2020 Arkansas Hospital Statistics

2020 HOSPITAL STATISTICS ARKANSAS HOSPITALS | SUMMER 2020 21

ARKANSAS HOSPITALS 2020

BY THE NUMBERS 112

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

104

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

50

Community hospitals have fewer than 100 acute care beds.

28

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

40

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

38

Counties in the state count hospitals among their top five employers.

In 22 counties, a hospital is among the top three employers.

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.

22

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

62%

Of AHA member organizations are charitable, not-for-profit organizations, while 24% are operated by private, for-profit companies, and 14% are public hospitals owned and operated by a city, county, state or federal government.

60

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

18,495

Arkansans sought inpatient or outpatient care from the state’s hospitals each day in 2018, on average, for illnesses, injuries, and other conditions that required medical attention.

34,821

Newborns were delivered in Arkansas hospitals in 2018. The Arkansas Medicaid program covered almost 65% of them.

Figures from 2018 are the most current available.

22 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

ARKANSAS HOSPITAL ASSOCIATION MEMBER ORGANIZATIONS BY TYPE, 2020 General Med-Surg Hospitals (44) Inpatient Psych Hospitals (12) Arkansas Methodist Medical Center Baptist Health Medical Center-Conway Baptist Health Medical CenterHot Spring County Baptist Health Medical Center-Little Rock Baptist Health Medical CenterNorth Little Rock Baptist Health Medical Center-Stuttgart Baptist Health-Fort Smith Baptist Health-Van Buren Baptist Memorial Hospital-Crittenden Baxter Regional Medical Center Chambers Memorial Hospital CHI St. Vincent Hot Springs CHI St. Vincent Infirmary CHI St. Vincent North Conway Regional Health System Drew Memorial Health System Forrest City Medical Center Great River Medical Center Helena Regional Medical Center Jefferson Regional Johnson Regional Medical Center Levi Hospital Magnolia Regional Medical Center Medical Center of South Arkansas Mena Regional Health System Mercy Hospital Fort Smith Mercy Hospital Northwest Arkansas National Park Medical Center NEA Baptist Memorial Hospital North Arkansas Regional Medical Center Northwest Health Physicians' Specialty Hospital Northwest Medical Center Bentonville Northwest Medical Center Springdale Ouachita County Medical Center Saint Mary's Regional Medical Center Saline Memorial Hospital Siloam Springs Regional Hospital St. Bernards Five Rivers St. Bernards Medical Center UAMS Medical Center Unity Health Unity Health - Harris Medical Center Washington Regional Medical System White River Health System

Arkansas State Hospital Conway Behavioral Health Freedom Behavioral Hospital of Central Arkansas Methodist Behavioral Hospital Perimeter Behavioral Hospital of West Memphis Pinnacle Pointe Behavioral Healthcare System Rivendell Behavioral Health Services Riverview Behavioral Health Springwoods Behavioral Health Hospital The BridgeWay Valley Behavioral Health System Vantage Point of Northwest Arkansas

Inpatient Rehab Hospitals (4)

Baptist Health Rehabilitation Institute CHI St. Vincent Sherwood Rehabilitation Hospital Conway Regional Rehabilitation Hospital Encompass Health Rehabilitation Hospital

Veterans Affairs Hospitals (2)

Central Arkansas Veterans Healthcare System Veterans Healthcare System of the Ozarks

Long Term Care Hospitals (6)

Advanced Care Hospital of White County Arkansas Continued Care Hospital of Jonesboro Baptist Health Extended Care Hospital Critical Access Hospitals (28) CHRISTUS Dubuis Hospital of Fort Smith Ashley County Medical Center Baptist Health Medical Center-Arkadelphia CHRISTUS Dubuis Hospital of Hot Springs Baptist Health Medical CenterCornerstone Speciality Hospitals Heber Springs Little Rock Bradley County Medical Center CHI St. Vincent Morrilton Special Focus Hospitals (3) Chicot Memorial Medical Center Arkansas Children's Hospital CrossRidge Community Hospital Arkansas Children's Northwest Dallas County Medical Center Willow Creek Women's Hospital Dardanelle Regional Medical Center Delta Memorial Hospital Out-of-State Border City DeWitt Hospital & Nursing Home Hospitals (2) Eureka Springs Hospital CHRISTUS St. Michael Health System, Texarkana, Texas Fulton County Hospital Regional One Health, Howard Memorial Hospital Memphis, Tennessee Izard County Medical Center Lawrence Memorial Hospital Non-Hospital Facilities (3) Little River Medical Center 19th Medical Group, McGehee Hospital Little Rock Air Force Base Mercy Hospital Berryville Arkansas Hospice Mercy Hospital Booneville CARTI Mercy Hospital Ozark Mercy Hospital Paris Mercy Hospital Waldron Ozark Health Medical Center Ozarks Community Hospital Piggott Community Hospital SMC Regional Medical Center Stone County Medical Center

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 23

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

TRAUMA SYSTEM

MEDICAL-SURGICAL

25

LEVEL IV

MEDICAL-SURGICAL

25

VALLEY BEHAVIORAL HEALTH SYSTEM

PSYCHIATRIC

114

BATESVILLE

WHITE RIVER HEALTH SYSTEM

MEDICAL-SURGICAL

210

BENTON

RIVENDELL BEHAVIORAL HEALTH SERVICES

PSYCHIATRIC

80

BENTON

SALINE MEMORIAL HOSPITAL

MEDICAL-SURGICAL

BENTONVILLE

NORTHWEST MEDICAL CENTER BENTONVILLE

MEDICAL-SURGICAL

BERRYVILLE

MERCY HOSPITAL BERRYVILLE

MEDICAL-SURGICAL

25

BLYTHEVILLE

GREAT RIVER MEDICAL CENTER

MEDICAL-SURGICAL

99

LEVEL IV

OB

BOONEVILLE

MERCY HOSPITAL BOONEVILLE

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH/PALL/HOSP

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

LEVEL IV

SB/HH/IMF

CONWAY

BAPTIST HEALTH MEDICAL CENTER-CONWAY

MEDICAL-SURGICAL

111

LEVEL III

OB

CONWAY

CONWAY BEHAVIORAL HEALTH

PSYCHIATRIC

80

CONWAY

CONWAY REGIONAL HEALTH SYSTEM

MEDICAL-SURGICAL

150

LEVEL III

PSYCH/REHAB/HH/OB/PALL

CONWAY

CONWAY REGIONAL REHABILITATION HOSPITAL

REHABILITATION

26

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

DARDANELLE

DARDANELLE REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

35

LEVEL IV

SB/PSYCH/HH

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

EUREKA SPRINGS

EUREKA SPRINGS HOSPITAL

MEDICAL-SURGICAL

15

LEVEL IV

SB/HH

FAYETTEVILLE

ENCOMPASS HEALTH REHABILITATION HOSPITAL

REHABILITATION

80

FAYETTEVILLE

NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL

MEDICAL-SURGICAL

20

FAYETTEVILLE

SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL

PSYCHIATRIC

80

FAYETTEVILLE

VANTAGE POINT OF NWA

PSYCHIATRIC

114

FAYETTEVILLE

VETERANS HEALTHCARE SYSTEM OF THE OZARKS

VETERANS AFFAIRS

73

FAYETTEVILLE

WASHINGTON REGIONAL MEDICAL SYSTEM

MEDICAL-SURGICAL

425

LEVEL II

HH/OB/PALL/HOSP

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

FORT SMITH

BAPTIST HEALTH-FORT SMITH

MEDICAL-SURGICAL

492

LEVEL III

HH/OB

FORT SMITH

CHRISTUS DUBUIS HOSPITAL OF FORT SMITH

LONG TERM CARE

25

FORT SMITH

MERCY HOSPITAL FORT SMITH

MEDICAL-SURGICAL

348

GRAVETTE

OZARKS COMMUNITY HOSPITAL

MEDICAL-SURGICAL

25

HARRISON

NORTH ARKANSAS REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

174

LEVEL III

HH/PSYCH/DPU/OB/HOSP

HEBER SPRINGS

BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS

MEDICAL-SURGICAL

25

LEVEL IV

SB/HH/HOSP

HELENA

HELENA REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

155

HOT SPRINGS

CHI ST. VINCENT HOT SPRINGS

MEDICAL-SURGICAL

282

HOT SPRINGS

CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS

LONG TERM CARE

27

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

FREEDOM BEHAVIORAL HOSPITAL OF CENTRAL ARKANSAS

PSYCHIATRIC

24

PSYCH

JOHNSON

WILLOW CREEK WOMEN'S HOSPITAL

MED-SURG (OB/GYN)

64

OB

JONESBORO

ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO

LONG TERM CARE

44

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

CITY

HOSPITAL

TYPE OF HOSPITAL

ARKADELPHIA

BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA

ASHDOWN

LITTLE RIVER MEDICAL CENTER

BARLING

24 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

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

LEVEL III

SNF/PSYCH/REHAB/OB/PALL

177

LEVEL III

PSYCH/REHAB/HH/OB/HOSP

128

LEVEL III

HH SB/HH/PALL/HOSP

SB/HH

SB/IMF HH/SB

PSYCH

PALL/HOSP LEVEL III

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

SB/REHAB/HH/OB LEVEL II

PSYCH/REHAB/HH/OB

PALL/HOSP

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

TRAUMA SYSTEM

CITY

HOSPITAL

TYPE OF HOSPITAL

LITTLE ROCK

ARKANSAS STATE HOSPITAL

PSYCHIATRIC

LITTLE ROCK

BAPTIST HEALTH EXTENDED CARE HOSPITAL

LONG TERM CARE

55

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK

MEDICAL-SURGICAL

843

LITTLE ROCK

BAPTIST HEALTH REHABILITATION INSTITUTE

REHABILITATION

120

LITTLE ROCK

CARTI

OP CANCER CENTER

LITTLE ROCK

CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM

VETERANS AFFAIRS

635

LITTLE ROCK

CHI ST. VINCENT INFIRMARY

MEDICAL-SURGICAL

615

LITTLE ROCK

CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK

LONG TERM CARE

40

LITTLE ROCK

PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM

PSYCHIATRIC

124

LITTLE ROCK

UAMS MEDICAL CENTER

MEDICAL-SURGICAL

450

LEVEL I

MAGNOLIA

MAGNOLIA REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

OB/PALL

49

LEVEL IV

MALVERN

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY

MEDICAL-SURGICAL

SB/HH/OB

72

LEVEL IV

MAUMELLE

METHODIST BEHAVIORAL HOSPITAL

PSYCHIATRIC

PSYCH/HH/HOSP

60

MCGEHEE

MCGEHEE HOSPITAL

MEDICAL-SURGICAL

25

MEMPHIS, TN

REGIONAL ONE HEALTH

MEDICAL-SURGICAL

620

LEVEL I

MENA

MENA REGIONAL HEALTH SYSTEM

MEDICAL-SURGICAL

65

LEVEL IV

MONTICELLO

DREW MEMORIAL HEALTH SYSTEM

MEDICAL-SURGICAL

49

MORRILTON

CHI ST. VINCENT MORRILTON

MEDICAL-SURGICAL

25

LEVEL IV

MOUNTAIN HOME

BAXTER REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

SB/HH/HOSP

268

LEVEL III

MOUNTAIN VIEW

STONE COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

PSYCH/REHAB/HH/OB/HOSP

25

LEVEL IV

NASHVILLE

HOWARD MEMORIAL HOSPITAL

MEDICAL-SURGICAL

SB

20

LEVEL IV

NEWPORT

UNITY HEALTH - HARRIS MEDICAL CENTER

MEDICAL-SURGICAL

SB/HH

133

LEVEL IV

NORTH LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-NORTH LITTLE ROCK

MEDICAL-SURGICAL

SB/PSYCH

225

LEVEL III

NORTH LITTLE ROCK

THE BRIDGEWAY

PSYCHIATRIC

REHAB/HH/OB/PALL/HOSP

127

OSCEOLA

SMC REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

25

LEVEL IV

OZARK

MERCY HOSPITAL OZARK

MEDICAL-SURGICAL

SB/PSYCH

25

LEVEL IV

PARAGOULD

ARKANSAS METHODIST MEDICAL CENTER

MEDICAL-SURGICAL

SB/HH/PALL/HOSP

129

LEVEL IV

PARIS

MERCY HOSPITAL PARIS

MEDICAL-SURGICAL

SB/REHAB/HH/OB

16

LEVEL IV

PIGGOTT

PIGGOTT COMMUNITY HOSPITAL

MEDICAL-SURGICAL

SB/HH/PALL/HOSP

25

LEVEL IV

PINE BLUFF

JEFFERSON REGIONAL

MEDICAL-SURGICAL

SB/HH

471

LEVEL III

POCAHONTAS

ST. BERNARDS FIVE RIVERS

MEDICAL-SURGICAL

SNF/PSYCH/REHAB/HH/OB

50

LEVEL IV

ROGERS

MERCY HOSPITAL NORTHWEST ARKANSAS

MEDICAL-SURGICAL

PSYCH/HH

208

LEVEL III

RUSSELLVILLE

SAINT MARY'S REGIONAL MEDICAL CENTER

MEDICAL-SURGICAL

PSYCH/HH/OB/PALL

170

LEVEL III

SALEM

FULTON COUNTY HOSPITAL

MEDICAL-SURGICAL

PSYCH/REHAB

25

LEVEL IV

SEARCY

ADVANCED CARE HOSPITAL OF WHITE COUNTY

LONG TERM CARE

SB

27

SEARCY

UNITY HEALTH

MEDICAL-SURGICAL

438

LEVEL III

SHERWOOD

CHI ST. VINCENT NORTH

MEDICAL-SURGICAL

PSYCH/REHAB/HH/OB/PALL

69

LEVEL IV

SHERWOOD

CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL

REHABILITATION

HH/PALL

80

SILOAM SPRINGS

SILOAM SPRINGS REGIONAL HOSPITAL

MEDICAL-SURGICAL

73

LEVEL IV

SPRINGDALE

ARKANSAS CHILDREN'S NORTHWEST

MED-SURG (PED)

SB/OB/PALL/HOSP

24

LEVEL IV

SPRINGDALE

NORTHWEST MEDICAL CENTER SPRINGDALE

MEDICAL-SURGICAL

222

LEVEL III

STUTTGART

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

MEDICAL-SURGICAL

PSYCH/REHAB/HH/OB

49

LEVEL IV

TEXARKANA, TX

CHRISTUS ST. MICHAEL HEALTH SYSTEM

MEDICAL-SURGICAL

SB/OB/PALL/HOSP

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

WARREN

BRADLEY COUNTY MEDICAL CENTER

MEDICAL-SURGICAL

SB/ICF/PALL

33

WEST MEMPHIS

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN

MEDICAL-SURGICAL

SB/PSYCH/HH/OB

11

WEST MEMPHIS

PERIMETER BEHAVIORAL HOSPITAL OF WEST MEMPHIS

PSYCHIATRIC

54

WYNNE

CROSSRIDGE COMMUNITY HOSPITAL

MEDICAL-SURGICAL

25

ADDITIONAL SERVICE LINES

321 PALL/HOSP LEVEL II

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

0 PSYCH/REHAB LEVEL II

PSYCH/HH/PALL PSYCH

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

PALL

SB/HH/PALL/HOSP

SB/HH

SB=Swing Beds; HH=Home Health; ICF=Intermediate Care Facility; OB=Obstetrics, Pall=Palliative Care, Hosp=Hospice Sources: American Hospital Association, Hospital Statistics 2020; Arkansas Department of Health

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 25

STATEWIDE HOSPITAL FINANCIAL AND UTILIZATION INDICATORS, 2014 - 2018 INDICATOR

2014

2015

2016

2017

2018

BEDS AVAILABLE

9,449

9,569

9,634

9,664

9,517

ADMISSIONS

350,431

357,286

359,359

363,070

358,222

PATIENT DAYS

1,795,753

1,859,244

1,846,634

1,861,122

1,828,470

AVERAGE LENGTH OF STAY

5.1

5.2

5.1

5.1

5.1

NON-EMERGENCY OUTPATIENT VISITS

3,790,058

4,184,351

4,570,177

4,629,383

4,925,120

OUTPATIENT VISITS

5,149,087

5,676,710

6,086,166

6,148,539

6,434,568

73.6%

73.7%

75.1%

75.3%

76.5%

3,701,153

3,942,232

3,963,653

4,125,703

4,148,600

52.1%

53.2%

52.5%

52.8%

52.6%

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

96,353

94,607

94,627

95,013

94,924

OUTPATIENT SURGERIES

180,684

195,650

200,832

203,105

215,656

TOTAL SURGERIES

277,037

290,257

295,459

298,118

310,580

OUTPATIENT AS % OF TOTAL SURGERIES

65.22%

67.41%

67.97%

68.13%

69.44%

TOTAL FULL-TIME EQUIVALENT EMPLOYEES

45,916

47,102

47,825

49,832

50,358

4.53

4.36

4.40

4.41

4.43

GROSS REVENUE, INPATIENT

$11,007,915,107

$11,700,149,701

$12,460,694,916

$13,396,489,708

$13,777,391,679

GROSS REVENUE, OUTPATIENT

$10,568,638,798

$11,967,218,307

$12,952,790,887

$14,212,477,805

$15,450,146,464

GROSS PATIENT REVENUE

$21,576,553,905

$23,667,368,008

$25,413,485,803

$27,608,967,513

$29,227,538,143

$576,942,240

$543,253,884

$444,692,383

$469,305,416

$502,016,281

FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED

BAD DEBTS CHARITY

$432,816,585

$336,830,549

$376,732,202

$339,342,080

$358,871,422

MEDICARE, MEDICAID & OTHER PAYER WRITEOFFS

$14,535,076,964

$16,168,309,507

$17,636,673,879

$19,440,530,333

$20,647,010,804

TOTAL DEDUCTIONS

$15,544,835,789

$17,048,393,940

$18,458,098,464

$20,249,177,829

$21,507,898,507

NET PATIENT REVENUE

$6,031,718,116

$6,618,974,068

$6,955,387,339

$7,359,789,684

7,719,639,636

OTHER OPERATING REVENUE

$310,383,539

$250,191,038

$307,097,211

$381,973,773

$395,516,849

NONOPERATING REVENUE

$98,655,117

$42,144,248

$82,544,865

$118,736,986

$44,821,792

TOTAL NET REVENUE

$6,440,756,772

$6,911,309,354

$7,345,029,415

$7,860,500,443

$8,159,978,277

PAYROLL EXPENSE

$2,209,410,939

$2,367,195,116

$2,510,431,790

$2,833,267,007

$2,989,469,225

TOTAL EXPENSE

$6,090,855,820

$6,428,954,340

$6,803,364,553

$7,372,516,174

$7,797,448,234

-0.98%

2.87%

2.19%

-0.17%

-1.01%

PATIENT REVENUE MARGIN TOTAL MARGIN

5.43%

6.98%

7.37%

6.21%

4.44%

CHARGE PER ADJUSTED INPATIENT DAY

$5,829.68

$6,003.55

$6,411.63

$6,691.94

$7,045.16

PAYMENT PER ADJUSTED INPATIENT DAY

$1,629.69

$1,678.99

$1,754.79

$1,783.89

$1,860.78

EXPENSE PER ADJUSTED INPATIENT DAY

$1,645.66

$1,630.79

$1,716.44

$1,786.97

$1,879.54

PAYROLL PER ADJUSTED INPATIENT DAY

$596.95

$600.47

$633.36

$686.74

$720.60

36.3%

36.8%

36.9%

38.4%

38.3%

PAYROLL AS % OF TOTAL EXPENSE BAD DEBT AND CHARITY AS % OF TOTAL CHARGE

4.7%

3.7%

3.2%

2.9%

2.9%

TOTAL DEDUCTIONS AS % OF TOTAL CHARGE

72.0%

72.0%

72.6%

73.3%

73.6%

OUTPATIENT REVENUE AS % TOTAL PATIENT REVENUE

49.0%

50.6%

51.0%

51.5%

52.9%

ADMISSIONS PER BED

37.1

37.3

37.3

37.6

37.6

PATIENT DAYS PER 1,000 POPULATION

605.4

624.3

618.0

619.5

606.7

ADMISSIONS PER 1,000 POPULATION

118.1

120.0

120.3

120.9

118.9

POPULATION (000'S)

2,966

2,978

2,988

3,004

3,014

Source: American Hospital Association, Hospital Statistics 2020

26 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

ARKANSAS HOSPITALS RECEIVING LOCAL TAX SUPPORT, 2020 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

1.25%

2019/2004

$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

N/A

N/A

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%

N/A

N/A

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

NA=Information not available Source: Self-reported information provided to the Arkansas Hospital Association.

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 27

KEY FINANCIAL INDICATORS ARKANSAS AND SURROUNDING STATES, 2018 In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:

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 2018:

$395,516,849

-1.01%

($18.76)

($77,808,598)

4,148,600

7,797,448,234

7,719,639,636

21,507,898,507

$861,346,310

1,032,123,112

-1.17%

($23.56)

($170,776,802)

7,248,832

14,718,473,226

14,547,696,424

41,855,453,971

$29,227,538,143 $56,403,150,395

3.14%

$758,756,302

1,323,740,658

-2.47%

($57.00)

($564,984,356)

9,911,142

23,401,894,939

22,836,910,583

55,506,948,840

343,375,075

3.14%

$758,756,302

1,323,740,658

-2.47%

($57.00)

($564,984,356)

9,911,142

23,401,894,939

22,836,910,583

55,506,948,840

$78,343,859,423 $78,343,859,423

$1,033,641,960

127,331,220

8.26%

$906,310,740

322,347,396

5.49%

$114.40

$583,963,344

5,104,726

10,060,788,649

10,644,751,993

35,120,625,862

$45,765,377,855

Oklahoma

4.09%

$872,774,231

307,017,551

2.69%

$565,756,680

1,744,204,707

-6.11%

($123.70)

($1,178,448,027)

9,526,893

20,457,279,423

19,278,831,396

65,437,792,094

$84,716,623,490

Tennessee

9.71%

$7,897,985,213

1,058,969,357

8.52%

$6,839,015,856

6,530,019,174

0.42%

$10.96

$308,996,682

28,182,982

73,402,315,718

73,711,312,400

274,698,442,100

$348,409,754,500

Texas

7.63%

$83,464,445,695

$10,967,818,652

6.70%

$72,496,627,043

$66,870,658,766

0.55%

$14.02

$5,625,968,277

401,318,395

$1,010,271,111,825

1,015,897,080,102

$2,837,413,915,863

$3,853,310,995,965

United States

Missouri

Yielding a "patient service" margin of:

$317,708,251

5.53%

343,375,075

$1,102,131,377

9.32%

Mississippi

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:

3.91%

157,135,654

$1,102,131,377

4.50%

Louisiana

Which raised total operating income to:

$44,821,792

$1,018,481,964

4.50%

Arkansas

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

$362,530,043

6.47%

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:

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

28 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

As a result, actual payments to hospitals were:

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

4.44%

For a return on investment totalling:

Source: American Hospital Association, Hospital Statistics 2020

COMPARATIVE FINANCIAL INDICATORS U.S. COMMUNITY HOSPITALS AVERAGE CHARGE PER HOSPITAL STAY

AVERAGE PAYMENT PER HOSPITAL STAY

AVERAGE OPERATING COST PER HOSPITAL STAY

MARGIN ON PATIENT CARE SERVICES

1.

DISTRICT OF COLUMBIA

91,787

DISTRICT OF COLUMBIA

25,807

DISTRICT OF COLUMBIA

25,360

UTAH

17.84%

2.

COLORADO

81,128

ALASKA

21,479

NEW YORK

20,121

ALASKA

13.04%

3.

CALIFORNIA

80,296

CALIFORNIA

19,366

CALIFORNIA

19,148

COLORADO

10.52%

4.

ALASKA

77,246

COLORADO

19,322

MAINE

18,892

FLORIDA

10.47%

5.

NEVADA

71,013

WASHINGTON

18,590

WASHINGTON

18,889

NEVADA

7.39%

6.

TEXAS

67,446

NEW YORK

18,522

ALASKA

18,678

NEW MEXICO

7.11%

7.

PENNSYLVANIA

67,119

HAWAII

18,095

HAWAII

18,454

NORTH CAROLINA

6.40%

8.

FLORIDA

65,803

UTAH

17,890

MASSACHUSETTS

17,688

VIRGINIA

6.12%

9.

NEW JERSEY

65,188

IDAHO

17,734

COLORADO

17,289

SOUTH CAROLINA

5.50%

10.

ARIZONA

64,529

MAINE

17,643

OREGON

17,046

OKLAHOMA

5.49%

11.

WASHINGTON

62,008

DELAWARE

17,229

MINNESOTA

17,001

DELAWARE

5.26%

12.

WSC REGION

60,809

MINNESOTA

17,054

IDAHO

16,881

IDAHO

4.81%

13.

NEW YORK

59,244

OREGON

16,615

DELAWARE

16,322

ARIZONA

4.24%

14.

HAWAII

57,313

NEBRASKA

16,255

VERMONT

15,872

WISCONSIN

3.68%

15.

U.S.

57,053

MONTANA

15,854

NEBRASKA

15,831

INDIANA

3.57%

16.

UTAH

56,424

WISCONSIN

15,566

CONNECTICUT

15,791

MONTANA

3.52%

17.

INDIANA

53,355

INDIANA

15,529

SOUTH DAKOTA

15,372

KANSAS

2.93%

18.

OKLAHOMA

53,122

SOUTH DAKOTA

15,517

MARYLAND

15,339

NEBRASKA

2.60%

19.

IDAHO

52,242

NEW HAMPSHIRE

15,466

NEW HAMPSHIRE

15,308

KENTUCKY

2.02%

20.

ILLINOIS

51,974

MASSACHUSETTS

15,242

MONTANA

15,296

DISTRICT OF COLUMBIA

1.73%

21.

TENNESSEE

51,580

CONNECTICUT

15,234

NORTH DAKOTA

15,142

GEORGIA

1.21%

22.

OHIO

51,318

WYOMING

15,170

WYOMING

15,048

CALIFORNIA

1.13%

23.

SOUTH CAROLINA

51,032

MARYLAND

15,146

WISCONSIN

14,992

PENNSYLVANIA

1.11%

24.

KANSAS

50,953

NEW MEXICO

15,059

INDIANA

14,975

NEW HAMPSHIRE

1.02%

25.

VIRGINIA

50,842

U.S.

15,042

U.S.

14,958

SOUTH DAKOTA

0.94%

26.

NEW MEXICO

50,341

VERMONT

14,994

OHIO

14,852

WYOMING

0.80%

27.

GEORGIA

49,944

PENNSYLVANIA

14,993

PENNSYLVANIA

14,827

WSC REGION

0.60%

28.

KENTUCKY

49,775

OHIO

14,902

UTAH

14,698

U.S.

0.55%

29.

ALABAMA

47,805

NORTH DAKOTA

14,502

TEXAS

14,209

ALABAMA

0.46%

30.

LOUISIANA

47,775

TEXAS

14,269

NEW MEXICO

13,988

TEXAS

0.42%

31.

CONNECTICUT

47,444

ILLINOIS

13,861

ILLINOIS

13,854

OHIO

0.34%

32.

NEBRASKA

46,823

ARIZONA

13,730

MISSOURI

13,851

MINNESOTA

0.31%

33.

MISSOURI

46,369

VIRGINIA

13,722

RHODE ISLAND

13,609

ILLINOIS

34.

NEW HAMPSHIRE

46,182

KANSAS

13,657

MICHIGAN

13,571

MICHIGAN

-0.32%

35.

SOUTH DAKOTA

46,042

MICHIGAN

13,528

NEW JERSEY

13,498

ARKANSAS

-1.01%

36.

MINNESOTA

46,041

MISSOURI

13,516

WSC REGION

13,431

LOUISIANA

-1.17%

37.

NORTH CAROLINA

45,835

WSC REGION

13,513

KANSAS

13,257

MARYLAND

-1.28%

38.

DELAWARE

44,213

NORTH CAROLINA

13,478

ARIZONA

13,148

MISSISSIPPI

-1.28%

39.

MISSISSIPPI

43,995

NEW JERSEY

13,307

GEORGIA

12,916

NEW JERSEY

-1.43%

40.

MASSACHUSETTS

43,870

GEORGIA

13,074

VIRGINIA

12,882

WEST VIRGINIA

-1.59%

41.

WISCONSIN

43,558

RHODE ISLAND

12,849

WEST VIRGINIA

12,708

WASHINGTON

-1.61%

42.

OREGON

41,464

NEVADA

12,629

IOWA

12,677

HAWAII

-1.98%

43.

MAINE

41,333

WEST VIRGINIA

12,509

NORTH CAROLINA

12,615

MISSOURI

-2.47%

44.

RHODE ISLAND

40,822

FLORIDA

12,493

LOUISIANA

12,467

OREGON

-2.59%

45.

MICHIGAN

39,849

OKLAHOMA

12,356

TENNESSEE

12,455

CONNECTICUT

-3.66%

46.

WEST VIRGINIA

38,878

LOUISIANA

12,322

KENTUCKY

11,826

NORTH DAKOTA

-4.41%

47.

ARKANSAS

38,460

KENTUCKY

12,070

NEVADA

11,695

VERMONT

-5.85%

48.

NORTH DAKOTA

36,185

SOUTH CAROLINA

12,034

OKLAHOMA

11,678

RHODE ISLAND

-5.92%

49.

VERMONT

35,732

IOWA

11,948

SOUTH CAROLINA

11,372

IOWA

-6.09%

50.

IOWA

35,513

TENNESSEE

11,738

FLORIDA

11,184

TENNESSEE

-6.11%

51.

WYOMING

35,257

ARKANSAS

10,158

ARKANSAS

10,261

MAINE

-7.08%

52.

MONTANA

34,908

MISSISSIPPI

10,089

MISSISSIPPI

10,218

NEW YORK

53.

MARYLAND

23,142

ALABAMA

9,744

ALABAMA

9,699

MASSACHUSETTS

0.05%

-8.63% -16.05%

Source: American Hospital Association, Hospital Statistics 2020

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 29

HOSPITAL ACCESS BY COUNTY COUNTY

NO ACUTE CARE COMMUNITY HOSPITAL (22)

SINGLE CRITICAL ACCESS HOSPITAL (18)

SINGLE NON-CAH COMMUNITY HOSPITAL (22)

MULTIPLE COMMUNITY HOSPITALS (13)

COUNTY

ARKANSAS

GARLAND

ASHLEY

GRANT

BAXTER

GREENE

BENTON

HEMPSTEAD

BOONE

HOT SPRING

BRADLEY

HOWARD

CALHOUN

INDEPENDENCE

CARROLL

IZARD

CHICOT

JACKSON

CLARK

JEFFERSON

CLAY

JOHNSON

CLEBURNE

LAFAYETTE

CLEVELAND

LAWRENCE

COLUMBIA

LEE

CONWAY

LINCOLN

CRAIGHEAD

LITTLE RIVER

CRAWFORD

LOGAN

CRITTENDEN

LONOKE

CROSS

MADISON

DALLAS

MARION

DESHA

MILLER

DREW

MISSISSIPPI

FAULKNER

MONROE

FRANKLIN

MONTGOMERY

FULTON

NEVADA NEWTON

NO ACUTE CARE COMMUNITY HOSPITAL (22)

•

•

POINSETT

• • •

•

•

• • • •

RANDOLPH

• • • • • • •

SALINE SCOTT SEARCY

• • •

• • • •

POPE PULASKI

•

• • • •

POLK PRAIRIE

•

•

SEBASTIAN SEVIER SHARP ST. FRANCIS

MULTIPLE COMMUNITY HOSPITALS (13)

• •

PHILLIPS PIKE

SINGLE NON-CAH COMMUNITY HOSPITAL (22)

•

OUACHITA PERRY

SINGLE CRITICAL ACCESS HOSPITAL (18)

• •

STONE

• •

UNION VAN BUREN WASHINGTON

•

WHITE WOODRUFF YELL

30 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

•

• •

AHA-MEMBER ORGANIZATIONS

BY CONGRESSIONAL DISTRICT 1st Congressional District

Congressman Rick Crawford Arkansas Continued Care Hospital of Jonesboro Arkansas Methodist Medical Center Baptist Health Medical Center-Heber Springs Baptist Health Medical Center-Stuttgart Baptist Memorial Hospital-Crittenden Baxter Regional Medical Center Chicot Memorial Medical Center CrossRidge Community Hospital Delta Memorial Hospital DeWitt Hospital & Nursing Home Forrest City Medical Center Fulton County Hospital Great River Medical Center Helena Regional Medical Center Izard County Medical Center Lawrence Memorial Hospital McGehee Hospital NEA Baptist Memorial Hospital Perimeter Behavioral Hospital of W. Memphis Piggott Community Hospital SMC Regional Medical Center St. Bernards Five Rivers St. Bernards Medical Center Stone County Medical Center Unity Health - Harris Medical Center White River Health System

Total = 26

2nd Congressional District

Congressman French Hill 19th Medical Group Advanced Care Hospital of White County Arkansas Children's Hospital Arkansas Hospice Arkansas State Hospital Baptist Health Extended Care Hospital Baptist Health Medical Center-Conway Baptist Health Medical Center-Little Rock Baptist Health Medical Center-N. Little Rock Baptist Health Rehabilitation Institute CARTI Central Arkansas Veterans Healthcare System CHI St. Vincent Infirmary CHI St. Vincent Morrilton CHI St. Vincent North CHI St. Vincent Sherwood Rehabilitation Hospital Conway Behavioral Health Conway Regional Health System Conway Regional Rehabilitation Hospital Cornerstone Specialty Hospitals Little Rock Freedom Behavioral Hospital of Central Arkansas Methodist Behavioral Hospital Ozark Health Medical Center Pinnacle Pointe Behavioral Healthcare System Rivendell Behavioral Health Services Saline Memorial Hospital The BridgeWay UAMS Medical Center Unity Health

Total = 29

3rd Congressional District

Congressman Steve Womack Arkansas Children’s Northwest Baptist Health-Fort Smith Baptist Health-Van Buren CHRISTUS Dubuis Hospital of Fort Smith Encompass Health Rehabilitation Hospital Eureka Springs Hospital Mercy Hospital Berryville Mercy Hospital Fort Smith Mercy Hospital Northwest Arkansas North Arkansas Regional Medical Center Northwest Health Physicians’ Specialty Hospital Northwest Medical Center Bentonville Northwest Medical Center Springdale Ozarks Community Hospital Saint Mary's Regional Medical Center Siloam Springs Regional Hospital Springwoods Behavioral Health Hospital Valley Behavioral Health System Vantage Point of NWA Veterans Health Care System of the Ozarks Washington Regional Medical System Willow Creek Women’s Hospital

Total = 22

4th Congressional District

Congressman Bruce Westerman Ashley County Medical Center Baptist Health Medical Center-Arkadelphia Baptist Health Medical Center-Hot Spring County Bradley County Medical Center Chambers Memorial Hospital CHI St. Vincent Hot Springs CHRISTUS Dubuis Hospital of Hot Springs Dallas County Medical Center Dardanelle Regional Medical Center Drew Memorial Health System Howard Memorial Hospital Jefferson Regional Johnson Regional Medical Center Levi Hospital Little River Medical Center Magnolia Regional Medical Center Medical Center of South Arkansas Mena Regional Health System Mercy Hospital Booneville Mercy Hospital Ozark Mercy Hospital Paris Mercy Hospital Waldron National Park Medical Center Ouachita County Medical Center Riverview Behavioral Health

Total = 25

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

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 31

AHA MEMBERS BY CONTROL AND SYSTEM AFFILIATION TYPE OF HOSPITAL

TYPE OF CONTROL PNP

CORPORATE

19TH MEDICAL GROUP

MULTIHOSPITAL GOV'T

CONTROLLING ORGANIZATION

SYSTEM

SYSTEM HOME

U.S. DEPARTMENT OF DEFENSE

√

ADVANCED CARE HOSPITAL OF WHITE COUNTY

LTCH

√

Y

UNITY HEALTH

SEARCY

ARKANSAS CHILDREN'S HOSPITAL

CHILDREN'S

√

Y

ARKANSAS CHILDREN'S

LITTLE ROCK

ARKANSAS CHILDREN'S NORTHWEST

CHILDREN'S

√

Y

ARKANSAS CHILDREN'S

LITTLE ROCK

ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO LTCH

√

Y

COMMUNITY HOSPITAL CORPORATION

PLANO, TX

ARKANSAS HOSPICE

√

LOCAL BOARD

√

LOCAL BOARD

ARKANSAS METHODIST MEDICAL CENTER

RRC

ARKANSAS STATE HOSPITAL

IP PSYCH

ASHLEY COUNTY MEDICAL CENTER

CAH

√

BAPTIST HEALTH EXTENDED CARE HOSPITAL

LTCH

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA

CAH

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-CONWAY

URBAN

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS

CAH

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY RURAL/MDH

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK

URBAN

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK

URBAN

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

RURAL/MDH

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH REHABILITATION INSTITUTE

IRF

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH-FORT SMITH

URBAN

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST HEALTH-VAN BUREN

URBAN

√

Y

BAPTIST HEALTH

LITTLE ROCK

BAPTIST MEMORIAL HOSPITAL-CRITTENDEN

URBAN

√

Y

BAPTIST MEMORIAL HEALTHCARE CORP.

MEMPHIS, TN

BAXTER REGIONAL MEDICAL CENTER

RRC/SCH

√

LOCAL BOARD

BRADLEY COUNTY MEDICAL CENTER

CAH

√

LOCAL BOARD

CARTI

STATE

√

LOCAL BOARD

LOCAL BOARD

√

CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM

U.S. DEPARTMENT OF VETERANS AFFAIRS

√

CHAMBERS MEMORIAL HOSPITAL

RURAL

√

CHI ST. VINCENT HOT SPRINGS

URBAN

√

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

CHI ST. VINCENT INFIRMARY

URBAN

√

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

CHI ST. VINCENT MORRILTON

CAH

√

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

CHI ST. VINCENT NORTH

URBAN

√

Y

COMMONSPIRIT HEALTH

CHICAGO, IL

Y

ENCOMPASS HEALTH

BIRMINGHAM, AL

CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL IRF

LOCAL BOARD

√

CHICOT MEMORIAL MEDICAL CENTER

CAH

√

CHRISTUS DUBUIS HOSPITAL OF FORT SMITH

LTCH

√

Y

CHRISTUS HEALTH

IRVING, TX

CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS

LTCH

√

Y

CHRISTUS HEALTH

IRVING, TX

CHRISTUS ST. MICHAEL HEALTH SYSTEM

URBAN (TX)

√

Y

CHRISTUS HEALTH

IRVING, TX

CONWAY BEHAVIORAL HEALTH

IP PSYCH

Y

ACADIA HEALTHCARE

FRANKLIN, TN

CONWAY REGIONAL HEALTH SYSTEM

URBAN

√

Y

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

CONWAY REGIONAL REHABILITATION HOSPITAL

IRF

√

Y

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK

LTCH

Y

CORNERSTONE HEALTHCARE GROUP

DALLAS, TX

CROSSRIDGE COMMUNITY HOSPITAL

CAH

Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

DALLAS COUNTY MEDICAL CENTER

CAH

DARDANELLE REGIONAL MEDICAL CENTER

CAH

√

DELTA 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

√

FREEDOM BEHAVIORAL HOSPITAL OF CENTRAL ARKANSAS

IP PSYCH

√

FULTON COUNTY HOSPITAL

CAH

32 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

LOCAL BOARD

√

√ √

COUNTY

√ Y

CONWAY REGIONAL HEALTH SYSTEM

CONWAY

LOCAL BOARD LOCAL BOARD COUNTY

√ Y

√

ENCOMPASS HEALTH

BIRMINGHAM, AL

EUREKA SPRINGS HOSPITAL COMMISSION

EUREKA SPRINGS, AR

Y

QUORUM HEALTH

FRANKLIN, TN

Y

FREEDOM BEHAVIORAL HEALTH

LAKE CHARLES, LA

√

√

COUNTY

TYPE OF HOSPITAL

TYPE OF CONTROL PNP

CORPORATE

MULTIHOSPITAL GOV'T

CONTROLLING ORGANIZATION

SYSTEM HOME

SYSTEM

GREAT RIVER MEDICAL CENTER

RURAL/RRC

HELENA REGIONAL MEDICAL CENTER

RURAL

COUNTY

HOWARD MEMORIAL HOSPITAL

CAH

√

LOCAL BOARD

IZARD COUNTY MEDICAL CENTER

CAH

√

LOCAL BOARD

JEFFERSON REGIONAL

URBAN/SCH

√

LOCAL BOARD

JOHNSON REGIONAL MEDICAL CENTER

RURAL/MDH

√

LAWRENCE MEMORIAL HOSPITAL

CAH

√

LEVI HOSPITAL

URBAN

√

LITTLE RIVER MEDICAL CENTER

CAH

√

COUNTY

MAGNOLIA REGIONAL MEDICAL CENTER

RURAL/SCH

√

CITY

MCGEHEE HOSPITAL

CAH

MEDICAL CENTER OF SOUTH ARKANSAS

RRC/SCH

MENA REGIONAL HEALTH SYSTEM

RURAL/SCH

MERCY HOSPITAL BERRYVILLE

CAH

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HOSPITAL BOONEVILLE

CAH

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HOSPITAL FORT SMITH

URBAN

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HOSPITAL NORTHWEST ARKANSAS

URBAN

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HOSPITAL OZARK

CAH

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HOSPITAL PARIS

CAH

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

MERCY HOSPITAL WALDRON

CAH

√

Y

MERCY HEALTH SYSTEM

ST. LOUIS, MO

METHODIST BEHAVIORAL HOSPITAL

IP PSYCH

√

Y

METHODIST FAMILY HEALTH

LITTLE ROCK

NATIONAL PARK MEDICAL CENTER

RRC

Y

LIFEPOINT

BRENTWOOD, TN

NEA BAPTIST MEMORIAL HOSPITAL

URBAN

√

Y

BAPTIST MEMORIAL HEALTHCARE CORP.

MEMPHIS, TN

NORTH ARKANSAS REGIONAL MEDICAL CENTER

RRC/SCH

√

NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL

URBAN

√

Y

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

NORTHWEST MEDICAL CENTER BENTONVILLE

URBAN

√

Y

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

NORTHWEST MEDICAL CENTER SPRINGDALE

URBAN

√

Y

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

OUACHITA COUNTY MEDICAL CENTER

RURAL/SCH

√

OZARK HEALTH MEDICAL CENTER

CAH

√

OZARKS COMMUNITY HOSPITAL

CAH

√

Y

OZARKS COMMUNITY HOSPITAL HEALTH SYSTEM GRAVETTE, AR

PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS

IP PSYCH

√

Y

WOODRIDGE BEHAVIORAL CARE

PIGGOTT COMMUNITY HOSPITAL

CAH

√ Y

√

FRANKLIN, TN

LOCAL BOARD Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

LOCAL BOARD

LOCAL BOARD

√ Y

√ √

√

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

CITY

LOCAL BOARD

LOCAL BOARD LOCAL BOARD

√

PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM IP PSYCH

QUORUM HEALTH

JACKSON, TN

CITY Y

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

Y

REGIONAL ONE HEALTH

MEMPHIS, TN

√

Y

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

IP PSYCH

√

Y

ACADIA HEALTHCARE

FRANKLIN, TN

SAINT MARY'S REGIONAL MEDICAL CENTER

RRC

√

Y

LIFEPOINT

BRENTWOOD, TN

SALINE MEMORIAL HOSPITAL

URBAN

√

Y

LIFEPOINT

BRENTWOOD, TN

SILOAM SPRINGS REGIONAL HOSPITAL

URBAN

√

Y

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

SMC REGIONAL MEDICAL CENTER

CAH

SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL

IP PSYCH

ST. BERNARDS FIVE RIVERS

RURAL/SCH

ST. BERNARDS MEDICAL CENTER

URBAN/RRC

STONE COUNTY MEDICAL CENTER

CAH

THE BRIDGEWAY

IP PSYCH

UAMS MEDICAL CENTER

URBAN

UNITY HEALTH

RRC/SCH

√

Y

UNITY HEALTH

SEARCY

UNITY HEALTH - HARRIS MEDICAL CENTER

RURAL

√

Y

UNITY HEALTH

SEARCY

VALLEY BEHAVIORAL HEALTH SYSTEM

IP PSYCH

√

Y

ACADIA HEALTHCARE

FRANKLIN, TN

VANTAGE POINT OF NWA

IP PSYCH

√

Y

ACADIA HEALTHCARE

FRANKLIN, TN

REGIONAL ONE HEALTH

URBAN (TN)

RIVENDELL BEHAVIORAL HEALTH SERVICES

IP PSYCH

RIVERVIEW BEHAVIORAL HEALTH

√ √

√

COUNTY Y

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

√

Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

√

Y

ST. BERNARDS HEALTH SYSTEM

JONESBORO

√

Y

WHITE RIVER HEALTH SYSTEM

BATESVILLE

Y

UNIVERSAL HEALTH SERVICES

KING OF PRUSSIA, PA

√

√ √

STATE

√

VETERANS HEALTHCARE SYSTEM OF THE OZARKS WASHINGTON REGIONAL MEDICAL SYSTEM

URBAN

√

WHITE RIVER HEALTH SYSTEM

RRC/SCH

√

WILLOW CREEK WOMEN'S HOSPITAL

URBAN

U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD

√

Y

WHITE RIVER HEALTH SYSTEM

BATESVILLE

Y

COMMUNITY HEALTH SYSTEMS

FRANKLIN, TN

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

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 33

INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES BY PAYER ED

33%

23%

27%

2% 7%

9%

HMO/COMM.INS MEDICAID MEDICARE OTHER GOV. PROGRAMS

INPATIENT

27%

0%

23%

20%

41%

40%

60%

1% 5% 3%

80%

OTHER UNKNOWN SELF PAY/NO CHARGE

100%

Arkansas Department of Health, Hospital Discharge Program, 2018

In 2018, hospitals saw an increase in uncompensated care and uninsured patients for the first time since Arkansas expanded Medicaid.

UNINSURED INPATIENT ADMISSIONS AND COSTS, 2009-2018 35,000

$250

30,000

$200

25,000 $150

20,000 15,000

$100

10,000 $50

5,000 0

2009

2010

2011

2012

34 STATS | SUMMER 2020 | ARKANSAS HOSPITALS

2013

2014

2015

2016

2017

2018

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

$0

Arkansas Department of Health, Hospital Discharge Program, 2018

HOSPITAL UNCOMPENSATED CARE COSTS, 2014-2018 YEAR

GROSS REVENUES (BILLED CHARGES)

NET REVENUES (AMOUNT COLLECTED)

OTHER OPERATING REVENUE

GROSS+ OTHER REVENUE

TOTAL OPERATING COSTS

COST-TO-CHARGE RATIO

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%

2018

$29,227,538,143

$7,719,639,636

$395,516,849

$29,623,054,992

$7,797,448,234

24.63%

CHANGE

35.46%

27.98%

27.43%

35.35%

28.02%

YEAR

TOTAL UNCOLLECTED AMOUNTS DUE

BAD DEBT

CHARITY CARE

UNCOMPENSATED CARE CHARGES

UNCOMPENSATED CARE COSTS

UNCOMPENSATED CARE % OF TOTAL COSTS

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%

2018

$21,507,898,507

$502,016,281

$358,871,422

$860,887,703

$212,015,528

2.72%

CHANGE

40.53%

-12.99%

-17.08%

-14.74%

-16.66%

TOP 20 DRGS # DISCHARGES

TOTAL CHARGES

MEAN CHARGES PER DISCHARGE

MEAN STAY PER DISCHARGE

MEAN DAILY RATE

885 - PSYCHOSES

29,704

$442,822,500

$14,908

9.2

$1,619

795 - NORMAL NEWBORN

20,746

$98,661,927

$4,756

1.7

$2,797

775 - VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES

14,073

$194,011,691

$13,786

1.8

$7,452

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

13,666

$603,618,535

$44,169

6.1

$7,265

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

11,274

$475,168,881

$42,147

4.1

$10,381

794 - NEONATE W OTHER SIGNIFICANT PROBLEMS

7,998

$55,667,211

$6,960

2.2

$3,164

291 - HEART FAILURE & SHOCK W MCC

7,743

$245,364,570

$31,689

5.6

$5,710

766 - CESAREAN SECTION W/O CC/MCC

5,547

$107,338,282

$19,351

2.5

$7,679

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

5,536

$99,970,414

$18,058

3.2

$5,574

189 - PULMONARY EDEMA & RESPIRATORY FAILURE

5,216

$168,754,396

$32,353

5.2

$6,222

881 - DEPRESSIVE NEUROSES

4,947

$65,287,036

$13,197

6.6

$1,988

193 - SIMPLE PNEUMONIA & PLEURISY W MCC

4,212

$139,172,919

$33,042

5.1

$6,492

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

4,192

$45,928,935

$10,956

4.3

$2,536

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

4,147

$94,173,773

$22,709

4.4

$5,197

057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC

4,131

$132,907,531

$32,173

12.9

$2,500

194 - SIMPLE PNEUMONIA & PLEURISY W CC

4,031

$80,714,953

$20,024

3.9

$5,147

690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC

4,006

$65,503,565

$16,351

3.6

$4,580

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

3,955

$55,193,755

$13,955

1.8

$7,884

603 - CELLULITIS W/O MCC

3,679

$64,980,406

$17,663

3.9

$4,576

190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC

3,519

$96,194,396

$27,336

4.3

$6,328

162,322

$3,331,435,676

$21,779

4.6

$4,719

DIAGNOSIS-RELATED GROUP

TOP 20 DRGS

ARKANSAS HOSPITALS | SUMMER 2020 | STATS 35

20 SUMMER 2020 | ARKANSAS HOSPITALS