Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Arh Advanced Care Inc
EIN 87-2421892 • 501(c)3 • Lexington, KY
Profile
To improve health and promote well-being of all people in central appalachia in partnership with our communities.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
5.98x
Liabilities / Revenue
97th percentile
Higher debt load relative to revenue than 97% of similar nonprofits.
Net Margin
2nd percentile
Higher net margin than 2% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Balance Sheet
Assets
Down$3,573,137
Down $4,337,992 (-55%) from 2023
Liabilities
Up$21,356,725
Up $4,927,714 (+30%) from 2023
Net Assets
Down-$17,783,588
Down $9,265,706 (-109%) from 2023
Revenue
Up$3,873,984
Up $321,914 (+9.1%) from 2023
Expenses
Up$13,139,690
Up $1,292,759 (+11%) from 2023
Net Income
Down-$9,265,706
Down $970,845 (-12%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $3,573,137
- Liabilities
- $21,356,725
- Net assets
- -$17,783,588
- Revenue
- $3,873,984
- Expenses
- $13,139,690
- Net income
- -$9,265,706
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2023 to Jun 30, 2024
- Signed
- May 13, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $3,873,984
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 treatment for serious medical conditions through its long-term acute care hospitals.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $130,482 | $1,807,635 | ▲ $1,677,153 |
| Prepaid Expenses and Deferred Charges | $922,367 | $1,116,671 | ▲ $194,304 |
| Accounts Receivable | $6,722,133 | $516,605 | ▼ $6,205,528 |
| Inventories for Sale or Use | $136,147 | $132,226 | ▼ $3,921 |
| Total Assets | $7,911,129 | $3,573,137 | ▼ $4,337,992 |
| Liabilities | |||
| Other Liabilities | $8,628,223 | $17,237,600 | ▲ $8,609,377 |
| Accounts Payable and Accrued Expenses | $7,800,788 | $2,619,125 | ▼ $5,181,663 |
| Deferred Revenue | - | $1,500,000 | - |
| Total Liabilities | $16,429,011 | $21,356,725 | ▲ $4,927,714 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-8,517,882 | $-17,783,588 | ▼ $9,265,706 |
| Total Net Assets Fund Balance | $-8,517,882 | $-17,783,588 | ▼ $9,265,706 |
| Total Liabilities and Net Assets / Fund Balance | $7,911,129 | $3,573,137 | ▼ $4,337,992 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Russell Barker | President/CEO | FT | $156,323 | $67,050 | $223,373 |
| Jim Maynard | Chief Operating Officer | FT | $115,836 | - | $115,836 |
Board Members and Trustees
| Name | Title |
|---|---|
| Leon Hollon | Chairman |
| Byron Gabbard | Corporate Director |
| Hollie P Harris | Corporate Director/secretary |
| Dr Aaron Crum | Director |
| Jill Maynard | Director |
| Patrick Downs Md | Director |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Hallmark Health Care Solutions INC | Contract Nurses | 200 MOTOR PARKWAY SUITE D-26, Hauppauge, NY 11788 | $2,389,889 |
| Murer Consultants INC (advis) | Operational Development Mgmt | 18670 GRAPHICS DRIVE SUITE 200, Tinley Park, IL 60477 | $576,502 |
| Medical Solutions LLC | Contract Nurses | 1010 N 102ND ST SUITE 300, Omaha, NE 68114 | $197,574 |
| Qualivis LLC | Contract Nurses | 5930 CORNERSTONE COURT W SUITE 300, San Diego, CA 92121 | $169,752 |
| Kentucky Primary Care Association | Physician Services | 226 W MAIN STREET, Frankfort, KY 40602 | $130,200 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $3,873,982
- Investment Income
- $0
- Other Revenue
- $2
- Change in Net Assets
- $-9,265,706
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,702,165 |
| Other Expenses | $6,437,525 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $6,003,798 | $24,166 | - | $6,027,964 |
| Fees for Services Other | $2,209,573 | - | - | $2,209,573 |
| Occupancy | $500,481 | - | - | $500,481 |
| Office Expenses | $446,884 | - | - | $446,884 |
| Current Officers, Directors, Trustees, and Key Employees | $370,016 | $2,490 | - | $372,506 |
| Payroll Taxes | $217,484 | $10,571 | - | $228,055 |
| Other Employee Benefits | $69,798 | $3,842 | - | $73,640 |
| Insurance | $40,698 | $3,167 | - | $43,865 |
| Advertising | $17,262 | - | - | $17,262 |
| Travel | $8,100 | - | - | $8,100 |
| All Other Expenses | $1,283 | - | - | $1,283 |
| Information Technology | $544 | - | - | $544 |
| Other Expenses | $23 | - | - | $23 |
| Total Functional Expenses | $13,095,454 | $44,236 | $0 | $13,139,690 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Intercompany Payables | $17,237,600 |
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
- No
- 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
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 6
“The organization's sole member is appalachian regional healthcare, inc.”
Form 990, Part VI, Section A, Line 7A
“Appalachian regional healthcare, inc. Appoints the board of directors of arh advanced care, inc.”
Form 990, Part VI, Section A, Line 7B
“Appalachian regional healthcare, inc. Has the power to approve amendments to the articles of incorporation of arh advanced care, inc.”
Form 990, Part VI, Section B, Line 11B
“Appalachian regional healthcare's (arh) director of accounting and cfo both review the 990 prior to the arh board review. The arh board then reviews the 990 prior to filing with the irs.”
Form 990, Part VI, Section B, Line 12C
“All policies are maintained in policy management software. A secure website is provided to officers and trustees for annual disclosures, and is monitored regularly by the chief legal counsel and the corporate compliance officers. Potential conflicts of interest are reported directly to the chairman of the board. Trustees identified as having a conflict of interest in a particular matter before the board may not participate in the board's decision-making process. Failure to disclose is subject to discipline, including censure, and in some cases, removal from the board. Employee officers are subject to discipline in accordance with the corporation's human resource policies and the arh code of business and professional conduct.”
Form 990, Part VI, Section B, Line 15
“The board contracts with a consulting firm to review the market for the positions on the system operating council who makes recommendations on the salary ranges and assesses the competitiveness of the salaries. With that information, the compensation and contracts committee set the ranges and the president's compensation. The board reviews and finalizes compensation amounts. The consulting firm follows up with a letter attesting to the reasonableness of compensation. Arh advanced care has developed a partnership with mercer group to evaluate executive compensation plans.”
Form 990, Part VI, Section C, Line 19
“While arh advanced care 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
- Arh Advanced Care Inc
- EIN
- 87-2421892
- Phone
- 8592262440
- Address
- 2260 EXECUTIVE DRIVE, LEXINGTON, KY 40505
Signing Officer
- Name
- Charles Lovell
- Title
- CEO
- Phone
- 8592262440
- Signed
- 2025-05-13
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Hollie Harris
- Formed
- 2021
- Legal Domicile
- Ky
- Voting Board Members
- 4
- Independent Board Members
- 3
- Employees
- 86
- Volunteers
- 4
Preparer
- Firm
- Cherry Bekaert Advisory LLC
- Address
- 1000 VINE CENTER 333 WEST VINE ST, LEXINGTON, KY 40507
- Preparer
- Melanie Mcpeak
- Phone
- 8595147800
Supplemental Narrative
Additional Explanations
Form 990, Part IX, Line 11G
“Other outside services: program service expenses 759,346. Management and general expenses 0. Fundraising expenses 0. Total expenses 759,346. Vended services: program service expenses 1,450,227. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,450,227.”
FORM 990, PART XII, LINE 2C:
“Prior to the start of the audit, the vice president of finance meets with the independent auditors. At the conclusion of the audit, the finance committee meets with the independent auditors for presentation of the financial statements. The independent auditors are selected when deemed necessary by management through a formal "request for proposal" (rfp) process.”
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. 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.”
Raw XML AppendixShowing 400 of 677 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/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 7800788 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2619125 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6722133 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 516605 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE TREATMENT FOR SERIOUS MEDICAL CONDITIONS THROUGH ITS LONG-TERM ACUTE CARE HOSPITALS. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 17262 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 17262 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1283 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1283 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8592262440 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2260 EXECUTIVE DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LEXINGTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 40505 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 130482 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1807635 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2490 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 370016 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 372506 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2389889 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 576502 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 197574 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 169752 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 130200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 200 MOTOR PARKWAY SUITE D-26 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 18670 GRAPHICS DRIVE SUITE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1010 N 102ND ST SUITE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 5930 CORNERSTONE COURT W SUITE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 226 W MAIN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | HAUPPAUGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | TINLEY PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SAN DIEGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | FRANKFORT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 11788 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60477 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 68114 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 92121 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 40602 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HALLMARK HEALTH CARE SOLUTIONS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MURER CONSULTANTS INC (ADVIS) |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MEDICAL SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | QUALIVIS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | KENTUCKY PRIMARY CARE ASSOCIATION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACT NURSES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | OPERATIONAL DEVELOPMENT MGMT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT NURSES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONTRACT NURSES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHYSICIAN SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 6437525 |
| IRS990/CYOtherRevenueAmt | 0 | 2 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 3873982 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -9265706 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6702165 |
| IRS990/CYTotalExpensesAmt | 0 | 13139690 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 3873984 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1500000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | ARH ADVANCED CARE INC. OPERATES TWO LONG TERM ACUTE CARE HOSPITALS (LTACHS) IN EASTERN KENTUCKY. LOCATIONS INCLUDE A 25-BED HOSPITAL LOCATED ON THE CAMPUS OF HAZARD ARH REGIONAL MEDICAL CENTER IN PERRY COUNTY AND A 25-BED HOSPITAL LOCATED ON THE CAMPUS OF TUG VALLEY ARH REGIONAL MEDICAL CENTER IN PIKE COUNTY.LONG-TERM ACUTE CARE HOSPITALS (LTACHS) ARE FACILITIES THAT SPECIALIZE IN THE TREATMENT OF PATIENTS WITH SERIOUS MEDICAL CONDITIONS THAT REQUIRE CARE ON AN ONGOING BASIS BUT NO LONGER REQUIRE INTENSIVE CARE. THIS INCLUDES PATIENTS THAT MAY NEED PROLONGED VENTILATOR USE/WEANING OR PATIENTS NEEDING ONGOING DIALYSIS FOR CHRONIC RENAL FAILURE.ARH ADVANCED CARE HAS ADDED 75 NEW HEALTHCARE JOBS TO THE EASTERN KENTUCKY REGION ALONG WITH THE ADDED AVAILABILITY OF THIS MUCH NEEDED SERVICE. CURRENTLY, THERE ARE NO LTACH FACILITIES IN THE EASTERN KENTUCKY REGION OF THE STATE. THE OVERALL GOAL OF ARH ADVANCED CARE IS TO IMPROVE ACCESS TO NEEDED EXTENDED LONG-TERM CARE AND IMPROVE THE OVERALL HEALTH OF THE RESIDENTS THAT LIVE IN THE TARGETED CENTRAL APPALACHIA REGION.DURING FY24, ARH ADVANCED CARE RECEIVED RECLASSIFICATION FROM CMS. THE BIG SANDY LOCATION RECEIVED RECLASSIFICATION NOTIFICATION FROM CGS ON MAY 20, 2024, WITH AN EFFECTIVE RETROACTIVE DATE OF SEPTEMBER 16, 2023. THE KY RIVER LOCATION RECEIVED RECLASSIFICATION NOTIFICATION FROM CGS ON AUGUST 23, 2024, WITH AN EFFECTIVE RETROACTIVE DATE OF APRIL 1, 2024.ARH ADVANCED CARE HAS 117 PROVIDERS CREDENTIALED AT BIG SANDY AND 179 PROVIDERS CREDENTIALED AT KY RIVER. IN SEPTEMBER 2023, IN-PATIENT DIALYSIS SERVICES WERE ADDED TO THE SERVICES OFFERED AT BOTH ARH ADVANCED CARE LOCATIONS.IN KEEPING WITH THE MISSION OF ARH ADVANCED CARE, THESE FACILITIES HAVE BEEN DEVELOPED TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA. ARH ADVANCED CARE FACILITIES WILL PROVIDE A UNIQUE SETTING SPECIALIZING ON THOSE PATIENTS REQUIRING EXTENDED INPATIENT CARE INCLUDING VENTILATOR WEANING AND CARE FOR COMPLEX MEDICAL CONDITIONS.ARH ADVANCED CARE BIG SANDY HAS HAD 24 ADMISSIONS FROM JANUARY 1, 2024 OCTOBER 18, 2024, WITH 106 VENTILATOR DAYS. ARH ADVANCED CARE KY RIVER HAS HAD 40 ADMISSIONS FROM JANUARY 1, 2024 OCTOBER 25, 2024, WITH 451 VENTILATOR DAYS. ALL THESE PATIENTS AND FAMILIES WOULD HAVE HAD TO TRAVEL SOME 2+ HOURS TO RECEIVE THIS CARE PRIOR TO OUR OPENING.ARH ADVANCED CARE WILL WORK COLLABORATIVELY WITH ITS REFERRING FACILITIES TO APPROPRIATELY PLACE THOSE PATIENTS REQUIRING AN EXTENDED ACUTE INPATIENT STAY. IT IS THE VISION OF ARH ADVANCED CARE TO BE THE PREMIER DESTINATION FOR QUALITY LONG TERM ACUTE CARE WHILE ALLOWING PATIENTS TO BE TREATED IN THEIR COMMUNITY WITH THEIR SUPPORT SYSTEM IN CLOSE PROXIMITY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 86 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 13095454 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2209573 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2209573 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 37.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 112193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 52023 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 34050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | PATRICK DOWNS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LEON HOLLON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | HOLLIE P HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BYRON GABBARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DR AARON CRUM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JILL MAYNARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RUSSELL BARKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JIM MAYNARD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 189323 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 115836 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 1115375 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 505151 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CORPORATE DIRECTOR/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CORPORATE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHIEF OPERATING OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2021 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 3873984 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 3 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 544 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 544 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 3167 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 40698 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 43865 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 136147 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 132226 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 3 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -8517882 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -17783588 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -8517882 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -17783588 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 500481 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 500481 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 446884 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 446884 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 3842 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 69798 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 73640 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 1 | PHARMACEUTICALS |
| IRS990/OtherExpensesGrp/Desc | 2 | TAXES & LICENSES |
| IRS990/OtherExpensesGrp/Desc | 3 | RESIDENT/PATIENT ACTIVI |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2957048 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 237657 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 14805 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 23 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2957048 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 237657 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 14805 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 23 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 8628223 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 17237600 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 2 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2 |
| IRS990/OtherRevenueTotalAmt | 0 | 2 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 24166 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 6003798 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6027964 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 10571 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 217484 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 228055 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 922367 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1116671 |
| IRS990/PrincipalOfficerNm | 0 | HOLLIE HARRIS |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | HOSPITAL RATE IMPROVEM |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 3805833 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 68149 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 3805833 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 68149 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 5857493 |
| IRS990/PYOtherRevenueAmt | 0 | 352 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 3551718 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -8294861 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 5989438 |
| IRS990/PYTotalExpensesAmt | 0 | 11846931 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 3552070 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -9265706 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 3873982 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 17237600 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | INTERCOMPANY PAYABLES |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 17237600 |
| IRS990ScheduleH/AnnualCommunityBnftReportInd | 0 | 1 |
| IRS990ScheduleH/BadDebtExpenseAmt | 0 | 2957048 |
| IRS990ScheduleH/BadDebtExpenseAttributableAmt | 0 | 0 |
| IRS990ScheduleH/BadDebtExpenseReportedInd | 0 | 1 |
| IRS990ScheduleH/CostingMethodologyUsedGrp/CostToChargeRatioInd | 0 | X |
| IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt | 0 | 2369282 |
| IRS990ScheduleH/ExpensesExceedBudgetInd | 0 | 0 |
| IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt | 0 | 128 |
| IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalCommunityBenefitExpnsAmt | 0 | 128 |
| IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalExpensePct | 0 | 0.00000 |
| IRS990ScheduleH/FinancialAssistanceBudgetInd | 0 | 1 |
| IRS990ScheduleH/FinancialAssistancePolicyInd | 0 | 1 |
| IRS990ScheduleH/FinancialAssistancePrvsnInd | 0 | 1 |
| IRS990ScheduleH/FPGReferenceDiscountedCareInd | 0 | 0 |
| IRS990ScheduleH/FPGReferenceFreeCareInd | 0 | 1 |
| IRS990ScheduleH/FreeCareMedicallyIndigentInd | 0 | 1 |
| IRS990ScheduleH/HospitalFacilitiesCnt | 0 | 2 |
| IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt | 0 | ARH ADVANCED CARE - BIG SANDY |
| IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt | 1 | ARH ADVANCED CARE - KENTUCKY RIVER |
| IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum | 0 | 1 |
| IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum | 1 | 2 |
| IRS990ScheduleH/HospitalFacilitiesGrp/FacilityReportingGroupCd | 0 | A |
| IRS990ScheduleH/HospitalFacilitiesGrp/FacilityReportingGroupCd | 1 | A |
| IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd | 0 | X |
| IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd | 1 | X |
| IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc | 0 | LONG TERM ACUTE CARE HOSPITAL |
| IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc | 1 | LONG TERM ACUTE CARE HOSPITAL |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt | 0 | 260 HOSPITAL DR 1 |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt | 1 | 100 MEDICAL CENTER DR SUITE B |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm | 0 | SOUTH WILLIAMSON |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm | 1 | HAZARD |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd | 1 | KY |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd | 0 | 41503 |
| IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd | 1 | 41701 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AmountsGenerallyBilledInd | 0 | 0 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AppFinancialAsstExplnInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedInd | 0 | 0 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CollectionActivitiesInd | 0 | 0 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedInfoInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedSuprtDocInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/EligCriteriaExplainedInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExplainedBasisInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvailableOnWebsiteInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvailableOnWebsiteURLTxt | 0 | HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvlblOnRequestNoChrgInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvailableOnWebsiteInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvailableOnWebsiteURLTxt | 0 | HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvlblOnRequestNoChargeInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSumAvlblOnRequestNoChrgInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSummaryOnWebsiteInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSummaryOnWebsiteURLTxt | 0 | HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPTranslatedInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FirstLicensedCYOrPYInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeCarePct | 0 | 100.000000000000 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeDscntInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/GrossChargesInd | 0 | 0 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HospitalFacilityName/BusinessNameLine1Txt | 0 | FACILITY REPORTING GROUP - A |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludesPublicityMeasuresInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/LookBackMedicarePrivateInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MadePresumptiveEligDetermInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd | 0 | 1 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NotifiedFAPCopyBillDisplayInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd | 0 | 0 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PermitLegalJudicialProcessInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PermitReportToCreditAgencyInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProcessedFAPApplicationInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedHospitalContactInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedNonprofitContactInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TaxExemptHospitalCYOrPYInd | 0 | 0 |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/UnderinsuranceStatCriteriaInd | 0 | X |
| IRS990ScheduleH/MedicareSurplusOrShortfallAmt | 0 | -1883715 |
| IRS990ScheduleH/MostHospitalsPolicyInd | 0 | X |
| IRS990ScheduleH/Percent100Ind | 0 | X |
| IRS990ScheduleH/ReimbursedByMedicareAmt | 0 | 485567 |
| IRS990ScheduleH/ReportPublicallyAvailableInd | 0 | 1 |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 0 | 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. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 1 | 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. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 2 | THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 3 | FPG FAMILY INCOME IS UNLIMITED FOR ELIGIBILITY FOR FREE CARE. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 4 | THE BAD DEBT EXPENSE ON LINE 2 REFLECTS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. 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. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 5 | 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 A NUMBER OF ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE CORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 6 | THE CORPORATION HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON A NUMBER OF ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADQUACY OFTHE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE CORPORATION UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 7 | 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 NEARLY $2 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 $1,883,715 (OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS A COMMUNITY BENEFIT. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 8 | 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. |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.