HOSPITAL STATISTICS 2016 Data equals understanding. Without data to power our hospitals, through electronic health records, coding, sourcing, quality measurement, patient satisfaction surveys, accounting, scheduling, communication, engineering, medication fulfillment and a thousand other areas of our daily work, those of us who work in the hospital field would get nowhere and understand very little. The 2016 pullout Statistical Resource tool is your main source for the data you need in comparing your facility’s profile to those of other hospitals in our state, finding out how Arkansas’s comparative financial indicators rank in relation to other states — and the nation as a whole — and how Arkansas’s top 30 DRGs relate to hospital billings and discharges. Why is such information necessary? When discussing the needs of your local organization with those who have a hand in financial allocations for hospitals, you need the latest data to help tell your story. AHA’s executive vice president, Paul Cunningham, shares with our hospitals this annual guide to aid in communicating today’s complex health care network. Because it’s true, data really powers everything we do. “Data really powers everything we do.“ – Jeff Weiner, CEO of LinkedIn
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ARKANSAS HOSPITALS I Summer 2016 25
HOSPITALSTATISTICS2016
Data equals understanding. Without data to power our hospitals, through electronic health records, coding, sourcing, quality measurement, patient satisfaction surveys, accounting, scheduling, communication, engineering, medication fulfillment and a thousand other areas of our daily work, those of us who work in the hospital field would get nowhere and understand very little.
The 2016 pullout Statistical Resource tool is your main source for the data you need in comparing your facility’s profile to those of other hospitals in our state, finding out how Arkansas’s comparative financial indicators rank in relation to other states — and the nation as a whole — and how Arkansas’s top 30 DRGs relate to hospital billings and discharges.
Why is such information necessary? When discussing the needs of your local organization with those who have a hand in financial allocations for hospitals, you need the latest data to help tell your story. AHA’s executive vice president, Paul Cunningham, shares with our hospitals this annual guide to aid in communicating today’s complex health care network. Because it’s true, data really powers everything we do.
“Data really powers everything we do.“
– Jeff Weiner, CEO of LinkedIn
26 Summer 2016 I ARKANSAS HOSPITALS
104
Hospitals of all types are located in cities, towns and communities throughout Arkansas. That group is composed of 72 general acute care community hospitals (including 29 Critical Access Hospitals); 7 long term acute care hospitals; 10 psychiatric hospitals; 7 rehabilitation hospitals; 3 hospitals that focus on specialized surgical procedures; 2 Veterans Affairs hospitals; as well as a pediatric hospital, a cardiac hospital and a women’s hospital.
95 Arkansas hospitals are members of the Arkansas Hospital Association.
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Total hospitals and other health care organizations belong to the Arkansas Hospital Association. They include the 95 Arkansas hospitals shown above; two out-of-state, border city hospitals (Memphis and Texarkana); an outpatient cancer treatment facility; an inpatient hospice facility; and a U.S. Air Force facility.
41Arkansas counties are served by a single hospital. That includes 19 counties served by a single Critical Access Hospital.
44 Arkansas community hospitals have fewer than 100 beds. Twenty-nine of them are designated by the federal government as Critical Access Hospitals, having no more than 25 acute care beds.
22
Arkansas counties – almost 30% of all counties in the state – do not have a local hospital (however, two hospitals are located in Bowie County, Texas, which borders Miller County, Arkansas). Those counties are:
5 Arkansas community hospitals have closed their doors since January 2004.
57% 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 13% are public hospitals owned and operated by a city, county, state or federal government.
14,860Arkansans sought inpatient or outpatient care from Arkansas’s hospitals each day in 2014 for illnesses, injuries and other conditions requiring medical attention.
35,407Newborns were delivered in Arkansas hospitals in 2014. The Arkansas Medicaid program covered almost 65% of them.
48,378 Arkansans are employed in full- and part-time capacities by hospitals across the state, which have a combined annual payroll of $2.5 billion that helps to support about 7.7% of all non-farm jobs in the state through direct and indirect purchases of goods and services.
32,700The number of other jobs in local communities across Arkansas supported through hospital employees’ personal purchases of groceries, clothing, cars, appliances, housing and many other goods and services.
$385 Million
Is the estimated overall annual economic impact in 2014 that 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.
$10.3 Billion
The estimated overall annual economic impact in that 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.
STATISTICS
Arkansas Hospitals:Numbers Tell the Story
Calhoun Cleveland Crittenden Grant
Lafayette Lee Lincoln Lonoke
Madison Marion Miller Montgomery
Monroe Nevada Newton Perry
PikePoinsettPrairie Searcy
SharpWoodruff
ARKANSAS HOSPITALS I Summer 2016 27
Arkansas Hospital Association Member Organizations by Type General Med-Surg Hospitals (46)Arkansas Children’s Hospital Arkansas Heart Hospital Arkansas Methodist Medical Center Baptist Health Medical Center-Conway Baptist Health Medical Center-Hot Spring CountyBaptist Health Medical Center-LR Baptist Health Medical Center-NLR Baptist Health Medical Center-Stuttgart 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 Hospital Five Rivers Medical Center Forrest City Medical Center Great River Medical Center Helena Regional Medical Center Jefferson Regional Medical Center Johnson Regional Medical Center Levi Hospital Magnolia Regional Medical Center Medical Center of South Arkansas Mena Regional Health System Mercy Health System NW Arkansas Mercy Hospital Fort Smith National Park Medical Center NEA Medical Center North Arkansas Regional Medical Center North Metro Medical Center Northwest Medical Center, Bentonville Northwest Medical Center, Springdale Ouachita County Medical Center Saint May’s Regional Medical Center Saline Memorial Hospital Siloam Springs Memorial Hospital Sparks Health System
Sparks Medical Center-Van Buren St. Bernards Medical Center UAMS Medical Center Unity Health-Harris Medical Center Unity Health-White County Medical Ctr Washington Regional Medical System White River Health System Willow Creek Women’s Hospital Inpatient Psych Hospitals (10) Arkansas State Hospital Methodist Behavioral Hospital Pinnacle Pointe Hospital OakRidge Behavioral Center Rivendell Behavioral Health Services Riverview Behavioral Health Springwoods Behavioral Health The BridgeWay Valley Behavioral Health System Vantage Point of NWA Inpatient Rehab Hospitals (4) Baptist Health Rehabilitation Institute Conway Regional Rehabilitation Hospital HEALTHSOUTH Rehabilitation Hospital St. Vincent Rehabilitation Hospital
Critical Access Hospitals (28) Ashley County Medical Center Baptist Health Medical Ctr.-Arkadelphia Baptist Health Medical Ctr.-Heber Springs Bradley County Medical Center CHI St. Vincent Morrilton Chicot Memorial Medical Center Community Medical Center of Izard CountyCrossRidge Community Hospital Dallas County Medical Center Delta Memorial Hospital DeWitt Hospital
Eureka Springs Hospital Fulton County Hospital Howard Memorial Hospital Lawrence Memorial Hospital Little River Memorial Hospital McGehee Hospital Mercy Hospital Berryville Mercy Hospital Booneville Mercy Hospital Ozark Mercy Hospital Paris Mercy Hospital Waldron Ozark Health Medical Center Ozarks Community Hospital Piggott Community Hospital River Valley Medical Center SMC Regional Medical Center Stone County Medical Center Veterans Affairs Hospitals (2) Central Arkansas Veterans Healthcare System Veterans Healthcare System of the Ozarks Long Term Care Hospitals (5) Advanced Care Hospital of White County Baptist Health Extended Care Hospital CHRISTUS Dubuis Hospital of Fort Smith CHRISTUS Dubuis Hospital of Hot Springs Cornerstone Hospital of Little Rock Out-of-State Border, City Hospitals (2) CHRISTUS St. Michael Health System (Texarkana, TX)Regional Medical Center (Memphis, TN)
Non-Hospital Facilities (3)19th Medical Group, LRAFBArkansas HospiceCARTI
A Snapshot of Arkansas HospitalAssociation Members (2016)Number of Arkansas-licensed AHA Member Hospitals:
95
Number of Arkansas-based non-hospital AHA-member organizations1 +3Arkansas-based AHA-member organizations 98 Number of out-of-state border city AHA-member hospitals2 +2 Total AHA member organizations 100
General Med-Surg 46 Psychiatric 10Urban (26) Long Term Care 5Rural (20) Rehabilitation 4
Critical Access 28 Veterans Affairs Hospitals 2
Source: American Hospital Association, AHA Statistics 20162CHRISTUS St. Michael Health System (Texarkana), Regional One Health (Memphis)
1CARTI, 19th Medical Group (LRAFB), Arkansas Hospice
28 Summer 2016 I ARKANSAS HOSPITALS
STATISTICS
AHA Member Organizations
Arkadelphia Baptist Health Medical Center-Arkadelphia PNP Medical-Surgical CAH 25 SB/HHAshdown Little River Memorial Hospital County Medical-Surgical CAH 25 SB/HH/IMFBarling Valley Behavioral Health System Corporate Psychiatric IP Psych 75Batesville White River Medical Center PNP Medical-Surgical RRC/SCH 198 SNF/Psych/RehabBenton Rivendell Behavioral Health Services Corporate Psychiatric IP Psych 77Benton Saline Memorial Hospital PNP Medical-Surgical Urban 167 Psych/Rehab/HHBentonville Northwest Medical Center-Bentonville Corporate Medical-Surgical Urban 128 HHBerryville Mercy Hospital Berryville PNP Medical-Surgical CAH 25 HH/SBBlytheville Great River Medical Center County Medical-Surgical Rural 99Booneville Mercy Hospital Booneville PNP Medical-Surgical CAH 25 SB/HHCalico Rock Community Medical Center of Izard County PNP Medical-Surgical CAH 25 SB/HH
Camden Ouachita County Medical Center PNP Medical-Surgical Rural/SCH 98 SB/SNF/Psych/Rehab/HH
Clarksville Johnson Regional Medical Center PNP Medical-Surgical Rural/MDH 80 SB/SNF/Psych/Rehab/HH
Clinton Ozark Health Medical Center PNP Medical-Surgical CAH 25 SB/HH\IMFConway Baptist Health Medical Center-Conway PNP Medical-Surgical UrbanConway Conway Regional Health System PNP Medical-Surgical Urban 154 Psych/Rehab/HHConway Conway Regional Rehabilitation Hospital Corporate Rehabilitation IRF 26Crossett Ashley County Medical Center PNP Medical-Surgical CAH 33 SB/Psych/HHDanville John Ed Chambers Memorial Hospital PNP Medical-Surgical Rural 41 SB/HHDardanelle River Valley Medical Center Corporate Medical-Surgical CAH 25 SB/Psych/HHDeWitt DeWitt Hospital PNP Medical-Surgical CAH 25 SB/IMFDumas Delta Memorial Hospital PNP Medical-Surgical CAH 25 HH/SBEl Dorado Medical Center of South Arkansas Corporate Medical-Surgical RRC/SCH 166 RehabEureka Springs Eureka Springs Hospital Corporate Medical-Surgical CAH 22 SB/HHFayetteville HEALTHSOUTH Rehabilitation Hospital Corporate Rehabilitation IRF 60Fayetteville Springwoods Behavioral Health Corporate Psychiatric IP Psych 80Fayetteville Washington Regional Medical System PNP Medical-Surgical Urban 366 HHFayetteville Veterans Healthcare System of the Ozarks Federal Veterans Admin. 73 PsychFayetteville Vantage Point of NWA Corporate Psychiatric IP Psych 92Fordyce Dallas County Medical Center County Medical-Surgical CAH 25 SB/HHForrest City Forrest City Medical Center Corporate Medical-Surgical Rural/SCH 118 Psych/HHFort Smith CHRISTUS Dubuis Hospital of Fort Smith PNP Long Term Care LTCH 25Fort Smith Sparks Regional Medical Center Corporate Medical-Surgical Urban 492 HHFort Smith Mercy Hospital Fort Smith PNP Medical-Surgical Urban 354 SNF/Rehab/HH
Harrison North Arkansas Regional Medical Center PNP Medical-Surgical RRC/SCH 174 HH/Psych/DPUHeber Springs Baptist Health Medical Center-Heber Springs PNP Medical-Surgical CAH 25 SB/HHHelena Helena Regional Medical Center Corporate Medical-Surgical Rural 155 SB/Rehab/HHHot Springs CHRISTUS Dubuis Hospital of Hot Springs PNP Long Term Care LTCH 27Hot Springs Levi Hospital PNP Medical-Surgical Urban 81 Psych/RehabHot Springs National Park Medical Center Corporate Medical-Surgical RRC 166 RehabHot Springs CHI St. Vincent Hospital Hot Springs PNP Medical-Surgical Urban 282 Psych/Rehab/HHJacksonville North Metro Medical Center Corporate Medical-Surgical Urban 78
Johnson Willow Creek Women's Hospital Corporate Med-Surg (OB/Gyn) Urban 64
Jonesboro NEA Baptist Memorial Hospital PNP Medical-Surgical Urban 216 RehabJonesboro St. Bernards Medical Center PNP Medical-Surgical RRC 438 Psych/HHLake Village Chicot Memorial Medical Center PNP Medical-Surgical CAH 25 SB/HHLittle Rock 19th Medical Group DoD Infirmary 0Little Rock Arkansas Children's Hospital PNP Med-Surg (Ped) Children's 359 Rehab
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Little Rock Arkansas Heart Hospital Corporate Med-Surg (Cardiac) Urban 112
Little Rock Arkansas State Hospital State Psychiatric IP Psych 345Little Rock Baptist Health Extended Care Hospital PNP Long Term Care LTCH 55Little Rock Baptist Health Medical Center-Little Rock PNP Medical-Surgical Urban 827 SNF/Psych/HHLittle Rock Baptist Health Rehabilitation Institute PNP Rehabilitation IRF 120
Little Rock CARTI PNP OP Cancer Center 0
Little Rock Central Arkansas Veterans Healthcare System Federal Veterans Affairs 635 Psych/Rehab
Little Rock Cornerstone Hospital of Little Rock Corporate Long Term Care LTCH 40Little Rock Pinnacle Pointe Behavioral Health System Corporate Psychiatric IP Psych 124 Outpt. PsychLittle Rock CHI St. Vincent Infirmary PNP Medical-Surgical Urban 615 Psych/HHLittle Rock UAMS Medical Center State Medical-Surgical Urban 450Magnolia Magnolia Regional Medical Center City Medical-Surgical Rural/SCH 49 SB/HH
Malvern Baptist Health Medical Center-Hot Spring County PNP Medical-Surgical Rural/MDH 72 Psych/HH
Maumelle Methodist Behavioral Hospital PNP Psychiatric IP Psych 60McGehee McGehee Hospital PNP Medical-Surgical CAH 25 SB/HHMemphis, TN Regional One Health PNP Medical-Surgical Urban (TN) 620Mena Mena Regional Health System City Medical-Surgical Rural/SCH 65 SB/Psych/RehabMonticello Drew Memorial Hospital County Medical-Surgical Rural/SCH 49 SB/HHMorrilton CHI St. Vincent Morrilton PNP Medical-Surgical CAH 25 SB/HHMountain Home Baxter Regional Medical Center PNP Medical-Surgical RRC/SCH 268 Psych/Rehab/HHMountain View Stone County Medical Center PNP Medical-Surgical CAH 25 SBNashville Howard Memorial Hospital PNP Medical-Surgical CAH 20 SB/HHNewport Unity Health-Harris Medical Center Corporate Medical-Surgical Rural 133 SB/PsychNorth Little Rock Arkansas Hospice PNP Inpatient Hospice 40
North Little Rock Baptist Health Medical Center-North Little Rock PNP Medical-Surgical Urban 220 Rehab/HH
North Little Rock The BridgeWay Corporate Psychiatric IP Psych 127Osceola SMC Regional Medical Center County Medical-Surgical CAH 25 SB/PsychOzark Mercy Hospital Ozark PNP Medical-Surgical CAH 25 SBParagould Arkansas Methodist Medical Center PNP Medical-Surgical RRC 129 SB/Rehab/HHParis Mercy Hospital Paris PNP Medical-Surgical CAH 16 SBPiggott Piggott Community Hospital City Medical-Surgical CAH 25 SB/HH
Pine Bluff Jefferson Regional Medical Center PNP Medical-Surgical Urban/SCH 471 SNF/Psych/Rehab/HH
Pocahontas Five Rivers Medical Center PNP Medical-Surgical Rural/SCH 50 Psych/HHRogers Mercy Hospital Northwest Arkansas PNP Medical-Surgical Urban 220 Psych/HHRussellville Saint Mary's Regional Medical Center Corporate Medical-Surgical RRC 170 Psych/RehabSalem Fulton County Hospital County Medical-Surgical CAH 25 SBSearcy Advanced Care Hospital of White County PNP Long Term Care LTCH 27Searcy Unity Health-White County Medical Center PNP Medical-Surgical RRC/SCH 438 Psych/Rehab/HHSherwood CHI St. Vincent North PNP Medical-Surgical Urban 69 HHSherwood St. Vincent Rehabilitation Hospital Corporate Rehabilitation IRF 93Siloam Springs Siloam Springs Memorial Hospital Corporate Medical-Surgical Urban 73 SBSpringdale Northwest Medical Center-Springdale Corporate Medical-Surgical Urban 222 Psych/Rehab/HHStuttgart Baptist Health Medical Center-Stuttgart PNP Medical-Surgical Rural/MDH 49 SBTexarkana Riverview Behavioral Health Corporate Psychiatric IP Psych 62Texarkana, TX CHRISTUS St. Michael Health System PNP Medical-Surgical Urban (TX) 312Van Buren Sparks Medical Center-Van Buren Corporate Medical-Surgical Urban 103Waldron Mercy Hospital Waldron PNP Medical-Surgical CAH 24 SBWalnut Ridge Lawrence Memorial Hospital County Medical-Surgical CAH 25 SB/IMF+G38Warren Bradley County Medical Center PNP Medical-Surgical CAH 33 SB/Psych/HHWest Memphis OakRidge Behavioral Center Corporate Psychiatric IP Psych 52Wynne CrossRidge Community Hospital PNP Medical-Surgical CAH 25 SB/HH
PNP=Private Non-Profit; CAH=Critical Access Hospital; RRC=Rural Referral Center; SCH=Sole Community HospitalMDH=Medicare Dependent Hospital; SB=Swing Beds; DPU=Distinct Part Unit; HH=Home Health
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30 Summer 2016 I ARKANSAS HOSPITALS
STATISTICS
LEVEL I (6)Arkansas Children's Hospital Little Rock, AR September 21, 2014
CoxHealth Springfield, MO March 2, 2015
Le Bonheur Children’s Hospital Memphis, TN June 11, 2014
Mercy Hospital Springfield Springfield, MO January 28, 2011
Regional Medical Center Memphis, TN September 28, 2010
University of Arkansas for Medical Sciences (UAMS) Little Rock, AR September 22, 2014
LEVEL II (5)Baptist Health Medical Center Little Rock, AR December 20, 2010
CHI St. Vincent Hot Springs Hot Springs, AR October 10, 2011
CHI St. Vincent Infirmary Little Rock, AR May 3, 2011
Mercy Hospital-Springfield Pediatric Trauma Center Springfield, MO March 1, 2015
Washington Regional Medical Center Fayetteville, AR March 27, 2012
LEVEL III (18)
Baptist Health Medical Center-NLR North Little Rock, AR May 12, 2011
Baxter Regional Medical Center Mountain Home, AR December 5, 2011
CHRISTUS Saint Michael Health System Texarkana, TX March 1, 2011
Conway Regional Medical Center Conway, AR September 21, 2011
Jefferson Regional Medical Center Pine Bluff, AR August 20, 2014
Johnson Regional Medical Center Clarksville, AR January 9, 2012
Medical Center of South Arkansas El Dorado, AR March 8, 2013
Mercy Hospital Fort Smith Fort Smith, AR March 6, 2012
Mercy Hospital Northwest Arkansas Rogers, AR February 22, 2012
North Arkansas Regional Medical Center Harrison, AR March 1, 2013
Northwest Medical Center-Bentonville Bentonville, AR February 24, 2012
Northwest Medical Center-Springdale Springdale, AR July 10, 2013
Saint Mary’s Regional Medical Center Russellville, AR August 3, 2011
Saline Memorial Hospital Benton, AR January 11, 2012
St. Bernards Medical Center Jonesboro, AR August 15, 2012
Unity Health-White County Medical Center Searcy, AR October 24, 2011
Wadley Regional Medical Center Texarkana, TX January 6, 2012
White River Medical Center Batesville, AR January 24, 2012
LEVEL IV (36)Arkansas Methodist Medical Center Paragould, AR May 30, 2012
Ashley County Medical Center Crossett, AR February 22, 2013
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Baptist Health Medical Center-Heber Springs Heber Springs, AR November 18, 2015
Baptist Health Medical Center-Hot Spring County Malvern, AR September 2, 2015
Baptist Health Medical Center-Stuttgart
Stuttgart, AR December 14, 2012
NEA Baptist Memorial Hospital Jonesboro, AR April 15, 2015
CHI St. Vincent North Little RockNorth Little Rock, AR
August 11, 2015
Chicot Memorial Medical Center Lake Village, AR January 13, 2015
Community Medical Center of Izard County
Calico Rock, AR October 9, 2015
CrossRidge Community Hospital
Wynne, AR September 24, 2012
Dallas County Medical Center Fordyce, AR January 26, 2016
Eureka Springs Hospital Eureka Springs, AR February 3, 2016
Five Rivers Medical Center Pocahontas, AR April 14, 2015
Forrest City Medical Center Forrest City, AR December 1, 2015
Fulton County Hospital Salem, AR April 27, 2015
Great River Medical Center Blytheville, AR January 8, 2013
Helena Regional Medical Center
Helena, AR March 5, 2013
Howard Memorial Hospital Nashville, AR April 14, 2015
John Ed Chambers Memorial Hospital
Danville, AR April 23, 2015
Magnolia Regional Medical Center
Magnolia, AR October 27, 2015
McGehee Hospital McGehee, AR October 25, 2012
Mena Regional Health System Mena, AR January 21, 2016
Mercy Hospital Berryville Berryville, AR August 6, 2015
Mercy Hospital Booneville Booneville, AR November 27, 2012
Mercy Hospital Ozark Ozark, AR November 6, 2015
Mercy Hospital Paris Paris, AR April 22, 2015
Mercy Hospital Waldron Waldron, AR January 22, 2016
North Metro Medical Center Jacksonville, AR January 22, 2013
Ouachita County Medical Center Camden, AR October 28, 2015
Piggott Community Hospital Piggott, AR October 27, 2015
River Valley Medical Center Dardanelle, AR February 11, 2016
Siloam Springs Regional Hospital Siloam Springs, AR March 25, 2013
South Mississippi County Regional Medical Center
Osceola, AR January 7, 2013
Stone County Medical Center Mountain View, AR June 2, 2015
Sparks Medical Center-Van Buren
Van Buren, AR March 28, 2012
Unity Health-Harris Hospital Newport, AR March 28, 2013
Distribution of ArkansasCommunity Hospitals by County
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32 Summer 2016 I ARKANSAS HOSPITALS
STATISTICS
Cornerstone Hospital of Little Rock ●
Eureka Springs Hospital ●
Forrest City Medical Center ●
HEALTHSOUTH Rehabilitation Hospital ●
Helena Regional Medical Center ●
Medical Center of South Arkansas ●
National Park Medical Center ●
North Metro Medical Center ●
Northwest Medical Center–Bentonville ●
Northwest Medical Center–Springdale ●
Ozarks Community Hospital ●
Pinnacle Pointe Hospital ●
Rivendell Behavioral Health ●
River Valley Medical Center ●
Riverview Behavioral Health ●
Saint Mary’s Regional Medical Center ●
Saline Memorial Hospital ●
Siloam Springs Regional Hospital ●
Sparks Regional Medical Center ●
Sparks Medical Center–Van Buren ●
Springwoods Behavioral Health ●
St. Vincent Rehabilitation Hosptial ●
The BridgeWay ●
Valley Behavioral Health System ●
Vantage Point of NWA ●
Willow Creek Women’s Hospital ●
AHA Investor-Owned, Operatedor Managed Hospitals, 2016
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ARKANSAS HOSPITALS I Summer 2016 33
Advanced Care Hospital of White County ●Baptist Health Extended Care Hospital ●Baptist Health Medical Center–Arkadelphia ●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 Medical Center ●CHI St. Vincent Morrilton ●CHI St. Vincent North ●CHRISTUS Dubuis Hospital of Fort Smith ●CHRISTUS Dubuis Hospital of Hot Springs ●CHRISTUS St. Michael Health System ●CrossRidge Community Hospital ●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 Hospital ●St. Bernards Medical Center ●St. Vincent Rehabilitation Hospital ●Stone County Medical Center ●Unity Health–Harris Medical Center ●Unity Health–White County Medical Center ●White River Medical Center ●
AHA Affiliates of Non-Profit, Multi-Hospital Systems, 2016
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BEDS AVAILABLE 9,686 9,565 9,451 9,425 9,417 9,452 9,284 -4.15%ADMISSIONS 376,158 380,478 370,401 363,516 352,752 352,362 344,635 -8.38%PATIENT DAYS 1,989,969 1,957,556 1,908,843 1,882,912 1,845,443 1,817,099 1,768,146 -11.15%AVG. LENGTH OF STAY 5.29 5.14 5.15 5.18 5.23 5.16 5.13 -3.02%NON-EMERGENCY OP VISITS 3,671,422 3,692,949 3,645,562 3,419,087 3,743,252 3,674,902 3,727,703 1.53%OUTPATIENT VISITS 4,972,752 5,047,981 5,022,211 4,810,624 5,125,435 5,113,519 5,078,901 2.13%NON-EMERGENCY AS A % OF TOTAL OP VISITS 73.8% 73.2% 72.6% 71.1% 73.0% 71.9% 73.4% -0.59%
CrossRidge Community Hospital Yes 1.00% 2000 $2,100,000
Dallas County Medical Center Yes 1.00% 2005 $840,000
Delta Memorial Hospital * Yes 2.00% 2004 $360,000
DeWitt Hospital Yes 1.50% 2003 $850,000
Drew Memorial Hospital Yes 0.25% 2015 $670,000
Five Rivers Medical Center Yes 1.00% 2007 $750,000
Fulton County Hospital Yes 0.50% 2007 $288,000
Johnson Regional Medical Center No Yes .3 mill 1977 $65,000
Lawrence Memorial Hospital Yes 1.00% 2014 $1,560,000
Little River Memorial Hospital Yes
Magnolia Hospital (A) Yes 1.125% 2007 $2,600,000
Magnolia Hospital (B) 0.25% 2004 $540,000
Mercy Hospital Booneville Yes 1.00% 2003 $360,000
Mercy Hospital Ozark Yes 1.00% 2001 $350,000
Mercy Hospital Paris Yes 1.00% NA NA
McGehee Hospital Yes 1.00% 1999 $600,000
Mississippi County Hospital System Yes 0.50% Yes 1 mill 2015/1952 $2,732,000
Ouachita County Medical Center *** Yes 1.00% 2015 $2,400,000
Piggott Community Hospital Yes 1.00% 2010 $360,000
CHI St. Vincent Morrilton Yes 0.25% Yes .25 mill 2008 $1,000,000
*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 buildings. Another refinancing in 2013 allowed some savings to be allocated to maintenance and equipment for the hospital for a 5-year period. That is expected to generate about $360,000 annually. ** Annually receives approximately $1.1 mil on a bond issue that was used to build the new building; plus $1.1 mil 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. Source: Self-reported information provided to the Arkansas Hospital Association, 2016
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Arkansas State Hospital State of ArkansasDallas County Medical Center Dallas CountyDrew Memorial Hospital Drew CountyFulton County Hospital Fulton CountyLawrence Memorial Hospital Lawrence CountyGreat River Medical Center Mississippi CountyLittle River Memorial Hospital Little River CountySMC Regional Medical Center Mississippi County
Magnolia Regional Medical Center City of Magnolia
Mena Regional Health System City of Mena
Piggott Community Hospital City of Piggott
UAMS Medical Center State of Arkansas
Central Arkansas Veterans Healthcare System United States
Veterans Healthcare System of the Ozarks United States
HOSPITALGOVERNMENT ENTITY HOSPITAL
GOVERNMENT ENTITY
36 Summer 2016 I ARKANSAS HOSPITALS
*Average for the West South Central (WSC) Region, CMS Region VI, which includes Arkansas, Louisiana, New Mexico, Oklahoma and Texas**Average for the entire United States (U.S.) Source: American Hospital Association, Hospital Statistics, 2016
STATISTICS
1 California $66,555 District of Columbia $19,831 Alaska $20,858 Utah 16.67%
2 Colorado 61,565 Alaska 18,290 District of Columbia 19,120 Alaska 12.31%
3 New Jersey 61,364 New York 17,180 California 16,704 Indiana 8.53%4 District of Columbia 59,091 California 16,853 Colorado 16,597 South Carolina 8.29%5 Alaska 58,653 Massachusetts 15,867 New York 15,989 Nebraska 7.21%6 Nevada 55,614 Washington 15,671 Washington 15,808 Colorado 6.65%7 Pennsylvania 52,946 Minnesota 15,498 Minnesota 15,611 Idaho 5.96%8 Texas 51,636 Colorado 15,493 New Hampshire 15,330 Virginia 5.75%9 Florida 48,884 Hawaii 15,222 Idaho 15,269 Florida 5.55%
10 Washington 48,337 New Hampshire 14,805 Utah 15,251 Nevada 5.46%
11 Arizona 47,434 Delaware 14,708 Delaware 15,205 Wisconsin 4.87%*WSC Region 46,271 Idaho 14,360 Nebraska 14,087 Oklahoma 4.38%**U.S. 45,078 Maine 14,343 Massachusetts 14,063 New Mexico 3.90%
12 New York 44,895 Oregon 14,298 South Dakota 13,993 Georgia 3.47%13 South Carolina 44,046 South Dakota 13,892 Hawaii 13,953 New Hampshire 3.43%14 Utah 43,970 Connecticut 13,556 Indiana 13,936 Arizona 3.36%15 Illinois 43,099 Rhode Island 13,415 Oregon 13,919 Tennessee 3.28%16 Ohio 42,744 Wyoming 13,378 Connecticut 13,659 Delaware 3.27%17 New Hampshire 42,526 North Dakota 13,369 Maine 13,598 Alabama 2.83%18 Connecticut 42,489 Pennsylvania 13,324 Wisconsin 13,421 Montana 2.79%19 Indiana 41,511 New Jersey 13,200 Pennsylvania 13,351 Texas 2.26%20 Georgia 41,013 U.S. 13,131 Ohio 13,300 North Carolina 1.93%21 Virginia 40,443 Ohio 13,089 Wyoming 13,261 WSC Region 1.60%22 Tennessee 40,437 Nebraska 13,071 U.S. 13,205 Ohio 1.59%23 Kansas 39,824 Vermont 13,039 Montana 13,203 Kansas 1.21%24 New Mexico 39,209 Montana 12,835 North Dakota 13,155 Washington 0.86%25 Oklahoma 38,938 Maryland 12,772 Vermont 13,084 West Virginia 0.76%26 Minnesota 38,807 Wisconsin 12,766 New Jersey 13,007 Connecticut 0.75%27 Hawaii 38,250 Indiana 12,747 Texas 12,758 Minnesota 0.73%28 Idaho 38,187 Utah 12,709 Maryland 12,695 South Dakota 0.72%29 Missouri 37,882 Texas 12,470 Rhode Island 12,516 U.S. 0.56%30 Mississippi 37,872 Illinois 12,394 Illinois 12,448 Illinois 0.43%31 Nebraska 36,701 Missouri 12,309 South Carolina 12,214 Vermont 0.34%32 Rhode Island 36,580 Michigan 11,909 Virginia 12,124 Pennsylvania 0.20%33 Louisiana 36,538 Kansas 11,672 Missouri 11,953 Kentucky -0.02%34 South Dakota 36,512 WSC Region 11,630 Arizona 11,933 Mississippi -0.42%35 Massachusetts 36,483 Arizona 11,532 WSC Region 11,820 Maryland -0.60%36 Alabama 36,066 Virginia 11,427 Kansas 11,816 Wyoming -0.88%37 North Carolina 35,822 New Mexico 11,321 New Mexico 11,780 California -0.89%38 Kentucky 35,471 North Carolina 11,274 Michigan 11,741 Arkansas -1.25%39 Wisconsin 34,188 South Carolina 11,201 Georgia 11,593 Michigan -1.44%40 Delaware 33,857 Georgia 11,190 North Carolina 11,496 New Jersey -1.48%41 Michigan 32,256 Iowa 11,064 Nevada 11,346 North Dakota -1.62%42 Arkansas 31,366 Nevada 10,726 Oklahoma 10,792 Louisiana -2.35%43 Oregon 30,557 Oklahoma 10,319 Florida 10,757 Oregon -2.73%44 Maine 30,069 Louisiana 10,284 Iowa 10,634 Missouri -2.98%
45 Vermont 29,906 West Virginia 10,218 Tennessee 10,392 District of Columbia -3.72%
46 North Dakota 29,194 Florida 10,160 West Virginia 10,297 Iowa -4.05%47 Iowa 28,630 Tennessee 10,051 Louisiana 10,048 Maine -5.47%48 Wyoming 27,427 Mississippi 10,051 Mississippi 10,009 Rhode Island -7.18%49 Montana 27,121 Kentucky 9,958 Kentucky 9,955 New York -7.45%50 West Virginia 26,698 Arkansas 8,840 Arkansas 8,730 Hawaii -9.09%51 Maryland 19,413 Alabama 8,155 Alabama 8,393 Massachusetts -12.83%
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: 5,903,068,665 10,968,620,500 7,158,245,039 18,807,029,382 8,249,517,116 16,048,842,056 56,495,139,661 813,437,515,663
At the same time, hospitals spent this much providing patient care services… 5,976,998,987 11,224,972,279 7,188,316,628 19,367,868,494 7,888,228,952 15,522,404,054 55,219,961,093 808,869,209,436
… to patients needing care for this many adjusted patient days while being served. 3,468,973 5,978,267 4,814,000 8,188,458 4,217,044 7,979,872 23,378,583 333,111,172
So, the revenue excess (loss) was: ($73,930,322) ($256,351,779) ($30,071,589) ($560,839,112) $361,288,164 $526,438,002 $1,275,178,568 $4,568,306,227
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: -1.25% -2.34% -0.42% -2.98% 4.38% 3.28% 2.26% 0.56%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: $234,563,386 $438,254,716 $291,984,057 $593,762,010 $683,632,941 $1,099,509,359 $6,505,315,267 $55,685,720,575 As a result, the “operating margin” rose to: 3.78% 3.76% 3.90% 2.97% 7.98% 6.61% 10.54% 6.44%Hospitals also collected other types of revenue from sources including contributions, tax appropriations, investments and the rental of office space. Those amounted to:
Source: Arkansas Department of Health, Hospital Discharge Data Program 2014 *Notes: Estimated based on statewide cost-to-charge ratio (latest available cost used 2013) *Self-Pay/No Charge colunm includes Medically Indigent/Free discharges
2014
2001
4,14
4,99
9,44
343
8,81
2,61
214
0,21
7,96
057
9,03
0,57
221
5,62
4,51
46.
63%
2002
4,92
0,05
9,93
448
1,58
2,68
819
3,42
9,49
367
5,01
2,18
124
1,27
7,44
26.
68%
2003
5,79
0,60
2,64
353
1,16
1,82
920
6,99
5,04
673
8,15
6,87
525
6,34
8,72
96.
49%
2004
6,36
0,78
3,01
456
5,22
0,36
623
9,57
5,47
880
4,79
5,84
426
4,20
1,62
26.
58%
2005
6,94
5,01
7,07
856
6,19
2,49
729
3,50
4,47
185
9,69
6,96
827
7,06
1,01
86.
56%
2006
7,57
2,66
5,74
259
6,84
2,33
330
9,91
4,74
290
6,75
7,07
528
6,47
0,77
36.
46%
2007
8,22
0,63
2,39
262
8,06
3,91
832
6,12
6,83
595
4,19
0,75
329
1,21
3,49
56.
35%
2008
9,01
1,38
5,59
969
4,03
2,83
635
9,23
1,83
51,
053,
264,
671
318,
338,
089
6.47
%20
0910
,164,
398,
525
763,
238,
417
376,
548,
005
1,13
9,78
6,42
232
5,17
7,43
46.
30%
2010
11,0
07,3
46,2
5583
6,09
4,64
343
0,03
4,65
61,
266,
129,
299
338,
062,
266
6.44
%20
1112
,106
,848
,283
907,
211,
670
487,
626,
273
1,39
4,83
7,94
235
0,86
0,54
76.
57%
2012
12,8
20,2
30,8
1494
4,51
5,46
051
7,12
2,21
51,
461,
637,
675
377,
833,
164
6.56
%20
1314
,135
,092
,803
991,
141,
593
586,
854,
937
1,57
7,99
6,53
038
5,30
0,94
96.
51%
2014
15,3
05,2
92,1
041,
086,
675,
739
596,
906,
372
1,68
3,58
2,11
138
2,64
2,39
56.
40%
INCR
EASE
269.
25%
147.
64%
325.
70%
190.
76%
75.2
3%So
urce
: Am
eric
an H
ospi
tal A
ssoc
iatio
n, 2
016
YEA
R
GROSSREVENUES
(BILLED CHARGES)
NETREVENUES
($$ COLLECTED)
OTHEROPERATING
REVENUE
GROSS + OTHER
REVENUE
TOTALOPERATING
COSTS
COST-TO-CHARGE
RATIO
TOTALUNCOLLECTED AMOUNTS DUE
BAD DEBT
CHARITYCARE
UNCOMPENSATEDCARE
CHARGES
UNCOMPENSATEDCARE
COSTS
PERCENTOF TOTAL
COSTS
Ark
ansa
s H
osp
ital
sU
ncom
pen
sate
d C
are
Cos
ts, 2
001-
2014
YEA
R
Impact of Self-Pay (Uninsured) Inpatients On Arkansas Hospitals, 2005-2014
40 Summer 2016 I ARKANSAS HOSPITALS
AHA Member Organizations byCongressional District
19th Medical Group LRAFB ●Advanced Care Hospital of White County ●Arkansas Children’s Hospital ●Arkansas Heart Hospital ●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-Hot Spring
County ●Baptist Health Medical Center- Little Rock ●Baptist Health Medical Center-NLR ●Baptist Health Rehabilitation Institute ●Baxter Regional Medical Center ●Bradley County Medical Center ●CARTI ●Central Arkansas Veterans Healthcare
System ●Chambers Memorial Hospital ●CHI St. Vincent Hot Springs ●CHI St. Vincent Infirmary ●CHI St. Vincent Morrilton ●CHI St. Vincent North ●Chicot Memorial Medical Center ●CHRISTUS Dubuis Hospital of Fort Smith ●CHRISTUS Dubuis Hospital of Hot Springs ●Community Medical Center of Izard County ●Conway Regional Health System ●Conway Regional Rehabilitation Hospital ●Cornerstone Hospital of Little Rock ●CrossRidge Community Hospital ●Dallas County Medical Center ●Delta Memorial Hospital ●DeWitt Hospital ●Drew Memorial Hospital ●Eureka Springs Hospital ●Five Rivers Medical Center ●Forrest City Medical Center ●Fulton County Hospital ●Great River Medical Center ●HEALTHSouth Rehabilitation Hospital ●Helena Regional Medical Center ●Howard Memorial Hospital ●Jefferson Regional Medical Center ●Johnson Regional Medical Center ●
Lawrence Memorial Hospital ●Levi Hospital ●Little River Memorial Hospital ●Magnolia Regional Medical Center ●Medical Center of South Arkansas ●McGehee Hospital ●Mena Regional Health System ●Mercy Hospital Berryville ●Mercy Hospital Booneville ●Mercy Hospital Fort Smith ●Mercy Hospital Northwest Arkansas ●Mercy Hospital Ozark ●Mercy Hospital Paris ●Mercy Hospital Waldron ●Methodist Behavioral Hospital ●National Park Medical Center ●NEA Baptist Memorial Hospital ●North Arkansas Regional Medical Center ●North Metro Medical Center ●Northwest Medical Center Bentonville ●Northwest Medical Center Springdale ●Ouachita County Medical Center ●Ozarks Community Hospital ●Ozark Health Medical Center ●OakRidge Behavioral Center ●Piggott 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 Regional Hospital ●SMC Regional Medical Center ●St. Bernards Medical Center ●St. Vincent Rehabilitation Hospital ●Stone County Medical Center ●Sparks Regional Medical Center ●Sparks Medical Center-Van Buren ●Springwoods Behavioral Health Hospital ●The BridgeWay ●UAMS Medical Center ●Unity Health-Harris Medical Center ●Unity Health-White County Medical Center ●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 ●
