Harlan ARH Hospital

Harlan ARH Hospital, located at 81 Ball Park Road in Harlan, KY, is your trusted regional healthcare center. As a 150-bed acute care facility, we offer a comprehensive array of specialty medical services and community-based care, including behavioral health, cancer care, heart care, women's health, and rehabilitation therapy. Harlan ARH has been recognized as one of America's "100 Top Hospitals" in 1998, 2007, and 2011, and we continue to build upon our 60-year reputation. We are committed to improving the health and well-being of our community through compassionate, quality care.

Identifiers

Hospital Name Harlan ARH Hospital
Facility ID 180050

Location

Address 81 BALL PARK ROAD
City/Town Harlan
State KY
ZIP Code 40831
County/Parish HARLAN

Health System

Health System Appalachian Regional Healthcare
Health System Website Domain arh.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 15
Health System Total Beds 1324
Health System Hospital Locations Kentucky and West Virginia

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details Appalachian Regional Healthcare
Emergency Services Yes

Joe Horton

CEO

Grew up in Middlesboro. Served in the military (U.S. Marine Corps) before beginning his healthcare career as an X-ray technician in Knoxville. Started working at Harlan ARH in 2005, working in various positions to become CEO of the facility. Previously served as the medical imaging director at Harlan ARH Hospital for 10 years and then moved into the role of assistant administrator at Middlesboro ARH Hospital. Managed Middlesboro's ancillary departments operations, developed annual facility operating and capital budgets and conducted facility-wide departmental operating reviews in collaboration with department directors. Completed the ARH Leadership Academy Class. Completed a master's degree in business administration from Lincoln Memorial University and a bachelor's degree in health administration from Midway College. Completed his radiology program certification at Cumberland Valley Technical & Community College. Appointed as regional chief operating officer for Cumberland Valley, overseeing Barbourville ARH, Harlan ARH and Middlesboro ARH hospitals in 2021.

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 150

Staffing & Personnel

FTE Employees on Payroll 307.24
FTE Interns & Residents 7.13

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2241
Inpatient Days (Title XIX) 244
Total Inpatient Days 7306
Bed Count 56
Available Bed Days 20440
Discharges (Title V) NA
Discharges (Title XVIII) 551
Discharges (Title XIX) 73
Total Discharges 2121

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1885
Inpatient Days (Title XIX; Adults & Peds) 176
Total Inpatient Days (Adults & Peds) 5707
Bed Count (Adults & Peds) 49
Available Bed Days (Adults & Peds) 17885
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 551
Discharges (Title XIX; Adults & Peds) 73
Total Discharges (Adults & Peds) 2121

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 57%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 163

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 25.2
Readmission Score Hospital Return Days for Pneumonia Patients 15.1
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.2
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.3
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 19.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 22.1
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 19
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.165
CAUTI SIR (Standardized Infection Ratio) 0.270
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.480
MRSA SIR (Standardized Infection Ratio) 1.542

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $328
Bad Debt Expense $3,138
Uncompensated Care Cost $1,138
Total Uncompensated Care $5,074

Operating Expenses ($ thousands)

Total Salaries $30,509
Overhead Expenses (Non-Salary) $56,240
Depreciation Expense $2,007
Total Operating Costs $81,490

Charges ($ thousands)

Inpatient Charges $110,381
Outpatient Charges $239,612
Total Patient Charges $349,993

Wage-Related Details ($ thousands)

Core Wage Costs $6,497
Wage Costs (RHC/FQHC) $997
Adjusted Salaries $30,509
Contract Labor (Patient Care) $3,720
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $79
Short-Term Investments
Notes Receivable
Accounts Receivable $51,592
Allowance for Doubtful Accounts $-46,202
Inventory $2,112
Prepaid Expenses
Other Current Assets
Total Current Assets $7,761

Balance Sheet – Fixed Assets ($ thousands)

Land Value $1,099
Land Improvements Value $503
Building Value $9,439
Leasehold Improvements $27,633
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment $19,462
Health IT Assets
Total Fixed Assets $13,102

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $20,863

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-53,944
Salaries & Wages Payable $589
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $8,026
Total Current Liabilities $-45,328

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $-45,328

Balance Sheet – Equity ($ thousands)

General Fund Balance $66,191
Total Fund Balances $66,191
Total Liabilities & Equity $20,863

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,102
DRG (Post-Oct 1) $3,574
Outlier Payments
DSH Adjustment $306
Eligible DSH % $0
Simulated MC Payments $3,474
Total IME Payments $283

Revenue & Income Statement ($ thousands)

Inpatient Revenue $81,276
Outpatient Revenue $268,726
Total Patient Revenue $350,003
Contractual Allowances & Discounts $280,083
Net Patient Revenue $69,920
Total Operating Expenses $86,749
Net Service Income $-16,829
Other Income $26,250
Total Income $9,421
Other Expenses
Net Income $9,421

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $25,598
Medicaid Charges $126,847
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No