Middlesboro ARH Hospital

Middlesboro ARH Hospital, located in Middlesboro, KY, is a 96-bed acute care facility dedicated to providing comprehensive and quality healthcare to the tri-state area. As part of the Appalachian Regional Healthcare (ARH) system, we offer a wide range of specialty services, including imaging, orthopedics, women's health, rehabilitation therapy, and surgery. Our commitment is to improve the health and well-being of our community through advanced medical technology and compassionate care. With a focus on patient-friendly service, Middlesboro ARH is your trusted healthcare partner in the foothills of the Cumberland Gap. We also feature specialized services such as a Sleep Diagnostic Center and stroke management.

Identifiers

Hospital Name Middlesboro ARH Hospital
Facility ID 180020

Location

Address 3600 WEST CUMBERLAND AVENUE
City/Town Middlesboro
State KY
ZIP Code 40965
County/Parish BELL

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 - Private
Ownership Details Appalachian Regional Healthcare
Emergency Services Yes

Michael Slusher

Community CEO

NA

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 96

Staffing & Personnel

FTE Employees on Payroll 237.91
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1404
Inpatient Days (Title XIX) 417
Total Inpatient Days 5365
Bed Count 46
Available Bed Days 16790
Discharges (Title V) NA
Discharges (Title XVIII) 276
Discharges (Title XIX) 17
Total Discharges 1099

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 910
Inpatient Days (Title XIX; Adults & Peds) 306
Total Inpatient Days (Adults & Peds) 3111
Bed Count (Adults & Peds) 39
Available Bed Days (Adults & Peds) 14235
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 276
Discharges (Title XIX; Adults & Peds) 17
Total Discharges (Adults & Peds) 1099

Quality Summary

Care Quality Stengths Average overall patient satisfaction. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. 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.
Care Quality Concerns Hospital struggles with high infection rates

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 64%

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) 164

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -20.7
Readmission Score Hospital Return Days for Pneumonia Patients -6.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.4
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
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 Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.6
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.3
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 Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Number of cases too small
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 Number of Cases Too Small
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) N/A
CAUTI SIR (Standardized Infection Ratio) 0.000
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.649
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $305
Bad Debt Expense $4,030
Uncompensated Care Cost $1,146
Total Uncompensated Care $1,146

Operating Expenses ($ thousands)

Total Salaries $16,919
Overhead Expenses (Non-Salary) $31,489
Depreciation Expense $1,312
Total Operating Costs $43,256

Charges ($ thousands)

Inpatient Charges $43,489
Outpatient Charges $172,941
Total Patient Charges $216,430

Wage-Related Details ($ thousands)

Core Wage Costs $4,808
Wage Costs (RHC/FQHC) $227
Adjusted Salaries $16,919
Contract Labor (Patient Care) $188
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $3
Short-Term Investments
Notes Receivable
Accounts Receivable $4,277
Allowance for Doubtful Accounts
Inventory $918
Prepaid Expenses $4
Other Current Assets
Total Current Assets $5,914

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value $38,635
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $9,691

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $15,605

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $0
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $-25,905
Total Current Liabilities $-25,905

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $327
Total Long-Term Liabilities $327
Total Liabilities $-25,577

Balance Sheet – Equity ($ thousands)

General Fund Balance $41,182
Total Fund Balances $41,182
Total Liabilities & Equity $15,605

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $482
DRG (Post-Oct 1) $1,667
Outlier Payments
DSH Adjustment $64
Eligible DSH % $0
Simulated MC Payments $1,964
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $43,489
Outpatient Revenue $171,304
Total Patient Revenue $214,793
Contractual Allowances & Discounts $177,958
Net Patient Revenue $36,835
Total Operating Expenses $48,408
Net Service Income $-11,573
Other Income $13,370
Total Income $1,798
Other Expenses
Net Income $1,798

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $12,792
Medicaid Charges $70,148
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