,330,282,725,423.00 $1,381,871,477,674.00 441,222,967 ($51,588,752,251) ($116.92) -3.88%
$429,748,121,299
$88,509,896,991
$102,960,451,570 $99,642,335,774
$121,935,995,590 $70,347,243,339 4.84% $35,821,470,147 $106,168,713,486 7.13%
Louisiana
Arkansas
$107,589,227,887 $78,498,893,662 $29,090,334,225 $30,289,195,038 10,805,929 ($1,198,860,813) ($110.94) -4.12% $2,183,310,797 $984,449,984 3.15%
$79,265,681,270
$36,948,799,383
$59,755,593,190 $19,510,088,080
$27,269,530,971 $9,679,268,412 $10,180,413,147 4,415,436 ($501,144,735) ($113.50)
Hospitals charged this amount for the inpatient and outpatient care they provided in 2023: But patients and payer groups didn't pay the full amount of billed charges for various reasons. Government programs like Medicare and Medicaid, workers' comp programs, and others never pay the full hospital bill. Managed care plans and other insurers typically pay discounted amounts only, and individual patients often can't afford to pay some or any of the out-of-pocket costs related to their hospital bills. For those reasons, hospitals had to forfeit this much of their billed charges:
As a result, actual payments to hospitals were:
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 intpatients 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 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 equaling: For a return on investment totaling
Source: American Hospital Association, Hospital Statistics 2023
STATEWIDE HOSPITAL
AND UTILIZATION INDICATORS, 2019 - 2023
INDICATOR
BEDS AVAILABLE
ADMISSIONS
PATIENT DAYS
AVERAGE LENGTH OF STAY
NON-EMERGENCY OP VISITS
OUTPATIENT VISITS
NON-EMERGENCY AS A % OF TOTAL OP VISITS
ADJUSTED PATIENT DAYS
OCCUPANCY RATE
INPATIENT SURGERIES
OUTPATIENT SURGERIES
TOTAL SURGERIES
OUTPATIENT AS % OF TOTAL SURGERIES
TOTAL FULL-TIME EQUIVALENT EMPLOYEES
FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED
OCCUPIED BED
GROSS REVENUE, INPATIENT
GROSS REVENUE, OUTPATIENT
GROSS PATIENT REVENUE
BAD DEBTS
CHARITY
MEDICARE, MEDICAID, & OTHER PAYER WRITEOFFS
TOTAL DEDUCTIONS
NET PATIENT REVENUE
OTHER OPERATING REVENUE
NONOPERATING REVENUE
TOTAL NET REVENUE
PAYROLL EXPENSE
TOTAL EXPENSE
PATIENT REVENUE MARGIN
TOTAL MARGIN
CHARGE PER ADJUSTED INPATIENT DAY
PAYMENT PER ADJUSTED INPATIENT DAY
EXPENSE PER ADJUSTED INPATIENT DAY
PAYROLL PER ADJUSTED INPATIENT DAY
PAYROLL AS % OF TOTAL EXPENSE
BAD DEBT AND CHARITY AS % OF TOTAL CHARGE
TOTAL DEDUCTIONS AS % OF TOTAL CHARGE
OUTPATIENT REVENUE AS % TOTAL PATIENT REVENUE
ADMISSIONS PER BED
PATIENT DAYS PER 1,000 POPULATION
ADMISSIONS PER 1,000 POPULATION
POPULATION (000'S)
$14,814,502,613
$17,025,641,576
$31,840,144,189
$509,174,368
$442,315,671
$22,702,507,161
$23,653,997,200
$8,186,146,989
$433,117,737
$145,788,360
$8,765,053,086
$3,040,326,208
$8,049,927,966
$7,445.97
$1,914.37
$1,882.51
$14,965,703,755
$16,733,703,930
$31,699,407,685
$503,958,456
$499,580,152
$22,706,699,474
$23,710,238,082
$7,989,169,603
$760,697,334
$164,859,866
$8,914,726,803
$3,122,035,492
$8,206,104,259 -2.72%
$7,519.32
$1,895.09
$1,946.54
$17,185,062,486
$18,570,833,303
$35,755,895,789
$512,576,407
$574,072,837
$25,738,880,672
$26,825,529,916
$8,930,365,873
$919,369,130
$246,467,868
$10,096,202,871
$3,542,564,965
$9,161,715,585 -2.59% 9.26% $8,160.14 $2,038.07
$16,766,340,537 $19,010,965,594 $35,777,306,131 $468,830,369 $466,432,386 $25,758,657,460 $26,693,920,215 $9,083,385,916 $1,143,477,147 ($5,690,890) $10,221,172,173 3,844,177,083 $10,093,617,469 -11.12% 1.25% $8,033.36 $2,039.56 $2,266.40 $863.16
6,519,716 78.05%
$17,441,647,083 $19,507,152,300 $36,948,799,383 $520,657,399 $693,849,202 $26,055,024,370 $27,269,530,971 $9,679,268,412 $791,778,997 $230,969,958 $10,702,017,367 $3,689,381,915 $10,180,413,147
COMPARATIVE FINANCIAL INDICATORS: U.S. COMMUNITY HOSPITALS
DISTRICT
CALIFORNIA ALASKA
FLORIDA
NEVADA NEW
DISTRICT
SOUTH
ALABAMA
HAWAII
MAINE
WASHINGTON
COLORADO
IDAHO
MINNESOTA
DELAWARE
NORTH DAKOTA
NEBRASKA
OREGON
HAWAII
MARYLAND
NEW
MASSACHUSETTS INDIANA
CONNECTICUT
NEW YORK
MAINE
CALIFORNIA
WASHINGTON
MASSACHUSETTS
MINNESOTA
IDAHO
OREGON
NORTH DAKOTA
DELAWARE
COLORADO
MARYLAND
UTAH
NEBRASKA
HAWAII
CONNECTICUT
NEW HAMPSHIRE
NEW JERSEY
MONTANA
PENNSYLVANIA
VERMONT
OHIO
SOUTH DAKOTA
U.S.
VIRGINIA
WYOMING
NEW MEXICO
WISCONSIN
TEXAS
NORTH CAROLINA
ILLINOIS
MISSOURI
MICHIGAN
ARIZONA
GEORGIA
RHODE
WEST
KENTUCKY
WSC
TENNESSEE
LOUISIANA
IOWA
FLORIDA
NEVADA
SOUTH
OKLAHOMA
DISTRICT
VIRGINIA
ALABAMA
MISSISSIPPI
NORTH CAROLINA
GEORGIA
SOUTH CAROLINA
OKLAHOMA
NEBRASKA
WISCONSIN
WYOMING
NEW JERSEY
DELAWARE
VERMONT
ILLINOIS
LOUISIANA
IDAHO
NORTH DAKOTA
CALIFORNIA
SOUTH DAKOTA
MONTANA
NEW HAMPSHIRE
RHODE ISLAND
MISSOURI
MASSACHUSETTS
ARKANSAS
KANSAS
WEST VIRGINIA
IOWA
PENNSYLVANIA
ALASKA
NEW MEXICO
WASHINGTON
NEW YORK
HAWAII
MARYLAND
CONNECTICUT
MICHIGAN
MINNESOTA
OREGON
MAINE
TENNESSEE
PROGRAMS
COSTS,
Source: Arkansas Department of Health, Hospital Discharge Program, 2023
HOSPITAL UNCOMPENSATED CARE COSTS, 2019-2023
REVENUES (BILLED
$31,840,144,189
$31,699,407,685
$35,755,895,789
$35,777,306,131
$36,948,799,383 16.04% TOTAL UNCOLLECTED AMOUNTS DUE
$23,653,997,200
$23,710,238,082
$26,825,529,916
$26,693,920,215
$27,269,530,971
$8,186,146,989
$7,989,169,603
$8,930,365,873
$9,083,385,916
$ 9,679,268,412
$433,117,737
$760,697,334
$919,369,130
$1,143,477,147
$ 791,778,997
$32,273,261,926
$32,460,105,019
$36,675,264,919
$36,920,783,278
$37,971,548,338
$8,049,927,966
$8,206,104,259
$9,161,715,585
$10,093,617,469
$ 10,180,413,147 26.47%
$509,174,368
$503,958,456
$512,576,407
$468,830,369
$520,657,3992.26%
$442,315,671
$499,580,152
$574,072,837
$466,432,386
$693,849,202
$951,490,039
$1,003,538,608
$1,086,649,244
$935,262,755
$1,214,506,601 27.64% TOTAL OPERATING COSTS
$222,318,771
$238,120,014
$256,264,830.53
$243,811,319.81 $334,630,060 50.52%
Source: American Hospital Association, Hospital Statistics 2022
TOP 20 INPATIENT DRGS, 2023
DIAGNOSIS-RELATED GROUP
885 - PSYCHOSES
871 - SEPTICEMIA W/O MV 96+ HOURS W MCC
795 - NORMAL NEWBORN
807 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C W/O CC/MCC
794 - NEONATE W OTHER SIGNIFICANT PROBLEMS
291 - HEART FAILURE & SHOCK W MCC
189 - PULMONARY EDEMA & RESPIRATORY FAILURE
788 - CESAREAN SECTION W/O STERILIZATION W/O CC/MCC
193 - SIMPLE PNEUMONIA & PLEURISY W MCC
897 - ALCOHOL/DRUG ABUSE/DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC
872 - SEPTICEMIA W/O MV 96+ HOURS W/O MCC
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C W CC
641 - NUTRITIONAL & MISC METABOLIC DISORDERS W/O MCC
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC
683 - RENAL FAILURE W CC
881 - DEPRESSIVE NEUROSES
682 - RENAL FAILURE W MCC
CHARGES
$758,896,646.34
$960,189,031.84
$113,820,083.66
$264,820,333.76
$102,242,505.41
$311,998,574.75
$239,047,152.90
$141,088,591.82
$195,790,717.14
$89,202,423.33
$212,271,590.30
$132,070,121.21
$94 ,096,693.01
$161, 500 ,948.04
$61,508,448.18
$67,652,433.87
$73,722,108.95
$83,659,778.96
$59,375,728.70
$125,477,737.37
$21,587.16
$55,886.68
HOSPITAL ACCESS BY COUNTY
HOSPITAL TYPE
Multiple
Single Acute Only
Single CAH Only
None
Single REH Only