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Only time will tell if US hospitals will be able to sustain such a high level of uncollectibles performance given these economic realities.

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By region, hospitals in the Southeast were the only facilities unable to secure benchmark-level uncollectibles performance in second quarter 2015. Facilities in this region reported bad debt write-offs swelled to 5.57 percent of total second quarter gross revenue, up from 3.14 percent in the first quarter. Charity write-offs also were on the rise among Southeast hospitals, to 3.13 percent of total gross second quarter gross revenue, up from 1.46 percent in the prior quarter. Combined, Southeast hospitals reported 8.70 percent of total second quarter gross revenue was written off as uncollected.

All other facilities by region reported benchmark-level uncollectibles performance in second quarter 2015. Northeast hospitals reported by best performance, writing off only 1.56 percent of total second quarter gross revenue as bad debt or charity. Midwest and Southwest facilities also reported solid uncollectibles performance, holding charity and bad debt write-offs to less than 3 percent of total gross revenue.

Hospitals in the Southeast were the only facilities unable to secure benchmark-level uncollectibles performance in second quarter 2015.

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Hospitals in the Mid-Atlantic and North- west regions just ducked under the benchmark in second quarter 2015. Mid-Atlantic hospitals reported 4.55 percent of total gross revenue was written off as uncollectible charity or bade debt, while Northwest hospitals reported 4.97 percent of total second quarter gross rev- enue as uncollectible.

When examined by bed size, all hospitals achieved benchmark-level uncollectibles performance in second quarter 2015 and three of four hospital bed size categories reported improved uncollectibles performance. Midsize hospitals with 200 to 399 beds were the only facilities by bed size to report a rise in uncollectible write-offs in the second quarter. Still, these facilities achieved solid uncollectibles performance, reporting only 2.73 percent of total second quarter gross revenue was written off as charity or bad debt. These midsize facilities did report an improved GDRO average in the second quarter, which was 48.03 days.

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Hospitals with 100 to 199 beds reported the highest level of uncollectible write-offs by bed size in the second quarter. These smaller hospitals reported 4.47 percent of total second quarter gross revenue was written off uncollectible, with 3.27 percent written off as bad debt and 1.20 percent written off as charity.

Larger hospitals with 400 to 699 beds reduced charity and bed debt write-offs to 4.03 percent of total second quarter gross revenue, which was paired with a 41.37-day GDRO average. These larger hospitals also reported a greater percentage of uncollectible write-offs assigned to bad debt but to a lesser degree than small hospitals. Among larger facilities, 2.29 percent of total second quarter gross revenue was written off as bad debt and 1.74 percent was written off as charity.

Among the nation’s smallest hospitals, the difference between charity and bad debt write- offs was the most extreme. Hospitals with fewer than 100 beds reported 2.23 percent of total uncollectible write-offs were assigned to bad debt, with only 0.60 percent assigned to charity. Combined, the nation’s smallest hospitals reported one of the best uncollectibles performance by bed size, at 2.83 percent of total gross revenue.

Midsize hospitals with 200 to 399 beds were the only facilities by bed size to report a rise in uncollectible write-offs in the second quarter.