Knox County Hospital

Barbourville ARH Hospital, formerly Knox County Hospital, is a modern, 25-bed critical access hospital dedicated to serving the Barbourville, Kentucky community. As part of the 14-hospital ARH system, we provide high-quality healthcare in private rooms with baths to ensure a comfortable patient experience. Our hospital features an Emergency Department, Radiology services, and Cardiovascular Services. We are committed to delivering exceptional care and making a positive impact on the lives of those we serve.

Identifiers

Hospital Name Knox County Hospital
Facility ID 181328

Location

Address 80 HOSPITAL DRIVE
City/Town Barbourville
State KY
ZIP Code 40906
County/Parish KNOX

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 Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details Appalachian Regional Healthcare
Emergency Services Yes

Ray Canady

Chief Executive Officer

Brenda Graham

Director of Nursing Services

Amanda Ellis

Accounting Controller

Janet Wilder

Human Resources Director

James Head

Information Systems & Technology Director

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 25

Staffing & Personnel

FTE Employees on Payroll 159.02
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 976
Inpatient Days (Title XIX) 880
Total Inpatient Days 4880
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 147
Discharges (Title XIX) 9
Total Discharges 542

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 309
Inpatient Days (Title XIX; Adults & Peds) 3
Total Inpatient Days (Adults & Peds) 1027
Bed Count (Adults & Peds) 19
Available Bed Days (Adults & Peds) 6935
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 147
Discharges (Title XIX; Adults & Peds) 9
Total Discharges (Adults & Peds) 542

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours
Care Quality Concerns Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital.

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 71%

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
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
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
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 107

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients Not Available
Readmission Score Hospital Return Days for Pneumonia Patients 43.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.3
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 17.5
Readmission Score Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.1
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.5
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
Readmission Group Hospital Return Days for Heart Failure Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average 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 Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
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 Not Available
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 Number of Cases Too Small
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) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $275
Bad Debt Expense $2,020
Uncompensated Care Cost $868
Total Uncompensated Care $868

Operating Expenses ($ thousands)

Total Salaries $14,246
Overhead Expenses (Non-Salary) $20,919
Depreciation Expense $614
Total Operating Costs $34,244

Charges ($ thousands)

Inpatient Charges $29,127
Outpatient Charges $96,737
Total Patient Charges $125,864

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $493
Short-Term Investments
Notes Receivable
Accounts Receivable $8,365
Allowance for Doubtful Accounts
Inventory $880
Prepaid Expenses $4
Other Current Assets
Total Current Assets $10,012

Balance Sheet – Fixed Assets ($ thousands)

Land Value $-42
Land Improvements Value
Building Value $2,856
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $4,746
Minor Depreciable Equipment
Health IT Assets $1,421
Total Fixed Assets $5,223

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $42
Total Other Assets $42
Total Assets $15,277

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $16
Salaries & Wages Payable $-4,760
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $4,591
Total Current Liabilities $-153

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $-153

Balance Sheet – Equity ($ thousands)

General Fund Balance $15,431
Total Fund Balances $15,431
Total Liabilities & Equity $15,277

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $24,381
Outpatient Revenue $102,093
Total Patient Revenue $126,474
Contractual Allowances & Discounts $87,704
Net Patient Revenue $38,771
Total Operating Expenses $35,165
Net Service Income $3,606
Other Income $13,439
Total Income $17,044
Other Expenses
Net Income $17,044

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $11,251
Medicaid Charges $36,521
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