ARH MARY BRECKINRIDGE HEALTH SERVICES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ARH MARY BRECKINRIDGE HEALTH SERVICES INC (EIN 45-2696517)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-14
IRS object ID
202511349349304941
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-14T13:02:33-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN882730877PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SOUTH 5TH STREET STE 2100AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452696517EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARH MARY BRECKINRIDGE HEALTH SERVICEBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlARHMBusinessNameControlTxt
Phone8592262440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12260 EXECUTIVE DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBYRON GABBARDPersonNm
Person TitleCFOPersonTitleTxt
Phone8592262440PhoneNum
Signature2025-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELANIE MCPEAKPreparerPersonNm
PTINP01346034PTIN
Phone8885871719PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHOLLIE HARRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12260 EXECUTIVE DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$128,273,447GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionTO PROVIDE LESLIE, KNOX, MARTIN, AND SURROUNDING COUNTIES AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITALS, CLINICS, AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee672TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$1,027,564TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$162,401NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$348PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$120,439,911PYProgramServiceRevenueAmt
CY Program Service Revenue$124,766,411CYProgramServiceRevenueAmt
PY Investment Income$885,887PYInvestmentIncomeAmt
CY Investment Income$3,236,291CYInvestmentIncomeAmt
PY Other Revenue$786,085PYOtherRevenueAmt
CY Other Revenue$268,357CYOtherRevenueAmt
PY Total Revenue$122,112,231PYTotalRevenueAmt
CY Total Revenue$128,271,059CYTotalRevenueAmt
PY Grants And Similar Paid$9,228PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,624CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$44,422,648PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$47,188,674CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,453,356PYOtherExpensesAmt
CY Other Expenses$51,778,575CYOtherExpensesAmt
PY Total Expenses$88,885,232PYTotalExpensesAmt
CY Total Expenses$98,997,873CYTotalExpensesAmt
PY Revenues Less Expenses$33,226,999PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,273,186CYRevenuesLessExpensesAmt
Total Assets BOY$136,035,450TotalAssetsBOYAmt
Total Assets EOY$172,520,990TotalAssetsEOYAmt
Total Liabilities BOY$39,410,673TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,969,820TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$96,624,777NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$134,551,170NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. TO EARN THE CONFIDENCE AND TRUST OF THE DIVERSE COMMUNITIES WE SERVE BY OFFERING HEALTHCARE EXCELLENCE, DELIVERED WITH COMPASSION IN A TIMELY MANNER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$86,211,450ExpenseAmt
Grant$30,624GrantAmt
Revenue$123,738,847RevenueAmt
DescTHIS YEAR HAS BEEN AN EXCEPTIONAL ONE FOR MARY BRECKINRIDGE ARH HEALTH SERVICES, AS WE'VE EXPANDED HEALTHCARE AND COMMUNITY OUTREACH PROGRAMS ACROSS LESLIE, KNOX, MARTIN, AND SURROUNDING COUNTIES. OUR HOSPITAL PROUDLY EARNED THE 2024 KENTUCKY HOSPITAL ASSOCIATION QUALITY AWARD FOR CRITICAL ACCESS HOSPITALS, STANDING OUT AS THE ONLY CRITICAL ACCESS HOSPITAL IN THE STATE TO RECEIVE THIS PRESTIGIOUS HONOR. ADDITIONALLY, OUR STROKE CARE PROGRAM EARNED CERTIFICATION AS AN ACUTE STROKE READY HOSPITAL FROM THE ACCREDITING AGENCY DNV BASED ON STANDARDS SET FORTH BY THE BRAIN ATTACK COALITION AND THE AMERICAN STROKE ASSOCIATION, WHICH SIGNIFIES A HOSPITAL IS EQUIPPED WITH A DEDICATED STROKE-FOCUSED PROGRAM. THE HOSPITAL'S STROKE PROGRAM ALSO EARNED BRONZE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION. THESE ACHIEVEMENTS HIGHLIGHT OUR COMMITMENT TO DELIVERING HIGH-QUALITY CARE AND INNOVATIVE SERVICES TAILORED TO THE NEEDS OF OUR RURAL COMMUNITY.Desc
Total Program Service Expenses$86,211,450TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee672EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BYRON GABBARDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8592262440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12260 EXECUTIVE DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40505ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
HOLLIE P HARRIS
PRESIDENT/CEO5.0035.00Yes (X)Yes (X)$0$1,115,375$112,193
BYRON GABBARD
TREASURER5.0035.00Yes (X)Yes (X)$0$505,151$52,023
CHRISTI LEE
CHIEF LEGAL COUNCIL5.0035.00Yes (X)$0$426,815$83,534
ANDREA MASSEY
TRUSTEE3.003.00Yes (X)$0$0$0
THOMAS MOORE MD
GASTROENTEROLOGIST40.000.00$572,915$0$7,253Yes (X)
JAMES WEST
HOSPITALIST40.000.00$470,888$0$15,772Yes (X)
LARRY E WARREN
FAMILY PHYSICIAN40.000.00$446,259$0$3,920Yes (X)
JERRY L WOOLUM
FAMILY PHYSICIAN40.000.00$396,179$0$13,951Yes (X)
PETER KUMMANT
GENERAL SURGEON40.000.00$359,673$0$15,390Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,245,914TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,047,341TotReportableCompRltdOrgAmt
Total Other Compensation$304,036TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDIOSOLUTION LLC
4675 CORNELL ROADCINCINNATIOH45241GENERAL INVASIVE SERVICES$2,133,919
BEAVER CREEK EMERGENCY GROUP
11203 MAIN STREETMARTINKY41649PHYSICIAN SERVICES$981,259
SOUTHERN MEDICAL PARTNERS
101 AIRPORT GARDENS ROAD ROOM 149HAZARDKY41701PHYSICIAN SERVICES$905,058
HYDEN EMERGENCY PHYSICIANS
130 KATE IRELAND DRIVEHYDENKY41749PHYSICIAN SERVICES$784,418
SODEXO OPERATIONS
PO BOX 360170PITTSBURGHPA15251DIETARY MANAGEMENT SERVICES$503,205
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
LABORATORY REVENUE621500$58,083,078$58,069,082$13,996
PATIENT REVENUE621110$27,527,958$27,527,958
HOSPITAL RATE IMPROVEMENT PROGRAM900099$25,571,200$25,571,200
RETAIL PHARMACY REVENUE456110$13,584,175$12,570,607$1,013,568
FieldValueIRS element (for citing)
Total Program Service Revenue$124,766,411TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,741,601TotalRevenueColumnAmt
Exclusion$1,741,601ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,497,078SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$2,388OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,497,078SecuritiesAmt
Other-$2,388OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,494,690TotalRevenueColumnAmt
Exclusion$1,494,690ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA INCOME900099$135,630$135,630
MISCELLANEOUS900099$132,727$132,727
FieldValueIRS element (for citing)
Other Revenue Total$268,357OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,271,059TotalRevenueColumnAmt
Related Or Exempt Func Income$123,738,847RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,027,564UnrelatedBusinessRevenueAmt
Exclusion$3,504,648ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,624TotalAmt
Program Services$30,624ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$35,856,254TotalAmt
Program Services$35,774,966ProgramServicesAmt
Management And General$81,288ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$907,225TotalAmt
Program Services$903,448ProgramServicesAmt
Management And General$3,777ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,116,547TotalAmt
Program Services$8,115,977ProgramServicesAmt
Management And General$570ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,308,648TotalAmt
Program Services$2,302,904ProgramServicesAmt
Management And General$5,744ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,482TotalAmt
Program Services$3,482ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,701,306TotalAmt
Program Services$8,220,301ProgramServicesAmt
Management And General$481,005ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,475TotalAmt
Program Services$1,475ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,912,739TotalAmt
Program Services$3,912,732ProgramServicesAmt
Management And General$7ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$276,967TotalAmt
Program Services$276,967ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,086,097TotalAmt
Program Services$4,085,637ProgramServicesAmt
Management And General$460ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$89,667TotalAmt
Program Services$89,667ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$148,973TotalAmt
Program Services$148,973ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,330,416TotalAmt
Program Services$1,318,891ProgramServicesAmt
Management And General$11,525ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,954,996TotalAmt
Program Services$1,954,911ProgramServicesAmt
Management And General$85ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & PHAR$16,043,278$15,295,541$747,737
CENTRAL EXPENSES$10,514,130$10,514,130
BAD DEBT EXPENSE$3,346,782$3,346,782
PROVIDER TAXES$929,790$929,790

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$438,477TotalAmt
Program Services$428,172ProgramServicesAmt
Management And General$10,305ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$98,997,873TotalAmt
Program Services$86,211,450ProgramServicesAmt
Management And General$12,786,423ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$554,142BOYAmt
EOY$168,616EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,276,206BOYAmt
EOY$9,742,044EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,050,530BOYAmt
EOY$2,046,731EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$765,425BOYAmt
EOY$704,595EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,724,683LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,575,570LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,160,770BOYAmt
EOY$16,149,113EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$105,228,377BOYAmt
EOY$143,709,891EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$136,035,450BOYAmt
EOY$172,520,990EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,564,190BOYAmt
EOY$1,797,903EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$263,821BOYAmt
EOY$263,473EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,582,662BOYAmt
EOY$35,908,444EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,410,673BOYAmt
EOY$37,969,820EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$96,624,777BOYAmt
EOY$134,551,170EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,624,777BOYAmt
EOY$134,551,170EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,035,450BOYAmt
EOY$172,520,990EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$29,273,186ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,653,207NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,482OtherActivitiesAmt
Total Lobbying Expenditures$3,482TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMARY BRECKENRIDGE IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$237,331OtherCostOrOtherBasisAmt
Book Value$237,331BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,020,281OtherCostOrOtherBasisAmt
Depreciation$2,193,222DepreciationAmt
Book Value$5,827,059BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,138,963OtherCostOrOtherBasisAmt
Depreciation$8,222,122DepreciationAmt
Book Value$1,916,841BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,328,108OtherCostOrOtherBasisAmt
Depreciation$160,226DepreciationAmt
Book Value$8,167,882BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,149,113TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$42,359
OPERATING LEASE RIGHT-OF-USE ASSETS$12,817,525
DUE FROM RELATED ORGANIZATIONS$126,379,198
HEALTH INSURANCE ACCRUAL$4,470,809
FieldValueIRS element (for citing)
Total Book Value Other Assets$143,709,891TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
REFUNDS DUE PATIENTS$1,528,002
SELF INSURANCE RESERVE$5,195,064
CAPITAL LEASE OBLIGATIONS$42,407
MEDICARE AND MEDICAID ESTIMATED SETTLEMENTS$12,916,545
OTHER LIABILITIES$68,638
OPERATING LEASE LIABILITY$12,817,525
MISCELLANEOUS NON-PATIENT LIABILITIES$3,340,263
FieldValueIRS element (for citing)
Total Liability$35,908,444TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. HOWEVER, THE CORPORATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. U.S. GAAP REQUIRES THE CORPORATION TO EVALUATE ITS TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS"). THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,561,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,485,616NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,185,405TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,185,405DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,746,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,260,905DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,485,616NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs206ActivitiesOrProgramsCnt
Persons Served10465PersonsServedCnt
Total Community Benefit Expns$121,414TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$121,414NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs202ActivitiesOrProgramsCnt
Persons Served340PersonsServedCnt
Total Community Benefit Expns$93,745TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93,745NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs408ActivitiesOrProgramsCnt
Persons Served10805PersonsServedCnt
Total Community Benefit Expns$215,159TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$215,159NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs408ActivitiesOrProgramsCnt
Persons Served10805PersonsServedCnt
Total Community Benefit Expns$31,961,680TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,260,905DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,700,775NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$346TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$346NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs48ActivitiesOrProgramsCnt
Persons Served3024PersonsServedCnt
Total Community Benefit Expns$21,350TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,350NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served11PersonsServedCnt
Total Community Benefit Expns$20TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served479PersonsServedCnt
Total Community Benefit Expns$1,617TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,617NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs60ActivitiesOrProgramsCnt
Persons Served2209PersonsServedCnt
Total Community Benefit Expns$19,020TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,020NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served476PersonsServedCnt
Total Community Benefit Expns$514TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$514NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs130ActivitiesOrProgramsCnt
Persons Served6199PersonsServedCnt
Total Community Benefit Expns$42,867TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,867NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,346,782BadDebtExpenseAmt
Bad Debt Expense Attributable$2,182,755BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,483,481ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,246,912CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,763,431MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
ARH MARY BRECKINRIDGE HEALTH SERVICES INC
1130 KATE IRELAND DRIVEHYDENKY41749Yes (X)Yes (X)Yes (X)Yes (X)A
BARBOURVILLE ARH HOSPITAL
280 HOSPITAL DRBARBOURVILLEKY40906Yes (X)Yes (X)Yes (X)Yes (X)A
ARH OUR LADY OF THE WAY
311203 MAIN STREETMARTINKY41649Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.ARH.ORG/CHNA/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
PART V, LINE 16C, FAP SUMMARY WEBSITE:HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: ARH MARY BRECKINRIDGE HEALTH SERVICES, INC, - FACILITY 2: BARBOURVILLE ARH HOSPITAL, - FACILITY 3: ARH OUR LADY OF THE WAY
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:A COMMUNITY STEERING COMMITTEE PROVIDED GUIDANCE OVER THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN EACH OF ARH'S COMMUNITIES. THIS STEERING COMMITTEE WAS MADE UP OF REPRESENTATIVES FROM VARIOUS ORGANIZATIONS AND AGENCIES THROUGHOUT EACH HOSPITAL'S SERVICE AREA. IN PARTICULAR, SOME OF THE COMMITTEE MEMBERS REPRESENTED THE LOCAL HEALTH DEPARTMENT, SENIOR SERVICES, SCHOOL SYSTEM, SOCIAL SERVICE ORGANIZATIONS, AND EMERGENCY MANAGEMENT. THESE INDIVIDUALS ASSISTED WITH DISTRIBUTING SURVEYS AND ORGANIZING FOCUS GROUPS THROUGHOUT THE COMMUNITY ENSURING THAT VARIED COMMUNITY INTERESTS AND EXPERTISE WERE REPRESENTED. SPECIAL ATTENTION WAS PAID TO ENSURING THAT REPRESENTATION FROM THE PUBLIC HEALTH SECTOR WAS INCLUDED IN THIS ASSESSMENT PROCESS AND THAT THE SENIOR CITIZEN AND UNDERSERVED POPULATION WERE REPRESENTED. A COMPLETE LIST OF THE COMMUNITY STEERING COMMITTEE MEMBERS FOR EACH ARH FACILITY IS INCLUDED IN EACH ASSESSMENT'S FINAL REPORT.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED BY ARH IN 2021-2022. THIS OFFERED A GOOD OPPORTUNITY TO EXAMINE PROGRESS MADE SINCE THE PREVIOUS CHNA PROCESS WHILE OUTLINING NEW STRATEGIES TO GUIDE ACTIVITIES, OUTREACH, AND AREAS OF IMPROVEMENT FOR RECENTLY IDENTIFIED NEEDS. ALL OF THE NEEDS IDENTIFIED DURING THIS PROCESS WERE REVIEWED AND PRIORITIZED BY EACH FACILITY. SOME NEEDS MAY NOT HAVE BEEN SELECTED AS A HIGH PRIORITY SINCE ANOTHER COMMUNITY AGENCY MAY ALREADY BE ADDRESSING THAT NEED AND REFERRALS JUST NEED TO BE MADE TO THAT PARTNER AGENCY. MEASURES WERE TAKEN TO ENSURE THAT EACH IDENTIFIED NEED WAS EITHER ADDRESSED TO SOME DEGREE BY ARH OR REFERRED TO OTHER APPROPRIATE COMMUNITY ENTITIES. BELOW ARE THE MAIN SYSTEM-WIDE NEEDS IDENTIFIED DURING ARH'S MOST RECENT CHNA. THESE AREAS ARE THE MAIN FOCUS OF THE HOSPITALS' ACTIVITIES:SUBSTANCE ABUSE (DRUGS, ALCOHOL, TOBACCO, VAPING)MENTAL HEALTH (SERVICES AND REDUCING STIGMA)OBESITY/DIABETES/PHYSICAL ACTIVITYCOMMUNICATION AND EDUCATIONTHE RESULTS FROM THE MOST RECENT CHNA IDENTIFIED THE NEED FOR ARH'S FACILITIES TO FOCUS ON PROVIDING MORE PREVENTIVE AND EDUCATIONAL SERVICES. FOR SOME COMMUNITIES, THIS ALSO MEANT FURTHER PUBLICIZING THE PREVENTIVE AND EDUCATIONAL SERVICES THAT THEY WERE ALREADY OFFERING TO FURTHER INCREASE COMMUNITY PARTNERSHIPS AND AWARENESS. CHNA RESPONDENTS ALSO REQUESTED INCREASED EDUCATIONAL TOPICS INCLUDING MORE OF A FOCUS ON TOPICS SUCH AS VAPING AND MENTAL HEALTH ALONG WITH THE CHRONIC DISEASE ISSUES OF DIABETES AND HEART DISEASE. AN INCREASE IN THE AVAILABILITY OF SERVICES AND PROVIDERS TO ADDRESS THESE IDENTIFIED HEALTH ISSUES IS ALSO A PROMINENT NEED IN THE REGION, ESPECIALLY THE NEED TO ADD MORE MENTAL HEALTH PROVIDERS. ANOTHER NEED THAT WAS ALSO APPARENT WITH THE MOST RECENT CHNA RESULTS WAS THE NEED TO IMPROVE COMMUNICATIONS. THIS NEED RANGES FROM ENSURING THAT THERE IS FASTER COMMUNICATION REGARDING TEST RESULTS, IMPROVING COMMUNICATION TO THE PUBLIC ON ARH SERVICES AND ACTIVITIES VIA SOCIAL MEDIA, AND PROVIDING MORE PATIENT NAVIGATORS/ADVOCATES TO ASSIST PATIENTS WITH NEGOTIATING THE HEALTHCARE PROCESS.- PROMOTING HEALTHY BEHAVIORS, NUTRITION, AND PHYSICAL ACTIVITY:OLW ARH, LOCATED IN FLOYD COUNTY, TACKLED FOOD INSECURITY BY PARTNERING WITH GOD'S PANTRY FOOD BANK, DISTRIBUTING AN AVERAGE OF 30 FOOD BOXES PER MONTH THAT INCLUDE DIETITIAN-APPROVED NUTRITION TIPS. ADDITIONALLY, OLW PARTICIPATED IN THE UNIVERSITY OF KENTUCKY'S FOOD AS HEALTH ALLIANCE STUDY, OFFERING MEDICALLY TAILORED MEALS TO AMBULATORY PATIENTS WITH CHRONIC CONDITIONS LIKE DIABETES AND HYPERTENSION. TO BUILD AWARENESS AND PROVIDE EDUCATION, OLW HELD MONTHLY DIABETES SUPPORT GROUPS FEATURING HEALTHY COOKING DEMOS AND CONTINUED ITS SUPPORT THROUGH INITIATIVES LIKE THE "RETHINK YOUR DRINK" CAMPAIGN AND A REVAMPED CAFETERIA MENU THAT INCLUDES PLANT-BASED OPTIONS. PHYSICAL ACTIVITY WAS ENCOURAGED THROUGH FREE GYM MEMBERSHIPS, EMPLOYEE GARDENS, AND COMMUNITY EVENT SPONSORSHIPS. EDUCATION EFFORTS INCLUDED STROKE RISK SCREENINGS, COLON CANCER AWARENESS CAMPAIGNS, LUNG AND BRAIN HEALTH PRESENTATIONS, AND DIABETES EDUCATION OFFERED IN PERSON AND VIRTUALLY AT COMMUNITY FAIRS AND SENIOR CENTERS.MARY BRECKINRIDGE ARH IN LESLIE COUNTY HAS ALSO PRIORITIZED HEALTHY NUTRITION AND DISEASE PREVENTION. THEY PARTNERED WITH THE LOCAL EXTENSION OFFICE TO PROVIDE 25 HEALTHY COOKING CLASSES WITH INCENTIVES, HOSTED 22 DIABETES SUPPORT GROUPS WITH FREE A1C SCREENINGS, AND MAINTAINED A STRONG PRESENCE AT THE LESLIE COUNTY FARMERS MARKET WITH MONTHLY STROKE, LUNG, AND DIABETES EDUCATION SESSIONS. THE HOSPITAL ALSO INTRODUCED CREATIVE STROKE EDUCATION PROGRAMMINGSUCH AS "TACO-BOUT STROKE" CLASSES AND "STRIKE OUT STROKE" EVENTSCOMPLETING 351 STROKE RISK SCREENINGS. MARY BRECKINRIDGE CONTINUED PROMOTING BREAST AND COLON CANCER AWARENESS THROUGH EVENTS, SCREENINGS, AND UNIQUE COMMUNITY ACTIVITIES SUCH AS "THE INCREDIBLE COLON" EXHIBIT AND ANNUAL LUNCHEONS. NOTABLY, THEY LAUNCHED A CHILDREN'S STORY WALK IN HYDEN TO PROMOTE LITERACY AND PHYSICAL ACTIVITY, WHILE ALSO SUPPORTING THE CARROT CASH VOUCHER PROGRAM AT THE FARMERS MARKET.BARBOURVILLE ARH SIMILARLY ADVANCED WELLNESS EFFORTS THROUGH MULTIPLE SCREENINGS, EDUCATION EVENTS, AND SUPPORT OF LOCAL FEEDING PROGRAMS. FROM 2022-2024, THE HOSPITAL HOSTED LUNG CANCER SCREENING EVENTSINCLUDING SATURDAY SESSIONS TO INCREASE ACCESSRESULTING IN A 28% INCREASE IN SCREENINGS. STROKE AND HYPERTENSION EDUCATION WERE DELIVERED AT THE KNOX COUNTY FARMERS MARKET, SCHOOLS, AND PUBLIC EVENTS. THE HOSPITAL SUPPORTED BREAST CANCER AWARENESS THROUGH ANNUAL $50 MAMMOGRAM SPECIALS AND LAUNCHED THE "THINK PINK" PROGRAM IN PARTNERSHIP WITH KNOX CROSSFIT, COMBINING PHYSICAL ACTIVITY AND HEALTH EDUCATION. COMMUNITY-WIDE WELLNESS FAIRS AND "ART FOR THE HEART" CARDIAC EVENTS WERE ALSO HELD. ADDITIONALLY, BARBOURVILLE ARH BUILT A COMMUNITY GARDEN AND PROVIDED NUTRITIOUS FOOD AND HYGIENE PRODUCTS THROUGH NATIONAL SERVE DAY AND PARTNERSHIPS WITH LOCAL CHURCHES. THE CAFETERIA NOW OFFERS PLANT-BASED OPTIONS TO PROMOTE HEALTHY NUTRITION AMONG EMPLOYEES.- ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS:AT OLW ARH, THE FOCUS WAS ON PREVENTION AND EARLY INTERVENTION. THE HOSPITAL OFFERED THREE MENTAL HEALTH FIRST AID TRAINING SESSIONS BETWEEN 2023-2024, CERTIFYING 26 EMPLOYEES. THESE SESSIONS AIMED TO EQUIP STAFF WITH THE SKILLS TO SUPPORT PATIENTS AND COMMUNITY MEMBERS FACING MENTAL HEALTH OR SUBSTANCE USE CHALLENGES. OLW ALSO COLLABORATED WITH SCHOOLS AND LOCAL AGENCIES FOR PREVENTION EDUCATION, PARTICIPATING IN THE "TRUTH AND CONSEQUENCES" SIMULATION FOR STUDENTS AND SPONSORING OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS." ANTI-VAPING EDUCATION WAS PROVIDED THROUGH FIVE SCHOOL-BASED PRESENTATIONS.MARY BRECKINRIDGE ARH IMPLEMENTED A ROBUST PEER SUPPORT PROGRAM BEGINNING IN 2022, WHERE TRAINED COACHESOFTEN IN RECOVERY THEMSELVESSUPPORTED INDIVIDUALS IN ACTIVE ADDICTION. OVER 9,600 SBIRT SCREENINGS WERE COMPLETED, AND 65 DIRECT PATIENT ENCOUNTERS WERE RECORDED. PEER COACHES DELIVERED THE "TOO GOOD FOR DRUGS" CURRICULUM IN SCHOOLS AND SERVED ON LOCAL COALITIONS. OTHER EFFORTS INCLUDED NARCAN DISTRIBUTION, TOBACCO CESSATION CLASSES, AND SPONSORSHIP OF AA/NA MEETINGS. THE HOSPITAL EXPANDED OUTPATIENT BEHAVIORAL HEALTH SERVICES BY ADDING A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER (PMHNP), OPENING A SATELLITE CLINIC IN BIG CREEK, AND GROWING TELEHEALTH OPTIONS. A MAJOR STEP FORWARD WAS REOPENING THE ARH SENIOR CARE PROGRAM IN 2023, WHICH PROVIDES INTENSIVE BEHAVIORAL HEALTHCARE TO OLDER ADULTS USING A MULTIDISCIPLINARY TEAM APPROACH.BARBOURVILLE ARH CONTRIBUTED TO COMMUNITY RECOVERY EFFORTS BY ENGAGING IN REGIONAL COALITIONS, INCLUDING THE UNITE COALITION, CUMBERLAND VALLEY QUICK RESPONSE TEAM, AND KNOX COUNTY HEALTH COALITION. THE HOSPITAL EMPHASIZED MENTAL HEALTH AWARENESS THROUGH THE PROMOTION OF KENTUCKY'S 988 MENTAL HEALTH HOTLINE AND RECORDED OVER 2,600 BEHAVIORAL HEALTH VISITS IN THEIR AMBULATORY CLINICSAN INCREASE OF 54% FROM 2022 TO 2024.- IMPROVING COMMUNICATION AND INCREASING LOCAL ACCESS TO CARE:AT OLW ARH, STAFF ENGAGED WITH NINE DIFFERENT COUNCILS AND ADVISORY BOARDS TO FOSTER COLLABORATION AND SHARE RESOURCES. THESE INCLUDED REGIONAL CHAMBER BOARDS, SCHOOL ADVISORY GROUPS, AND PUBLIC HEALTH COUNCILS. ADDITIONALLY, FOUR NEW PROVIDERS INTRODUCED THEMSELVES TO THE COMMUNITY VIA DIRECT OUTREACH, AND THE FACILITY LAUNCHED OVER 4,000 SOCIAL MEDIA POSTS AND 14 BILLBOARDS PROMOTING SERVICES.BARBOURVILLE ARH ALSO JOINED VARIOUS COMMUNITY BOARDS SUCH AS THE KNOX COUNTY HEALTH COALITION, UNION COLLEGE NURSING ADVISORY BOARD, AND HEALING COALITION. THESE CONNECTIONS HAVE HELPED BREAK DOWN SERVICE SILOS AND RAISED AWARENESS OF AVAILABLE HEALTHCARE SERVICES THROUGHOUT THE REGION.WHEN IT COMES TO INCREASING ACCESS, OLW ARH HAS SIGNIFICANTLY EXPANDED SERVICES BY EXTENDING SLEEP LAB HOURS, REOPENING THE SENIOR CARE PROGRAM, AND ADDING SPECIALTY CLINICS SUCH AS CARDIOLOGY AND ORTHOPEDICS. TELEHEALTH ACCESS WAS BROADENED, AND TWO NEW PROVIDERS WERE ADDED IN 2023. THE MARTIN CLINIC ALSO EXTENDED HOURS TO BETTER SERVE WORKING FAMILIES.MARY BRECKINRIDGE ARH INTRODUCED MULTIPLE NEW SERVICES, INCLUDING HEPATITIS C TREATMENT, OUTPATIENT PULMONARY REHAB, AND PODIATRY SERVICES. IMPORTANTLY, THE HOSPITAL ACHIEVED CERTIFICATION AS AN ACUTE STROKE READY CENTER, WHICH AFFIRMS THEIR CAPACITY TO RESPOND QUICKLY TO STROKE CASES IN A GEOGRAPHICALLY ISOLATED AREA.BARBOURVILLE ARH ALSO MADE NOTABLE STRIDES BY REOPENING THEIR SENIOR CARE PROGRAM, ADDING PODIATRY AND GENERAL SURGERY, AND IMPLEMENTING CARDIAC AND PULMONARY REHAB. THE HOSPITAL BECAME A CERTIFIED AUTISM CENTER, WITH OVER 80% OF STAFF TRAINED TO SERVE INDIVIDUALS WITH AUTISM. A NEW PRE-ADMISSION TESTING PROGRAM WAS INTRODUCED TO IMPROVE SURGERY OUTCOMES, AND THE HOSPITAL EARNED THE AHA'S CAD RURAL ACUTE NSTE-ACS BRONZE AWARD FOR EXCELLENCE IN CARDIAC CARE.
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HYDEN ARH CLINIC
130 KATE IRELAND DRIVEHYDENKY41749CLINIC
2 - MB ARH HOME HEALTH AGENCY
166 KATE IRELAND DRIVEHYDENKY41749HOME HEALTH
3 - BIG CREEK ARH CLINIC
17644 SOUTH HWY 421BIG CREEKKY40914CLINIC
4 - CUMBERLAND VALLEY MEDICAL SURGICAL ASSOC
80 HOSPITAL DRIVEBARBOURVILLEKY40906CLINIC
5 - ARH CUMBERLAND VALLEY MEDICAL & SURGICAL
3504 W CUMBERLAND AVEMIDDLESBOROKY40965CLINIC
6 - ARH PRIMARY CARE ASSOC NI - MARTIN
11087 MAIN STREETMARTINKY41649CLINIC
7 - ARH PRIMARY CARE ASSOC NJ - BETSY LANE
12579 MAIN STREET STE 101MARTINKY41649CLINIC
8 - ARH CUMBERLAND VALLEY MEDICAL & SURGICAL
302 WALNUT STPINEVILLEKY40977CLINIC
9 - OUR LADY OF THE WAY PHARMACY
12579 MAIN STREETMARTINKY41649PHARMACY
10 - ARH SPECIALTY PHARMACY- BARBOURVILLE
80 HOSPITAL DRIVEBARBOURVILLEKY40906PHARMACY
11 - ARH MEDICAL & SPECIALTY ASSOC - HAROLD
24 LEFT PENHOOK ROADHAROLDKY41635CLINIC
12 - ARH CUMBERLAND VALLEY PHARMACY
3504 W CUMBERLAND AVEMIDDLESBOROKY40965PHARMACY
13 - ARH PRIMARY CARE ASSOC - SETON
11088 MAIN STREET SUITE 101MARTINKY41649CLINIC
14 - ARH PRIMARY CARE ASSOC - CORBIN
1317 CUMBERLAND FALLS HWY SUITE BCORBINKY40701CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE DISCOUNTS ARE BASED ON A SLIDING FEE SCHEDULE STARTING AT 100% OF FPG QUALIFYING FOR FREE CARE, RANGING UP TO UNLIMITED INCOME LEVELS FOR A 40% DISCOUNT ON ALL UNINSURED CARE PROVIDED.
PART I, LINE 6A:A COMBINED ANNUAL COMMUNITY BENEFIT REPORT WAS FILED FOR ALL FACILITIES WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM; FILED BY APPALACHIAN REGIONAL HEALTHCARE, INC. (EIN: 52-0795508), THE PARENT ORGANIZATION.
PART I, LINE 7:THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART II, COMMUNITY BUILDING ACTIVITIES:OUR DEDICATION TO COMMUNITY ENGAGEMENT WAS EVIDENT IN BELOVED ANNUAL EVENTS LIKE THE CHILDREN'S CHRISTMAS PARTY, WHERE EVERY CHILD RECEIVED GIFTS SUCH AS A TOBOGGAN, GLOVES, AND SWEET TREATS. WE ALSO HOSTED A SUCCESSFUL TRUNK AND TREAT EVENT AND A BACK-TO-SCHOOL BASH, OFFERING FREE SCHOOL AND SPORTS PHYSICALS ALONG WITH EAR PODS AND SCHOOL SUPPLIES FOR ATTENDEES. THE COMMUNITY-WIDE PICNIC, HELD DURING THE MARY BRECKINRIDGE FESTIVAL, WAS ANOTHER HIGHLIGHT, WITH OVER 800 MEALS SERVED TO COMMUNITY MEMBERS, THANKS TO THE SUPPORT OF THE LOCAL SHRINERS CHAPTER. IN PARTNERSHIP WITH BIG CREEK MISSIONS, WE CONTRIBUTED TO THEIR SUMMER PROGRAMS BY PROVIDING SPEAKERS WHO ADDRESSED TOPICS SUCH AS WATER SAFETY, BICYCLE SAFETY, BULLYING, AND PEER PRESSURE.WE ALSO INTRODUCED MAJOR NEW SERVICES TO BETTER MEET THE NEEDS OF OUR COMMUNITY. THE RE-OPENING OF OUR SENIOR CARE UNIT HAS PROVIDED ESSENTIAL SUPPORT FOR OLDER ADULTS THROUGH INDIVIDUAL AND GROUP THERAPY. ADDITIONALLY, WE LAUNCHED A PULMONARY REHAB PROGRAM THAT HAS ALREADY BEEN TRANSFORMATIVE FOR MANY. ONE PARTICIPANT SHARED HOW THE PROGRAM'S ACCESSIBILITY AT MARY BRECKINRIDGE ARH WAS CRITICAL DUE TO TRAVEL EXPENSES AND TRANSPORTATION CHALLENGES GETTING TO OTHER FACILITIES. HE SPOKE ABOUT HIS GOAL OF NO LONGER NEEDING HANDICAPPED PARKING AND BEING ABLE TO WALK FROM THE PARKING LOT FOR HIS APPOINTMENTS. HEARING HIM EXPRESS HOW THE PROGRAM HELPED HIM ACHIEVE HIS GOALS UNDERSCORED THE IMPORTANCE OF PROVIDING THESE SERVICES LOCALLY AND AFFIRMED OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY.OUR HEALTH INITIATIVES EXTENDED TO PROMOTING WELLNESS AND PREVENTATIVE CARE. ATTENDEES OF OUR HEALTHY COOKING CLASSES AT THE LESLIE COUNTY EXTENSION OFFICE RECEIVED $20 GIFT CARDS TO ENCOURAGE PARTICIPATION IN LEARNING ABOUT NUTRITIOUS MEAL PREPARATION. AT THE FARMER'S MARKET, WE OFFERED FREE BLOOD PRESSURE CHECKS, GLUCOSE TESTING, AND STROKE SCREENINGS, WITH KRISTEN FUGATE, BH APRN, ON-SITE TO PROVIDE ADDITIONAL SUPPORT AND EDUCATION. DURING OCTOBER, WE HIGHLIGHTED BREAST CANCER AWARENESS BY OFFERING EDUCATIONAL SESSIONS ON THE IMPORTANCE OF SCREENING MAMMOGRAMS, OFTEN SHARING THIS VITAL INFORMATION WITH SENIOR CITIZENS DURING THEIR LUNCH AT THE NIXON CENTER. THESE EFFORTS DEMONSTRATE OUR CONTINUED FOCUS ON FOSTERING HEALTH, AWARENESS, AND ENGAGEMENT THROUGHOUT THE COMMUNITY.
PART III, LINE 2:TO DETERMINE THE BAD DEBT EXPENSE ON PART III, LINE 2, THE BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS, WHICH CONSISTS OF GROSS CHARGES LESS DISCOUNTS, WAS CONVERTED TO COST USING THE GLOBAL COST-TO-CHARGE RATIO. PATIENT DISCOUNTS ARE NOT REFLECTED IN BAD DEBT. ANY PAYMENTS ON AN ACCOUNT AFTER IT IS WRITTEN OFF TO BAD DEBT RESULT IN A REVERSAL OF THE ENTIRE ACCOUNT OUT OF BAD DEBT, REINSTATEMENT OF THE PATIENT ACCOUNT RECEIVABLE, AND ANY NEGOTIATED DIFFERENCE IN THE FULL AMOUNT OF THE ACCOUNT AND THE PAYMENT MADE IS WRITTEN OFF TO CONTRACTUAL ALLOWANCE. PATIENTS WHO MAY QUALIFY FOR CHARITY CARE BUT DO NOT APPLY CANNOT BE ESTIMATED. ALL PATIENTS ARE EDUCATED ABOUT AND GIVEN EVERY OPPORTUNITY TO APPLY FOR CHARITY CARE AND, THEREFORE, ARH HAS NO INFORMATION FOR THOSE WHO CHOOSE NOT TO APPLY.
PART III, LINE 3:MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ASSOCIATED WITH CREDIT RISK. THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING RECEIVABLES IS CRITICAL TO ITS RESULTS OF OPERATIONS AND CASH FLOWS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE CORPORATION ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THE PRIMARY UNCERTAINTY OF SUCH ALLOWANCES LIES WITH UNINSURED PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS. THE CORPORATION HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON SEVERAL ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE CORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.
PART III, LINE 4:THE CORPORATION HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON SEVERAL ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE CORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.
PART III, LINE 8:NEARLY ONE HALF OF THE CORPORATION'S PATIENT REVENUES ARE DERIVED FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES. IN TURN, PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FELL SHORT OF THE COST TO PROVIDE SUCH SERVICES BY OVER $3.5 MILLION. MEDICARE RECIPIENTS RELY HEAVILY ON ARH FOR CARE. IN MANY OF THE COMMUNITIES IT SERVES, ARH IS THE LONE PROVIDER OF ACUTE HOSPITAL CARE. THE CORPORATION CONSIDERS ITS PARTICIPATION IN THE MEDICARE PROGRAM AND THE ASSOCIATED LOSSES RESULTING THEREOF AS AN ESSENTIAL COMPONENT OF COMMUNITY BENEFIT. ACCORDINGLY, WE DEEM THAT $3,763,431 (OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:THE PROVISIONS IN THE WRITTEN DEBT COLLECTION POLICY ARE THAT CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS ARE VALID FOR 6 MONTHS. AFTER THAT TIME, THE PATIENT MUST REAPPLY AND PRESENT CURRENT FINANCIAL DOCUMENTS AS NECESSARY.
PART VI, LINE 2:IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CONDUCTED BY ARH EVERY THREE YEARS AND REPORTED ELSEWHERE IN THIS DOCUMENT, ARH ALSO CONTINUALLY ASSESSES COMMUNITY NEEDS IN OTHER FORMS AS WELL. THE NEEDS OF THE COMMUNITIES THAT MARY BRECKINRIDGE SERVES THROUGHOUT EASTERN KENTUCKY ARE ASSESSED BY FOLLOWING EMERGING MEDICAL PRACTICE NEEDS ACROSS THE NATION AND SPECIFICALLY IN THE APPALACHIAN REGION. THE HEALTH NEEDS ARE EXAMINED BY LOOKING AT HEALTH STATISTICS AND DISEASE PREVALENCE COMPARED TO SERVICE/PHYSICIAN AVAILABILITY. PATIENT AND COMMUNITY SURVEYS ARE ALSO REGULARLY CONDUCTED TO ASSESS CONSUMER PERCEIVED NEEDS. LOCAL ADVISORY COUNCILS (LACS) ALSO EXIST IN EACH OF ARH'S HOSPITAL COMMUNITIES. THE COUNCILS ARE COMPRISED OF LOCAL CITIZENS WHO VOLUNTEER TO HELP ARH IMPROVE THE HEALTH OF ITS COMMUNITIES THROUGH REGULAR MEETINGS THAT DISCUSS COMMUNITY HEALTH ISSUES AND HELP ARH IDENTIFY AND ADDRESS THEM. MEMBERS ALSO ADVISE ARH ABOUT IMPROVEMENTS NEEDED AND COMMUNITY PERCEPTIONS OF ARH FACILITIES AND THESE INDIVIDUALS SERVE AS EXCELLENT AMBASSADORS FOR ARH AND ITS SERVICES. THESE INDIVIDUALS HAVE DEMONSTRATED THEIR LEADERSHIP IN LOCAL CIVIC AFFAIRS AND REFLECT A CROSS SECTION OF THE COMMUNITY.
PART VI, LINE 3:MARY BRECKINRIDGE HEALTH SERVICES, INC. OBSERVES THE FINANCIAL ASSISTANCE POLICY OF ITS SYSTEM AFFILIATE APPALACHIAN REGIONAL HEALTHCARE (ARH). UNDER ARH'S FINANCIAL ASSISTANCE PROGRAM AND POLICY, EACH PATIENT WITHOUT MEDICAL COVERAGE FOR RENDERED SERVICES IS OFFERED A 40% DISCOUNT OF GROSS CHARGES AT TIME OF SERVICE. IF THE PATIENT EXTENDS PAYMENT AT TIME OF SERVICE, THEY ARE GIVEN ANOTHER 10% DISCOUNT, MAKING THEIR LIABILITY 50% OF GROSS CHARGES. ALL THESE DISCOUNTS ARE APPLIED AT TIME OF CHARGE AND BILLED AFTER THE DISCOUNT IS TAKEN. IF SAID PATIENT IS UNABLE TO MEET THE FINANCIAL OBLIGATIONS FOR SERVICE, THEY ARE EDUCATED AND SCREENED FOR POTENTIAL FEDERAL AND/OR STATE ASSISTANCE PROGRAMS. BY DOING THIS, THE PATIENT IS REVIEWED AND EDUCATED BY ON-SITE FINANCIAL COUNSELORS AND/OR ELIGIBILITY AGENCY TO GET THE INDIVIDUAL PLACED IN AN ASSISTANCE PROGRAM. BASED ON INCOME AND FAMILY STATUS THE PATIENT IS SCREENED IN CONJUNCTION WITH THE FEDERAL AND STATE POVERTY GUIDELINES. AT THIS TIME, ALL APPLICATIONS ARE COMPLETED WITH THE ASSISTANCE OF ARH PERSONNEL AND SUBMITTED FOR APPROVAL. IN THE EVENT AN AGENCY REQUIRES THE PATIENT/GUARANTOR TO APPLY IN PERSON, THE INDIVIDUAL IS ASKED TO MAKE AN APPOINTMENT WITH THAT AGENCY AND FILE THEIR COMPLETED DOCUMENTS. IF THE RESPONSIBLE PARTY IS NOT ELIGIBLE FOR FEDERAL OR STATE ASSISTANCE, THEY ARE ADDITIONALLY SCREENED BY ARH FOR ELIGIBILITY INTO OUR INTERNAL SLIDING FEE SCHEDULE CHARITY PROGRAM FOR ADDITIONAL DISCOUNTS UP TO 100% OF GROSS CHARGES. IF THE PATIENT IS HELD RESPONSIBLE, ADDITIONAL EFFORTS TO ASSIST THE PATIENT ARE MADE BY OFFERING REASONABLE PAYMENT PLANS AND DEFERRED PAYMENTS. IN THE EVENT THE PATIENT/GUARANTOR DOES NOT MAKE A REASONABLE EFFORT TO COMPLETE NECESSARY DOCUMENTATION TO APPLY OR BECOME ELIGIBLE FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE THEN STILL GIVEN THE INITIAL 40% DISCOUNT AND MOVED THROUGH THE NORMAL COLLECTION PROCESS.
PART VI, LINE 4:THE RURAL SERVICE AREA COVERED BY ARH IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA INCLUDES MORE THAN 4 COUNTIES. THIS REGION IS FRAUGHT WITH SOME OF THE HIGHEST CHRONIC HEALTH PREVALENCE RATES IN THE COUNTRY FOR LUNG CANCER, DIABETES, AND HEART DISEASE. TO COMPOUND THESE PROBLEMS, MOST OF ARH'S FACILITIES ARE IN AREAS THAT ARE AT LEAST PARTIALLY CLASSIFIED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. IN ADDITION, THE AREAS SERVED BY ARH ALSO FACE UNEMPLOYMENT RATES THAT ARE SUBSTANTIALLY HIGHER THAN STATE AND NATIONAL AVERAGES AND A HIGHER NUMBER OF CITIZENS IN THESE AREAS RANK BELOW THE NATIONAL POVERTY LEVEL. FOR MORE THAN 60 YEARS, ARH HAS CARRIED A HEAVY LOAD IN CARING FOR THIS POPULATION. IN FISCAL YEAR 2024 APPROXIMATELY 90.14 PERCENT OF ARH'S INPATIENTS WERE MEDICARE OR MEDICAID BENEFICIARIES.
PART VI, LINE 5:MARY BRECKINRIDGE HEALTH SERVICES, INC. (MBHS) PROVIDES LESLIE, FLOYD, KNOX AND SURROUNDING COUNTIES AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS MEDICAL FACILITIES AS WELL AS COMMUNITY OUTREACH SERVICES. TODAY, MBHS CONTINUES ITS MISSION IN THE MOUNTAINS BY OFFERING RESIDENTS OF EASTERN KENTUCKY A LOCAL OPTION FOR QUALITY HEALTHCARE SERVICES. MBHS HOLDS STEADFAST TO THE MISSION TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. MBHS CONSISTS OF THREE CRITICAL ACCESS HOSPITALS AND RELATED CLINIC, PHARMACY, HOME HEALTH AGENCY, AND HOME CARE STORE SERVICES. ALONG WITH THEIR SYSTEM AFFILIATE, APPALACHIAN REGIONAL HEALTHCARE (ARH), MBHS HAS EVOLVED INTO AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SERVING MORE THAN 60,000 RESIDENTS ACROSS EASTERN KENTUCKY. WHILE PROVIDING THIS REGION WITH QUALITY HEALTHCARE, MBHS REINVESTS ANY EARNINGS BACK INTO OPERATIONS TO FURTHER THE SYSTEM'S EFFORTS IN IMPROVING AND ACCESSING HEALTHCARE SERVICES FOR THE REGION. CREATED TO ADDRESS THE UNMET HEALTH NEEDS OF AN UNDERSERVED REGION, MBHS LEADERSHIP AND STAFF MEMBERS REALIZE THAT SERVING THIS POPULATION IS ABOUT MORE THAN JUST ADDRESSING THE HEALTH NEEDS, IT IS ALSO ABOUT PREVENTING CHRONIC DISEASES. THROUGH PARTNERSHIPS WITH AREA SCHOOLS, BUSINESSES, ORGANIZATIONS AND HEALTH DEPARTMENTS, MBHS IS ONE OF THE PRIMARY SOURCES FOR HEALTH EDUCATION AND DISEASE PREVENTION IN EACH COMMUNITY AND PARTNERS WITH ALL THESE VARIOUS COMMUNITY ENTITIES TO FURTHER THESE EFFORTS. MBHS SPONSORS MANY COMMUNITY-WIDE WELLNESS EVENTS THROUGHOUT ITS SERVICE AREAS, INCLUDING HEALTH FAIRS AND VARIOUS SUPPORT GROUPS. EACH YEAR, MBHS PROVIDES FREE OR DISCOUNTED HEALTH SCREENINGS FOR COLORECTAL, BREAST, AND PROSTATE CANCERS AS WELL AS ROUTINE BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, AND BODY MASS INDEX (BMI) SCREENINGS IN EFFORTS TO PREVENT THE ONSET OF ILLNESSES OR CATCH MEDICAL CONDITIONS BEFORE THEY BECOME LIFE THREATENING. MBHS ALSO ACTIVELY UTILIZES ALL FORMS OF MEDIA TO PROMOTE WELLNESS AND EDUCATE THE PUBLIC ON THE SIGNS AND SYMPTOMS OF MANY COMMON HEALTH CONDITIONS. THIS INCLUDES HEALTH EDUCATION NEWSLETTERS THAT ARE MAILED DIRECTLY TO RESIDENTS' HOMES.
PART VI, LINE 6:DURING FISCAL YEAR 2024, MARY BRECKINRIDGE HEALTH SERVICES, INC. (MBHS) EFFORTS WERE MAINLY ORGANIZED AROUND ITS THREE HOSPITAL SPECIFIC COMMUNITIES ACROSS EASTERN KENTUCKY. IN EACH OF THESE COMMUNITIES, A HOSPITAL EXISTS ALONG WITH A COMPLIMENTARY ARRANGEMENT OF OTHER MBHS SERVICES, WHICH MAY INCLUDE CLINICS, HOME HEALTH AGENCIES, PHARMACIES, AND/OR HOME DURABLE MEDICAL EQUIPMENT STORES. IN CONJUNCTION WITH OUR SYSTEM AFFILIATE APPALACHIAN REGIONAL HEALTHCARE (ARH), VARIOUS HEALTH PROMOTION ACTIVITIES ARE ORGANIZED AND PROMOTED ACROSS THE FACILITIES, INCLUDING THE INTRODUCTION OF NEW SERVICE LINES AND NEW TECHNOLOGY. IN EACH OF MBHS'S/ARH'S SERVICE AREAS, VARIOUS COMMUNITY OUTREACH PROGRAMS ARE ALSO UNDERWAY AND AGGRESSIVELY ADDRESSING THE HEALTH CONCERNS OF THAT AREA, WHILE STRONG COMMUNITY COLLABORATION IS BEING DEVELOPED. FROM SENIOR CITIZEN WELLNESS PROGRAMS TO PATIENT ASSISTANCE VIA A CANCER NAVIGATOR, ARH'S COMMUNITIES ARE REAPING THE BENEFITS OF SUCCESSFUL COMMUNITY OUTREACH.
PART VI, LINE 7, REPORTS FILED WITH STATESKY,WV

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HOLLIE P HARRIS
PRESIDENT/CEO$0$938,382$0$176,400$0$593$0$84,230$0$27,963$0$1,227,568$0$0
THOMAS MOORE MD
GASTROENTEROLOGIST$572,915$0$0$0$0$0$6,813$0$440$0$580,168$0$0$0
BYRON GABBARD
TREASURER$0$424,510$0$80,000$0$641$0$52,023$0$0$0$557,174$0$0
CHRISTI LEE
CHIEF LEGAL COUNCIL$0$354,644$0$71,800$0$371$0$44,630$0$38,904$0$510,349$0$0
JAMES WEST
HOSPITALIST$470,888$0$0$0$0$0$14,989$0$783$0$486,660$0$0$0
LARRY E WARREN
FAMILY PHYSICIAN$446,259$0$0$0$0$0$3,300$0$620$0$450,179$0$0$0
JERRY L WOOLUM
FAMILY PHYSICIAN$396,179$0$0$0$0$0$13,327$0$624$0$410,130$0$0$0
PETER KUMMANT
GENERAL SURGEON$359,673$0$0$0$0$0$14,514$0$876$0$375,063$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION FOR ITS CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BTHE RELATED ORGANIZATION, APPALACHIAN REGIONAL HEALTHCARE, INC. (52-0795508) ("ARH"), PROVIDES SENIOR EXECUTIVES A CONTRIBUTION 3, 5, OR 7 PERCENT OF PAY (SUBJECT TO DOLLAR CAP), DEPENDING ON JOB TITLE, INTO THE TOP HAT 457(B) RETIREMENT PLAN. THE CONTRIBUTION AND EARNINGS ARE TAX DEFERRED UNTIL ASSETS ARE DISTRIBUTED OR WITHDRAWN. THE MAXIMUM CONTRIBUTION IS SUBJECT TO THE IRS COMPENSATION CAP, WHICH ALLOWS A CONTRIBUTION OF UP TO $22,500 IN 2023. THIS CONTRIBUTION TOTAL IS AN AGGREGATE TOTAL REGARDLESS OF WHETHER ARH OR THE EXECUTIVE MAKES THE CONTRIBUTION. CONTRIBUTION TO THE 457(B) DOES NOT AFFECT THE AMOUNTS THE EXECUTIVE MIGHT CONTRIBUTE TO THE 403(B)-THRIFT PLAN. THE EXECUTIVE MAY CONTRIBUTE HIS/HER OWN MONEY TO THE PLAN PRE-TAX, TO THE EXTENT THE IRS CAPS ALLOW ROOM AFTER ARH'S CONTRIBUTION. CATCH UP CONTRIBUTIONS ARE ALLOWED WITHIN IRS LIMITS IN THE LAST THREE YEARS PRIOR TO RETIREMENT (AND, IF THE 3, 5 OR 7 PERCENT OF PAY EXCEEDS THE REGULAR DOLLAR CAP, ARH MAY USE THE BALANCE OF THE PERCENTAGE TO FUND UP THE CATCH-UP LIMIT). BENEFITS ARE SUBJECT TO SOCIAL SECURITY AND MEDICARE TAXES AS THEY ACCRUE. THE FUNDS ARE INVESTED AS DIRECTED BY THE EXECUTIVE, BUT THE ACCOUNT REMAINS A GENERAL ASSET OF ARH. IF ARH BECOMES INSOLVENT, THE EXECUTIVE WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. IF THE FUNDING OF THE 457(B), INCLUDING ANY CATCH-UP PROVISIONS, IS LESS THAN THE 3,5 OR 7 PERCENT OF BASE PAY, THEN ARH WILL CONTRIBUTE THE REMAINDER TO A 457(F) PLAN. INDIVIDUALS PARTICIPATING IN THE 457(F) PLAN AND THE RESPECTIVE EMPLOYER CONTRIBUTIONS FOR EACH INCLUDE: HOLLIE HARRIS - $39,240; BYRON GABBARD - $7,022.50; CHRISTI LEE - $2,630.
PART I, LINE 6THE COMPENSATION AND CONTRACTS COMMITTEE OF THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) BOARD OF TRUSTEES ADOPTED A SHORT-TERM INCENTIVE COMPENSATION PROGRAM FOR EXECUTIVES IN SEPTEMBER 2002. THE PROGRAM ESTABLISHED INCENTIVES FOR ACHIEVING SYSTEM AND COMMUNITY OBJECTIVES FOR EXECUTIVE LEADERSHIP BY INTEGRATING THE PERFORMANCE MANAGEMENT AND EXECUTIVE COMPENSATION SYSTEMS. THE INCENTIVE THRESHOLDS HAVE BEEN MODIFIED ACROSS TIME TO REFLECT INCREASED PERFORMANCE EXPECTATIONS AS IDENTIFIED IN THE SYSTEM'S STRATEGIC, BUDGET AND OPERATIONS PLAN. THE INCENTIVE AWARDS PROVIDE ADDITIONAL CASH COMPENSATION AS A PERCENTAGE OF BASE SALARY IN RELATION TO LEVELS OF ACHIEVEMENT. THESE ACHIEVEMENT LEVELS RANGE FROM THRESHOLD (LOWEST) TO TARGET (10% ABOVE THE THRESHOLD), AND MAXIMUM (HIGHEST AND 20% ABOVE THE THRESHOLD) AND VARY BASED UPON EXECUTIVE LEVEL. THE EXECUTIVE INCENTIVE PLAN WILL BE ADMINISTERED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: A. OBJECTIVES AND TARGETS ARE SET THROUGH THE STRATEGIC PLANNING, BUDGETING AND PERFORMANCE MANAGEMENT PROCESSES. B. SYSTEM MARGIN AND CASH BUDGET THRESHOLDS MUST BE MET BEFORE INDIVIDUAL AWARDS WILL BE CONSIDERED. C. AWARDS WILL BE CONSIDERED AS HAVING BEEN EARNED UPON AFFIRMATION BASED ON AUDITED FINANCIAL RESULTS AND ACTUAL OPERATING PERFORMANCE. D. THE PRESIDENT AND CEO WILL RECOMMEND PAYMENT OF INDIVIDUAL AWARDS, IF ANY, TO THE COMPENSATION AND CONTRACTS COMMITTEE FOR CONSIDERATION. E. THE COMPENSATION AND CONTRACTS COMMITTEE MAY ACCEPT, REJECT, OR MODIFY THE PRESIDENT AND CEO'S RECOMMENDATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS APPALACHIAN REGIONAL HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7AAPPALACHIAN REGIONAL HEALTHCARE, INC. APPOINTS THE BOARD OF DIRECTORS OF ARH MARY BRECKINRIDGE.
FORM 990, PART VI, SECTION A, LINE 7BAPPALACHIAN REGIONAL HEALTHCARE, INC. HAS THE POWER TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF ARH MARY BRECKINRIDGE.
FORM 990, PART VI, SECTION B, LINE 11BAPPALACHIAN REGIONAL HEALTHCARE'S (ARH) DIRECTOR OF ACCOUNTING AND CFO BOTH REVIEW THE 990 PRIOR TO THE ARH BOARD REVIEW. THE ARH BOARD THEN REVIEWS THE 990 PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CARH MARY BRECKINRIDGE FOLLOWS ARH'S CONFLICT OF INTEREST POLICY AND ONGOING MONITORING. ARH'S MONITORING PROCESS IS: A SECURE WEBSITE IS PROVIDED TO OFFICERS AND TRUSTEES FOR ANNUAL DISCLOSURES AND IS MONITORED REGULARLY BY THE VICE PRESIDENT OF LEGAL AFFAIRS AND THE CORPORATE COMPLIANCE OFFICERS. POTENTIAL CONFLICTS OF INTEREST ARE REPORTED DIRECTLY TO THE CHAIRMAN OF THE BOARD. TRUSTEES IDENTIFIED AS HAVING A CONFLICT OF INTEREST IN A PARTICULAR MATTER BEFORE THE BOARD MAY NOT PARTICIPATE IN THE BOARD'S DECISION-MAKING PROCESS. FAILURE TO DISCLOSE IS SUBJECT TO DISCIPLINE, INCLUDING CENSURE, AND IN SOME CASES, REMOVAL FROM THE BOARD. EMPLOYEE OFFICERS ARE SUBJECT TO DISCIPLINE IN ACCORDANCE WITH THE CORPORATION'S HUMAN RESOURCE POLICIES AND THE ARH CODE OF BUSINESS AND PROFESSIONAL CONDUCT.
FORM 990, PART VI, SECTION B, LINE 15THE RELATED ORGANIZATION, APPALACHIAN REGIONAL HEALTHCARE, INC.'S (ARH) BOARD SETS COMPENSATION LEVELS FOR PRESIDENT/CEO AND OTHER ARH EXECUTIVES AND KEY EMPLOYEES. THE BOARD CONTRACTS WITH A CONSULTING FIRM TO REVIEW THE MARKET FOR THE POSITIONS ON THE SYSTEM OPERATING COUNCIL WHO MAKES RECOMMENDATIONS ON THE SALARY RANGES AND ASSESSES THE COMPETITIVENESS OF THE SALARIES. WITH THAT INFORMATION, THE COMPENSATION AND CONTRACTS COMMITTEE SET THE RANGES AND THE PRESIDENT'S COMPENSATION. THE BOARD REVIEWS AND FINALIZES COMPENSATION AMOUNTS. THE CONSULTING FIRM FOLLOWS UP WITH A LETTER ATTESTING TO THE REASONABLENESS OF COMPENSATION. APPALACHIAN REGIONAL HEALTHCARE HAS DEVELOPED A PARTNERSHIP WITH MERCER GROUP TO EVALUATE EXECUTIVE COMPENSATION PLANS.
FORM 990, PART VI, SECTION C, LINE 19WHILE ARH MARY BRECKINRIDGE HAS NOT YET ADOPTED A POLICY OF SHARING ITS FINANCIAL STATEMENTS WITH THE PUBLIC, IT DOES PROVIDE FINANCIAL INFORMATION THROUGH THE FORM 990 AND PROVIDES CERTAIN FINANCIAL INFORMATION IN OTHER PUBLIC DOCUMENTS, INCLUDING ITS PERIODIC REPORTS TO THE COMMUNITIES IT SERVES.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. PRIOR TO THE START OF THE AUDIT, THE VICE PRESIDENT OF FINANCE MEETS WITH THE INDEPENDENT AUDITORS. AT THE CONCLUSION OF THE AUDIT, THE FINANCE COMMITTEE MEETS WITH THE INDEPENDENT AUDITORS FOR PRESENTATION OF THE FINANCIAL STATEMENTS. THE INDEPENDENT AUDITORS ARE SELECTED WHEN DEEMED NECESSARY BY MANAGEMENT THROUGH A FORMAL "REQUEST FOR PROPOSAL" (RFP) PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES INC
100 AIRPORT GARDENS RDHAZARDKY41701204840007CARRYING OUT FUNDRAISING AND CHARITABLE ACTIVITIES FOR ARHKY501(C)(3)LINE 7APPALACHIAN REGIONAL HEALTHCARE INC0
APPALACHIAN REGIONAL HEALTHCARE INC
2260 EXECUTIVE DRIVELEXINGTONKY40505520795508HEALTH CAREKY501(C)(3)LINE 30N/A
ARH TUG VALLEY HEALTH SERVICES INC
2260 EXECUTIVE DRIVELEXINGTONKY40505822577178HEALTH CAREKY501(C)(3)LINE 3APPALACHIAN REGIONAL HEALTHCARE INC0
ARH ADVANCED CARE INC
2260 EXECUTIVE DRIVELEXINGTONKY40505872421892HEALTH CAREKY501(C)(3)LINE 3APPALACHIAN REGIONAL HEALTHCARE INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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