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50-critical-access-hospitals-medical-supply-costs
July 15, 2019

According to Definitive Healthcare's data, there are about 1,387 critical access hospitals (CAHs) in the United States. Created by Congress in 1997, critical access hospitals are a designation given to eligible rural hospitals by the Centers for Medicare and Medicaid Services (CMS) in an effort to keep healthcare accessible to remote American populations. Congress realized that rural Americans needed extra Medicare dollars to keep the doors of rural hospitals open,  given their financial vulnerability.

Critical access hospitals must maintain 25 inpatient beds or fewer, must be at least 35 miles away from another facility, and provide 24-hour emergency care services seven days a week. In exchange, Medicare reimburses each critical access hospital at 101 percent of its costs. 

Let's take a look at America's top 50 critical access hospitals ranked by largest total medical supply costs:

 

50 Critical Access Hospitals with the Largest Medical Supply Costs

Rank Hospital Name Total Med/Surg Supply Costs # of Staffed Beds
1.  Lourdes Medical Center (WA) $25,286,719 25
2.  Tahoe Forest Hospital (CA) $24,033,252 25
3.  Columbia Memorial Hospital (OR) $20,805,257 25
4.  Bingham Memorial Hospital (ID) $20,761,667 25
5.  Optim Medical Center - Tattnall (GA) $19,086,522 25
6.  Cody Regional Health (WY) $18,622,818 25
7.  Avera Marshall Regional Medical Center (MN) $17,334,180 25
8.  Waldo County General Hospital (ME) $17,309,429 25
9.  Monadnock Community Hospital (NH) $17,032,419 25
10.  Selby General Hospital (OH) $16,622,487 25
11.  Cuyuna Regional Medical Center - Crosby (MN) $16,279,813 25
12.  Galion Hospital (OH) $15,565,466 25
13.  Whidbey Health Medical Center (WA) $15,528,594 25
14.  CHI St Alexius Health Williston Medical Center (ND) $15,463,285 25
15.  UPMC Cole (PA) $14,913,745 25
16.  Spectrum Health Gerber Memorial (MI) $14,875,073 25
17.  The Outer Banks Hospital (NC) $14,837,730 21
18.  Samaritan Lebanon Community Hospital (OR) $14,761,727 25
19.  Spectrum Health Reed City Hospital (MI) $14,570,902 25
20.  Copley Hospital (VT) $14,494,518 25
21.  Fulton County Health Center (OH) $14,125,955 25
22.  Memorial Hospital (NH) $14,041,057 25
23 Alice Peck Day Memorial Hospital (NH) $13,738,681 24
24.  OSF St Francis Hospital & Medical Group (MI) $13,461,687 25
25.  Aspen Valley Hospital (CO) $13,368,162 25
26. Pella Regional Health Center (IA) $13,359,676 25
27. New Ulm Medical Center (MN) $13,135,200 19
28. Tri-State Memorial Hospital (WA) $13,104,872 25
29. Good Shepherd Medical Center (OR) $12,855,389 25
30. Grande Ronde Hospital (OR) $12,840,299 25
31. Angel Medical Center (NC) $12,317,240 25
32. Astria Sunnyside Hospital (WA) $12,316,727 25
33. IU Health Bedford Hospital (IN) $12,219,588 25
34. Pullman Regional Hospital (WA) $11,997,483 25
35. Gibson Area Hospital and Health Services (IL) $11,857,792 25
36. Bucyrus Hospital (OH) $11,664,105 25
37. Mason General Hospital (WA) $11,616,707 25
38. Transylvania Regional Hospital (NC) $11,497,951 25
39. Aspirus Langlade Hospital (WI) $11,474,467 25
40. St Joseph Memorial Hospital (IL) $11,468,044 25
41. Jefferson Healthcare Hospital (WA) $11,379,586 25
42. Littleton Regional Healthcare (NH) $11,244,880 25
43. Heart of the Rockies Regional Medical Center (CO) $11,242,208 25
44. Munson Healthcare Charlevoix Hospital (MI) $11,123,405 25
45. Holy Cross Hospital (NM) $11,081,198 6
46. Providence Hood River Memorial Hospital (OR) $11,080,861 25
47. Nor Lea General Hospital (NM) $10,934,669 25
48. Carson Valley Medical Center (NV) $10,902,959 23
49. Phelps Memorial Health Center (NE) $10,703,362 25
50. St. Anthony Hospital (OR) $10,653,439 20

Fig 1 Critical access hospitals with the highest total medical/surgical supply costs, including the costs of medical devices, implantable devices, drugs charged to patients, and overhead costs such as buildings/fixtures, maintenance, and operation. Data sourced from Definitive Healthcare’s hospital & IDN platform, July 2019.

Total costs for medical supplies at each of the preceding hospitals rise quickly in this list, nearly doubling in costs from $10,653,439 at St. Anthony Hospital in Oregon to $25,286,719 at Lourdes Medical Center in Washington. With each of these facilities only containing about 25 beds, it's likely that these financial discrepancies are a result of the number of patients that revolve through each clinic on a regular basis. For instance, Lourdes Medical Center (ranked at the #1 slot) has about 2,177 reported patient discharges, compared with 1,289 discharges at St. Anthony Hospital (found at the end of the list).

Unlike labor, medical supply costs can be easily minimized without sacrificing clinical outcomes and efficiency, making them the primary target of healthcare organizations looking to optimize supply chain spending. Group purchasing, improved distribution methods, and automated inventory management can produce meaningful savings.

Learn more

Want to learn more about critical access hospitals across the U.S.? Definitive Healthcare's Hospitals and IDNs platform includes:

  • Data on medical supply costs for 7,900 hospitals and 900 IDNs across the United States
  • Executive and department leadership phone numbers, email addresses, and LinkedIn profiles.
  • Detailed hospital financial, clinical, and quality metrics (HCAHPS, readmissions, complications, CLABSI, CAUTI, SSI, MRSA).
  • Open requests for proposals (RFPs) & certificates of need (CONs) for technology, consulting, construction, and major equipment purchases.
  • Data on technology implementations such as EHR solutions, telehealth systems, ePrescribing software and other applications.
  • Real-time coverage of executive leadership changes, M&A activity, software implementations, new hospital services, and other developments.

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ABOUT THE AUTHOR

Tory Waldron

Tory Waldron is a communications professional with a lifelong passion for writing and editing. Before joining Definitive Healthcare, she spent three years at a PR agency working with various B2B ...


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