Over the years, as healthcare has moved from the inpatient arena to outpatient services, the hospital has reduced the bed level from the original number to 112 beds today. Outpatient visits, on the other hand, have gone up dramatically, to well over 330,900 visits per year. The Medical Center serves a population of over 131,000 veterans residing within its primary service area which encompasses 15 northeast Texas counties, five southwestern Arkansas counties and 12 northwest Louisiana parishes.

The Medical Center is affiliated with the Louisiana State University School of Medicine in Shreveport and has sharing agreements with the 2d Medical Group at Barksdale AFB and LSU Health Sciences Center. The VAMC provides tertiary care in medicine, surgery, neurology and psychiatry and a broad spectrum of outpatient services. The Ambulatory Care Program provides primary care services at the VAMC and at Community Based Outpatient Clinics (CBOCs) which were opened in Texarkana, Texas 1994; Monroe, Louisiana, 1995 and Longview, Texas 1999.

Information on Community Based Clinics is shown below.