ARH TUG VALLEY HEALTH SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ARH TUG VALLEY HEALTH SERVICES INC (EIN 82-2577178)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-07
IRS object ID: 202631279349303128
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	2026-05-07T15:57:53-05:00	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	822577178	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARH TUG VALLEY HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ARHT	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	2026-04-22	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	$238,140,026	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	2013	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE CENTRAL APPALACHIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITAL, CLINICS AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	1067	TotalEmployeeCnt
Total Volunteers	24	TotalVolunteersCnt
Total Gross UBI	$2,125,973	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,038	PYContributionsGrantsAmt
CY Contributions Grants	$18,170	CYContributionsGrantsAmt
PY Program Service Revenue	$207,875,198	PYProgramServiceRevenueAmt
CY Program Service Revenue	$230,284,710	CYProgramServiceRevenueAmt
PY Investment Income	$6,732,338	PYInvestmentIncomeAmt
CY Investment Income	$6,295,883	CYInvestmentIncomeAmt
PY Other Revenue	$3,250,577	PYOtherRevenueAmt
CY Other Revenue	$1,541,263	CYOtherRevenueAmt
PY Total Revenue	$217,860,151	PYTotalRevenueAmt
CY Total Revenue	$238,140,026	CYTotalRevenueAmt
PY Grants And Similar Paid	$48,033	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$96,170	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$82,170,547	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$84,357,627	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$120,512,061	PYOtherExpensesAmt
CY Other Expenses	$131,872,568	CYOtherExpensesAmt
PY Total Expenses	$202,730,641	PYTotalExpensesAmt
CY Total Expenses	$216,326,365	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,129,510	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,813,661	CYRevenuesLessExpensesAmt
Total Assets BOY	$116,507,614	TotalAssetsBOYAmt
Total Assets EOY	$149,900,805	TotalAssetsEOYAmt
Total Liabilities BOY	$29,321,424	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,874,166	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$87,186,190	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$121,026,639	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$171,154,174	ExpenseAmt
Grant	$96,170	GrantAmt
Revenue	$230,284,710	RevenueAmt
Desc	DURING THE PAST FISCAL YEAR, HIGHLANDS ARH REGIONAL MEDICAL CENTER CONTINUED TO STRENGTHEN ITS ROLE AS THE HEALTHCARE HUB FOR THE ARH BIG SANDY REGION, SERVING FLOYD, JOHNSON, MARTIN, AND MAGOFFIN COUNTIES. SINCE JOINING THE ARH SYSTEM IN 2019, HIGHLANDS ARH HAS REMAINED FOCUSED ON EXPANDING ACCESS, IMPROVING QUALITY, AND ADDRESSING THE UNIQUE HEALTHCARE NEEDS OF CENTRAL APPALACHIA.HIGHLANDS ARH SUPPORTS A DIVERSE MEDICAL STAFF REPRESENTING NUMEROUS SPECIALTIES, INCLUDING FAMILY MEDICINE, CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, UROLOGY, ONCOLOGY, NEPHROLOGY, NEUROLOGY, AND MORE. WITH MORE THAN 700 EMPLOYEES, THE MEDICAL CENTER IS COMMITTED TO DELIVERING COMPASSIONATE, HIGH-QUALITY CARE TO THE COMMUNITIES IT SERVES.KEY SERVICE EXPANSIONS DURING THE FISCAL YEAR INCLUDED THE OPENING OF AN EIGHT-BED PROGRESSIVE CARE UNIT AND THE ADDITION OF IP UROLOGY SERVICES. THESE INITIATIVES CONTRIBUTED TO AN ALMOST 20 PERCENT YEAR-OVER-YEAR INCREASE IN ADMISSIONS AND ENHANCED HIGHLANDS ARH'S ABILITY TO PROVIDE ADVANCED CARE CLOSE TO HOME.	Desc
Total Program Service Expenses	$171,154,174	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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1067	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	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	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
CHAIRMAN	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
JONATHAN COLLINS
SECRETARY	7.00	33.00	Yes (X)	Yes (X)	$0	$121,676	$30,694
ROCCO K MASSEY
DIRECTOR	5.00	35.00	Yes (X)		$0	$374,529	$67,288
ROBERT N ROYALTY
ORTHOPEDIC SURGEON	40.00	0.00			$1,997,033	$0	$58,914	Yes (X)
AHMED MALIK
CARDIOLOGIST	40.00	0.00			$710,268	$0	$4,136	Yes (X)
JASON T RICE
FAMILY MEDICINE PHYSICIAN	40.00	0.00			$750,275	$0	$53,594	Yes (X)
ANDREW R BURCHETT
CARDIOLOGIST	40.00	0.00			$693,951	$0	$59,356	Yes (X)
BAHRAM FOROUZANDEH
GASTROENTEROLOGIST	40.00	0.00			$682,001	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,833,528	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,664,233	TotReportableCompRltdOrgAmt
Total Other Compensation	$453,709	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	80	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
HALLMARK HEALTH CARE SOLUTIONS
PO BOX 22938	NEW YORK	NY	100872938	CONTRACT NURSES	$8,306,324
SODEXO OPERATIONS LLC
PO BOX 360170	PITTSBURGH	PA	152516170	SERVICE MANAGEMENT	$2,241,859
CARDIOLOLUTIONS LLC
4675 CORNELL RD SUITE 100	CINCINNATI	OH	45241	EMERGENCY MEDICAL SERVICES	$1,756,725
JACKSON & COKER
2655 NORTHWINDS PARKWAY	ALPHARETTA	GA	30009	SURGERY LOCUM TENENS	$1,479,717
GUARDLOGIC
710 E MAIN ST	LEXINGTON	KY	40502	SECURITY SERVICES	$957,690

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	61	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$18,170	AllOtherContributionsAmt
Total Contributions	$18,170	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	621110	$161,061,475	$161,061,475
HOSPITAL RATE IMPROVEMENT PROGRAM	621110	$43,381,029	$43,381,029
PHARMACY	456110	$25,838,710	$23,716,347	$2,122,363
TRANSCRIPT FEES	621110	$3,496	$3,496

Field	Value	IRS element (for citing)
Total Program Service Revenue	$230,284,710	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,700,236	TotalRevenueColumnAmt
Exclusion	$2,700,236	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$485,228	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$485,228	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$485,228	TotalRevenueColumnAmt
Exclusion	$485,228	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,595,647	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,595,647	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,595,647	TotalRevenueColumnAmt
Exclusion	$3,595,647	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
KMAP REVENUE	900099	$691,291	$691,291
MEDITECH REVENUE	900099	$229,098	$229,098
VENDOR REBATE INCOME	900099	$106,491	$106,491

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,155	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,610	UnrelatedBusinessRevenueAmt
Exclusion	$25,545	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,056,035	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$238,140,026	TotalRevenueColumnAmt
Related Or Exempt Func Income	$228,162,347	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,125,973	UnrelatedBusinessRevenueAmt
Exclusion	$7,833,536	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$96,170	TotalAmt
Program Services	$96,170	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$65,415,314	TotalAmt
Program Services	$54,720,525	ProgramServicesAmt
Management And General	$10,694,789	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$885,674	TotalAmt
Program Services	$735,109	ProgramServicesAmt
Management And General	$150,565	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,029,193	TotalAmt
Program Services	$11,624,293	ProgramServicesAmt
Management And General	$2,404,900	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,027,446	TotalAmt
Program Services	$3,342,780	ProgramServicesAmt
Management And General	$684,666	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$13,142	TotalAmt
Program Services	$13,142	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,017,330	TotalAmt
Program Services	$23,226,939	ProgramServicesAmt
Management And General	$5,790,391	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$156,852	TotalAmt
Program Services	$95,680	ProgramServicesAmt
Management And General	$61,172	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,331,517	TotalAmt
Program Services	$18,070,707	ProgramServicesAmt
Management And General	$1,260,810	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$448,922	TotalAmt
Program Services	$273,842	ProgramServicesAmt
Management And General	$175,080	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,230,299	TotalAmt
Program Services	$3,320,716	ProgramServicesAmt
Management And General	$1,909,583	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$112,696	TotalAmt
Program Services	$68,745	ProgramServicesAmt
Management And General	$43,951	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$137,691	TotalAmt
Program Services	$83,992	ProgramServicesAmt
Management And General	$53,699	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$374,508	TotalAmt
Program Services	$56,176	ProgramServicesAmt
Management And General	$318,332	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,866,376	TotalAmt
Program Services	$3,286,420	ProgramServicesAmt
Management And General	$579,956	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,145,701	TotalAmt
Program Services	$2,528,878	ProgramServicesAmt
Management And General	$1,616,823	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & PHAR	$30,047,229	$29,465,400	$581,829
PROVIDER TAXES	$9,463,118	$60,926	$9,402,192
BAD DEBT	$5,409,374	$5,409,374

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,117,813	TotalAmt
Program Services	$14,674,360	ProgramServicesAmt
Management And General	$9,443,453	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$216,326,365	TotalAmt
Program Services	$171,154,174	ProgramServicesAmt
Management And General	$45,172,191	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$362,407	BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$937,686	BOYAmt
EOY	$1,037,499	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,412,596	BOYAmt
EOY	$23,959,456	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,143,187	BOYAmt
EOY	$4,102,975	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,270,773	BOYAmt
EOY	$186,443	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$143,247,276	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$98,024,662	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,395,022	BOYAmt
EOY	$45,222,614	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,293,972	BOYAmt
EOY	$1,465,264	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$178,249	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$330,229	BOYAmt
EOY	$330,229	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,183,493	BOYAmt
EOY	$73,596,325	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$116,507,614	BOYAmt
EOY	$149,900,805	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,398,737	BOYAmt
EOY	$15,353,793	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,598,414	BOYAmt
EOY	$7,328,845	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,324,273	BOYAmt
EOY	$6,191,528	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,321,424	BOYAmt
EOY	$28,874,166	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	$87,186,190	BOYAmt
EOY	$121,026,639	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$87,186,190	BOYAmt
EOY	$121,026,639	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$116,507,614	BOYAmt
EOY	$149,900,805	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,813,661	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$12,035,542	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,754	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	$13,142	OtherActivitiesAmt
Total Lobbying Expenditures	$13,142	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	THE HOSPITAL IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION AND THE AMERICAN 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	$3,029,249	OtherCostOrOtherBasisAmt
Book Value	$3,029,249	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,241,005	OtherCostOrOtherBasisAmt
Depreciation	$45,869,008	DepreciationAmt
Book Value	$22,371,997	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$827,056	OtherCostOrOtherBasisAmt
Depreciation	$827,056	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,698,387	OtherCostOrOtherBasisAmt
Depreciation	$41,524,041	DepreciationAmt
Book Value	$7,174,346	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,451,579	OtherCostOrOtherBasisAmt
Depreciation	$9,804,557	DepreciationAmt
Book Value	$12,647,022	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$45,222,614	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	INTERCOMPANY RECEIVABLES	Desc
Book Value	$73,596,325	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$73,596,325	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP	$21,846
THIRD PARTY SETTLEMENTS	$6,169,682

Field	Value	IRS element (for citing)
Total Liability	$6,191,528	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 THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	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	$10,936,623	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,936,623	NetCommunityBenefitExpnsAmt
Total Expense	0.05190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,309,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,143,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$165,442	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,245,670	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,143,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,102,065	NetCommunityBenefitExpnsAmt
Total Expense	0.05270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	86	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$419,393	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$419,393	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	105	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$435,243	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$435,243	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	105	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$72,680,913	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,143,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,537,308	NetCommunityBenefitExpnsAmt
Total Expense	0.05480	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$7,317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	1014	PersonsServedCnt
Total Community Benefit Expns	$3,243	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,243	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$651	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$651	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	105	ActivitiesOrProgramsCnt
Persons Served	4099	PersonsServedCnt
Total Community Benefit Expns	$33,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	154	ActivitiesOrProgramsCnt
Persons Served	5163	PersonsServedCnt
Total Community Benefit Expns	$44,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,409,374	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,188,951	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,734,909	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,725,849	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,990,940	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
HIGHLANDS ARH REGIONAL MEDICAL CENTER
1	5000 KY RT 321	PRESTONSBURG	KY	41653	WWW.ARH.ORG	100124	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
PAINTSVILLE ARH HOSPITAL
2	625 JAMES S TRIMBLE BLVD	PAINTSVILLE	KY	41240		100263	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 (10 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: HIGHLANDS ARH REGIONAL MEDICAL CENTER, - FACILITY 2: PAINTSVILLE ARH HOSPITAL
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	A COMMUNITY STEERING COMMITTEE PROVIDED GUIDANCE OVER THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN EACH OF ARH'S COMMUNITIES. THIS STEERING COMMITTEE WAS MADE UP OF REPRESENTATIVES FROM VARIOUS ORGANIZATIONS AND AGENCIES THROUGHOUT EACH HOSPITAL'S SERVICE AREA. SOME OF THE COMMITTEE MEMBERS REPRESENTED THE LOCAL HEALTH DEPARTMENT, SENIOR SERVICES, SCHOOL SYSTEM, SOCIAL SERVICE ORGANIZATIONS, AND EMERGENCY MANAGEMENT. THESE INDIVIDUALS ASSISTED WITH DISTRIBUTING SURVEYS AND ORGANIZING FOCUS GROUPS THROUGHOUT THE COMMUNITY ENSURING THAT VARIED COMMUNITY INTERESTS AND EXPERTISE WERE REPRESENTED. SPECIAL ATTENTION WAS PAID TO ENSURING THAT REPRESENTATION FROM THE PUBLIC HEALTH SECTOR WAS INCLUDED IN THIS ASSESSMENT PROCESS AND THAT THE SENIOR CITIZEN AND UNDERSERVED POPULATION WERE REPRESENTED. A COMPLETE LIST OF THE COMMUNITY STEERING COMMITTEE MEMBERS FOR EACH ARH FACILITY IS INCLUDED IN EACH ASSESSMENT'S FINAL REPORT.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	ARH TUG VALLEY HEALTH SERVICES 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 TUG VALLEY HEALTH SERVICES, INC. CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EACH OF ITS 2 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 2024 CHNA PROCESS, THE APPOINTED COUNTY STEERING COMMITTEE IDENTIFIED THE FOLLOWING HEALTH NEEDS: 1. OBESITY, 2. ADDICTION SUPPORT, 3. MENTAL HEALTH, 4. INCREASING KNOWLEDGE OF SERVICES, 5. ACCESS TO CAREOBESITYHIGHLANDS ARH HAS ADDRESSED FOOD INSECURITY, PHYSICAL INACTIVITY, AND THE NEED FOR NUTRITION EDUCATION BY PROVIDING 7 FREE COOKING CLASSES WITH GROCERY GIFT CARD INCENTIVES IN PARTNERSHIP WITH THE FLOYD COUNTY UK EXTENSION SERVICE. COLLABORATING WITH GOD'S PANTRY FOOD BANK TO PROVIDE NONPERISHABLE FOOD BOXES TO PATIENTS IDENTIFIED AS HAVING A NEED IN BOTH THE HOSPITAL AND CLINIC ENVIRONMENT. DISTRIBUTING ON AVERAGE 40 BOXES PER MONTH. HOSTING 11 MONTHLY DIABETES SUPPORT GROUPS IN FLOYD COUNTY WITH DIABETES-RELATED TOPICS AND HEALTHY COOKING DEMONSTRATIONS EACH MONTH (2022 START). PARTICIPATING IN A RESEARCH STUDY WITH UNIVERSITY OF KENTUCKY FOOD AS HEALTH ALLIANCE IN WHICH HIGHLANDS' AMBULATORY PATIENTS WITH TYPE 2 DIABETES OR HYPERTENSION COULD RECEIVE MEDICALLY TAILORED MEALS FOR 12 WEEKS. ANNUAL SPONSORSHIP OF COMMUNITY FEEDING PROGRAMS LIKE THE BRIGHT BEGINNINGS COMMUNITY THANKSGIVING DINNER, WHICH FEEDS 1000+ PEOPLE IN FLOYD COUNTY. CREATING A NEW PROGRAM, RETHINK YOUR DRINK, WHICH EDUCATES STUDENTS ON THE HARMFUL EFFECTS OF SUGARY, OVERLY CAFFEINATED DRINKS (SUCH AS ENERGY DRINKS). COMMUNITY DEVELOPMENT STAFF HAVE PRESENTED THIS PROGRAM 2 TIMES IN THE COMMUNITY. IN 2023, AN EMPLOYEE GARDEN WAS CREATED ON-SITE, ALLOWING SPACE FOR EMPLOYEES TO GROW PRODUCE. GROWN FRUIT AND VEGETABLES ARE AVAILABLE FOR EMPLOYEES TO TAKE HOME AND ARE OFTEN GIVEN TO PATIENTS. HIGHLANDS ARH ALSO WORKED TO EDUCATE AND PROVIDE HEALTHY NUTRITION TO EMPLOYEES THROUGH A REVAMPED CAFETERIA MENU, WHICH OFFERS PLANT-BASED OPTIONS PROVIDED ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES IN OUR COMMUNITY BY SPONSORING MOMMY AND ME FITNESS CLASSES AND THINK PINK EVENTS ANNUALLY WITH FOXY FITNESS IN PRESTONSBURG. AS OF 2022, FREE GYM MEMBERSHIPS TO NO LIMITS FITNESS ARE AVAILABLE TO ALL ARH EMPLOYEES. SPONSORED NUMEROUS 5K RACES IN THE COMMUNITY, INCLUDING THOSE THAT BENEFIT THE LOCAL HOMELESS SHELTER AND ANIMAL SHELTER.SINCE 2022, PAINTSVILLE ARH HAS ADDRESSED FOOD INSECURITY AND THE NEED FOR NUTRITION EDUCATION BY PROVIDING 5 FREE COOKING CLASSES WITH GROCERY GIFT CARD INCENTIVES IN PARTNERSHIP WITH THE JOHNSON COUNTY UK EXTENSION SERVICE. COLLABORATED WITH GOD'S PANTRY FOOD BANK TO PROVIDE NONPERISHABLE FOOD BOXES TO PATIENTS IDENTIFIED AS HAVING A NEED IN BOTH THE HOSPITAL AND CLINIC ENVIRONMENT. DISTRIBUTING ON AVERAGE 20 BOXES PER MONTH. HOSTED 11 MONTHLY DIABETES SUPPORT GROUPS IN JOHNSON COUNTY WITH DIABETES RELATED TOPICS AND HEALTHY COOKING DEMONSTRATIONS EACH MONTH (2022 START). HOSTING A FALL FESTIVAL FARMERS MARKET ON-SITE AT THE FACILITY IN 2022. KITCHENSHIFT PROVIDED COOKING DEMONSTRATIONS AT THE EVENT. PARTNERED WITH THE JOHNSON COUNTY FARMER'S MARKET TO PROVIDE HEART HEALTH EDUCATION AND HEALTHY RECIPES AT 5 MARKET EVENTS. PAINTSVILLE ARH ALSO WORKED TO EDUCATE AND PROVIDE HEALTHY NUTRITION TO EMPLOYEES THROUGH A REVAMPED CAFETERIA MENU, WHICH OFFERS PLANT-BASED OPTIONS PROVIDED VOUCHERS FOR CHILDREN TO PURCHASE FRUITS AND VEGETABLES FROM GRIFFITH'S FARM AT 2023 FARM AND FIELD DAY. CREATED A NEW PROGRAM, RETHINK YOUR DRINK, WHICH EDUCATES STUDENTS ON THE HARMFUL EFFECTS OF SUGARY, OVERLY CAFFEINATED DRINKS (SUCH AS ENERGY DRINKS). COMMUNITY DEVELOPMENT STAFF HAVE PRESENTED THIS PROGRAM TO 300 STUDENTS AT HIGHLAND ELEMENTARY IN PAINTSVILLE.ADDICTION SUPPORTIN 2022, HIGHLANDS ARH LAUNCHED THE PEER SUPPORT PROGRAM, EMPLOYING CERTIFIED PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENT AND THROUGHOUT THE COMMUNITY, ENGAGING 1,873 PATIENTS AND ASSISTING 90 INDIVIDUALS WITH ATTAINING HOUSING OR EMPLOYMENT. ARH PEER RECOVERY COACHES AND COMMUNITY DEVELOPMENT MANAGERS HAVE WORKED WITH COMMUNITY PARTNERS TO HOST MANY COMMUNITY EVENTS OVER THE PAST THREE YEARS THAT HAVE WORKED TO REDUCE SUBSTANCE USE. PARTNERED WITH THE KY DEPARTMENT OF PUBLIC HEALTH HOSTING NUMEROUS SAFE A LIFE ROADSHOW EVENTS, IN WHICH PARTICIPANTS ARE PROVIDED WITH OVERDOSE AWARENESS EDUCATION, NARCAN TRAINING AND DISTRIBUTION, AND REFERRALS TO TREATMENT. LOVE YOUR LUNGS, AN EDUCATIONAL PROGRAM ON THE DANGERS OF SMOKING AND VAPING, WAS PRESENTED TO FLOYD COUNTY SCHOOLS 8 TIMES SINCE 2022. SPONSORED OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS" PROGRAM, WHICH PROMOTES POSITIVE ACTIVITIES FOR LOCAL YOUTH WHILE PROVIDING EDUCATION ON DRUG PREVENTION BEGINNING IN 2023, THE HIGHLANDS ARH PHARMACY BEGAN IN-PERSON SMOKING CESSATION CLASSES FOR EMPLOYEES, AND ONLINE COUNSELING IS ALSO AVAILABLE TO ALL EMPLOYEES. ARH STAFF PARTICIPATED ANNUALLY IN TRUTH AND CONSEQUENCES, A PROGRAM FOR ALL HIGH SCHOOL FRESHMEN 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.PAINTSVILLE ARH HAS ADDRESSED ADDICTION IN OUR COMMUNITY BY LAUNCHING PEER SUPPORT PROGRAM, EMPLOYING CERTIFIED PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENT AND THROUGHOUT THE COMMUNITY, ENGAGING 615 PATIENTS AND ASSISTING 20 INDIVIDUALS WITH ATTAINING HOUSING OR EMPLOYMENT. PEER RECOVERY COACHES AND COMMUNITY DEVELOPMENT STAFF HAVE WORKED WITH COMMUNITY PARTNERS TO HOST SEVERAL COMMUNITY EVENTS WITH A SUBSTANCE USE DISORDER/ DRUG PREVENTION FOCUS, EVENTS SUCH AS "SAFE A LIFE ROADSHOW". "KICK THE HABIT AND ORAL CANCER PROGRAMS, BOTH OF WHICH TEACH ABOUT THE DANGERS OF SMOKING & VAPING, WERE TAUGHT IN JOHNSON COUNTY SCHOOLS 5 TIMES SINCE 2022. SPONSORED OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS" PROGRAM, WHICH PROMOTES POSITIVE ACTIVITIES FOR LOCAL YOUTH WHILE PROVIDING EDUCATION ON DRUG PREVENTION. EDUCATION ABOUT ADDICTION AND RECOVERY RESOURCES SHARED ANNUALLY AT THE KENTUCKY APPLE FESTIVAL THROUGH PEER SUPPORT PROGRAM. PAINTSVILLE ARH IS ALSO AN ACTIVE MEMBER OF GROWING UP SAFE JOHNSON COUNTY, AREA AGENCIES ON SUBSTANCE ABUSE PREVENTION (ASAP), AND JOHNSON COUNTY HEALTH COALITION. THESE ARE COALITIONS AND COUNCILS THAT ADDRESS COMMUNITY SUBSTANCE USE ISSUES.MENTAL HEALTHSINCE 2022, HIGHLANDS ARH HAS WORKED TO IMPROVE MENTAL HEALTH IN OUR COMMUNITY BY PROVIDING 6 FREE MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR STAFF FROM 2023-2024. HIGHLANDS ARH OFFERED THESE TRAINING COURSES WITH THE HOPE THAT THE EDUCATION WOULD ALLOW STAFF TO BETTER HELP OUR PATIENTS, BUT ALSO THEIR FAMILIES, FRIENDS, AND NEIGHBORS. 72 HIGHLANDS EMPLOYEES HAVE BEEN CERTIFIED. PRESENTING HEALTHY RELATIONSHIPS PROGRAMMING TO FLOYD CENTRAL, PRESTONSBURG HIGH SCHOOL, AND BETSY LAYNE HIGH SCHOOL STUDENTS. THIS PROGRAM TEACHES CRITICAL THINKING AROUND QUALITIES OF HEALTHY AND UNHEALTHY RELATIONSHIPS, SIGNS OF ABUSE, AND COMMUNICATION SKILLS. THROUGH A PARTNERSHIP WITH KENTUCKY EDUCATION DEVELOPMENT CORPORATION, ARH SPONSORED ART THERAPY "TRAIN THE TRAINER" SESSIONS FOR SIX AREA TEACHERS. THE THRIVING THROUGH ART PROGRAM TEACHES EDUCATORS HOW TO OFFER MENTAL HEALTH ART SESSIONS IN CLASSROOMS.PAINTSVILLE ARH HAS IMPROVED MENTAL HEALTH IN OUR COMMUNITY BY PROVIDING 8 FREE MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR STAFF AND THE COMMUNITY FROM 2023-2024. HIGHLANDS ARH OFFERED THESE TRAINING COURSES WITH THE HOPE THAT THE EDUCATION WOULD ALLOW STAFF TO BETTER HELP OUR PATIENTS, BUT ALSO THEIR FAMILIES, FRIENDS, AND NEIGHBORS. 65 PAINTSVILLE ARH EMPLOYEES AND 9 COMMUNITY MEMBERS HAVE BEEN CERTIFIED. PRESENTED REAL TALK, A PROGRAM THAT TEACHES DEPRESSION, SUICIDE PREVENTION, CYBER BULLYING, AND HEALTHY RELATIONSHIPS, TO STUDENTS AT PAINTSVILLE HIGH SCHOOL. PROVIDED INFORMATION AND RESOURCES ABOUT YOUTH MENTAL HEALTH TO STUDENTS AND PARENTS AT EMPOWER ACADEMY AT JOHNSON COUNTY MIDDLE SCHOOL, JOHNSON COUNTY READYFEST, AND MULTIPLE OPEN HOUSE EVENTS.
PART V, SECTION B, LINE 11 CONTINUED:	PAINTSVILLE ARH ALSO ADDED MENTAL HEALTH SERVICES WITH THE RECRUITMENT OF GREG HORN, APRN, PMHNP-BC. SINCE 2022, PAINTSVILLE ARH HAS TRACKED 2,868 BEHAVIORAL HEALTH CLINIC VISITS.INCREASING KNOWLEDGE OF SERVICESHIGHLANDS ARH HAS INCREASED COMMUNITY, PROVIDER, AND PARTNER KNOWLEDGE OF SERVICES AVAILABLE BY BREAKING DOWN SILOS, MEETING COMMUNITY HEALTH NEEDS, AND FOSTERING PARTNERSHIPS BETWEEN HEALTH CARE ORGANIZATIONS, ARH HAS ACTIVELY PARTICIPATED IN 14 COUNCILS, COALITIONS, AND BOARDS SINCE 2022. THESE GROUPS WORK TO BETTER THE HEALTH AND WELLNESS OF APPALACHIANS BUT MAY ALSO HAVE COMMUNITY BETTERMENT AND ECONOMIC DEVELOPMENT GOALS. HIGHLANDS ARH HAS ALSO MADE 4,368 SOCIAL MEDIA POSTS FROM 2022-2023 PROMOTING OUR SERVICES AND EDUCATING THE COMMUNITY IMPORTANT HEALTH TOPICS.ACCESS TO CARESINCE 2022, HIGHLANDS ARH HAS INCREASED COMMUNITY, PROVIDER, AND PARTNER KNOWLEDGE OF SERVICES AVAILABLE BY IMPROVING ACCESS TO CARE BY INCREASING SPECIALTY SERVICES IN NEPHROLOGY RECRUITMENT OF DR. KHAN, ENDOCRINOLOGY RECRUITMENT OF DR. UY AND BONNIE FERGUSON, APRN FOR ENDO CLINIC, GENERAL SURGERY RECRUITMENT OF DR. KASSUM, INTERVENTIONAL CARDIOLOGY RECRUITMENT OF DR. TALEY. RADIOLOGY HAS A NEW 3D MAMMOGRAM UNIT. NEONATAL CARE OPENED A 6 BED NICU IN 2024. ROBOTIC SURGERY ADDED THE DAVINCI XI ROBOT WHICH IS USED BY 4 GENERAL SURGEONS. MED/SURG ADDED 12 ADDITIONAL BEDS AND RENOVATED THE UNIT. HIGHLANDS ARH ALSO LAUNCHED AN INTERNAL MEDICINE RESIDENCY PROGRAM IN AN EFFORT TO RECRUIT MORE PROVIDERS TO THE AREA. THE PROGRAM OPENED WITH 4 RESIDENTS IN YEAR ONE.SINCE 2022, PAINTSVILLE ARH HAS INCREASED ACCESS TO CARE IN OUR COMMUNITY BY EMPLOYING NURSES AND AN APRN TO PROVIDE SERVICES TO STUDENTS AND STAFF OF JOHNSON COUNTY SCHOOLS. PAINTSVILLE ARH OPENED A NEW CLINIC, ARH SPECIALTY ASSOCIATES, AND A NEW RETAIL PHARMACY IN 2024. PAINTSVILLE ARH PROVIDED FREE HEALTH SCREENINGS AND COMMUNITY-BASED CLINICAL SERVICES BROADLY THROUGHOUT THE SERVICE AREA SINCE 2022. OVER 900 FREE SCREENINGS HAVE BEEN ADMINISTERED AT LOCAL RETAIL STORES, SENIOR CENTERS, LOW-INCOME HOUSING, COMMUNITY HEALTH FAIRS, AND MORE. SINCE 2022, PAINTSVILLE ARH HAS HOSTED MANY EVENTS THAT PROVIDE PREVENTATIVE SCREENINGS AT A DISCOUNT, ON WEEKENDS, OR AFTER TRADITIONAL WORK HOURS. ADDED SPEECH LANGUAGE PATHOLOGY AS A NEW SERVICE AND EXPANDED MULTIPLE SERVICE LINES. PAINTSVILLE ARH WAS ALSO RECOGNIZED DURING THIS TIME AS AN ACUTE STROKE READY FACILITY AND A LUNG CANCER SCREENING CENTER OF EXCELLENCE. IN AN EFFORT TO PROVIDE BETTER CARE, WE ALSO INVESTED IN NEW EQUIPMENT (3-D MAMMOGRAPHY, DEXA SCANNER, TILT TABLE TESTING FOR CARDIOLOGY) AND EXTENDED AFTER-HOURS CARE HOURS OF OPERATION FROM 9AM-9PM.
PART V, SECTION B, LINE 13A:	FPG FAMILY INCOME IS UNLIMITED FOR ELIGIBILITY FOR FREE CARE.

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 - ARH MEDICAL AND SURGICAL ASSOC HIGHLANDS
5000 KY ROUTE 321	PRESTONSBURG	KY	41653	CLINIC
2 - ARH MEDICAL & SPECIALTY ASSOC PAINTSVILL
604 JAMES S TRIMBLE BLVD	PAINTSVILLE	KY	41240	CLINIC
3 - ARH FAMILY HEALTH & SPECIALTY CLINIC PNT
520 NORTH MAYO TRAIL	PAINTSVILLE	KY	41240	CLINIC
4 - ARH WOUND HEALING CENTER
228 CHURCH STREET	PAINTSVILLE	KY	41240	CLINIC
5 - ARH FAMILY CARE - PAINTSVILLE
607 SOUTH MAYO TRAIL SUITE B	PAINTSVILLE	KY	41240	CLINIC
6 - ARH PRIMARY CARE - PAINTSVILLE
826 SOUTH MAYO TRAIL	PAINTSVILLE	KY	41240	CLINIC
7 - ARH OPTOMETRY CARE
341 COURT STREET	PAINTSVILLE	KY	41240	CLINIC
8 - ARH MEDICAL & SPECIALTY ASSOC HIGHLANDS
5000 KY ROUTE 321	PRESTONSBURG	KY	41653	CLINIC
9 - CUMBERLAND VALLEY PHARMACY
3504 WEST CUMBERLAND AVENUE	MIDDLESBORO	KY	40965	PHARMACY
10 - HIGHLANDS ARH MEDICAL OFFICE PHARMACY
5000 KY ROUTE 321	PRESTONSBURG	KY	41653	PHARMACY
11 - HIGHLANDS ARH CLINIC PHARMACY
713 BROADWAY ST SUITE 101	PAINTSVILLE	KY	41240	PHARMACY
12 - HIGHLANDS HOME HEALTH
93 DEWEY STREET	PRESTONSBURG	KY	41653	HOME HEALTH
13 - PSYCHIATRIC CENTER - HIGHLANDS
5000 KY ROUTE 321	PRESTONSBURG	KY	41653	PSYCH
14 - HIGHLANDS WELLNESS CENTER
5000 KY ROUTE 321 SUITE 104	PRESTONSBURG	KY	41653	MED SPA

Supplemental Information Detail SupplementalInformationDetail (17 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 I, LINE 3B:	FPG FAMILY INCOME IS UNLIMITED FOR ELIGIBILITY FOR FREE CARE.
PART II, COMMUNITY BUILDING ACTIVITIES:	DURING THE PAST FISCAL YEAR, HIGHLANDS ARH REGIONAL MEDICAL CENTER CONTINUED TO STRENGTHEN ITS ROLE AS THE HEALTHCARE HUB FOR THE ARH BIG SANDY REGION, SERVING FLOYD, JOHNSON, MARTIN, AND MAGOFFIN COUNTIES. SINCE JOINING THE ARH SYSTEM IN 2019, HIGHLANDS ARH HAS REMAINED FOCUSED ON EXPANDING ACCESS, IMPROVING QUALITY, AND ADDRESSING THE UNIQUE HEALTHCARE NEEDS OF CENTRAL APPALACHIA.HIGHLANDS ARH SUPPORTS A DIVERSE MEDICAL STAFF REPRESENTING NUMEROUS SPECIALTIES, INCLUDING FAMILY MEDICINE, CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, UROLOGY, ONCOLOGY, NEPHROLOGY, NEUROLOGY, AND MORE. WITH MORE THAN 700 EMPLOYEES, THE MEDICAL CENTER IS COMMITTED TO DELIVERING COMPASSIONATE, HIGH-QUALITY CARE TO THE COMMUNITIES IT SERVES.KEY SERVICE EXPANSIONS DURING THE FISCAL YEAR INCLUDED THE OPENING OF AN EIGHT-BED PROGRESSIVE CARE UNIT AND THE ADDITION OF IP UROLOGY SERVICES. THESE INITIATIVES CONTRIBUTED TO AN ALMOST 20 PERCENT YEAR-OVER-YEAR INCREASE IN ADMISSIONS AND ENHANCED HIGHLANDS ARH'S ABILITY TO PROVIDE ADVANCED CARE CLOSE TO HOME.THE ARH BIG SANDY REGION WAS SELECTED TO LAUNCH ARH MEMORY CARE, A NEW DEMENTIA CARE SERVICE FOR MEDICARE PATIENTS AS PART OF CMS'S GUIDE (GUIDING AN IMPROVED DEMENTIA EXPERIENCE) MODEL. THIS INNOVATIVE PROGRAM PROVIDES 24/7 SUPPORT, PERSONALIZED CARE PLANNING, CAREGIVER EDUCATION, CARE COORDINATION, AND RESPITE SERVICES, HELPING PATIENTS WITH DEMENTIA SAFELY REMAIN IN THEIR HOMES WHILE SUPPORTING UNPAID CAREGIVERS. PLANS ARE IN PLACE TO EXPAND THE PROGRAM SYSTEMWIDE.HIGHLANDS ARH ALSO RECEIVED STATEWIDE RECOGNITION FOR MATERNAL AND INFANT HEALTH INITIATIVES. IN ADDITION TO OPENING OF ITS SIX-BED LEVEL II NICU LAST SUMMER, HIGHLANDS WAS AMONG ARH BIRTHING HOSPITALS AWARDED RECOGNITION FROM THE KENTUCKY PERINATAL QUALITY COLLABORATIVE FOR EXCELLENCE IN QUALITY IMPROVEMENT AND DATA REPORTING, WITH A FOCUS ON IMPROVING OUTCOMES FOR MOTHERS AND INFANTS AFFECTED BY SUBSTANCE USE DISORDER.ACCESS TO CARE WAS FURTHER ENHANCED THROUGH THE LAUNCH OF THE ARH MOBILE HEALTH CLINIC, WHICH DELIVERS SCREENINGS AND ROUTINE CARE DIRECTLY TO RESIDENTS IN REMOTE AND UNDERSERVED AREAS. BY BRINGING SERVICES TO COMMUNITY LOCATIONS, THE MOBILE CLINIC REDUCES BARRIERS TO CARE, SUPPORTS AGING POPULATIONS, AND HELPS PATIENTS MAINTAIN INDEPENDENCE.COMMUNITY OUTREACH REMAINED A PRIORITY, WITH EDUCATION EFFORTS FOCUSED ON NUTRITION, CANCER PREVENTION, HEART AND STROKE HEALTH, DIABETES MANAGEMENT, MENTAL HEALTH, AND SUBSTANCE USE DISORDER. ARH ALSO EXPANDED EFFORTS TO ADDRESS FOOD INSECURITY, A CRITICAL SOCIAL DETERMINANT OF HEALTH IN THE REGION.ADDRESSING FOOD INSECURITY REMAINED A CRITICAL PRIORITY FOR ARH DURING THE FISCAL YEAR, AS LIMITED ACCESS TO NUTRITIOUS FOOD CONTINUES TO SIGNIFICANTLY AFFECT HEALTH OUTCOMES IN CENTRAL APPALACHIA. IN PARTNERSHIP WITH GOD'S PANTRY FOOD BANK, ARH EXPANDED IN-FACILITY FOOD PANTRIES ACROSS HOSPITALS AND AMBULATORY CLINICS IN THE BIG SANDY AND KENTUCKY RIVER REGIONS. PATIENTS IDENTIFIED THROUGH CLINICAL SCREENING AS FOOD INSECURE RECEIVED FOOD BOXES AT THE POINT OF CARE, HELPING TO ADDRESS AN IMMEDIATE BASIC NEED WHILE SUPPORTING IMPROVED MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES AND HEART DISEASE.THIS WORK IS PART OF ARH'S BROADER FOOD IS MEDICINE INITIATIVE, WHICH INTEGRATES NUTRITION SUPPORT INTO CLINICAL CARE FOR VULNERABLE POPULATIONS. THROUGH THIS INITIATIVE, ARH PROVIDES ACCESS TO NUTRITIOUS FOOD, NUTRITION EDUCATION, AND COMMUNITY-BASED RESOURCES FOR PATIENTS AT INCREASED RISK DUE TO ECONOMIC HARDSHIP, CHRONIC ILLNESS, OR GEOGRAPHIC ISOLATION. BY ADDRESSING FOOD INSECURITY AS A SOCIAL DETERMINANT OF HEALTH, ARH AIMS TO REDUCE PREVENTABLE ILLNESS, IMPROVE HEALTH OUTCOMES, AND SUPPORT LONG-TERM WELLNESS FOR PATIENTS AND FAMILIES ACROSS ITS SERVICE REGION.ARH'S LEADERSHIP AND MEASURABLE IMPACT IN ADDRESSING FOOD INSECURITY WERE RECOGNIZED WITH THE SHAPING OUR APPALACHIAN REGION (SOAR) HEALTHY COMMUNITIES AWARD. THE AWARD ACKNOWLEDGES ARH'S FOOD IS MEDICINE INITIATIVE FOR ITS EFFECTIVENESS IN IMPROVING ACCESS TO NUTRITIOUS FOOD AND ADVANCING COMMUNITY HEALTH ACROSS APPALACHIAN KENTUCKY.FINALLY, WITH SUPPORT FROM THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES, HIGHLANDS ARH REINFORCED ITS COMMITMENT TO COMMUNITY WELL-BEING BY PRESENTING A $5,000 DONATION ON THE FOUNDATION'S BEHALF TO HAND IN HAND, SUPPORTING HOUSING, EDUCATION, AND HEALTHCARE NEEDS FOR ECONOMICALLY VULNERABLE FAMILIES ACROSS THE BIG SANDY REGION.COLLECTIVELY, THESE EFFORTS REFLECT HIGHLANDS ARH REGIONAL MEDICAL CENTER'S CONTINUED COMMITMENT TO ADVANCING ITS MISSION BY EXPANDING ACCESS TO CARE, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND IMPROVING THE OVERALL WELL-BEING OF THE COMMUNITIES IT SERVES.
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 $5 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 $5,990,940 (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 PAINTSVILLE ARH AND HIGHLANDS ARH REGIONAL MEDICAL CENTER, NEARLY 70 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. BOTH FACILITIES 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:	$5,409,374 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 (4 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	$40,000	$0	TO SUPPORT THE MISSION OF THE ORGANIZATION THAT PROMOTES THE RICH CULTURAL HERITAGE AND ARTISTIXC EXPRESSIONS OF THE APPALACHIAN REGION.
CITY OF PRESTONSBURG
200 NORTH LAKE DRIVE	PRESTONSBURG	KY	41653	616001899	GOVT	$8,947	$0	TO SPONSOR THE LOCAL YOUTH IN THE AREA WITH EDUCATIONAL SUPPLIES SUCH AS SPONSORING A REGIONAL BASEBALL TOURNAMENT AND PROVIDING BACK PACKS FILLED WITH SCHOOL SUPPLIES FOR A "BACK TO SCHOOL BASH".
FLOYD COUNTY HOMELESS SHELTER INC
PO BOX 1446	MARTIN	KY	41649	811936272	501C3	$10,000	$0	SPONSORSHIP FOR AN ANNUAL FUNDRAISING EVENTS SUCH AS A DANCE OR 4K RUN TO SUPPORT THE MISSION OF THE ORGANIZATION IN PROVIDING TEMPORARY, EMERGENCY SHELTER, AND NOURISHMENT TO INDIVIDUALS IN NEED. IT SERVES AS A SAFE REFUGE FOR THOSE EXPERIENCING HOMELESSNESS WHILE AIMING TO EMPOWER THEM TO REBUILD THEIR LIVES AND REINTEGRATE INTO SOCIETY.
JOHNSON CENTRAL HIGH SCHOOL
257 NORTH MAYO TRAIL	PAINTSVILLE	KY	41240	454313357	501C3	$9,375	$0	TO SUPPORT AN ACTIVE, HEALTHLY LIFESTYLE FOR OUR LOCAL YOUTH

Field	Value	IRS element (for citing)
Total501c3 Org	4	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	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
ROBERT N ROYALTY
ORTHOPEDIC SURGEON	$1,485,018	$0	$512,015	$0	$0	$0	$15,437	$0	$43,477	$0	$2,055,947	$0	$0	$0
HOLLIE P HARRIS
CHAIRMAN	$0	$1,125,295	$0	$377,829	$0	$653	$0	$93,659	$0	$25,153	$0	$1,622,589	$0	$0
JASON T RICE
FAMILY MEDICINE PHYSICIAN	$385,902	$0	$358,748	$0	$5,625	$0	$10,117	$0	$43,477	$0	$803,869	$0	$0	$0
ANDREW R BURCHETT
CARDIOLOGIST	$662,472	$0	$31,479	$0	$0	$0	$15,879	$0	$43,477	$0	$753,307	$0	$0	$0
BYRON GABBARD
TREASURER	$0	$512,657	$0	$150,857	$0	$737	$0	$60,039	$0	$876	$0	$725,166	$0	$0
AHMED MALIK
CARDIOLOGIST	$697,768	$0	$12,500	$0	$0	$0	$3,897	$0	$239	$0	$714,404	$0	$0	$0
BAHRAM FOROUZANDEH
GASTROENTEROLOGIST	$669,501	$0	$12,500	$0	$0	$0	$0	$0	$0	$0	$682,001	$0	$0	$0
ROCCO K MASSEY
DIRECTOR	$0	$289,538	$0	$82,286	$0	$2,705	$0	$36,048	$0	$31,240	$0	$441,817	$0	$0
JONATHAN COLLINS
SECRETARY	$0	$96,126	$0	$25,179	$0	$371	$0	$5,541	$0	$25,153	$0	$152,370	$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.
PART I, LINE 6	THE COMPENSATION AND CONTRACTS COMMITTEE OF THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) ("ARH") BOARD OF TRUSTEES ADOPTED A SHORT-TERM INCENTIVE COMPENSATION PROGRAM FOR EXECUTIVES IN SEPTEMBER 2002. THE PROGRAM ESTABLISHED INCENTIVES FOR ACHIEVING SYSTEM AND COMMUNITY OBJECTIVES FOR EXECUTIVE LEADERSHIP BY INTEGRATING THE PERFORMANCE MANAGEMENT AND EXECUTIVE COMPENSATION SYSTEMS. THE INCENTIVE THRESHOLDS HAVE BEEN MODIFIED ACROSS TIME TO REFLECT INCREASED PERFORMANCE EXPECTATIONS AS IDENTIFIED IN THE SYSTEM'S STRATEGIC, BUDGET AND OPERATIONS PLAN. THE INCENTIVE AWARDS PROVIDE ADDITIONAL CASH COMPENSATION AS A PERCENTAGE OF BASE SALARY IN RELATION TO LEVELS OF ACHIEVEMENT. THESE ACHIEVEMENT LEVELS RANGE FROM THRESHOLD (LOWEST), TO TARGET (10% ABOVE THE THRESHOLD), AND MAXIMUM (HIGHEST AND 20% ABOVE THE THRESHOLD) AND VARY BASED UPON EXECUTIVE LEVEL. THE EXECUTIVE INCENTIVE PLAN WILL BE ADMINISTERED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: A. OBJECTIVES AND TARGETS ARE SET THROUGH THE STRATEGIC PLANNING, BUDGETING AND PERFORMANCE MANAGEMENT PROCESSES. B. SYSTEM MARGIN AND CASH BUDGET THRESHOLDS MUST BE MET BEFORE INDIVIDUAL AWARDS WILL BE CONSIDERED. C. AWARDS WILL BE CONSIDERED AS HAVING BEEN EARNED UPON AFFIRMATION BASED ON AUDITED FINANCIAL RESULTS AND ACTUAL OPERATING PERFORMANCE. D. THE PRESIDENT AND CEO WILL RECOMMEND PAYMENT OF INDIVIDUAL AWARDS, IF ANY, TO THE COMPENSATION AND CONTRACTS COMMITTEE FOR CONSIDERATION. E. THE COMPENSATION AND CONTRACTS COMMITTEE MAY ACCEPT, REJECT, OR MODIFY THE PRESIDENT AND CEO'S RECOMMENDATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE DIRECTOR OF ACCOUNTING AND CFO BOTH REVIEW THE 990 PRIOR TO THE BOARD REVIEW. THE BOARD THEN REVIEWS THE 990 PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	A SECURE WEBSITE IS PROVIDED TO OFFICERS AND TRUSTEES FOR ANNUAL DISCLOSURES, AND IS MONITORED REGULARLY BY THE VICE PRESIDENT OF LEGAL AFFAIRS AND THE CORPORATE COMPLIANCE OFFICERS. POTENTIAL CONFLICTS OF INTEREST ARE REPORTED DIRECTLY TO THE CHAIRMAN OF THE BOARD. TRUSTEES IDENTIFIED AS HAVING A CONFLICT OF INTEREST IN A PARTICULAR MATTER BEFORE THE BOARD MAY NOT PARTICIPATE IN THE BOARD'S DECISION-MAKING PROCESS. FAILURE TO DISCLOSE IS SUBJECT TO DISCIPLINE, INCLUDING CENSURE, AND IN SOME CASES, REMOVAL FROM THE BOARD. EMPLOYEE OFFICERS ARE SUBJECT TO DISCIPLINE IN ACCORDANCE WITH THE CORPORATION'S HUMAN RESOURCE POLICIES AND THE ARH CODE OF BUSINESS AND PROFESSIONAL CONDUCT.
FORM 990, PART VI, SECTION B, LINE 15	APPALACHIAN REGIONAL HEALTHCARE, INC.'S (ARH) BOARD SETS COMPENSATION LEVELS FOR PRESIDENT/CEO AND OTHER ARH EXECUTIVES AND KEY EMPLOYEES THROUGH ITS COMPENSATION AND CONTRACTS COMMITTEE. THE BOARD CONTRACTS WITH A CONSULTING FIRM TO REVIEW THE MARKET FOR THE POSITIONS ON THE SYSTEM OPERATING COUNCIL WHO MAKES RECOMMENDATIONS ON THE SALARY RANGES AND ASSESSES THE COMPETITIVENESS OF THE SALARIES. WITH THAT INFORMATION, THE COMPENSATION AND CONTRACTS COMMITTEE SETS THE RANGES AND THE PRESIDENT'S COMPENSATION. THE BOARD REVIEWS AND RATIFIES COMPENSATION AMOUNTS. THE CONSULTING FIRM FOLLOWS UP WITH A LETTER ATTESTING TO THE REASONABLENESS OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	WHILE ARH HAS NOT YET ADOPTED A POLICY OF SHARING ITS FINANCIAL STATEMENTS WITH THE PUBLIC, IT DOES PROVIDE FINANCIAL INFORMATION THROUGH THE FORM 990 AND ALSO PROVIDES CERTAIN FINANCIAL INFORMATION IN OTHER PUBLIC DOCUMENTS, INCLUDING ITS PERIODIC REPORTS TO THE COMMUNITIES IT SERVES.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 11,724,274. MANAGEMENT AND GENERAL EXPENSES 118,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,842,701. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 11,502,665. MANAGEMENT AND GENERAL EXPENSES 5,671,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,174,629.
FORM 990, PART XI, LINE 9:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -8,754.
FORM 990, PART XII, LINE 2C:	THERE IS A COMMITTEE OF THE BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOMETOWN FAMILY CARE PLLC	BusinessNameLine1Txt

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)
EIN	202470645	EIN
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ARH TUG VALLEY HEALTH SERVICES INC	BusinessNameLine1Txt

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
101 AIRPORT GARDENS ROAD	HAZARD	KY	41701	204840007	FUNDRAISING AND CHARITABLE ACTIVITIES FOR ARH	KY	501(C)(3)	LINE 7	APPALACHIAN REGIONAL HEALTHCARE INC	0
ARH MARY BRECKINRIDGE
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505	452696517	HEALTH CARE	KY	501(C)(3)	LINE 3	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 ADVANCED CARE INC
2260 EXECUTIVE DRIVE	LEXINGTON	KY	40505	872421892	HEALTH CARE	KY	501(C)(3)	LINE 3	APPALACHIAN REGIONAL HEALTHCARE INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HIGHLANDS MEDICAL PARTNERS II	BusinessNameLine1Txt

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)
EIN	263714306	EIN
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ARH TUG VALLEY HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Share Of EOY Assets	$219,795	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

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