hospital statistics 2017 · source: american hospital association, aha statistics, 2017 member...
TRANSCRIPT
ARKANSAS HOSPITAL ASSOCIATION . 39
HOSPITALSTATISTICS2017
An AHA Reference for Use in Health Care Discussions
40 . SUMMER 2017
ARKANSAS HOSPITALS:Key Numbers to Know
106 Hospitals of all types are located in Arkansas.
101
44
29
40
36
24
22
56%
Total hospitals and other healthcare organizations are members of the Arkansas Hospital Association.
Arkansas community hospitals have fewer than 100 beds.
Arkansas hospitals are designated by the federal government as Critical Access Hospitals, having no more than 25 acute care beds.
Arkansas counties are served by a single hospital. Nineteen of those counties are served by a single Critical Access Hospital.
Arkansas counties are home to hospitals that are among the top five employers in the county. In 21 of those counties, a hospital is among the top three employers.
Arkansas counties and cities believe their hospitals to be important enough that their citizens have voted to provide local tax support to the hospital.
36,206
45,226
40,700
$370million
16,302
$11.4 billion
Arkansas counties – almost 30% of all counties in the state – do not have a local community hospital.
Of AHA member hospitals are charitable, not-for-profit organizations, while 30% of the hospitals are owned and operated by private, for-profit companies, and 14% are public hospitals owned and operated a city, county, state or federal government.
Arkansans sought inpatient or outpatient care from Arkansas's hospitals each day in 2015 for illnesses, injuries and other conditions requiring medical attention.
Newborns were delivered in Arkansas hospitals in 2015. The Arkansas Medicaid program covered almost 65% of them.
Arkansans are employed in full- and part-time capacities by hospitals across the state, which have a combined annual payroll of $2.8 billion that helps to support about 8% of all non-farm jobs in the state through direct and indirect purchases of goods and services.
Other jobs in local communities across Arkansas are supported through hospital employees’ personal purchases of groceries, clothing, cars, appliances, housing and many other goods and services.
Was spent in 2015 by Arkansas hospitals in providing uncompensated care for patients who could not afford to pay for the cost of their services.
Is the estimated overall annual economic impact Arkansas hospitals provided for the state, based on direct spending on goods and services, their impact on other businesses throughout the economy, jobs and employees’ spending.
ARKANSAS HOSPITAL ASSOCIATION . 41
A SNAPSHOT OF ARKANSAS HOSPITAL ASSOCIATION MEMBERS Hospitals licensed in Arkansas
Psychiatric Hospitals75General Med-Surg Hospitals 104
5
2
(24)(20)
(1)
(1)(1)
(28)
Urban
Rural
Pediatric Hospitals
Cardiac Care Hospitals
Women’s Hospitals
Critical Access Hospitals
Rehabilitation Hospitals
Long-term Care Hospitals
Veterans Affairs Hospitals
96
Number of out-of-state border city hospitals
Non-hospital member organizations
Total AHA-member organizations
+2
+3
101Source: American Hospital Association, AHA Statistics, 2017
MEMBER ORGANIZATIONS BY TYPEGeneral Med-Surg Hospitals (44)Arkansas Methodist Medical CenterBaptist Health Medical Center-ConwayBaptist Health Medical Center-Hot Spring CountyBaptist Health Medical Center-Little RockBaptist Health Medical Center-NLRBaptist Health Medical Center-StuttgartBaxter Regional Medical CenterChambers Memorial HospitalCHI St. Vincent Hot SpringsCHI St. Vincent InfirmaryCHI St. Vincent NorthConway Regional Health SystemDrew Memorial HospitalFive Rivers Medical CenterForrest City Medical CenterGreat River Medical CenterHelena Regional Medical CenterJefferson Regional Medical CenterJohnson Regional Medical CenterLevi HospitalMagnolia Regional Medical CenterMedical Center of South ArkansasMena Regional Health SystemMercy Hospital Northwest ArkansasMercy Hospital Fort SmithNational Park Medical CenterNEA Baptist Memorial HospitalNorth Arkansas Regional Medical CenterNorth Metro Medical CenterNorthwest Health Physicians' Specialty HospitalNorthwest Medical Center-BentonvilleNorthwest Medical Center-SpringdaleOuachita County Medical CenterSaint Mary's Regional Medical CenterSaline Memorial HospitalSiloam Springs Memorial HospitalSparks Regional Medical CenterSparks Medical Center-Van Buren
St. Bernards Medical CenterUAMS Medical CenterUnity Health-Harris Medical CenterUnity Health-White County Medical CenterWashington Regional Medical CenterWhite River Medical Center
Inpatient Psych Hospitals (10)Arkansas State HospitalMethodist Behavioral HospitalPinnacle Pointe HospitalOakRidge Behavioral CenterRivendell Behavioral Health ServicesRiverview Behavioral HealthSpringwoods Behavioral HealthThe BridgeWayValley Behavioral Health SystemVantage Point of NWA
Inpatient Rehab Hospitals (4)Baptist Health Rehabilitation InstituteConway Regional Rehabilitation HospitalHEALTHSOUTH Rehabilitation Hospital of FayettevilleSt. Vincent Rehabilitation Hospital
Critical Access Hospitals (28)Ashley County Medical CenterBaptist Health Medical Center-ArkadelphiaBaptist Health Medical Center-Heber SpringsBradley County Medical CenterCHI St. Vincent MorriltonChicot Memorial Medical CenterCommunity Medical Center of Izard CountyCrossRidge Community HospitalDallas County Medical CenterDelta Memorial HospitalDeWitt HospitalEureka Springs HospitalFulton County Hospital
Howard Memorial HospitalLawrence Memorial HospitalLittle River Memorial HospitalMcGehee HospitalMercy Hospital BerryvilleMercy Hospital BoonevilleMercy Hospital OzarkMercy Hospital ParisMercy Hospital WaldronOzark Health Medical CenterOzarks Community HospitalPiggott Community HospitalRiver Valley Medical CenterSMC Regional Medical CenterStone County Medical Center
Veterans Affairs Hospitals (2)Central Arkansas Veterans Healthcare SystemVeterans Healthcare System of the Ozarks
Long Term Care Hospitals (5)Advanced Care Hospital of White CountyBaptist Health Extended Care HospitalDubuis Hospital of Fort SmithCHRISTUS Dubuis Hospital of Hot SpringsCornerstone Hospital of Little Rock
Special Focus Hospitals (3)Arkansas Children's HospitalArkansas Heart HospitalWillow Creek Women's Hospital
Out-of-State Border City Hospitals (2)CHRISTUS St. Michael Health SystemRegional One Health
Non-Hospital Facilities (3)19th Medical Group, LRAFBArkansas HospiceCARTI
42 . SUMMER 2017
AHA MEMBER ORGANIZATIONS
ArkadelphiaAshdownBarlingBatesvilleBentonBentonBentonvilleBerryvilleBlythevilleBoonevilleCalico RockCamdenClarksvilleClintonConwayConwayConwayCrossettDanvilleDardanelleDeWittDumasEl DoradoEureka SpringsFayettevilleFayettevilleFayettevilleFayettevilleFayettevilleFayettevilleFordyceForrest CityFort SmithFort SmithFort SmithGravetteHarrisonHeber SpringsHelenaHot SpringsHot SpringsHot SpringsHot SpringsJacksonvilleJohnsonJonesboroJonesboroLake VillageLittle Rock
CIT
Y
HO
SPIT
AL
CO
NTR
OL
TYPE
OF
HO
SPIT
AL
MED
ICA
RE
PMT.
STA
TUS
LIC
ENSE
D
BED
S
AD
DIT
ION
AL
DPU
S/SE
RVIC
ESO
FFER
ED
Little RockLittle Rock
Baptist Health Med. Ctr.-Arkadelphia PNP Medical-Surgical CAH 25 SB/HHLittle River Memorial Hospital County Medical-Surgical CAH 25 SB/HH/ICFValley Behavioral Health System Corporate Psychiatric IP Psych 75White River Medical Center PNP Medical-Surgical RRC/SCH 198 SNF/Psych/RehabRivendell Behavioral Health Corporate Psychiatric IP Psych 77Saline Memorial Hospital PNP Medical-Surgical 167 Psych/Rehab/HHNorthwest Med. Ctr.-Bentonville Corporate Urban 128 HHMercy Hospital Berryville PNP CAH 25 HH/SBGreat River Medical Center County Rural 99Mercy Hospital Booneville PNP CAH 25 SB/HHCommunity Medical Center of Izard County PNP Medical-Surgical CAH 25Ouachita County Medical Center PNP Medical-Surgical Rural/SCH 98Johnson Regional Medical Center PNP Medical-Surgical Rural/MDH 80Ozark Health Medical Center PNP Medical-Surgical CAH 25Baptist Health Medical Center-Conway PNP Medical-Surgical Urban 111Conway Regional Health System PNP Medical-Surgical 154 Psych/Rehab/HHConway Regional Rehabilitation Hospital Corporate IRF 26Ashley County Medical Center PNP CAH 33 SB/Psych/HHChambers Memorial Hospital PNP Rural 41 SB/HHRiver Valley Medical Center Corporate CAH 25 SB/Psych/HH
RehabilitationMedical-SurgicalMedical-SurgicalMedical-SurgicalMedical-SurgicalMedical-Surgical
Medical-SurgicalMedical-SurgicalMedical-SurgicalMedical-Surgical
SB/HHSB/SNF/Psych/Rehab/HHSB/SNF/Psych/Rehab/HHSB/HH/ICF
DeWitt Hospital & Nursing Home PNP Medical-Surgical CAH 25 SB/ICFDelta Memorial Hospital PNP CAH 25 HH/SBMedical Center of South Arkansas Corporate Medical-Surgical RRC/SCH 166 RehabEureka Springs Hospital Corporate Medical-Surgical CAH 22 SB/HHHEALTHSOUTH Rehab. of Fayetteville Corporate Rehabilitation IRF 60NW Health Physicians' Specialty Corporate Medical-Surgical 20Springwoods Behavioral Health Corporate IP Psych 80Washington Regional Medical Ctr. PNP Urban 366 HHVeterans Healthcare Ctr. of the Ozarks Federal 73 PsychVantage Point of NWA Corporate IP Psych 92Dallas County Medical Center County Medical-Surgical CAH 25Forrest City Medical Center Corporate Medical-Surgical Rural/SCH 118Dubuis Hospital of Fort Smith PNP Long Term Care LTCH 25
Corporate Medical-Surgical Urban 492Sparks Regional Medical CenterPNP Medical-Surgical Urban 354Mercy Hospital Fort SmithCorporate Medical-Surgical 25 SB/OP Geripsych/Wound ClinicOzarks Community HospitalPNP RRC/SCH 174 HH/Psych/DPUNorth Arkansas Regional Medical CenterPNP CAH 25 SB/HHCorporate Rural 155 SB/Rehab/HH
CHRISTUS Dubuis Hospital of Hot Springs PNP LTCH 27
Medical-SurgicalMedical-SurgicalMedical-SurgicalLong Term CareMedical-SurgicalMedical-Surgical
PsychiatricMedical-SurgicalVeterans AffairsPsychiatric
SB/HHPsych/HH
HHSNF/Rehab/HH
Levi Hospital PNP Urban 81 Psych/RehabNational Park Medical Center Corporate RRC 166 RehabCHI St. Vincent Hospital Hot Springs PNP Medical-Surgical Urban 282 Psych/Rehab/HHNorth Metro Medical Center Medical-Surgical Urban 78Willow Creek Women's Hospital Med-Surg (OB/Gyn) Urban 64NEA Baptist Memorial Hospital PNP Medical-Surgical 216 RehabSt. Bernards Medical Center PNP RRC 438 Psych/HHChicot Memorial Medical Center PNP CAH 25 SB/HH19th Medical Group DoD CAH 0 SB/HHArkansas Children's Hospital PNP CAH 359 SB/HHArkansas Heart Hospital Corporate Med-Surg (Cardiac) CAH 112
Medical-SurgicalMedical-SurgicalInfirmaryMed-Surg (Ped)
SB/HH
Urban
Baptist Health Medical Ctr.-Heber SpringsHelena Regional Medical Center
Urban
Urban
CAH
UrbanCorporateCorporate
ARKANSAS HOSPITAL ASSOCIATION . 43
PNP=Private Non-Profit; CAH=Critical Access Hospital; RRC=Rural Referral Center; SCH=Sole Community Hospital; MDH=Medicare Dependent Hospital; SB=Swing Beds; DPU=Distinct Part Unit; HH=Home Health; ICF = Intermediate Care Facility
CHI St. Vincent Infirmary PNP Medical-Surgical Urban 615 Psych/HH
CIT
Y
HO
SPIT
AL
CO
NTR
OL
TYPE
OF
HO
SPIT
AL
MED
ICA
RE
PMT.
STA
TUS
LIC
ENSE
D
BED
S
AD
DIT
ION
AL
DPU
S/SE
RVIC
ESO
FFER
ED
Little RockMagnoliaMalvernMaumelleMcGeheeMemphis, TNMenaMonticelloMorriltonMountain HomeMountain ViewNashvilleNewportNorth Little Rock
OsceolaOzarkParagouldParisPiggottPine BluffPocahontasRogersRussellvilleSalemSearcySearcySherwoodSherwoodSiloam SpringsSpringdaleStuttgartTexarkanaTexarkana, TXVan BurenWaldronWalnut RidgeWarrenWest MemphisWynne
North Little RockNorth Little Rock
UAMS Medical Center State Medical-Surgical Urban 450Magnolia Regional Medical Center City Medical-Surgical Rural/SCH 49 SB/HHBaptist Health Med. Ctr.-Hot Spring Co. PNP Medical-Surgical Rural/MDH 72 Psych/HHMethodist Behavioral Hospital PNP Psychiatric IP Psych 60 SB/HHMcGehee Hospital PNP Medical-Surgical CAH 25 SB/HHRegional One Health PNP Medical-Surgical 620Mena Regional Health System City Rural/SCH 65 SB/Psych/RehabDrew Memorial Hospital County Rural/SCH 49 SB/HHCHI St. Vincent Morrilton PNP CAH 25 SB/HHBaxter Regional Medical Center PNP RRC/SCH 268 Psych/Rehab/HHStone County Medical Center PNP Medical-Surgical CAH 20Howard Memorial Hospital Corporate Medical-Surgical Rural 133Unity Health-Harris Medical Center PNP Medical-Surgical CAH 25Arkansas Hospice PNP Inpatient Hospice 40Baptist Health Med. Ctr.-NLR PNP Medical-Surgical Urban 220The BridgeWay Corporate Psychiatric 127SMC Regional Medical Center County CAH 25 SB/PsychMercy Hospital Ozark PNP CAH 25 SBArkansas Methodist Medical Center PNP RRC 129 SB/Rehab/HHMercy Hospital Paris PNP CAH 16 SB
Medical-SurgicalMedical-SurgicalMedical-SurgicalMedical-Surgical
Medical-SurgicalMedical-SurgicalMedical-SurgicalMedical-Surgical
SBSB/PsychSB/HH
Rehab/HH
Piggott Community Hospital City Medical-Surgical CAH 25 SB/HHJefferson Regional Medical Center PNP Medical-Surgical Urban/SCH 471 SNF/Psych/Rehab/HHFive Rivers Medical CenterArkansas PNP Medical-Surgical Rural/SCH 50 Psych/HHMercy Hospital of Northwest PNP Medical-Surgical Urban 220 Psych/HHSaint Mary's Regional Medical Center Corporate Medical-Surgical RRC 170 Psych/RehabFulton County Hospital County Medical-Surgical 25 SBAdvanced Care Hospital of White County PNP LTCH 27Unity Health-White County Medical Center PNP RRC/SCH 438 Psych/Rehab/HHCHI St. Vincent North PNP Urban 69 HHSt. Vincent Rehabilitation Hospital Corporate IRF 93Siloam Springs Regional Hospital Corporate Medical-Surgical Urban 73
Baptist Health Medical Center-StuttgartCorporate Medical-Surgical Urban 222
Riverview Behavioral HealthPNP Medical-Surgical Rural/MDH 49
CHRISTUS St. Michael Health SystemCorporate Psychiatric IP Psych 62
Sparks Medical Centerl-Van BurenPNP Medical-Surgical Urban (TX) 312
Mercy Hospital WaldronCorporate Medical-Surgical 103
Lawrence Memorial HospitalPNP CAH 24 SB/ICF
Bradley County Medical CenterCounty CAH 25 SB/ICF
OakRidge Behavioral CenterPNP CAH 33 SB/Psych/HH
CrossRidge Community Hospital
Corporate IP Psych 52
Medical-SurgicalMedical-SurgicalMedical-SurgicalPsychiatric
Long Term CareMedical-SurgicalMedical-SurgicalRehabilitation
SBPsych/Rehab/HHSB
Northwest Medical Center Springdale
PNP CAH 25 SB/HHMedical-Surgical
Little RockLittle RockLittle RockLittle RockLittle RockLittle RockLittle Rock
Arkansas State Hospital State Psychiatric IP Psych 345Baptist Health Extended Care Hospital PNP Long Term Care LTCH 55Baptist Health Med. Ctr.-Little Rock PNP Medical-Surgical Urban 827Baptist Health Rehabilitation Institute
PNPRehabilitation 120
CARTIPNP IRF
0Central AR Veterans Healthcare System Federal 635 Psych/RehabCornerstone Hospital of Little Rock Corporate LTCH 40
Veterans AffairsOP Cancer Center
Long Term Care
SB/HH
SNF/Psych/HH
Little Rock Pinnacle Pointe Behavioral Health System Corporate IP Psych 124Psychiatric Outpt. PsychLittle Rock
Urban (TN)
IP Psych
Urban
CAH
SB/SNF/Psych/Rehab/HH
SB/OP Geripsych/Wound Clinic
44 . SUMMER 2017
DISTRIBUTION OF ARKANSAS COMMUNITY HOSPITALS BY COUNTY
Arkansas AshleyBaxterBenton BooneBradleyCalhounCarroll ChicotClarkClayCleburneClevelandColumbiaConwayCraigheadCrawfordCrittendenCrossDallasDesha DrewFaulknerFranklinFultonGarlandGrantGreeneHempsteadHot SpringHowardIndependenceIzardJacksonJeffersonJohnsonLafayetteLawrenceLeeLincolnLittle RiverLogan LonokeMadisonMarionMillerMississippi MonroeMontgomery
No
Acu
te C
are
Com
mun
ity
Hos
pita
l (22
)
NevadaNewtonOuachitaPerryPhillipsPikePoinsettPolkPopePrairie
Sing
le C
ritic
al
Acc
ess
Hos
pita
l (1
9)
Sing
le N
on-C
AH
C
omm
unity
H
ospi
tal
(21)
Mul
tiple
C
omm
unity
H
ospi
tals
(13)
•
•
•
•
•
••
••••
••••
•
•
•
•
•
••••
•
••
••
•
•
•
•
•
•
•
•
•
•••
•
•••
•
•
••
•
•
••
•
•
•
•
•
PulaskiRandolphSalineScott SearcySebastianSevierSharpSt. FrancisStoneUnionVan BurenWashingtonWhiteWoodruffYell
No
Acu
te C
are
Com
mun
ity
Hos
pita
l (22
)
Sing
le C
ritic
al
Acc
ess
Hos
pita
l (1
9)
Sing
le N
on-C
AH
C
omm
unity
H
ospi
tal
(21)
Mul
tiple
C
omm
unity
H
ospi
tals
(13)
•
•
•
•
•
•
•
•
••
•
•
•
•
•
•
•
•
ARKANSAS HOSPITAL ASSOCIATION . 45
AHA-MEMBER ORGANIZATIONS BY CONGRESSIONAL DISTRICT1st Congressional District∙ Arkansas Methodist Medical Center∙ Baptist Health Medical Center-Heber Springs∙ Baptist Health Medical Center-Stuttgart∙ Baxter Regional Medical Center∙ Chicot Memorial Medical Center∙ Community Medical Center of Izard County∙ CrossRidge Community Hospital∙ Delta Memorial Hospital∙ DeWitt Hospital∙ Five Rivers Medical Center∙ Forrest City Medical Center∙ Fulton County Hospital∙ Great River Medical Center∙ Helena Regional Medical Center∙ Lawrence Memorial Hospital∙ McGehee Hospital∙ NEA Baptist Memorial Hospital∙ OakRidge Behavioral Center∙ Piggott Community Hospital∙ SMC Regional Medical Center∙ St. Bernards Medical Center∙ Stone County Medical Center∙ Unity Health-Harris Medical Center∙ White River Health System Total = 24
2nd Congressional District∙ 19th Medical Group∙ Advanced Care Hospital of White County∙ Arkansas Children's Hospital∙ Arkansas Heart 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-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∙ Conway Regional Health System∙ Conway Regional Rehabilitation Hospital∙ Cornerstone Hospital of Little Rock∙ Methodist Behavioral Hospital∙ North Metro Medical Center∙ Ozark Health Medical Center∙ Pinnacle Pointe Behavioral Healthcare System∙ Rivendell Behavioral Health Services∙ Saline Memorial Hospital∙ St. Vincent Rehabilitation Hospital∙ The BridgeWay∙ UAMS Medical Center∙ Unity Health-White County Medical Center Total = 29
3rd Congressional District ∙ Dubuis Hospital of Fort Smith∙ Eureka Springs Hospital∙ HEALTHSOUTH Rehabilitation Hospital of Fayetteville∙ 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
∙ Sparks Medical Ctr.-Van Buren ∙ Sparks Regional Medical Center
∙ Springwoods Behavioral Health Hospital∙ Valley Behavioral Health System∙ Vantage Point of NWA
∙ Veterans Health Care System of the Ozarks
∙ Washington Regional Medical Center
∙ Willow Creek Women’s Hospital Total = 21
4th Congressional District∙ Ashley County Medical Center
∙ Baptist Health Medical Center-Arkadelphia∙ Baptist Health Medical Center-Hot Spring County
∙ Bradley County Medical Center∙ Chambers Memorial Hospital∙ CHI St. Vincent Hospital Hot Springs
∙ CHRISTUS Dubuis Hospital of Hot Springs∙ Dallas County Medical Center
∙ Drew Memorial Hospital∙ Howard Memorial Hospital∙ Jefferson Regional Medical Center∙ Johnson Regional Medical Center∙ Levi Hospital∙ Little River Memorial Hospital∙ 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∙ River Valley Medical Center∙ Riverview Behavioral Health Total = 25
Additional AHA Member Hospitals Include: ∙ CHRISTUS St. Michael Health System, Texarkana, TX∙ Regional One Health, Memphis, TN
46 . SUMMER 2017
AHA HOSPITALS OPERATED BY FOR-PROFIT MULTI-HOSPITAL SYSTEMS
FOR-PROFIT SYSTEM
Aca
dia
Hea
lth
Alle
gian
ce H
ealth
M
anag
emen
t
Cap
ella
Hea
lth
Com
mun
ity H
ealth
Sy
stem
sC
orne
rsto
ne
Hea
lthca
re G
roup
Hea
lthSo
uth
Cor
p.
Oza
rk C
omm
unity
H
ospi
tal H
ealth
Sys
tem
Quo
rum
Hea
lth
Uni
vers
al H
ealth
Sys
tem
s
Cornerstone Hospital of Little Rock
Eureka Springs Hospital
Forrest City Medical Center
HEALTHSOUTH Rehab. Hospital of Fayetteville
Helena Regional Medical Center
Medical Center of South Arkansas
National Park Medical Center
North Metro Medical Center
Northwest Health Physicians' Specialty Hospital
Northwest Medical Center-Bentonville
Northwest Medical Center-Springdale
Ozarks Community Hospital
Pinnacle Pointe Hospital
Rivendell Behavioral Health Services
River Valley Medical Center
Riverview Behavioral Health
Saint Mary's Regional Medical Center
Saline Memorial Hospital
Siloam Springs Memorial Hospital
Sparks Medical Center-Van Buren
Sparks Regional Medical Center
Springwoods Behavioral Health
St. Vincent Rehabilitation Hospital
The BridgeWay
Valley Behavioral Health System
Vantage Point of NWA
Willow Creek Women's Hospital
ARKANSAS HOSPITAL ASSOCIATION . 47
AHA NON-PROFIT MULTI-HOSPITAL SYSTEMS
Bapt
ist H
ealth
Bapt
ist M
emor
ial
Hea
lthca
re C
orp.
Cat
holic
Hea
lth
Initi
ativ
esC
HRI
STU
S H
ealth
Mer
cy H
ealth
Sy
stem
Uni
ty H
ealth
Whi
te R
iver
Hea
lth S
yste
m
St. B
erna
rds
Hea
lth S
yste
m
Advanced Care Hospital of White County
Baptist Health Extended Care Hospital
Baptist Health Medical Center-Arkadelphia
Baptist Health Medical Center-Conway
Baptist Health Medical Center-Heber Springs
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
CHI St. Vincent Hot Springs
CHI St. Vincent Infirmary
CHI St. Vincent Morrilton
CHI St. Vincent North
CHRISTUS Dubuis Hospital of Hot Springs
CHRISTUS St. Michael Health System
CrossRidge Community Hospital
Dubuis Hospital of Fort Smith
Lawrence Memorial Hospital
Mercy Hospital Berryville
Mercy Hospital Booneville
Mercy Hospital Fort Smith
Mercy Hospital Northwest Arkansas
Mercy Hospital Ozark
Mercy Hospital Paris
Mercy Hospital Waldron
NEA Baptist Memorial Medical Center
St. Bernards Medical Center
Stone County Medical Center
Unity Health-Harris Medical Center
Unity Health-White County Medical Center
White River Health System
NON-PROFIT-SYSTEM
48 . SU
MM
ER
2017
ARKANSAS COMMUNITY HOSPITAL FINANCIAL AND UTILIZATION INDICATORS, 2011 - 2015*
BEDS AVAILABLEADMISSIONSPATIENT DAYSAVG. LENGTH OF STAYNON-EMERGENCY OP VISITSOUTPATIENT VISITSNON-EMERGENCY AS A % OF TOTAL OP VISITSADJUSTED PATIENT DAYSOCCUPANCY RATEINPATIENT SURGERIESOUTPATIENT SURGERIESTOTAL SURGERIESOUTPATIENT AS % OF TOTAL SURGERIESTOTAL FTE EMPLOYEESFTEs PER ADJUSTED OCCUPIED BEDGROSS REVENUE, INPATIENTGROSS REVENUE, OUTPATIENTGROSS PATIENT REVENUEBAD DEBTSCHARITYMEDICARE, MEDICAID & OTHER PAYER WRITEOFFSTOTAL DEDUCTIONSNET PATIENT REVENUEOTHER OPERATING REVENUENONOPERATING REVENUETOTAL NET REVENUEPAYROLL EXPENSETOTAL EXPENSEPATIENT REVENUE MARGINTOTAL MARGINCHARGE PER ADJUSTED INPATIENT DAYPAYMENT PER ADJUSTED INPATIENT DAYEXPENSE PER ADJUSTED INPATIENT DAYPAYROLL PER ADJUSTED INPATIENT DAYPAYROLL AS % OF TOTAL EXPENSEBAD DEBT AND CHARITY AS % OF TOTAL CHARGETOTAL DEDUCTIONS AS % OF TOTAL CHARGEOUTPT. REVENUE AS % TOTAL PATIENT REVENUEADMISSIONS PER BEDPATIENT DAYS PER 1,000 POPULATIONADMISSIONS PER 1,000 POPULATIONPOPULATION (000’s)
INDICATOR 2011 2012 2013 2014 2015 2011- 2015 9,425
363,516 1,882,912
5.18 3,419,087 4,810,624
71.1%3,414,948
54.7%102,964 160,223 263,187
60.88%44,681
4.78$9,587,181,461
$7,800,635,792 $17,387,817,253
$907,511,670 $487,626,273
$10,711,710,340 $12,106,848,283 $5,280,968,970
$220,871,438 $52,395,249
$5,554,235,657 $2,207,878,125
$5,236,539,234 0.84%5.72%
$5,091.68 $1,546.43 $1,533.42 $646.53
42.2%8.0%
69.6%44.9%
38.6640.9123.7
2,938
*Source: American Hospital Association, Hospital Statistics, 2017 (reflects most current information available)
% Change
9,417 352,752
1,845,443 5.23
3,743,252 5,125,435
73.0%3,448,184
53.7%101,156
174,095 275,251 63.25%44,912
4.75$9,975,710,168
$8,663,764,850 $18,639,475,018
$944,515,460 $517,122,215
$11,358,593,139 $12,820,230,814 $5,819,244,204
$256,162,838 $85,908,563
$6,161,315,605 $2,457,349,493 $5,759,240,612
1.03%6.53%
$5,405.59 $1,687.63 $1,670.22
$712.65 42.7%
7.8%68.8%46.5%
37.5625.8119.6
2,949
9,452 352,362
1,817,099 5.16
3,674,902 5,113,519
71.9%3,448,184
52.7%95,834 174,981
270,815 64.61%42,795
4.53$10,391,798,234
$9,513,953,822 $19,905,752,056
$991,141,593 $586,854,937
$12,557,096,273 $14,135,092,803 $5,770,659,253
$269,134,329 $87,213,991
$6,127,007,573 $2,526,671,404 $5,917,263,241
-2.54%3.42%
$5,772.82 $1,673.54 $1,716.05 $732.75
42.7%7.9%
71.0%47.8%
37.3614.1119.1
2,959
9,284 344,635 1,768,146
5.13 3,727,703 5,078,901
73.4%3,468,973
52.2%92,169
172,975 265,144 65.24%45,226
4.76$10,809,965,954 $10,398,394,815 $21,208,360,769
$1,086,675,739 $596,906,392
$13,621,709,973 $15,305,292,104 $5,903,068,665
$308,493,708 $98,329,834
$6,309,892,207 $2,564,132,565 $5,976,998,987
-1.25%5.28%
$6,113.73 $1,701.68 $1,722.99
$739.16 42.9%
7.9%72.2%49.0%
37.1596.1116.2
2,966
9,381 351,022
1,822,868 5.19
4,113,828 5,599,101
73.5%3,700,208
53.2%91,308 189,031
280,339 67.43%46,258
4.56$11,456,007,960 $11,798,645,545
$23,254,653,505 $1,141,633,765 $441,838,417
$15,205,259,663$16,788,731,845 $6,465,921,660
$249,634,077 $41,704,386
$6,757,260,123 $2,715,103,458
$6,299,543,986 2.57%6.77%
$6,284.69 $1,747.45
$1,702.48 $733.77
43.1%6.8%
72.2%50.7%
37.4612.1117.9
2,978
-0.47%-3.44%-3.19%0.26%
20.32%16.39%3.38%8.35%-2.73%-11.32%17.98%6.52%
10.76%3.53%
-4.45%19.49%51.25%33.74%
25.80%-9.39%41.95%38.67%22.44%13.02%
-20.40%21.66%22.97%
20.30%
23.43%13.00%11.03%13.49%2.22%
-15.14%3.69%
13.09%-2.98%-4.49%-4.73%1.36%
ARKANSAS HOSPITAL ASSOCIATION . 49
ARKANSAS HOSPITALS RECEIVING LOCAL TAX SUPPORT, 2017
SALE
STA
X
Ashley County Medical Center
Baptist Health Medical Center-Hot Spring Co.
Baptist Health Medical Center-Stuttgart
Bradley County Medical Center
Chicot Memorial Hospital **
CrossRidge Community Hospital
Dallas County Medical Center
Delta Memorial Hospital *
DeWitt Hospital
Drew Memorial Hospital
Five Rivers Medical Center
Fulton County Hospital
Johnson Regional Medical Center
Lawrence Memorial Hospital
Little River Memorial Hospital
Magnolia Regional Medical Center (A)
Magnolia Regional Medical Center (B)
Mercy Hospital Booneville
Mercy Hospital Ozark
Mercy Hospital Paris
McGehee Hospital
Mississippi County Hospital System
Ouachita County Medical Center ***
Piggott Community Hospital
CHI St. Vincent Morrilton
Ozark Health Medical Center
RATE
MIL
LAG
E
RATE
YEA
R
APP
ROV
ED
AN
NU
AL
AM
OU
NT
ESTI
MAT
E
*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. An-other 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 million on a bond issue that was used to build the new building; plus $1.1 million 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
NA = Information not available
Source: Self-reported information provided to the Arkansas Hospital Association
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
0.25%
0.50%
1.oo%
1.oo%
1.oo%
1.oo%
1.oo%
2.oo%
1.5o%
0.25%
1.oo%
0.50%
1.00%
NA
1.125%
0.25%
1.00%
1.00%
1.00%
1.00%
0.50%
1.00%
1.00%
0.25%
1.00%
Yes
Yes
Yes
Yes
Yes
.4 mil
.5 mil
.3 mil
1 mil
.25 mil
2009
2009
2014
2009
2003
2000
2005
2004
2003
2015
2007
2007
1977
2014
NA
2007
2004
2003
2001
NA
1999
2015/1952
2015
2010
2008
2000
$600,000
$1,200,000
$2,200,000
$1,200,000
$1,100,000
$2,100,000
$840,000
$360,000
$850,000
$670,000
$750,000
$288,000
$65,000
$1,560,000
NA
$2,600,000
$540,000
$360,000
$350,000
NA
$600,000
$2,732,000
$2,400,000
$360,000
$1,000,000
NA
9,42
5 36
3,51
6 1,8
82,9
12
5.18
3,
419,
087
4,
810,
624
71.1%
3,41
4,94
8 54
.7%10
2,964
16
0,22
3 26
3,18
7 60
.88%
44,6
81
4.78
$9,5
87,18
1,461
$7
,80
0,63
5,79
2 $1
7,387
,817
,253
$9
07,5
11,67
0
$487
,626
,273
$1
0,71
1,710
,340
$1
2,10
6,84
8,28
3 $5
,280
,968
,970
$2
20,8
71,4
38
$52,
395,
249
$5,5
54,2
35,6
57
$2,2
07,8
78,12
5 $5
,236
,539
,234
0.
84%
5.72
%$5
,091
.68
$1,5
46.4
3 $1
,533
.42
$646
.53
42.2
%8.
0%
69.6
%44
.9%
38.6
640.
912
3.7
2,938
9,41
7 35
2,75
2 1,8
45,4
43
5.23
3,
743,
252
5,12
5,43
5 73
.0%
3,44
8,18
453
.7%10
1,156
17
4,0
95
275,
251
63.2
5%44
,912
4.
75$9
,975
,710
,168
$8,6
63,76
4,85
0
$18,
639,
475,
018
$944
,515
,460
$5
17,12
2,21
5 $1
1,358
,593
,139
$12,
820,
230,
814
$5,8
19,2
44,2
04
$256
,162,
838
$85,
908,
563
$6,16
1,315
,605
$2
,457
,349
,493
$5
,759,
240,
612
1.03%
6.53
%$5
,405
.59
$1,6
87.6
3 $1
,670
.22
$712
.65
42.7% 7.8
%68
.8%
46.5
%37
.562
5.8
119.6
2,949
9,45
2 35
2,36
2 1,8
17,0
99
5.16
3,
674,
902
5,113
,519
71
.9%
3,44
8,18
452
.7%95
,834
17
4,98
1 27
0,81
5 64
.61%
42,79
5 4.
53$1
0,39
1,798
,234
$9
,513
,953
,822
$1
9,905
,752,
056
$991
,141,5
93
$586
,854
,937
$1
2,55
7,096
,273
$1
4,13
5,0
92,8
03
$5,77
0,65
9,25
3 $2
69,13
4,32
9 $8
7,213
,991
$6
,127,0
07,5
73
$2,5
26,6
71,4
04
$5,9
17,2
63,2
41
-2.5
4%3.
42%
$5,77
2.82
$1
,673
.54
$1,7
16.0
5 $7
32.75
42
.7% 7.9%
71.0
%47
.8%
37.3
614.
1119
.12,9
59
9,28
4 34
4,63
5 1,7
68,14
6 5.
13
3,72
7,703
5,
078,
901
73.4
%3,
468,
973
52.2
%92
,169
172,9
75
265,
144
65.2
4%45
,226
4.
76$1
0,80
9,965
,954
$1
0,39
8,39
4,81
5 $2
1,20
8,36
0,76
9 $1
,086
,675
,739
$596
,90
6,39
2 $1
3,62
1,70
9,973
$1
5,30
5,29
2,104
$5
,903
,068
,665
$3
08,
493,
708
$98,
329,
834
$6,3
09,
892,
207
$2,5
64,13
2,56
5 $5
,976
,998
,987
-1.
25%
5.28
%$6
,113.
73
$1,70
1.68
$1,72
2.99
$739
.16
42.9
%7.9
%72
.2%
49.0
% 37.1
596.
1116
.22,9
66
9,38
1 35
1,022
1,8
22,8
68
5.19
4,
113,8
28
5,59
9,101
73
.5%
3,70
0,20
853
.2%
91,3
08
189,
031
280,
339
67.4
3%46
,258
4.
56$1
1,456
,007
,960
$1
1,798
,645
,545
$2
3,25
4,65
3,50
5 $1
,141,6
33,76
5 $4
41,8
38,4
17$1
5,20
5,25
9,66
3$1
6,78
8,73
1,845
$6
,465
,921
,660
$2
49,6
34,0
77
$41,7
04,3
86
$6,75
7,260
,123
$2,7
15,10
3,45
8 $6
,299
,543
,986
2.
57%
6.77
%$6
,284
.69
$1,74
7.45
$1,70
2.48
$7
33.77
43
.1%6.
8%72
.2%
50.7% 37
.461
2.1117
.92,9
78
-0.4
7%-3
.44%
-3.19
%0.
26%
20.3
2%16
.39%
3.38
%8.
35%
-2.73
%-11
.32%
17.9
8%6.
52%
10.76
%3.
53%
-4.4
5%19
.49%
51.2
5%33
.74%
25.8
0%
-9.3
9%41
.95%
38.6
7%22
.44%
13.0
2%-2
0.40
%21
.66%
22.9
7%20
.30
%
23.4
3%13
.00
%11.
03%
13.4
9%2.
22%
-15.14
%3.
69%
13.0
9%-2
.98%
-4.4
9%-4
.73%
1.36%
50 . SU
MM
ER
2017
ARK
AN
SAS
LOU
ISIA
NA
MIS
SISS
IPPI
OK
LAH
OM
A
TEN
NES
SEE
TEX
AS
Hospitals charged this amount for the inpatient and outpatient care they provided in 2015:
MIS
SOU
RI
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...
So, the revenue excess (loss) was:
In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:
Yielding a "patient service" margin of:
In addition, hospitals also received revenues from other operating sources, such as cafeteria and gift shop sales, adding this much to their revenues:
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, investments and the rental of office space. Those amounted to:
That resulted in total funds available to reinvest in new equipment, update facilities, expand programs and repay debt equalling:
For a return on investment totaling:
$23,254,353,505 $42,370,510,175 $28,239,109,946 $64,000,572,293 $32,720,858,328 $68,537,247,268 $251,502,315,374
COMMUNITY HOSPITAL SUMMARY FINANCIAL DATA Arkansas and Surrounding States, 2015*
UN
ITED
STA
TES
$3,016,398,683,161
16,788,731,845
6,465,621,660
6,299,543,986
3,700,208
$166,077,674
$44.88
$249,634,077
$415,711,751
6.19%
$41,704,386
$457,416,137
6.77%
11,791,802,649 7,408,843,510 19,838,144,411 8,666,190,009 17,129,602,486 60,250,531,952 866,008,570,841
30,578,707,526 20,830,266,436 44,162,427,882 24,054,668,319 51,407,644,782 191,251,783,422 2,150,390,112,320
11,676,829,432 7,225,388,181 20,150,390,956 8,276,760,096 16,046,401,723 58,337,520,459 851,514,523,144
...to patients needing care for this many adjusted patient days while being served.
2.57%
6,151,123 4,933,732 8,492,160 24,328,1758,763,0764,133,595
$37.18
$183,455,329
$5,439,798,405
$43.51
$14,494,047,697
3.18%
$78.63
$1,913,011,493
333,111,172
$123.61 $94.21 ($36.77)$18.69
$1,083,200,763 $389,429,913 ($312,246,545)$114,973,217
0.98%
$596,387,736 $295,455,124 $1,248,433,494
1.67%6.32%4.49%-1.57%
$299,447,552
7.56%
$955,408,718
$41,289,716
7.26%
$914,119,002
$799,145,785
2.48%
$1,679,588,499
7.93%
$73,306,012,385
$5,637,063,784
7.36%
12.22%
$8,121,153,789
$768,343,891
11.19%
$67,668,948,601 $7,352,809,898
$53,174,900,904
$237,425,463 $82,105,898
4.44%6.26%
$482,902,881 $936,186,949 $684,885,037
7.64%
$82,917,369
9.48%
$122,822,365
$1,802,410,864
10.10%
$565,008,779 $1,173,612,412 $767,802,406
7.25% 5.50% 8.49%
*Source: American Hospital Association, Hospital Statistics, 2017 (reflects most recent data available)
ARKANSAS HOSPITAL ASSOCIATION . 51
COMPARATIVE FINANCIAL INDICATORS
California 69,827 District of Columbia 19,694 Alaska 22,771 Alaska 16.56% Colorado 67,734 Alaska 19,000 District of Columbia 20,155 Utah 14.34% Alaska 66,286 New York 17,954 California 17,892 Colorado 8.93% District of Columbia 62,584 California 17,702 Colorado 17,331 Indiana 7.69% New Jersey 61,831 Washington 17,038 Washington 17,214 New Mexico 7.33% Nevada 60,916 Hawaii 15,893 New York 16,860 Nebraska 6.94% Pennsylvania 57,433 Colorado 15,784 Minnesota 15,977 South Carolina 6.82% Texas 55,318 Massachusetts 15,756 Delaware 15,862 Tennessee 6.32% Florida 53,374 Minnesota 15,674 Oregon 15,402 Virginia 6.09% Washington 52,620 Oregon 15,460 Idaho 15,400 Idaho 5.81% Arizona 50,698 Maine 15,279 Utah 15,369 North Carolina 5.69% WSC Region* 49,562 Delaware 15,161 Hawaii 15,238 Florida 5.46% New York 48,166 Idaho 14,506 South Dakota 14,861 Wisconsin 5.44% U.S.** 47,932 South Dakota 14,271 Wisconsin 14,536 Kentucky 5.05% Utah 46,306 Connecticut 14,039 Montana 14,525 Nevada 4.96% Ohio 45,765 Montana 13,817 Maine 14,508 Montana 4.88% Indiana 45,329 Wyoming 13,788 Indiana 14,410 Oklahoma 4.49% New Mexico 44,981 New Hampshire 13,772 Nebraska 14,166 Delaware 4.41% Illinois 44,592 Wisconsin 13,745 New Hampshire 14,052 Georgia 4.22% South Carolina 44,108 Pennsylvania 13,741 Ohio 14,008 South Dakota 3.97% Connecticut 43,676 Ohio 13,741 Wyoming 13,994 Alabama 3.51% Oklahoma 43,417 Rhode Island 13,719 Connecticut 13,992 Texas 3.18% Tennessee 43,263 Vermont 13,563 Massachusetts 13,973 WSC Region* 2.96% Georgia 43,142 U.S.** 13,531 Pennsylvania 13,884 Arkansas 2.57% Kansas 41,960 New Jersey 13,492 U.S.** 13,761 Mississippi 2.48% Hawaii 41,591 Indiana 13,302 Vermont 13,649 Kansas 2.35% Virginia 41,591 Maryland 13,248 New Mexico 13,636 District of Columbia 2.29% South Dakota 41,489 Nebraska 13,183 New Jersey 13,474 Arizona 2.04% Minnesota 40,996 Utah 13,165 North Dakota 13,287 New Hampshire 1.99% Alabama 40,631 North Dakota 13,126 Texas 13,252 Ohio 1.91% Idaho 39,675 Texas 12,831 Maryland 13,131 Minnesota 1.90% Mississippi 39,648 New Mexico 12,636 Rhode Island 12,723 U.S.** 1.67% Missouri 39,474 Missouri 12,428 Illinois 12,551 Wyoming 1.47% New Hampshire 38,988 Illinois 12,405 WSC Region* 12,350 North Dakota 1.21% Kentucky 38,366 WSC Region* 11,984 Virginia 12,320 Illinois 1.16% North Carolina 37,859 Arizona 11,950 Missouri 12,236 California 1.07% Nebraska 37,790 Michigan 11,945 Arizona 12,199 Pennsylvania 1.03% Wisconsin 37,345 Kansas 11,883 North Carolina 12,192 Washington 1.02% Massachusetts 36,899 Virginia 11,569 Kansas 12,170 Louisiana 0.98% Rhode Island 36,659 Georgia 11,547 Georgia 12,056 Michigan 0.77% Louisiana 36,164 North Carolina 11,498 Michigan 12,038 Vermont 0.63% Delaware 35,663 Nevada 11,313 Nevada 11,903 West Virginia -0.10% Oregon 34,386 Iowa 11,185 Oklahoma 11,499 New Jersey -0.14% Michigan 33,643 Oklahoma 10,982 South Carolina 11,360 Connecticut -0.34% Maine 33,142 South Carolina 10,585 Florida 11,157 Oregon -0.38% Arkansas 32,636 Florida 10,548 Iowa 11,022 Maryland -0.89% Vermont 31,638 West Virginia 10,458 Tennessee 10,813 Iowa -1.48% Montana 30,806 Mississippi 10,145 Kentucky 10,472 Missouri -1.57% Iowa 30,053 Tennessee 10,129 West Virginia 10,448 Hawaii -4.30% North Dakota 29,846 Louisiana 9,966 Mississippi 10,402 Maine -5.32% Wyoming 29,616 Kentucky 9,944 Louisiana 10,064 New York -6.49% West Virginia 28,161 Arkansas 8,841 Arkansas 9,074 Rhode Island -7.83% Maryland 21,725 Alabama 8,678 Alabama 8,994 Massachusetts -12.76%
RAN
K
AVER
AG
E C
HA
RG
EPE
R
HO
SPIT
AL
STAY
AVER
AG
E O
PERA
TIN
G
CO
ST P
ER
HO
SPIT
AL
STAY
AVER
AG
E PA
YM
ENT
PER
H
OSP
ITA
L ST
AY
MA
RG
IN
ON
PAT
IEN
T C
AR
E SE
RVIC
ES
*Average for the West South Central Region, CMS Region VI, which includes Arkansas, Louisiana, New Mexico, Oklahoma and Texas **Average for the entire United StatesSource: American Hospital Association, Hospital Statistics, 2017
1234567891011121314
161718192021222324
15
2526272829303132333435363738
404142434445464748
39
4950515253
52 . SUMMER 2017
INPATIENT CHARGES BY PAYER CATEGORY
Medicare 164,927 41.70% $5,750,627,236 $34,868 49.30% 6 $5,811 HMO/Comm. Ins. 36,496 9.20% $1,058,739,794 $29,010 9.10% 4.63 $6,266 Medicaid 80,770 20.40% $1,787,877,395 $22,135 15.30% 5.34 $4,145 Self-Pay/No Charge 16,182 4.10% $315,170,186 $19,477 2.70% 5.19 $3,753 Other Gov. Programs 4,417 1.10% $140,782,234 $31,873 1.20% 4.42 $7,211 Other/Unknown* 92,345 23.40% $2,607,733,372 $28,239 22.40% 4.32 $6,537 ALL CATEGORIES 395,137 100.00% $11,660,930,217 $29,511 100.00% 5.3 $5,573
PAYER CATEGORIES
NU
MB
ER
OF
DIS
CH
AR
GES
% D
ISC
HA
RG
ES
TOTA
L C
HA
RG
ES
AVER
AG
EC
HA
RG
ES
PER
IN
PATI
ENT
STAY
% T
OTA
LC
HA
RG
ES
AVER
AG
EC
HA
RG
E PE
RD
AY
MEA
N S
TAY
(DAY
S)
EMERGENCY DEPARTMENT CHARGES BY PAYER
PAYER CATEGORIES
NU
MB
ER
OF
EDD
ISC
HA
RG
ES*
Medicare 233,610 19.30% $714,606,838 $3,059 26.20% HMO/Comm. Ins. 99,110 8.20% $289,867,239 $2,925 10.60% Medicaid 362,259 30.00% $621,762,053 $1,716 22.80% Self-Pay/No Charge 139,616 11.60% $275,201,387 $1,971 10.10% Other Gov. Programs 17,980 1.50% $43,801,086 $2,436 1.60% Other/Unknown** 355,955 29.50% $781,689,238 $2,196 28.70% ALL CATEGORIES 1,208,530 100.00% 2,726,927,841 $2,256 100.00%
TOTA
L C
HA
RG
ES
AVER
AG
EC
HA
RG
ES
PER
STA
Y
% T
OTA
LC
HA
RG
ES
% O
F ED
DIS
CH
AR
GES
IMPACT OF SELF-PAY (UNINSURED) EMERGENCY VISITS ON ARKANSAS HOSPITALS
2013
Number Self-Pay/No Charge Patients Admitted
2014
2015
Source: Arkansas Department of Health, Hospital Discharge Data Program (reflects most recent data available)
297,241 168,779 139,616
Self-Pay/No Charge As % of All Patients Admitted
25.56% 13.92% 11.55%
Total Uncovered Charges ($ Millions)
$516 $303 $275
Total UncoveredCosts ($ Millions)
$126 $69 $60
*Includes Arkansas Private Option patients Source: Arkansas Department of Health, Hospital Discharge Database, 2015 data (most recent available)
*Excludes non-emergency visits**Includes Arkansas Private Option PatientsSource: Arkansas Department of Health, Hospital Discharge Database, 2015 data (most recent available)
ARKANSAS HOSPITAL ASSOCIATION . 53
IMPACT OF SELF-PAY (UNINSURED) INPATIENTS ON ARKANSAS HOSPITALS, 2006-2015
200
6
Number Self-Pay/No Charge Patients Admitted
2007
200
8
200
9
2010
2011
Source: Arkansas Department of Health, Hospital Discharge Data Program (reflects most recent data available) *Estimate based on statewide cost-to-charge ratio
27,963 30,296 30,121 30,199 28,142 28,676
2012
2013
27,241 29,240
2014
16,632
2015
16,182
Self-Pay/No Charge As % of All Patients Admitted
6.50% 7.08% 7.08% 7.23% 6.82% 6.99% 6.70% 7.46% 4.21% 4.10%
Total Uncovered S/P Charges ($ Millions)
$439 $485 $518 $593 $583 $618 $610 $694 $368 $315
Total Uncovered S/P Costs ($ Millions)*
$162 $174 $185 $201 $188 $199 $196 $216 $126 $104
2006200720082009201020112012201320142015
596,842,333628,063,918694,032,836763,238,417836,094,643907,211,670944,515,460991,141,5931,086,675,7391,141,633,675
309,914,742326,126,835359,231,835376,548,005430,034,656487,626,273517,122,215586,854,937596,906,372441,838,417
906,757,075954,190,7531,053,264,6711,139,786,4221,266,129,2991,394,837,9421,461,637,6751,577,996,5301,683,582,1111,583,472,092
286,470,773291,213,495318,338,089325,177,434338,062,266350,860,547377,833,164385,300,949382,642,395347,490,272
6.46%6.35%6.47%6.30%6.44%6.57%6.56%6.51%6.40%5.52%
ARKANSAS HOSPITALSUNCOMPENSATED CARE COSTS, 2006-2015
2006200720082009201020112012201320142015
YEAR
12,002,276,86612,805,540,52313,818,991,62515,221,310,88816,295,909,27217,387,817,25318,369,475,01819,905,752,05621,208,360,76923,254,353,505
Source: American Hospital Association, Hospital Statistics, 2017 (reflects most current data available)
4,429,611,1244,584,908,1314,807,626,0265,056,912,3635,288,563,0175,280,968,9705,819,244,2045,770,659,2535,903,068,6656,465,621,660
12,157,021,30512,967,706,25413,988,333,45915,415,306,55316,517,098,92117,608,688,69118,625,637,85620,174,886,38521,516,854,47723,503,987,582
4,437,596,8044,585,732,8104,921,858,4385,161,176,2565,246,234,9745,336,539,2345,759,240,6125,917,263,2415,976,998,9876,299,543,986
31.59%30.52%30.22%28.53%26.70%25.15%25.85%24.42%22.73%21.94%
7,572,665,7428,220,632,3929,011,385,59910,164,398,52511,007,346,25512,106,848,28312,820,230,81414,135,092,80315,305,292,10416,788,731,845
GROSSREVENUES
(BILLED CHARGES)
NETREVENUES
($$ COLLECTED)GROSS + OTHER
REVENUE
TOTALOPERATING
COSTS
COST-TO-CHARGE
RATIO
TOTALUNCOLLECTED AMOUNTS DUE
BAD DEBT CHARITYCARE
UNCOMPENSATEDCARE
CHARGES
UNCOMPENSATEDCARE COSTS
PERCENTOF TOTAL
COSTSYEAR
INCREASE 93.75% 45.96% 61.32% 93.34% 41.96%
INCREASE 121.70% 91.28% 42.57% 74.63% 21.30%
OTHEROPERATING
REVENUE
154,744,439162,165,731169,341,834193,995,665221,189,649220,871,438256,162,838269,134,329308,493,708249,634,077
54 . SU
MM
ER
2017
Arkansas Hospitals, BENTON
BOONE MARIONBAXTER
FULTONIZARD
RANDOLPH
SHARP
LAWRENCE
JACKSON
CLAYCARROLL
CHICOTASHLEYBRADLEY
CALHOUN
CLEBURNE
COLUMBIAMILLER
LITTLERIVER
SEVIER
POLK
MONTGOMERY
LAFAYETTE
NEVADA
CLARKPIKE
CONWAY
CRAIGHEAD
POINSETT
CRAWFORD
CRITTENDEN
CROSS
ST. FRANCIS
LEE
MONROE
PRAIRIELONOKE
PHILLIPS
ARKANSAS
DESHA
LINCOLNCLEVELANDDALLAS
GRANT
DREW
FAULKNER
GARLAND
PERRYYELL
LOGAN
FRANKLINJOHNSON
HOT SPRING
GREENE
HEMPSTEAD
HOWARD
INDEPENDENCE
JEFFERSON
MISSISSIPPI
OUACHITA
POPE
PULASKI
SALINE
UNION
VANBUREN
WASHINGTON
MADISON
NEWTON
SEARCY
STONE
WHITE
WOODRUFF
SEBASTIAN
SCOTT
Heber SpringsBaptist Health MedicalCenter–Heber Springs
Mountain HomeBaxter RegionalMedical Center
BatesvilleWhite RiverMedical Center
NewportUnity Health–Harris Medical Center
Walnut RidgeLawrenceMemorial Hospital
SalemFulton CountyHospital
Calico RockCommunityMedical Centerof Izard County
ParagouldArkansas MethodistMedical Center
PocahontasFive RiversMedical Center
Jonesboro (2)• St. Bernards Medical Center• NEA Baptist Memorial Hospital
WynneCrossRidgeCommunityHospital
Forrest CityForrest CityMedical Center
HelenaHelena RegionalMedical Center
BlythevilleGreat RiverMedical Center
PiggottPiggott Community Hospital
OsceolaSouth Mississippi CountyRegional Medical CenterClinton
Ozark HealthMedical Center Searcy
Unity Health–White CountyMedical Center
Little Rock• Arkansas Children’s Hospital• Arkansas Heart Hospital• Baptist Health Medical Center–Little Rock• CHI St. Vincent Infirmary • John L. McClellan Memorial Veterans Hospital• UAMS Medical Center
North Little Rock (2)• Arkansas Surgical Hospital• Baptist Health Medical Center–North Little Rock
Hot Springs (3)• CHI St. Vincent Hot Springs• Levi Hospital• National Park Medical Center
HopeWadley RegionalMedical Centerat Hope
NashvilleHowardMemorial Hospital
ArkadelphiaBaptist HealthMedical Center–Arkadelphia
FordyceDallas CountyMedical Center
De QueenDe QueenMedical Center
AshdownLittle RiverMemorialHospital
BentonSalineMemorialHospital
MalvernBaptist Health MedicalCenter–Hot Spring County
ConwayConway RegionalMedical Center
MorriltonCHI St. VincentMorriltonDanville
Chambers Memorial Hospital
RussellvilleSaint Mary’sRegionalMedical Center
DardanelleRiver ValleyMedical Center
ParisMercyHospital−Paris
ClarksvilleJohnson RegionalMedical Center
OzarkMercy Hospital−Ozark
BoonevilleMercyHospitalBooneville
Fayetteville (2)• Washington Regional Medical Center• Physicians’ Specialty Hospital
Siloam SpringsSiloam SpringsRegional Hospital
GravetteOzarks CommunityHospital of Gravette
BentonvilleNorthwest MedicalCenter–Bentonville
RogersMercy Hospital Northwest Arkansas
SpringdaleNorthwest MedicalCenter–Springdale
JohnsonNorthwest Medical Center–Willow Creek Women’s Hospital
HarrisonNorth ArkansasRegional Medical Center
BerryvilleMercy Hospital–Berryville
Eureka SpringsEureka SpringsHospital
Fort Smith (2)• Sparks Regional Medical Center• Mercy Hospital−Fort Smith
Van BurenSparks MedicalCenter–Van Buren
JacksonvilleNorth Metro Medical Center
SherwoodCHI St. Vincent North
CrossettAshley CountyMedical Center
WarrenBradley CountyMedical Center
MonticelloDrewMemorialHospital
MagnoliaMagnoliaRegionalMedical Center
El DoradoMedicalCenterof South Arkansas
CamdenOuachita CountyMedical Center
Pine BluffJe�erson RegionalMedical Center
McGeheeMcGeheeHospital
Lake VillageChicot MemorialMedical Center
DumasDelta MemorialHospital
DeWittDeWittHospital andNursingHome
StuttgartBaptist HealthMedical Center−Stuttgart
MenaMena RegionalHealth System
WaldronMercy Hospital−Waldron
KEYAcute carehospitals
Critical accesshospitals
Acute carehospital–SHIP*
*Small Rural HospitalImprovement Grant Program.
Map revised Feb. 2017.
Mountain ViewStone CountyMedical Center
Medicare Rural Hospital Flexibility Grant Program | HRSA-15-038 | O�ce of Rural Health Policy
SOURCE: https://www.hrsa.gov/ruralhealth/programopportunities/fundingopportunities/?id=b56d4504-7bf6-4f79-b0e8-37b766f2213e