Civic Intelligence

Arh Advanced Care Inc.

990 • Fiscal year 2025 • EIN 87-2421892

Jul 01, 2024 to Jun 30, 2025 • Filed on Apr 22, 2026

100 Airport Gardens RoadHazard, KY 41701

(859) 226-2440

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

2.80x

Higher debt load relative to assets than 100% of similar nonprofits.

2025 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

95th percentile

3.47x

Higher debt load relative to revenue than 95% of similar nonprofits.

2025 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

3rd percentile

-59%

Higher net margin than 3% of similar nonprofits.

2025 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

100th percentile

$1,622,589

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 15.0% of source-year revenue.

2025 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

99th percentile

276%

Faster asset growth than 99% of similar nonprofits.

2025 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

97th percentile

180%

Faster revenue growth than 97% of similar nonprofits.

2025 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Assets

Up

$13,430,001

Up $9,856,864 (+276%) from 2024

Net Assets

Down

-$24,160,686

Down $6,377,098 (-36%) from 2024

Liabilities

Up

$37,590,687

Up $16,233,962 (+76%) from 2024

Revenue

Up

$10,842,087

Up $6,968,103 (+180%) from 2024

Expenses

Up

$17,219,185

Up $4,079,495 (+31%) from 2024

Net Income

Up

-$6,377,098

Up $2,888,608 (+31%) from 2024

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40M$20M$0-$20M-$40MAssets 2023: $7,911,129Liabilities 2023: $16,429,011Net Assets 2023: -$8,517,8822023Assets 2024: $3,573,137Liabilities 2024: $21,356,725Net Assets 2024: -$17,783,5882024Assets 2025: $13,430,001Liabilities 2025: $37,590,687Net Assets 2025: -$24,160,6862025

Highlighted filing

2025

Assets$13,430,001
Liabilities$37,590,687
Net Assets-$24,160,686

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$10M$0-$10MRevenue 2023: $3,552,070Expenses 2023: $11,846,931Net Income 2023: -$8,294,8612023Revenue 2024: $3,873,984Expenses 2024: $13,139,690Net Income 2024: -$9,265,7062024Revenue 2025: $10,842,087Expenses 2025: $17,219,185Net Income 2025: -$6,377,0982025

Highlighted filing

2025

Revenue$10,842,087
Expenses$17,219,185
Net Income-$6,377,098
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Apr 22, 2026
Return Version
2024v5.5
Gross Receipts
$10,842,087
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
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$0$10,859,721▲ $10,859,721
Prepaid Expenses and Deferred Charges$1,116,671$1,787,726▲ $671,055
Accounts Receivable$516,605$590,306▲ $73,701
Inventories for Sale or Use$132,226$152,007▲ $19,781
Cash and Non-Interest-Bearing Accounts$1,807,635$40,241▼ $1,767,394
Total Assets$3,573,137$13,430,001▲ $9,856,864
Liabilities
Other Liabilities$17,237,600$35,785,083▲ $18,547,483
Deferred Revenue$1,500,000$1,500,000→ $0
Accounts Payable and Accrued Expenses$2,619,125$305,604▼ $2,313,521
Total Liabilities$21,356,725$37,590,687▲ $16,233,962
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-17,783,588$-24,160,686▼ $6,377,098
Total Net Assets Fund Balance$-17,783,588$-24,160,686▼ $6,377,098
Total Liabilities and Net Assets / Fund Balance$3,573,137$13,430,001▲ $9,856,864

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,203,009$33,210$6,236,219
Equipment$3,559,252$88,131$3,647,383
Other Land Buildings$1,097,460-$1,097,460
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Russell BarkerPresident/CEO (term 1/2/25)FT$130,749$58,429$189,178
Jim MaynardCOO (term 1/31/25)FT-$103,679$103,679

Board Members and Trustees

NameTitle
Leon HollonChairman
Byron GabbardCorporate Director
Hollie P HarrisCorporate Director/secretary
Dr Aaron CrumDirector
Jill MaynardDirector
Patrick Downs MdDirector/interim CEO (start 6/25)
Charles LovellInterim CEO (1/25-6/25)

Highest Paid Contractors

ContractorServicesLocationCompensation
29703 Hallmark Health Care SolutionsContract Labor20 CITY SQUARE SUITE 202, Charlestown, MA 02129$2,273,759
4812 Murer Consultants INCConsultants18670 GRAPHICS DR SUITE 200, Tinley Park, IL 60477-6298$358,769
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$10,829,411
Investment Income
$0
Other Revenue
$12,676
Change in Net Assets
$-6,377,098
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,200,424
Salaries, Compensation, and Employee Benefits$7,018,761
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,719,490$1,278,062-$5,997,552
Fees for Services Other$1,432,071$815,794-$2,247,865
Office Expenses$611,688$96,577-$708,265
Occupancy$458,763$82,489-$541,252
Other Employee Benefits$366,987$52,489-$419,476
Payroll Taxes$238,080$48,763-$286,843
Current Officers, Directors, Trustees, and Key Employees-$280,926-$280,926
All Other Expenses$156,493$100,056-$256,549
Depreciation Depletion$74,019$47,323-$121,342
Insurance$41,626$26,613-$68,239
Pension Plan Contributions$33,964--$33,964
Advertising$20,576$13,155-$33,731
Travel$13,385$8,557-$21,942
Information Technology$5,539$3,541-$9,080
Conferences and Meetings$302$193-$495
Other Expenses$31$151-$182
Total Functional Expenses$14,358,394$2,860,791$0$17,219,185
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
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$35,785,083
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
100 AIRPORT GARDENS ROAD, HAZARD, KY 41701

Signing Officer

Name
Dr Patrick Downs
Title
CEO
Phone
8592262440
Signed
2026-04-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Patrick Downs
Formed
2021
Legal Domicile
Ky
Voting Board Members
6
Independent Board Members
4
Employees
101
Volunteers
24

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 393,849. Management and general expenses 193,985. Fundraising expenses 0. Total expenses 587,834. Vended services: program service expenses 947,526. Management and general expenses 605,795. Fundraising expenses 0. Total expenses 1,553,321. Consulting fees: program service expenses 30,150. Management and general expenses 14,850. Fundraising expenses 0. Total expenses 45,000. Security technology: program service expenses 1,146. Management and general expenses 564. Fundraising expenses 0. Total expenses 1,710. Professional fees: program service expenses 59,400. Management and general expenses 600. Fundraising expenses 0. Total expenses 60,000.

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 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.

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IRS990/Desc0ARH 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 EXTENDED LONG-TERM CARE AND IMPROVE THE OVERALL HEALTH OF THE RESIDENTS THAT LIVE IN THE TARGETED CENTRAL APPALACHIA REGION. 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 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 54 ADMISSIONS JANUARY 1, 2025 NOVEMBER 20, 2025. ARH ADVANCED CARE KY RIVER HAS HAD 49 ADMISSIONS JANUARY 1, 2025 NOVEMBER 20, 2025. 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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt3CORPORATE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6INTERIM CEO (1/25-6/25)
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT/CEO (TERM 1/2/25)
IRS990/Form990PartVIISectionAGrp/TitleTxt8COO (TERM 1/31/25)
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02021
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt010842087
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt04
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt03541
IRS990/InformationTechnologyGrp/ProgramServicesAmt05539
IRS990/InformationTechnologyGrp/TotalAmt09080
IRS990/InsuranceGrp/ManagementAndGeneralAmt026613
IRS990/InsuranceGrp/ProgramServicesAmt041626
IRS990/InsuranceGrp/TotalAmt068239
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0132226
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0152007
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt03
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0121341
IRS990/LandBldgEquipBasisNetGrp/BOYAmt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt010859721
IRS990/LandBldgEquipCostOrOtherBssAmt010981062
IRS990/LegalDomicileStateCd0KY
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-17783588
IRS990/NetAssetsOrFundBalancesEOYAmt0-24160686
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-17783588
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-24160686
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt082489
IRS990/OccupancyGrp/ProgramServicesAmt0458763
IRS990/OccupancyGrp/TotalAmt0541252
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt096577
IRS990/OfficeExpensesGrp/ProgramServicesAmt0611688
IRS990/OfficeExpensesGrp/TotalAmt0708265
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt052489
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0366987
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0419476
IRS990/OtherExpensesGrp/Desc0BAD DEBT
IRS990/OtherExpensesGrp/Desc1PHARMACEUTICALS
IRS990/OtherExpensesGrp/Desc2TAXES & LICENSES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt06102
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1151
IRS990/OtherExpensesGrp/ProgramServicesAmt05886360
IRS990/OtherExpensesGrp/ProgramServicesAmt1299020
IRS990/OtherExpensesGrp/ProgramServicesAmt231
IRS990/OtherExpensesGrp/TotalAmt05886360
IRS990/OtherExpensesGrp/TotalAmt1305122
IRS990/OtherExpensesGrp/TotalAmt2182
IRS990/OtherLiabilitiesGrp/BOYAmt017237600
IRS990/OtherLiabilitiesGrp/EOYAmt035785083
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0VENDOR REBATE INCOME
IRS990/OtherRevenueMiscGrp/ExclusionAmt012676
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt012676
IRS990/OtherRevenueTotalAmt012676
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt01278062
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt04719490
IRS990/OtherSalariesAndWagesGrp/TotalAmt05997552
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt048763
IRS990/PayrollTaxesGrp/ProgramServicesAmt0238080
IRS990/PayrollTaxesGrp/TotalAmt0286843
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt033964
IRS990/PensionPlanContributionsGrp/TotalAmt033964
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01116671
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01787726
IRS990/PrincipalOfficerNm0DR PATRICK DOWNS
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/BusinessCd1621110
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICES
IRS990/ProgramServiceRevenueGrp/Desc1HOSPITAL RATE IMPROVEMENT PROGRAM
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt010586469
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1242942
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt010586469
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1242942
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt06437525
IRS990/PYOtherRevenueAmt02
IRS990/PYProgramServiceRevenueAmt03873982
IRS990/PYRevenuesLessExpensesAmt0-9265706
IRS990/PYSalariesCompEmpBnftPaidAmt06702165
IRS990/PYTotalExpensesAmt013139690
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt03873984
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-6377098
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt010829411
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt06203009
IRS990ScheduleD/BuildingsGrp/DepreciationAmt033210
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt06236219
IRS990ScheduleD/EquipmentGrp/BookValueAmt03559252
IRS990ScheduleD/EquipmentGrp/DepreciationAmt088131
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03647383
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt01097460
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt01097460
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt035785083
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0INTERCOMPANY PAYABLES
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. HOWEVER, THE CORPORATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. U.S. GAAP REQUIRES THE CORPORATION TO EVALUATE ITS TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS"). THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt010859721
IRS990ScheduleD/TotalLiabilityAmt035785083
IRS990ScheduleH/AnnualCommunityBnftReportInd01
IRS990ScheduleH/BadDebtExpenseAmt05886360
IRS990ScheduleH/BadDebtExpenseAttributableAmt06101
IRS990ScheduleH/BadDebtExpenseReportedInd01
IRS990ScheduleH/CostingMethodologyUsedGrp/CostToChargeRatioInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt03678871
IRS990ScheduleH/ExpensesExceedBudgetInd00
IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt03671
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalCommunityBenefitExpnsAmt03671
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalExpensePct00.00030
IRS990ScheduleH/FinancialAssistanceBudgetInd01
IRS990ScheduleH/FinancialAssistancePolicyInd01
IRS990ScheduleH/FinancialAssistancePrvsnInd01
IRS990ScheduleH/FPGReferenceDiscountedCareInd00
IRS990ScheduleH/FPGReferenceFreeCareInd01
IRS990ScheduleH/FreeCareMedicallyIndigentInd01
IRS990ScheduleH/HospitalFacilitiesCnt02
IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt0ARH ADVANCED CARE - BIG SANDY
IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt1ARH ADVANCED CARE - KENTUCKY RIVER
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum01
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum12
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityReportingGroupCd0A
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityReportingGroupCd1A
IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd1X
IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc0LONG TERM ACUTE CARE HOSPITAL
IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc1LONG TERM ACUTE CARE HOSPITAL
IRS990ScheduleH/HospitalFacilitiesGrp/StateLicenseNum0100368
IRS990ScheduleH/HospitalFacilitiesGrp/StateLicenseNum1100365
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt0260 HOSPITAL DR 1
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt1100 MEDICAL CENTER DR SUITE B
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm0SOUTH WILLIAMSON
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm1HAZARD
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd0KY
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd1KY
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd041503
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd141701
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AmountsGenerallyBilledInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AppFinancialAsstExplnInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithNonFcltsInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithOtherFcltsInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedYr024
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAReportWidelyAvailableInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CollectionActivitiesInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDefinitionInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDemographicsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHealthNeedsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHlthNeedsIdProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ConsultingProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedInfoInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedSuprtDocInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/EligCriteriaExplainedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExistingResourcesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExplainedBasisInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvailableOnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvailableOnWebsiteURLTxt0HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvailableOnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvailableOnWebsiteURLTxt0HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvlblOnRequestNoChargeInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSumAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSummaryOnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSummaryOnWebsiteURLTxt0HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPTranslatedInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FirstLicensedCYOrPYInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeCarePct0100.000000000000
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeDscntInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/GrossChargesInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HospitalFacilityName/BusinessNameLine1Txt0FACILITY REPORTING GROUP - A
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HowDataObtainedInd0X

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