ARH MARY BRECKINRIDGE HEALTH SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ARH MARY BRECKINRIDGE HEALTH SERVICES INC (EIN 45-2696517)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-11
IRS object ID: 202601319349305250
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-11T14:29:01-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	452696517	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARH MARY BRECKINRIDGE HEALTH SERVICES	BusinessNameLine1Txt
Business Name Line2	INC	BusinessNameLine2Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BYRON GABBARD	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8592262440	PhoneNum
Signature	2026-05-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MELANIE MCPEAK	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8885871719	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$137,576,142	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	2011	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE LESLIE, KNOX, MARTIN, AND SURROUNDING COUNTIES AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITALS, CLINICS, AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	671	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$813,189	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$52,845	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$561	CYContributionsGrantsAmt
PY Program Service Revenue	$124,766,411	PYProgramServiceRevenueAmt
CY Program Service Revenue	$133,869,341	CYProgramServiceRevenueAmt
PY Investment Income	$3,236,291	PYInvestmentIncomeAmt
CY Investment Income	$3,336,548	CYInvestmentIncomeAmt
PY Other Revenue	$268,357	PYOtherRevenueAmt
CY Other Revenue	$367,582	CYOtherRevenueAmt
PY Total Revenue	$128,271,059	PYTotalRevenueAmt
CY Total Revenue	$137,574,032	CYTotalRevenueAmt
PY Grants And Similar Paid	$30,624	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$86,726	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$47,188,674	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$48,016,672	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,778,575	PYOtherExpensesAmt
CY Other Expenses	$57,438,520	CYOtherExpensesAmt
PY Total Expenses	$98,997,873	PYTotalExpensesAmt
CY Total Expenses	$105,541,918	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,273,186	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,032,114	CYRevenuesLessExpensesAmt
Total Assets BOY	$172,520,990	TotalAssetsBOYAmt
Total Assets EOY	$211,880,783	TotalAssetsEOYAmt
Total Liabilities BOY	$37,969,820	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$38,827,755	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$134,551,170	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$173,053,028	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 PARTNERSHIP WITH OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$86,352,462	ExpenseAmt
Grant	$86,726	GrantAmt
Revenue	$133,869,341	RevenueAmt
Desc	THE 2025 FISCAL YEAR HAS BEEN REMARKABLE FOR MARY BRECKINRIDGE ARH HEALTH SERVICES, MARKED BY SIGNIFICANT GROWTH AND IMPACT THROUGH EXPANDED COMMUNITY OUTREACH PROGRAMS IN LESLIE AND CLAY COUNTIES. OUR COMMITMENT TO IMPROVING HEALTHCARE SERVICES AND ENGAGEMENT WITHIN OUR COMMUNITIES CONTINUES TO BE A DRIVING FORCE FOR OUR ORGANIZATION.ANGELA CAMPBELL, OUR INFECTION PREVENTIONIST, WAS HONORED WITH AN AWARD FROM THE KENTUCKY HOSPITAL ASSOCIATION IN 2025. REPRESENTATIVES FROM THE ASSOCIATION TRAVELED FROM LOUISVILLE, KY TO PERSONALLY PRESENT ANGELA WITH THIS RECOGNITION AT MARY BRECKINRIDGE ARH. A RECEPTION WAS HELD TO CELEBRATE ANGELA'S ACHIEVEMENT, WHICH HIGHLIGHTED HER EXEMPLARY PERFORMANCE AND DEDICATION, PARTICULARLY THROUGHOUT THE COVID-19 PANDEMIC.IN AUGUST 2025, THE DNV ACCREDITING AGENCY VISITED MARY BRECKINRIDGE ARH HOSPITAL FOR THE ANNUAL RECERTIFICATION. THE DNV STAFF OBSERVED AND COMMENDED SEVERAL NOTEWORTHY PRACTICES DURING THEIR TWO-DAY VISIT, REFLECTING POSITIVELY ON OUR ONGOING COMMITMENT TO EXCELLENCE. IN OCTOBER 2025, DNV RETURNED TO EVALUATE OUR STROKE READY DESIGNATION, USING STANDARDS SET BY THE BRAIN ATTACK COALITION AND THE AMERICAN STROKE ASSOCIATION. THEIR REVIEW CONFIRMED OUR RECERTIFICATION, DEMONSTRATING THAT OUR HOSPITAL MAINTAINS A DEDICATED, STROKE-FOCUSED PROGRAM. ELIZABETH JONES, RN, STROKE COORDINATOR, AND HER TEAM WORKED DILIGENTLY TO UPHOLD THE STANDARDS NECESSARY FOR THIS IMPORTANT DESIGNATION.MARY BRECKINRIDGE ARH WAS RECOGNIZED WITH A SILVER ACHIEVEMENT AWARD FOR CORONARY ARTERY DISEASE AS PART OF THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" PROGRAM. ADDITIONALLY, THE HOSPITAL RECEIVED A SILVER ACHIEVEMENT AWARD FOR RURAL STROKE FROM THE SAME ORGANIZATION, FURTHER VALIDATING OUR COMMITMENT TO QUALITY CARE IN THESE CRITICAL AREAS. OUR STROKE COORDINATOR, ELIZABETH JONES, RN, AND HER STAFF CONDUCTED 134 STROKE SCREENINGS WITHIN THE COMMUNITY. THE TEAM ALSO PERFORMED FINGER STICK A1C TESTS TO MONITOR BLOOD SUGAR LEVELS, PROVIDING VALUABLE EDUCATION AND RAISING STROKE AWARENESS AMONG PATIENTS AND RESIDENTS. IN ADDITION, 148 STUDENTS AGED 10 AND UNDER ACROSS LESLIE COUNTY SCHOOL SYSTEMS RECEIVED INSTRUCTION ON RECOGNIZING STROKE SYMPTOMS AND THE IMPORTANCE OF CALLING 911. CHRISTA BROCK, RN, IS ENHANCING PATIENT CARE BY TRAVELING TO VARIOUS ARH FACILITIES TO BECOME PROFICIENT IN MIDLINE IV INSERTIONS, ENABLING PATIENTS TO RECEIVE LONG-TERM IV THERAPY LOCALLY WITHOUT HAVING TO TRAVEL ELSEWHERE.OUR DEDICATION TO COMMUNITY ENGAGEMENT WAS REFLECTED IN A VARIETY OF ANNUAL EVENTS. AT OUR CHILDREN'S CHRISTMAS PARTY, EVERY CHILD RECEIVED A WRAPPED GIFT, TOBOGGAN, GLOVES, FRUIT BAG, JUICE, AND HOT CHOCOLATE. MR. AND MRS. CLAUS WERE PRESENT TO HAND OUT GIFTS AND GREET FAMILIES, MAKING THE OCCASION MEMORABLE FOR ALL. WE HOSTED OUR ANNUAL TRUNK OR TREAT HALLOWEEN EVENT, WHERE ELEVEN DEPARTMENTS DECORATED THEIR TRUNKS WITH UNIQUE THEMES, CREATING A FUN AND FESTIVE ATMOSPHERE. TO HONOR OUR FIRST RESPONDERS, WE ORGANIZED A RECOGNITION EVENT FEATURING LOCAL FOOD TRUCK "TRAILS OF SMOKE," WHICH SERVED HICKORY SMOKED RIBS, PULLED PORK, AND SIDES. DJ MICHAEL DEWAYNE FROM RADIO STATION 97.9 PROVIDED MUSIC, AND WE EXPRESSED OUR DEEP APPRECIATION FOR THE VITAL ROLE FIRST RESPONDERS PLAY IN OUR COMMUNITY. THE COMMUNITY-WIDE PICNIC, WHICH MARKED THE START OF THE MARY BRECKINRIDGE FESTIVAL, WAS ANOTHER SUCCESSFUL EVENT. OVER 850 MEALS WERE SERVED, FREE HEALTH SCREENINGS WERE OFFERED, AND FLU VACCINES WERE MADE AVAILABLE. THE LOCAL SHRINER'S CHAPTER CONTRIBUTED BY PREPARING FOOD FOR ATTENDEES.OUR ANNUAL EASTER EGG HUNT AT THE BOBBY OSBORNE PAVILION FEATURED 5,000 EGGS FILLED WITH TREATS FOR CHILDREN TO DISCOVER, AS WELL AS PHOTO OPPORTUNITIES WITH THE EASTER BUNNY. WE ALSO HELD A SPECIAL "BLESSING OF THE HANDS" CEREMONY FOR STAFF MEMBERS, IN WHICH THE CHAPLAIN OFFERED PRAYERS FOR THOSE WHO WISHED TO PARTICIPATE.WE CONTINUE TO PROVIDE VALUABLE SENIOR CARE SERVICES, OFFERING BOTH INDIVIDUAL AND GROUP THERAPY TO SUPPORT THE ELDERLY POPULATION. OUR PULMONARY REHABILITATION PROGRAM REMAINS AN ESSENTIAL RESOURCE FOR PATIENTS WITH RESPIRATORY CHALLENGES, RECEIVING POSITIVE FEEDBACK FROM PARTICIPANTS. OUR HOME HEALTH STAFF CONTINUES TO PROVIDE SERVICES FOR OUR PATIENTS IN THEIR HOME ENVIRONMENT WITH CERTIFIED NURSING ASSISTANTS, RNS, PHYSICAL AND OCCUPATIONAL THERAPY. AS YOU CAN IMAGINE, THIS IS MUCH NEEDED SERVICE IN EASTERN KENTUCKY. MANY OF OUR PATIENTS ARE HOME BOUND AND NOT ABLE TO DRIVE. FOOD DRIVES ARE REGULARLY CONDUCTED, WITH FOOD BOXES DISTRIBUTED TO FAMILIES AND INDIVIDUALS EXPERIENCING FOOD INSECURITY AT OUR ER, HOME HEALTH, SENIOR CARE, HYDEN, AND BIG CREEK ARH CLINICS. MARY BRECKINRIDGE ARH COLLABORATES WITH BIG CREEK MISSION DURING SUMMER PROGRAMS AT THE WILLIE B. SANDLIN POOL, WHERE CHILDREN RECEIVE FREE MEALS AND ENJOY GAMES AND SWIMMING. OUR STAFF ATTEND THESE EVENTS TO DELIVER EDUCATION ON BULLYING, PEER PRESSURE, BICYCLE SAFETY, STROKE AWARENESS, AND DIALING 911 FOR EMERGENCIES.WE HAVE SUCCESSFULLY RECRUITED JENNIFER MEARS, A SPEECH THERAPIST WITH TWENTY YEARS OF EXPERIENCE, WHO RELOCATED TO HYDEN FROM FLORIDA. HER SCHEDULE REMAINS FULLY BOOKED, AND WE ARE ACTIVELY SEEKING TO ADD ANOTHER SPEECH THERAPIST TO MEET GROWING DEMAND. TASHA MCCORMICK, APRN, IS NOW PROVIDING SPECIALIZED HEPATITIS C TREATMENT. WITH APPROPRIATE PATIENT PARTICIPATION AND MEDICATION REGIMENS, THIS VIRUS CAN BE FULLY CURED.WE WERE ABLE TO RECRUIT ASHLEY HACKER, MENTAL HEALTH APRN WHO IS PROVIDING MENTAL HEALTH COUNSELING TO HYDEN AND BIG CREEK ARH CLINIC PATIENTS. TO ADDRESS SPACE LIMITATIONS IN OUR LABORATORY, THE BOARD OF TRUSTEES APPROVED EXPANSION BY RENOVATING AN UNUSED OPERATING ROOM. THIS PROJECT IS NEARING COMPLETION AND WILL PROVIDE IMPROVED WORKSPACE, AMPLE ROOM FOR EQUIPMENT, AND A WAITING AREA FOR PATIENTS NEEDING LAB WORK. WE ANTICIPATE MOVING INTO THE NEW LAB FACILITY BY MID-FEBRUARY.WE SUCCESSFULLY RECRUITED LIDA COLLETT, RN AS OUR EDUCATIONAL COORDINATOR.	Desc
Total Program Service Expenses	$86,352,462	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	63	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	671	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	1	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	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	BYRON GABBARD	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 (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
HOLLIE P HARRIS
PRESIDENT/CEO	5.00	35.00	Yes (X)	Yes (X)	$0	$1,503,777	$118,812
BYRON GABBARD
TREASURER	5.00	35.00	Yes (X)	Yes (X)	$0	$664,251	$60,915
CHRISTI LEE
CHIEF LEGAL COUNCIL	5.00	35.00	Yes (X)		$0	$483,617	$69,752
ANDREA MASSEY
TRUSTEE	3.00	3.00	Yes (X)		$0	$0	$0
JAMES WEST
HOSPITALIST	40.00	0.00			$387,420	$0	$29,284	Yes (X)
LARRY E WARREN
FAMILY PHYSICIAN	40.00	0.00			$450,419	$0	$36,308	Yes (X)
JERRY L WOOLUM
FAMILY PHYSICIAN	40.00	0.00			$368,839	$0	$46,898	Yes (X)
JAMES D ADAMS
HOSPITALIST	40.00	0.00			$457,163	$0	$38,695	Yes (X)
CHRISTOPHER M YOST
FAMILY PHYSICIAN	40.00	0.00			$387,498	$0	$73,447	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,051,339	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,651,645	TotReportableCompRltdOrgAmt
Total Other Compensation	$474,111	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	49	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
SODEXO OPERATIONS LLC
PO BOX 360170	PITTSBURGH	PA	152516170	SERVICE MANAGEMENT	$1,546,337
CARDIOSOLUTIONLLC
4675 CORNELL ROAD	CINCINNATI	OH	45241	CONTRACT LABOR	$1,012,405
SOUTHERN MEDICAL PARTNERS
PO BOX 677979	DALLAS	TX	752677979	PHYSICIAN SERVICES	$998,493
BEAVER CREEK EMERGENCY GROUP
PO BOX 677979	DALLAS	TX	752677979	PHYSICIAN SERVICES	$913,262
HYDEN EMERGENCY PHYSICIANS LLC
PO BOX 677979	DALLAS	TX	752677979	PHYSICIAN SERVICES	$636,370

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$561	AllOtherContributionsAmt
Total Contributions	$561	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	621110	$82,040,493	$82,040,493
HOSPITAL RATE IMPROVEMENT PROGRAM	900099	$27,386,768	$27,386,768
LABORATORY REVENUE	621500	$20,741,633	$20,716,246	$25,387
RETAIL PHARMACY REVENUE	456110	$3,700,447	$2,912,645	$787,802

Field	Value	IRS element (for citing)
Total Program Service Revenue	$133,869,341	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,434,015	TotalRevenueColumnAmt
Exclusion	$1,434,015	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,904,643	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$2,110	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,904,643	SecuritiesAmt
Other	-$2,110	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,902,533	TotalRevenueColumnAmt
Exclusion	$1,902,533	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAPITATION REVENUE	900099	$336,118	$336,118
VENDOR REBATE INCOME	900099	$24,135	$24,135
OTHER REVENUE	900099	$4,534	$4,534

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,795	TotalRevenueColumnAmt
Exclusion	$2,795	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$367,582	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$137,574,032	TotalRevenueColumnAmt
Related Or Exempt Func Income	$133,056,152	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$813,189	UnrelatedBusinessRevenueAmt
Exclusion	$3,704,130	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$86,726	TotalAmt
Program Services	$86,726	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$36,672,664	TotalAmt
Program Services	$30,341,550	ProgramServicesAmt
Management And General	$6,331,114	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$706,625	TotalAmt
Program Services	$586,499	ProgramServicesAmt
Management And General	$120,126	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,212,255	TotalAmt
Program Services	$6,796,422	ProgramServicesAmt
Management And General	$1,415,833	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,425,128	TotalAmt
Program Services	$2,012,856	ProgramServicesAmt
Management And General	$412,272	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,717	TotalAmt
Program Services	$8,717	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,531,047	TotalAmt
Program Services	$9,066,785	ProgramServicesAmt
Management And General	$1,464,262	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$114,000	TotalAmt
Program Services	$69,540	ProgramServicesAmt
Management And General	$44,460	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,706,165	TotalAmt
Program Services	$2,064,146	ProgramServicesAmt
Management And General	$642,019	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$326,745	TotalAmt
Program Services	$199,314	ProgramServicesAmt
Management And General	$127,431	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,062,292	TotalAmt
Program Services	$2,860,232	ProgramServicesAmt
Management And General	$1,202,060	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,323	TotalAmt
Program Services	$38,627	ProgramServicesAmt
Management And General	$24,696	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$54,506	TotalAmt
Program Services	$33,249	ProgramServicesAmt
Management And General	$21,257	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,488,505	TotalAmt
Program Services	$1,265,229	ProgramServicesAmt
Management And General	$223,276	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,057,903	TotalAmt
Program Services	$1,255,321	ProgramServicesAmt
Management And General	$802,582	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & PHAR	$17,749,025	$17,484,105	$264,920
CENTRAL EXPENSES	$12,530,114	$7,643,369	$4,886,745
BAD DEBT EXPENSE	$4,200,357	$4,200,357
PROVIDER TAXES	$928,375		$928,375

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$617,446	TotalAmt
Program Services	$339,418	ProgramServicesAmt
Management And General	$278,028	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$105,541,918	TotalAmt
Program Services	$86,352,462	ProgramServicesAmt
Management And General	$19,189,456	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$168,616	BOYAmt
EOY	$57,642	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,742,044	BOYAmt
EOY	$9,015,833	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,046,731	BOYAmt
EOY	$1,893,350	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$704,595	BOYAmt
EOY	$637,388	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$33,801,020	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,695,998	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,149,113	BOYAmt
EOY	$22,105,022	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$143,709,891	BOYAmt
EOY	$178,171,548	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$172,520,990	BOYAmt
EOY	$211,880,783	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,797,903	BOYAmt
EOY	$3,435,319	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$263,473	BOYAmt
EOY	$263,126	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,908,444	BOYAmt
EOY	$35,129,310	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,969,820	BOYAmt
EOY	$38,827,755	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$134,551,170	BOYAmt
EOY	$173,053,028	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$134,551,170	BOYAmt
EOY	$173,053,028	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$172,520,990	BOYAmt
EOY	$211,880,783	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$32,032,114	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,469,744	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	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 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	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,717	OtherActivitiesAmt
Total Lobbying Expenditures	$8,717	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	MARY BRECKENRIDGE IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$397,024	OtherCostOrOtherBasisAmt
Book Value	$397,024	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,605,544	OtherCostOrOtherBasisAmt
Depreciation	$2,429,448	DepreciationAmt
Book Value	$7,176,096	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,002,439	OtherCostOrOtherBasisAmt
Depreciation	$9,079,004	DepreciationAmt
Book Value	$1,923,435	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,796,013	OtherCostOrOtherBasisAmt
Depreciation	$187,546	DepreciationAmt
Book Value	$12,608,467	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,105,022	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
SECURITY DEPOSITS	$42,359
OPERATING LEASE RIGHT-OF-USE ASSETS	$12,817,525
DUE FROM RELATED ORGANIZATIONS	$165,311,664

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$178,171,548	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
REFUNDS DUE PATIENTS	$1,039,366
SELF INSURANCE RESERVE	$4,453,087
CAPITAL LEASE OBLIGATIONS	$342,591
MEDICARE AND MEDICAID ESTIMATED SETTLEMENTS	$13,345,046
OTHER LIABILITIES	$134,023
OPERATING LEASE LIABILITY	$12,474,934
MISCELLANEOUS NON-PATIENT LIABILITIES	$3,340,263

Field	Value	IRS element (for citing)
Total Liability	$35,129,310	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. U.S. GAAP REQUIRES THE CORPORATION TO EVALUATE ITS TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS"). THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	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	$2,073,625	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,073,625	NetCommunityBenefitExpnsAmt
Total Expense	0.02050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,540,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,671,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,613,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,671,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,073,625	NetCommunityBenefitExpnsAmt
Total Expense	0.02050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	132	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$70,923	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,923	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	479	PersonsServedCnt
Total Community Benefit Expns	$3,484	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	145	ActivitiesOrProgramsCnt
Persons Served	479	PersonsServedCnt
Total Community Benefit Expns	$74,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$74,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	145	ActivitiesOrProgramsCnt
Persons Served	479	PersonsServedCnt
Total Community Benefit Expns	$31,688,167	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,671,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,148,032	NetCommunityBenefitExpnsAmt
Total Expense	0.02120	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$201	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$201	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	380	PersonsServedCnt
Total Community Benefit Expns	$17,722	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,722	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$140	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$140	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$191	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$191	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	84	ActivitiesOrProgramsCnt
Persons Served	3491	PersonsServedCnt
Total Community Benefit Expns	$25,279	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,279	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	124	ActivitiesOrProgramsCnt
Persons Served	3912	PersonsServedCnt
Total Community Benefit Expns	$43,533	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,200,357	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,096,237	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$10,224,043	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,258,948	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,034,905	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
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ARH MARY BRECKINRIDGE HEALTH SERVICES INC
1	130 KATE IRELAND DRIVE	HYDEN	KY	41749	600067	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BARBOURVILLE ARH HOSPITAL
2	80 HOSPITAL DR	BARBOURVILLE	KY	40906	600080	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
ARH OUR LADY OF THE WAY
3	11203 MAIN STREET	MARTIN	KY	41649	600056	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

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	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ARH.ORG/CHNA/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ARH.ORG/CHNA/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
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	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	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 No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 16A, FAP WEBSITE:	HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
PART V, LINE 16B, FAP APPLICATION WEBSITE:	HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
PART V, LINE 16C, FAP SUMMARY WEBSITE:	HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ARH MARY BRECKINRIDGE HEALTH SERVICES, INC, - FACILITY 2: BARBOURVILLE ARH HOSPITAL, - FACILITY 3: ARH OUR LADY OF THE WAY
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	A COMMUNITY STEERING COMMITTEE PROVIDED GUIDANCE OVER THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN EACH OF ARH'S COMMUNITIES. THIS STEERING COMMITTEE WAS MADE UP OF REPRESENTATIVES FROM VARIOUS ORGANIZATIONS AND AGENCIES THROUGHOUT EACH HOSPITAL'S SERVICE AREA. IN PARTICULAR, SOME OF THE COMMITTEE MEMBERS REPRESENTED THE LOCAL HEALTH DEPARTMENT, SENIOR SERVICES, SCHOOL SYSTEM, SOCIAL SERVICE ORGANIZATIONS, AND EMERGENCY MANAGEMENT. THESE INDIVIDUALS ASSISTED WITH DISTRIBUTING SURVEYS AND ORGANIZING FOCUS GROUPS THROUGHOUT THE COMMUNITY ENSURING THAT VARIED COMMUNITY INTERESTS AND EXPERTISE WERE REPRESENTED. SPECIAL ATTENTION WAS PAID TO ENSURING THAT REPRESENTATION FROM THE PUBLIC HEALTH SECTOR WAS INCLUDED IN THIS ASSESSMENT PROCESS AND THAT THE SENIOR CITIZEN AND UNDERSERVED POPULATION WERE REPRESENTED. A COMPLETE LIST OF THE COMMUNITY STEERING COMMITTEE MEMBERS FOR EACH ARH FACILITY IS INCLUDED IN EACH ASSESSMENT'S FINAL REPORT. THESE ASSESSMENTS, CONDUCTED OVER EIGHT MONTHS, INCLUDED OVER 4,000 PUBLIC SURVEYS, 60 FOCUS GROUPS, 14 STEERING COMMITTEES, AND SECONDARY DATA COLLECTION.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	ARH MARY BRECKINRIDGE HEALTH SERVICE, INC CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT JOINTLY WITH THE OTHER FACILITIES WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM. APPALACHIAN REGIONAL HEALTHCARE, INC. (EIN: XXX-XX-XXXX), THE PARENT ORGANIZATION, COORDINATED AND FILED THE COMBINED CHNA ON BEHALF OF ALL PARTICIPATING FACILITIES.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	ARH MARY BRECKINRIDGE HEALTH SERVICE, INC. CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EACH OF ITS 3 HOSPITAL COMMUNITIES DURING 2024. RESULTS FROM COMMUNITY SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS ARE BEING REPORTED ALONG WITH HEALTH INFORMATION COLLECTED FROM REPUTABLE NATIONAL, STATE, AND LOCAL DATA SOURCES. ALSO BEING REPORTED FOR EACH ARH HOSPITAL IS AN IMPLEMENTATION PLAN ADDRESSING THE IDENTIFIED ISSUES FROM THIS PROCESS AND AN OUTCOMES SUMMARY FROM THE CHNA PROCESS AND IMPLEMENTATION CONDUCTED SINCE 2019. ALL OF THE INFORMATION IN THESE REPORTS PROVIDES VALUABLE INFORMATION THAT WILL BE USED IN THE FUTURE FOR PLANNING PURPOSES, SERVICE IMPROVEMENTS AND COMMUNITY OUTREACH. IT IS ARH'S HOPE THAT THIS ASSESSMENT WILL HELP OUR FACILITIES, IN PARTNERSHIP WITH OUR COMMUNITIES, TO IDENTIFY RESPECTIVE HEALTH CONCERNS, MEASURE THE IMPACT OF CURRENT PUBLIC HEALTH EFFORTS AND GUIDE THE APPROPRIATE USE OF LOCAL RESOURCES. WE ALSO HOPE THAT TOGETHER WE CAN IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA.DURING THE 2022 CHNA PROCESS, THE APPOINTED COUNTY STEERING COMMITTEE IDENTIFIED THE FOLLOWING HEALTH NEEDS: 1. SUBSTANCE USE DISORDER, 2. MENTAL HEALTH, 3. ACCESS TO HEALTH CARE- AFTER HOURS & URGENT CARE, 4. TRANSPORTATION 5. HEALTH EDUCATION - HEALTHY EATING AND FOOD PREPARATION, REDUCING HYPERTENSION, DIABETES, CHILDHOOD OBESITY, TOBACCO USE AND VAPING, 6. OBESITY.MENTAL HEALTHMARY BRECKENRIDGE ARH HAS IMPROVED MENTAL HEALTH IN OUR COMMUNITY BY GROWING OUTPATIENT BEHAVIORAL HEALTH SERVICES AS WELL AS COMMUNITY ENGAGEMENT FROM OUR BEHAVIORAL HEALTH TEAM IN MANY WAYS. THE FACILITY ADDED A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER TO ITS STAFF THAT PROVIDES NEEDED SERVICES FOR ALL AGE GROUPS. A BEHAVIORAL HEALTH SATELLITE CLINIC HAS OPENED ONCE PER MONTH IN BIG CREEK, KY, IN ADDITION TO THE CLINIC IN HYDEN. THE MPHNP ALSO PROVIDES TELEHEALTH VISITS. BEHAVIORAL HEALTH STAFF HAVE ATTENDED COMMUNITY EVENTS TO EDUCATE ABOUT ANXIETY, DEPRESSION, BULLYING, AND MANY OTHER MENTAL HEALTH TOPICS AS REQUESTED FROM THE COMMUNITY. MARY BRECKENRIDGE ALSO REOPENED THEIR SENIOR CARE PROGRAM IN 2023. ARH SENIOR CARE PROVIDES OLDER ADULTS WITH QUALITY BEHAVIORAL HEALTHCARE. PATIENTS THAT COME TO THE PROGRAM TYPICALLY HAVE MEDICARE PART B AND A DIAGNOSIS SUCH AS MAJOR DEPRESSIVE DISORDER, GENERALIZED ANXIETY DISORDER, AND OTHER MENTAL HEALTH DIAGNOSES. THE STAFF AT ARH SENIOR CARE UTILIZES A MULTIDISCIPLINARY TREATMENT TEAM INCLUDING A PSYCHIATRIST, A THERAPIST, AND A REGISTERED NURSE TO DEVELOP AN INDIVIDUALIZED PLAN OF TREATMENT FOR EACH PATIENT. OUR GOAL IS TO PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENTS TO COME AND SHARE THEIR FEELINGS WITH OTHERS THAT ARE EXPERIENCING SIMILAR ISSUES. PATIENTS RECEIVE TRANSPORTATION TO AND FROM THE PROGRAM.BARBOURVILLE ARH HAS ADDRESSED SUBSTANCE USE AND MENTAL HEALTH. PARTICIPATING IN MANY COALITIONS AND COUNCILS SUCH AS UNITE COALITION, CUMBERLAND VALLEY QUICK RESPONSE TEAM, AND THE KNOX COUNTY HEALTH COALITION THAT WORK TO COMBAT SUBSTANCE ABUSE IN OUR COMMUNITY. BARBOURVILLE ARH CEO PARTICIPATED IN A COMMUNITY FORUM: PARTNERING FOR PREVENTION HOSTED AT UNION COLLEGE. THE FACILITY PROMOTED PROMOTE KENTUCKY'S NEW MENTAL HEALTH HOTLINE, 988, THROUGHOUT THE COMMUNITY AND IN OUR AMBULATORY CLINIC. BETWEEN 2022-2024, OUR AMBULATORY CLINICS LOGGED 2,641 PATIENT BEHAVIORAL HEALTH VISITS, WITH A 54% GROWTH FROM 2022 TO 2024.OUR LADY OF THE WAY ARH (OLOTW) HAS IMPLEMENTED MENTAL HEALTH AND ADDICTION PROGRAMMING IN OUR COMMUNITY BY PROVIDING 3 FREE MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR STAFF FROM 2023-2024 IN WHICH 26 OLOTW EMPLOYEES WERE CERTIFIED. ARH STAFF PARTICIPATED ANNUALLY IN TRUTH AND CONSEQUENCES, A PROGRAM FOR ALL HIGH SCHOOL FRESHMAN AND SOPHOMORES IN THE COUNTY. THIS PROGRAM ALLOWS HIGH SCHOOL STUDENTS TO "EXPERIENCE" THE HARSH REALITIES OF SUBSTANCE ABUSE FROM DANGERS TO THEIR HEALTH TO INCARCERATIONBY WALKING THROUGH A SCENARIO PROVIDED TO EACH OF THEM. THEY SPONSORED OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS" PROGRAM, WHICH PROMOTES POSITIVE ACTIVITIES FOR LOCAL YOUTH WHILE PROVIDING EDUCATION ON DRUG PREVENTION. COMMUNITY DEVELOPMENT TEAM CONDUCTED 5 ANTI-VAPING PRESENTATIONS AT MAY VALLEY ELEMENTARY, BETSY LAYNE HIGH SCHOOL, AND THE FLOYD COUNTY BOARD OF EDUCATION.ACCESS TO HEALTHCARESINCE 2022, MARY BRECKENRIDGE ARH HAS ADDRESSED ACCESS TO CARE BY ADDING MANY NEW SERVICES THAT WOULD OTHERWISE REQUIRE PATIENT TRAVEL, INCLUDING: HEPATITIS C TREATMENT IN THE HYDEN RURAL HEALTH CLINIC, OUTPATIENT PULMONARY REHABILITATION, A PROGRAM THAT HELPS PEOPLE WITH LUNG DISEASE IMPROVE THEIR FUNCTION AND QUALITY OF LIFE THROUGH EXERCISE AND EDUCATION, AND A PODIATRY CLINIC IN HYDEN, OFFERING A MUCH-NEEDED SERVICE FOR OUR DIABETIC PATIENTS. IN 2024, THE FACILITY RECEIVED CERTIFICATION FROM DNV AS AN ACUTE STROKE READY CENTER, AFFIRMING THE HOSPITAL'S READINESS TO HANDLE STROKES AND STROKE RELATED MEDICAL PROBLEMS. THE ADVANTAGE OF AN ACUTE STROKE READY CERTIFIED PROGRAM IS THAT THESE STROKE CENTERS USUALLY SERVE COMMUNITIES WHERE ACCESS TO A LARGER, MORE EQUIPPED HOSPITAL IS TOO FAR FOR PATIENTS TO REACH IN LIMITED TIME.BARBOURVILLE ARH HAS IMPROVED COLLABORATION BY INCREASING ACTIVITY ON COMMUNITY COUNCILS, BOARDS, AND COALITIONS IN AN EFFORT TO BREAK DOWN SILOS, MEET COMMUNITY HEALTH NEEDS, AND FOSTER PARTNERSHIPS BETWEEN HEALTH CARE ORGANIZATIONS. BARBOURVILLE ARH HAS IMPROVED ACCESS TO CARE. WITH MORE THAN 80% OF HOSPITAL STAFF UNDERGOING TRAINING AND CERTIFICATION, BARBOURVILLE ARH RECEIVED THE CERTIFIED AUTISM CENTER (CAC) DESIGNATION GRANTED BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES) IN AUGUST 2024. BARBOURVILLE HAS INCREASED ACCESS TO CARE SO COMMUNITY MEMBERS DO NOT HAVE TO TRAVEL FOR HEALTH SERVICES BY: REOPENING THE SENIOR CARE PROGRAM, RECEIVING ACUTE STROKE READY STATUS, RECRUITING TWO NEW SPECIALTY PROVIDERS/SERVICES (PODIATRY AND GENERAL SURGERY), PROVIDING TWO NEW REHABILITATION SERVICES (CARDIAC REHAB AND PULMONARY REHAB), DEVELOPMENT OF PRE-ADMISSION TESTING PROGRAM TO DECREASE SURGERY NO-SHOW RATE AND PATIENT TRAVEL. IMPROVED PATIENT OUTCOMES THROUGH IMPLEMENTING THE AHA GET WITH THE GUIDELINES PROGRAM, RECEIVED CAD RURAL ACUTE NON ST-ELEVATION ACUTE CORONARY SYNDROME (NSTE-ACS) BRONZE AWARD.AS OF 2022, OUR LADY OF THE WAY (OLOTW) PROVIDED FREE GYM MEMBERSHIPS TO NO LIMITS FITNESS. SPONSORED NUMEROUS PHYSICAL ACTIVITY PROGRAMS IN THE COMMUNITY, INCLUDING THOSE THAT BENEFIT THE LOCAL HOMELESS SHELTER AND ANIMAL SHELTER (PAWS FOR A CAUSE, STRIKE OUT STROKE, RUN FOR SHELTER, LOCAL PEEWEE FOOTBALL). THEY PROVIDED 11 STROKE RISK ASSESSMENT SCREENING EVENTS THROUGHOUT THE COMMUNITY AT AREA RETAIL STORES, GROCERY STORES, SENIOR CENTERS, ETC. HOSTED A HEART HEALTH EDUCATION EVENT ON-SITE IN 2022, HOSTED THE FACES OF COLON CANCER PROGRAM IN OUR LOBBY IN MARCH OF 2024, PROVIDED LUNG CANCER PRESENTATIONS ON 2 OCCASIONS AND BRAIN PROTECTORS STROKE EDUCATION CLASSES IN 2 SCHOOLS. OUR LADY OF THE WAY ARH HAS INCREASED ACCESS TO CARE, SO COMMUNITY MEMBERS DO NOT HAVE TO TRAVEL FOR HEALTH SERVICES BY INCREASING SLEEP LAB SERVICES TO 5 NIGHTS PER WEEK AND INCREASING NUMBER OF HOME SLEEP STUDY UNITS BY 2. WE OPENED WEEKLY CARDIOLOGY AND ORTHOPEDICS CLINICS IN THE HAROLD COMMUNITY AND ADDED SURGERY CONSULTATIONS TO THE SETON CLINIC MONTHLY. PROVIDING NEW SPECIALTY SERVICES BY TELEMEDICINE, CARDIOLOGY AND NEUROLOGY. RECRUITING TWO NEW PROVIDERS THAT STARTED IN 2023 AND EXTENDED HOURS OF OPERATION AT MARTIN CLINIC TO 6:30PM. OUR LADY OF THE WAY ALSO RECEIVED ACUTE STROKE READY STATUS IN 2023.HEALTH EDUCATIONMARY BRECKENRIDGE ARH HAS PROVIDED COMMUNITY EDUCATION AND SUPPORT BY LAUNCHING THE PEER SUPPORT PROGRAM IN 2022, WHICH EMPLOYS PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENTS AND THROUGHOUT THE COMMUNITY. SINCE THEY HAVE ENCOUNTERED 65 PATIENTS AND COMPLETED 9,674 SBIRT SCREENINGS. THEY HAVE IMPLEMENTED "TOO GOOD FOR DRUGS" CLASS AT WB MUNCY ELEMENTARY AND SERVED ON OPERATION UNITE LESLIE COUNTY COALITION. THE PEER RECOVERY COACHES HAVE ALSO PROVIDED "TOO GOOD FOR DRUGS" PROGRAMMING TO MIDDLE SCHOOL AGE STUDENTS IN LESLIE COUNTY SCHOOLS. THE FACILITY HAS SUPPORTED NARCAN DISTRIBUTION EFFORTS AND SAVE A LIFE ROADSHOW IN PARTNERSHIP WITH KY DEPARTMENT OF PUBLIC HEALTH. THEY HAVE SPONSORED WEEKLY AA/NA MEETINGS HELD AT ROCKHOUSE BAPTIST CHURCH AND FORMED A PARTNERSHIP WITH THE LESLIE COUNTY HEALTH DEPARTMENT TO OFFER SMOKING CESSATION CLASSES TO COMMUNITY MEMBERS AND EDUCATION ON THE HARMFUL EFFECTS TO SMOKING. ARH EMPLOYEE WERE ALSO GIVEN ACCESS TO SMOKING CESSATION SERVICES INCLUDING FREE ONLINE COUNSELING AND NICOTINE REPLACEMENT THERAPIES.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HYDEN ARH CLINIC
130 KATE IRELAND DRIVE	HYDEN	KY	41749	CLINIC
2 - BIG CREEK ARH CLINIC
17644 SOUTH HWY 421	BIG CREEK	KY	40914	CLINIC
3 - CUMBERLAND VALLEY MEDICAL SURGICAL ASSOC
80 HOSPITAL DRIVE	BARBOURVILLE	KY	40906	CLINIC
4 - ARH CUMBERLAND VALLEY MEDICAL & SURGICAL
3504 W CUMBERLAND AVE	MIDDLESBORO	KY	40965	CLINIC
5 - ARH PRIMARY CARE ASSOC NI - MARTIN
11087 MAIN STREET	MARTIN	KY	41649	CLINIC
6 - ARH PRIMARY CARE ASSOC - CORBIN
1317 CUMBERLAND FALLS HWY SUITE B	CORBIN	KY	40701	CLINIC
7 - ARH CUMBERLAND VALLEY MEDICAL & SURGICAL
302 WALNUT ST	PINEVILLE	KY	40977	CLINIC
8 - ARH MEDICAL & SPECIALTY ASSOC - HAROLD
24 LEFT PENHOOK ROAD	HAROLD	KY	41635	CLINIC
9 - ARH PRIMARY CARE ASSOC - SETON
11088 MAIN STREET SUITE 101	MARTIN	KY	41649	CLINIC
10 - ARH PRIMARY CARE ASSOC NJ - BETSY LANE
12579 MAIN STREET STE 101	MARTIN	KY	41649	CLINIC
11 - OUR LADY OF THE WAY PHARMACY
12579 MAIN STREET	MARTIN	KY	41649	PHARMACY
12 - ARH SPECIALTY PHARMACY- BARBOURVILLE
80 HOSPITAL DRIVE	BARBOURVILLE	KY	40906	PHARMACY
13 - ARH CUMBERLAND VALLEY PHARMACY
3504 W CUMBERLAND AVE	MIDDLESBORO	KY	40965	PHARMACY
14 - MB ARH HOME HEALTH AGENCY
166 KATE IRELAND DRIVE	HYDEN	KY	41749	HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (16 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 6A:	A COMBINED ANNUAL COMMUNITY BENEFIT REPORT WAS FILED FOR ALL FACILITIES WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM; FILED BY APPALACHIAN REGIONAL HEALTHCARE, INC. (EIN: 52-0795508), THE PARENT ORGANIZATION.
PART I, LINE 7:	THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE 2025 FISCAL YEAR HAS BEEN REMARKABLE FOR MARY BRECKINRIDGE ARH HEALTH SERVICES, MARKED BY SIGNIFICANT GROWTH AND IMPACT THROUGH EXPANDED COMMUNITY OUTREACH PROGRAMS IN LESLIE AND CLAY COUNTIES. OUR COMMITMENT TO IMPROVING HEALTHCARE SERVICES AND ENGAGEMENT WITHIN OUR COMMUNITIES CONTINUES TO BE A DRIVING FORCE FOR OUR ORGANIZATION.STAFF RECOGNITION AND ACHIEVEMENTSANGELA CAMPBELL, OUR INFECTION PREVENTIONIST, WAS HONORED WITH AN AWARD FROM THE KENTUCKY HOSPITAL ASSOCIATION IN 2025. REPRESENTATIVES FROM THE ASSOCIATION TRAVELED FROM LOUISVILLE, KY TO PERSONALLY PRESENT ANGELA WITH THIS RECOGNITION AT MARY BRECKINRIDGE ARH. A RECEPTION WAS HELD TO CELEBRATE ANGELA'S ACHIEVEMENT, WHICH HIGHLIGHTED HER EXEMPLARY PERFORMANCE AND DEDICATION, PARTICULARLY THROUGHOUT THE COVID-19 PANDEMIC.CERTIFICATIONS AND ACCREDITATIONSIN AUGUST 2025, THE DNV ACCREDITING AGENCY VISITED MARY BRECKINRIDGE ARH HOSPITAL FOR THE ANNUAL RECERTIFICATION. THE DNV STAFF OBSERVED AND COMMENDED SEVERAL NOTEWORTHY PRACTICES DURING THEIR TWO-DAY VISIT, REFLECTING POSITIVELY ON OUR ONGOING COMMITMENT TO EXCELLENCE. IN OCTOBER 2025, DNV RETURNED TO EVALUATE OUR STROKE READY DESIGNATION, USING STANDARDS SET BY THE BRAIN ATTACK COALITION AND THE AMERICAN STROKE ASSOCIATION. THEIR REVIEW CONFIRMED OUR RECERTIFICATION, DEMONSTRATING THAT OUR HOSPITAL MAINTAINS A DEDICATED, STROKE-FOCUSED PROGRAM. ELIZABETH JONES, RN, STROKE COORDINATOR, AND HER TEAM WORKED DILIGENTLY TO UPHOLD THE STANDARDS NECESSARY FOR THIS IMPORTANT DESIGNATION.AWARDS AND HONORSMARY BRECKINRIDGE ARH WAS RECOGNIZED WITH A SILVER ACHIEVEMENT AWARD FOR CORONARY ARTERY DISEASE AS PART OF THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" PROGRAM. ADDITIONALLY, THE HOSPITAL RECEIVED A SILVER ACHIEVEMENT AWARD FOR RURAL STROKE FROM THE SAME ORGANIZATION, FURTHER VALIDATING OUR COMMITMENT TO QUALITY CARE IN THESE CRITICAL AREAS.COMMUNITY HEALTH INITIATIVES OUR STROKE COORDINATOR, ELIZABETH JONES, RN, AND HER STAFF CONDUCTED 134 STROKE SCREENINGS WITHIN THE COMMUNITY. THE TEAM ALSO PERFORMED FINGER STICK A1C TESTS TO MONITOR BLOOD SUGAR LEVELS, PROVIDING VALUABLE EDUCATION AND RAISING STROKE AWARENESS AMONG PATIENTS AND RESIDENTS. IN ADDITION, 148 STUDENTS AGED 10 AND UNDER ACROSS LESLIE COUNTY SCHOOL SYSTEMS RECEIVED INSTRUCTION ON RECOGNIZING STROKE SYMPTOMS AND THE IMPORTANCE OF CALLING 911. CHRISTA BROCK, RN, IS ENHANCING PATIENT CARE BY TRAVELING TO VARIOUS ARH FACILITIES TO BECOME PROFICIENT IN MIDLINE IV INSERTIONS, ENABLING PATIENTS TO RECEIVE LONG-TERM IV THERAPY LOCALLY WITHOUT HAVING TO TRAVEL ELSEWHERE.ANNUAL COMMUNITY EVENTSOUR DEDICATION TO COMMUNITY ENGAGEMENT WAS REFLECTED IN A VARIETY OF ANNUAL EVENTS. AT OUR CHILDREN'S CHRISTMAS PARTY, EVERY CHILD RECEIVED A WRAPPED GIFT, TOBOGGAN, GLOVES, FRUIT BAG, JUICE, AND HOT CHOCOLATE. MR. AND MRS. CLAUS WERE PRESENT TO HAND OUT GIFTS AND GREET FAMILIES, MAKING THE OCCASION MEMORABLE FOR ALL. WE HOSTED OUR ANNUAL TRUNK OR TREAT HALLOWEEN EVENT, WHERE ELEVEN DEPARTMENTS DECORATED THEIR TRUNKS WITH UNIQUE THEMES, CREATING A FUN AND FESTIVE ATMOSPHERE. TO HONOR OUR FIRST RESPONDERS, WE ORGANIZED A RECOGNITION EVENT FEATURING LOCAL FOOD TRUCK "TRAILS OF SMOKE," WHICH SERVED HICKORY SMOKED RIBS, PULLED PORK, AND SIDES. DJ MICHAEL DEWAYNE FROM RADIO STATION 97.9 PROVIDED MUSIC, AND WE EXPRESSED OUR DEEP APPRECIATION FOR THE VITAL ROLE FIRST RESPONDERS PLAY IN OUR COMMUNITY. THE COMMUNITY-WIDE PICNIC, WHICH MARKED THE START OF THE MARY BRECKINRIDGE FESTIVAL, WAS ANOTHER SUCCESSFUL EVENT. OVER 850 MEALS WERE SERVED, FREE HEALTH SCREENINGS WERE OFFERED, AND FLU VACCINES WERE MADE AVAILABLE. THE LOCAL SHRINER'S CHAPTER CONTRIBUTED BY PREPARING FOOD FOR ATTENDEES.OUR ANNUAL EASTER EGG HUNT AT THE BOBBY OSBORNE PAVILION FEATURED 5,000 EGGS FILLED WITH TREATS FOR CHILDREN TO DISCOVER, AS WELL AS PHOTO OPPORTUNITIES WITH THE EASTER BUNNY. WE ALSO HELD A SPECIAL "BLESSING OF THE HANDS" CEREMONY FOR STAFF MEMBERS, IN WHICH THE CHAPLAIN OFFERED PRAYERS FOR THOSE WHO WISHED TO PARTICIPATE.ONGOING PROGRAMS AND SERVICESWE CONTINUE TO PROVIDE VALUABLE SENIOR CARE SERVICES, OFFERING BOTH INDIVIDUAL AND GROUP THERAPY TO SUPPORT THE ELDERLY POPULATION. OUR PULMONARY REHABILITATION PROGRAM REMAINS AN ESSENTIAL RESOURCE FOR PATIENTS WITH RESPIRATORY CHALLENGES, RECEIVING POSITIVE FEEDBACK FROM PARTICIPANTS. OUR HOME HEALTH STAFF CONTINUES TO PROVIDE SERVICES FOR OUR PATIENTS IN THEIR HOME ENVIRONMENT WITH CERTIFIED NURSING ASSISTANTS, RNS, PHYSICAL AND OCCUPATIONAL THERAPY. AS YOU CAN IMAGINE, THIS IS MUCH NEEDED SERVICE IN EASTERN KENTUCKY. MANY OF OUR PATIENTS ARE HOME BOUND AND NOT ABLE TO DRIVE. FOOD DRIVES ARE REGULARLY CONDUCTED, WITH FOOD BOXES DISTRIBUTED TO FAMILIES AND INDIVIDUALS EXPERIENCING FOOD INSECURITY AT OUR ER, HOME HEALTH, SENIOR CARE, HYDEN, AND BIG CREEK ARH CLINICS. MARY BRECKINRIDGE ARH COLLABORATES WITH BIG CREEK MISSION DURING SUMMER PROGRAMS AT THE WILLIE B. SANDLIN POOL, WHERE CHILDREN RECEIVE FREE MEALS AND ENJOY GAMES AND SWIMMING. OUR STAFF ATTEND THESE EVENTS TO DELIVER EDUCATION ON BULLYING, PEER PRESSURE, BICYCLE SAFETY, STROKE AWARENESS, AND DIALING 911 FOR EMERGENCIES.DEPARTMENTAL DEVELOPMENTSWE HAVE SUCCESSFULLY RECRUITED JENNIFER MEARS, A SPEECH THERAPIST WITH TWENTY YEARS OF EXPERIENCE, WHO RELOCATED TO HYDEN FROM FLORIDA. HER SCHEDULE REMAINS FULLY BOOKED, AND WE ARE ACTIVELY SEEKING TO ADD ANOTHER SPEECH THERAPIST TO MEET GROWING DEMAND. TASHA MCCORMICK, APRN, IS NOW PROVIDING SPECIALIZED HEPATITIS C TREATMENT. WITH APPROPRIATE PATIENT PARTICIPATION AND MEDICATION REGIMENS, THIS VIRUS CAN BE FULLY CURED.WE WERE ABLE TO RECRUIT ASHLEY HACKER, MENTAL HEALTH APRN WHO IS PROVIDING MENTAL HEALTH COUNSELING TO HYDEN AND BIG CREEK ARH CLINIC PATIENTS. TO ADDRESS SPACE LIMITATIONS IN OUR LABORATORY, THE BOARD OF TRUSTEES APPROVED EXPANSION BY RENOVATING AN UNUSED OPERATING ROOM. THIS PROJECT IS NEARING COMPLETION AND WILL PROVIDE IMPROVED WORKSPACE, AMPLE ROOM FOR EQUIPMENT, AND A WAITING AREA FOR PATIENTS NEEDING LAB WORK. WE ANTICIPATE MOVING INTO THE NEW LAB FACILITY BY MID-FEBRUARY.
PART III, LINE 2:	TO DETERMINE THE BAD DEBT EXPENSE ON PART III, LINE 2, THE BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS, WHICH CONSISTS OF GROSS CHARGES LESS DISCOUNTS, WAS CONVERTED TO COST USING THE GLOBAL COST-TO-CHARGE RATIO. PATIENT DISCOUNTS ARE NOT REFLECTED IN BAD DEBT. ANY PAYMENTS ON AN ACCOUNT AFTER IT IS WRITTEN OFF TO BAD DEBT RESULT IN A REVERSAL OF THE ENTIRE ACCOUNT OUT OF BAD DEBT, REINSTATEMENT OF THE PATIENT ACCOUNT RECEIVABLE, AND ANY NEGOTIATED DIFFERENCE IN THE FULL AMOUNT OF THE ACCOUNT AND THE PAYMENT MADE IS WRITTEN OFF TO CONTRACTUAL ALLOWANCE. PATIENTS WHO MAY QUALIFY FOR CHARITY CARE BUT DO NOT APPLY CANNOT BE ESTIMATED. ALL PATIENTS ARE EDUCATED ABOUT AND GIVEN EVERY OPPORTUNITY TO APPLY FOR CHARITY CARE AND, THEREFORE, ARH HAS NO INFORMATION FOR THOSE WHO CHOOSE NOT TO APPLY.
PART III, LINE 3:	MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ASSOCIATED WITH CREDIT RISK. THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING RECEIVABLES IS CRITICAL TO ITS RESULTS OF OPERATIONS AND CASH FLOWS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE CORPORATION ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THE PRIMARY UNCERTAINTY OF SUCH ALLOWANCES LIES WITH UNINSURED PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS. THE CORPORATION HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON SEVERAL ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE CORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.
PART III, LINE 4:	THE CORPORATION HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON SEVERAL ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE CORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.
PART III, LINE 8:	A SIGNIFICANT PORTION OF THE CORPORATION'S PATIENT REVENUES ARE DERIVED FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES. IN TURN, PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FELL SHORT OF THE COST TO PROVIDE SUCH SERVICES BY MORE THAN $3 MILLION. MEDICARE RECIPIENTS RELY HEAVILY ON ARH FOR CARE, IN MANY OF THE COMMUNITIES IT SERVES, ARH IS THE LONE PROVIDER OF ACUTE HOSPITAL CARE. THE CORPORATION CONSIDERS ITS PARTICIPATION IN THE MEDICARE PROGRAM AND THE ASSOCIATED LOSSES RESULTING THEREOF AS AN ESSENTIAL COMPONENT OF COMMUNITY BENEFIT. ACCORDINGLY, WE DEEM THAT $3,034,905 (OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	THE PROVISIONS IN THE WRITTEN DEBT COLLECTION POLICY ARE THAT CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS ARE VALID FOR 6 MONTHS. AFTER THAT TIME, THE PATIENT MUST REAPPLY AND PRESENT CURRENT FINANCIAL DOCUMENTS AS NECESSARY.
PART VI, LINE 2:	IN 2024, APPALACHIAN REGIONAL HEALTHCARE CONTRACTED UNIVERSITY OF KENTUCKY'S TEAM UP PUBLIC HEALTH COLLABORATIVE TO CONDUCT INDIVIDUAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH OF ITS 14 FACILITIES. THESE ASSESSMENTS, CONDUCTED OVER EIGHT MONTHS, INCLUDED OVER 4,000 PUBLIC SURVEYS, 60 FOCUS GROUPS, 14 STEERING COMMITTEES, AND SECONDARY DATA COLLECTION NOT LIMITED TO: HOSPITAL UTILIZATION DATA COUNTY AND STATE HEALTH RANKINGS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM DATA KY KIDS COUNT CENSUS DATA CANCER REGISTRY DATAIN ADDITION TO ASSESSING THE CURRENT STATE OF COMMUNITY HEALTH NEEDS, THESE CHNA REPORTS INCLUDE IMPLEMENTATION PLANS FOR THE NEXT THREE YEARS (CALENDAR YEARS 2025-2027) TO ADDRESS GREATEST PRIORITIES, AND AN OUTCOME SUMMARY FROM THE LAST CHNA CONDUCTED (2022).
PART VI, LINE 3:	UNDER ARHS FINANCIAL ASSISTANCE PROGRAM AND POLICY, EACH PATIENT WITHOUT MEDICAL COVERAGE FOR RENDERED SERVICES IS OFFERED A 40% DISCOUNT OF GROSS CHARGES AT TIME OF SERVICE. IF THE PATIENT EXTENDS PAYMENT AT TIME OF SERVICE THEY ARE GIVEN ANOTHER 10% DISCOUNT, MAKING THEIR LIABILITY 50% OF GROSS CHARGES. ALL OF THESE DISCOUNTS ARE APPLIED AT TIME OF CHARGE AND BILLED AFTER THE DISCOUNT IS TAKEN. IF SAID PATIENT IS UNABLE TO MEET THE FINANCIAL OBLIGATIONS FOR SERVICE, THEY ARE EDUCATED AND SCREENED FOR POTENTIAL FEDERAL AND/OR STATE ASSISTANCE PROGRAMS. BY DOING THIS, THE PATIENT IS REVIEWED AND EDUCATED BY ON-SITE FINANCIAL COUNSELORS AND/OR ELIGIBILITY AGENCY TO GET THE INDIVIDUAL PLACED IN A PROGRAM. BASED ON INCOME AND FAMILY STATUS, THE PATIENT IS SCREENED IN CONJUNCTION WITH THE FEDERAL AND STATE POVERTY GUIDELINES. AT THIS TIME, ALL APPLICATIONS ARE COMPLETED WITH THE ASSISTANCE OF ARH PERSONNEL AND SUBMITTED FOR APPROVAL. IN THE EVENT AN AGENCY REQUIRES THE PATIENT/GUARANTOR TO APPLY IN PERSON, THE INDIVIDUAL IS ASKED TO MAKE AN APPOINTMENT WITH THAT AGENCY AND FILE THEIR COMPLETED DOCUMENTS. IF THE RESPONSIBLE PARTY IS NOT ELIGIBLE FOR FEDERAL OR STATE ASSISTANCE, THEY ARE ADDITIONALLY SCREENED BY ARH FOR ELIGIBILITY INTO OUR INTERNAL SLIDING FEE SCHEDULE CHARITY PROGRAM FOR ADDITIONAL DISCOUNTS UP TO 100% OF GROSS CHARGES. IF THE PATIENT IS HELD RESPONSIBLE, ADDITIONAL EFFORTS TO ASSIST THE PATIENT ARE OFFERED BY OFFERING REASONABLE PAYMENT PLANS AND DEFERRED PAYMENTS. IN THE EVENT THE PATIENT/GUARANTOR DOES NOT MAKE A REASONABLE EFFORT TO COMPLETE NECESSARY DOCUMENTATION TO APPLY OR BECOME ELIGIBLE FOR A FINANCIAL ASSISTANCE PROGRAM, THEY ARE THEN STILL GIVEN THE INITIAL 40% DISCOUNT AND MOVED THROUGH THE NORMAL COLLECTION PROCESS.
PART VI, LINE 4:	PRIMARY COUNTIES IN KENTUCKY SERVED BY APPALACHIAN REGIONAL HEALTHCARE (THOSE WITH FACILITIES IN-COUNTY) INCLUDE BELL, FLOYD, HARLAN, JOHNSON, KNOX, LESLIE, LETCHER, MORGAN, PERRY, PIKE. SECONDARY KENTUCKY COUNTIES INCLUDE BREATHITT, CLAY, KNOTT, LAWRENCE, LEE, MAGOFFIN, MARTIN, OWSLEY, AND WOLFE. PRIMARY COUNTIES IN WEST VIRGINIA SERVED BY APPALACHIAN REGIONAL HEALTHCARE INCLUDE RALEIGH AND SUMMERS, WITH SECONDARY COUNTIES OF BOONE, FAYETTE, AND GREENBRIER, MINGO, AND WYOMING. THIS SERVICE AREA LIES WITHIN THE PORTION OF THE APPALACHIAN REGIONAL COMMISSION (ARC) DESIGNATED APPALACHIAN REGION, INCLUDING MANY OF THE STEEP, FORESTED RIDGES AND NARROW VALLEYS TYPICAL OF THE APPALACHIAN MOUNTAINS IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA. FOR EXAMPLE, IN LETCHER COUNTY, KENTUCKY, THE LANDSCAPE IS DEFINED BY RUGGED MOUNTAINS AND DENSE FOREST, WITH THE 125-MILE RIDGELINE OF PINE MOUNTAIN RUNNING ACROSS THE COUNTY. IN HARLAN COUNTY, KENTUCKY, ANOTHER COUNTY IN THE REGION, THE HEADWATERS OF THE CUMBERLAND RIVER FLOW THROUGH VALLEYS CARVED BETWEEN HIGH RIDGES. HARLAN COUNTY CONTAINS KENTUCKY'S HIGHEST POINT, BLACK MOUNTAIN (4,145 FT), REFLECTING THE ELEVATION EXTREMES. RURAL RESIDENTS OFTEN FACE LONG TRAVEL DISTANCES TO REACH MEDICAL FACILITIES, COMPOUNDED BY LIMITED OR UNRELIABLE PUBLIC TRANSPORTATION, AND LOW VEHICLE OWNERSHIP IN SOME HOUSEHOLDS. GIVEN THE RURAL AND MOUNTAINOUS CONTEXT, MANY COMMUNITIES ARE SMALL, SCATTERED, AND ISOLATED. THAT TENDS TO YIELD LIMITED LOCAL INFRASTRUCTURE; FEWER LARGE EMPLOYERS, FEWER AND SMALLER TOWNS, AND FEWER SERVICES, WHICH ALSO AFFECTS ACCESS TO HEALTH CARE, SOCIAL SERVICES, ECONOMIC OPPORTUNITIES, AND COMMUNITY RESOURCES.THE COUNTIES SERVED, MANY OF THEM COALFIELD AND FORMER COAL-MINING COUNTIES, HAVE LONG FACED ECONOMIC DISLOCATION AS TRADITIONAL INDUSTRIES (LIKE COAL) HAVE FADED. THAT LEGACY AFFECTS INCOME, EMPLOYMENT OPPORTUNITIES, AND ECONOMIC STABILITY IN THE REGION. THIS IS COMMON ACROSS MUCH OF THE EASTERN KENTUCKY COALFIELD AREA. MOREOVER, COMPARED WITH NON-APPALACHIAN REGIONS, PEOPLE IN APPALACHIA TEND TO HAVE LOWER LEVELS OF EDUCATIONAL ATTAINMENT AND HIGHER RATES OF POVERTY, FACTORS THAT CORRELATE WITH POORER HEALTH OUTCOMES.THE TOTAL POPULATION OF ARH'S PRIMARY AND SECONDARY MARKETS IS 503,677, WITH INDIVIDUALS AGE 65 AND OLDER REPRESENTING 22% OF THE POPULATION. NOTABLY, THIS AGE GROUP IS THE ONLY DEMOGRAPHIC EXPECTED TO GROW IN SIZE. THE REGION'S POPULATION IS PREDOMINANTLY CAUCASIAN (92%), WITH AN AVERAGE HOUSEHOLD INCOME OF $63,741. APPROXIMATELY 15% OF RESIDENTS HOLD A BACHELOR'S DEGREE OR HIGHER, WHILE 27% OF HOUSEHOLDS LIVE BELOW THE POVERTY LINE.
PART VI, LINE 5:	ARH HOSPITALS FURTHER THEIR TAX-EXEMPT PURPOSE THROUGH EXPANDING ACCESS TO CARE, COMMUNITY-BASED HEALTH IMPROVEMENT ACTIVITIES AND SOCIAL DETERMINANT OF HEALTH INTERVENTIONS. IN FY25, ARH INVESTED OVER 5.2 MILLION DOLLARS IN COMMUNITY BENEFIT ACTIVITIES, INCLUDING FREE COMMUNITY-BASED CLINICAL SCREENINGS (NEARLY 4,000 PROVIDED), FOOD IS MEDICINE INITIATIVES (I.E. COOKING CLASSES, DIABETES SUPPORT GROUPS, FARMERS MARKET SUPPORT, ETC.), IN-SCHOOL HEALTH PROGRAMMING, PHYSICAL ACTIVITY PROGRAMMING, CANCER PREVENTION, AND CHRONIC DISEASE EDUCATION. ARH'S COMMUNITY BENEFIT ACTIVITIES ARE TARGETED, MEASURABLE, AND DIRECTLY RESPONSIVE TO THE NEEDS IDENTIFIED IN ITS CHNAS. BY ENSURING ACCESS TO ESSENTIAL HEALTHCARE SERVICES, IMPROVING POPULATION HEALTH, AND ADDRESSING THE UNIQUE GEOGRAPHIC AND SOCIOECONOMIC BARRIERS FACED BY CENTRAL APPALACHIAN RESIDENTS, ARH'S HOSPITALS DEMONSTRABLY ADVANCE THEIR CHARITABLE PURPOSE AND PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE.BETWEEN THESE ARH FACILITIES, OVER 130 EVENTS, CLASSES, AND SUPPORT GROUPS WERE HOSTED IN FY25 FOCUSED ON HEALTHY LIFESTYLE EDUCATION, FREE HEALTH SCREENING EVENTS, CHRONIC DISEASE PREVENTION, AND COMMUNITY HEALTH BETTERMENT. COMMUNITY MEMBERS HAVE BEEN EDUCATED ON SUBSTANCE ABUSE PREVENTION, THE USE OF NARCAN TO REDUCE OVERDOSE, AND THE DANGERS OF SMOKING AND VAPING. ARH HAS BEEN AT THE FOREFRONT OF FOOD IS MEDICINE IN APPALACHIA, EDUCATING PATIENTS AND COMMUNITIES ABOUT THE BENEFITS OF PROPER NUTRITION. THE FOOD IS MEDICINE MOVEMENT FURTHER INTEGRATED NUTRITION INTO HEALTHCARE, HOSTING EVENTS SUCH AS FARMER'S MARKETS, HEALTHY COOKING DEMONSTRATIONS, AND EDUCATIONAL CAMPAIGNS HIGHLIGHTING THE IMPORTANCE OF PROPER NUTRITION. FACILITIES IN ARH'S KY RIVER AND BIG SANDY REGIONS HAVE CONTINUED THEIR IN-FACILITY FOOD PANTRY PROGRAMS, DISTRIBUTING HUNDREDS OF MEALS TO PATIENTS THAT HAVE SCREENED AS FOOD INSECURE. THROUGHOUT THE COMMUNITY, ARH STAFF PARTICIPATE IN BOARDS AND COALITIONS THAT WORK TO BETTER THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS; LOCAL EXTENSION ADVISORY BOARDS, DIABETES COALITIONS, COUNTY HEALTH COALITIONS, AND MORE. ARH ALSO USES LOCAL ADVISORY COUNCILS FOR EACH FACILITY, MADE OF COMMUNITY MEMBERS TO PROVIDE A PLATFORM FOR COMMUNITY INPUT AND FEEDBACK ON HEALTHCARE SERVICES AND POLICIES. THEY HELP TO ENSURE TRANSPARENCY IN HOSPITAL OPERATIONS, ENGAGE COMMUNITY MEMBERS IN PLANNING, AND SUPPORT SHARED DECISION-MAKING. THESE LOCAL ADVISORY BOARDS PLAY A KEY ROLE IN DEVELOPING INCLUSIVE HEALTH PROGRAMS AND REDUCING HEALTH DISPARITIES. BY INCLUDING A DIVERSE RANGE OF COMMUNITY MEMBERS, ARH IS PROMOTING HEALTH EQUITY AND RESPONSIVENESS TO LOCAL NEEDS.
PART VI, LINE 6:	APPALACHIAN REGIONAL HEALTHCARE (ARH) IS AN INTEGRATED, MULTI-HOSPITAL HEALTHCARE SYSTEM SERVING RURAL AND UNDERSERVED COMMUNITIES THROUGHOUT CENTRAL APPALACHIA. INDIVIDUAL ARH HOSPITALS AND OTHER HEALTH ENTITIES PROVIDE DIRECT INPATIENT, OUTPATIENT, EMERGENCY, SPECIALTY, AND COMMUNITY-BASED CARE TAILORED TO LOCAL HEALTH NEEDS.AT THE SYSTEM LEVEL, ARH SUPPORTS ITS LOCAL COMMUNITY HOSPITALS, CLINICS, PHARMACIES, HOME SERVICES AND OTHER HEALTH-RELATED OPERATIONS THROUGH COORDINATED GOVERNANCE, SHARED CLINICAL AND ADMINISTRATIVE SERVICES, AND SYSTEM-WIDE COMMUNITY BENEFIT AND POPULATION HEALTH INITIATIVES. THESE INCLUDE UNIFORM CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES, COORDINATION OF COMMUNITY HEALTH NEEDS ASSESSMENTS, AND SUPPORT FOR PROGRAMS ADDRESSING CHRONIC DISEASE, SUBSTANCE USE DISORDER, FOOD INSECURITY, PREVENTIVE CARE, AND ACCESS TO HEALTHCARE SERVICES.ARH HOSPITALS IMPLEMENT THESE INITIATIVES LOCALLY THROUGH ACTIVITIES SUCH AS PEER RECOVERY SUPPORT FOR PATIENTS WITH SUBSTANCE USE DISORDER, MOBILE AND COMMUNITY-BASED CLINICS SERVING RURAL AREAS, HEALTH SCREENINGS AND EDUCATION, AND PARTNERSHIPS WITH PUBLIC HEALTH AGENCIES AND COMMUNITY ORGANIZATIONS. TOGETHER, ARH AND ITS AFFILIATED ENTITIES WORK COLLABORATIVELY TO IMPROVE ACCESS TO CARE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES THEY SERVE.
PART VI, LINE 7, REPORTS FILED WITH STATES	KY,WV
PART I, LINE 7F:	$4,200,357 OF BAD DEBT EXPENSE WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25; BUT WAS EXCLUDED IN CALCULATING COMMUNITY BENEFIT EXPENSE FOR SCHEDULE H, LINE 7. COMMUNITY BENEFIT EXPENSES WERE CALCULATED USING COST REPORTS FOR THE FISCAL YEAR ENDED JUNE 30, 2025.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
MOUNTAIN PERFORMING ARTS INC
50 HAL ROGERS DRIVE	PRESTONSBURG	KY	41653	834107663	501C3	$20,000	$0	TO SUPPORT THE MISSION OF THE ORGANIZATION THAT PROMOTES THE RICH CULTURAL HERITAGE AND ARTISTIC EXPRESSIONS OF THE APPALACHIAN REGION.
BARBOURVILLE TOURISM
117 HIGH STREET	BARBOURVILLE	KY	40906	616001779	GOVERMENT	$19,450	$0	TO PROMOTE COMMUNITY INVOLVEMENT, TOURISM, AND DEVELOPMENT OF SMALL BUSINESSES.
BARBOURVILLE INDEPENDENT SCHOOL
PO BOX 520	BARBOURVILLE	KY	40906	616001386	501C3	$13,800	$0	TO SUPPORT AN ACTIVE, HEALTHLY LIFESTYLE FOR OUR LOCAL YOUTH

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
HOLLIE P HARRIS
PRESIDENT/CEO	$0	$1,125,295	$0	$377,829	$0	$653	$0	$93,659	$0	$25,153	$0	$1,622,589	$0	$0
BYRON GABBARD
TREASURER	$0	$512,657	$0	$150,857	$0	$737	$0	$60,039	$0	$876	$0	$725,166	$0	$0
CHRISTI LEE
CHIEF LEGAL COUNCIL	$0	$373,233	$0	$109,989	$0	$395	$0	$44,599	$0	$25,153	$0	$553,369	$0	$0
JAMES D ADAMS
HOSPITALIST	$457,163	$0	$0	$0	$0	$0	$3,338	$0	$35,357	$0	$495,858	$0	$0	$0
LARRY E WARREN
FAMILY PHYSICIAN	$448,839	$0	$1,580	$0	$0	$0	$5,068	$0	$31,240	$0	$486,727	$0	$0	$0
CHRISTOPHER M YOST
FAMILY PHYSICIAN	$309,596	$0	$77,537	$0	$365	$0	$29,730	$0	$43,717	$0	$460,945	$0	$0	$0
JAMES WEST
HOSPITALIST	$387,420	$0	$0	$0	$0	$0	$15,711	$0	$13,573	$0	$416,704	$0	$0	$0
JERRY L WOOLUM
FAMILY PHYSICIAN	$368,839	$0	$0	$0	$0	$0	$15,658	$0	$31,240	$0	$415,737	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION FOR ITS CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B	THE RELATED ORGANIZATION, APPALACHIAN REGIONAL HEALTHCARE, INC. (52-0795508) ("ARH"), PROVIDES SENIOR EXECUTIVES A CONTRIBUTION 3, 5, OR 7 PERCENT OF PAY (SUBJECT TO DOLLAR CAP), DEPENDING ON JOB TITLE, INTO THE TOP HAT 457(B) RETIREMENT PLAN. THE CONTRIBUTION AND EARNINGS ARE TAX DEFERRED UNTIL ASSETS ARE DISTRIBUTED OR WITHDRAWN. THE MAXIMUM CONTRIBUTION IS SUBJECT TO THE IRS COMPENSATION CAP, WHICH ALLOWS A CONTRIBUTION OF UP TO $23,000 IN 2024. THIS CONTRIBUTION TOTAL IS AN AGGREGATE TOTAL REGARDLESS OF WHETHER ARH OR THE EXECUTIVE MAKES THE CONTRIBUTION. CONTRIBUTION TO THE 457(B) DOES NOT AFFECT THE AMOUNTS THE EXECUTIVE MIGHT CONTRIBUTE TO THE 403(B)-THRIFT PLAN. THE EXECUTIVE MAY CONTRIBUTE HIS/HER OWN MONEY TO THE PLAN PRE-TAX, TO THE EXTENT THE IRS CAPS ALLOW ROOM AFTER ARH'S CONTRIBUTION. CATCH UP CONTRIBUTIONS ARE ALLOWED WITHIN IRS LIMITS IN THE LAST THREE YEARS PRIOR TO RETIREMENT (AND, IF THE 3, 5 OR 7 PERCENT OF PAY EXCEEDS THE REGULAR DOLLAR CAP, ARH MAY USE THE BALANCE OF THE PERCENTAGE TO FUND UP THE CATCH-UP LIMIT). BENEFITS ARE SUBJECT TO SOCIAL SECURITY AND MEDICARE TAXES AS THEY ACCRUE. THE FUNDS ARE INVESTED AS DIRECTED BY THE EXECUTIVE, BUT THE ACCOUNT REMAINS A GENERAL ASSET OF ARH. IF ARH BECOMES INSOLVENT, THE EXECUTIVE WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. IF THE FUNDING OF THE 457(B), INCLUDING ANY CATCH-UP PROVISIONS, IS LESS THAN THE 3,5 OR 7 PERCENT OF BASE PAY, THEN ARH WILL CONTRIBUTE THE REMAINDER TO A 457(F) PLAN. INDIVIDUALS PARTICIPATING IN THE 457(F) PLAN AND THE RESPECTIVE EMPLOYER CONTRIBUTIONS FOR EACH INCLUDE: HOLLIE HARRIS - $53,317.50; BYRON GABBARD - $28,870; CHRISTI LEE - $5.070.
PART I, LINE 6	THE COMPENSATION AND CONTRACTS COMMITTEE OF THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) BOARD OF TRUSTEES ADOPTED A SHORT-TERM INCENTIVE COMPENSATION PROGRAM FOR EXECUTIVES IN SEPTEMBER 2002. THE PROGRAM ESTABLISHED INCENTIVES FOR ACHIEVING SYSTEM AND COMMUNITY OBJECTIVES FOR EXECUTIVE LEADERSHIP BY INTEGRATING THE PERFORMANCE MANAGEMENT AND EXECUTIVE COMPENSATION SYSTEMS. THE INCENTIVE THRESHOLDS HAVE BEEN MODIFIED ACROSS TIME TO REFLECT INCREASED PERFORMANCE EXPECTATIONS AS IDENTIFIED IN THE SYSTEM'S STRATEGIC, BUDGET AND OPERATIONS PLAN. THE INCENTIVE AWARDS PROVIDE ADDITIONAL CASH COMPENSATION AS A PERCENTAGE OF BASE SALARY IN RELATION TO LEVELS OF ACHIEVEMENT. THESE ACHIEVEMENT LEVELS RANGE FROM THRESHOLD (LOWEST) TO TARGET (10% ABOVE THE THRESHOLD), AND MAXIMUM (HIGHEST AND 20% ABOVE THE THRESHOLD) AND VARY BASED UPON EXECUTIVE LEVEL. THE EXECUTIVE INCENTIVE PLAN WILL BE ADMINISTERED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: A. OBJECTIVES AND TARGETS ARE SET THROUGH THE STRATEGIC PLANNING, BUDGETING AND PERFORMANCE MANAGEMENT PROCESSES. B. SYSTEM MARGIN AND CASH BUDGET THRESHOLDS MUST BE MET BEFORE INDIVIDUAL AWARDS WILL BE CONSIDERED. C. AWARDS WILL BE CONSIDERED AS HAVING BEEN EARNED UPON AFFIRMATION BASED ON AUDITED FINANCIAL RESULTS AND ACTUAL OPERATING PERFORMANCE. D. THE PRESIDENT AND CEO WILL RECOMMEND PAYMENT OF INDIVIDUAL AWARDS, IF ANY, TO THE COMPENSATION AND CONTRACTS COMMITTEE FOR CONSIDERATION. E. THE COMPENSATION AND CONTRACTS COMMITTEE MAY ACCEPT, REJECT, OR MODIFY THE PRESIDENT AND CEO'S RECOMMENDATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/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	Direct Controlling NADirectControllingNACd
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	0
APPALACHIAN REGIONAL HEALTHCARE INC
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505	520795508	HEALTH CARE	KY	501(C)(3)	LINE 3		0	N/A
ARH TUG VALLEY HEALTH SERVICES INC
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505	822577178	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	0
ARH ADVANCED CARE INC
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505	872421892	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	0

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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd