Civic Intelligence

Appalachian Regional Healthcare

EIN 52-0795508 • 501(c)3 • Lexington, KY

Profile

To improve health and promote well-being of all the people in central appalachia in an evolving, community based system providing high quality healthcare programs and services.

2260 Executive DriveLexington, KY 40505

www.arh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

74th percentile

0.51x

Higher debt load relative to assets than 74% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

65th percentile

0.79x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

54th percentile

7.4%

Higher net margin than 54% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

32nd percentile

$1,227,568

Higher top officer pay than 32% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

83rd percentile

16%

Faster asset growth than 83% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

34th percentile

6.9%

Faster revenue growth than 34% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,250,085,290

Up $65,602,512 (+5.5%) from 2022

Liabilities

Up

$720,139,780

Up $1,746,317 (+0.2%) from 2022

Net Assets

Up

$529,945,510

Up $63,856,195 (+14%) from 2022

Revenue

Up

$882,926,110

Up $387,408 (+0.0%) from 2022

Expenses

Up

$901,932,107

Up $48,510,870 (+5.7%) from 2022

Net Income

Down

-$19,005,997

Down $48,123,462 (-165%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5B$1.0B$500M$0Assets 2010: $374,684,749Liabilities 2010: $365,423,566Net Assets 2010: $9,261,1832010Assets 2011: $407,052,802Liabilities 2011: $353,344,697Net Assets 2011: $53,708,1052011Assets 2012: $440,676,007Liabilities 2012: $434,978,688Net Assets 2012: $5,697,3192012Assets 2013: $490,683,755Liabilities 2013: $421,155,302Net Assets 2013: $69,528,4532013Assets 2014: $532,183,640Liabilities 2014: $437,480,048Net Assets 2014: $94,703,5922014Assets 2015: $602,843,959Liabilities 2015: $482,481,639Net Assets 2015: $120,362,3202015Assets 2016: $642,259,141Liabilities 2016: $506,774,283Net Assets 2016: $135,484,8582016Assets 2017: $682,022,817Liabilities 2017: $486,519,165Net Assets 2017: $195,503,6522017Assets 2018: $747,640,583Liabilities 2018: $489,555,277Net Assets 2018: $258,085,3062018Assets 2019: $874,022,382Liabilities 2019: $618,721,464Net Assets 2019: $255,300,9182019Assets 2020: $1,013,172,338Liabilities 2020: $765,469,185Net Assets 2020: $247,703,1532020Assets 2021: $1,267,201,787Liabilities 2021: $782,229,304Net Assets 2021: $484,972,4832021Assets 2022: $1,184,482,778Liabilities 2022: $718,393,463Net Assets 2022: $466,089,3152022Assets 2023: $1,250,085,290Liabilities 2023: $720,139,780Net Assets 2023: $529,945,5102023

Highlighted filing

2023

Assets$1,250,085,290
Liabilities$720,139,780
Net Assets$529,945,510

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0B$500M$0-$500MExpenses 2010: $555,704,6452010Expenses 2011: $564,049,6832011Expenses 2012: $581,688,3452012Expenses 2013: $590,330,3052013Revenue 2014: $602,883,966Expenses 2014: $580,254,850Net Income 2014: $22,629,1162014Revenue 2015: $620,606,984Expenses 2015: $572,281,121Net Income 2015: $48,325,8632015Revenue 2016: $670,760,324Expenses 2016: $637,177,466Net Income 2016: $33,582,8582016Revenue 2017: $657,174,121Expenses 2017: $634,538,299Net Income 2017: $22,635,8222017Revenue 2018: $715,141,189Expenses 2018: $682,382,659Net Income 2018: $32,758,5302018Revenue 2019: $778,163,558Expenses 2019: $751,727,308Net Income 2019: $26,436,2502019Revenue 2020: $793,628,927Expenses 2020: $757,653,584Net Income 2020: $35,975,3432020Revenue 2021: $817,287,479Expenses 2021: $705,733,049Net Income 2021: $111,554,4302021Revenue 2022: $882,538,702Expenses 2022: $853,421,237Net Income 2022: $29,117,4652022Revenue 2023: $882,926,110Expenses 2023: $901,932,107Net Income 2023: -$19,005,9972023

Highlighted filing

2023

Revenue$882,926,110
Expenses$901,932,107
Net Income-$19,005,997

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$1,250$720$530$883$902$19.0
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,184$718$466$883$853$29.1
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,267$782$485$817$706$112
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,013$765$248$794$758$36.0
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$874$619$255$778$752$26.4
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$748$490$258$715$682$32.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$682$487$196$657$635$22.6
2016Detailed filing. Detailed filing data is available for this year.$642$507$135$671$637$33.6
2015Detailed filing. Detailed filing data is available for this year.$603$482$120$621$572$48.3
2014Summary only. Only limited summary data is available for this year.$532$437$94.7$603$580$22.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$491$421$69.5$590
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$441$435$5.70$582
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$407$353$53.7$564
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$375$365$9.26$556
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Mar 24, 2022
Return Version
2020v4.2
Gross Receipts
$817,692,172
Mission and Program Overview

Mission

To improve health and promote well-being of all people in central appalachia in partnership with our communities.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$418,655,666$516,884,480▲ $98,228,814
Savings and Temporary Cash Investments$159,489,153$308,896,158▲ $149,407,005
Land, Buildings, and Equipment, Net$241,638,108$243,052,913▲ $1,414,805
Accounts Receivable$73,285,380$118,875,442▲ $45,590,062
Prepaid Expenses and Deferred Charges$45,139,090$48,856,053▲ $3,716,963
Inventories for Sale or Use$18,803,813$19,325,995▲ $522,182
Other Notes and Loans Receivable, Net$2,565,568$0▼ $2,565,568
Intangible Assets$900,000$900,000→ $0
Investments Program Related$666,536$621,536▼ $45,000
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Total Assets$1,013,172,338$1,267,201,787▲ $254,029,449
Other Assets Total$52,029,024$9,789,210▼ $42,239,814
Liabilities
Other Liabilities$444,208,519$376,725,195▼ $67,483,324
Mortgage Notes Payable Secured by Investment Property$188,031,913$194,803,743▲ $6,771,830
Accounts Payable and Accrued Expenses$119,158,853$138,004,705▲ $18,845,852
Tax Exempt Bond Liabilities$11,472,557$70,075,000▲ $58,602,443
Deferred Revenue$2,597,343$2,620,661▲ $23,318
Total Liabilities$765,469,185$782,229,304▲ $16,760,119
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$247,704,617$484,973,947▲ $237,269,330
Net Assets With Donor Restrictions$-1,464$-1,464→ $0
Total Net Assets Fund Balance$247,703,153$484,972,483▲ $237,269,330
Total Liabilities and Net Assets / Fund Balance$1,013,172,338$1,267,201,787▲ $254,029,449

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$80,391,153$211,490,097$291,881,250
Equipment$42,267,156$190,585,821$232,852,977
Other Land Buildings$115,646,467$43,038,491$158,684,958
Land$4,748,137-$4,748,137
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph L GrossmanPresident/CEO (term Ended 5/21)FT$744,684$252,997$997,681
Todd JaroszOrthopedic SurgeonFT$902,291$49,180$951,471
Donnie R StacyOncologistFT$775,984$34,445$810,429
Adnan M BhopalwalaCardiologistFT$771,783$29,680$801,463
Chad E BrashearGeneral SurgeonFT$766,708$28,775$795,483
Jameel ButtGeneral SurgeonFT$717,721$28,775$746,496
Paul V MilesCOO/VP OperationsFT$268,439$138,617$407,056
Maria BramanCMO/VP Medical AffairsFT$281,760$116,462$398,222
Danny M HarrisTreasurerFT$267,822$82,044$349,866
Hollie P HarrisPresident/CEOFT$220,137$104,328$324,465
Bessie Ellen WrightVP and Chief Nursing OfficFT$151,548$74,083$225,631

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Laboratory Corp Of AmericaLaboratory Services1477 YORK COURT, Burlington, NC 27215$16,488,087
Focusone Solutions LLCContract Nurses13609 CALIFORNIA ST, Omaha, NE 68154$15,235,339
Conexus Medstaff LLCContract Nurses12141 WICKCHESTER LANE, Houston, TX 77079$14,351,204
Triangle Anesthesia Group PscAnesthesia Medical Group3320 TATES CREEK ROAD STE 100, Lexington, KY 40502$11,578,000
Medical SolutionsContract EmployeePO BOX 850737, Minneapolis, MN 55485-0737$5,700,582
Revenue and Support

Revenue Composition

Contributions and Grants
$3,359,358
Program Service Revenue
$781,510,902
Investment Income
$23,563,335
Other Revenue
$8,853,884
All Other Contributions
$1,370,675
Change in Net Assets
$111,554,430
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$384,029,047
Other Expenses$320,828,655
Grants and Similar Amounts Paid$875,347
Total Fundraising Expense$268,097
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$266,161,654$32,794,457$145,731$299,101,842
Fees for Services Other$59,637,307$17,594,675-$77,231,982
Other Employee Benefits$46,106,973$7,709,072$33,346$53,849,391
Office Expenses$4,525,452$19,963,693$6,176$24,495,321
Depreciation Depletion$21,014,281$3,374,706-$24,388,987
Payroll Taxes$13,871,639$2,427,095$9,775$16,308,509
Pension Plan Contributions$10,372,248$1,683,313$7,823$12,063,384
Occupancy$10,380,908$855,364$2,585$11,238,857
Insurance$7,734,449$738,729-$8,473,178
Information Technology$7,437,363$342,689$275$7,780,327
Other Expenses$6,548,046$7,198,282$49,563$6,597,609
Interest$1,193,673$3,317,514-$4,511,187
All Other Expenses$3,382,396$761,537-$4,143,933
Current Officers, Directors, Trustees, and Key Employees-$2,705,921-$2,705,921
Advertising$1,657,569$118,651$12,545$1,788,765
Fees for Services Legal$16,271$1,547,719-$1,563,990
Grants to Domestic Orgs$875,347--$875,347
Conferences and Meetings$274,691$42,003-$316,694
Travel$169,806$145,232$27$315,065
Fees for Services Accounting$2,239$212,917-$215,156
Total Functional Expenses$591,361,158$114,103,794$268,097$705,733,049
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
University of KentuckyLexington, KY501(c)(3)Support Ongoing Operations$98,477
One Harlan CountyHarlan, KYGovtSupport Ongoing Operations$40,000
Floyd County Board of EducationEastern, KY501(c)(3)Support Ongoing Operations$20,000
Perry Co Economic DevelopmentHazard, KYGovtSupport Ongoing Operations$20,000
Lexington Cancer FoundationLexington, KY501(c)(3)Support Ongoing Operations$15,000
Cowan Community ActionWhitesburg, KY501(c)(3)Support Ongoing Operations$10,000
Wv Chamber of CommerceCharleston, WVGovtSupport Ongoing Operations$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Greg CouchPrincipal Owner of Meridian WealthInvestment Company That Manages Arh Retirement PortfolioNo$289,757
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medicare & Medicaid Estimated Settlements$196,898,354
Accrued Pension Cost$114,390,765
Reserve for Self-insurance$41,234,605
Due to Patients$9,653,134
Operating Lease Liability$9,636,589
Accrued Physician Settlements$2,674,664
Bond Interest Payable$1,394,933
Physician Commitments$513,213
Serp Payable$328,938

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Hazard Ky2021-07-01$70,075,000HEALTHCARE REVENUE BOND

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$70,075,000$10,562,340-$873,823

Bond Financing Compliance

Form 8038-T filed
Yes
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Appalachian Regional Healthcare
EIN
52-0795508
Phone
8592262440
Address
2260 EXECUTIVE DRIVE, LEXINGTON, KY 40505

Signing Officer

Name
Danny Harris
Title
CFO/VP Fiscal Services
Phone
8592262440
Signed
2022-03-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Hollie Harris
Formed
1963
Legal Domicile
Ky
Voting Board Members
19
Independent Board Members
19
Employees
6,091
Volunteers
312

Preparer

Firm
Mcm Cpas & Advisors Llp
Address
462 SOUTH 4TH STREET SUITE 2600, LOUISVILLE, KY 40202
Preparer
Theresa Batliner CPA
Phone
5027491900
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Professional fees - physicians: program service expenses 28,772,140. Management and general expenses 1,053,405. Fundraising expenses 0. Total expenses 29,825,545. Outside services: program service expenses 28,495,729. Management and general expenses 16,536,161. Fundraising expenses 0. Total expenses 45,031,890. Security services: program service expenses 2,369,438. Management and general expenses 5,109. Fundraising expenses 0. Total expenses 2,374,547.

FORM 990, PART XI, LINE 9:

Net periodic pension gain 737,984. Highlands acquisition -590,331. Change in pension plan asset and obligation 53,532,274.

FORM 990, PART XII, LINE 2C:

The process for overseeing and selecting independent auditors has not changed from the prior year. Prior to the start of the audit, the vice president of finance meets with the independent auditors. At the conclusion of the audit, the finance committee meets with the independent auditors for presentation of the financial statements. The independent auditors are selected when deem necessary by management through a formal "request for proposal" (rfp) process.

Financial Statement Notes

PART X, LINE 2:

The corporation is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code (irc) and is exempt from federal income taxes on related income pursuant to section 501(a) of the irc. However, the corporation is subject to federal income tax on any unrelated business taxable income. Gaap requires the corporation to evaluate its tax positions and recognize a tax liability (or asset) if it has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service (irs). The corporation has evaluated its tax positions and has concluded that there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements. The corporation is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

Raw XML AppendixShowing 400 of 1,909 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0119158853
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0138004705
IRS990/AccountsReceivableGrp/BOYAmt073285380
IRS990/AccountsReceivableGrp/EOYAmt0118875442
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO 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.
IRS990/AdvertisingGrp/FundraisingAmt012545
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0118651
IRS990/AdvertisingGrp/ProgramServicesAmt01657569
IRS990/AdvertisingGrp/TotalAmt01788765
IRS990/AllOtherContributionsAmt01370675
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IRS990/AuditCommitteeInd01
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IRS990/BooksInCareOfDetail/PhoneNum08592262440
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02260 EXECUTIVE DRIVE
IRS990/BooksInCareOfDetail/USAddress/CityNm0LEXINGTON
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4MN
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IRS990/ContractorCompensationGrp/ServicesDesc2CONTRACT NURSES
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IRS990/Desc0APPALACHIAN REGIONAL HEALTHCARE INC. (ARH), IS A NOT-FOR-PROFIT HEALTH SYSTEM OPERATING 13 HOSPITALS (NINE OF WHICH ARE INCLUDED IN THIS RETURN) IN BARBOURVILLE, HAZARD, HARLAN, HYDEN, MARTIN, MCDOWELL, MIDDLESBORO, PRESTONSBURG, WEST LIBERTY, WHITESBURG, AND SOUTH WILLIAMSON IN KENTUCKY AS WELL AS BECKLEY AND HINTON IN WEST VIRGINIA. ARH ALSO OPERATES MULTI-SPECIALTY AND FAMILY PRACTICE CLINICS, HOME HEALTH AGENCIES, HOME MEDICAL EQUIPMENT STORES, AND RETAIL AND SPECIALTY PHARMACIES IN THESE AND SURROUNDING AREAS. ARH EMPLOYS MORE THAN 6,000 PEOPLE WITH MOST RECENT ANNUAL PAYROLL AND BENEFITS OF MORE THAN $350 MILLION GENERATED INTO OUR LOCAL ECONOMIES. THE MAJORITY OF THESE EMPLOYEES RESIDE IN THE SAME COMMUNITIES THAT ARH SERVES. ARH ALSO HAS A NETWORK OF 600 ACTIVE AND COURTESY MEDICAL STAFF MEMBERS. ARH IS THE LARGEST PROVIDER OF CARE AND SINGLE LARGEST EMPLOYER IN SOUTHEASTERN KENTUCKY AND THE THIRD LARGEST IN SOUTHERN WEST VIRGINIA. THE COMPANY HAS BEEN RANKED AS ONE OF THE TOP TEN EMPLOYERS IN KENTUCKY BY FORBES MAGAZINE, AND IS CONSISTENTLY RECOGNIZED FOR ITS MEDICAL EXCELLENCE.ARH HAS PUT A MAJOR FOCUS INVESTING IN SIGNIFICANT NEUROSCIENCE GROWTH, INCLUDING CUTTING-EDGE TELEHEALTH EMERGENCY ROOM SERVICE AS WELL AS TELENEUROLOGY CLINICS AND INPATIENT SERVICES ACROSS THE ARH SYSTEM.ARH COMMUNITIES CAN COUNT ON ARH HOSPITALS TO PROVIDE THE BEST IN STROKE CARE WHETHER AT THE BEDSIDE OR VIA ITS NEW TELESTROKE AND TELENEUROLOGY PATIENT CARE AND MONITORING PROGRAM. WITH A SHORTAGE OF NEUROLOGISTS IN THE UNITED STATES, ESPECIALLY IN RURAL AREAS, TELESTROKE AND TELENEUROLOGY PROGRAMS ALLOW EXPERT-LEVEL CARE FROM A NEUROLOGIST IN OUR LOCAL COMMUNITY. SEVERAL ARH LOCATIONS ADDED THE NEW TELESTROKE AND TELENEUROLOGY PATIENT CARE AND MONITORING PROGRAM. THE TELESTROKE PROGRAM ALLOWS ARH TO PROVIDE TIME-CRITICAL DIAGNOSIS TREATMENT SUCH AS THE CLOT DISSOLVING DRUGS (THROMBOLYTICS) USED TO TREAT THE MOST COMMON TYPE OF STROKE. PROVIDING TELESTROKE AND TELENEUROLOGY SERVICES GIVE ALL PATIENTS IN APPALACHIA A BETTER CHANCE OF STROKE SURVIVAL AND RECOVERY.IT IS PART OF ARH'S MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS IT SERVES THROUGH PARTNERSHIPS WITH OUR COMMUNITIES. ONE SUCH EXAMPLE WAS THE BARBOURVILLE ARH HOSPITAL PARTNERSHIP WITH UNION COLLEGE TO OPEN THE ARH CAMPUS HEALTH CENTER-UNION COLLEGE OFFERING ACUTE AND CHRONIC CARE, INCLUDING ANNUAL WELLNESS EXAMS, COLD AND FLU TREATMENT, DIABETES MANAGEMENT, WOMEN'S HEALTH AND SCHOOL, SPORTS AND WORK PHYSICALS FOR MEN, WOMEN AND CHILDREN OF ALL AGES.ARH STRIVES NOT ONLY TO PROVIDE ITS COMMUNITIES EXCEPTIONAL MEDICAL CARE, BUT ALSO TO BUILD PUBLIC AWARENESS OF WARNING SIGNS AND TIPS FOR PREVENTION OF COMMON HEALTH CONDITIONS IN OUR AREA THROUGH FREE EDUCATIONAL SESSIONS. DURING MANY OF THESE EDUCATIONAL EVENTS, FREE HEALTH SCREENINGS ARE OFFERED TO FURTHER IMPROVE THE HEALTH OF THE RESIDENTS ARH SERVES. ARH STRONGLY PROMOTES THE IMPORTANCE OF PREVENTATIVE HEALTH SCREENINGS AND EACH YEAR ARH FACILITIES PROVIDE A NUMBER OF FREE ROUTINE HEALTH SCREENINGS. TO ENCOURAGE WOMEN TO GET ANNUAL SCREENING MAMMOGRAMS, EACH YEAR ARH ALSO OFFERS DISCOUNTED MAMMOGRAM SCREENINGS DURING OCTOBER'S BREAST CANCER AWARENESS MONTH, WHICH COINCIDE WITH AWARENESS EVENTS HELD THROUGHOUT THE MONTH. THE NORTON HEALTHCARE/UK HEALTHCARE STROKE CARE NETWORK RECOGNIZED TUG VALLEY ARH REGIONAL MEDICAL CENTER FOR ITS WORK IN PUBLIC AWARENESS AND COMMUNITY EDUCATION WITH THE "SERVICE AWARD" FOR STROKE AWARENESS.ARH ALSO IS A STRONG ADVOCATE OF GOOD NUTRITION IN OUR COMMUNITIES AND HELD FARMER'S MARKETS AT SOME HOSPITAL LOCATIONS BRINGING LOCALLY SOURCED FRESH FRUITS AND VEGETABLES TO VISITORS, PATIENTS AND EMPLOYEES, WHICH IN TURN SUPPORTED LOCAL GROWERS.IN EFFORTS TO PREVENT THE SPREAD OF THE VIRUS THE COVID-19 PANDEMIC AND IN ADHERING TO GUIDANCE FROM PUBLIC HEALTH OFFICIALS THAT CAUTIONED AGAINST LARGE MASS GATHERINGS, THE MAJORITY OF THE IN-PERSON EDUCATION AND OUTREACH ACTIVITIES NORMALLY HELD I
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