APPALACHIAN REGIONAL HEALTHCARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: APPALACHIAN REGIONAL HEALTHCARE INC (EIN 52-0795508)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-15
IRS object ID: 202441369349307559
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-15T11:40:59-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	882730877	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CHERRY BEKAERT ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SOUTH 5TH STREET STE 2100	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520795508	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	APPALACHIAN REGIONAL HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	APPA	BusinessNameControlTxt
Phone	8592262440	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2260 EXECUTIVE DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40505	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BYRON GABBARD	PersonNm
Person Title	CFO/VP FISCAL SERVICES	PersonTitleTxt
Phone	8592262440	PhoneNum
Signature	2024-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BYRON	PersonFirstNm
Person Last	GABBARD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY DOSIK	PreparerPersonNm
PTIN	P00890743	PTIN
Phone	8885871719	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	HOLLIE HARRIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2260 EXECUTIVE DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40505	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$888,254,505	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ARH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	TO 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 Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	6487	TotalEmployeeCnt
Total Volunteers	213	TotalVolunteersCnt
Total Gross UBI	$21,328,747	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,439,260	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$70,800,602	PYContributionsGrantsAmt
CY Contributions Grants	$2,909,138	CYContributionsGrantsAmt
PY Program Service Revenue	$779,221,037	PYProgramServiceRevenueAmt
CY Program Service Revenue	$854,899,897	CYProgramServiceRevenueAmt
PY Investment Income	$19,512,408	PYInvestmentIncomeAmt
CY Investment Income	$8,541,148	CYInvestmentIncomeAmt
PY Other Revenue	$13,004,655	PYOtherRevenueAmt
CY Other Revenue	$16,575,927	CYOtherRevenueAmt
PY Total Revenue	$882,538,702	PYTotalRevenueAmt
CY Total Revenue	$882,926,110	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,689,458	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$119,224	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$416,222,614	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$471,784,797	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$345,301	CYTotalFundraisingExpenseAmt
PY Other Expenses	$435,509,165	PYOtherExpensesAmt
CY Other Expenses	$430,028,086	CYOtherExpensesAmt
PY Total Expenses	$853,421,237	PYTotalExpensesAmt
CY Total Expenses	$901,932,107	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,117,465	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$19,005,997	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,184,482,778	TotalAssetsBOYAmt
Total Assets EOY	$1,250,085,290	TotalAssetsEOYAmt
Total Liabilities BOY	$718,393,463	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$720,139,780	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$466,089,315	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$529,945,510	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$772,248,389	ExpenseAmt
Grant	$119,224	GrantAmt
Revenue	$841,358,987	RevenueAmt
Desc	WITH 14 HOSPITALS LOCATED IN BARBOURVILLE, HAZARD, HARLAN, HYDEN, MARTIN, MCDOWELL, MIDDLESBORO, PAINTSVILLE, PRESTONSBURG, WEST LIBERTY, WHITESBURG, AND SOUTH WILLIAMSON IN KENTUCKY, AND BECKLEY AND HINTON IN WEST VIRGINIA, AS WELL AS MULTI-SPECIALTY PHYSICIAN PRACTICES, HOME HEALTH AGENCIES, HOME MEDICAL EQUIPMENT STORES, AND RETAIL PHARMACIES, THE NOT-FOR-PROFIT APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARH) PROVIDES RESIDENTS LIVING WITHIN THESE COMMUNITIES THE SECURITY OF KNOWING THAT WHETHER THEY NEED PRIMARY CARE OR THE MOST ADVANCED MEDICAL CARE SERVICES, AN ARH FACILITY WON'T BE TOO FAR AWAY. ARH IS PROUD TO BE THE SINGLE LARGEST EMPLOYER IN SOUTHEASTERN KENTUCKY AND THE THIRD-LARGEST PRIVATE EMPLOYER IN SOUTHERN WEST VIRGINIA. HOWEVER, ARH WOULD NOT BE THE TRUSTED SOURCE OF HEALTHCARE THAT IT IS WITHOUT THE CARE AND COMMITMENT SHOWN BY ITS MORE THAN 6,700 TEAM MEMBERS AND 1,300 MEDICAL STAFF MEMBERS. THE DEDICATION OF THESE MEDICAL PROFESSIONALS HAS FIRMLY ESTABLISHED ARH AS THE REGION'S LARGEST PROVIDER OF CARE. IN THE PAST FISCAL YEAR, ARH CONTINUED TO GROW TO MEET THE EVER-CHANGING HEALTHCARE NEEDS OF CENTRAL APPALACHIA WITH THE ADDITION OF NEW SERVICES AND OUTREACH INITIATIVES WITHIN THE COMMUNITIES IT SERVES.ARH IS CONSISTENTLY LOOKING FOR WAYS TO MAKE ACCESSING CARE QUICKER AND EASIER FOR OUR PATIENTS. TRANSPORTATION, ESPECIALLY IN THE MOUNTAINOUS REGIONS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA, IS NOT ALWAYS EASY. THAT'S WHY ARH PARTNERED WITH AIR EVAC LIFETEAM TO ESTABLISH AN EMERGENCY FLIGHT PROGRAM TO TRANSPORT PATIENTS THROUGHOUT THE TWO REGIONS. AN ARH-BRANDED, AIR EVAC-OWNED HELICOPTER AND A SPECIALLY TRAINED MEDICAL TRANSPORT TEAM ARE STATIONED AT THE HAZARD AIRPORT AND PROVIDE SERVICE TO CRITICALLY ILL AND INJURED PATIENTS.THE HAZARD ARH REGIONAL MEDICAL CENTER WAS ONE OF ONLY TWO HOSPITALS CHOSEN FROM MORE THAN 700 APPLICANTS TO RECEIVE A CMS RURAL HOME HOSPITAL WAIVER AND PARTICIPATE IN A STUDY BY HARVARD AND MASSGENERAL BRIGHAM. THROUGHOUT THE ONE-YEAR STUDY, ARH TREATED 75 PATIENTS FOR A VARIETY OF DIAGNOSES, INCLUDING PNEUMONIA, COPD, CHF, COMPLICATED UTIS, AND CELLULITIS. UPON COMPLETION OF THE STUDY IN JULY 2023, ARH RECEIVED A 9.7 OUT OF 10 PATIENT GLOBAL SATISFACTION SCORE. THE PATIENTS TREATED THROUGH THE PROGRAM HAVE, ON AVERAGE, BEEN TREATED AND DISCHARGED FROM THE PROGRAM IN FEWER DAYS THAN THOSE TREATED IN THE HOSPITAL.ARH WAS ALSO AWARDED $400,000 IN APPALACHIAN REGIONAL COMMISSION (ARC) FUNDING FOR THE PURCHASE OF A MOBILE CLINIC TO PROVIDE NON-EMERGENCY, ON-SITE CARE. THROUGH THE MOBILE CLINIC, WHICH WILL BE STATIONED IN FLOYD COUNTY, RESIDENTS WILL HAVE INCREASED AND MORE REGULAR ACCESS TO CARE AS THE MOBILE CLINIC IS TAKEN OUT TO AREAS THEY FREQUENT, SUCH AS LOCAL BUSINESSES, SCHOOLS, HOUSING DEVELOPMENTS, COMMUNITY EVENTS, AND MORE. ADDITIONALLY, THE MOBILE CLINIC, WHICH WILL ALSO SERVE BELL, FLOYD, HARLAN, JOHNSON, KNOX, LESLIE, LETCHER, MORGAN, PERRY, AND PIKE COUNTIES, WILL ALLOW ARH TO PROVIDE QUICK AND CONVENIENT ACCESS TO MEDICAL CARE FOLLOWING AN EMERGENCY OR DISASTER SUCH AS FLOODING, A TORNADO, WINTER STORM OR OTHER HAZARDOUS SITUATIONS. TUG VALLEY ARH OPENED ITS NEW COMPREHENSIVE WOUND CARE CENTER THAT OFFERS A VARIETY OF SPECIALIZED TREATMENTS AS WELL AS THE MORE ADVANCED HYPERBARIC OXYGEN THERAPY, HBO THERAPY, WHICH IS ADMINISTERED INSIDE ONE OF THE CENTER'S TWO HYPERBARIC OXYGEN CHAMBERS AND IS DESIGNED TO CARE FOR WOUNDS THAT HAVE NOT RESPONDED WELL TO TRADITIONAL TREATMENT.ARH HAS UTILIZED EXPANDED STATE-FUNDING TO IMPROVE PROGRAMMING AND SERVICES ACROSS THE ORGANIZATIONS' INPATIENT BEHAVIORAL HEALTH UNITS. THE FUNDING HAS HELPED INCREASE THERAPEUTIC PROGRAMMING, IMPROVE STAFFING, AND COMPLETE $1.1 MILLION IN RENOVATIONS TO THE INPATIENT BEHAVIORAL HEALTH CENTERS LOCATED AT HIGHLANDS, HARLAN, AND HAZARD. ARH CURRENTLY OPERATES FOUR INPATIENT PSYCHIATRIC UNITS AND TEN OUTPATIENT CLINICS ACROSS KENTUCKY AND WEST VIRGINIA.ARH IS CONSISTENTLY RECOGNIZED FOR ITS MEDICAL EXCELLENCE. OVER THE PAST YEAR, OUR SYSTEM AND HOSPITALS HAVE RECEIVED AN ABUNDANCE OF ACCOLADES, INCLUDING BEING LISTED AS ONE OF FORBES' AMERICA'S BEST-IN-STATE EMPLOYERS 2023. THE PRESTIGIOUS AWARD IS PRESENTED BY FORBES AND STATISTA INC., THE WORLD-LEADING STATISTICS PORTAL AND INDUSTRY RANKING PROVIDER. AMERICA'S BEST-IN-STATE EMPLOYERS 2023 WERE IDENTIFIED BASED ON 2.1 MILLION EMPLOYER RECOMMENDATIONS FROM EMPLOYEES WORKING FOR COMPANIES WITH MORE THAN 500 EMPLOYEES IN THE UNITED STATES. THE BECKLEY ARH HOSPITAL, HARLAN ARH HOSPITAL, HAZARD ARH REGIONAL MEDICAL CENTER, AND TUG VALLEY ARH REGIONAL MEDICAL CENTER WERE NAMED BY U.S. NEWS & WORLD REPORT TO ITS 2023-2024 BEST HOSPITALS AS HIGH PERFORMING HOSPITALS FOR THE TREATMENT OF CONGESTIVE HEART FAILURE AND/OR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). THIS IS THE HIGHEST DISTINCTION A HOSPITAL CAN EARN FOR U.S. NEWS' BEST HOSPITALS PROCEDURES & CONDITIONS RATINGS. FOR THE FOURTH YEAR IN A ROW, ARH EARNED THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) DIGITAL HEALTH MOST WIRED RECOGNITION AS A CERTIFIED LEVEL 8 IN THE AMBULATORY AND ACUTE CARE SETTINGS. THE CHIME DIGITAL HEALTH MOST WIRED PROGRAM CONDUCTS AN ANNUAL SURVEY TO ASSESS HOW EFFECTIVELY HEALTHCARE ORGANIZATIONS APPLY CORE AND ADVANCED TECHNOLOGIES INTO THEIR CLINICAL AND BUSINESS PROGRAMS TO IMPROVE HEALTH AND CARE IN THEIR COMMUNITIES.HIGHLANDS ARH, MCDOWELL ARH, ARH OUR LADY OF THE WAY, AND MORGAN COUNTY ARH WERE RECOGNIZED BY THE AMERICAN HEART ASSOCIATION "GET WITH THE GUIDELINES" FOR DEMONSTRATING A COMMITMENT TO FOLLOWING UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF STROKE. ADDITIONALLY, HAZARD ARH REGIONAL MEDICAL CENTER RECEIVED FOUR AMERICAN HEART ASSOCIATION "GET WITH THE GUIDELINES" ACHIEVEMENT AWARDS.AS THE REGION'S LARGEST PROVIDER OF CARE, WE CONTINUED OUR MISSION TO NOT ONLY TREAT PATIENTS WHEN THEY ARE ILL BUT ALSO TO GO OUT INTO OUR COMMUNITIES TO TEACH THE IMPORTANCE OF PREVENTATIVE SCREENINGS AND PROVIDE EDUCATION DESIGNED TO HELP OUR RESIDENTS LEAD HEALTHIER LIVES. THOSE EFFORTS, IN THE PAST YEAR ALONE, PROVIDED MORE THAN $8 MILLION IN COMMUNITY BENEFITS.SOME MAJOR INITIATIVES INCLUDED ADDRESSING FOOD INSECURITY SINCE A HUGE PERCENTAGE OF OUR SERVICE AREA IS CONSIDERED FRESH FRUIT AND VEGETABLE DESERTS/FOOD DESERTS. IT TAKES MORE THAN 10 MINUTES OR 10 MILES TO REACH A GROCERY STORE FOR MOST PEOPLE, AND STORES THEY HAVE CLOSEST ACCESS TO (SUCH AS DOLLAR GENERALS, OF WHICH THERE ARE 600 IN OUR SERVICE AREA) MAY NOT HAVE FRESH FOODS.THROUGH A SENIOR PRODUCE VOUCHER PROGRAM IN HARLAN IN PARTNERSHIP WITH A LOCAL PRODUCE MARKET, ONE HUNDRED SENIORS HAVE RECEIVED A $25 VOUCHER TO BE SPENT ON FRUITS AND VEGETABLES. EACH OF THESE INDIVIDUALS IS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH AND REFERRED TO HEALTHCARE WHEN APPROPRIATE. IN 2024, THE PROGRAM WILL EXPAND WITH ADDITIONAL PARTNER FUNDING TO PROVIDE VOUCHERS EACH WEEK FOR ONE MONTH, WITH A1C AND BLOOD PRESSURE TRACKED THROUGHOUT FOR CHANGES. ADDITIONALLY, IN PARTNERSHIP WITH GOD'S PANTRY, AN IN-HOSPITAL FOOD BANK IS BEING PILOTED IN MORGAN COUNTY, WITH HOPES TO EXPAND TO OTHER FACILITIES. ARH IS A FOUNDING PARTNER IN THE FOOD AS HEALTH ALLIANCE, A PROJECT OF THE UNIVERSITY OF KENTUCKY COLLEGE OF AGRICULTURE, FOOD AND ENVIRONMENT. THE ALLIANCE PLANS TO CREATE FOOD AS MEDICINE INTERVENTIONS, EXPAND RESEARCH EFFORTS, AND ADDRESS FOOD INSECURITY ACROSS THE COMMONWEALTH. ARH IS COMMITTED TO COLLABORATING ON A FOOD AS HEALTH SYMPOSIUM, EDUCATING PROVIDERS AND THE COMMUNITY ABOUT NUTRITION AS PREVENTATIVE MEDICINE, AND PARTICIPATING IN PILOT RESEARCH PROJECTS. AS PART OF THIS PROJECT, ARH AND UK ARE IMPLEMENTING A MEAL DELIVERY/VOUCHER PROGRAM IN PARTNERSHIP WITH FOOD CITY IN PERRY, FLOYD, AND HARLAN COUNTIES. 180 PEOPLE WITH DIABETES AND/OR HIGH BLOOD PRESSURE WILL RECEIVE HEALTHY FOOD BOXES EVERY WEEK FOR 12 WEEKS, WITH THOSE HEALTH INDICATORS TRACKED THROUGHOUT THE PROGRAM.ARH HAS WORKED TO BRING FARMERS MARKETS ON-SITE TO MANY OF THEIR FACILITIES OVER THE PAST TWO YEARS. THIS ALLOWS OUR EMPLOYEES, PATIENTS, AND VISITORS ACCESS TO HEALTHY, AFFORDABLE LOCAL PRODUCE THROUGHOUT THE SUMMER. WE HAVE ALSO PARTNERED WITH FARMER'S MARKETS IN SOME AREAS TO SPONSOR CARROT CASH, A VOUCHER PROGRAM THAT ALLOWS CHILDREN TO SHOP AT THE MARKETS, AND A VOUCHER PROGRAM FOR PARTICIPANTS IN DIABETES SUPPORT GROUPS.	Desc
Total Program Service Expenses	$772,248,389	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	253	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6487	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DANNY HARRIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8592262440	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2260 EXECUTIVE DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40505	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANDREA MASSEY
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
DUANNE THOMPSON
TRUSTEE	3.00	2.50	Yes (X)	$0	$0	$0
DUSTIN SCOTT CAMPBELL MD
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
EDITH KELLEY
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
GREG COUCH
VICE CHAIR	3.00	2.50	Yes (X)	$0	$0	$0
JEFFREY B HOLLON
SEC'Y/TREAS	3.00	0.00	Yes (X)	$0	$0	$0
JOANN ANDERSON
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
JULIE AKEMON
CHAIR	3.00	0.00	Yes (X)	$0	$0	$0
KAREN PROFITT NEWMAN
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
KEN ALLMAN
TRUSTEE	5.00	0.00	Yes (X)	$0	$0	$0
L BART FRANCIS MD
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
MIKE RUST
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
ONZIE SIZEMORE
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
RANDY EVANS DVM
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
SAM DUNN
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
CHRISTI LEE
CHIEF LEGAL COUNCIL/ASST SEC'Y/TREASURER	30.00	10.00		$414,126	$0	$16,688	Yes (X)
DANNY HARRIS
CFO/ASST SEC'Y/TREASURER	30.00	10.00		$590,197	$0	$28,708	Yes (X)
HOLLIE P HARRIS
PRESIDENT/CEO	30.00	17.00		$1,074,400	$0	$35,340	Yes (X)
MARIA BRAMAN
CHIEF MEDICAL OFFICER	30.00	10.00		$551,198	$0	$28,428	Yes (X)
SONYA BERGMAN
CHIEF PEOPLE OFFICER	30.00	10.00		$417,795	$0	$17,126	Yes (X)
BESSIE ELLEN WRIGHT
CHIEF NURSING OFFICER	30.00	10.00		$226,292	$0	$11,832		Yes (X)
BYRON GABBARD
EXECUTIVE VP OF FINANCE	30.00	10.00		$505,015	$0	$27,300		Yes (X)
ADNAN BHOPALWALA
CARDIOLOGIST	40.00	0.00		$1,358,796	$0	$0			Yes (X)
DAVID BLAINE
ENT	40.00	0.00		$823,750	$0	$0			Yes (X)
HRISHI PATEL
FAMILY PHYSICIAN	40.00	0.00		$951,031	$0	$0			Yes (X)
JAYARAMAKRISHNA DEPA
NEUROLOGIST	40.00	0.00		$891,303	$0	$0			Yes (X)
RAMZI HADDADIN
PULMONOLOGIST	40.00	0.00		$863,769	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,667,672	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$165,422	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	410	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL SOLUTIONS
PO BOX 850737	MINNEAPOLIS	MN	554850737	CONTRACT EMPLOYEE	$33,678,225
TRIANGLE ANESTHESIA GROUP PSC
3320 TATES CREEK ROAD STE 100	LEXINGTON	KY	40502	ANESTHESIA MEDICAL GROUP	$18,311,204
ACCUPATH DIAGNOSTIC LAB
PO BOX 12140	BURLINGTON	NC	272162140	LABORATORY SERVICES	$16,078,428
QUALIVIS LLC
5930 CORNERSTONE CT W 300	SAN DIEGO	CA	92121	CONTRACT NURSES	$10,174,215
JACKSON & COKER
2655 NORTHWINDS PWY	ALPHARETTA	GA	30009	LOCUM	$4,490,626

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	213	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,941,577	GovernmentGrantsAmt
All Other Contributions	$967,561	AllOtherContributionsAmt
Total Contributions	$2,909,138	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES	621110	$671,646,004	$671,646,004
PHARMACY/LAB/LAUNDRY	812300	$92,684,105	$77,737,549	$14,946,556
HOSPITAL RATE IMPROVEM	900099	$90,487,462	$90,487,462
RECORD TRANSCRIPT FEES	900099	$82,326	$82,326

Field	Value	IRS element (for citing)
Total Program Service Revenue	$854,899,897	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,869,543	TotalRevenueColumnAmt
Exclusion	$13,869,543	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,132,327	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,132,327	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,132,327	TotalRevenueColumnAmt
Exclusion	$1,132,327	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,619,032	SecuritiesAmt
Other	$709,363	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$4,619,032	SecuritiesAmt
Other	-$709,363	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,328,395	TotalRevenueColumnAmt
Exclusion	-$5,328,395	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MISC. INCOME	900099	$7,499,688	$1,157,280	$6,342,408
DME SALES	900099	$5,224,911	$5,224,911
CAFETERIA INCOME	900099	$1,261,290		$1,261,290

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,457,711	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,405,646	RelatedOrExemptFuncIncomeAmt
Exclusion	$52,065	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,443,600	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$882,926,110	TotalRevenueColumnAmt
Related Or Exempt Func Income	$841,358,987	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,328,747	UnrelatedBusinessRevenueAmt
Exclusion	$17,329,238	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$119,224	TotalAmt
Program Services	$119,224	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,174,006	TotalAmt
Management And General	$3,174,006	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$372,735,645	TotalAmt
Program Services	$317,058,774	ProgramServicesAmt
Management And General	$55,493,779	ManagementAndGeneralAmt
Fundraising	$183,092	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,521,951	TotalAmt
Program Services	$6,070,763	ProgramServicesAmt
Management And General	$1,446,250	ManagementAndGeneralAmt
Fundraising	$4,938	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$68,192,254	TotalAmt
Program Services	$54,514,628	ProgramServicesAmt
Management And General	$13,635,378	ManagementAndGeneralAmt
Fundraising	$42,248	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,160,941	TotalAmt
Program Services	$16,404,136	ProgramServicesAmt
Management And General	$3,744,721	ManagementAndGeneralAmt
Fundraising	$12,084	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$637,650	TotalAmt
Program Services	$70,192	ProgramServicesAmt
Management And General	$567,458	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$241,061	TotalAmt
Management And General	$241,061	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$96,611,007	TotalAmt
Program Services	$81,634,096	ProgramServicesAmt
Management And General	$14,976,911	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,672,280	TotalAmt
Program Services	$73,901	ProgramServicesAmt
Management And General	$1,575,622	ManagementAndGeneralAmt
Fundraising	$22,757	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,602,973	TotalAmt
Program Services	$12,075,856	ProgramServicesAmt
Management And General	$2,525,720	ManagementAndGeneralAmt
Fundraising	$1,397	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,090,881	TotalAmt
Program Services	$12,202,717	ProgramServicesAmt
Management And General	$885,153	ManagementAndGeneralAmt
Fundraising	$3,011	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,003,965	TotalAmt
Program Services	$273,123	ProgramServicesAmt
Management And General	$730,757	ManagementAndGeneralAmt
Fundraising	$85	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$120,562	TotalAmt
Program Services	$215	ProgramServicesAmt
Management And General	$120,347	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,906,253	TotalAmt
Program Services	$1,073,336	ProgramServicesAmt
Management And General	$6,832,917	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,162,754	TotalAmt
Program Services	$14,721,977	ProgramServicesAmt
Management And General	$1,440,777	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,685,616	TotalAmt
Program Services	$14,099,675	ProgramServicesAmt
Management And General	$1,585,941	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAXES	$245,010	$245,010
PHARMACEUTICALS	$89,628,521	$4,214,707	$85,413,814
SUPPLIES	$66,529,985	$3,627,128	$62,902,857
BAD DEBT	$52,242,197		$52,242,197

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,647,371	TotalAmt
Program Services	$41,296,908	ProgramServicesAmt
Management And General	$12,274,774	ManagementAndGeneralAmt
Fundraising	$75,689	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$901,932,107	TotalAmt
Program Services	$772,248,389	ProgramServicesAmt
Management And General	$129,338,417	ManagementAndGeneralAmt
Fundraising	$345,301	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$9,334,871	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$227,830,109	BOYAmt
EOY	$204,127,049	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$101,314,687	BOYAmt
EOY	$119,945,324	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$20,101,157	BOYAmt
EOY	$21,366,667	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$66,394,794	BOYAmt
EOY	$70,538,929	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$690,200,772	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$438,457,904	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$244,069,707	BOYAmt
EOY	$251,742,868	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$509,951,078	BOYAmt
EOY	$558,197,634	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,000,000	BOYAmt
EOY	$3,882,054	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,040,911	BOYAmt
EOY	$2,040,911	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$900,000	BOYAmt
EOY	$900,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,880,335	BOYAmt
EOY	$8,008,983	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,184,482,778	BOYAmt
EOY	$1,250,085,290	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$164,407,837	BOYAmt
EOY	$222,701,189	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,563,604	BOYAmt
EOY	$2,808,539	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$68,930,000	BOYAmt
EOY	$67,735,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$188,000,334	BOYAmt
EOY	$185,095,053	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$294,491,688	BOYAmt
EOY	$241,799,999	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$718,393,463	BOYAmt
EOY	$720,139,780	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$466,101,181	BOYAmt
EOY	$529,957,376	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$11,866	BOYAmt
EOY	-$11,866	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$466,089,315	BOYAmt
EOY	$529,945,510	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,184,482,778	BOYAmt
EOY	$1,250,085,290	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$19,005,997	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$55,920,179	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$26,942,013	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$102,560	RalliesDemonstrationsAmt
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$17,489	OtherActivitiesAmt
Total Lobbying Expenditures	$120,049	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ARH 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

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,748,137	OtherCostOrOtherBasisAmt
Book Value	$4,748,137	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$317,590,032	OtherCostOrOtherBasisAmt
Depreciation	$229,046,486	DepreciationAmt
Book Value	$88,543,546	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,998,994	OtherCostOrOtherBasisAmt
Depreciation	$2,049,366	DepreciationAmt
Book Value	$949,628	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,766,414	OtherCostOrOtherBasisAmt
Depreciation	$171,078,676	DepreciationAmt
Book Value	$51,687,738	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,097,195	OtherCostOrOtherBasisAmt
Depreciation	$36,283,376	DepreciationAmt
Book Value	$105,813,819	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$251,742,868	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
MEDICARE & MEDICAID ESTIMATED SETTLEMENTS	$72,273,982
ACCRUED PENSION COST	$81,259,657
RESERVE FOR SELF-INSURANCE	$58,197,795
PHYSICIAN COMMITMENTS	$513,213
DUE TO PATIENTS	$18,396,343
BOND INTEREST PAYABLE	$1,320,985
SERP PAYABLE	$271,596
ACCRUED PHYSICIAN SETTLEMENTS	$1,730,436
OPERATING LEASE LIABILITY	$7,835,992

Field	Value	IRS element (for citing)
Total Liability	$241,799,999	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE 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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,172,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,652,549	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,520,408	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$261,123,323	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$244,530,814	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,592,509	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288,296,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$255,183,363	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,112,917	NetCommunityBenefitExpnsAmt
Total Expense	0.03670	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7466	ActivitiesOrProgramsCnt
Persons Served	121103	PersonsServedCnt
Total Community Benefit Expns	$581,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$581,639	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2534	ActivitiesOrProgramsCnt
Persons Served	2282	PersonsServedCnt
Total Community Benefit Expns	$5,058,792	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,058,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10000	ActivitiesOrProgramsCnt
Persons Served	123385	PersonsServedCnt
Total Community Benefit Expns	$5,640,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,640,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10000	ActivitiesOrProgramsCnt
Persons Served	123385	PersonsServedCnt
Total Community Benefit Expns	$293,936,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$255,183,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,753,348	NetCommunityBenefitExpnsAmt
Total Expense	0.04290	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	2181	PersonsServedCnt
Total Community Benefit Expns	$7,184	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,184	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$229	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$229	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	261	ActivitiesOrProgramsCnt
Persons Served	629163	PersonsServedCnt
Total Community Benefit Expns	$926,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$926,752	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	2044	PersonsServedCnt
Total Community Benefit Expns	$34,437	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	493	PersonsServedCnt
Total Community Benefit Expns	$17,710	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,710	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	127	ActivitiesOrProgramsCnt
Persons Served	20192	PersonsServedCnt
Total Community Benefit Expns	$50,857	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,857	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	487	ActivitiesOrProgramsCnt
Persons Served	17341	PersonsServedCnt
Total Community Benefit Expns	$223,115	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$223,115	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	832	PersonsServedCnt
Total Community Benefit Expns	$1,358	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,358	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	994	ActivitiesOrProgramsCnt
Persons Served	672258	PersonsServedCnt
Total Community Benefit Expns	$1,261,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,261,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$85,169,718	BadDebtExpenseAmt
Bad Debt Expense Attributable	$12,785,981	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$98,451,740	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,430,833	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,979,093	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 ARH REGIONAL MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CO-OWNERS COUNCI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	CONDO OWNER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.83840	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.16160	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	9	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
HAZARD ARH REGIONAL MEDICAL CENTER
1	100 MEDICAL CENTER DRIVE	HAZARD	KY	41701	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BECKLEY ARH HOSPITAL
2	306 STANAFORD ROAD	BECKLEY	WV	25801	Yes (X)	Yes (X)		Yes (X)	A
HARLAN ARH HOSPITAL
3	81 BALL PARK ROAD	HARLAN	KY	40831	Yes (X)	Yes (X)		Yes (X)	A
WHITESBURG ARH HOSPITAL
4	240 HOSPITAL ROAD	WHITESBURG	KY	41858	Yes (X)	Yes (X)		Yes (X)	A
TUG VALLEY ARH REGIONAL MEDICAL CENTER
5	260 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	Yes (X)	Yes (X)		Yes (X)	A
MIDDLESBORO ARH HOSPITAL
6	3600 WEST CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	Yes (X)	Yes (X)		Yes (X)	A
MCDOWELL ARH HOSPITAL
7	ROUTE 122 BOX 247	MCDOWELL	KY	41647	Yes (X)	Yes (X)		Yes (X)	A	Yes (X)
MORGAN COUNTY ARH HOSPITAL
8	476 LIBERTY ROAD	WEST LIBERTY	KY	41472	Yes (X)	Yes (X)		Yes (X)	A	Yes (X)
SUMMERS COUNTY ARH HOSPITAL
9	115 SUMMERS HOSPITAL ROAD	HINTON	WV	25951	Yes (X)	Yes (X)		Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ARH.ORG/CHNA/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ARH.ORG/CHNA/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY 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 11:	THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED BY ARH IN 2021-2022. THIS OFFERED A GOOD OPPORTUNITY TO EXAMINE PROGRESS MADE SINCE THE PREVIOUS CHNA PROCESS WHILE OUTLINING NEW STRATEGIES TO GUIDE ACTIVITIES, OUTREACH, AND AREAS OF IMPROVEMENT FOR RECENTLY IDENTIFIED NEEDS. ALL OF THE NEEDS IDENTIFIED DURING THIS PROCESS WERE REVIEWED AND PRIORITIZED BY EACH FACILITY. SOME NEEDS MAY NOT HAVE BEEN SELECTED AS A HIGH PRIORITY SINCE ANOTHER COMMUNITY AGENCY MAY ALREADY BE ADDRESSING THAT NEED AND REFERRALS JUST NEED TO BE MADE TO THAT PARTNER AGENCY. MEASURES WERE TAKEN TO ENSURE THAT EACH IDENTIFIED NEED WAS EITHER ADDRESSED TO SOME DEGREE BY ARH OR REFERRED TO OTHER APPROPRIATE COMMUNITY ENTITIES. BELOW ARE THE MAIN SYSTEM-WIDE NEEDS IDENTIFIED DURING ARH'S MOST RECENT CHNA. THESE AREAS ARE THE MAIN FOCUS OF THE HOSPITALS' ACTIVITIES:SUBSTANCE ABUSE (DRUGS, ALCOHOL, TOBACCO, AND VAPING)MENTAL HEALTH (SERVICES AND REDUCING STIGMA)OBESITY/DIABETES/PHYSICAL ACTIVITYCOMMUNICATION AND EDUCATIONTHE RESULTS FROM THE MOST RECENT CHNA IDENTIFIED THE NEED FOR ARH'S FACILITIES TO FOCUS ON PROVIDING MORE PREVENTIVE AND EDUCATIONAL SERVICES. FOR SOME COMMUNITIES, THIS ALSO MEANT FURTHER PUBLICIZING THE PREVENTIVE AND EDUCATIONAL SERVICES THAT THEY WERE ALREADY OFFERING TO FURTHER INCREASE COMMUNITY PARTNERSHIPS AND AWARENESS. CHNA RESPONDENTS ALSO REQUESTED INCREASED EDUCATIONAL TOPICS INCLUDING MORE OF A FOCUS ON TOPICS SUCH AS VAPING AND MENTAL HEALTH ALONG WITH THE CHRONIC DISEASE ISSUES OF DIABETES AND HEART DISEASE. AN INCREASE IN THE AVAILABILITY OF SERVICES AND PROVIDERS TO ADDRESS THESE IDENTIFIED HEALTH ISSUES IS ALSO A PROMINENT NEED IN THE REGION, ESPECIALLY THE NEED TO ADD MORE MENTAL HEALTH PROVIDERS. ANOTHER NEED THAT WAS ALSO APPARENT WITH THE MOST RECENT CHNA RESULTS WAS THE NEED TO IMPROVE COMMUNICATIONS. THIS NEED RANGES FROM ENSURING THAT THERE IS FASTER COMMUNICATION REGARDING TEST RESULTS, IMPROVING COMMUNICATION TO THE PUBLIC ON ARH SERVICES AND ACTIVITIES VIA SOCIAL MEDIA, AND PROVIDING MORE PATIENT NAVIGATORS/ADVOCATES TO ASSIST PATIENTS WITH NEGOTIATING THE HEALTHCARE PROCESS.

Field	Value	IRS element (for citing)
Facility	76	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (76 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HARLAN ARH HOSPITAL PSYCHIATRIC SERVICE
81 BALL PARK ROAD	HARLAN	KY	40831	PSYCH
2 - ARH PSYCHIATRIC CENTER-HAZARD
102 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PSYCH
3 - ARH HAZARD FAMILY HEALTH SERVICES
200 MEDICAL CENTER DRIVE	HAZARD	KY	417019466	CLINIC
4 - ARH DANIEL BOONE CLINIC - HARLAN
37 BALL PARK ROAD	HARLAN	KY	408311701	RURAL HEALTH CLINIC
5 - ARH WHITESBURG SURGICAL CLINIC
214 HOSPITAL ROAD STE A	WHITESBURG	KY	418587627	CLINIC
6 - ARH TUG VALLEY MEDICAL ASSOCIATES
306 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	415034095	RURAL HEALTH CLINIC
7 - ARH MIDDLESBORO INTERNAL MEDICINE
3004 CUMBERLAND AVE SUITE 3	MIDDLESBORO	KY	409652343	CLINIC
8 - ARH WHITESBURG CLINIC
214 HOSPITAL ROAD	WHITESBURG	KY	418587627	RURAL HEALTH CLINIC
9 - HAZARD ARH REGIONAL MEDICAL CENTER CLINI
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PHARMACY
10 - HARLAN ARH OUTPATIENT PHARMACY
37 BALL PARK ROAD	HARLAN	KY	40831	PHARMACY
11 - HAZARD ARH HOME HEALTH AGENCY
100 AIRPORT GARDENS ROAD	HAZARD	KY	41701	HOME HEALTH
12 - ARH COMMUNITY PHARMACY
210 BLACK GOLD BLVD SUITE 104	HAZARD	KY	41701	PHARMACY
13 - ARH HAZARD HOMECARE STORE
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	HOME HEALTH CARE
14 - ARH WILLIAMSON HOMECARE STORE
140 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	HOME HEALTH CARE
15 - ARH HARLAN HOMECARE STORE
106 RAILROAD STREET SUITE 5	HARLAN	KY	40831	HOME HEALTH CARE
16 - ARH PRESCRIPTION DIVISION
306 HOSPITAL DRIVE SUITE 105	SOUTH WILLIAMSON	KY	41503	PHARMACY
17 - WHITESBURG ARH HOME HEALTH AGENCY
240 HOSPITAL ROAD	WHITESBURG	KY	41858	HOME HEALTH
18 - BECKLEY ARH HOME HEALTH AGENCY
306 STANAFORD ROAD	BECKLEY	WV	25801	HOME HEALTH
19 - MORGAN COUNTY ARH HOME HEALTH AGENCY
518 MAIN STREET STE 1	WEST LIBERTY	KY	41472	HOME HEALTH
20 - ARH WOMEN'S AND FAMILY HEALTH CARE - TUG
26901 US HIGHWAY 119N	BELFRY	KY	415147520	PRIMARY CARE CLINIC
21 - ARH TRI-CITY MEDICAL CENTER
18880 NORTH US 119	CUMBERLAND	KY	408238106	RURAL HEALTH CLINIC
22 - BECKLEY ARH PHARMACY
250 STANAFORD ROAD	BECKLEY	WV	25801	PHARMACY
23 - HARLAN ARH HOME HEALTH AGENCY
81 BALL PARK ROAD	HARLAN	KY	40831	HOME HEALTH
24 - ARH SUMMERS COUNTY RURAL HEALTH CLINIC
115 SUMMERS HOSPITAL ROAD	HINTON	WV	25951	RURAL HEALTH CLINIC
25 - ARH BECKLEY HOMECARE STORE
260 STANAFORD ROAD	BECKLEY	WV	25801	HOME HEALTH CARE
26 - ARH FAMILY HEALTH PHARMACY
1084 HWY 7 STE 3	WEST LIBERTY	KY	41472	PHARMACY
27 - PIKEVILLE BRANCH-ARH PIKE CO HOME HEALTH
247 SOUTH MAYO TRAIL	PIKEVILLE	KY	41502	HOME HEALTH
28 - ARH MCDOWELL PROFESSIONAL CLINIC
9879 KY RT 122	MCDOWELL	KY	416476042	RURAL HEALTH CLINIC
29 - WHITESBURG ARH PHARMACY
240 HOSPITAL ROAD	WHITESBURG	KY	41858	PHARMACY
30 - MIDDLESBORO ARH PHARMACY
3600 WEST CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	PHARMACY
31 - MIDDLESBORO ARH HOME HEALTH AGENCY
1916 CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	HOME HEALTH
32 - ARH MIDDLESBORO HOMECARE STORE
1916 CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	HOME HEALTH CARE
33 - ARH SPECIALITY PHARMACY
200 MEDICAL CENTER DR	HAZARD	KY	41701	PHARMACY
34 - ARH FAMILY CARE WAYLAND
2662 KING KELLY COLEMAN HWY	WAYLAND	KY	416669998	PRIMARY CARE CLINIC
35 - ARH FAMILY CARE - WHEELWRIGHT
30 KY RT 306	BYPRO	KY	416129706	PRIMARY CARE CLINIC
36 - JENKINS ARH FAMILY CARE
9480 HIGHWAY 805	JENKINS	KY	415378182	PRIMARY CARE CLINIC
37 - ARH BARIATRIC CENTER
210 BLACK GOLD BOULEVARD SUITE 102	HAZARD	KY	417012620	CLINIC
38 - ARH SYSTEM CENTER-HAZARD
100 AIRPORT GARDENS ROAD	HAZARD	KY	41701	SUPPORT
39 - ARH SYSTEM CENTER-LEXINGTON
2260 EXECUTIVE DR	LEXINGTON	KY	40505	SUPPORT
40 - ARH SYSTEM CENTER-LEXINGTON JORDAN BUIL
1218 SOUTH BROADWAY	LEXINGTON	KY	40504	SUPPORT
41 - ARH SYSTEM CENTER-SOUTH WILLIAMSON
260 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	SUPPORT
42 - ARH REGIONAL DISTRIBUTION CENTER
26901 US HIGHWAY 119N	BELFRY	KY	41514	SUPPORT
43 - DME WAREHOUSE
26901 US HIGHWAY 119N	BELFRY	KY	41514	SUPPORT
44 - ARH SOUTHERN WEST VIRGINIA CLINIC
250 STANAFORD ROAD	BECKLEY	WV	258013140	CLINIC
45 - MIDDLESBORO ARH PHYSICIAN CLINIC
3602 WEST CUMBERLAND AVE	MIDDLESBORO	KY	409652614	CLINIC
46 - ARH WOMEN'S AND FAMILY HEALTH CARE - MID
2004 W CUMBERLAND AVE	MIDDLESBORO	KY	409652614	CLINIC
47 - ARH CARDIOLOGY & ASSOCIATES - HAZARD
200 MEDICAL CENTER DR STE 1J	HAZARD	KY	417019477	CLINIC
48 - ARH DERMATOLOGY
210 BLACK GOLD BLVD SUITE 211	HAZARD	KY	41701	CLINIC
49 - ARH CARDIOLOGY ASSOCIATES - BECKLEY
1256 N EISENHOWER DR	BECKLEY	WV	258013120	CLINIC
50 - BECKLEY ARH PRIMARY CARE
250 STANFORD ROAD STE 104	BECKLEY	WV	258013140	CLINIC
51 - ARH SPECIALTY ASSOCIATES - TUG VALLEY
306 HOSPITAL DR STE 100	SOUTH WILLIAMSON	KY	415034095	CLINIC
52 - ARH SPECIALTY ASSOCIATES - WHITESBURG
214 HOSPITAL DR STE B	WHITESBURG	KY	418587627	CLINIC
53 - ARH CARDIOLOGY ASSOCIATES - WHITESBURG
226 MEDICAL PLAZA LN STE C	WHITESBURG	KY	418587425	CLINIC
54 - ARH CARDIOLOGY ASSOCIATES - TUG VALLEY
306 HOSPITAL DR STE 203	SOUTH WILLIAMSON	KY	415034095	CLINIC
55 - ARH DERMATOLOGY MIDDLESBORO
2145 US HIGHWAY 25E	MIDDLESBORO	KY	409651874	CLINIC
56 - ARH OAK HILL PRIMARY CARE CENTER
223 MAPLE AVE	OAK HILL	WV	259013475	CLINIC
57 - ARH SPECIALTY ASSOCIATES - HAZARD
200 MEDICAL CENTER DR STE 2M	HAZARD	KY	417019422	CLINIC
58 - ARH PENNINGTON GAP CLINIC
121 STACY DR	PENNINGTON GAP	VA	242779998	CLINIC
59 - BECKLEY ARH MEDICAL MALL
1256 N EISENHOWER DR	BECKLEY	WV	258013120	CLINIC
60 - SUMMERS CO ARH FAMILY CARE CLINIC
197 PLEASANT ST	HINTON	WV	259512540	CLINIC
61 - MIDDLESBORO ARH HEMATOLOGYONCOLOGY CLIN
3602 W CUMBERLAND AVE STE 104	MIDDLESBORO	KY	409652614	CLINIC
62 - MORGAN COUNTY ARH FAMILY HEALTH
1084 HWY 7 STE 2	WEST LIBERTY	KY	414727146	CLINIC
63 - ARH PRIMARY CARE - BECKLEY
250 STANAFORD ROAD	BECKLEY	WV	25801	CLINIC
64 - ARH BECKLEY GASTROENTEROLOGY
429 CARRIAGE DRIVE	BECKLEY	WV	25801	CLINIC
65 - ARH BECKLEY ONCOLOGY
250 STANAFORD ROAD	BECKLEY	WV	25801	CLINIC
66 - ARH HAZARD FAMILY CLINIC
181 ROY CAMPBELL DRIVE	HAZARD	KY	41701	CLINIC
67 - HAZARD MEDICAL MALL
210 BLACK GOLD BLVD STE 102	HAZARD	KY	41701	MEDSPA
68 - ARH BECKLEY REJUVENATION CENTER
1256 N EISENHOWER DRIVE	BECKLEY	WV	25801	MEDSPA
69 - ARH MIDDLESBORO REJUVENATION CENTER
2145 HWY 25E	MIDDLESBORO	KY	40965	MEDSPA
70 - ARH HAZARD PHARMACY
181 ROY CAMPBELL DRIVE	HAZARD	KY	41701	PHARMACY
71 - ARH RETAIL PHARMACY
4845 KY RTE 321	PRESTONSBURG	KY	41653	PHARMACY
72 - ARH MEDICAL & SPECIALTY ASSOCIATES - PRE
4851 KY ROUTE 321	PRESTONSBURG	KY	41653	CLINIC
73 - ARH MED & SPEC ASSOC HAZARD
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	CLINIC
74 - ARH MED MALL FAMILY SPEC CLIN
210 BLACK GOLD BLVD	HAZARD	KY	41701	CLINIC
75 - ARH INTERVENTIONAL PAIN MGMT HEADACHE
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	CLINIC
76 - ARH MEDICAL & SPECIALTY ASSOCIATES - PRE
4851 KY RT 321 SUITES 101 AND 102	PRESTONBURG	KY	41653	CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 7:	THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART II, COMMUNITY BUILDING ACTIVITIES:	TODAY APPALACHIAN REGIONAL HEALTHCARE CONTINUES ITS MISSION IN THE MOUNTAINS BY OFFERING RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA A LOCAL OPTION FOR QUALITY HEALTHCARE SERVICES. ARH HOLDS STEADFAST TO THE MISSION TO, "IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES." ARH HAS EVOLVED INTO AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SERVING MORE THAN 320,000 RESIDENTS AND EMPLOYING OVER 6,000 PEOPLE ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA WITH HOSPITALS, CLINICS, HOME HEALTH AGENCIES, PHARMACIES, LONG-TERM ACUTE CARE HOSPITALS, AND HOME DURABLE MEDICAL EQUIPMENT STORES. IN FISCAL YEAR 2023, ARH'S NINE HOSPITALS RANGE IN SIZE FROM CRITICAL-ACCESS FACILITIES TO THE SYSTEM'S FLAGSHIP REGIONAL MEDICAL CENTER WITH 358-LICENSED BEDS IN HAZARD, KENTUCKY. ARH IS THE LARGEST PROVIDER OF CARE AND SINGLE LARGEST EMPLOYER IN SOUTHEASTERN KENTUCKY AND THE THIRD LARGEST PRIVATE EMPLOYER IN SOUTHERN WEST VIRGINIA, AND IS CONSISTENTLY RECOGNIZED FOR ITS MEDICAL EXCELLENCE. WHILE PROVIDING THIS REGION WITH QUALITY HEALTHCARE, ARH REINVESTS ANY EARNINGS BACK INTO OPERATIONS TO FURTHER THE SYSTEM'S EFFORTS IN IMPROVING AND ACCESSING HEALTHCARE SERVICES FOR THE REGION. CREATED TO ADDRESS THE UNMET HEALTH NEEDS OF AN UNDERSERVED REGION, ARH LEADERSHIP AND STAFF MEMBERS REALIZE THAT SERVING THIS POPULATION IS ABOUT MORE THAN JUST ADDRESSING THE HEALTH NEEDS, IT IS ALSO ABOUT PREVENTING CHRONIC DISEASES. THROUGH PARTNERSHIPS WITH AREA SCHOOLS, BUSINESSES, ORGANIZATIONS AND HEALTH DEPARTMENTS, ARH IS ONE OF THE PRIMARY SOURCES FOR HEALTH EDUCATION AND DISEASE PREVENTION IN EACH COMMUNITY AND PARTNERS WITH ALL OF THESE VARIOUS COMMUNITY ENTITIES TO FURTHER THESE EFFORTS. ARH SPONSORS MANY COMMUNITY-WIDE WELLNESS EVENTS THROUGHOUT ITS SERVICE AREAS, INCLUDING HEALTH FAIRS AND VARIOUS SUPPORT GROUPS. EACH YEAR, ARH PROVIDES FREE OR DISCOUNTED HEALTH SCREENINGS FOR COLORECTAL, BREAST, AND PROSTATE CANCERS AS WELL AS ROUTINE BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, AND BODY MASS INDEX (BMI) SCREENINGS IN EFFORTS TO PREVENT THE ONSET OF ILLNESSES OR CATCH MEDICAL CONDITIONS BEFORE THEY BECOME LIFE THREATENING. ARH ALSO ACTIVELY UTILIZES ALL FORMS OF MEDIA TO PROMOTE WELLNESS AND EDUCATE THE PUBLIC ON THE SIGNS AND SYMPTOMS OF MANY COMMON HEALTH CONDITIONS. THIS INCLUDES HEALTH EDUCATION NEWSLETTERS MAILED DIRECTLY TO RESIDENTS' HOMES.
PART III, LINE 2:	COSTING METHODOLOGY: TO DETERMINE THE BAD DEBT EXPENSE ON 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 DEVELOPED IN WORKSHEET 2. 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 ESTIMATES. 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 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 8:	NEARLY ONE HALF OF THE CORPORATION'S PATIENT REVENUES ARE DERIVED FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES. IN TURN, PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FELL SHORT OF THE COST TO PROVIDE SUCH SERVICES BY NEARLY $23 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 $22,979,093 (OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	THE PROVISIONS IN THE WRITTEN DEBT COLLECTION POLICY ARE THAT CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS ARE VALID FOR 6 MONTHS. AFTER THAT TIME, THE PATIENT MUST REAPPLY AND PRESENT CURRENT FINANCIAL DOCUMENTS AS NECESSARY.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CONDUCTED BY ARH EVERY THREE YEARS AND REPORTED ELSEWHERE IN THIS DOCUMENT, ARH CONTINUALLY ASSESSES COMMUNITY NEEDS IN OTHER FORMS AS WELL. THE NEEDS OF THE COMMUNITIES THAT ARH SERVES THROUGHOUT EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA ARE ASSESSED BY FOLLOWING EMERGING MEDICAL PRACTICE NEEDS AS A WHOLE ACROSS THE NATION AND SPECIFICALLY IN THE APPALACHIAN REGION. THE HEALTH NEEDS ARE EXAMINED BY LOOKING AT HEALTH STATISTICS AND DISEASE PREVALENCE COMPARED TO SERVICE/PHYSICIAN AVAILABILITY. PATIENT AND COMMUNITY SURVEYS ARE REGULARLY CONDUCTED TO ASSESS CONSUMER PERCEIVED NEEDS. LOCAL ADVISORY COUNCILS (LACS) ALSO EXIST IN EACH OF ARH'S HOSPITAL COMMUNITIES. THE COUNCILS ARE COMPRISED OF LOCAL CITIZENS WHO VOLUNTEER TO HELP ARH IMPROVE THE HEALTH OF ITS COMMUNITIES THROUGH REGULAR MEETINGS THAT DISCUSS COMMUNITY HEALTH ISSUES AND HELP ARH IDENTIFY AND ADDRESS THEM. MEMBERS ALSO ADVISE ARH ABOUT IMPROVEMENTS NEEDED AND COMMUNITY PERCEPTIONS OF ARH FACILITIES AND THESE INDIVIDUALS SERVE AS EXCELLENT AMBASSADORS FOR ARH AND ITS SERVICES. THESE INDIVIDUALS HAVE DEMONSTRATED THEIR LEADERSHIP IN LOCAL CIVIC AFFAIRS AND REFLECT A CROSS SECTION OF THE COMMUNITY. QUARTERLY, ONE REPRESENTATIVE FROM EACH OF THESE LACS MEETS TO DISCUSS COMMON ISSUES ACROSS THE SYSTEM AT A REGIONAL ADVISORY COUNCIL MEETING. FROM THIS GROUP OF REPRESENTATIVES, ONE MEMBER IS SELECTED TO ALSO SERVE ON THE HEALTH SYSTEM'S BOARD OF TRUSTEES.
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:	THE RURAL SERVICE AREA COVERED BY ARH IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA INCLUDES MORE THAN 20 COUNTIES. THIS REGION IS FRAUGHT WITH SOME OF THE HIGHEST CHRONIC HEALTH PREVALENCE RATES IN THE COUNTRY FOR LUNG CANCER, DIABETES, AND HEART DISEASE. TO COMPOUND THESE PROBLEMS, MOST OF ARH'S FACILITIES ARE LOCATED IN AREAS THAT ARE AT LEAST PARTIALLY CLASSIFIED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. IN ADDITION, THE AREAS SERVED BY ARH ALSO FACE UNEMPLOYMENT RATES THAT ARE SUBSTANTIALLY HIGHER THAN STATE AND NATIONAL AVERAGES AND A HIGHER NUMBER OF CITIZENS IN THESE AREAS RANK BELOW THE NATIONAL POVERTY LEVEL. FOR MORE THAN 60 YEARS, ARH HAS CARRIED A HEAVY LOAD IN CARING FOR THIS POPULATION. IN FISCAL YEAR 2023, APPROXIMATELY 80 PERCENT OF ARH'S INPATIENTS WERE MEDICARE OR MEDICAID BENEFICIARIES.
PART VI, LINE 5:	TODAY APPALACHIAN REGIONAL HEALTHCARE CONTINUES ITS MISSION IN THE MOUNTAINS BY OFFERING RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA A LOCAL OPTION FOR QUALITY HEALTHCARE SERVICES. ARH HOLDS STEADFAST TO THE MISSION TO, "IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES." ARH HAS EVOLVED INTO AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SERVING MORE THAN 320,000 RESIDENTS AND EMPLOYING OVER 6,000 PEOPLE ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA WITH HOSPITALS, CLINICS, HOME HEALTH AGENCIES, PHARMACIES, LONG-TERM ACUTE CARE HOSPITALS, AND HOME DURABLE MEDICAL EQUIPMENT STORES. IN FISCAL YEAR 2023, ARH'S NINE HOSPITALS RANGE IN SIZE FROM CRITICAL-ACCESS FACILITIES TO THE SYSTEM'S FLAGSHIP REGIONAL MEDICAL CENTER WITH 358-LICENSED BEDS IN HAZARD, KENTUCKY. ARH IS THE LARGEST PROVIDER OF CARE AND SINGLE LARGEST EMPLOYER IN SOUTHEASTERN KENTUCKY AND THE THIRD LARGEST PRIVATE EMPLOYER IN SOUTHERN WEST VIRGINIA, AND IS CONSISTENTLY RECOGNIZED FOR ITS MEDICAL EXCELLENCE. WHILE PROVIDING THIS REGION WITH QUALITY HEALTHCARE, ARH REINVESTS ANY EARNINGS BACK INTO OPERATIONS TO FURTHER THE SYSTEM'S EFFORTS IN IMPROVING AND ACCESSING HEALTHCARE SERVICES FOR THE REGION. CREATED TO ADDRESS THE UNMET HEALTH NEEDS OF AN UNDERSERVED REGION, ARH LEADERSHIP AND STAFF MEMBERS REALIZE THAT SERVING THIS POPULATION IS ABOUT MORE THAN JUST ADDRESSING THE HEALTH NEEDS, IT IS ALSO ABOUT PREVENTING CHRONIC DISEASES. THROUGH PARTNERSHIPS WITH AREA SCHOOLS, BUSINESSES, ORGANIZATIONS AND HEALTH DEPARTMENTS, ARH IS ONE OF THE PRIMARY SOURCES FOR HEALTH EDUCATION AND DISEASE PREVENTION IN EACH COMMUNITY AND PARTNERS WITH ALL OF THESE VARIOUS COMMUNITY ENTITIES TO FURTHER THESE EFFORTS. ARH SPONSORS MANY COMMUNITY-WIDE WELLNESS EVENTS THROUGHOUT ITS SERVICE AREAS, INCLUDING HEALTH FAIRS AND VARIOUS SUPPORT GROUPS. EACH YEAR, ARH PROVIDES FREE OR DISCOUNTED HEALTH SCREENINGS FOR COLORECTAL, BREAST, AND PROSTATE CANCERS AS WELL AS ROUTINE BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, AND BODY MASS INDEX (BMI) SCREENINGS IN EFFORTS TO PREVENT THE ONSET OF ILLNESSES OR CATCH MEDICAL CONDITIONS BEFORE THEY BECOME LIFE THREATENING. ARH ALSO ACTIVELY UTILIZES ALL FORMS OF MEDIA TO PROMOTE WELLNESS AND EDUCATE THE PUBLIC ON THE SIGNS AND SYMPTOMS OF MANY COMMON HEALTH CONDITIONS. THIS INCLUDES HEALTH EDUCATION NEWSLETTERS MAILED DIRECTLY TO RESIDENTS' HOMES.
PART VI, LINE 6:	DURING FISCAL YEAR 2023, ARH'S SERVICES WERE MAINLY ORGANIZED AROUND ITS 9 HOSPITAL SPECIFIC COMMUNITIES ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA. IN EACH OF THESE COMMUNITIES, A HOSPITAL EXISTS ALONG WITH A COMPLIMENTARY ARRANGEMENT OF OTHER ARH SERVICES, WHICH MAY INCLUDE CLINICS, HOME HEALTH AGENCIES, PHARMACIES, AND/OR HOME DURABLE MEDICAL EQUIPMENT STORES. AT THE SYSTEM-LEVEL, VARIOUS HEALTH PROMOTION ACTIVITIES ARE ORGANIZED AND PROMOTED ACROSS THE FACILITIES, INCLUDING THE INTRODUCTION OF NEW SERVICE LINES AND NEW TECHNOLOGY. HOWEVER, IN EACH OF ARH'S 9 COMMUNITIES, VARIOUS COMMUNITY OUTREACH PROGRAMS ARE ALSO UNDERWAY AND AGGRESSIVELY ADDRESSING THE HEALTH CONCERNS OF THAT PARTICULAR AREA WHILE STRONG COMMUNITY COLLABORATION IS BEING DEVELOPED. FROM SENIOR CITIZEN WELLNESS PROGRAMS TO PATIENT ASSISTANCE VIA A CANCER NAVIGATOR, ARH'S COMMUNITIES ARE REAPING THE BENEFITS OF SUCCESSFUL COMMUNITY OUTREACH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
BECKLEY - RALIEGH CO CHAMBER OF COMMERCE
245 N KANAWHA ST	BECKLEY	WV	25801	550345563	501(C)(6)	$6,160	$0	SUPPORT ONGOING OP
COACHES FOR KIDS FOUNDATION
362 SHERIDAN DR	LEXINGTON	KY	40503	821164766	501(C)(3)	$10,000	$0	SUPPORT ONGOING OP
JMIS KENTUCKY LLC
PO BOX 342	LEXINGTON	KY	40588	364803508		$25,625	$0	SUPPORT ONGOING OP
LEXINGTON CANCER FOUNDATION
15014 COLLEGE WAY	LEXINGTON	KY	40502	562472701	501(C)(3)	$15,000	$0	SUPPORT ONGOING OP
UNIVERSITY OF KENTUCKY
STURGILL PHILANTHROPY BUILDING	LEXINGTON	KY	40506	616001218	EDUC	$15,000	$0	SUPPORT ONGOING OP
PAINTSVILLE HIGH SCHOOL
512 ELM STREET	PAINTSVILLE	KY	41240	611351095	EDUC	$7,000	$0	SUPPORT ONGOING OP
PERRY CO ECONOMIC DEVELOPMENT
PO BOX 2138	HAZARD	KY	41701	473338245	GOVT	$20,000	$0	SUPPORT ONGOING OP
SHAPING OUR APPALACHIAN REGION INC
137 MAIN STREET SUITE 300	PIKEVILLE	KY	41501	371760428	501(C)(3)	$7,500	$0	SUPPORT ONGOING OP

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ADNAN BHOPALWALA
CARDIOLOGIST	$1,358,796	$0	$0	$0	$0	$0	$0	$0	$0	$0	$1,358,796	$0	$0	$0
HOLLIE P HARRIS
PRESIDENT/CEO	$836,960	$0	$237,440	$0	$0	$0	$20,500	$0	$14,840	$0	$1,109,740	$0	$0	$0
HRISHI PATEL
FAMILY PHYSICIAN	$951,031	$0	$0	$0	$0	$0	$0	$0	$0	$0	$951,031	$0	$0	$0
JAYARAMAKRISHNA DEPA
NEUROLOGIST	$891,303	$0	$0	$0	$0	$0	$0	$0	$0	$0	$891,303	$0	$0	$0
RAMZI HADDADIN
PULMONOLOGIST	$863,769	$0	$0	$0	$0	$0	$0	$0	$0	$0	$863,769	$0	$0	$0
DAVID BLAINE
ENT	$823,750	$0	$0	$0	$0	$0	$0	$0	$0	$0	$823,750	$0	$0	$0
DANNY HARRIS
CFO/ASST SEC'Y/TREASURER	$458,877	$0	$131,320	$0	$0	$0	$20,500	$0	$8,208	$0	$618,905	$0	$0	$0
MARIA BRAMAN
CHIEF MEDICAL OFFICER	$424,358	$0	$126,840	$0	$0	$0	$20,500	$0	$7,928	$0	$579,626	$0	$0	$0
BYRON GABBARD
EXECUTIVE VP OF FINANCE	$393,015	$0	$112,000	$0	$0	$0	$20,500	$0	$6,800	$0	$532,315	$0	$0	$0
SONYA BERGMAN
CHIEF PEOPLE OFFICER	$322,595	$0	$95,200	$0	$0	$0	$15,838	$0	$1,288	$0	$434,921	$0	$0	$0
CHRISTI LEE
CHIEF LEGAL COUNCIL/ASST SEC'Y/TREAS	$317,526	$0	$96,600	$0	$0	$0	$15,575	$0	$1,113	$0	$430,814	$0	$0	$0
BESSIE ELLEN WRIGHT
CHIEF NURSING OFFICER	$174,404	$0	$51,888	$0	$0	$0	$11,832	$0	$0	$0	$238,124	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

ARH PROVIDES SENIOR EXECUTIVES A CONTRIBUTION 3, 5,OR 7 PERCENT OF PAY (SUBJECT TO DOLLAR CAP), DEPENDING ON JOB TITLE, INTO THE TOP HAT 457(B) RETIREMENT PLAN. THE CONTRIBUTION AND EARNINGS ARE TAX DEFERRED UNTIL ASSETS ARE DISTRIBUTED OR WITHDRAWN. THE MAXIMUM CONTRIBUTION IS SUBJECT TO THE IRS COMPENSATION CAP, WHICH ALLOWS A CONTRIBUTION OF UP TO $20,500 IN 2022. 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 - $14,840; DANNY HARRIS - $8,207.50; MARIA BRAMAN - $7,927.50; BYRON GABBARD - $6,800; CHRISTI LEE - $1,112.50; SONYA BERGMAN - $1,287.50

PART I, LINE 6

THE 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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF HAZARD KY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	616001839	BondIssuerEIN
Bond Issued	2021-07-01	BondIssuedDt
Issue Price	$70,075,000	IssuePriceAmt
Purpose	CAPITAL CONSTRUCTION OF FACILITIES IN WV, KY; REFUNDING.	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,340,000	RetiredAmt
Total Proceeds	$70,075,000	TotalProceedsAmt
Issuance Costs From Proceeds	$873,823	IssuanceCostsFromProceedsAmt
Capital Expenditures	$58,638,837	CapitalExpendituresAmt
Other Spent Proceeds	$10,562,340	OtherSpentProceedsAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (1)	Form8038TFiledInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	GREG COUCH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	PRINCIPAL OWNER OF MERIDIAN WEALTH	RelationshipDescriptionTxt
Transaction	$336,456	TransactionAmt
Transaction	INVESTMENT COMPANY THAT MANAGES ARH RETIREMENT PORTFOLIO	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	A SECURE WEBSITE IS PROVIDED TO OFFICERS AND TRUSTEES FOR ANNUAL DISCLOSURES, AND IS MONITORED REGULARLY BY THE VICE PRESIDENT OF LEGAL AFFAIRS AND THE CORPORATE COMPLIANCE OFFICERS. POTENTIAL CONFLICTS OF INTEREST ARE REPORTED DIRECTLY TO THE CHAIRMAN OF THE BOARD. TRUSTEES IDENTIFIED AS HAVING A CONFLICT OF INTEREST IN A PARTICULAR MATTER BEFORE THE BOARD MAY NOT PARTICIPATE IN THE BOARD'S DECISION-MAKING PROCESS. FAILURE TO DISCLOSE IS SUBJECT TO DISCIPLINE, INCLUDING CENSURE, AND IN SOME CASES, REMOVAL FROM THE BOARD. EMPLOYEE OFFICERS ARE SUBJECT TO DISCIPLINE IN ACCORDANCE WITH THE CORPORATION'S HUMAN RESOURCE POLICIES AND THE ARH CODE OF BUSINESS AND PROFESSIONAL CONDUCT.
FORM 990, PART VI, SECTION B, LINE 15	APPALACHIAN 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 19	WHILE 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 11G	OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 28,213,030. MANAGEMENT AND GENERAL EXPENSES 14,778,369. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,991,399. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 3,097,012. MANAGEMENT AND GENERAL EXPENSES 156,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,253,221. PROFESSIONAL FEES PHYSICIANS: PROGRAM SERVICE EXPENSES 50,324,054. MANAGEMENT AND GENERAL EXPENSES 42,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,366,387.
FORM 990, PART XI, LINE 9:	NET PERIODIC PENSION GAIN 2,853,562. CHANGE IN PENSION PLAN ASSET AND OBLIGATION 24,088,451.
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 DEEM NECESSARY BY MANAGEMENT THROUGH A FORMAL "REQUEST FOR PROPOSAL" (RFP) PROCESS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HAZARD ARH IMAGING CENTER LLC
210 BLACK GOLD BLVD	HAZARD	KY	41701	270755457	MEDICAL IMAGING SERVICES	KY	$555	$4,982,040	APPALACHIAN REGIONAL HEALTHCARE INC
CUMBERLAND VALLEY ARH CANCER CENTER LLC
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505		HEALTH CARE	KY			APPALACHIAN REGIONAL HEALTHCARE INC
WHITESBURG PHYSICIAN OFFICE BLDG LLC
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505	753022080	PHYSICAN OFFICE BUILDING	KY	$9,370	$443,039	APPALACHIAN REGIONAL HEALTHCARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES INC
100 AIRPORT GARDENS RD	HAZARD	KY	41701	204840007	CARRYING OUT FUNDRAISING AND CHARITABLE ACTIVITIES FOR ARH	KY	501(C)(3)	LINE 7	APPALACHIAN REGIONAL HEALTHCARE INC	Yes (1)
ARH MARY BRECKINRIDGE
2260 EXECUTIVE DR	LEXINGTON	KY	40505	452696517	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	Yes (1)
ARH TUG VALLEY HEALTH SERVICES INC
2260 EXECUTIVE DR	LEXINGTON	KY	40505	822577178	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	Yes (1)
ARH ADVANCED CARE INC
2260 EXECUTIVE DR	LEXINGTON	KY	40505	822421892	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ARH REGIONAL MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CO-OWNERS COUNCIL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2260 EXECUTIVE DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40504	ZIPCd

Field	Value	IRS element (for citing)
EIN	201796044	EIN
Primary Activities	OFFICE BUILDING MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Ownership	0.39600	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd