APPALACHIAN REGIONAL HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: APPALACHIAN REGIONAL HEALTHCARE INC (EIN 52-0795508)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201921359349301462
Schema version: 2017v2.3
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	2019-05-15T08:34:33-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	271235638	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MCM CPAS & ADVISORS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	462 S FOURTH ST SUITE 2600	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402023445	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	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	DANNY HARRIS	PersonNm
Person Title	CFO/VP FISCAL SERVICES	PersonTitleTxt
Phone	8592262440	PhoneNum
Signature	2019-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BOB MORELAND CPA	PreparerPersonNm
PTIN	P00418596	PTIN
Phone	5027491900	PhoneNum
Preparation	2019-05-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.135.99.226	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-10	IPDt
IP Tm	08:52:30	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7703D01F95D7FC72E7025F3B0075F9C5FC7CD1EC	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DB6CDEF414225833A1C1F93DB3E0669B0B82E7DE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH GROSSMAN	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	$715,556,330	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 IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	5853	TotalEmployeeCnt
Total Volunteers	230	TotalVolunteersCnt
Total Gross UBI	$11,091,027	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$966,272	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$276,295	PYContributionsGrantsAmt
CY Contributions Grants	$395,655	CYContributionsGrantsAmt
PY Program Service Revenue	$631,025,895	PYProgramServiceRevenueAmt
CY Program Service Revenue	$685,103,171	CYProgramServiceRevenueAmt
PY Investment Income	$11,011,067	PYInvestmentIncomeAmt
CY Investment Income	$14,903,841	CYInvestmentIncomeAmt
PY Other Revenue	$14,860,864	PYOtherRevenueAmt
CY Other Revenue	$14,738,522	CYOtherRevenueAmt
PY Total Revenue	$657,174,121	PYTotalRevenueAmt
CY Total Revenue	$715,141,189	CYTotalRevenueAmt
PY Grants And Similar Paid	$190,508	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$257,274	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$317,817,216	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$350,371,783	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$372,940	CYTotalFundraisingExpenseAmt
PY Other Expenses	$316,530,575	PYOtherExpensesAmt
CY Other Expenses	$331,753,602	CYOtherExpensesAmt
PY Total Expenses	$634,538,299	PYTotalExpensesAmt
CY Total Expenses	$682,382,659	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,635,822	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,758,530	CYRevenuesLessExpensesAmt
Total Assets BOY	$682,022,817	TotalAssetsBOYAmt
Total Assets EOY	$747,640,583	TotalAssetsEOYAmt
Total Liabilities BOY	$486,519,165	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$489,555,277	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$195,503,652	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$258,085,306	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN AN EVOLVING, COMMUNITY BASED SYSTEM PROVIDING HIGH QUALITY HEALTHCARE PROGRAMS AND SERVICES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$604,356,344	ExpenseAmt
Grant	$257,274	GrantAmt
Revenue	$681,053,089	RevenueAmt
Desc	DURING FISCAL YEAR ENDING JUNE 30, 2018, ARH PROVIDED EACH OF THE COMMUNITIES IT SERVES IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES.ARH STRIVES NOT ONLY TO PROVIDE ITS COMMUNITIES EXCEPTIONAL MEDICAL CARE, BUT ALSO TO BUILD PUBLIC AWARENESS OF WARNING SIGNS AND TIPS FOR PREVENTION OF COMMON HEALTH CONDITIONS IN OUR AREA THROUGH FREE EDUCATIONAL SESSIONS. DURING MANY OF THESE EDUCATIONAL EVENTS, FREE HEALTH SCREENINGS ARE ALSO OFFERED TO FURTHER IMPROVE THE HEALTH OF THE RESIDENTS ARH SERVES. ARH STRONGLY PROMOTES THE IMPORTANCE OF PREVENTATIVE HEALTH SCREENINGS AND EACH YEAR ARH FACILITIES PROVIDE A NUMBER OF FREE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE CHECKS, BLOOD GLUCOSE, BODY MASS INDEX, PULSE, CHOLESTEROL AND STROKE-RISK SCREENINGS.TO ENCOURAGE WOMEN TO GET ANNUAL SCREENING MAMMOGRAMS, ARH ALSO OFFERS DISCOUNTED MAMMOGRAMS DURING OCTOBER'S BREAST CANCER AWARENESS MONTH WHICH COINCIDE WITH NUMEROUS AWARENESS EVENTS HELD THROUGHOUT THE MONTH. ARH HAS ALSO CONTINUED ITS WORK TO EDUCATE THE REGION'S YOUTH ABOUT THE IMPORTANCE OF PHYSICAL FITNESS TO GOOD HEALTH AND KEEPS OUR SENIORS HEALTHY THROUGH A SENIOR WELLNESS PROGRAM.BELOW IS A SUMMARY ABOUT SOME OTHER ACCOMPLISHMENTS ENCOUNTERED BY ARH DURING THE PAST FISCAL YEAR.ARH WAS AMONG 10 HEALTH CARE SYSTEMS ACROSS THE COMMONWEALTH OF KENTUCKY TO COLLECTIVELY FORM THE KENTUCKY HEALTH COLLABORATIVE, WHOSE PRIMARY OBJECTIVES ARE RAISING THE STANDARDS OF CARE ACROSS THE STATE, ADDRESSING THE COMMONWEALTH'S POOR HEALTH STATISTICS AND REDUCING THE COST OF CARE THROUGH GREATER OPERATIONAL EFFICIENCIES.ARH HOSPITALS THROUGHOUT EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA CONTINUED TO RESPOND TO THE NEEDS OF THEIR COMMUNITIES BY PUTTING INTO PLACE PLANS BASED ON INFORMATION COMPILED IN COMMUNITY NEEDS ASSESSMENT REPORTS. IN AN EFFORT TO MEASURE THE IMPACT OF CURRENT PUBLIC HEALTH EFFORTS, IDENTIFY RESPECTIVE HEALTH CONCERNS AND PRIORITIES, AND GUIDE THE APPROPRIATE USE OF LOCAL RESOURCES, ARH WITH THE ASSISTANCE OF THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) AT THE UNIVERSITY OF KENTUCKY COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EACH OF ITS HOSPITAL COMMUNITIES. THIS ASSESSMENT CONSISTED OF THE FORMATION OF A LOCAL STEERING COMMITTEE MADE UP OF MEMBERS FROM COMMUNITY ORGANIZATIONS AND BUSINESSES, DISTRIBUTION AND COMPLETION OF OVER 1,000 SURVEYS, AND COMPLETION OF SEVERAL COMMUNITY FOCUS GROUPS. THE RESULTS FROM ALL OF THESE DIFFERENT FORUMS WERE COMPILED, ANALYZED, AND PRIORITIES ESTABLISHED FOR THE NEXT THREE YEARS.THE INDEPENDENT HOSPITAL WATCHDOG, THE LEAPFROG GROUP, SHOWS HOW THE STRONG COMMITMENT TO PATIENT SAFETY HAS EARNED ARH HOSPITALS IN HARLAN, HAZARD AND WHITESBURG, KY, AND BECKLEY, WV, AN 'A' GRADE IN ITS ELITE NATIONAL RATINGS PROGRAM THAT RATES HOSPITALS ON ERRORS, INJURIES, ACCIDENTS, AND INFECTIONS. THE HOSPITAL SAFETY SCORE IS THE GOLD STANDARD RATING FOR PATIENT SAFETY, COMPILED UNDER THE GUIDANCE OF THE NATION'S LEADING PATIENT SAFETY EXPERTS AND ADMINISTERED BY THE LEAPFROG GROUP, A NATIONAL, INDEPENDENT NONPROFIT. THE FIRST AND ONLY HOSPITAL SAFETY RATING TO BE PEER-REVIEWED IN THE JOURNAL OF PATIENT SAFETY, THE HOSPITAL SAFETY SCORE IS FREE TO THE PUBLIC AND DESIGNED TO GIVE CONSUMERS INFORMATION THEY CAN USE TO PROTECT THEMSELVES AND THEIR FAMILIES WHEN FACING A HOSPITAL STAY.MCDOWELL ARH WAS NAMED ONE OF THE TOP 20 CRITICAL ACCESS HOSPITALS (CAHS) IN THE COUNTRY FOR ITS OVERALL QUALITY. THE TOP 20 CRITICAL ACCESS HOSPITALS "BEST PRACTICE RECIPIENTS-QUALITY" WHICH INCLUDED MCDOWELL ARH, SCORED BEST AMONG CRITICAL ACCESS HOSPITALS ON IVANTAGE HEALTH ANALYTICS' HOSPITAL STRENGTH INDEX FOR QUALITY. THE TOP 20 CRITICAL ACCESS HOSPITAL "WINNERS" ARE THOSE HOSPITALS WHO HAVE ACHIEVED SUCCESS IN THE OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM NINE INDICES OF STRENGTH: INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, POPULATION RISK, COST, CHARGE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES, AND FINANCIAL STABILITY.ARH CONTINUES TO WORK TO EXPAND HEALTHCARE SERVICES IN THE COMMUNITIES IT SERVES THROUGH THE ADDITION OF STATE-OF-THE-ART TECHNOLOGY AND ADVANCED MEDICAL SERVICES. A NUMBER OF ADVANCEMENTS OCCURRED DURING FY16, WHICH INCLUDE, BUT ARE NOT LIMITED TO:ARH EXPANDED THE LEVEL OF DIAGNOSTIC SERVICES TO WOMEN WITH THE OPENING OF THE STATE-OF-THE-ART ARH BREAST CENTER LOCATED AT THE ARH MEDICAL MALL IMAGING CENTER. THE CENTER PROVIDES PATIENTS A ONE-STOP SHOP FOR ALL THEIR BREAST HEALTH AND BREAST CANCER NEEDS. THE ARH BREAST CENTER OFFERS A FULL RANGE OF SERVICES, FROM ROUTINE MAMMOGRAMS, TO SECOND OPINIONS AND TREATMENT OPTIONS FOR BREAST CANCER. THE ARH BREAST CENTER CAN BRING ABOUT A MORE TIMELY AND EFFICIENT DIAGNOSIS AND TREATMENT OF BREAST CANCER BY BRINGING TOGETHER A TEAM OF SPECIALISTS INCLUDING ONCOLOGISTS, RADIOLOGISTS, SURGEONS, PATHOLOGISTS, GENETIC COUNSELORS, AND A NURSE NAVIGATOR. THE GOAL OF THE ARH BREAST CENTER IS TO OFFER THE MOST ADVANCED BREAST CANCER CARE IN ADDITION TO EMOTIONAL SUPPORT WHILE REDUCING THE DELAYS PATIENTS MAY EXPERIENCE IN THE COURSE OF DIAGNOSTIC MAMMOGRAM TO TREATMENT. A PATIENT CAN HAVE A MAMMOGRAM, ANY FOLLOW-UP IMAGING TEST, AND A BIOPSY IF NEEDED, ALL IN ONE DAY. WITH THE ADDITION OF THE BREAST TOMOSYNTHESIS (3D MAMMOGRAPHY) IMAGING EQUIPMENT, THE ARH BREAT CENTER HAS THE LATEST TECHNOLOGY IN THE REGION.HAZARD ARH REGIONAL MEDICAL CENTER OPENED A NEW OUTPATIENT WOUND CARE CENTER WITH THE GOAL TO MAKE A DIFFERENCE IN THE LIVES OF LOCAL PATIENTS. THE NEW OUTPATIENT CENTER OFFERS THE COMMUNITY A COMPREHENSIVE QUALITY APPROACH WITH THE HOSPITAL PROVIDING STATE-OF-THE ART CLINICAL SERVICES TO OUR FASTEST-GROWING MEDICAL DEMOGRAPHIC: PATIENTS WITH DIABETES AGED 60 YEARS AND OLDER. THE CENTER ALSO TREATS OTHER TYPES OF WOUNDS INCLUDING, BUT NOT LIMITED TO VENOUS ULCERS, TRAUMATIC INJURY AND COMPROMISED FLAPS/GRAFTS TO WOUNDS RESULTING FROM RADITATION THERAPY, WHILE MAINTAINING THE GOAL OF SUCCESSFUL HEALING AND REDUCING THE RISK OF AMPUTATION AND/OR DISABILITY. THE CENTER'S HYPERBANIC CHAMBER ALLOWS PATIENTS TO RECEIVE PURE OXYGEN TO SPEED UP THE HEALING OF THEIR WOUNDS, WHICH PROVIDES A MORE ADVANCED TREATMENT OPTION FOR THOSE WHO QUALIFY FOR THE PROCEDURE.WITH THE NEED FOR CANCER TREATMENT AND INFUSION THERAPY SERVICES INCREASING, ARH ALSO HAS LAUNCHED PLANS FOR ADDITIONAL INFUSION THERAPY SUITES AS WELL AS AN EXPANSION OF THE ARH CANCER CENTER IN HAZARD. THE EXPANSION WILL PROVIDE 8,000 ADDITIONAL SQUARE FEET WHICH WILL ACCOMMODATE MORE PATIENTS AND KEEP THEM CLOSE TO HOME FOR CANCER TREATMENTS.ADDITIONALLY, ARH CONTINUED TO PROVIDE THE RESIDENTS IT SERVES A WIDE-RANGE OF PRIMARY AND SPECIALTY CARE SERVICES THROUGH ITS NETWORK OF HEALTH FACILITIES AND PARTNERSHIPS WITH OTHER HEALTH SYSTEMS SUCH AS THE RENOWNED UK HEALTHCARE, VIRTUALLY ELIMINATING RESIDENTS' NEED TO LEAVE THE AREA FOR CARE.	Desc
Total Program Service Expenses	$604,356,344	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	334	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5853	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	17	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 (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEFFREY B HOLLON
TRUSTEE	3.00	Yes (X)	$0	$0	$0
THOMAS HYATT ESQ
TRUSTEE	5.00	Yes (X)	$0	$0	$0
GREG PAULEY
TRUSTEE	5.00	Yes (X)	$0	$0	$0
IDA ANDROWICH PHD RN
TRUSTEE	5.00	Yes (X)	$0	$0	$0
GREG COUCH
TRUSTEE	3.00	Yes (X)	$0	$0	$0
RAYMOND COX
TRUSTEE	3.00	Yes (X)	$0	$0	$0	3.00
RANDALL EVANS DVM
TRUSTEE	5.00	Yes (X)	$0	$0	$0
AHMED FAHEEM MD
TRUSTEE	3.00	Yes (X)	$0	$0	$0
J VICTOR FLANAGAN ESQ
TRUSTEE	3.00	Yes (X)	$0	$0	$0
JIM HART
TRUSTEE	3.00	Yes (X)	$0	$0	$0
MARIA HORTILLOSA MA
TRUSTEE	3.00	Yes (X)	$0	$0	$0
BROCK LITTERAL
TRUSTEE	3.00	Yes (X)	$0	$0	$0
LARRY MEADOR
TRUSTEE	3.00	Yes (X)	$0	$0	$0
MADONNA STURGILL
TRUSTEE	3.00	Yes (X)	$0	$0	$0
DUANNE THOMPSON
TRUSTEE	3.00	Yes (X)	$0	$0	$0
JULIE ROSE
TRUSTEE	3.00	Yes (X)	$0	$0	$0
ONZIE SIZEMORE
TRUSTEE	3.00	Yes (X)	$0	$0	$0
ANDREA MASSEY
TRUSTEE	3.00	Yes (X)	$0	$0	$0
JOSEPH L GROSSMAN
PRESIDENT/CEO	35.00		$773,920	$0	$75,212	5.00	Yes (X)
ELLEN WRIGHT
VP AND CHIEF NURSING OFFIC	40.00		$175,718	$0	$36,362		Yes (X)
DANNY M HARRIS
CFO/VP FISCAL SERVICES	35.00		$303,576	$0	$38,601	5.00	Yes (X)
HOLLIE P HARRIS
VP CORPORATE STRATEGY	40.00		$254,475	$0	$62,643		Yes (X)
PAUL V MILES
COO/VP OPERATIONS	40.00		$312,728	$0	$70,195		Yes (X)
MARIA BRAMAN
VP MEDICAL AFFAIRS & CMO	40.00		$326,539	$0	$26,520		Yes (X)
BOBBY RICK KING
CLO/VP LEGAL AFFAIRS	35.00		$290,238	$0	$58,924	5.00	Yes (X)
BUTT JAMEEL A
GENERAL SURGEON	40.00		$1,032,857	$0	$11,707			Yes (X)
ZOUHAIR KABBARA
FAMILY PHYSICIAN	40.00		$822,345	$0	$9,064			Yes (X)
JYOTIN CHANDARANA
FAMILY PHYSICIAN	40.00		$820,592	$0	$21,623			Yes (X)
JAMES H SHOPTAW
CARDIOVASCULAR SURGEON	40.00		$632,449	$0	$45,252			Yes (X)
JOSEPH B SLUSHER
RADIOLOGIST	40.00		$626,356	$0	$42,060			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,371,793	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$498,163	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	244	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
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA ST	OMAHA	NE	68154	CONTRACT NURSES	$22,907,280
MEDICAL INFORMATION TECHNOLOGY
PO BOX 74569	CHICAGO	IL	60696	IT CONSULTING	$7,578,232
TRIANGLE ANESTHESIA GROUP PSC
3320 TATES CREEK ROAD STE 100	LEXINGTON	KY	40502	PHYSICIAN SERVICES	$6,971,999
ROUNDTOWER TECHNOLOGIES
5905 E GALBRAITH RD 3RD FL	CINCINNATI	OH	45236	IT CONSULTING	$4,799,689
CONEXUS MEDSTAFF LLC
12141 WICKCHESTER LANE	HOUSTON	TX	77079	CONTRACT NURSES	$4,730,341

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	149	CntrctRcvdGreaterThan100KCnt
Government Grants	$227,896	GovernmentGrantsAmt
All Other Contributions	$167,759	AllOtherContributionsAmt
Total Contributions	$395,655	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES	621110	$672,377,119	$672,377,119
PHARMACY/LAB/LAUNDRY	812300	$12,567,855	$6,183,075	$6,384,780
RECORD TRANSCRIPT FEES	900099	$158,197	$158,197

Field	Value	IRS element (for citing)
Total Program Service Revenue	$685,103,171	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,508,802	TotalRevenueColumnAmt
Exclusion	$11,508,802	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,524,128	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	$1,524,128	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,524,128	TotalRevenueColumnAmt
Exclusion	$1,524,128	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,803,716	SecuritiesAmt
Other	$6,464	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$415,141	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,803,716	SecuritiesAmt
Other	-$408,677	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,395,039	TotalRevenueColumnAmt
Exclusion	$3,395,039	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME SALES	900099	$5,094,406	$3,884,044	$1,210,362
HAZARD COST TRANSFER	900099	$2,340,159		$2,340,159
CONTRACT ACCOUNTS	900099	$2,334,698			$2,334,698

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,445,131	TotalRevenueColumnAmt
Unrelated Business Revenue	$822,203	UnrelatedBusinessRevenueAmt
Exclusion	$2,622,928	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,214,394	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$715,141,189	TotalRevenueColumnAmt
Related Or Exempt Func Income	$681,053,089	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,091,027	UnrelatedBusinessRevenueAmt
Exclusion	$22,601,418	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$257,274	TotalAmt
Program Services	$257,274	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,437,194	TotalAmt
Management And General	$2,437,194	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$258,186,023	TotalAmt
Program Services	$236,421,092	ProgramServicesAmt
Management And General	$21,607,191	ManagementAndGeneralAmt
Fundraising	$157,740	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,685,780	TotalAmt
Program Services	$8,665,234	ProgramServicesAmt
Management And General	$1,014,011	ManagementAndGeneralAmt
Fundraising	$6,535	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$65,213,630	TotalAmt
Program Services	$58,345,003	ProgramServicesAmt
Management And General	$6,826,429	ManagementAndGeneralAmt
Fundraising	$42,198	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,849,156	TotalAmt
Program Services	$13,186,291	ProgramServicesAmt
Management And General	$1,653,573	ManagementAndGeneralAmt
Fundraising	$9,292	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,051,331	TotalAmt
Program Services	$120,355	ProgramServicesAmt
Management And General	$1,930,976	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$312,243	TotalAmt
Program Services	$18,320	ProgramServicesAmt
Management And General	$293,923	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$100,510	TotalAmt
Management And General	$100,510	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$67,691,731	TotalAmt
Program Services	$59,906,865	ProgramServicesAmt
Management And General	$7,784,866	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$955,249	TotalAmt
Program Services	$885,187	ProgramServicesAmt
Management And General	$63,363	ManagementAndGeneralAmt
Fundraising	$6,699	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,992,445	TotalAmt
Program Services	$3,045,241	ProgramServicesAmt
Management And General	$5,942,123	ManagementAndGeneralAmt
Fundraising	$5,081	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,903,916	TotalAmt
Program Services	$6,599,584	ProgramServicesAmt
Management And General	$304,087	ManagementAndGeneralAmt
Fundraising	$245	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,038,933	TotalAmt
Program Services	$10,770,785	ProgramServicesAmt
Management And General	$1,265,431	ManagementAndGeneralAmt
Fundraising	$2,717	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$653,233	TotalAmt
Program Services	$378,384	ProgramServicesAmt
Management And General	$274,789	ManagementAndGeneralAmt
Fundraising	$60	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$347,686	TotalAmt
Program Services	$192,267	ProgramServicesAmt
Management And General	$155,419	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,212,689	TotalAmt
Program Services	$1,248,073	ProgramServicesAmt
Management And General	$2,964,616	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,001,806	TotalAmt
Program Services	$17,871,705	ProgramServicesAmt
Management And General	$4,130,101	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,663,654	TotalAmt
Program Services	$10,470,832	ProgramServicesAmt
Management And General	$192,822	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$101,965,998	$101,965,998	$0	$0
BAD DEBT	$47,763,239	$47,688,933	$74,306
MISCELLANEOUS	$30,903,518	$23,030,672	$7,750,965	$121,881
TAXES & LICENSES	$9,762,987	$485,488	$9,257,007	$20,492

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,432,434	TotalAmt
Program Services	$2,802,761	ProgramServicesAmt
Management And General	$1,629,673	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$682,382,659	TotalAmt
Program Services	$604,356,344	ProgramServicesAmt
Management And General	$77,653,375	ManagementAndGeneralAmt
Fundraising	$372,940	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,598,990	BOYAmt
EOY	$8,093,254	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$54,431,638	BOYAmt
EOY	$48,009,619	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64,678,919	BOYAmt
EOY	$70,716,925	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,005,314	BOYAmt
EOY	$1,085,444	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,816,037	BOYAmt
EOY	$13,301,190	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,082,918	BOYAmt
EOY	$6,582,986	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$573,600,662	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$373,739,240	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$170,268,802	BOYAmt
EOY	$199,861,422	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$346,358,911	BOYAmt
EOY	$395,657,497	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$927,536	BOYAmt
EOY	$792,536	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	$3,953,752	BOYAmt
EOY	$2,639,710	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$682,022,817	BOYAmt
EOY	$747,640,583	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$66,356,196	BOYAmt
EOY	$98,051,398	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,321,460	BOYAmt
EOY	$3,333,710	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,501,469	BOYAmt
EOY	$123,690,429	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$35,477,029	BOYAmt
EOY	$2,901,408	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$279,863,011	BOYAmt
EOY	$261,578,332	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$486,519,165	BOYAmt
EOY	$489,555,277	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,505,116	BOYAmt
EOY	$258,086,770	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$1,464	BOYAmt
EOY	-$1,464	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,503,652	BOYAmt
EOY	$258,085,306	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$682,022,817	BOYAmt
EOY	$747,640,583	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$32,758,530	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,355,002	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$14,468,122	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

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	$100,510	RalliesDemonstrationsAmt
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$20,874	OtherActivitiesAmt
Total Lobbying Expenditures	$121,384	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	RETAINED A LOBBYIST FOR MAILING TO LEGISLATORS OR THE PUBLIC AND ALSO TO HAVE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, AND/OR A LEGISLATIVE BODY. THESE ARE DONE AT THE STATE LEVEL ONLY. ARH IS A MEMBER OF VARIOUS HOSPITAL ASSOCIATIONS. THE APPROPRIATE PERCENTAGE OF DUES PAID TO THE ORGANIZATIONS ALLOCABLE TO LOBBYING ACTIVITIES ARE ALSO INCLUDED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,415,775	OtherCostOrOtherBasisAmt
Book Value	$4,415,775	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$285,232,044	OtherCostOrOtherBasisAmt
Depreciation	$182,130,642	DepreciationAmt
Book Value	$103,101,402	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$201,394,297	OtherCostOrOtherBasisAmt
Depreciation	$160,120,347	DepreciationAmt
Book Value	$41,273,950	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,558,546	OtherCostOrOtherBasisAmt
Depreciation	$31,488,251	DepreciationAmt
Book Value	$51,070,295	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$199,861,422	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
MEDICARE & MEDICAID ESTIMATED SETTLEMENTS	$112,667,190
ACCRUED PENSION COST	$81,064,657
RESERVE FOR SELF-INSURANCE	$45,050,190
PHYSICIAN COMMITMENTS	$567,284
DUE TO PATIENTS	$18,296,234
BOND INTEREST PAYABLE	$1,316,934
CAPITAL LEASE OBLIGATIONS	$1,796,175
SERP PAYABLE	$819,668

Field	Value	IRS element (for citing)
Total Liability	$261,578,332	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	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	100.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	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	$14,172,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,575,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,597,657	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$193,870,480	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,981,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,888,555	NetCommunityBenefitExpnsAmt
Total Expense	0.10390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$208,043,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,556,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,486,212	NetCommunityBenefitExpnsAmt
Total Expense	0.10620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2703	ActivitiesOrProgramsCnt
Persons Served	51495	PersonsServedCnt
Total Community Benefit Expns	$410,173	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$480	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$409,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	614	ActivitiesOrProgramsCnt
Persons Served	739	PersonsServedCnt
Total Community Benefit Expns	$1,954,729	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,954,729	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	217	ActivitiesOrProgramsCnt
Persons Served	19718	PersonsServedCnt
Total Community Benefit Expns	$62,983	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3534	ActivitiesOrProgramsCnt
Persons Served	71952	PersonsServedCnt
Total Community Benefit Expns	$2,427,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$480	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,427,405	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3534	ActivitiesOrProgramsCnt
Persons Served	71952	PersonsServedCnt
Total Community Benefit Expns	$210,471,073	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,557,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,913,617	NetCommunityBenefitExpnsAmt
Total Expense	0.10980	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	189	PersonsServedCnt
Total Community Benefit Expns	$498	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$498	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	84	ActivitiesOrProgramsCnt
Persons Served	12246	PersonsServedCnt
Total Community Benefit Expns	$21,982	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$611	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$611	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	492	PersonsServedCnt
Total Community Benefit Expns	$1,873	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	3125	PersonsServedCnt
Total Community Benefit Expns	$2,539	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,539	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	3217	PersonsServedCnt
Total Community Benefit Expns	$13,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	131	PersonsServedCnt
Total Community Benefit Expns	$2,494	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	142	ActivitiesOrProgramsCnt
Persons Served	19450	PersonsServedCnt
Total Community Benefit Expns	$43,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,342	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$63,695,455	BadDebtExpenseAmt
Bad Debt Expense Attributable	$16,778,233	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$149,764,507	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$170,080,157	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,315,650	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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ARH REGIONAL MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CO-OWNERS COUNCI
CONDO OWNER	0.39600	0.60400
2 WHITESBURG PHYSICIAN OFFICE BUILDING LLC
CONDO OWNER	0.28130	0.71870

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	1500 TERRACE STREET	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	15	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	WWW.ARH.ORG/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	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
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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	WWW.ARH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ARH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ARH.ORG	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
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	0	CollectionActivitiesInd
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 2015-2016. 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. PREVENTIVE SERVICES AND EDUCATIONAL PROGRAMSTHE 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 AND MORE VARIETY OF LOCATIONS FOR THE EVENTS. WITH THESE RESULTS IN MIND, SOME COMMUNITIES ARE FOCUSING ON OFFERING MORE COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS WHILE OTHERS OFFERED MORE FOCUSED EVENTS BASED ON THEIR CHNA RESULTS TARGETING SPECIFIC DISEASES OR SEGMENTS OF THE COMMUNITY.ACCESS TO CAREAN ADDITIONAL AREA IDENTIFIED DURING THE MOST RECENT CHNA ACROSS THE SYSTEM WAS THE NEED TO INCREASE ACCESS TO CARE. RESPONDENTS WANTED INCREASED ACCESS THROUGH THE AVAILABILITY OF AFTER/EXTENDED HOURS SERVICES, ADDITIONAL SPECIALTY COVERAGE (ESPECIALLY ENT AND DERMATOLOGY), AND THROUGH THE POSSIBLE ADDITION OF TELEMEDICINE CAPABILITIES. SINCE RECEIVING THOSE CHNA RESULTS, MANY OF ARH'S FACILITIES HAVE ADDED SOME FORM OF AFTER-HOURS COVERAGE OR HAVE FURTHER PROMOTED AFTER HOURS SERVICES THAT HAD PREVIOUSLY BEEN UNDERUTILIZED. VARIOUS PHYSICIAN SPECIALTIES AND HOSPITAL SERVICES HAVE ALSO BEEN EVALUATED AND POSSIBLY ADDED ACROSS THE SYSTEM DUE TO THE IDENTIFIED NEED THROUGH THE CHNA PROCESS. TELEMEDICINE UNITS ARE ALSO BEING ADDED TO SOME OF ARH'S CLINIC LOCATIONS TO HOPEFULLY ENHANCE ACCESS TO NEEDED SPECIALTIES. COMMUNICATIONONE OTHER NEED THAT WAS ALSO APPARENT WITH THE MOST RECENT CHNA RESULTS WAS THE NEED TO IMPROVE SOME LEVEL OF COMMUNICATIONS. THIS NEED RANGED FROM ENSURING THAT THERE WAS 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. THESE VARIOUS IDENTIFIED COMMUNICATION ISSUES HAVE BEEN TACKLED INDIVIDUALLY BY EACH FACILITY AS NEEDED. ALL ARH FACILITIES NOW HAVE A SOCIAL MEDIA PRESENCE AND ARE TRYING TO UTILIZE THAT FORUM TO FURTHER PROMOTE ACTIVITIES AND EVENTS. FACILITIES ARE ALSO EXPLORING HOW TO ADD PATIENT NAVIGATION SERVICES/ADVOCATES TO ASSIST PATIENTS AS NEEDED.

Field	Value	IRS element (for citing)
Facility	89	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (89 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - BECKLEY ARH BEHAVIORAL SCIENCES CENTER
306 STANAFORD ROAD	BECKLEY	WV	25801	PSYCH
2 - HARLAN ARH HOSPITAL PSYCHIATRIC SERVICE
81 BALL PARK ROAD	HARLAN	KY	40831	PSYCH
3 - ARH PSYCHIATRIC CENTER-HAZARD
102 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PSYCH
4 - ARH HAZARD FAMILY HEALTH SERVICES
200 MEDICAL CENTER DRIVE	HAZARD	KY	417019466	CLINIC
5 - ARH HARLAN MEDICAL ASSOCIATES
37 BALL PARK ROAD	HARLAN	KY	408311701	RURAL HEALTH CLINIC
6 - ARH WHITESBURG SURGICAL CLINIC
214 HOSPITAL ROAD STE A	WHITESBURG	KY	418587627	CLINIC
7 - ARH TUG VALLEY MEDICAL ASSOCIATES
306 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	415034095	RURAL HEALTH CLINIC
8 - ARH MIDDLESBORO INTERNAL MEDICINE
3004 CUMBERLAND AVE SUITE 3	MIDDLESBORO	KY	409652343	CLINIC
9 - ARH WHITSBURG CLINIC
222 HOSPITAL ROAD	WHITESBURG	KY	418587627	RURAL HEALTH CLINIC
10 - HAZARD ARH REGIONAL MEDICAL CENTER CLINI
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PHARMACY
11 - HARLAN ARH OUTPATIENT PHARMACY
37 BALL PARK ROAD	HARLAN	KY	40831	PHARMACY
12 - HAZARD ARH HOME HEALTH AGENCY
100 AIRPORT GARDENS ROAD	HAZARD	KY	41701	HOME HEALTH
13 - ARH WOMEN'S AND FAMILY HEALTH CARE HARLA
37 BALL PARK ROAD SUITE 201	HARLAN	KY	408311701	PRIMARY CARE CLINIC
14 - ARH COMMUNITY PHARMACY
210 BLACK GOLD BLVD SUITE 104	HAZARD	KY	41701	PHARMACY
15 - ARH HAZARD HOMECARE STORE
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	HOME HEALTH CARE
16 - ARH WILLIAMSON HOMECARE STORE
306 HOSPITAL DRIVE SUITE 104A	SOUTH WILLIAMSON	KY	41503	HOME HEALTH CARE
17 - ARH MAN HOMECARE STORE
ROUTE 99 BUFFALO CREEK ROAD	KISTLER	WV	25628	HOME HEALTH CARE
18 - ARH HARLAN HOMECARE STORE
106 RAILROAD STREET SUITE 5	HARLAN	KY	40831	HOME HEALTH CARE
19 - ARH PRESCRIPTION DIVISION
306 HOSPITAL DRIVE SUITE 105	SOUTH WILLIAMSON	KY	41503	PHARMACY
20 - WHITESBURG ARH HOME HEALTH AGENCY
240 HOSPITAL ROAD	WHITESBURG	KY	41858	HOME HEALTH
21 - ARH MORGAN COUNTY CLINIC
476 LIBERTY ROAD	WEST LIBERTY	KY	414720579	RURAL HEALTH CLINIC
22 - BECKLEY ARH HOME HEALTH AGENCY
306 STANAFORD ROAD	BECKLEY	WV	25801	HOME HEALTH
23 - MORGAN COUNTY ARH HOME HEALTH AGENCY
493 MAIN STREET	WEST LIBERTY	KY	41472	HOME HEALTH
24 - ARH WOMEN'S AND FAMILY HEALTH CARE - TUG
26901 US HIGHWAY 119N	BELFRY	KY	415147520	PRIMARY CARE CLINIC
25 - ARH TRI-CITY MEDICAL CENTER
18880 NORTH US 119	CUMBERLAND	KY	408238106	RURAL HEALTH CLINIC
26 - BECKLEY ARH PHARMACY
250 STANAFORD ROAD	BECKLEY	WV	25801	PHARMACY
27 - MCDOWELL ARH HOME HEALTH AGENCY
8535 KY RT 122	MINNE	KY	41651	HOME HEALTH
28 - HARLAN ARH HOME HEALTH AGENCY
81 BALL PARK ROAD	HARLAN	KY	40831	HOME HEALTH
29 - ARH SUMMERS COUNTY RURAL HEALTH CLINIC
1500 TERRACE STREET	HINTON	WV	259510940	RURAL HEALTH CLINIC
30 - ARH REFERENCE LABORATORY
100 MEDICAL CENTER DRIVE	HAZARD	KY	41701	LAB
31 - ARH BECKLEY HOMECARE STORE
260 STANAFORD ROAD	BECKLEY	WV	25801	HOME HEALTH CARE
32 - MORGAN COUNTY ARH PHARMACY
476 LIBERTY ROAD	WEST LIBERTY	KY	41472	PHARMACY
33 - WILLIAMSON ARH HOME HEALTH AGENCY
160 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	HOME HEALTH
34 - PIKEVILLE BRANCH-ARH PIKE CO HOME HEALT
247 SOUTH MAYO TRAIL	PIKEVILLE	KY	41502	HOME HEALTH
35 - MAN ARH HOME HEALTH SUB-STATION
BUFFALO CREEK ROAD /ROUTE 99	KISTLER	WV	25628	HOME HEALTH
36 - ARH MCDOWELL PROFESSIONAL CLINIC
9879 KY RT 122	MCDOWELL	KY	416476042	RURAL HEALTH CLINIC
37 - ARH WEST LIBERTY HOMECARE STORE
520 PRESTONSBURG STREET	WEST LIBERTY	KY	41472	HOME HEALTH CARE
38 - WHITESBURG ARH PHARMACY
240 HOSPITAL ROAD	WHITESBURG	KY	41858	PHARMACY
39 - ARH MAYKING HOMECARE STORE
240 HOSPITAL ROAD	WHITESBURG	KY	41858	HOME HEALTH CARE
40 - ARH MCDOWELL HOMECARE STORE
8535 KY RT 122	MINNE	KY	41651	HOME HEALTH CARE
41 - ARH PIKEVILLE HOMECARE STORE
247 SOUTH MAYO TRAIL	PIKEVILLE	KY	41501	HOME HEALTH CARE
42 - MIDDLESBORO ARH PHARMACY
3600 WEST CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	PHARMACY
43 - ARH MARY BRECKINRIDGE HOME HEALTH SERVIC
166 KATE IRELAND DR	HYDEN	KY	41749	HOME HEALTH
44 - MIDDLESBORO ARH HOME HEALTH AGENCY
1916 CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	HOME HEALTH
45 - ARH MIDDLESBORO HOMECARE STORE
1916 CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	HOME HEALTH CARE
46 - ARH TRI-CITIES CLINIC PHARMACY
18880 NORTH US 119	CUMBERLAND	KY	40823	PHARMACY
47 - ARH HINTON HOMECARE STORE
1500 TERRACE STREET	HINTON	WV	25951	HOME HEALTH CARE
48 - ARH FAMILY CARE WAYLAND
2662 KING KELLY COLEMAN HWY	WAYLAND	KY	416669998	PRIMARY CARE CLINIC
49 - ARH FAMILY CARE - WHEELWRIGHT
30 KY RT 306	BYPRO	KY	416129706	PRIMARY CARE CLINIC
50 - JENKINS ARH FAMILY CARE
9480 HIGHWAY 805	JENKINS	KY	415378182	PRIMARY CARE CLINIC
51 - AH BARIATRIC CENTER
210 BLACK GOLD BOULEVARD SUITE 102	HAZARD	KY	417012620	CLINIC
52 - ARH SYSTEM CENTER-HAZARD
100 AIRPORT GARDENS ROAD	HAZARD	KY	41701	SUPPORT
53 - ARH SYSTEM CENTER-LEXINGTON
2285 EXECUTIVE DR SUITE 400	LEXINGTON	KY	40505	SUPPORT
54 - ARH SYSTEM CENTER-LEXINGTON JORDAN BUIL
1218 SOUTH BROADWAY	LEXINGTON	KY	40504	SUPPORT
55 - ARH SYSTEM CENTER-SOUTH WILLIAMSON
260 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	SUPPORT
56 - ARH REGIONAL DISTRIBUTION CENTER
26901 US HIGHWAY 119N	BELFRY	KY	41514	SUPPORT
57 - DME WAREHOUSE
26901 US HIGHWAY 119N	BELFRY	KY	41514	SUPPORT
58 - ARH SOUTHERN WEST VIRGINIA CLINIC
250 STANAFORD ROAD	BECKLEY	WV	258013140	CLINIC
59 - MIDDLESBORO ARH PHYSICIAN CLINIC
3600 WEST CUMBERLAND AVE	MIDDLESBORO	KY	409652614	CLINIC
60 - ARH WOMEN'S AND FAMILY HEALTH CARE - MID
3602 W CUMBERLAND AVE	MIDDLESBORO	KY	409652614	CLINIC
61 - ARH CARDIOLOGY & ASSOCIATES - HAZARD
200 MEDICAL CENTER DR STE 1J	HAZARD	KY	417019477	CLINIC
62 - HYDEN ARH CLINIC
130 KATE IRELAND DR	HYDEN	KY	417499071	CLINIC
63 - BEECH FORK ARH CLINIC
805 MIDDLE FORK RD	ASHER	KY	408030026	CLINIC
64 - BIG CREEK ARH CLINIC
17644 S HWY 421	BIG CREEK	KY	409149998	CLINIC
65 - BELL COUNTY ARH UROLOGY
2004 CUMBERLAND AVE STE 301	MIDDLESBORO	KY	409651385	CLINIC
66 - MIDDLESBORO PRIMARY CARE CENTER
3602 W CUMBERLAND AVE	MIDDLESBORO	KY	409652614	CLINIC
67 - ARH DERMATOLOGY
210 BLACK GOLD BLVD SUITE 211	HAZARD	KY	41701	CLINIC
68 - ARH CARDIOLOGY ASSOCIATES - BECKLEY
1256 N EISENHOWER DR	BECKLEY	WV	258013120	CLINIC
69 - BECKLEY ARH PRIMARY CARE
250 STANFORD ROAD STE 104	BECKLEY	WV	258013140	CLINIC
70 - BECKLEY ARH UROLOGY CLINIC
407 CARRIAGE DR	BECKLEY	WV	258012805	CLINIC
71 - ARH SPECIALTY ASSOCIATES - TUG VALLEY
306 HOSPITAL DR STE 100	SOUTH WILLIAMSON	KY	415034095	CLINIC
72 - ARH SPECIALTY ASSOCIATES - WHITESBURG
214 HOSPITAL DR STE B	WHITESBURG	KY	418587627	CLINIC
73 - ARH CARDIOLOGY ASSOCIATES - WHITESBURG
226 MEDICAL PLAZA LN STE C	WHITESBURG	KY	418587425	CLINIC
74 - ARH SPECIALTY ASSOCIATES - HARLAN
37 BALL PARK RD STE 200	HARLAN	KY	408311701	CLINIC
75 - ARH CARDIOLOGY ASSOCIATES - HARLAN
37 BALL PARK RD STE 100	HARLAN	KY	408311701	CLINIC
76 - ARH CARDIOLOGY ASSOCIATES - TUG VALLEY
306 HOSPITAL DR STE 203	SOUTH WILLIAMSON	KY	415034095	CLINIC
77 - ARH DERMATOLOGY MIDDLESBORO
2145 US HIGHWAY 25E	MIDDLESBORO	KY	409651874	CLINIC
78 - ARH OAK HILL PRIMARY CARE CENTER
223 MAPLE AVE	OAK HILL	WV	259013475	CLINIC
79 - ARH SHARE PRIMARY CARE CLINIC
101 S EISENHOWER DR	BECKLEY	WV	258014929	CLINIC
80 - ARH SPECIALTY ASSOCIATES - HAZARD
200 MEDICAL CENTER DR STE 2M	HAZARD	KY	417019422	CLINIC
81 - ARH PENNINGTON GAP CLINIC
121 STACY DR	PENNINGTON GAP	VA	242779998	CLINIC
82 - BECKLEY ARH MEDICAL MALL
1256 N EISENHOWER DR	BECKLEY	WV	258013120	CLINIC
83 - SUMMERS CO ARH FAMILY CARE CLINIC
197 PLEASANT ST	HINTON	WV	259512540	CLINIC
84 - ARH CARDIOLOGY ASSOCIATES MIDDLESBORO
3503 W CUMBERLAND AVE	MIDDLESBORO	KY	409652611	CLINIC
85 - MIDDLESBORO ARH HEMATOLOYONCOLOGY CLINI
3602 W CUMBERLAND AVE STE 104	MIDDLESBORO	KY	409652614	CLINIC
86 - MORGAN COUNTY ARH FAMILY HEALTH
1084 HWY 7 STE 2	WEST LIBERTY	KY	414727146	CLINIC
87 - HAZARD MEDICAL MALL
210 BLACK GOLD BLVD STE 102	HAZARD	KY	41701	MEDSPA
88 - ARH BECKLEY REJUVENATION CENTER
1256 N EISENHOWER DRIVE	BECKLEY	WV	25801	MEDSPA
89 - ARH MIDDLESBORO REJUVENATION CENTER
3503 W CUMBERLAND AVE	MIDDLESBORO	KY	40965	MEDSPA

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 370,000 RESIDENTS AND EMPLOYING NEARLY 5,000 PEOPLE ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA WITH HOSPITALS, CLINICS, HOME HEALTH AGENCIES, PHARMACIES AND HOME DURABLE MEDICAL EQUIPMENT STORES. IN FISCAL YEAR 2014, ARH'S 10 HOSPITALS RANGE IN SIZE FROM CRITICAL-ACCESS FACILITIES TO THE SYSTEM'S FLAGSHIP REGIONAL MEDICAL CENTER WITH 308-LICENSED BEDS IN HAZARD, KENTUCKY.WHILE PROVIDING THIS REGION WITH QUALITY HEALTHCARE, ARH REINVESTS ANY EARNINGS BACK INTO OPERATIONS TO FURTHER THE SYSTEMS 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 COMMUNITIES, 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 THAT ARE MAILED DIRECTLY TO RESIDENTS' HOMES.
PART III, LINE 2:	COSTING METHODOLOGY: TO DETERMINE THE BAD DEBT EXPENSE ON LINE 2, THE BADDEBT EXPENSE PER THE FINANCIAL STATEMENTS, WHICH CONSISTS OF GROSS CHARGESLESS DISCOUNTS, WAS CONVERTED TO COST USING THE GLOBAL COST-TO-CHARGERATIO DEVELOPED IN WORKSHEET 2. PATIENT DISCOUNTS ARE NOT REFLECTED INBAD DEBT. ANY PAYMENTS ON AN ACCOUNT AFTER IT IS WRITTEN OFF TO BAD DEBTRESULT IN A REVERSAL OF THE ENTIRE ACCOUNT OUT OF BAD DEBT, REINSTATEMENTOF THE PATIENT ACCOUNT RECEIVABLE, AND ANY NEGOTIATED DIFFERENCE IN THEFULL AMOUNT OF THE ACCOUNT AND THE PAYMENT MADE IS WRITTEN OFF TOCONTRACTUAL ALLOWANCE. PATIENTS WHO MAY QUALIFY FOR CHARITY CARE BUT DONOT APPLY CANNOT BE ESTIMATES. ALL PATIENTS ARE EDUCATED ABOUT AND GIVENEVERY OPPORTUNITY TO APPLY FOR CHARITY CARE AND, THEREFORE, ARH HAS NOINFORMATION FOR THOSE WHO CHOOSE NOT TO APPLY.
PART III, LINE 3:	EXPLANATION: MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THEALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ASSOCIATED WITH CREDIT RISK.THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING RECEIVABLES IS CRITICALTO ITS RESULTS OF OPERATIONS AND CASH FLOWS. TO PROVIDE FOR ACCOUNTSRECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE CORPORATIONESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYINGVALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THEPRIMARY UNCERTAINTY OF SUCH ALLOWANCES LIES WITH UNINSURED PATIENTRECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS OR OTHER AMOUNTS DUE FROMINDIVIDUAL PATIENTS.THE CORPORATION HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OFTHE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON A NUMBER OFANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NOSINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCEFOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THECORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASHCOLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION ANDAGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLE AREWRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITHTHE 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 MORE THAN $8 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 20,315,650(OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	THE PROVISIONS IN THE WRITTEN DEBT COLLECTION POLICY ARE THAT CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS ARE VALID FOR 6 MONTHS, AFTER THAT TIME, THE PATIENT MUST REAPPLY AND PRESENT CURRENT FINANCIAL DOCUMENTS AS NECESSARY.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CONDUCTED BY ARH EVERY THREE YEARS AND REPORTED ELSEWHERE IN THIS DOCUMENT, ARH ALSO CONTINUALLY ASSESSES COMMUNITY NEEDS IN OTHER FORMS AS WELL. THE NEEDS OF THE COMMUNITIES THAT 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 ALSO REGULARLY CONDUCTED TO ASSESS CONSUMER PERCEIVED NEEDS.LOCAL ADVISORY COUNCILS (LACS) ALSO EXIST IN EACH OF ARH'S HOSPITAL COMMUNITIES. THE COUNCILS ARE COMPRISED OF LOCAL CITIZENS WHO VOLUNTEER TO HELP ARH IMPROVE THE HEALTH OF ITS COMMUNITIES THROUGH REGULAR MEETINGS THAT DISCUSS COMMUNITY HEALTH ISSUES AND HELP ARH IDENTIFY AND ADDRESS THEM. MEMBERS ALSO ADVISE ARH ABOUT IMPROVEMENTS NEEDED AND COMMUNITY PERCEPTIONS OF ARH FACILITIES AND THESE INDIVIDUALS SERVE AS EXCELLENT AMBASSADORS FOR ARH AND ITS SERVICES. THESE INDIVIDUALS HAVE DEMONSTRATED THEIR LEADERSHIP IN LOCAL CIVIC AFFAIRS AND REFLECT A CROSS SECTION OF THE COMMUNITY. 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 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 COVERS 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 2018, ARH PROVIDED CLOSE TO $55 MILLION IN UNCOMPENSATED CARE AND DURING THAT SAME FISCAL YEAR APPROXIMATELY 70 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 350,000 RESIDENTS AND EMPLOYING NEARLY 5,000 PEOPLE ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA WITH HOSPITALS, CLINICS, HOME HEALTH AGENCIES, PHARMACIES AND HOME DURABLE MEDICAL EQUIPMENT STORES. IN FISCAL YEAR 2017, ARH'S 11 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 COMMUNITIES, 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 THAT ARE MAILED DIRECTLY TO RESIDENTS' HOMES.
PART VI, LINE 6:	DURING FISCAL YEAR 2017, ARH'S SERVICES WERE MAINLY ORGANIZED AROUND ITS 11 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 11 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 (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
1 EAST KENTUCKY CAMPAIGN COMMITTEE
1 BERT COMB DR	PRESTONSBURG	KY	41653	474557366	501(C)(3)	$25,000	SUPPORT ONGOING OPERATIONS
PERRY CO ECONOMIC DEVELOPMENT
PO BOX 1059	HAZARD	KY	41702	473338245	GOVT	$20,000	SUPPORT ONGOING OPERATIONS
ONE HARLAN COUNTY
81 BALL PARK RD	HARLAN	KY	40831	811027395	GOVT	$20,000	SUPPORT ONGOING OPERATIONS
ARH FOUNDATION
100 AIRPORT GARDENS RD	HAZARD	KY	41701	204840007	501(C)(3)	$8,000	SUPPORT ONGOING OPERATIONS
MARKEY CANCER FOUNDATION
800 ROSE ST CC 160	LEXINGTON	KY	40536	310944925	501(C)(3)	$5,000	SUPPORT ONGOING OPERATIONS
LESLIE COUNTY FISCAL COURT
PO BOX 619	HYDEN	KY	41749	610598566	GOVT	$10,000	SUPPORT ONGOING OPERATIONS
FLOYD COUNTY BOARD OF ED
106 N FRONT AVE	PRESTONSBURG	KY	41653	616001347	GOVT	$20,000	SCOREBOARD
PERRY CO FAIR BOARD
318 MORTON BLVD	HAZARD	KY	41701	473857010	501(C)(3)	$10,000	CHRISTMAS IN A SMALL TOWN
COWAN COMMUNITY ACTION
81 STRUGILL BR	WHITESBURG	KY	41858	611396831	501(C)(3)	$10,000	CHRISTMAS IN A SMALL TOWN
JENNY WILEY THEATRE
PO BOX 22	PRESTONSBURG	KY	41653	610667976	501(C)(3)	$10,000	SUPPORT ONGOING OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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
JOSEPH L GROSSMAN
PRESIDENT/CEO	$617,875	$0	$152,700	$0	$3,345	$0	$47,000	$0	$28,212	$0	$849,132	$0	$0	$0
ELLEN WRIGHT
VP AND CHIEF NURSING OFFIC	$147,832	$0	$27,886	$0	$0	$0	$16,739	$0	$19,623	$0	$212,080	$0	$0	$0
DANNY M HARRIS
CFO/VP FISCAL SERVICES	$256,240	$0	$47,336	$0	$0	$0	$18,116	$0	$20,485	$0	$342,177	$0	$0	$0
HOLLIE P HARRIS
VP CORPORATE STRATEGY	$214,549	$0	$39,926	$0	$0	$0	$33,151	$0	$29,492	$0	$317,118	$0	$0	$0
PAUL V MILES
COO/VP OPERATIONS	$263,790	$0	$48,938	$0	$0	$0	$41,983	$0	$28,212	$0	$382,923	$0	$0	$0
MARIA BRAMAN
VP MEDICAL AFFAIRS & CMO	$275,499	$0	$51,040	$0	$0	$0	$0	$0	$26,520	$0	$353,059	$0	$0	$0
BOBBY RICK KING
CLO/VP LEGAL AFFAIRS	$244,980	$0	$45,258	$0	$0	$0	$41,320	$0	$17,604	$0	$349,162	$0	$0	$0
BUTT JAMEEL A
GENERAL SURGEON	$1,032,857	$0	$0	$0	$0	$0	$0	$0	$11,707	$0	$1,044,564	$0	$0	$0
ZOUHAIR KABBARA
FAMILY PHYSICIAN	$822,345	$0	$0	$0	$0	$0	$0	$0	$9,064	$0	$831,409	$0	$0	$0
JYOTIN CHANDARANA
FAMILY PHYSICIAN	$820,592	$0	$0	$0	$0	$0	$4,019	$0	$17,604	$0	$842,215	$0	$0	$0
JAMES H SHOPTAW
CARDIOVASCULAR SURGEON	$632,449	$0	$0	$0	$0	$0	$18,000	$0	$27,252	$0	$677,701	$0	$0	$0
JOSEPH B SLUSHER
RADIOLOGIST	$626,356	$0	$0	$0	$0	$0	$14,808	$0	$27,252	$0	$668,416	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE RELATED ORGANIZATION, ARH, PROVIDES SENIOR EXECUTIVES A CONTRIBUTION OF SEVEN (7) PERCENT OF PAY (SUBJECT TO DOLLAR CAP) INTO THE TOP HAT 457(B) RETIREMENT PLAN, IF THE EXECUTIVE SIGNS A NON-COMPETE AGREEMENT. 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 $18,000 IN 2015. 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 7% OF PAY EXCEEDS THE REGULAR DOLLAR CAP, ARH MAY USE THE BALANCE OF THE 7% 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. TO RECEIVE THE ARH CREDIT TO THE 457(B) PLAN, THE EXECUTIVE MUST SIGN A NON-COMPETE, CONFIDENTIALITY, ETC. AGREEMENT RESTRICTING WORK FOR A COMPETING ORGANIZATION FOR TWO (2) YEARS POST TERMINATION. IF THE FUNDING OF THE 457(B), INCLUDING ANY CATCH UP PROVISIONS, IS LESS THAN 7% 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: JOE GROSSMAN $18,000.

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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF HAZARD KY
A	616001839	2012-12-19	$40,000,000	REFUNDING CURRENT BONDS	0	0	0
CITY OF WHITESBURG
B		2014-11-20	$10,000,000	HEALTHCARE REVENUE BOND	0	0	0
CITY OF HAZARD KY
C	616001839	2015-12-20	$9,750,000	HEALTHCARE REVENUE BOND	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$40,000,000	$3,642,668	$735,189	$35,622,143	2013	Yes (1)	Yes (1)	Yes (1)
B	$10,000,000					0	Yes (1)	Yes (1)	$10,000,000
C	$9,750,000					0	Yes (1)	Yes (1)	$9,750,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)
B	0	0	0	Yes (1)
C	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

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	$198,024	TransactionAmt
Transaction	INVESTMENT COMPANY THAT MANAGES ARH RETIREMENT PORTFOLIO	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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 XI, LINE 9:	MINIMUM PENSION LIABILITY ADJUSTMENT 14,468,122.
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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	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	$12,049,314	APPALACHIAN REGIONAL HEALTHCARE INC
ARH REAL ESTATE LLC
101 AIRPORT GARDENS ROAD	HAZARD	KY	41701		REAL ESTATE HOLDING	KY		APPALACHIAN REGIONAL HEALTHCARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
2285 EXECUTIVE DRIVE	LEXINGTON	KY	40505	452696517	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WHITESBURG PHYSICIAN OFFICE BLDG LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2285 EXECUTIVE DRIVE SUITE 400	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40505	ZIPCd

Field	Value	IRS element (for citing)
EIN	753022080	EIN
Primary Activities	PHYSICIAN OFFICE BUILDING	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$55,621	ShareOfTotalIncomeAmt
Share Of EOY Assets	$513,969	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.28130	OwnershipPct

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	2285 EXECUTIVE DRIVE SUITE 400	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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ARH FOUNDATION FOR HEALTHIER COMMUNITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt
Involved	$356,311	InvolvedAmt
Method Of Amount Determination	ALLOCATED COSTS	MethodOfAmountDeterminationTxt