APPALACHIAN REGIONAL HEALTHCARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
APPALACHIAN REGIONAL HEALTHCARE INC (EIN 52-0795508)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-07
IRS object ID
202611279349303381
Schema version
2024v5.5
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)
Return2026-05-07T15:58:51-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

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 Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520795508EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN REGIONAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAPPABusinessNameControlTxt
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 TitleCFO/VP FISCAL SERVICESPersonTitleTxt
Phone8592262440PhoneNum
Signature2026-04-22SignatureDt
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)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHOLLIE P HARRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12260 EXECUTIVE DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,078,699,521GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionTO PROVIDE CENTRAL APPALACHIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITAL, CLINICS AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5638TotalEmployeeCnt
Total Volunteers112TotalVolunteersCnt
Total Gross UBI$37,660,306TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,050,783NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$620,648PYContributionsGrantsAmt
CY Contributions Grants$1,471,544CYContributionsGrantsAmt
PY Program Service Revenue$906,150,904PYProgramServiceRevenueAmt
CY Program Service Revenue$991,822,031CYProgramServiceRevenueAmt
PY Investment Income$27,042,785PYInvestmentIncomeAmt
CY Investment Income$25,050,610CYInvestmentIncomeAmt
PY Other Revenue$10,102,841PYOtherRevenueAmt
CY Other Revenue$59,661,216CYOtherRevenueAmt
PY Total Revenue$943,917,178PYTotalRevenueAmt
CY Total Revenue$1,078,005,401CYTotalRevenueAmt
PY Grants And Similar Paid$781,069PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,113,867CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$438,098,268PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$450,843,992CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$434,962,133PYOtherExpensesAmt
CY Other Expenses$476,744,449CYOtherExpensesAmt
PY Total Expenses$873,841,470PYTotalExpensesAmt
CY Total Expenses$928,702,308CYTotalExpensesAmt
PY Revenues Less Expenses$70,075,708PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$149,303,093CYRevenuesLessExpensesAmt
Total Assets BOY$1,448,830,338TotalAssetsBOYAmt
Total Assets EOY$1,690,508,848TotalAssetsEOYAmt
Total Liabilities BOY$745,614,779TotalLiabilitiesBOYAmt
Total Liabilities EOY$770,717,777TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$703,215,559NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$919,791,071NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$750,450,922ExpenseAmt
Grant$1,113,867GrantAmt
Revenue$993,628,124RevenueAmt
DescJUST AS IT HAS FOR THE PAST SEVEN DECADES, APPALACHIAN REGIONAL HEALTHCARE (ARH) REMAINED COMMITTED TO ITS MISSION TO PROVIDE THE PEOPLE OF CENTRAL APPALACHIA WITH THE HIGHEST QUALITY OF CARE IN 2025. WITH 14 HOSPITALS AS WELL CLINICS, HOME HEALTH AGENCIES, HOME MEDICAL EQUIPMENT STORES, PHARMACIES AND REHABILITATION SERVICES SPREAD ACROSS BOTH KENTUCKY AND WEST VIRGINIA, ARH AND ITS MORE THAN 6,000 TEAM MEMBERS AND 1,300 MEDICAL PROVIDERS IS ESSENTIAL TO THE LIVES OF THOSE WHO RESIDE IN CENTRAL APPALACHIA. ARH'S COMMITMENT TO EXCELLENCE WAS RECOGNIZED THROUGHOUT THE 2025 FISCAL YEAR WITH A VARIETY OF HONORS AND CERTIFICATIONS. THE ARH SYSTEM WAS NAMED TO FORBES' LIST OF AMERICA'S BEST-IN-STATE EMPLOYERS, SUMMERS COUNTY ARH, BARBOURVILLE ARH, MARY BRECKINRIDGE ARH, MCDOWELL ARH, AND TUG VALLEY ARH REGIONAL MEDICAL CENTER WERE ALL RECOGNIZED AS ACUTE STROKE READY CENTERS. WITH THOSE CERTIFICATIONS BESTOWED BY DNV, EACH OF ARH'S 14 HOSPITALS WERE OFFICIALLY STROKE CERTIFIED. BECKLEY AND SUMMERS COUNTY ARH RECEIVED SILVER HONORS FROM THE WEST VIRGINIA HOSPITAL ASSOCIATION AND SUMMERS COUNTY ARH RECEIVED THE WVHA GOVERNOR'S AWARD FOR OUTSTANDING SUPPORT OF TISSUE AND CORNEA DONATION. THREE ARH BIRTHING HOSPITALS HAZARD ARH, HIGHLANDS ARH AND WHITESBURG ARH, RECEIVED THE KENTUCKY PERINATAL QUALITY COLLABORATIVE (KYPQC) AWARD FOR THE SECOND CONSECUTIVE YEAR. TWELVE ARH HOSPITALS WERE HONORED WITH AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES AWARDS FOR THEIR COMMITMENT TO THE TREATMENT OF STROKE. THE ARH SYSTEM'S HARD WORK ON THE TECHNICAL FRONT WAS AGAIN RECOGNIZED AS IT ACHIEVED A LEVEL 8 RANKING IN CHIME'S MOST WIRED HEALTH SYSTEMS FOR BOTH AMBULATORY AND ACUTE CARE FOR THE FIFTH CONSECUTIVE YEAR.Desc
Total Program Service Expenses$750,450,922TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 Assets0ReportOtherAssetsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document400IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5638EmployeeCnt
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 PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREG COUCH
CHAIR3.002.50Yes (X)Yes (X)$0$0$0
JEFFREY B HOLLON
VICE CHAIR3.000.00Yes (X)Yes (X)$0$0$0
JOANN ANDERSON
SECRETARY/TREASURER3.000.00Yes (X)Yes (X)$0$0$0
MARTHA ELLIS
TRUSTEE3.000.00Yes (X)$0$0$0
KEN ALLMAN
TRUSTEE3.000.00Yes (X)$0$0$0
DUSTIN SCOTT CAMPBELL MD
TRUSTEE3.000.00Yes (X)$0$0$0
SAM DUNN
TRUSTEE3.000.00Yes (X)$0$0$0
RANDY EVANS DVM
TRUSTEE3.002.00Yes (X)$0$0$0
JULIE AKEMON
TRUSTEE (TERM 11/8/24)5.000.00Yes (X)$0$0$0
L BART FRANCIS
TRUSTEE (TERM 11/8/24)3.000.00Yes (X)$0$0$0
ANDREA MASSEY
TRUSTEE3.003.00Yes (X)$0$0$0
KAREN NEWMAN-PROFITT
TRUSTEE3.000.00Yes (X)$0$0$0
MIKE RUST
TRUSTEE3.000.00Yes (X)$0$0$0
ONZIE SIZEMORE
TRUSTEE3.000.00Yes (X)$0$0$0
EDITH KELLEY
TRUSTEE (TERM 11/8/24)3.000.00Yes (X)$0$0$0
HOLLIE P HARRIS
PRESIDENT/CEO25.0015.00Yes (X)$1,503,777$0$118,812
PAUL BETZ
COO (TERM 11/13/24)30.0010.00Yes (X)$634,158$0$103,316
MARIA BRAMAN
CHIEF MEDICAL OFFICER30.0010.00Yes (X)$631,739$0$70,503
CHRISTI LEE
CHIEF LEGAL COUNSEL25.0015.00Yes (X)$483,617$0$69,752
SONYA BERGMAN
CHIEF PEOPLE OFFICER30.000.00Yes (X)$470,494$0$81,729
BYRON GABBARD
CHIEF FINANCIAL OFFICER25.0015.00Yes (X)$664,251$0$60,915
JAYARAMAKRISHNA DEPA
NEPHROLOGIST40.000.00$984,500$0$59,015Yes (X)
SAMUEL BAILEY
ONCOLOGIST40.000.00$848,952$0$54,705Yes (X)
ADNAN M BHOPALWALA
CARDIOLOGIST40.000.00$1,251,900$0$53,827Yes (X)
TIMOTHY MICEK
ORTHOPEDIC SURGEON40.000.00$963,310$0$43,477Yes (X)
CHAYAKRIT KRITTANAWONG
INTERVENTIONAL CARDIOLOGIST40.000.00$862,566$0$13,573Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,299,264TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$729,624TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K428IndivRcvdGreaterThan100KCnt
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
TRIANGLE ANESTHESIA GROUP
425 LEWIS HARGETT CIRCLELEXINGTONKY40503CONTRACT ANESTHESIA$20,606,194
HALLMARK HEALTH CARE SOLUTIONS
PO BOX 22938NEW YORKNY100872938CONTRACT NURSING$17,317,840
SODEXO OPERATIONS
PO BOX 360170PITTSBURGHPA152516170SUPPORT SERVICES$10,259,950
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC27216CONTRACT LAB SERVICES$10,012,721
AHEAD INC
401 N MICHIGAN AVECHICAGOIL60611SOFTWARE SUPPORT SERVICES$6,183,297
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K240CntrctRcvdGreaterThan100KCnt
Government Grants$746,798GovernmentGrantsAmt
All Other Contributions$724,746AllOtherContributionsAmt
Total Contributions$1,471,544TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES621110$718,884,721$718,884,721
HOSPITAL RATE IMPROVEM900099$158,487,287$158,487,287
PHARMACY & LAB812300$114,368,951$84,088,897$30,280,054
RECORD TRANSCRIPT FEES900099$81,072$81,072
FieldValueIRS element (for citing)
Total Program Service Revenue$991,822,031TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,373,414TotalRevenueColumnAmt
Exclusion$11,373,414ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,407,625RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,407,625RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,407,625TotalRevenueColumnAmt
Exclusion$1,407,625ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,371,316SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$694,120SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,677,196SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,677,196TotalRevenueColumnAmt
Exclusion$13,677,196ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
DPP REVENUE900099$29,763,991$29,763,991
KMAP REVENUE900099$14,020,729$14,020,729
HOME STORE SALES900099$6,441,231$6,441,231

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,027,640TotalRevenueColumnAmt
Related Or Exempt Func Income$1,806,093RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$939,021UnrelatedBusinessRevenueAmt
Exclusion$5,282,526ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$58,253,591OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,078,005,401TotalRevenueColumnAmt
Related Or Exempt Func Income$963,348,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$37,660,306UnrelatedBusinessRevenueAmt
Exclusion$75,525,481ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,113,867TotalAmt
Program Services$1,113,867ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,998,599TotalAmt
Management And General$4,998,599ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$339,670,931TotalAmt
Program Services$285,321,514ProgramServicesAmt
Management And General$54,349,417ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,837,538TotalAmt
Program Services$6,795,839ProgramServicesAmt
Management And General$1,041,699ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$76,659,507TotalAmt
Program Services$63,594,047ProgramServicesAmt
Management And General$13,065,460ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,677,417TotalAmt
Program Services$17,992,256ProgramServicesAmt
Management And General$3,685,161ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,195,899TotalAmt
Program Services$801,252ProgramServicesAmt
Management And General$394,647ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$919,166TotalAmt
Program Services$615,841ProgramServicesAmt
Management And General$303,325ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$92,455TotalAmt
Program Services$92,455ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$122,497,943TotalAmt
Program Services$96,430,188ProgramServicesAmt
Management And General$26,067,755ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,925,428TotalAmt
Program Services$3,614,511ProgramServicesAmt
Management And General$2,310,917ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,222,252TotalAmt
Program Services$24,313,837ProgramServicesAmt
Management And General$9,908,415ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,453,995TotalAmt
Program Services$14,306,937ProgramServicesAmt
Management And General$9,147,058ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,699,150TotalAmt
Program Services$21,241,616ProgramServicesAmt
Management And General$11,457,534ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,674,361TotalAmt
Program Services$1,631,360ProgramServicesAmt
Management And General$1,043,001ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,122,972TotalAmt
Program Services$685,013ProgramServicesAmt
Management And General$437,959ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,265,086TotalAmt
Program Services$939,763ProgramServicesAmt
Management And General$5,325,323ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,984,940TotalAmt
Program Services$18,687,199ProgramServicesAmt
Management And General$3,297,741ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,839,254TotalAmt
Program Services$11,491,945ProgramServicesAmt
Management And General$7,347,309ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & PHAR$179,046,384$176,745,283$2,301,101
PROVIDER TAX EXPENSE$35,444,854$35,444,854
PROVISION FOR BAD DEBT$26,540,555$26,540,555
340B RETAIL CONTRACT FE$5,809,448$5,809,448

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$41,989,693TotalAmt
Program Services-$28,313,804ProgramServicesAmt
Management And General-$13,675,889ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$928,702,308TotalAmt
Program Services$750,450,922ProgramServicesAmt
Management And General$178,251,386ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,016,474BOYAmt
EOY$4,900,331EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$163,507,842BOYAmt
EOY$226,173,661EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$145,913,830BOYAmt
EOY$196,068,730EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$22,212,234BOYAmt
EOY$22,718,806EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$65,818,974BOYAmt
EOY$76,957,451EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$765,958,158LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$478,268,830LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$261,935,824BOYAmt
EOY$287,689,328EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$760,127,024BOYAmt
EOY$859,374,970EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,986,578BOYAmt
EOY$4,388,895EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,571,815BOYAmt
EOY$1,565,475EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$930,000BOYAmt
EOY$930,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,809,743BOYAmt
EOY$9,741,201EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,448,830,338BOYAmt
EOY$1,690,508,848EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$134,983,428BOYAmt
EOY$123,886,736EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,936,547BOYAmt
EOY$19,725,843EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,480,000BOYAmt
EOY$65,160,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$174,770,019BOYAmt
EOY$164,041,567EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$364,444,785BOYAmt
EOY$397,903,631EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$745,614,779BOYAmt
EOY$770,717,777EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$703,227,425BOYAmt
EOY$919,791,071EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$11,866BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$703,215,559BOYAmt
EOY$919,791,071EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,448,830,338BOYAmt
EOY$1,690,508,848EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$149,303,093ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$48,793,226NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$11,830PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$18,467,363OtherChangesInNetAssetsAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$44,455RalliesDemonstrationsAmt
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$48,000OtherActivitiesAmt
Total Lobbying Expenditures$92,455TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationARH IS A MEMBER OF VARIOUS HOSPITAL ASSOCIATIONS. THE APPROPRIATE PERCENTAGE OF DUES PAID TO THE ORGANIZATIONS ALLOCABLE TO LOBBYING ACTIVITIES ARE ALSO INCLUDED. ARH HOLDS ON RETAINER CONSULTANTS TO ASSIST WITH GOVERNMENT AND PUBLIC RELATIONS IN REGARDS TO DEVELOPMENT OF LEGISLATURE, RELATED RESEARCH, AND OTHER RELEVANT ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,456,227OtherCostOrOtherBasisAmt
Book Value$6,456,227BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$331,121,254OtherCostOrOtherBasisAmt
Depreciation$241,067,835DepreciationAmt
Book Value$90,053,419BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,998,994OtherCostOrOtherBasisAmt
Depreciation$2,291,382DepreciationAmt
Book Value$707,612BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$260,083,500OtherCostOrOtherBasisAmt
Depreciation$187,584,774DepreciationAmt
Book Value$72,498,726BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$165,298,183OtherCostOrOtherBasisAmt
Depreciation$47,324,839DepreciationAmt
Book Value$117,973,344BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$287,689,328TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
MEDICARE & MEDICAID ESTIMATED SETTLEMENTS$38,609,457
ACCRUED PENSION COST$42,585,393
RESERVE FOR SELF-INSURANCE$83,909,958
PHYSICIAN COMMITMENTS$513,213
DUE TO PATIENTS$13,804,529
BOND INTEREST PAYABLE$2,903,777
SERP PAYABLE$255,299
ACCRUED PHYSICIAN SETTLEMENTS$2,028,338
OPERATING LEASE LIABILITY$10,151,473
DUE TO AFFILIATE$203,142,194
FieldValueIRS element (for citing)
Total Liability$397,903,631TotalLiabilityAmt
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. 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$41,549,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,741,998DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,807,648NetCommunityBenefitExpnsAmt
Total Expense0.04300TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$251,449,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$310,307,118DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292,999,458TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$313,049,116DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,807,648NetCommunityBenefitExpnsAmt
Total Expense0.04300TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1795ActivitiesOrProgramsCnt
Persons Served1562PersonsServedCnt
Total Community Benefit Expns$3,935,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,935,411NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs184ActivitiesOrProgramsCnt
Persons Served22117PersonsServedCnt
Total Community Benefit Expns$72,262TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,262NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1979ActivitiesOrProgramsCnt
Persons Served23679PersonsServedCnt
Total Community Benefit Expns$4,007,673TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,007,673NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1979ActivitiesOrProgramsCnt
Persons Served23679PersonsServedCnt
Total Community Benefit Expns$297,007,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$313,049,116DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,815,321NetCommunityBenefitExpnsAmt
Total Expense0.04750TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served105PersonsServedCnt
Total Community Benefit Expns$181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$181NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs133ActivitiesOrProgramsCnt
Persons Served15442PersonsServedCnt
Total Community Benefit Expns$160,831TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$160,831NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served310PersonsServedCnt
Total Community Benefit Expns$2,103TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,103NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs80ActivitiesOrProgramsCnt
Persons Served8244PersonsServedCnt
Total Community Benefit Expns$11,495TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,495NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs497ActivitiesOrProgramsCnt
Persons Served22308PersonsServedCnt
Total Community Benefit Expns$241,195TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$241,195NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served415PersonsServedCnt
Total Community Benefit Expns$479TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$479NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs727ActivitiesOrProgramsCnt
Persons Served46824PersonsServedCnt
Total Community Benefit Expns$416,284TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$416,284NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$26,540,555BadDebtExpenseAmt
Bad Debt Expense Attributable$15,736,430BadDebtExpenseAttributableAmt
Reimbursed By Medicare$83,098,389ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$104,461,768CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,363,379MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 ARH REGIONAL MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CO-OWNERS COUNCIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCONDO OWNERPrimaryActivitiesTxt
Org Profit Or Ownership0.83840OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.16160PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities9HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
HAZARD ARH REGIONAL MEDICAL CENTER
1100 MEDICAL CENTER DRIVEHAZARDKY41701100365Yes (X)Yes (X)Yes (X)Yes (X)A
BECKLEY ARH HOSPITAL
2306 STANAFORD ROADBECKLEYWV2580145Yes (X)Yes (X)Yes (X)A
HARLAN ARH HOSPITAL
381 BALL PARK ROADHARLANKY40831100163Yes (X)Yes (X)Yes (X)A
WHITESBURG ARH HOSPITAL
4240 HOSPITAL ROADWHITESBURGKY41858100288Yes (X)Yes (X)Yes (X)A
TUG VALLEY ARH REGIONAL MEDICAL CENTER
5260 HOSPITAL DRIVESOUTH WILLIAMSONKY41503100368Yes (X)Yes (X)Yes (X)A
MIDDLESBORO ARH HOSPITAL
63600 WEST CUMBERLAND AVENUEMIDDLESBOROKY40965100019Yes (X)Yes (X)Yes (X)A
MCDOWELL ARH HOSPITAL
7ROUTE 122 BOX 247MCDOWELLKY41647600082Yes (X)Yes (X)Yes (X)AYes (X)
MORGAN COUNTY ARH HOSPITAL
8476 LIBERTY ROADWEST LIBERTYKY41472600058Yes (X)Yes (X)Yes (X)AYes (X)
SUMMERS COUNTY ARH HOSPITAL
9115 SUMMERS HOSPITAL ROADHINTONWV2595188Yes (X)Yes (X)Yes (X)AYes (X)

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 Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
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 Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.ARH.ORG/CHNA/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
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 URLHTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
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 No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: HAZARD ARH REGIONAL MEDICAL CENTER, - FACILITY 3: HARLAN ARH HOSPITAL, - FACILITY 2: BECKLEY ARH HOSPITAL, - FACILITY 5: TUG VALLEY ARH REGIONAL MEDICAL CENTER, - FACILITY 4: WHITESBURG ARH HOSPITAL, - FACILITY 6: MIDDLESBORO ARH HOSPITAL, - FACILITY 8: MORGAN COUNTY ARH HOSPITAL, - FACILITY 7: MCDOWELL ARH HOSPITAL, - FACILITY 9: SUMMERS COUNTY ARH HOSPITAL
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 6A:APPALACHIAN REGIONAL HEALTHCARE CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT JOINTLY WITH THE OTHER FACILITIES WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM. APPALACHIAN REGIONAL HEALTHCARE, INC. (EIN: XXX-XX-XXXX), THE PARENT ORGANIZATION, COORDINATED AND FILED THE COMBINED CHNA ON BEHALF OF ALL PARTICIPATING FACILITIES.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:APPALACHIAN REGIONAL HEALTHCARE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EACH OF ITS 10 HOSPITAL COMMUNITIES DURING 2024. RESULTS FROM COMMUNITY SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS ARE BEING REPORTED ALONG WITH HEALTH INFORMATION COLLECTED FROM REPUTABLE NATIONAL, STATE, AND LOCAL DATA SOURCES. ALSO BEING REPORTED FOR EACH ARH HOSPITAL IS AN IMPLEMENTATION PLAN ADDRESSING THE IDENTIFIED ISSUES FROM THIS PROCESS AND AN OUTCOMES SUMMARY FROM THE CHNA PROCESS AND IMPLEMENTATION CONDUCTED SINCE 2019. ALL OF THE INFORMATION IN THESE REPORTS PROVIDES VALUABLE INFORMATION THAT WILL BE USED IN THE FUTURE FOR PLANNING PURPOSES, SERVICE IMPROVEMENTS AND COMMUNITY OUTREACH. IT IS ARH'S HOPE THAT THIS ASSESSMENT WILL HELP OUR FACILITIES, IN PARTNERSHIP WITH OUR COMMUNITIES, TO IDENTIFY RESPECTIVE HEALTH CONCERNS, MEASURE THE IMPACT OF CURRENT PUBLIC HEALTH EFFORTS AND GUIDE THE APPROPRIATE USE OF LOCAL RESOURCES. WE ALSO HOPE THAT TOGETHER WE CAN IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA.DURING THE 2022 CHNA PROCESS, THE APPOINTED COUNTY STEERING COMMITTEE IDENTIFIED THE FOLLOWING HEALTH NEEDS WITH ALL OF OUR FACILITIES: 1. MENTAL HEALTH 2. OBESITY 3. CULTURE OF HEALTH/ HEALTHY LIFESTYLE EDUCATION 4. SUBSTANCE USE DISORDER, 5. AGING IN PLACE AND OTHER SENIOR-ORIENTED SERVICES, 6. BUILD AND EXPAND CAPACITY OF HEALTH CONSORTIUM, 7. BETTER ACCESS TO CARE.MENTAL HEALTHBECKLEY ARH SET FORTH GOALS AND STRATEGIES TO ADDRESS EACH OF THE IDENTIFIED HEALTH NEEDS. SINCE 2022. BECKLEY ARH HAS EDUCATED OUR COMMUNITY ON THE IMPORTANCE OF MENTAL HEALTH AND REDUCED ASSOCIATED STIGMA BY PROVIDING 2 FREE MENTAL HEALTH FIRST AID TRAINING COURSES FOR STAFF, PROVIDING 7 MENTAL HEALTH EDUCATION AND AWARENESS EVENTS AND MANAGING AND SUPERVISING THE LOCAL STUDENTS AGAINST DESTRUCTIVE DECISIONS (SADD) GROUP. SINCE 2022, THE GROUP HAS: ATTENDED 15 EVENTS TARGETING THE K-12 POPULATION TO DISCUSS MENTAL HEALTH TOPICS AND THE NATIONAL SUICIDE CRISIS HOTLINE (988). HAZARD ON BOARDED KAITLYN WARFIELD, LCSW TO PROVIDE THERAPEUTIC SERVICES TO PATIENTS IN THE HAZARD COMMUNITY. COMPLETED RENOVATIONS AND OPENED HAZARD PSYCHIATRIC CENTER'S TREATMENT MALL IN DEC. 2023. THE ARH BEHAVIORAL HEALTH TEAM CREATED A VIDEO SERIES FOR SOCIAL MEDIA WITH 9 EDUCATIONAL VIDEOS THAT GARNERED OVER 3,000 VIEWS ON YOUTUBE. MENTAL HEALTH EDUCATION AND AWARENESS EVENTS HAVE ALSO BEEN A FOCUS OF THE COMMUNITY DEVELOPMENT AND BEHAVIORAL HEALTH TEAMS SINCE 2022.SINCE 2022, MCDOWELL ARH HAS WORKED TO IMPROVE MENTAL HEALTH IN OUR COMMUNITY BY PROVIDING 6 FREE MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR STAFF FROM 2023-2024. REOPENED THE SENIOR CARE PROGRAM TO PROVIDE OLDER ADULTS WITH QUALITY BEHAVIORAL HEALTHCARE. ALONG WITH SOCIAL INTERACTION AND GROUP THERAPY, PARTICIPATING SENIORS RECEIVE TREATMENT FROM A MULTIDISCIPLINARY TEAM INCLUDING A PSYCHIATRIST, A THERAPIST, AND A REGISTERED NURSE THAT DEVELOP INDIVIDUALIZED PLANS. PRESENTED TWICE TO STUDENTS ABOUT MENTAL HEALTH ISSUES AT ADAMS MIDDLE SCHOOL AND FLOYD CENTRAL HIGH SCHOOL.MIDDLESBORO ARH HAS IMPROVED THE MENTAL HEALTH OF OUR COMMUNITY MEMBERS BY ACTIVELY PARTNERING WITH CRATER OF HOPE AND OTHER COMMUNITY ORGANIZATIONS ON IMPLEMENTATION OF A HARM REDUCTION PROGRAM (AKA A NEEDLE EXCHANGE PROGRAM) AND IN COMPLETING THE RECOVERY READY COMMUNITY APPLICATION. WORKING WITH LINCOLN MEMORIAL UNIVERSITY TO EXTEND OUR 3-YEAR HRSA MENTAL HEALTH GRANT BY ANOTHER YEAR AS WELL AS WORKING TO EXTEND THE MOSAIC GRANT TO MIDDLESBORO ARH IN ORDER TO PROVIDE 2 FULL-TIME PEER SUPPORT SPECIALISTS IN OUR EMERGENCY DEPARTMENT. IMPLEMENTED OVERDOSE SURVIVORS OUTREACH PROGRAM, PROVIDING COMMUNITY FOLLOW UPS TO OVERDOSE SURVIVORS AND EXTRA SUPPORT IN HOPES OF LINKING THOSE OVERDOSE SURVIVORS TO TREATMENT, AND OTHER COMMUNITY RESOURCES GROWN OUTPATIENT BEHAVIORAL HEALTH SERVICES THROUGH ARH CUMBERLAND VALLEY MEDICAL AND SURGICAL ASSOCIATES AND MIDDLESBORO WOMEN'S AND FAMILY HEALTH CLINIC (1,553 BEHAVIORAL HEALTH VISITS 2022-2024).MORGAN COUNTY ARH HAS INCREASED MENTAL HEALTH SERVICES AND COMMUNITY EDUCATION BY REOPENING THE SENIOR CARE PROGRAM TO PROVIDE OLDER ADULTS WITH QUALITY BEHAVIORAL HEALTHCARE. ALONG WITH SOCIAL INTERACTION AND GROUP THERAPY, PARTICIPATING SENIORS RECEIVE TREATMENT FROM A MULTIDISCIPLINARY TEAM INCLUDING A PSYCHIATRIST, A THERAPIST, AND A REGISTERED NURSE THAT DEVELOP INDIVIDUALIZED PLANS. MORGAN COUNTY HAS IMPLEMENTED TELEPSYCHIATRY CONSULTATIONS TO ENHANCE ACCESSIBILITY AND EFFICIENCY OF PSYCHIATRIC CARE. THEY HAVE CONTINUED THEIR PARTNERSHIP WITH PATHWAYS TO CONNECT INDIVIDUALS IN NEED OF MENTAL HEALTH CARE. PROVIDED 5 FREE MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR STAFF FROM 2023-2024. MORGAN COUNTY ARH OFFERED THESE TRAINING COURSES WITH THE HOPE THAT THE EDUCATION WOULD ALLOW STAFF TO BETTER HELP OUR PATIENTS, BUT ALSO THEIR FAMILIES, FRIENDS, AND NEIGHBORS. PRESENTED THE HEALTHY RELATIONSHIPS PROGRAMMING TO MORGAN COUNTY HIGH SCHOOL STUDENTS, WHICH TEACHES CRITICAL THINKING AROUND QUALITIES OF HEALTHY AND UNHEALTHY RELATIONSHIPS, SIGNS OF ABUSE, AND COMMUNICATION SKILLS.IN 2023, SUMMERS COUNTY ARH PROVIDED THREE FREE MENTAL HEALTH FIRST AID TRAINING COURSES FOR STAFF. THE ARH COMMUNITY DEVELOPMENT AND BEHAVIORAL HEALTH TEAMS AT SUMMERS COUNTY HAVE PROVIDED 7 MENTAL HEALTH EDUCATIONAL OR AWARENESS EVENTS TO THE COMMUNITY SINCE 2022. IN 2020, SUMMERS COUNTY ARH LAUNCHED THE PEER SUPPORT PROGRAM, EMPLOYING CERTIFIED PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENT AND THROUGHOUT THE COMMUNITY. SINCE 2022 SUMMERS COUNTY ARH PEER RECOVERY COACHES HAVE COMPLETED: 3698 SBIRT SCREENINGS, 370 INITIAL BRIEF INTERVENTIONS, 62 REFERRALS TO TREATMENT, 30 LINKAGES TO TREATMENT, 300 NALOXONE DISTRIBUTED. SUMMERS COUNTY ARH ALSO EXPANDED THE MENTAL HEALTH SERVICES AVAILABLE VIA A TELEMEDICINE PARTNERSHIP WITH MARSHAL UNIVERSITY (2023).SINCE 2022, TUG VALLEY ARH HAS ADDRESSED MENTAL HEALTH IN OUR COMMUNITY BY EXPANDING OUTREACH ACTIVITIES SPECIFIC TO MENTAL HEALTH EDUCATION AND REDUCTION OF STIGMA. THEY HAVE PROVIDED TWO YEARS OF SPONSORSHIP AND STAFF PRESENTATIONS AT PIKE COUNTY STRONG, A SELF-ESTEEM, LEADERSHIP, AND MENTAL HEALTH AWARENESS EVENT FOR ALL FEMALE, JUNIOR YEAR HIGH SCHOOL STUDENTS IN THE COUNTY. PARTICIPATED IN "SAFE A LIFE" ROAD SHOW IN 2023 AND 2024, AN EVENT THAT PROVIDES MENTAL HEALTH EDUCATION, DRUG TREATMENT RESOURCES, NARCAN DISTRIBUTION, AND MORE AT LOCAL RETAIL STORES. THE ARH BEHAVIORAL HEALTH TEAM HAS ALSO CREATED A VIDEO SERIES FOR SOCIAL MEDIA WITH 9 EDUCATIONAL VIDEOS THAT GARNERED OVER 3,000 VIEWS ON YOUTUBE. THESE VIDEOS FEATURE ARH STAFF AND PROVIDERS DISCUSSING RELEVANT MENTAL HEALTH TOPICS LIKE SUICIDE PREVENTION, PTSD, SEASONAL AFFECTIVE DISORDER, AND POSTPARTUM DEPRESSION.WHITESBURG ARH HAS IMPROVED THE MENTAL HEALTH LANDSCAPE OF OUR COMMUNITY BY PROVIDING QUARTERLY FREE MENTAL HEALTH FIRST AID TRAINING FOR STAFF FROM 2023-2024. PROVIDING 3,303 BEHAVIORAL HEALTH CLINIC VISITS AND PARTICIPATED IN SEVERAL MENTAL HEALTH COMMUNITY EVENTS SUCH AS THE COUNTY'S ANNUAL CHILD ABUSE AWARENESS WALK AND THE WORLD DIABETES DAY CELEBRATION HEALTH FAIR IN 2024. WHITESBURG ARH HAS ALSO PARTNERED WITH A CERTIFIED TRAUMA INSTRUCTOR TO HOST 2 YOGA AND MINDFULNESS STRESS RELIEF CLASSES IN LETCHER COUNTY.OBESITYSINCE 2022, BECKLEY ARH HAS ADDRESSED OBESITY IN OUR COMMUNITY BY FINANCIALLY SUPPORTING WOODROW WILSON HIGH SCHOOL'S WETLAND PROJECT, MONTHLY DIABETES SUPPORT GROUPS, DEVELOPED "RETHINK YOUR DRINK" PROGRAM, PARTNERED 4 "WALK WITH A DOC" EVENTS WITH ACTIVE SOUTHERN WEST VIRGINA, REVAMPED THE HOSPITAL'S MENU, AND PROVIDED FREE GYM MEMBERSHIPS TO ALL ARH EMPLOYEES. HARLAN HAS ALSO REVAMPED THE HOSPITAL'S MENU AND PROVIDED FREE GYM MEMBERSHIPS TO ALL ARH EMPLOYEES ALONG WITH NUTRITION EDUCATION FROM AN ARH DIETITIAN. HARLAN ARH AND THE ARH FOUNDATION FUNDED THE DELIVERY OF FRESH FOODS TO 100 CLIENTS OF THE UNIVERSITY OF KENTUCKY'S KENTUCKY HOMEPLACE PROGRAM IN HARLAN COUNTY. IN 2022 AND 2023, A TOTAL OF 100 QUALIFIED HOMEPLACE CLIENTS WERE PROVIDED WITH A REDEEMABLE $25 VOUCHER TO ROPERS MARKET IN HARLAN, WHICH IS A RETAIL SOURCE OF LOCALLY- AND REGIONALLY GROWN FRESH FOODS, SPECIALIZING IN PRODUCE. THE PROGRAM WAS EXPANDED IN 2024 TO PROVIDE CLIENTS WITH MONTHLY $25 VOUCHERS TO COVER THE SPRING, SUMMER AND FALL HARVEST SEASONS. IN ADDITION TO FRESH PRODUCE, PARTICIPANTS ARE ALSO CASE MANAGED AND REFERRED TO SOCIAL ORGANIZATIONS OR HEALTHCARE WHEN NECESSARY.
PART V, SECTION B, LINE 11 CONTINUED:SINCE 2022, MCDOWELL ARH HAS ADDRESSED OBESITY, FOOD INSECURITY, AND THE NEED FOR NUTRITION EDUCATION BY COLLABORATING WITH GOD'S PANTRY FOOD BANK TO PROVIDE NONPERISHABLE FOOD BOXES TO PATIENTS IDENTIFIED AS HAVING A NEED IN BOTH THE HOSPITAL AND CLINIC ENVIRONMENT; DISTRIBUTING ON AVERAGE 30 BOXES PER MONTH. FOOD BOXES CONTAIN ARH DIETITIAN TIPS ON HEALTHIEST USE OF FOODS INCLUDED. PARTICIPATED IN A RESEARCH STUDY WITH UNIVERSITY OF KENTUCKY FOOD AS HEALTH ALLIANCE IN WHICH MCDOWELL AMBULATORY PATIENTS WITH TYPE 2 DIABETES OR HYPERTENSION COULD RECEIVE MEDICALLY TAILORED MEALS FOR 12 WEEKS. THEY HOSTED 13 MONTHLY DIABETES SUPPORT GROUPS IN FLOYD COUNTY WITH DIABETES-RELATED TOPICS AND HEALTHY COOKING DEMONSTRATIONS EACH MONTH (2022 START). PROVIDING MEALS TO THOSE IN NEED. GAVE MONTHLY FOOD DONATIONS TO THE FLOYD COUNTY HOMELESS SHELTER AND HOSTED FOOD DRIVES AND COMMUNITY PICNICS ANNUALLY. MCDOWELL ARH ALSO WORKED TO EDUCATE AND PROVIDE HEALTHY NUTRITION TO EMPLOYEES THROUGH A REVAMPED CAFETERIA MENU, WHICH OFFERS PLANT-BASED OPTIONS.MIDDLESBORO ARH HAS ADDRESSED OBESITY AND ITS ROOT CAUSES IN OUR COMMUNITY BY HOSTING HEALTH EDUCATION AND AWARENESS EVENTS IN PARTNERSHIP WITH PINEVILLE CROSSFIT. THEY PARTNERED WITH LMU-DCOM 3RD YEAR CORE ROTATION STUDENTS TO USE THE LAND BEHIND THE HOSPITAL PROFESSIONAL OFFICE BUILDING FOR A COMMUNITY GARDEN. FRESH FRUITS AND VEGETABLES ARE BEING DISTRIBUTED TO PATIENTS AT 3 OF OUR CLINICS. UPDATED CAFETERIA MENUS WERE IMPLANTED TO REFLECT A MORE HEALTH-CONSCIOUS MENU, OFTEN WITH PLANT-BASED OPTIONS AND LEAN PROTEIN MEALS. MIDDLESBORO ARH HOSPITAL LEADERSHIP STAFF HAVE VOLUNTEERED AT THE COOPERATIVE CHRISTIAN MINISTRY (CCM) MONTHLY FOOD GIVE-A-WAY, HELPING TO FILL FOOD BOXES AND LOAD THE FOOD BOXES INTO CARS.CULTURE OF HEALTH & HEALTHY LIFESTYLE EDUCATIONBECKLEY ARH HAS ADDRESSED THE CULTURE OF HEALTH & HEALTHY LIFESTYLE EDUCATION BY PROVIDING 1,165 STROKE ASSESSMENTS AT 17 COMMUNITY EVENTS, STARTING 5 BRAIN PROTECTOR PROGRAMS AT LOCAL SCHOOLS, HAVING MONTHLY SUPPORT GROUP MEETINGS, STARTING 7 HEART HEALTH EDUCATION PROGRAMS, 8 CANCER PREVENTION PRESENTATIONS, 2 DIABETES EDUCATION SESSIONS, 3 FREE CPR TRAININGS, BEGAN A NEW PARTNERSHIP WITH COALFIELD COALITION AND RALEIGH COUNTY COMMUNITY ACTION TO HOST ANNUAL HEALTH FAIRS, AND PROVIDED 19 FREE HEALTH SCREENING EVENTS WHICH PROVIDED 1,200 FREE SCREENINGS.HARLAN ARH HAS PROVIDED HEALTH EDUCATION, PREVENTATIVE SCREENINGS, AND DISEASE AWARENESS EVENTS BROADLY THROUGHOUT THE COMMUNITY FROM 2022-2024. THEY HAVE HOSTED QUARTERLY LUNCH AND LEARN PROGRAMS COVERING TOPICS SUCH AS CHOLESTEROL AND HEART DISEASE AND STROKE AWARENESS. THEY HAVE HAD 3 "WALK AND TALK" COMMUNITY EVENTS AND 4 FITNESS FAIR EVENTS AT HARLAN ELEMENTARY. THE HOST MONTHLY "MEDICAL EXPLORERS" CLASSROOM PRESENTATIONS A TWO MIDDLE SCHOOLS IN THE HARLAN AREA. THEY PURCHASED 2 MEDICAL INFLATABLES TO USE AT 20+ COMMUNITY EVENTS SINCE PURCHASING THEM VIA GRANT FUNDS RECEIVED. SINCE 2022, HAZARD ARH HAS HOSTED 20 EVENTS THAT SPECIFICALLY PROMOTE CANCER AWARENESS, TEACH ABOUT EARLY DETECTION, AND ENCOURAGE PREVENTATIVE LIFESTYLES. HOSTING 7 COLON CANCER SCREENING EVENTS, 7 COMMUNITY PRESENTATIONS ABOUT THE EARLY DETECTION OF LUNG CANCER AND LOW DOSE CT SCREENINGS PROVIDED BY THE ARH LUNG CANCER SCREENING PROGRAM MANAGER, HELD 4 BREAST CANCER AWARENESS LUNCHEONS OR DINNERS PROVIDED FREE OF COST TO THE COMMUNITY WITH BREAST CANCER SURVIVORS. THEY HELD 1 "MAMMS DAY OUT" MAMMOGRAM SCREENING EVENT AND 1 ORAL CANCER SCREENING EVENT IN PARTNERSHIP WITH UK SCHOOL OF DENTISTRY. SINCE 2022, HAZARD HAS ALSO HOSTED SEVERAL SUPPORT GROUPS AND INFORMATIONAL EVENTS COVERING THE TOPICS OF DIABETES PREVENTION AND MANAGEMENT, STROKE AND HEART HEALTH, NUTRITION AND FOOD INSECURITY AT HEALTH FAIRS AND IN LOCAL SCHOOLS. DURING THESE EVENTS 370 VACCINES WERE ADMINISTERED, AND 907 STROKE RISK SCREENINGS AND BLOOD PRESSURE CHECKS WERE COMPLETED.SINCE 2022, MIDDLESBORO ARH HAS EDUCATED OUR COMMUNITY ABOUT PREVENTION BY PROVIDING HEALTH EDUCATION AND DISEASE PREVENTION FOR IN-SCHOOL YOUTH BY HOSTING 6 STUDENT HEALTH FAIR EVENTS, INTRODUCING THE "LOVE YOUR LUNGS" INTERACTIVE EDUCATIONAL PROGRAM, PROVIDED "STOP THE BLEED" KITS AND TRAINING TO MIDDLESBORO HIGH SCHOOL TEACHERS, AND PARTNERED WITH COSMIC CAF, A LOCAL DOWNTOWN BUSINESS, FOR A CHILDREN'S READING PROGRAM. MIDDLESBORO HAS ALSO PROVIDED EDUCATION ABOUT HEALTHY LIFESTYLES AND DISEASE PREVENTION AND PROVIDED FREE OR LOW-COST PREVENTATIVE SCREENING OPPORTUNITIES. OPPORTUNITIES SUCH AS $50 MAMMOGRAM SPECIALS AND SATURDAY LUNG SCREENING EVENTS. MIDDLESBORO PARTNERED WITH KENTUCKY CANCER LINK TO PROVIDE FREE COLON CANCER SCREENING FIT KITS (FECAL IMMUNOCHEMICAL TESTS) TO THOSE QUALIFYING AT THE A "WALK-N-TALK" WITH DR. ROBERT THOMAS. MIDDLESBORO ARH ALSO PROVIDED HUNDREDS OF FREE KINDERGARTEN READINESS PHYSICALS AND FREE SPORTS PHYSICALS FOR ALL AGES EACH YEAR IN THE COMMUNITY.MORGAN COUNTY PARTNERED WITH MANY LOCAL EMPLOYERS TO PROVIDE EDUCATION AND SCREENING OPPORTUNITIES TO THEIR EMPLOYEES. THEY PARTNERED WITH APPHARVEST TO PROVIDE SCREENINGS AND EDUCATION TO THEIR GREENHOUSE FARMING EMPLOYEES THROUGHOUT 2023, INCLUDING SESSIONS ON DIABETES WITH A1C TESTING, HYDRATION, LUNG CANCER, HEART HEALTH, AND COLON CANCER PROVIDED FREE BIOMETRIC SCREENINGS FOR EMPLOYEES OF LICKING VALEY RECC, INCLUDING LAB WORK, BMI, STROKE RISK ASSESSMENTS, AND MORE HOSTED STROKE EDUCATION AND RISK ASSESSMENTS FOR EMPLOYEES OF MORGAN COUNTY WATER DISTRICT. THE FACILITY HOSTED A HEALTH FAIR AND SCREENING EVENT FOR EMPLOYEES OF GATEWAY COMMUNITY ACTION PROGRAM. MORGAN COUNTY HAS ALSO HOSTED SEVERAL SUPPORT GROUPS AND INFORMATIONAL EVENTS COVERING THE TOPICS OF DIABETES PREVENTION AND MANAGEMENT, STROKE AND HEART HEALTH, NUTRITION AND FOOD INSECURITY AT HEALTH FAIRS AND IN LOCAL SCHOOLS. DURING THESE EVENTS, 4 FREE COOKING CLASSES WERE HELD WITH GROCERY GIFT CARD INCENTIVES IN PARTNERSHIP WITH THE MORGAN COUNTY UK EXTENSION SERVICE AND IN COLLABORATION WITH GOD'S PANTRY FOOD BANK TO PROVIDE NONPERISHABLE FOOD BOXES TO PATIENTS IDENTIFIED AS HAVING A NEED IN BOTH THE HOSPITAL AND CLINIC ENVIRONMENT ON AVERAGE 20 BOXES PER MONTH WERE DISTRIBUTED.THROUGHOUT THIS CHNA CYCLE, SUMMERS COUNTY ARH HAS IMPLEMENTED MANY PROGRAMS THAT ENCOURAGE LIFESTYLE CHANGE, HEALTHIER HABITS, AND PREVENTATIVE HEALTH. THEY HAVE PROVIDED 939 STROKE RISK ASSESSMENTS, 4 "BRAIN PROTECTOR" PROGRAM EVENTS, 7 PROGRAMS THAT HAVE CENTERED AROUND HEART HEALTH, 6 COMMUNITY CANCER PREVENTION PRESENTATIONS, AND 2 COMMUNITY DIABETES EDUCATION SESSIONS. THEY HAVE PARTNERED WITH THE SUMMERS COUNTY COMMISSION ON AGING TO HOST MONTHLY EDUCATION SESSIONS ON TOPICS SUCH AS DIABETES, HEART HEALTH, PREVENTATIVE CANCER SCREENINGS, PHYSICAL FITNESS, MENTAL HEALTH, AND NUTRITION. ANNUALLY PARTNERED WITH BOBCAT FITNESS CENTER FOR THE BIGGEST LOSER WEIGHT LOSS CHALLENGE TO ENCOURAGE COMMUNITY MEMBERS TO GET PHYSICALLY ACTIVE AND PROVIDED EMPLOYEES FREE GYM MEMBERSHIPS. SUMMERS ALSO SUPPORTED SPONSORSHIPS WITH REACHH FOR ANNUAL DAM RUN 5K AND AMERICAN HEART ASSOCIATION HEART WALKS.TUG VALLEY ARH HAS EDUCATED THE COMMUNITY ON HEALTHY CHOICES, PREVENTATIVE CARE, AND HEALTHCARE ACCESS AT COMMUNITY EVENTS SUCH AS COLON CANCER AWARENESS DAY IN 2022, IN WHICH STAFF, VISITORS, AND COMMUNITY WERE EDUCATED ON THE IMPORTANCE OF SCREENINGS, WARNING SIGNS, AND CANCER PREVENTION IN PARTNERSHIP WITH KENTUCKY CANCER PROGRAM. LUNG CANCER EDUCATION, VAPING EDUCATION, AND LOW DOSE CT INFORMATION WERE PROVIDED AT THE ANNUAL HILLBILLY DAYS FESTIVAL. FREE HEALTH SCREENINGS AND EDUCATION WERE PROVIDED AT COMMUNITY HEALTH FAIRS SUCH AS THE CHATTAROY CHURCH OF GOD HEALTH FAIR, GEARHEART ENERGY EMPLOYEE HEALTH FAIR, AND SOAR CAREER PATHWAYS FAIR. HOSTED HEART HEALTH DAY AT MINGO COUNTY SCHOOLS, IN WHICH FREE SCREENINGS AND EDUCATION WERE PROVIDED TO FACULTY AND STAFF. AN ARH HEART HEALTH FOOTBALL GAME - TUG VALLEY VS MINGO CENTRAL WAS HELD WHERE ATTENDEES WERE EDUCATED ABOUT HEART DISEASE PREVENTION.
PART V, SECTION B, LINE 11 CONTINUED:WHITESBURG ARH HAS ADDRESSED FOOD INSECURITY AND THE NEED FOR NUTRITION EDUCATION BY COLLABORATING WITH GOD'S PANTRY FOOD BANK TO PROVIDE NONPERISHABLE FOOD BOXES TO PATIENTS IDENTIFIED AS HAVING A NEED IN BOTH THE HOSPITAL AND CLINIC ENVIRONMENT, DISTRIBUTING ON AVERAGE 20 BOXES PER MONTH. THEY HAVE IMPLEMENTED A FARMER'S MARKET SCREENING PROGRAM IN WHICH SCREENING PARTICIPANTS RECEIVED A $10 VOUCHER TO SPEND FRESH PRODUCE, MEAT, BAKED GOODS, AND DAIRY ITEMS. IMPLEMENTED A 10-WEEK FARMER'S MARKET WALKING PROGRAM IN WHICH COMMUNITY MEMBERS COULD JOIN THE SATURDAY MORNING WALKING GROUP OR COMPLETE ONE MILE ON THEIR OWN TO RECEIVE A $10 VOUCHER REDEEMABLE DURING THE MARKET SEASON. ON AVERAGE, VOUCHERS WOULD BE GIVEN TO 25 PARTICIPANTS EACH SATURDAY. WHITESBURG HAS ALSO HOSTED SEVERAL SUPPORT GROUPS AND INFORMATIONAL EVENTS COVERING THE TOPICS OF DIABETES PREVENTION AND MANAGEMENT, STROKE AND HEART HEALTH, NUTRITION AND FOOD INSECURITY AT HEALTH FAIRS AND IN LOCAL SCHOOLS.SUBSTANCE USE DISORDERBECKLEY LAUNCHED A PEER SUPPORT PROGRAM IN 2022 AND HAS ENGAGED 3,801 PATIENTS AND COMPLETED 47,451 SBIRT SCREENINGS TO DATE. THE PEER RECOVERY COACHES AND COMMUNITY DEVELOPMENT STAFF HAVE HELD SEVERAL COMMUNITY EVENTS SUCH AS "REACH THE STREETS AND "HEALING APPALACHIA". THEY HAVE ALSO COLLABORATED WITH COMMUNITY PARTNERS TO RESUME WEEKLY ALCOHOLICS ANONYMOUS MEETINGS, BEGAN THE "CATCH MY BREATH" YOUTH VAPE PREVENTION PROGRAM, AND HELD 20 COMMUNITY EDUCATIONAL SESSIONS ON THE ADMINISTRATION OF NALOXONE.HARLAN HAS ENGAGED 763 PATIENTS WITH THEIR PEER SUPPORT PROGRAMS SINCE 2022, AND THEIR COACHES HAVE ALSO WORKED WITH COMMUNITY PARTNERS TO HOST COMMUNITY EVENTS FOCUSING ON SUBSTANCE USE DISORDERS AND DRUG PREVENTION.IN 2020, HAZARD ARH LAUNCHED THE PEER SUPPORT PROGRAM, EMPLOYING CERTIFIED PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENT AND THROUGHOUT THE COMMUNITY. TO DATE, THEY HAVE ENGAGED 2,157 PATIENTS AND HAVE ASSISTED 54 INDIVIDUALS WITH ATTAINING HOUSING OR EMPLOYMENT. PEER RECOVERY COACHES HAVE WORKED WITH COMMUNITY PARTNERS TO HOST MANY COMMUNITY EVENTS OVER THE PAST THREE YEARS AND HAVE DISTRIBUTED NALOXONE TO LOCAL BUSINESSES AND NEIGHBORHOODS.SINCE 2022, MCDOWELL ARH HAS ADDRESSED ADDICTION IN OUR COMMUNITY BY PROVIDING EMPLOYEES FREE ACCESS TO PELAGO SMOKING CESSATION APP AND IN-PERSON CESSATION SUPPORT IN OUR PHARMACIES SPONSORED OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS" PROGRAM, WHICH PROMOTES POSITIVE ACTIVITIES FOR LOCAL YOUTH WHILE PROVIDING EDUCATION ON DRUG PREVENTION COMMUNITY DEVELOPMENT CONDUCTED ANTI-VAPING PRESENTATIONS AT FLOYD CENTRAL HIGH SCHOOL AND THE FLOYD COUNTY BOARD OF EDUCATION PARTICIPATED IN MANY COMMUNITY COALITIONS THAT ADDRESS SUD IN OUR COMMUNITY, INCLUDING COMMUNITIES AGAINST DRUG ADDICTION, UK HEALING COMMUNITIES IMITATIVE, AND ASAP/UNITE COALITION.MORGAN COUNTY ARH HAS ADDRESSED ADDICTION IN OUR COMMUNITY BY PARTNERING WITH THE KY DEPARTMENT OF PUBLIC HEALTH TO HOST NUMEROUS "SAFE A LIFE ROADSHOW" EVENTS, IN WHICH PARTICIPANTS ARE PROVIDED WITH OVERDOSE AWARENESS EDUCATION, NARCAN TRAINING AND DISTRIBUTION, AND REFERRALS TO TREATMENT. SPONSORED OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS" PROGRAM, WHICH PROMOTES POSITIVE ACTIVITIES FOR LOCAL YOUTH WHILE PROVIDING EDUCATION ON DRUG PREVENTION AND BEGAN THE "LOVE YOUR LUNGS", AN EDUCATIONAL PROGRAM ON THE DANGERS OF SMOKING AND VAPING, AT MORGAN COUNTY MIDDLE SCHOOL.SINCE 2022, WHITESBURG ARH HAS LAUNCHED THE PEER SUPPORT PROGRAM, EMPLOYING CERTIFIED PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENT AND THROUGHOUT THE COMMUNITY. TO DATE, THEY HAVE ENGAGED 406 PATIENTS. PEER RECOVERY COACHES HAVE WORKED WITH COMMUNITY PARTNERS TO HOST MANY SUBSTANCE USE DISORDER OR DRUG PREVENTION COMMUNITY EVENTS OVER THE PAST THREE YEARS. ARH PEER SUPPORT COACHES AND COMMUNITY DEVELOPMENT STAFF ALSO SERVE ON MANY COALITIONS, BOARDS, AND COUNCILS THAT WORK TO CREATE DRUG-FREE COMMUNITIES. THESE INCLUDE OPERATION UNITE COALITION, AGENCIES FOR SUBSTANCE ABUSE PREVENTION, HEAL COMMITTEE, AND SITUATION TABLE.AGING IN PLACE AND OTHER SENIOR-ORIENTED SERVICESHARLAN HAS ADDRESSED THIS CONCERN BY CONDUCTING A SURVEY IN PARTNERSHIP WITH THE HARLAN COUNTY COMMITTEE ON AGING TO GAUGE THE LEVEL OF INTEREST IN A VARIETY OF HEALTH TOPICS. THE RESULTS OF THE SURVEY WERE USED BY ARH TO SCHEDULE A MONTHLY ROTATION OF EDUCATIONAL PROGRAMS AT THEIR MAIN CONGREGATE CENTER IN HARLAN. FREE HEALTH SCREENINGS AND HEALTH FAIRS WERE ALSO PROVIDED WITH TRANSPORTATION BEING PROVIDED TO CLIENTS WHO ARE UNABLE TO DRIVE THEMSELVES.BUILD AND EXPAND CAPACITY OF HEALTH CONSORTIUMSINCE 2022, MCDOWELL ARH HAS INCREASED COMMUNITY, PROVIDER, AND PARTNER KNOWLEDGE OF SERVICES AVAILABLE BY CREATING SERVICE FLYERS THAT INCLUDE ALL MCDOWELL ARH CLINICS, SPECIALTIES, AND PROVIDERS. UPDATED THE OVERALL ARH WEBSITE WITH A NEW KYRUUS SYSTEM THAT ALLOWS FOR MORE ACCURACY AND DEEPER SEARCH WHEN RESEARCHING PROVIDERS AND LOCATIONS. INCREASED PRESENCE BY CONTRACTING 14 BILLBOARDS IN FLOYD COUNTY AND 3 IN THE IMMEDIATE COMMUNITY OF MCDOWELL. ON SOCIAL MEDIA, POSTED AT LEAST 1X PER WEEK ABOUT SERVICES AVAILABLE IN THE BIG SANDY REGION AND AT LEAST 2X A WEEK ABOUT HEALTH EDUCATION TOPICS (URGING ROUTINE HEALTHCARE, DISEASE PREVALENCE, ETC.). ADDED LARGE INFORMATIONAL MONITORS TO OUR CLINICS AND IN THE HOSPITAL'S MAIN LOBBY THAT PLAY ARH SERVICE COMMERCIALS AND VIDEOS ONLY. ORGANIZED 17 PROVIDER VISITS TO MCDOWELL FROM OTHER SERVICE REGIONS (VISITS COORDINATED BY PHYSICIAN LIAISONS TO INCREASE PROVIDER KNOWLEDGE) IN WHICH THE PHYSICIAN LIAISON MADE VISITS TO MCDOWELL PROVIDERS 3 TIMES PER MONTH.TUG VALLEY ARH HAS ADDRESSED COMMUNICATION BY ACTIVELY PARTICIPATING IN 10 COUNCILS, COALITIONS, AND BOARDS IN PIKE AND MINGO COUNTIES SINCE 2022. THESE GROUPS WORK TO BETTER THE HEALTH AND WELLNESS OF APPALACHIANS BUT MAY ALSO HAVE COMMUNITY BETTERMENT AND ECONOMIC DEVELOPMENT GOALS. SIMILAR TO THE OTHER FACILITIES IN THE ARH COMPANY, IN AN EFFORT TO INCREASE PROVIDER AND COMMUNITY KNOWLEDGE OF SERVICES AVAILABLE, TUG VALLEY ARH HAS CREATED SERVICE FLYERS THAT INCLUDE ALL TUG VALLEY ARH CLINICS, SPECIALTIES, AND PROVIDERS. THEY HAVE UPDATED THE OVERALL ARH WEBSITE WITH A NEW KYRUUS SYSTEM THAT ALLOWS FOR MORE ACCURACY AND DEEPER SEARCH WHEN RESEARCHING PROVIDERS AND LOCATIONS ON SOCIAL MEDIA, POSTED AT LEAST 1X PER WEEK ABOUT SERVICES AVAILABLE IN THE BIG SANDY REGION AND AT LEAST 2X A WEEK ABOUT HEALTH EDUCATION TOPICS (URGING ROUTINE HEALTHCARE, DISEASE PREVALENCE, ETC.). ADDED LARGE INFORMATIONAL MONITORS TO OUR CLINICS AND IN THE HOSPITAL'S MAIN LOBBY THAT PLAY ARH SERVICE COMMERCIALS AND VIDEOS ONLY. PHYSICIAN LIAISON MADE VISITS TO TUG VALLEY PROVIDERS 3 TIMES PER MONTH.BETTER ACCESS TO CARESINCE 2022, MCDOWELL ARH HAS INCREASED ACCESS TO CARE BY RECRUITING TWO ADDITIONAL PRIMARY CARE PROVIDERS: KIM MOSELY, DO, AND APRIL PRATER, APRN. EXTENDED HOURS OF THE AFTER-HOURS CLINIC FROM 8AM-8PM SEVEN DAYS PER WEEK. BECAME ACCREDITED AS AN ACUTE STROKE READY HOSPITAL AND INCREASED CAPACITY AND VOLUME OF THE SWING BED PROGRAM, KEEPING PATIENTS CLOSER TO HOME FOR LONGER-TERM CARE.SINCE 2022, MIDDLESBORO ARH HAS INCREASED ACCESS TO HEALTHCARE IN OUR COMMUNITY BY RECRUITING PROVIDERS, OPENING NEW SPECIALTY CLINICS, INVESTING IN FACILITIES, AND IMPROVING SERVICES. PROJECTS COMPLETED IN THIS TIME FRAME INCLUDE THE DEVELOPMENT OF PRE-ADMISSION TESTING PROGRAM TO DECREASE SURGERY NO-SHOW RATE AND PATIENT TRAVEL, OPENING OF A NEW UROLOGY SERVICE LINE IN 2022 IN PARTNERSHIP WITH DR. JOE PAZONA (VIRTUCARE) AND BRANDON WILIAMS, APRN, OFFERING BOTH TELEHEALTH AND IN-PERSON VISITS, THE OPENING OF A SPECIALTY PHARMACY, PROVIDING EASIER ACCESS FOR PATIENTS IN NEED OF SPECIALTY MEDICATIONS, SERVICES, AND COST REDUCTION PROGRAMS. MIDDLESBORO ALSO OPENED A NEW ARH WOUND CARE CENTER IN THE FACILITY, WHICH INCLUDES HYPERBARIC THERAPY IN MAY 2024. THEY IMPLEMENTED MINIMALLY INVASIVE ROBOTIC SURGERY WITH A NEW DAVINCI ROBOT. SIX PROVIDERS HAVE BEEN TRAINED ON ROBOTIC SURGERY, AND SINCE INCEPTION IN APRIL 2024 AND THROUGH FEBRUARY 2025, 156 CASES HAVE BEEN SUCCESSFULLY PERFORMED SINCE THE INCEPTION OF THIS PROGRAM. HOSTED NURSE TRAININGS IN TRAUMA AND PEDIATRIC EMERGENCIES FOR ALL ER STAFF IN AN EFFORT TO BECOME PEDIATRIC EMERGENCY READY. THEY IMPLEMENTED "QUICK DRAW" LABORATORY SITES, OR OFFSITE LABORATORY PHLEBOTOMY STATIONS PRIMARILY LOCATED IN PHYSICIAN OFFICES, SO PATIENTS CAN RECEIVE LAB DRAWS AND OTHER TESTING SERVICES WITHOUT HAVING TO TRAVEL TO A HOSPITAL FACILITY. ADDITIONALLY, THEY HAVE CONTRACTED WITH THE CUMBERLAND RIVER RHOAR CENTER (A 100- BED WOMEN'S INPATIENT DRUG TREATMENT PROGRAM) TO PROVIDE WELL WOMEN CARE ALONG WITH MOUD THERAPY.
PART V, SECTION B, LINE 11 CONTINUED:SUMMERS COUNTY ARH HAS IMPROVED ACCESS TO HEALTHCARE BY ADDING ONE PRIMARY CARE PHYSICIAN. THEY HAVE ADDED ORTHOPEDIC SERVICES AND INCREASED MENTAL HEALTH SERVICES AVAILABLE THROUGH TELEPSYCHIATRY. SUMMERS OPENED A SENIOR CARE PROGRAM TO PROVIDE OLDER ADULTS WITH QUALITY BEHAVIORAL HEALTHCARE AND EXTENDED PRIMARY CARE CLINIC HOURS. THEY HAVE BOASTED A RETENTION RATE OF 98%, BUILDING A COMMUNITY OF TRUST BY RETAINING PROVIDERS AND EMPLOYEES.TUG VALLEY ARH HAS PROMOTED ACCESS TO CARE BY RECRUITING MANY NEW PROVIDERS SINCE 2022 IN AN EFFORT TO INCREASE ACCESS TO CARE FOR OUR PATIENTS. IN AN EFFORT TO DECREASE TRAVEL FOR PATIENTS IN NEED OF TESTING OR SPECIALTY SERVICES, TUG VALLEY ARH HAS ADDED: AN ENDOFLIP IMPEDANCE PLANIMETRY SYSTEM (TESTING FOR GASTRIC MOTILITY AND ACIDITY), SITE-RITE ULTRASOUND SYSTEM (ALLOWING FOR PICC LINE INSERTIONS), WOUND CARE/HYPERBARIC CHAMBER, DIGITAL 3D MAMMOGRAM, PFT MACHINE, MOBILE PET SERVICES, AND NEW TESTING FOR HEP C, GGT, PROCAL. THEY HAVE UPDATED THEIR LAB ANALYZERS FOR QUICKER LAB TURNAROUND TIMES FOR COVID/FLU/RSV AND ADDED MYCOPLASMA PNEUMONIA TESTING. OTHER EFFORTS TO INCREASE ACCESS TO CARE INCLUDE PROVIDING PATIENT TRANSPORTATION ASSISTANCE AND EXTENDED HOURS FOR OUR AFTER-HOURS CLINICS.WHITESBURG ARH HAS IMPROVED ACCESS TO CARE IN OUR COMMUNITY BY ADDING NEW SERVICES SINCE 2022: 3D MAMMOGRAPHY, NEW NUCLEAR SCANNER, UPGRADED THEIR CT UNIT WITH MORE TEST CAPABILITY. THEY ADDED PAIN MANAGEMENT PROGRAM WITH PAIN MANAGEMENT NP, IMPLEMENTED SWING BEDS PROGRAM FOR PATIENTS THAT NEED EXTENDED RECOVERY TIME, AND ADDED ADDITIONAL SPEECH LANGUAGE PATHOLOGIST AND OCCUPATIONAL THERAPIST. THEY HAVE EXPANDED SURGERY OFFERING TO INCLUDE PODIATRY AND HAVE EXPANDED DAYS FOR CATARACT SURGERY. WHITESBURG ARH HAS ALSO EARNED ACUTE STROKE READY CENTER CERTIFICATION AS OF FEB 2022.
FieldValueIRS element (for citing)
Facility76FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (76 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HARLAN ARH HOSPITAL PSYCHIATRIC SERVICE
81 BALL PARK ROADHARLANKY40831PSYCH
2 - ARH PSYCHIATRIC CENTER-HAZARD
102 MEDICAL CENTER DRIVEHAZARDKY41701PSYCH
3 - ARH HAZARD FAMILY HEALTH SERVICES
200 MEDICAL CENTER DRIVEHAZARDKY417019466CLINIC
4 - ARH DANIEL BOONE CLINIC - HARLAN
37 BALL PARK ROADHARLANKY408311701RURAL HEALTH CLINIC
5 - ARH WHITESBURG SURGICAL CLINIC
214 HOSPITAL ROAD STE AWHITESBURGKY418587627CLINIC
6 - ARH TUG VALLEY MEDICAL ASSOCIATES
306 HOSPITAL DRIVESOUTH WILLIAMSONKY415034095RURAL HEALTH CLINIC
7 - ARH MIDDLESBORO INTERNAL MEDICINE
3004 CUMBERLAND AVE SUITE 3MIDDLESBOROKY409652343CLINIC
8 - ARH WHITESBURG CLINIC
214 HOSPITAL ROADWHITESBURGKY418587627RURAL HEALTH CLINIC
9 - HAZARD ARH REGIONAL MEDICAL CENTER CLINI
200 MEDICAL CENTER DRIVEHAZARDKY41701PHARMACY
10 - HARLAN ARH OUTPATIENT PHARMACY
37 BALL PARK ROADHARLANKY40831PHARMACY
11 - HAZARD ARH HOME HEALTH AGENCY
100 AIRPORT GARDENS ROADHAZARDKY41701HOME HEALTH
12 - ARH COMMUNITY PHARMACY
210 BLACK GOLD BLVD SUITE 104HAZARDKY41701PHARMACY
13 - ARH HAZARD HOMECARE STORE
200 MEDICAL CENTER DRIVEHAZARDKY41701HOME HEALTH CARE
14 - ARH WILLIAMSON HOMECARE STORE
140 HOSPITAL DRIVESOUTH WILLIAMSONKY41503HOME HEALTH CARE
15 - ARH HARLAN HOMECARE STORE
106 RAILROAD STREET SUITE 5HARLANKY40831HOME HEALTH CARE
16 - ARH PRESCRIPTION DIVISION
306 HOSPITAL DRIVE SUITE 105SOUTH WILLIAMSONKY41503PHARMACY
17 - WHITESBURG ARH HOME HEALTH AGENCY
240 HOSPITAL ROADWHITESBURGKY41858HOME HEALTH
18 - BECKLEY ARH HOME HEALTH AGENCY
306 STANAFORD ROADBECKLEYWV25801HOME HEALTH
19 - MORGAN COUNTY ARH HOME HEALTH AGENCY
518 MAIN STREET STE 1WEST LIBERTYKY41472HOME HEALTH
20 - ARH WOMEN'S AND FAMILY HEALTH CARE - TUG
26901 US HIGHWAY 119NBELFRYKY415147520PRIMARY CARE CLINIC
21 - ARH TRI-CITY MEDICAL CENTER
18880 NORTH US 119CUMBERLANDKY408238106RURAL HEALTH CLINIC
22 - BECKLEY ARH PHARMACY
250 STANAFORD ROADBECKLEYWV25801PHARMACY
23 - HARLAN ARH HOME HEALTH AGENCY
81 BALL PARK ROADHARLANKY40831HOME HEALTH
24 - ARH SUMMERS COUNTY RURAL HEALTH CLINIC
115 SUMMERS HOSPITAL ROADHINTONWV25951RURAL HEALTH CLINIC
25 - ARH BECKLEY HOMECARE STORE
260 STANAFORD ROADBECKLEYWV25801HOME HEALTH CARE
26 - ARH FAMILY HEALTH PHARMACY
1084 HWY 7 STE 3WEST LIBERTYKY41472PHARMACY
27 - PIKEVILLE BRANCH-ARH PIKE CO HOME HEALTH
247 SOUTH MAYO TRAILPIKEVILLEKY41502HOME HEALTH
28 - ARH MCDOWELL PROFESSIONAL CLINIC
9879 KY RT 122MCDOWELLKY416476042RURAL HEALTH CLINIC
29 - WHITESBURG ARH PHARMACY
240 HOSPITAL ROADWHITESBURGKY41858PHARMACY
30 - MIDDLESBORO ARH PHARMACY
3600 WEST CUMBERLAND AVENUEMIDDLESBOROKY40965PHARMACY
31 - MIDDLESBORO ARH HOME HEALTH AGENCY
1916 CUMBERLAND AVENUEMIDDLESBOROKY40965HOME HEALTH
32 - ARH MIDDLESBORO HOMECARE STORE
1916 CUMBERLAND AVENUEMIDDLESBOROKY40965HOME HEALTH CARE
33 - ARH SPECIALITY PHARMACY
200 MEDICAL CENTER DRHAZARDKY41701PHARMACY
34 - ARH FAMILY CARE WAYLAND
2662 KING KELLY COLEMAN HWYWAYLANDKY416669998PRIMARY CARE CLINIC
35 - ARH FAMILY CARE - WHEELWRIGHT
30 KY RT 306BYPROKY416129706PRIMARY CARE CLINIC
36 - JENKINS ARH FAMILY CARE
9480 HIGHWAY 805JENKINSKY415378182PRIMARY CARE CLINIC
37 - ARH BARIATRIC CENTER
210 BLACK GOLD BOULEVARD SUITE 102HAZARDKY417012620CLINIC
38 - ARH SYSTEM CENTER-HAZARD
100 AIRPORT GARDENS ROADHAZARDKY41701SUPPORT
39 - ARH SYSTEM CENTER-LEXINGTON
2260 EXECUTIVE DRLEXINGTONKY40505SUPPORT
40 - ARH SYSTEM CENTER-LEXINGTON JORDAN BUIL
1218 SOUTH BROADWAYLEXINGTONKY40504SUPPORT
41 - ARH SYSTEM CENTER-SOUTH WILLIAMSON
260 HOSPITAL DRIVESOUTH WILLIAMSONKY41503SUPPORT
42 - ARH REGIONAL DISTRIBUTION CENTER
26901 US HIGHWAY 119NBELFRYKY41514SUPPORT
43 - DME WAREHOUSE
26901 US HIGHWAY 119NBELFRYKY41514SUPPORT
44 - ARH SOUTHERN WEST VIRGINIA CLINIC
250 STANAFORD ROADBECKLEYWV258013140CLINIC
45 - MIDDLESBORO ARH PHYSICIAN CLINIC
3602 WEST CUMBERLAND AVEMIDDLESBOROKY409652614CLINIC
46 - ARH WOMEN'S AND FAMILY HEALTH CARE - MID
2004 W CUMBERLAND AVEMIDDLESBOROKY409652614CLINIC
47 - ARH CARDIOLOGY & ASSOCIATES - HAZARD
200 MEDICAL CENTER DR STE 1JHAZARDKY417019477CLINIC
48 - ARH DERMATOLOGY
210 BLACK GOLD BLVD SUITE 211HAZARDKY41701CLINIC
49 - ARH CARDIOLOGY ASSOCIATES - BECKLEY
1256 N EISENHOWER DRBECKLEYWV258013120CLINIC
50 - BECKLEY ARH PRIMARY CARE
250 STANFORD ROAD STE 104BECKLEYWV258013140CLINIC
51 - ARH SPECIALTY ASSOCIATES - TUG VALLEY
306 HOSPITAL DR STE 100SOUTH WILLIAMSONKY415034095CLINIC
52 - ARH SPECIALTY ASSOCIATES - WHITESBURG
214 HOSPITAL DR STE BWHITESBURGKY418587627CLINIC
53 - ARH CARDIOLOGY ASSOCIATES - WHITESBURG
226 MEDICAL PLAZA LN STE CWHITESBURGKY418587425CLINIC
54 - ARH CARDIOLOGY ASSOCIATES - TUG VALLEY
306 HOSPITAL DR STE 203SOUTH WILLIAMSONKY415034095CLINIC
55 - ARH DERMATOLOGY MIDDLESBORO
2145 US HIGHWAY 25EMIDDLESBOROKY409651874CLINIC
56 - ARH OAK HILL PRIMARY CARE CENTER
223 MAPLE AVEOAK HILLWV259013475CLINIC
57 - ARH SPECIALTY ASSOCIATES - HAZARD
200 MEDICAL CENTER DR STE 2MHAZARDKY417019422CLINIC
58 - ARH PENNINGTON GAP CLINIC
121 STACY DRPENNINGTON GAPVA242779998CLINIC
59 - BECKLEY ARH MEDICAL MALL
1256 N EISENHOWER DRBECKLEYWV258013120CLINIC
60 - SUMMERS CO ARH FAMILY CARE CLINIC
197 PLEASANT STHINTONWV259512540CLINIC
61 - MIDDLESBORO ARH HEMATOLOGYONCOLOGY CLIN
3602 W CUMBERLAND AVE STE 104MIDDLESBOROKY409652614CLINIC
62 - MORGAN COUNTY ARH FAMILY HEALTH
1084 HWY 7 STE 2WEST LIBERTYKY414727146CLINIC
63 - ARH PRIMARY CARE - BECKLEY
250 STANAFORD ROADBECKLEYWV25801CLINIC
64 - ARH BECKLEY GASTROENTEROLOGY
429 CARRIAGE DRIVEBECKLEYWV25801CLINIC
65 - ARH BECKLEY ONCOLOGY
250 STANAFORD ROADBECKLEYWV25801CLINIC
66 - ARH HAZARD FAMILY CLINIC
181 ROY CAMPBELL DRIVEHAZARDKY41701CLINIC
67 - HAZARD MEDICAL MALL
210 BLACK GOLD BLVD STE 102HAZARDKY41701MEDSPA
68 - ARH BECKLEY REJUVENATION CENTER
1256 N EISENHOWER DRIVEBECKLEYWV25801MEDSPA
69 - ARH MIDDLESBORO REJUVENATION CENTER
2145 HWY 25EMIDDLESBOROKY40965MEDSPA
70 - ARH HAZARD PHARMACY
181 ROY CAMPBELL DRIVEHAZARDKY41701PHARMACY
71 - ARH RETAIL PHARMACY
4845 KY RTE 321PRESTONSBURGKY41653PHARMACY
72 - ARH MEDICAL & SPECIALTY ASSOCIATES - PRE
4851 KY ROUTE 321PRESTONSBURGKY41653CLINIC
73 - ARH MED & SPEC ASSOC HAZARD
200 MEDICAL CENTER DRIVEHAZARDKY41701CLINIC
74 - ARH MED MALL FAMILY SPEC CLIN
210 BLACK GOLD BLVDHAZARDKY41701CLINIC
75 - ARH INTERVENTIONAL PAIN MGMT HEADACHE
200 MEDICAL CENTER DRIVEHAZARDKY41701CLINIC
76 - ARH MEDICAL & SPECIALTY ASSOCIATES - PRE
4851 KY RT 321 SUITES 101 AND 102PRESTONBURGKY41653CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 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:JUST AS IT HAS FOR THE PAST SEVEN DECADES, APPALACHIAN REGIONAL HEALTHCARE (ARH) REMAINED COMMITTED TO ITS MISSION TO PROVIDE THE PEOPLE OF CENTRAL APPALACHIA WITH THE HIGHEST QUALITY OF CARE IN 2025. WITH 14 HOSPITALS AS WELL CLINICS, HOME HEALTH AGENCIES, HOME MEDICAL EQUIPMENT STORES, PHARMACIES AND REHABILITATION SERVICES SPREAD ACROSS BOTH KENTUCKY AND WEST VIRGINIA, ARH AND ITS MORE THAN 6,000 EMPLOYEES AND 1,300 MEDICAL PROVIDERS IS ESSENTIAL TO THE LIVES OF THOSE WHO RESIDE IN CENTRAL APPALACHIA. ARH'S COMMITMENT TO EXCELLENCE WAS RECOGNIZED THROUGHOUT THE 2025 FISCAL YEAR WITH A VARIETY OF HONORS AND CERTIFICATIONS. THE ARH SYSTEM WAS NAMED TO FORBES' LIST OF AMERICA'S BEST-IN-STATE EMPLOYERS, SUMMERS COUNTY ARH, BARBOURVILLE ARH, MARY BRECKINRIDGE ARH, MCDOWELL ARH, AND TUG VALLEY ARH REGIONAL MEDICAL CENTER WERE ALL RECOGNIZED AS ACUTE STROKE READY CENTERS. WITH THOSE CERTIFICATIONS BESTOWED BY DNV, EACH OF ARH'S 14 HOSPITALS WERE OFFICIALLY STROKE CERTIFIED. BECKLEY AND SUMMERS COUNTY ARH RECEIVED SILVER HONORS FROM THE WEST VIRGINIA HOSPITAL ASSOCIATION AND SUMMERS COUNTY ARH RECEIVED THE WVHA GOVERNOR'S AWARD FOR OUTSTANDING SUPPORT OF TISSUE AND CORNEA DONATION. THREE ARH BIRTHING HOSPITALS: HAZARD ARH, HIGHLANDS ARH AND WHITESBURG ARH, RECEIVED THE KENTUCKY PERINATAL QUALITY COLLABORATIVE (KYPQC) AWARD FOR THE SECOND CONSECUTIVE YEAR. TWELVE ARH HOSPITALS WERE HONORED WITH AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES AWARDS FOR THEIR COMMITMENT TO THE TREATMENT OF STROKE. THE ARH SYSTEM'S HARD WORK ON THE TECHNICAL FRONT WAS AGAIN RECOGNIZED AS IT ACHIEVED A LEVEL 8 RANKING IN CHIME'S MOST WIRED HEALTH SYSTEMS FOR BOTH AMBULATORY AND ACUTE CARE FOR THE FIFTH CONSECUTIVE YEAR.ARH REMAINED COMMITTED TO WHOLE-PERSON HEALTHCARE IN 2025 FOCUSING NOT ONLY ON PROVIDING HIGH-QUALITY TRADITIONAL MEDICAL CARE, BUT ALSO MENTAL HEALTH CARE AND PREVENTATIVE CARE THROUGH SCREENINGS, VACCINATIONS, AND HEALTH EDUCATION. CENTRAL APPALACHIA IS A REGION RIDDLED WITH RESIDENTS BATTLING SUBSTANCE USE DISORDER. ARH RECOGNIZES ITS ROLE IN HELPING FIGHT THE DISEASE AND HAS PLACED PEER RECOVERY COACHES IN EACH HOSPITAL AS PART OF ITS REVERSE THE CYCLE PROGRAM. THOSE "PEERS," AS THEY ARE COMMONLY CALLED, MEET ER PATIENTS WHO SCREEN POSITIVE FOR RISKY ALCOHOL AND DRUG USE AND SHARE THEIR OWN STORIES OF SUBSTANCE USE AND RECOVERY, WHILE ALSO PROVIDING RESOURCES NEEDED TO HELP THEM AS THEY EMBARK ON THEIR RECOVERY JOURNEYS. THOSE EFFORTS WERE RECOGNIZED IN 2025 AS ARH WAS NAMED ONE OF THREE NATIONAL RECIPIENTS OF THE MOSAIC GROUP'S BEACON OF HOPE TRAILBLAZER AWARD.THE SYSTEM DEEPLY INVESTED IN THE FOOD IS MEDICINE (FIM) INITIATIVE, PARTNERING WITH BOTH THE KENTUCKY AND WEST VIRGINIA DEPARTMENTS OF AGRICULTURE. THROUGH THE PARTNERSHIPS, ARH IS WORKING WITH LEADERS IN BOTH STATES TO HELP GROW THE PROGRAM DESIGNED TO HELP THOSE IN CENTRAL APPALACHIA CHANGE THEIR HEALTH THROUGH NUTRITION. POSITIVE HEALTH CHANGES IN THOSE ARH SERVES IS THE ULTIMATE GOAL OF EVERY SERVICE THE SYSTEM PROVIDES, AND ITS EFFORTS WITH FIM WERE RECOGNIZED AS IT RECEIVED THE 2025 SHAPING OUR APPALACHIAN REGION (SOAR) HEALTH COMMUNITIES AWARD. ARH REMAINED DEEPLY COMMITTED TO HELPING ALLEVIATE FOOD INSECURITY IN 2025. THROUGH DELIVERIES OF FOOD BOXES TO PARTNERSHIPS WITH THE ORGANIZATIONS SUCH AS GOD'S PANTRY, ARH AND ITS COMMUNITY DEVELOPMENT TEAM CONTINUED ITS MISSION TO PROVIDE FOOD TO THOSE IN NEED. ARH SUPPORTED GOD'S PANTRY'S TELETHON FOR HUNGER ACTION MONTH BY PRESENTING A $100,000 MATCHING DONATION. THE DONATION WAS PART OF THE SYSTEM'S $200,000 SPONSORSHIP OF THE GOD'S PANTRY RESCUE PROGRAM. THE PARTNERSHIP PROVIDES TWO ARH AND GOD'S PANTRY CO-BRANDED VANS THAT TRAVEL TO AREA RETAILERS TO COLLECT EXCESS FOOD FOR DISTRIBUTION TO THOSE IN NEED.ARH WAS AWARDED A $500,000 PLANNING GRANT FROM THE APPALACHIAN REGIONAL COMMISSION'S (ARC) ARISE INITIATIVE. THE FUNDING IS PART OF A LARGER $33.5 MILLION PACKAGE ANNOUNCED BY ARC FEDERAL CO-CHAIR GAYLE MANCHIN IN NOVEMBER. ARISE (APPALACHIAN REGIONAL INITIATIVE FOR STRONGER ECONOMIES) WAS ESTABLISHED TO DRIVE LARGE-SCALE, REGIONAL ECONOMIC TRANSFORMATION THROUGH COLLABORATIVE PROJECTS. ARH WILL USE ARISE FUNDING TO ESTABLISH A HEALTHIER CENTRAL APPALACHIA TASK FORCE (HCAT) IN COLLABORATION WITH 15 PARTNERS IN KENTUCKY, TENNESSEE, VIRGINIA, AND WEST VIRGINIA. THE GRANT PROVIDES FUNDING FOR A COMMUNITY SCREEN TEAM THAT WILL PROVIDE CARE THROUGHOUT A 29-COUNTY AREA.THE ARH MOBILE CLINIC, DESIGNED TO EXPAND MEDICAL CARE TO THOSE WHO MIGHT STRUGGLE WITH TRAVELING TO A CLINIC OR DOCTOR'S OFFICE, WAS LAUNCHED IN 2025. THE UNIT, MADE POSSIBLE BY A $400,000 GRANT FROM THE APPALACHIAN REGIONAL COMMISSION (ARC), PROVIDES PRIMARY CARE, HEALTH SCREENINGS, PHYSICAL EXAMS, CHRONIC DISEASE MANAGEMENT AND EDUCATION IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA. ADDITIONALLY, A PARTNERSHIP WITH THE MARTIN HEALTH DEPARTMENT WILL ALLOW THE CLINIC TO PARK ON ITS CAMPUS ONE DAY EVERY MONTH AS AN ARH PROVIDER OFFERS WOMEN'S HEALTH SERVICES. A VARIETY OF EDUCATIONAL AND SCREENING EVENTS TOOK PLACE ACROSS THE SYSTEM THROUGHOUT FY2025. EACH YEAR, ARH'S COMMUNITY DEVELOPMENT DEPARTMENT AND STAFF AT EACH FACILITY, EDUCATE HUNDREDS OF WOMEN AND MEN ABOUT BREAST CANCER AND EARLY DETECTION, WHILE ALSO PROMOTING THE SYSTEM'S ANNUAL OCTOBER $50 MAMMOGRAM SPECIAL. ADDITIONALLY, EVENTS FEATURING LUNCH AND DINNER AS WELL AS CANCER EDUCATION AND SURVIVOR STORIES TOOK PLACE IN BOTH BECKLEY AND HAZARD. BREAST CANCER/PHYSICAL ACTIVITIES TOOK PLACE IN PRESTONSBURG, BARBOURVILLE AND BELL COUNTY, AND BREAST CANCER AWARENESS LUNCHEONS FOR TEACHERS TOOK PLACE AT TWO KENTUCKY ELEMENTARY SCHOOLS. ARH CONTINUED TO PROVIDE MONTHLY STROKE AND DIABETES SUPPORT GROUP THROUGHOUT THE SYSTEM AND THE COMMUNITY DEVELOPMENT TEAM STAYED ACTIVE IN THE PUBLIC, ATTENDING AND ORGANIZING HEALTH FAIRS, HOSTING WEEKLY AND MONTHLY EDUCATION EVENTS AT SENIOR CENTERS AND OTHER PUBLIC FORUMS, AND VISITING LOCAL SCHOOLS TO EDUCATE STUDENTS ON TOPICS RANGING FROM STROKE AWARENESS TO HANDS-ONLY CPR, BRAIN DISEASE AND THE IMPORTANCE OF ABSTAINING FROM NICOTINE AND ALCOHOL USE. TO HELP NOT ONLY THOSE DIAGNOSED WITH DEMENTIA BUT THEIR FAMILIES WHO ARE OFTEN THEIR DAILY CAREGIVERS, ARH LAUNCHED ITS MEMORY CARE PROGRAM IN 2025. THE PROGRAM, WHICH IS PART OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) NEW GUIDE (GUIDING AN IMPROVED DEMENTIA EXPERIENCE) MODEL, PROVIDES A DEDICATED CARE TEAM AND NURSE TO DEMENTIA PATIENTS AND THEIR FAMILIES. BECAUSE CAREGIVERS ARE OFTEN SOCIALLY ISOLATED AND ARE AT A HIGHER RISK FOR DEVELOPING THEIR OWN HEALTH ISSUES, THE PROGRAM PROVIDES THEM WITH EDUCATIONAL SUPPORT AS WELL AS RESPITE SERVICES.CONTINUED INVESTMENTS WERE MADE ACROSS THE SYSTEM INCLUDING ADDITIONAL DAVINCI ROBOTS AND THE IMPLANTATION OF AN ION ROBOT FOR RECOGNITION OF EARLY LUNG DISEASE, AS WELL AS THE RETURN OF A CARDIOTHORACIC PROGRAM AT HAZARD ARH. BECKLEY ARH BECAME THE FIRST HOSPITAL IN THE SYSTEM TO OFFER AN MRI CARING SUITE, PROVIDING A RELAXING ENVIRONMENT USEFUL TO THOSE WHO EXPERIENCE TEST ANXIETY. EMPLOYEE HEALTH WAS ALSO AT THE FOREFRONT, AS SEVERAL HOSPITALS THROUGHOUT THE SYSTEM OPENED RELAXATION ROOMS TO PROVIDE A PRIVATE SPACE FOR STAFF MEMBERS TO TAKE BREAKS DURING THEIR STRESSFUL DAYS. SUMMERS COUNTY ARH OPENED AN EXERCISE TRAIL FOR HOSPITAL STAFF AND COMMUNITY MEMBERS, AND BARBOURVILLE ARH SECURED FUNDING FOR AN AUTISM TRAIL FEATURING OUTDOOR EXERCISE EQUIPMENT.FISCAL YEAR 2025 MARKED ANOTHER TRANSFORMATIVE YEAR FOR ARH. AS THE SYSTEM ENTERS ITS 70TH YEAR OF SERVICE, IT REMAINS COMMITTED TO ITS CORE VALUES AND TO PROVIDING THE HIGHEST QUALITY OF WHOLE PATIENT CARE, TO IMPROVE THE LIVES OF THOSE IN CENTRAL APPALACHIA.
PART III, LINE 2:COSTING METHODOLOGY: 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 A NUMBER OF 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 RECEIVABLE 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:A SIGNIFICANT PORTION 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 MORE THAN $21 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 $21,363,379 (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 2024, APPALACHIAN REGIONAL HEALTHCARE CONTRACTED UNIVERSITY OF KENTUCKY'S TEAM UP PUBLIC HEALTH COLLABORATIVE TO CONDUCT INDIVIDUAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH OF ITS 14 FACILITIES. THESE ASSESSMENTS, CONDUCTED OVER EIGHT MONTHS, INCLUDED OVER 4,000 PUBLIC SURVEYS, 60 FOCUS GROUPS, 14 STEERING COMMITTEES, AND SECONDARY DATA COLLECTION NOT LIMITED TO: HOSPITAL UTILIZATION DATA COUNTY AND STATE HEALTH RANKINGS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM DATA KY KIDS COUNT CENSUS DATA CANCER REGISTRY DATAIN ADDITION TO ASSESSING THE CURRENT STATE OF COMMUNITY HEALTH NEEDS, THESE CHNA REPORTS INCLUDE IMPLEMENTATION PLANS FOR THE NEXT THREE YEARS (CALENDAR YEARS 2025-2027) TO ADDRESS GREATEST PRIORITIES, AND AN OUTCOME SUMMARY FROM THE LAST CHNA CONDUCTED (2022).
PART VI, LINE 3: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 OF 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 A 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 OFFERED 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:PRIMARY COUNTIES IN KENTUCKY SERVED BY APPALACHIAN REGIONAL HEALTHCARE (THOSE WITH FACILITIES IN-COUNTY) INCLUDE BELL, FLOYD, HARLAN, JOHNSON, KNOX, LESLIE, LETCHER, MORGAN, PERRY, PIKE. SECONDARY KENTUCKY COUNTIES INCLUDE BREATHITT, CLAY, KNOTT, LAWRENCE, LEE, MAGOFFIN, MARTIN, OWSLEY, AND WOLFE. PRIMARY COUNTIES IN WEST VIRGINIA SERVED BY APPALACHIAN REGIONAL HEALTHCARE INCLUDE RALEIGH AND SUMMERS, WITH SECONDARY COUNTIES OF BOONE, FAYETTE, AND GREENBRIER, MINGO, AND WYOMING. THIS SERVICE AREA LIES WITHIN THE PORTION OF THE APPALACHIAN REGIONAL COMMISSION (ARC) DESIGNATED APPALACHIAN REGION, INCLUDING MANY OF THE STEEP, FORESTED RIDGES AND NARROW VALLEYS TYPICAL OF THE APPALACHIAN MOUNTAINS IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA. FOR EXAMPLE, IN LETCHER COUNTY, KENTUCKY, THE LANDSCAPE IS DEFINED BY RUGGED MOUNTAINS AND DENSE FOREST, WITH THE 125-MILE RIDGELINE OF PINE MOUNTAIN RUNNING ACROSS THE COUNTY. IN HARLAN COUNTY, KENTUCKY, ANOTHER COUNTY IN THE REGION, THE HEADWATERS OF THE CUMBERLAND RIVER FLOW THROUGH VALLEYS CARVED BETWEEN HIGH RIDGES. HARLAN COUNTY CONTAINS KENTUCKY'S HIGHEST POINT, BLACK MOUNTAIN (4,145 FT), REFLECTING THE ELEVATION EXTREMES. RURAL RESIDENTS OFTEN FACE LONG TRAVEL DISTANCES TO REACH MEDICAL FACILITIES, COMPOUNDED BY LIMITED OR UNRELIABLE PUBLIC TRANSPORTATION, AND LOW VEHICLE OWNERSHIP IN SOME HOUSEHOLDS.GIVEN THE RURAL AND MOUNTAINOUS CONTEXT, MANY COMMUNITIES ARE SMALL, SCATTERED, AND ISOLATED. THAT TENDS TO YIELD LIMITED LOCAL INFRASTRUCTURE; FEWER LARGE EMPLOYERS, FEWER AND SMALLER TOWNS, AND FEWER SERVICES, WHICH ALSO AFFECTS ACCESS TO HEALTH CARE, SOCIAL SERVICES, ECONOMIC OPPORTUNITIES, AND COMMUNITY RESOURCES.THE COUNTIES SERVED, MANY OF THEM COALFIELD AND FORMER COAL-MINING COUNTIES, HAVE LONG FACED ECONOMIC DISLOCATION AS TRADITIONAL INDUSTRIES (LIKE COAL) HAVE FADED. THAT LEGACY AFFECTS INCOME, EMPLOYMENT OPPORTUNITIES, AND ECONOMIC STABILITY IN THE REGION. THIS IS COMMON ACROSS MUCH OF THE EASTERN KENTUCKY COALFIELD AREA. MOREOVER, COMPARED WITH NON-APPALACHIAN REGIONS, PEOPLE IN APPALACHIA TEND TO HAVE LOWER LEVELS OF EDUCATIONAL ATTAINMENT AND HIGHER RATES OF POVERTY, FACTORS THAT CORRELATE WITH POORER HEALTH OUTCOMES.THE TOTAL POPULATION OF ARH'S PRIMARY AND SECONDARY MARKETS IS 503,677, WITH INDIVIDUALS AGE 65 AND OLDER REPRESENTING 22% OF THE POPULATION. NOTABLY, THIS AGE GROUP IS THE ONLY DEMOGRAPHIC EXPECTED TO GROW IN SIZE. THE REGION'S POPULATION IS PREDOMINANTLY CAUCASIAN (92%), WITH AN AVERAGE HOUSEHOLD INCOME OF $63,741. APPROXIMATELY 15% OF RESIDENTS HOLD A BACHELOR'S DEGREE OR HIGHER, WHILE 27% OF HOUSEHOLDS LIVE BELOW THE POVERTY LINE.
PART VI, LINE 5:ARH HOSPITALS FURTHER THEIR TAX-EXEMPT PURPOSE THROUGH EXPANDING ACCESS TO CARE, COMMUNITY-BASED HEALTH IMPROVEMENT ACTIVITIES AND SOCIAL DETERMINANT OF HEALTH INTERVENTIONS. IN FY25, ARH INVESTED OVER 5.2 MILLION DOLLARS IN COMMUNITY BENEFIT ACTIVITIES, INCLUDING FREE COMMUNITY-BASED CLINICAL SCREENINGS (NEARLY 4,000 PROVIDED), FOOD IS MEDICINE INITIATIVES (I.E. COOKING CLASSES, DIABETES SUPPORT GROUPS, FARMERS MARKET SUPPORT, ETC.), IN-SCHOOL HEALTH PROGRAMMING, PHYSICAL ACTIVITY PROGRAMMING, CANCER PREVENTION, AND CHRONIC DISEASE EDUCATION. ARH'S COMMUNITY BENEFIT ACTIVITIES ARE TARGETED, MEASURABLE, AND DIRECTLY RESPONSIVE TO THE NEEDS IDENTIFIED IN ITS CHNAS. BY ENSURING ACCESS TO ESSENTIAL HEALTHCARE SERVICES, IMPROVING POPULATION HEALTH, AND ADDRESSING THE UNIQUE GEOGRAPHIC AND SOCIOECONOMIC BARRIERS FACED BY CENTRAL APPALACHIAN RESIDENTS, ARH'S HOSPITALS DEMONSTRABLY ADVANCE THEIR CHARITABLE PURPOSE AND PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE.BETWEEN THESE ARH FACILITIES, NEARLY 600 EVENTS, CLASSES, AND SUPPORT GROUPS WERE HOSTED IN FY25 FOCUSED ON HEALTHY LIFESTYLE EDUCATION, FREE HEALTH SCREENING EVENTS, CHRONIC DISEASE PREVENTION, AND COMMUNITY HEALTH BETTERMENT. COMMUNITY MEMBERS HAVE BEEN EDUCATED ON SUBSTANCE ABUSE PREVENTION, THE USE OF NARCAN TO REDUCE OVERDOSE, AND THE DANGERS OF SMOKING AND VAPING. ARH HAS BEEN AT THE FOREFRONT OF FOOD IS MEDICINE IN APPALACHIA, EDUCATING PATIENTS AND COMMUNITIES ABOUT THE BENEFITS OF PROPER NUTRITION. THE FOOD IS MEDICINE MOVEMENT FURTHER INTEGRATED NUTRITION INTO HEALTHCARE, HOSTING EVENTS SUCH AS FARMER'S MARKETS, HEALTHY COOKING DEMONSTRATIONS, AND EDUCATIONAL CAMPAIGNS HIGHLIGHTING THE IMPORTANCE OF PROPER NUTRITION. FACILITIES IN ARH'S KY RIVER AND BIG SANDY REGIONS HAVE CONTINUED THEIR IN-FACILITY FOOD PANTRY PROGRAMS, DISTRIBUTING HUNDREDS OF MEALS TO PATIENTS THAT HAVE SCREENED AS FOOD INSECURE. THROUGHOUT THE COMMUNITY, ARH STAFF PARTICIPATE IN BOARDS AND COALITIONS THAT WORK TO BETTER THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS; LOCAL EXTENSION ADVISORY BOARDS, DIABETES COALITIONS, COUNTY HEALTH COALITIONS, AND MORE. ARH ALSO USES LOCAL ADVISORY COUNCILS FOR EACH FACILITY, MADE OF COMMUNITY MEMBERS TO PROVIDE A PLATFORM FOR COMMUNITY INPUT AND FEEDBACK ON HEALTHCARE SERVICES AND POLICIES. THEY HELP TO ENSURE TRANSPARENCY IN HOSPITAL OPERATIONS, ENGAGE COMMUNITY MEMBERS IN PLANNING, AND SUPPORT SHARED DECISION-MAKING. THESE LOCAL ADVISORY BOARDS PLAY A KEY ROLE IN DEVELOPING INCLUSIVE HEALTH PROGRAMS AND REDUCING HEALTH DISPARITIES. BY INCLUDING A DIVERSE RANGE OF COMMUNITY MEMBERS, ARH IS PROMOTING HEALTH EQUITY AND RESPONSIVENESS TO LOCAL NEEDS.
PART VI, LINE 6:APPALACHIAN REGIONAL HEALTHCARE (ARH) IS AN INTEGRATED, MULTI-HOSPITAL HEALTHCARE SYSTEM SERVING RURAL AND UNDERSERVED COMMUNITIES THROUGHOUT CENTRAL APPALACHIA. INDIVIDUAL ARH HOSPITALS AND OTHER HEALTH ENTITIES PROVIDE DIRECT INPATIENT, OUTPATIENT, EMERGENCY, SPECIALTY, AND COMMUNITY-BASED CARE TAILORED TO LOCAL HEALTH NEEDS.AT THE SYSTEM LEVEL, ARH SUPPORTS ITS LOCAL COMMUNITY HOSPITALS, CLINICS, PHARMACIES, HOME SERVICES AND OTHER HEALTH-RELATED OPERATIONS THROUGH COORDINATED GOVERNANCE, SHARED CLINICAL AND ADMINISTRATIVE SERVICES, AND SYSTEM-WIDE COMMUNITY BENEFIT AND POPULATION HEALTH INITIATIVES. THESE INCLUDE UNIFORM CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES, COORDINATION OF COMMUNITY HEALTH NEEDS ASSESSMENTS, AND SUPPORT FOR PROGRAMS ADDRESSING CHRONIC DISEASE, SUBSTANCE USE DISORDER, FOOD INSECURITY, PREVENTIVE CARE, AND ACCESS TO HEALTHCARE SERVICES.ARH HOSPITALS IMPLEMENT THESE INITIATIVES LOCALLY THROUGH ACTIVITIES SUCH AS PEER RECOVERY SUPPORT FOR PATIENTS WITH SUBSTANCE USE DISORDER, MOBILE AND COMMUNITY-BASED CLINICS SERVING RURAL AREAS, HEALTH SCREENINGS AND EDUCATION, AND PARTNERSHIPS WITH PUBLIC HEALTH AGENCIES AND COMMUNITY ORGANIZATIONS. TOGETHER, ARH AND ITS AFFILIATED ENTITIES WORK COLLABORATIVELY TO IMPROVE ACCESS TO CARE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES THEY SERVE.
PART VI, LINE 7, REPORTS FILED WITH STATESKY,WV
PART I, LINE 7F:$26,540,555 OF BAD DEBT EXPENSE WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25; BUT WAS EXCLUDED IN CALCULATING COMMUNITY BENEFIT EXPENSE FOR SCHEDULE H, LINE 7. COMMUNITY BENEFIT EXPENSES WERE CALCULATED USING COST REPORTS FOR THE FISCAL YEAR ENDED JUNE 30, 2025.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BECKLEY-RALEIGH COUNTY CHAMBER OF COMMERCE
PO BOX 1798BECKLEYWV25802550345563501C6$5,330$0SUPPORT TO THE MISSION OF CHAMBER OF COMMERCE TO CHAMPION BUSINESS SUCCESS AND ADVANCE A STRONG, RESILIENT REGIONAL ECONOMY.
BLACK GOLD COMMITTEE INC
221 MEMORIAL DRIVEHAZARDKY41701753036575501C4$5,500$0TO PROMOTE COMMUNITY INVOLVEMENT, TOURISM, AND DEVELOPMENT OF SMALL BUSINESSES.
KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT ROADFRANKFORTKY40601610405718501C6$32,950$0SUPPORT TO THE MISSION OF THE CHAMBER OF COMMERCE TO BUILD AND PROTECT A PROSPEROUS BUSINESS CLIMATE IN THE COMMONWEALTH OF KY.
BELFRY HIGH SCHOOL ATHLETIC FACILITIES BOOSTER INC
PO BOX 381BELFRYKY41514830946179501C3$9,050$0TO SUPPORT AN ACTIVE, HEALTHY LIFESTYLE FOR OUR LOCAL YOUTH
LETCHER COUNTY CENTRAL
435 COUGAR DRIVEWHITESBURGKY41858616001375GOVT$6,000$0TO SUPPORT AN ACTIVE, HEALTHY LIFESTYLE FOR OUR LOCAL YOUTH
MOUNTAIN PERFORMING ARTS INC
50 HAL ROGERS DRIVEPRESTONSBURGKY41653834107663501C3$20,000$0TO SUPPORT THE MISSION OF THE ORGANIZATION THAT PROMOTES THE RICH CULTURAL HERITAGE AND ARTISTIC EXPRESSIONS OF THE APPALACHIAN REGION.
CITY OF HINTON SANITARY BOARD
322 SUMMERS STREETHINTONWV25951556000185GOVT$18,000$0FITNESS CENTER SPONSORSHIP FOR EMPLOYEES TO PROMOTE AN ACTIVE, HEALTHY LIFESTYLE.
JMI SPORTS KENTUCKY LLC
PO BOX 645388CINCINNATIOH45264364803508$232,691$0SPONSORSHIP FOR THE UNIVERSITY OF KENTUCKY ATHLETICS PROGRAM TO SUPPORT AN ACTIVE, HEALTHY LIFESTYLE FOR OUR LOCAL YOUNG ADULTS
SHAPING OUR APPALACHIAN REGION INC
137 MAIN STREET SUITE 300PIKEVILLEKY41501371760428501C3$78,958$0PARTNERSHIP WITH ORGANIZATION TO EXPAND JOB CREATION, ENHANCE REGIONAL OPPORTUNITY, INNOVATION, AND QUALITY OF LIFE.
COWEN COMMUNITY ACTION GROUP INC
81 STURGILL BRANCHWHITESBURGKY41858611396831501C3$15,000$0SUPPORT A SUMMER CONCERT SERIES IN OUR SERVICE AREA THAT WILL ENCOURAGE TOURISM AND COMMUNITY INVOLVEMENT THROUGH MUSIC
PERRY COUNTY SCHOOL DISTRICT
315 PARK AVENUEHAZARDKY41701616001294GOVT$10,950$0TO SUPPORT AN ACTIVE, HEALTHY LIFESTYLE FOR OUR LOCAL YOUTH
FAYETTE ALLIANCE FOUNDATION INC
603 WEST SHORT STREETLEXINGTONKY40508472128336501C3$5,800$0SPONSORSHIP BENEFIT TO THE FAYETTE ALLIANCE FOUNDATION AND UK MARKEY CANCER FOUNDATION, FURTHERING SUSTAINABLE GROWTH AND CANCER RESEARCH IN LEXINGTON.
IHEART MEDIA
20880 SONE OAK PARKWAYSAN ANTONIOTX78258742722883$13,000$0SUPPORT FOR THE CARSON GRAHAM MUSIC DEPARTMENT WHICH SUPPORTS THE SCHOOL'S MUSIC PROGRAM AND TEACHERS BY FOSTERING A COLLABORATIVE COMMUNITY FOR PARENTS AND GUARDIANS.
PRO CAMPS INC
10001 ALLIANCE RD STE 1CINCINNATIOH45242812769448$25,000$0SUPPORT TO SCHOOL WHO PROVIDES A LEARNING ENVIRONMENT THAT EMPOWERS STUDENTS IN PRESCHOOL-12TH GRADE TO ACHIEVE ACADEMIC EXCELLENCE.
SAYRE SCHOOL INC
194 N LIMESTONELEXINGTONKY40507610449657501C3$20,000$0SUPPORT TO SCHOOL WHO PROVIDES A LEARNING ENVIRONMENT THAT EMPOWERS STUDENTS IN PRESCHOOL-12TH GRADE TO ACHIEVE ACADEMIC EXCELLENCE.
LEXINGTON SPORTING CLUB
810 BULL LEA RUN SUITE 300LEXINGTONKY40511320682879$139,750$0TO SUPPORT THE DEVELOPMENT OF COMPLETE SOCCER PLAYERS AND TEAMS OF ALL LEVELS, FOSTERING A SAFE, WELCOMING ENVIRONMENT FOR GROWTH AND PERFORMANCE WHILE CONNECTING THE COMMUNITY THROUGH THE SPORT.
HOPE IN THE HILLS INC
PO BOX 9064HUNTINGTONWV25704823221120501C3$50,000$0SPONSORSHIP FOR ANNUAL CONCERT TO RAISE FUNDS AND AWARENESS TO THE OPIOD CRISIS AS WELL AS TO CELEBRATE ACHIEVEMENTS IN RECOVERY.
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org7TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMONITORING GRANTS AT APPALACHIAN REGIONAL HEALTHCARE (ARH) INVOLVES ADHERENCE TO FEDERAL, STATE, AND GRANTOR-SPECIFIC REGULATIONS, TYPICALLY OVERSEEN BY THE GRANTS MANAGEMENT OFFICE TO ENSURE COMPLIANCE WITH NOTICE OF AWARD (NOA) TERMS. KEY PROCEDURES INCLUDE MAINTAINING UP-TO-DATE DOCUMENTATION, QUARTERLY REPORTING VIA EHBS, FINANCIAL RECONCILIATION, AND, FOR SPECIFIC EMPLOYEE ASSISTANCE, STRICT DOCUMENTATION OF EMERGENCY NEEDS. FOR THE ARH EMPLOYEE EMERGENCY ASSISTANCE FUND (EAF), APPLICANTS MUST BE CURRENT EMPLOYEES, SUBMIT FULL DOCUMENTATION OF FINANCIAL HARDSHIP (E.G., BILLS, NOTICES), AND ADHERE TO THE $2,500 ANNUAL/$5,000 LIFETIME LIMIT. APPALACHIAN REGIONAL HEALTHCARE (ARH) MANAGES SPONSORSHIP REQUESTS BY REQUIRING ONLINE SUBMISSIONS AT LEAST TWO MONTHS IN ADVANCE, FOCUSING ON COMMUNITY HEALTH, WELL-BEING, OR ACCESS TO CARE. APPLICATIONS REQUIRE A COMPLETED FORM, FLYER/BROCHURE, AND, IF APPROVED, SPONSORSHIP FUNDS ARE TYPICALLY DELIVERED VIA CHECK WITHIN 3-4 WEEKS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentYes (1)SeverancePaymentInd
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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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$1,125,295$0$377,829$0$653$0$93,659$0$25,153$0$1,622,589$0$0$0
ADNAN M BHOPALWALA
CARDIOLOGIST$953,557$0$298,343$0$0$0$10,350$0$43,477$0$1,305,727$0$0$0
JAYARAMAKRISHNA DEPA
NEPHROLOGIST$660,776$0$219,974$0$103,750$0$15,538$0$43,477$0$1,043,515$0$0$0
TIMOTHY MICEK
ORTHOPEDIC SURGEON$950,810$0$0$0$12,500$0$0$0$43,477$0$1,006,787$0$0$0
SAMUEL BAILEY
ONCOLOGIST$825,283$0$0$0$23,669$0$11,228$0$43,477$0$903,657$0$0$0
CHAYAKRIT KRITTANAWONG
INTERVENTIONAL CARDIOLOGIST$759,141$0$85,467$0$17,958$0$0$0$13,573$0$876,139$0$0$0
PAUL BETZ
COO (TERM 11/13/24)$539,087$0$0$0$95,071$0$59,839$0$43,477$0$737,474$0$0$0
BYRON GABBARD
CHIEF FINANCIAL OFFICER$512,657$0$150,857$0$737$0$60,039$0$876$0$725,166$0$0$0
MARIA BRAMAN
CHIEF MEDICAL OFFICER$493,415$0$137,143$0$1,181$0$45,350$0$25,153$0$702,242$0$0$0
CHRISTI LEE
CHIEF LEGAL COUNSEL$373,233$0$109,989$0$395$0$44,599$0$25,153$0$553,369$0$0$0
SONYA BERGMAN
CHIEF PEOPLE OFFICER$359,047$0$109,714$0$1,733$0$45,391$0$36,338$0$552,223$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4APAUL BETZ RECEIVED SEVERANCE OF $300,000.
SCHEDULE J, PART I, LINE 4BARH 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 $23,000 IN 2024. 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 - $53,317.50; MARIA BRAMAN - $12,000; BYRON GABBARD - $28,870; CHRISTI LEE - $5,070; SONYA BERGMAN - $5,000; PAUL BETZ- $31,552.50.
SCHEDULE J, PART I, LINE 6THE COMPENSATION AND CONTRACTS COMMITTEE OF THE ARH 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HAZARD KYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN616001839BondIssuerEIN
Bond Issued2021-07-01BondIssuedDt
Issue Price$70,075,000IssuePriceAmt
PurposeCAPITAL CONSTRUCTION OF FACILITIES IN WV, KY; REFUNDING.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$4,915,000RetiredAmt
Total Proceeds$70,075,000TotalProceedsAmt
Issuance Costs From Proceeds$873,823IssuanceCostsFromProceedsAmt
Capital Expenditures$58,638,837CapitalExpendituresAmt
Other Spent Proceeds$10,562,340OtherSpentProceedsAmt
Substantial Completion2021SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonGREG COUCHPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPRINCIPAL OWNER OF MERIDIAN WEALTHRelationshipDescriptionTxt
Transaction$590,840TransactionAmt
TransactionINVESTMENT COMPANY THAT MANAGES ARH RETIREMENT PORTFOLIOTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE DIRECTOR OF ACCOUNTING AND CFO BOTH REVIEW THE 990 PRIOR TO THE BOARD REVIEW. THE BOARD THEN REVIEWS THE 990 PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CA 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 15APPALACHIAN REGIONAL HEALTHCARE, INC.'S (ARH) BOARD SETS COMPENSATION LEVELS FOR PRESIDENT/CEO AND OTHER ARH EXECUTIVES AND KEY EMPLOYEES THROUGH ITS COMPENSATION AND CONTRACTS COMMITTEE. 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 SETS THE RANGES AND THE PRESIDENT'S COMPENSATION. THE BOARD REVIEWS AND RATIFIES COMPENSATION AMOUNTS. THE CONSULTING FIRM FOLLOWS UP WITH A LETTER ATTESTING TO THE REASONABLENESS OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19WHILE ARH HAS NOT YET ADOPTED A POLICY OF SHARING ITS FINANCIAL STATEMENTS WITH THE PUBLIC, IT DOES PROVIDE FINANCIAL INFORMATION THROUGH THE FORM 990 AND ALSO PROVIDES CERTAIN FINANCIAL INFORMATION IN OTHER PUBLIC DOCUMENTS, INCLUDING ITS PERIODIC REPORTS TO THE COMMUNITIES IT SERVES.
FORM 990, PART IX, LINE 11GOUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 51,916,590. MANAGEMENT AND GENERAL EXPENSES 25,616,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,532,986. PROFESSIONAL FEES PHYSICIANS: PROGRAM SERVICE EXPENSES 44,510,853. MANAGEMENT AND GENERAL EXPENSES 449,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,960,457. PHYSICIAN STIPENDS: PROGRAM SERVICE EXPENSES 2,745. MANAGEMENT AND GENERAL EXPENSES 1,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,500.
FORM 990, PART XI, LINE 9:NET PERIODIC PENSION GAIN 7,147,044. CHANGE IN PENSION PLAN ASSET AND OBLIGATION 11,412,167. NET CHANGE IN INVESTMENTS IN AFFILIATE 23,660. REVERSAL OF GRANT REVENUE RECOGNITION -115,508.
FORM 990, PART XII, LINE 2C:THE PROCESS FOR OVERSEEING AND SELECTING INDEPENDENT AUDITORS HAS NOT CHANGED FROM THE 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 Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HAZARD ARH IMAGING CENTER LLC
210 BLACK GOLD BLVDHAZARDKY41701270755457MEDICAL IMAGING SERVICESKY$0$1,876,365APPALACHIAN REGIONAL HEALTHCARE INC
CUMBERLAND VALLEY ARH CANCER CENTER LLC
2260 EXECUTIVE DRIVELEXINGTONKY40505HEALTH CAREKY$0$0APPALACHIAN REGIONAL HEALTHCARE INC
WHITESBURG PHYSICIAN OFFICE BLDG LLC
2260 EXECUTIVE DRIVELEXINGTONKY40505753022080PHYSICAN OFFICE BUILDINGKY$0$0APPALACHIAN REGIONAL HEALTHCARE INC
HOMETOWN FAMILY CARE PLLC
2260 EXECUTIVE DRIVELEXINGTONKY40505202470645MEDICAL SERVICESKY$0$0ARH TUG VALLEY HEALTH SERVICES INC
APPALACHIAN HEALTH NETWORK
2260 EXECUTIVE DRIVELEXINGTONKY40505863247368MEDICAL SERVICESKY$3,165,445$2,993,390

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES INC
100 AIRPORT GARDENS RDHAZARDKY41701204840007CARRYING OUT FUNDRAISING AND CHARITABLE ACTIVITIES FOR ARHKY501(C)(3)LINE 7APPALACHIAN REGIONAL HEALTHCARE INCYes (1)
ARH MARY BRECKINRIDGE
2260 EXECUTIVE DRLEXINGTONKY40505452696517HEALTH CAREKY501(C)(3)LINE 3APPALACHIAN REGIONAL HEALTHCARE INCYes (1)
ARH TUG VALLEY HEALTH SERVICES INC
2260 EXECUTIVE DRLEXINGTONKY40505822577178HEALTH CAREKY501(C)(3)LINE 3APPALACHIAN REGIONAL HEALTHCARE INCYes (1)
ARH ADVANCED CARE INC
2260 EXECUTIVE DRLEXINGTONKY40505822421892HEALTH CAREKY501(C)(3)LINE 3APPALACHIAN REGIONAL HEALTHCARE INCYes (1)
HIGHLANDS HOSPITAL CORPORATION INC
2260 EXECUTIVE DRLEXINGTONKY40505610658773HEALTH CAREKY501(C)(3)LINE 3ARH FOUNDATION FOR HEATHIER COMMUNITIES INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS MEDICAL PARTNERS IIBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12260 EXECUTIVE DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40505ZIPCd
FieldValueIRS element (for citing)
EIN263714306EIN
Primary ActivitiesMEDICAL SERVICES.PrimaryActivitiesTxt
Legal Domicile StateKYLegalDomicileStateCd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ARH REGIONAL MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CO-OWNERS COUNCILBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12260 EXECUTIVE DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40504ZIPCd
FieldValueIRS element (for citing)
EIN201796044EIN
Primary ActivitiesOFFICE BUILDING MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateKYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN REGIONAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership0.83840OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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