APPALACHIAN REGIONAL HEALTHCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: APPALACHIAN REGIONAL HEALTHCARE INC (EIN 52-0795508)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201201359349302930
Schema version: 2010v3.4
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T14:37:56-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEAN DORTON ALLEN FORD PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	106 W VINE STREET SUITE 600	AddressLine1
City	LEXINGTON	City
State	KY	State
ZIP Code	40507	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520795508	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	APPALACHIAN REGIONAL HEALTHCARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	APPA	NameControl
Phone	8592262440	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2285 EXECUTIVE DRIVE NO 400	AddressLine1
City	LEXINGTON	City
State	KY	State
ZIP Code	40505	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOSEPH GROSSMAN	Name
Title	CFO/VP FISCAL AFFAIRS	Title
Phone	8592262440	Phone
Date Signed	2012-05-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LEIGH MCKEE	Name
Phone	8592552341	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JERRY HAYNES	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2285 EXECUTIVE DRIVE NO 400	AddressLine1
City	LEXINGTON	City
State	KY	State
ZIP Code	40505	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	580416436	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ARH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1956	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	4876	TotalNbrEmployees
Total Nbr Volunteers	230	TotalNbrVolunteers
Total Gross UBI	11246838	TotalGrossUBI
Net Unrelated Business Txbl Income	825116	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1049317	ContributionsGrantsPriorYear
Contributions Grants Current Year	579774	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	545430866	ProgramServiceRevenuePriorYear
Program Service Revenue CY	552116325	ProgramServiceRevenueCY
Investment Income Prior Year	3716893	InvestmentIncomePriorYear
Investment Income Current Year	2894979	InvestmentIncomeCurrentYear
Other Revenue Prior Year	16757854	OtherRevenuePriorYear
Other Revenue Current Year	24124989	OtherRevenueCurrentYear
Total Revenue Prior Year	566954930	TotalRevenuePriorYear
Total Revenue Current Year	579716067	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	282192194	SalariesEtcPriorYear
Salaries Etc Current Year	282996380	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	290860	TotalFundrsngExpCurrentYear
Other Expense Prior Year	273512451	OtherExpensePriorYear
Other Expenses Current Year	281053303	OtherExpensesCurrentYear
Total Expenses Prior Year	555704645	TotalExpensesPriorYear
Total Expenses Current Year	564049683	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11250285	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15666384	RevenuesLessExpensesCY
Total Assets BOY	374684749	TotalAssetsBOY
Total Assets EOY	407052802	TotalAssetsEOY
Total Liabilities BOY	365423566	TotalLiabilitiesBOY
Total Liabilities EOY	353344697	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	9261183	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	53708105	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	504903878	Expense
Revenue	557932577	Revenue
Description	HISTORY:APPALACHIAN REGIONAL HEALTHCARE (ARH) IS A NOT-FOR-PROFIT HEALTH SYSTEM OPERATING NINE HOSPITALS, PHYSICIAN PRACTICES, HOME HEALTH AGENCIES, HOMECARE STORES AND RETAIL PHARMACIES IN HARLAN, HAZARD, MCDOWELL, MIDDLESBORO, MORGAN COUNTY, WHITESBURG AND SOUTH WILLIAMSON, KY. AND BECKLEY AND SUMMERS COUNTY, W.VA. THE SYSTEM SERVES MORE THAN 16 COUNTIES AND MORE THAN 350,000 RESIDENTS IN THE TWO STATES. ARH IS BOTH THE LARGEST PROVIDER OF CARE AND ONE OF THE LARGEST PRIVATE EMPLOYERS IN SOUTHEASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA.FOR THE PAST 50 YEARS, ARH HAS ADDRESSED THE VARIED HEALTHCARE NEEDS OF THE RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA BY STANDING FIRM TO ITS MISSION TO IMPROVE THE HEALTH AND PROMOTE THE WELL BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH ITS COMMUNITIES.THE UMWA'S FIRST MINERS MEMORIAL HOSPITAL ASSOCIATION (MMHA) HOSPITAL OPENED IN MIDDLESBORO, KENTUCKY ON NOVEMBER 12, 1955 - THE SYSTEM'S OTHER HOSPITALS WERE LOCATED IN HARLAN, HAZARD, MCDOWELL, WHITESBURG, PIKEVILLE AND SOUTH WILLIAMSON, KENTUCKY; BECKLEY AND MAN, WEST VIRGINIA; AND WISE, VIRGINIA. THE UMWA AND THOUSANDS OF CITIZENS IN THE COAL COMMUNITIES OFFICIALLY DEDICATED THE MMHA FACILITIES ON JUNE 2, 1956 IN BECKLEY, WEST VIRGINIA. THIS UNIQUE HOSPITAL SYSTEM WAS A HUGE SUCCESS WITH MINERS AND THEIR FAMILIES AND HAS SERVED AS A MODEL FOR SIMILAR HEALTHCARE ORGANIZATIONS. IN 1962, THE MMHA ANNOUNCED ITS INTENTION TO CLOSE FOUR HOSPITALS IN KENTUCKY IN ORDER TO SAVE THE SYSTEM. THE REVEREND SAMUEL MCMASTER KERR, THEN-PASTOR OF THE FIRST PRESBYTERIAN CHURCH IN HARLAN, REALIZED THE CONSEQUENCES OF MMHA'S DECISION. HE ASKED THE BOARD OF NATIONAL MISSIONS OF THE UNITED PRESBYTERIAN CHURCH TO INVESTIGATE. IN THE MEANTIME, THE UMWA DECIDED IT WOULD HAVE TO SELL ALL OF ITS FACILITIES. CHURCH LEADERS COMMITTED THEMSELVES TO FINDING A SOLUTION.ON JUNE 28, 1963, THE BOARD OF NATIONAL MISSIONS FORMED A NEW AND INDEPENDENT NOT-FOR-PROFIT CORPORATION -- APPALACHIAN REGIONAL HOSPITALS (ARH). ARH PURCHASED THE FIRST HOSPITALS WITH A $3.9 MILLION GRANT FROM THE AREA REDEVELOPMENT ADMINISTRATION, ESTABLISHED BY PRESIDENT JOHN F. KENNEDY. GOVERNOR BERT T. COMBS CALLED A SPECIAL SESSION OF THE KENTUCKY LEGISLATURE TO APPROVE $700,000 TO SUPPORT INDIGENT CARE DURING ARH'S FIRST YEAR.ARH CONTINUES TO SERVE SOME OF THE MOST ECONOMICALLY DEPRESSED REGIONS IN THE NATION THAT HAVE SOME OF THE COUNTRY'S HIGHEST RATES FOR HEART DISEASE, LUNG CANCER AND DIABETES. MANY HEALTH ANALYSTS TRACE THESE CONDITIONS TO THE HARSH REALITY THAT THESE FINANCIAL STRUGGLES OFTEN OVERSHADOW CONCERNS ABOUT HEALTH RISK FACTORS OR PREVENTIVE CARE. THEREFORE, IT IS NO COINCIDENCE THAT RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA STATISTICALLY DIE YOUNGER OF EASILY PREVENTABLE DISEASE. MOST OF ARH'S FACILITIES ARE LOCATED IN AREAS THAT ARE AT LEAST PARTIALLY CLASSIFIED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS.A BOARD OF TRUSTEES PROVIDES GOVERNANCE TO THE ARH SYSTEM. THIS DYNAMIC GROUP OF MEN AND WOMEN WORK WITHOUT COMPENSATION TO BENEFIT THE SYSTEM AND THE PEOPLE IT SERVES. AMONG THEM ARE REPRESENTATIVES FROM THE AREA SERVED BY ARH, AS WELL AS OTHERS WITH AN INTEREST IN THE ARH SERVICE AREA.THIS BOARD IS COMPOSED OF A MAXIMUM OF 21 PEOPLE, INCLUDING TWO EX-OFFICIO MEMBERS. THESE EX-OFFICIO MEMBERS INCLUDE A REPRESENTATIVE FROM THE MEDICAL STAFF LEADERSHIP COUNCIL AND A REPRESENTATIVE OF THE REGIONAL ADVISORY COUNCIL.DURING FISCAL YEAR ENDING JUNE 30, 2011, ARH PROVIDED EACH OF THE COMMUNITIES IT SERVES IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES.ARH OPERATES IN AN AREA WITH SOME OF THE LARGEST UNINSURED AND UNDERINSURED RATES AND PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ARH PROVIDED $133 MILLION IN UNCOMPENSATED CARE THROUGHOUT ITS SYSTEM. ARH PROVIDES ASSISTANCE IN THE FORM OF CHARITY CARE FOR THOSE WHO QUALIFY FOR REDUCED PAYMENTS THROUGH A SLIDING FEE SCHEDULE, INTEREST-FREE TIME PAYMENTS AND MEDICAL ASSISTANCE LOANS. ARH ALSO REGULARLY WORKS WITH UNINSURED AND UNDERINSURED PATIENTS TO HELP THEM QUALIFY FOR FINANCIAL ASSISTANCE, FREE OR DISCOUNTED MEDICATION, AND REFERRALS TO PHYSICIANS WHO PROVIDE PREVENTIVE CARE AT NO CHARGE. ARH ALSO OFFERS OUTREACH PROGRAMS TO IDENTIFY AND TREAT UNINSURED PATIENTS WITH CHRONIC DISEASES AND HELPS THEM MANAGE THEIR CONDITIONS MORE EFFECTIVELY ON THEIR OWN.TO FURTHER IMPROVE THE HEALTH OF THE RESIDENTS IT SERVES, ESPECIALLY THOSE WITHOUT HEALTH INSURANCE, ARH STRONGLY PROMOTES THE IMPORTANCE OF PREVENTATIVE HEALTH SCREENINGS. THROUGHOUT THE YEAR, EACH FACILITY PROVIDED FREE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE CHECKS, BLOOD GLUCOSE, BODY MASS INDEX, PULSE AND CHOLESTEROL SCREENINGS. THE HEALTH SYSTEM ALSO IS WORKING TO EDUCATE THE REGION'S YOUTH ABOUT THE IMPORTANCE OF PHYSICAL FITNESS TO GOOD HEALTH BY HOSTING FITNESS FAIRS AT ELEMENTARY SCHOOLS AND KEEPS OUR SENIORS HEALTHY THROUGH A SENIOR WELLNESS PROGRAM. DURING FY 11, ARH ALSO BEGAN NEW HEALTH EDUCATION INITIATIVES TO BRING AWARENESS TO HEALTH ISSUES SUCH AS HEART DISEASE AS WELL AS ISSUES IMPORTANT TO WOMEN THROUGH A WOMEN'S HEALTH SERIES WHICH FEATURED TOPICS SUCH AS STRESS, BREAST DISEASE, PREGNANCY AND PRENATAL CARE, AND DIABETES.IN RECOGNITION OF ITS EFFORTS IN IMPROVING ACCESS TO HEALTH SERVICES AND INFORMATION FOR PEOPLE IN RURAL AREAS, THE FULL-RANGE OF SERVICES OFFERED BY THE ARH SYSTEM WERE RECOGNIZED FOR THE SIXTH TIME IN THE PAST SEVEN YEARS AS BEING AMONG THE BEST IN THE NATION BY SDI HEALTH LLC, A NATIONALLY RECOGINZED HEALTHCARE DATA AND CONSULTING FIRM. REGARDED AS THE NATION'S PREMIER RATING SYSTEM, SDI'S ANNUAL REPORT EVALUATES IHNS ON THEIR PERFORMANCE AND DEGREE OF INTEGRATION. THE DESIGNATION RECOGNIZES THE 100 MOST INTEGRATED NETWORKS OUT OF HUNDREDS OF HEALTH SYSTEMS GRADED ANNUALLY ON THE NETWORK'S ABILITY TO OPERATE AS A UNIFIED ORGANIZATION IN EIGHT CATEGORIES: INTEGRATION, INTEGRATED TECHNOLOGY, CONTRACTUAL CAPABILITIES, OUTPATIENT UTILIZATION, FINANCIAL STABILITY, SERVICES AND ACCESS, HOSPITAL UTILIZATION, AND PHYSICIANS.ADDITIONALLLY, HARLAN ARH HOSPITAL WAS NAMED ONE OF THE NATION'S 100 TOP HOSPITALS BY THOMSON REUTERS, A LEADING PROVIDER OF INFORMATION AND SOLUTIONS TO IMPROVE THE COST AND QUALITY OF HEALTHCARE. THIS IS THE THIRD TIME HARLAN ARH HAS BEEN RECOGNIZED WITH THIS HONOR. AS A TOP 100 HOSPITAL, HARLAN ARH IS RECOGNIZED AS ONE OF THE BEST IN THE NATION PROVIDING CARE THAT IS EFFECTIVE, SAFE AND PATIENT-CENTERED.ARH'S HOSPITAL IN MCDOWELL, KY, AND SUMMERS COUNTY, WV ALSO RECEIVED MULTIPLE ACCOLADES DURING THE YEAR INCLUDING AN EXCELLENCE THROUGH INSIGHT AWARD PRESENTED TO MCDOWELL ARH FOR OVERALL SATISFACTION IN THEIR OUTPATIENT LAB UNIT BY HEALTHSTREAM, AND A HEALTHSTREAM EXCELLANCE THROUGH INSIGHT AWARD TO SUMMERS COUNTY ARH FOR OVERALL INPATIENT SATISFACTION. THE AWARDS RECOGNIZE HOSPITALS THAT EXCEL IN THEIR ABILITY TO GAIN INSIGHT INTO THEIR PATIENTS, EMPLOYEES, PHYSICIANS, AND COMMUNITY THROUGH RESEARCH AND TO USE THAT INFORMATION TO BUILD EXCELLENCE WITHIN THEIR ORGANIZATION.	Description
Total Program Service Expense	504903878	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	177	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4876	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	8592262440	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2285 EXECUTIVE DRIVE SUITE 400	AddressLine1
City	LEXINGTON	City
State	KY	State
ZIP Code	40505	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
CRAIG LENZ
TRUSTEE	3.00	X	0	0	0
LEON HOLLON
VICE CHAIRMAN	5.00	X	0	0	0
RUSSELL BENTLEY
CHAIRMAN	5.00	X	0	0	0
KATHLEEN DALTON
TRUSTEE	3.00	X	0	0	0
DEBORAH HARRIS
TRUSTEE	3.00	X	0	0	0
IDA ANDROWICH
TRUSTEE	3.00	X	0	0	0
WILLIAM MAY
TRUSTEE	3.00	X	0	0	0
WAYNE MYERS MD
TRUSTEE	3.00	X	0	0	0
MADONNA STURGILL
TRUSTEE	3.00	X	0	0	0
EMMETT PUGH III
SECRETARY/TREASURER	5.00	X	0	0	0
CAROLYN SUNDY
TRUSTEE	3.00	X	0	0	0
BROCK LITTERAL
TRUSTEE	3.00	X	0	0	0
RAYMOND COX
TRUSTEE	3.00	X	0	0	0
AHMED FAHEEM
TRUSTEE	3.00	X	1548	0	0
MARIA HORTILLOSA
TRUSTEE	3.00	X	0	0	0
THOMAS HYATT
TRUSTEE	3.00	X	0	0	0
DEBBIE REYNOLDS
TRUSTEE	3.00	X	0	0	0
CARL LAWSON
TRUSTEE	3.00	X	0	0	0
JEFF HOLLON
TRUSTEE	3.00	X	0	0	0
GREG PAULEY
TRUSTEE	3.00	X	0	0	0
LARRY MEADOR
TRUSTEE	3.00	X	0	0	0
JERRY HAYNES
PRESIDENT/CEO	40.00		641038	0	71022	X
JOSEPH GROSSMAN
CFO/VP FISCAL SERVICES	40.00		360327	0	57648	X
HOLLIE P HARRIS
VP CORPORATE STRATEGY	40.00		216397	0	55250	X
JOHN D MILLER
CMO/VP MEDICAL SERVICES	40.00		305336	0	38419	X
PAUL MILES
COO/VP OPERATIONS	40.00		288390	0	58436	X
BOBBY RICK KING
CLO/VP LEGAL AFFAIRS	40.00		259793	0	54598	X
JOSE M ECHEVERRIA
GENERAL INTERNIST	40.00		514621	0	29558		X
JAMEEL A BUTT
GENERAL SURGEON	40.00		710035	0	34538		X
JAMEL BAZZI
ORTHOPEDIC SURGEON	40.00		410649	0	19807		X
NATHAN E DOCTRY
ORTHOPEDIC SURGEON	40.00		404671	0	7708		X
RAYMOND ELSOUEIDI
ONCOLOGIST	40.00		393073	0	24245		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4505878	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	451229	TotalOtherCompensation
Number Individuals GT100 K	173	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TRIANGLE ANESTHESIA GROUP PSC
3300 TATES CREEK ROAD SUITE 100	LEXINGTON	KY	40502	PHSICIAN SERVICES	6550000
DENHAM-BLYTHE COMPANY INC
100 TRADE STREET 2	LEXINGTON	KY	40511	ARCHITECTS	5985889
MCKESSON INFORMATION SOLUTIONS
PO BOX 9837	CHICAGO	IL	60693	IT CONSULTING	4307670
ESI BUSINESS SOLUTIONS
4144 N CENTRAL EXPRESSWAY SUITE 2	DALLAS	TX	75204	REVENUE CYCLED CONSULTING	2580268
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	55480	REFERENCE LABORATORY	2440787

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	52	NumberOfContractorsGT100K
Government Grants	361331	GovernmentGrants
All Other Contributions	218443	AllOtherContributions
Total Contributions	579774	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT SERVICE REVENU	621110	542735711	542735711
PHARMACY/LAB/LAUNDRY	812300	9200700		5387888	$3,812,812
RECORD TRANSCRIPT FEES	900099	179914			$179,914

Field	Value	IRS element (for citing)
Total Program Service Revenue	552116325	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3458290	TotalRevenueColumn
Exclusion	$3,458,290	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1173506	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	87645	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1085861	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1085861	TotalRevenueColumn
Exclusion	$1,085,861	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	25876	Securities
Other	23537	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	612724	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	25876	Securities
Other	-589187	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-563311	TotalRevenueColumn
Exclusion	-$563,311	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MISCELLANEOUS REVENUE	900099	15196866	15196866
HOME STORES REVENUE	446199	5809499		5809499
CAFETERIA REVENUE	722100	1046875			$1,046,875

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	985888	TotalRevenueColumn
Unrelated Business Revenue	49451	UnrelatedBusinessRevenue
Exclusion	$936,437	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	23039128	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	579716067	TotalRevenueColumn
Related Or Exempt Function Income	557932577	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11246838	UnrelatedBusinessRevenue
Exclusion	$9,956,878	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2158181	Total
Management And General	2158181	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	197038338	Total
Program Services	180220061	ProgramServices
Management And General	16694106	ManagementAndGeneral
Fundraising	124171	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17210753	Total
Program Services	13650730	ProgramServices
Management And General	3549728	ManagementAndGeneral
Fundraising	10295	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	52632621	Total
Program Services	46815907	ProgramServices
Management And General	5782855	ManagementAndGeneral
Fundraising	33859	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13956487	Total
Program Services	12574371	ProgramServices
Management And General	1373255	ManagementAndGeneral
Fundraising	8861	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1887326	Total
Program Services	443464	ProgramServices
Management And General	1443862	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	617773	Total
Management And General	617773	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	17747211	Total
Program Services	17747211	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	908160	Total
Program Services	158237	ProgramServices
Management And General	749923	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3365673	Total
Program Services	2342702	ProgramServices
Management And General	1021882	ManagementAndGeneral
Fundraising	1089	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10414342	Total
Program Services	8915708	ProgramServices
Management And General	1496814	ManagementAndGeneral
Fundraising	1820	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1256830	Total
Program Services	935617	ProgramServices
Management And General	321066	ManagementAndGeneral
Fundraising	147	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	238298	Total
Program Services	164456	ProgramServices
Management And General	73842	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5785577	Total
Program Services	4730474	ProgramServices
Management And General	1055103	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22523041	Total
Program Services	17980358	ProgramServices
Management And General	4542683	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7773017	Total
Program Services	7695653	ProgramServices
Management And General	77364	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
UBI TAX	146774	146774
SUPPLIES	78542024	2432484	76106716	2824
BAD DEBT	65944147	120848	65823299
OUTSIDE SERVICES	24397237	2574802	21822435
EQUIPMENT RENTAL & MAIN	13046990	4082027	8964574	389

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	26458883	Total
Program Services	17811905	ProgramServices
Management And General	8539573	ManagementAndGeneral
Fundraising	107405	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	564049683	Total
Program Services	504903878	ProgramServices
Management And General	58854945	ManagementAndGeneral
Fundraising	290860	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	33309622	BOY
EOY	47990030	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	24541645	BOY
EOY	23832916	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	75020707	BOY
EOY	67954292	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	5868810	BOY
EOY	3809792	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8395072	BOY
EOY	10639554	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2717789	BOY
EOY	3243271	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	449352339	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	305092819	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	149767636	BOY
EOY	144259520	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	67908455	BOY
EOY	98896351	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	711158	BOY
EOY	945437	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6443855	BOY
EOY	5481639	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	374684749	BOY
EOY	407052802	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	62913778	BOY
EOY	79911356	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	17217822	BOY
EOY	16945316	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	74953835	BOY
EOY	70791425	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	15447992	BOY
EOY	13169183	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	194890139	BOY
EOY	172527417	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	365423566	BOY
EOY	353344697	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9261183	BOY
EOY	53708105	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9261183	BOY
EOY	53708105	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	374684749	BOY
EOY	407052802	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15666384	ReconcilationRevenueExpenses
Reconcilation Other Changes	28780538	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$69,162	OtherActivitiesAmount
Total Lobbying Expenditures IIB	69162	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
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 APPRORIATE PERCENTAGE OF DUES PAID TO THE ORGANIZATIONS ALLOCABLE TO LOBBYING ACTIVITIES ARE ALSO INCLUDED.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6465344	OtherCostOrOtherBasis
Book Value	6465344	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	214517801	OtherCostOrOtherBasis
Depreciation	123121085	Depreciation
Book Value	91396716	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	197728230	OtherCostOrOtherBasis
Depreciation	165019628	Depreciation
Book Value	32708602	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30640964	OtherCostOrOtherBasis
Depreciation	16952106	Depreciation
Book Value	13688858	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	144259520	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
MEDICARE & MEDICAID ESTIMATED SETTLEMENTS	$29,258,888
OTHER LIABILITIES	$12,263,604
ACCRUED PENSION COST	$78,150,258
RESERVE FOR SELF-INSURANCE	$37,116,590
CAPITAL LEASE OBLIGATIONS	$15,243,983
PHYSICIAN COMMITMENTS	$494,094

Field	Value	IRS element (for citing)
Total Of Amounts	172527417	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
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. THE CORPORATION BELEIVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To Most Hospitals	X	PolicyAppliedToMostHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	150.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31539999	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11602819	DirectOffsettingRevenue
Net Community Benefit Expense	19937180	NetCommunityBenefitExpense
Percent Of Total Expense	0.03530	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	115547572	TotalCommunityBenefitExpense
Direct Offsetting Revenue	68184646	DirectOffsettingRevenue
Net Community Benefit Expense	47362926	NetCommunityBenefitExpense
Percent Of Total Expense	0.08400	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	147087571	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79787465	DirectOffsettingRevenue
Net Community Benefit Expense	67300106	NetCommunityBenefitExpense
Percent Of Total Expense	0.11930	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1271707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22241	DirectOffsettingRevenue
Net Community Benefit Expense	1249466	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1271707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22241	DirectOffsettingRevenue
Net Community Benefit Expense	1249466	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	148359278	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79809706	DirectOffsettingRevenue
Net Community Benefit Expense	68549572	NetCommunityBenefitExpense
Percent Of Total Expense	0.12150	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1034507	TotalCommunityBuildingExpense
Direct Offsetting Revenue	22241	DirectOffsettingRevenue
Net Community Building Expense	1012266	NetCommunityBuildingExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	237200	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	237200	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1271707	TotalCommunityBuildingExpense
Direct Offsetting Revenue	22241	DirectOffsettingRevenue
Net Community Building Expense	1249466	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$22,699,741	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	143191971	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	156325919	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13133948	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 AHR REGIONAL MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CO-OWNERS COUNCI
CONDO OWNER	0.36250	0.63750
2 HAZARD ARH IMAGING CENTER LLC MEDICAL MALL IMAGING CENTER
DIAGNOSTIC IMAGING SERVICES	0.60000	0.40000
3 WHITESBURG PHYSICIAN OFFICE BUILDING LLC
CONDO OWNER	0.28000	0.72000
4 PHELPS REGIONAL HEALTH SERVICES INC
PROPERTY OWNER OF PHYSICIAN OFFICE BUILDING & NURSING HOME	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	9	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (9 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital
HAZARD ARH REGIONAL MEDICAL CENTER
1	100 MEDICAL CENTER DRIVE	HAZARD	KY	41701	X	X	X	X
HARLAN ARH HOSPITAL
2	81 BALL PARK ROAD	HARLAN	KY	40831	X	X		X
BECKLEY ARH HOSPITAL
3	306 STANAFORD ROAD	BECKLEY	WV	25801	X	X		X
WILLIAMSON ARH HOSPITAL
4	260 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	X	X		X
WHITESBURG ARH HOSPITAL
5	240 HOSPITAL ROAD	WHITESBURG	KY	41858	X	X		X
MIDDLESBORO ARH HOSPITAL
6	3600 WEST CUMBERLAND AVE	MIDDLESBORO	KY	40965	X	X		X
MORGAN COUNTY ARH HOSPITAL
7	476 LIBERTY ROAD	WEST LIBERTY	KY	41472	X	X		X	X
MCDOWELL ARH HOSPITAL
8	ROUTE 122 BOX 247	MCDOWELL	KY	41647	X	X		X	X
SUMMERS COUNTY ARH HOSPITAL
9	1500 TERRACE STREET	HINTON	WV	25951	X	X		X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (9 entries)

Hospital Facility NumberHospitalFacilityNumber
HAZARD ARH REGIONAL MEDICAL CENTER
1
HARLAN ARH HOSPITAL
2
BECKLEY ARH HOSPITAL
3
WILLIAMSON ARH HOSPITAL
4
WHITESBURG ARH HOSPITAL
5
MIDDLESBORO ARH HOSPITAL
6
MORGAN COUNTY ARH HOSPITAL
7
MCDOWELL ARH HOSPITAL
8
SUMMERS COUNTY ARH HOSPITAL
9

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	50	NumberOfOtherFacilities

Other Facilities OtherFacilities (50 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
BECKLEY ARH BEHAVIORAL SCIENCES CENTER
306 STANAFORD ROAD	BECKLEY	WV	25801	PHARMACY
HARLAN ARH HOSPITAL PSYCHIATRIC SERVICE
81 BALL PARK ROAD	HARLAN	KY	40831	PHARMACY
ARH PSYCHIATRIC CENTER-HAZARD
102 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PHARMACY
ARH HAZARD FAMILY HEALTH SERVICES
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PRIMARY CARE CLINIC
ARH TUG VALLEY MEDICAL ASSOCIATES
306 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	RURAL HEALTH CLINIC
ARH REFERENCE LABORATORY
100 MEDICAL CENTER DRIVE	HAZARD	KY	41701	LAB
ARH WOMEN'S & FAMILY HEALTH CARE HARLAN
87 BALL PARK ROAD SUITE 201	HARLAN	KY	40831	CLINIC
HAZARD ARH REGIONAL MED CTR CLINIC PHARM
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	PHARMACY
HARLAN ARH OUTPATIENT PHARMACY
37 BALL PARK RD	HARLAN	KY	40831	PHARMACY
WHITESBURG ARH HOME HEALTH AGENCY
240 HOSPITAL ROAD	WHITESBURG	KY	41858	HOME HEALTH
BECKLEY ARH HOME HEALTH AGENCY
306 STANAFORD ROAD	BECKLEY	WV	25801	HOME HEALTH
HAZARD ARH HOME HEALTH AGENCY
100 AIRPORT GARDENS RD	HAZARD	KY	41701	HOME HEALTH
ARH PRESCRIPTION DIVISION
306 HOSPITAL DRIVE SUITE 105	SOUTH WILLIAMSON	KY	41503	PHARMACY
ARH HAZARD HOMECARE STORE
200 MEDICAL CENTER DRIVE	HAZARD	KY	41701	HOME CARE
MCDOWELL ARH HOME HEALTH AGENCY
8535 KY RT 122	MINNE	KY	41651	HOME HEALTH
MORGAN COUNTY ARH HOME HEALTH AGENCY
493 MAIN STREET	WEST LIBERTY	KY	41472	HOME HEALTH
ARH WILLIAMSON HOMECARE STORE
306 HOSPITAL DRIVE SUITE 104A	SOUTH WILLIAMSON	KY	41503	HOME CARE
ARH MAN HOMECARE STORE
ROUTE 99 BUFFALO CREEK ROAD	KISTLER	WV	25628	HOME CARE
ARH TUG VALLEY MEDICAL MALL
26901 US HIGHWAY 119N	BELFRY	KY	41514	PRIMARY CARE CLINIC
ARH BECKLEY HOMECARE STORE
260 STANAFORD ROAD	BECKLEY	KY	25801	HOME CARE
ARH HARLAN HOMECARE STORE
106 RAILROAD STREET SUITE 5	HARLAN	KY	40831	HOME CARE
HARLAN ARH HOME HEALTH AGENCY
81 BALL PARK ROAD	HARLAN	KY	40831	HOME HEALTH
MAN ARH HOME HEALTH SUB-STATION
BUFFALO CREEK ROAD /ROUTE 99	KISTLER	WV	25628	HOME HEALTH
ARH COMMUNITY PHARMACY
210 BLACK GOLD BLVD SUITE 104	HAZARD	KY	41701	PHARMACY
PIKEVILLE BRANCH-ARH PIKE CO HOME HEALT
247 SOUTH MAYO TRAIL	PIKEVILLE	KY	41502	HOME HEALTH
WILLIAMSON ARH HOME HEALTH AGENCY
160 HOSPITAL DRIVE	SOUTH WILLIAMSON	KY	41503	HOME HEALTH
ARH WEST LIBERTY HOMECARE STORE
520 PRESTONSBURG STREET	WEST LIBERTY	KY	41472	HOME CARE
MORGAN COUNTY ARH PHARMACY
476 LIBERTY ROAD	WEST LIBERTY	KY	41472	PHARMACY
BECKLEY ARH PHARMACY
250 STANAFORD RD	BECKLEY	WV	25801	PHARMACY
ARH WHITESBURG CLINIC
214 HOSPITAL ROAD	WHITESBURG	KY	41858	RURAL HEALTH CLINIC
ARH MORGAN COUNTY CLINIC
476 LIBERTY ROAD	WEST LIBERTY	KY	41472	RURAL HEALTH CLINIC
ARH TRI-CITY MEDICAL CENTER
18880 NORTH US 119	CUMBERLAND	KY	40823	RURAL HEALTH CLINIC/PRIMARY CARE CLINIC
WHITESBURG ARH PHARMACY
240 HOSPITAL ROAD	WHITESBURG	KY	41858	PHARMACY
ARH SUMMERS COUNTY CLINIC
1500 TERRACE STREET	HINTON	WV	25951	CLINIC
ARH TRI CITIES CLINIC PHARMACY
18880 NORTH US 119	CUMBERLAND	KY	40823	PHARMACY
ARH WHITESBURG HOMECARE STORE
240 HOSPITAL ROAD	WHITESBURG	KY	41858	HOME CARE
MIDDLESBORO0 ARH PHARMACY
3600 WEST CUMBERLAND AVE	MIDDLESBORO	KY	40965	PHARMACY
ARH MCDOWELL HOMECARE STORE
8535 KY RT 122	MINNE	KY	41651	HOME CARE
ARH PIKEVILLE HOMECARE STORE
247 SOUTH MAYO TRAIL	PIKEVILLE	KY	41501	HOME CARE
MIDDLESBORO ARH HOME HEALTH AGENCY
1916 CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	HOME HEALTH
ARH HINTON HOMECARE STORE
1500 TERRACE STREET	HINTON	WV	25951	HOME CARE
ARH MCDOWELL PROFESSIONAL CLINIC
9879 KY RT 122	MCDOWELL	KY	41647	RURAL HEALTH CLINIC
BARIATRIC CLINIC
210 BLACK GOLD BLVD SUITE 102	HAZARD	KY	41701	CLINIC
ARH MIDDLESBORO HOMECARE STORE
1916 CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	HOME CARE
ARH FAMILY CARE MIDDLESBORO
1217 EAST CUMBERLAND AVE	MIDDLESBORO	KY	40965	CLINIC
JENKINS ARH FAMILY CARE
9480 HIGHWAY 805	JENKINS	KY	41514	PRIMARY CARE CLINIC
NEON CLINIC
37 HIGHWAY 343	NEON	KY	41840	CLINIC
ARH MIDDLESBORO INTERNAL MEDICINE
3004 CUMBERLAND AVE SUITE 3	MIDDLESBORO	KY	40965	CLINIC
ELKHORN CITY ARH FAMILY CARE
905 WEST RUSSELL STREET	ELKHORN CITY	KY	41522	PRIMARY CARE CLINIC
ARH FAMILY CARE WAYLAND
2662 KING KELLY COLEMAN HWY	WAYLAND	KY	41666	PRIMARY CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: THE DISCOUNTS ARE BASED ON A SLIDING FEE SCHEDULE STARTING AT 150% OF FPG QUALIFYING FOR FREE CARE, RANGING UP TO UNLIMTED 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: 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 CLOSE TO 4,700 PEOPLE ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA WITH HOSPITALS, CLINICS, HOME HEALTH AGENCIES, PHARMACIES AND HOME DURABLE MEDICAL EQUIPMENT STORES. IN FISCAL YEAR 2011, THE NINE ARH HOSPITALS RANGE IN SIZE FROM CRITICAL-ACCESS FACILITIES TO THE SYSTEM 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 SYSTEM 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 RESIDENT HOMES.
PART III, LINE 4: FINANCIAL STATEMEMENT FOOTNOTE: 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 RECEIVEABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.COSTING METHODOLOGY: TO DETERMINE THE BAD DEBT EXPENSE ON LINE 2, THE BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS, WHICH CONSISTS OF GROSS CHARGES LESS DISCOUNTS, WAS CONVERTED TO COST USING THE GLOBAL COST-TO-CHARGE RATIO DEVELOPED IN WORKSHEET 2. PATIENT DISCOUNTS ARE NOT REFLECTED IN BAD DEBT. ANY PAYMENTS ON AN ACCOUNT AFTER IT IS WRITTEN OFF TO BAD DEBT RESULT IN A REVERSAL OF THE ENTIRE ACCOUNT OUT OF BAD DEBT, REINSTATEMENT OF THE PATIENT ACCOUNT RECEIVABLE, AND ANY NEGOTIATED DIFFERENCE IN THE FULL AMOUNT OF THE ACCOUNT AND THE PAYMENT MADE IS WRITTEN OFF TO CONTRACTUAL ALLOWANCE. PATIENTS WHO MAY QUALIFY FOR CHARITY CARE BUT DO NOT APPLY CANNOT BE ESTIMATED. ALL PATIENTS ARE EDUCATED ABOUT AND GIVEN EVERY OPPORTUNITY TO APPLY FOR CHARITY CARE AND, THEREFORE, ARH HAS NO INFORMATION FOR THOSE WHO CHOOSE NOT TO APPLY.
PART III, LINE 8: IN THE FISCAL YEAR ENDING JUNE 30, 2011, NEARLY ONE-HALF OF THE CORPORATION'S PATIENT REVENUES WERE 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 $13 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 $13,133,948 (OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B: THE PROVISIONS IN THE POLICY ARE THAT CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS ARE VALID FOR 6 MONTHS, AFTER THAT TIME THE PATIENT MUST REAPPLY AND PRESENT CURRENT FINANICAL DOCUMENTS AS NECESSARY.
PART VI, LINE 2: 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 BOARD OF TRUSTEES.
PART VI, LINE 3: UNDER ARH'S FINANCIAL ASSISTANCE PROGRAM AND POLICY EACH PATIENT WITHOUT MEDICAL COVERAGE FOR RENDERED SERVICES IS OFFERED A 40% DISCOUNT OF GROSS CHARGES AT TIME OF SERVICE. IF THE PATIENT EXTENDS PAYMENT AT TIME OF SERVICE THEY ARE GIVEN ANOTHER 10% DISCOUNT, MAKING THEIR LIABILITY 50% OF GROSS CHARGES. ALL OF THESE DISCOUNTS ARE APPLIED AT TIME OF CHARGE AND BILLED AFTER THE DISCOUNT IS TAKEN.IF SAID PATIENT IS UNABLE TO MEET THE FINANCIAL OBLIGATIONS FOR SERVICE, THEY ARE EDUCATED AND SCREENED FOR POTENTIAL FEDERAL AND/OR STATE ASSISTANCE PROGRAMS. BY DOING THIS THE PATIENT IS REVIEWED AND EDUCATED BY ON-SITE FINANCIAL COUNSELORS AND/OR ELIGIBILITY AGENCY TO GET THE INDIVIDUAL PLACED IN A PROGRAM. BASED ON INCOME AND FAMILY STATUS, THE PATIENT IS SCREENED IN CONJUNCTION WITH THE FEDERAL AND STATE POVERTY GUIDELINES. AT THIS TIME, ALL APPLICATIONS ARE COMPLETED WITH THE ASSISTANCE OF ARH PERSONNEL AND SUBMITTED FOR APPROVAL. IN THE EVENT AN AGENCY REQUIRES THE PATIENT/GUARANTOR TO APPLY IN PERSON THE INDIVIDUAL IS ASKED TO MAKE AN APPOINTMENT WITH THAT AGENCY AND FILE THEIR COMPLETED DOCUMENTS. IF THE RESPONSIBLE PARTY IS NOT ELIGIBLE FOR FEDERAL OR STATE ASSISTANCE, THEY ARE ADDITIONALLY SCREENED BY ARH FOR ELIGIBILITY INTO OUR INTERNAL SLIDING FEE SCHEDULE CHARITY PROGRAM FOR ADDITIONAL DISCOUNTS UP TO 100% OF GROSS CHARGES. IF THE PATIENT IS HELD RESPONSIBLE ADDITIONAL EFFORTS TO ASSIST THE PATIENT ARE OFFERED BY OFFERING REASONABLE PAYMENT PLANS AND DEFERRED PAYMENTS. IN THE EVENT THE PATIENT/GUARANTOR DOES NOT MAKE A REASONABLE EFFORT TO COMPLETE NECESSARY DOCUMENTATION TO APPLY OR BECOME ELIGIBLE FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE THEN STILL GIVEN THE INITIAL 40% DISCOUNT AND MOVED THROUGH THE NORMAL COLLECTION PROCESS.
PART VI, LINE 4: THE RURAL SERVICE AREA COVERED BY ARH IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA COVERS 16 COUNTIES AND CONSISTS OF ALMOST 370,000 RESIDENTS WITH 51 PERCENT BEING FEMALE AND 49 PERCENT BEING MALE.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 EXAMPLE, IN SEPTEMBER 2011, THE UNEMPLOYMENT RATE FOR HARLAN COUNTY, KENTUCKY WAS 11.3 PERCENT, COMPARED TO 9.6 PERCENT FOR THE STATE AND 8.8 PERCENT NATIONALLY.FOR MORE THAN HALF A CENTURY, ARH HAS CARRIED A HEAVY LOAD IN CARING FOR THIS POPULATION. OVER 8 PERCENT OF ARH INPATIENTS IN FISCAL YEAR 2011 WERE UNINSURED AND DURING THAT SAME FISCAL YEAR MORE THAN 63 PERCENT OF ARH'S INPATIENTS WERE MEDICARE OR MEDICAID BENEFICIARIES.
PART VI, LINE 6: 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 CLOSE TO 4,700 PEOPLE ACROSS EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA WITH HOSPITALS, CLINICS, HOME HEALTH AGENCIES, PHARMACIES AND HOME DURABLE MEDICAL EQUIPMENT STORES. IN FISCAL YEAR 2011, ARH'S NINE 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 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 7: DURING FISCAL YEAR 2011, ARH'S SERVICES WERE MAINLY ORGANIZED AROUND NINE 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 NINE 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 DIABETES SUPPORT GROUPS TO COMPREHENSIVE WELLNESS EDUCATION PROGRAMS, ARH'S COMMUNITIES ARE REAPING THE BENEFITS OF SUCCESSFUL COMMUNITY OUTREACH.
KY,WV	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JERRY HAYNES
519493	0	121545	0	0	0	54768	0	16254	0	712060	0	0	0
JOSEPH GROSSMAN
303404	0	56923	0	0	0	32707	0	24941	0	417975	0	0	0
HOLLIE P HARRIS
180573	0	35824	0	0	0	30309	0	24941	0	271647	0	0	0
JOHN D MILLER
259173	0	46163	0	0	0	22165	0	16254	0	343755	0	0	0
PAUL MILES
242227	0	46163	0	0	0	33495	0	24941	0	346826	0	0	0
BOBBY RICK KING
216631	0	43162	0	0	0	38344	0	16254	0	314391	0	0	0
JOSE M ECHEVERRIA
213312	0	301309	0	0	0	0	0	29558	0	544179	0	0	0
JAMEEL A BUTT
438910	0	271125	0	0	0	21517	0	13021	0	744573	0	0	0
JAMEL BAZZI
410649	0	0	0	0	0	12750	0	7057	0	430456	0	0	0
NATHAN E DOCTRY
404671	0	0	0	0	0	0	0	7708	0	412379	0	0	0
RAYMOND ELSOUEIDI
393073	0	0	0	0	0	0	0	24245	0	417318	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

ARH PROVIDES SENIOR EXECUTIVES A CONTRIBUTION OF SEVEN (7) PERCENT OF PAY (SUBJECT TO A 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 $16,500 IN 2010. 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 HER/HIS 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 TO 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 PLAN AND THE RESPECTIVE EMPLOYER CONTRIBUTIONS FOR EACH INCLUDE: JERRY HAYNES $22,492; JOSEPH GROSSMAN $6,407; JOHN MILLER $2,290; PAUL MILES $2,290; RICK KING $874.

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 PLANS. 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

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF HAZARD KY
616001839	2007-02-14	4600000	FOR CONSTRUCTION OF AND EQUIPMENT AT HAZARD CANCER CENTER	0	0	0
COUNTY OF PIKE KY
616000928	2007-06-15	2400000	FOR PURCHASE OF A BUILDING FOR CENTRAL PURCHASING SERVICES	0	0	0
COUNTY OF PERRY KY
616000810	2007-08-08	4600000	FOR THE PURCHASE AND RENOVATION OF AND EQUIPMENT FOR THE HAZARD MEDICAL MALL	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4600000	56500	4543500	2008	1	1
2400000	44199	2355801	2008	1	1
4600000	65525	4534475	2008	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
1	0	0	0	0	0
1	0	0	0	0	0
1	0	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
TRIANGLE ANESTHESIA GROUP PSC
TRUSTEE	6550000	DR. MARIA HORTILLOSA IS A TRUSTEE OF ARH, AND IS A KEY EMPLOYEE OF TRIANGLE ANESTHESIA GROUP PSC, WHICH IS ONE OF THE INDEPENDENT CONTRACTORS THAT PROVIDE PHYSICIAN SERVICES TO ARH. DR. HORTILLOSA RECUSES HERSELF FROM ANY DECISIONS PERTAINING TO TRIANGLE ANESTHESIA GROUP PSC DURING BOARD MEETINGS. AMOUNT OF TRANSACTION INCLUDES FEES FOR SERVICES PAID DIRECTLY TO TRIANGLE ANESTHESIA GROUP PSC.	0
PEOPLES BANK & TRUST CO
TRUSTEE	2500000	MR. LEON HOLLAN IS A TRUSTEE OF ARH, AND IS THE PRESIDENT OF PEOPLES BANK & TRUST CO., WHICH IS ONE OF THE THREE PARTICIPATING BANKS ON THE $7,500,000 LINE OF CREDIT HELD BY ARH. MR. HOLLAN RECUSES HIMSELF FROM ANY DECISIONS PERTAINING TO PEOPLES BANK & TRUST CO. DURING BOARD MEETINGS. AMOUNT OF TRANSACTION INCLUDES THE BANK'S PORTION OF THE LINE OF CREDIT.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	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.
	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 12C
	THE ARH BOARD SETS COMPENSATION LEVELS FOR MR. HAYNES AND OTHER ARH EXECUTIVES. THE BOARD CONTRACTS WITH A CONSULTING FIRM TO REVIEW THE MARKET FOR THE POSITIONS ON THE SYSTEM OPERATING COUNCIL WHO MAKES RECOMMENDATIONS ON THE SALARY RANGES AND ASSESSES THE COMPETITIVENESS OF THE SALARIES. WITH THAT INFORMATION, THE COMPENSATION AND CONTRACTS COMMITTEE SET THE RANGES AND THE PRESIDENT'S COMPENSATION. THE BOARD REVIEWS AND FINALIZES COMPENSATION AMOUNTS. THE CONSULTING FIRM FOLLOWS UP WITH A LETTER ATTESTING TO THE REASONABLENESS OF COMPENSATION.	FORM 990, PART VI, SECTION B, LINE 15
	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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED LOSSES ON INVESTMENTS: -522,520. MINIMUM PENSION LIABILITY ADJUSTMENT 29,303,058. TOTAL TO FORM 990, PART XI, LINE 5: 28,780,538.	FORM 990, PART XI, LINE 5:
	THE PROCESS FOR OVERSEENG AND SELECTING INDEPENDENT AUDITORS HAS NOT CHANGED FROM THE PRIOR YEAR.	PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES INC
100 AIRPORT GARDENS ROAD	HAZARD	KY	41701	204840007	CARRYING OUT FUNDRAISING AND CHARITABLE ACTIVITIES FOR ARH	KY	501(C)(3)	LINE 7	APPALACHIAN REGIONAL HEALTHCARE INC	1
WEST VIRGINIA ARH INC
2285 EXECUTIVE DRIVE	LEXINGTON	KY	40505	550756776	HEALTH CARE	WV	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HAZARD ARH IMAGING CENTER LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	210 BLACK GOLD BLVD STE 1	AddressLine1
City	HAZARD	City
State	KY	State
ZIP Code	41701	ZIPCode

Field	Value	IRS element (for citing)
EIN	270755457	EIN
Primary Activity	MEDICAL IMAGING SERVICES	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	-40985	ShareOfTotalIncome
Share Of EOY Assets	1626648	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.60000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES INC
P	319459	ACCRUAL BASIS
HAZARD ARH IMAGING CENTER LLC
B	777836	PER 2010 K-1

Form990 Schedule R Part VI Form990ScheduleRPartVI

Name Of Business NameOfBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WHITESBURG PHYSICIAN OFFICE BLDG LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1220 HARRODSBURG RD	AddressLine1
City	LEXINGTON	City
State	KY	State
ZIP Code	40533	ZIPCode

Field	Value	IRS element (for citing)
EIN	753022080	EIN
Primary Activity	PHYSICIAN OFFICE BUILDING	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState
All Partners C3 S	0	AllPartnersC3S
Share Of EOY Assets	664169	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	0	GeneralOrManagingPartner