2026-04-23T10:12:38-05:00 2025-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 1000 VINE CENTER 333 WEST VINE ST LEXINGTON KY 40507 990 2024-07-01 872421892 ARH ADVANCED CARE INC ARHA 8592262440 100 AIRPORT GARDENS ROAD HAZARD KY 41701 DR PATRICK DOWNS CEO 8592262440 2026-04-22 1 1 MELANIE MCPEAK P01346034 8595147800 2024 2025-03-06 01:10:19Z X DR PATRICK DOWNS 100 AIRPORT GARDENS ROAD HAZARD KY 41701 10842087 0 X WWW.ARH.ORG X 2021 KY TO PROVIDE TREATMENT FOR SERIOUS MEDICAL CONDITIONS THROUGH ITS LONG-TERM ACUTE CARE HOSPITALS. 6 4 101 24 0 0 0 0 3873982 10829411 0 0 2 12676 3873984 10842087 0 0 0 0 6702165 7018761 0 0 0 6437525 10200424 13139690 17219185 -9265706 -6377098 3573137 13430001 21356725 37590687 -17783588 -24160686 X TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. 0 0 14358394 10829411 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 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. 14358394 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 101 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X BYRON GABBARD 8592262440 100 AIRPORT GARDENS ROAD HAZARD KY 41701 PATRICK DOWNS MD DIRECTOR/INTERIM CEO (START 6/25) 40.00 0.00 X X 0 0 0 LEON HOLLON CHAIRMAN 3.00 0.00 X X 0 0 0 HOLLIE P HARRIS CORPORATE DIRECTOR/SECRETARY 3.00 37.00 X X 0 1503777 118812 BYRON GABBARD CORPORATE DIRECTOR 5.00 35.00 X 0 664251 60915 DR AARON CRUM DIRECTOR 3.00 0.00 X 0 0 0 JILL MAYNARD DIRECTOR 3.00 0.00 X 0 0 0 CHARLES LOVELL INTERIM CEO (1/25-6/25) 40.00 0.00 X 0 0 0 RUSSELL BARKER PRESIDENT/CEO (TERM 1/2/25) 40.00 0.00 X 131846 0 57332 JIM MAYNARD COO (TERM 1/31/25) 40.00 0.00 X 0 97836 5843 131846 2265864 242902 1 0 1 0 29703 HALLMARK HEALTH CARE SOLUTIONS 20 CITY SQUARE SUITE 202 CHARLESTOWN MA 02129 CONTRACT LABOR 2273759 4812 MURER CONSULTANTS INC 18670 GRAPHICS DR SUITE 200 TINLEY PARK IL 604776298 CONSULTANTS 358769 2 PATIENT SERVICES 621110 10586469 10586469 HOSPITAL RATE IMPROVEMENT PROGRAM 621110 242942 242942 10829411 VENDOR REBATE INCOME 900099 12676 12676 12676 10842087 10829411 0 12676 X 280926 280926 5997552 4719490 1278062 33964 33964 419476 366987 52489 286843 238080 48763 2247865 1432071 815794 33731 20576 13155 708265 611688 96577 9080 5539 3541 541252 458763 82489 21942 13385 8557 495 302 193 121342 74019 47323 68239 41626 26613 BAD DEBT 5886360 5886360 PHARMACEUTICALS 305122 299020 6102 TAXES & LICENSES 182 31 151 256549 156493 100056 17219185 14358394 2860791 0 1807635 40241 516605 590306 132226 152007 1116671 1787726 10981062 121341 0 10859721 3573137 13430001 2619125 305604 1500000 1500000 17237600 35785083 21356725 37590687 X -17783588 -24160686 -17783588 -24160686 3573137 13430001 -6377098 0 X X 0 1 X 1 0 X 6236219 33210 6203009 3647383 88131 3559252 1097460 1097460 10859721 INTERCOMPANY PAYABLES 35785083 35785083 X 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. 1 1 X 1 X 0 1 1 0 1 1 3671 3671 0.00030 3194932 2083192 1111740 0.09810 0 0 3198603 2083192 1115411 0.09840 3198603 2083192 1115411 0.09840 1 5886360 6101 1134647 3678871 -2544224 X 1 1 2 1 ARH ADVANCED CARE - BIG SANDY 260 HOSPITAL DR 1 SOUTH WILLIAMSON KY 41503 100368 X LONG TERM ACUTE CARE HOSPITAL A 2 ARH ADVANCED CARE - KENTUCKY RIVER 100 MEDICAL CENTER DR SUITE B HAZARD KY 41701 100365 X LONG TERM ACUTE CARE HOSPITAL A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 0 1 X WWW.ARH.ORG/CHNA X 1 24 1 WWW.ARH.ORG/CHNA 0 1 X 100.000000000000 X 1 1 X X X X 1 X HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ARH ADVANCED CARE - BIG SANDY, - FACILITY 2: ARH ADVANCED CARE - KENTUCKY RIVER FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: A COMMUNITY STEERING COMMITTEE PROVIDED GUIDANCE OVER THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN EACH OF ARH'S COMMUNITIES. THIS STEERING COMMITTEE WAS MADE UP OF REPRESENTATIVES FROM VARIOUS ORGANIZATIONS AND AGENCIES THROUGHOUT EACH HOSPITAL'S SERVICE AREA. IN PARTICULAR, SOME OF THE COMMITTEE MEMBERS REPRESENTED THE LOCAL HEALTH DEPARTMENT, SENIOR SERVICES, SCHOOL SYSTEM, SOCIAL SERVICE ORGANIZATIONS, AND EMERGENCY MANAGEMENT. THESE INDIVIDUALS ASSISTED WITH DISTRIBUTING SURVEYS AND ORGANIZING FOCUS GROUPS THROUGHOUT THE COMMUNITY ENSURING THAT VARIED COMMUNITY INTERESTS AND EXPERTISE WERE REPRESENTED. SPECIAL ATTENTION WAS PAID TO ENSURING THAT REPRESENTATION FROM THE PUBLIC HEALTH SECTOR WAS INCLUDED IN THIS ASSESSMENT PROCESS AND THAT THE SENIOR CITIZEN AND UNDERSERVED POPULATION WERE REPRESENTED. A COMPLETE LIST OF THE COMMUNITY STEERING COMMITTEE MEMBERS FOR EACH ARH FACILITY IS INCLUDED IN EACH ASSESSMENT'S FINAL REPORT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: APPALACHIAN REGIONAL HEALTHCARE CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT JOINTLY WITH THE OTHER FACILITIES WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM. APPALACHIAN REGIONAL HEALTHCARE, INC. (EIN: XXX-XX-XXXX), THE PARENT ORGANIZATION, COORDINATED AND FILED THE COMBINED CHNA ON BEHALF OF ALL PARTICIPATING FACILITIES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: APPALACHIAN REGIONAL HEALTHCARE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EACH OF ITS 10 HOSPITAL COMMUNITIES DURING 2024. RESULTS FROM COMMUNITY SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS ARE BEING REPORTED ALONG WITH HEALTH INFORMATION COLLECTED FROM REPUTABLE NATIONAL, STATE, AND LOCAL DATA SOURCES. ALSO BEING REPORTED FOR EACH ARH HOSPITAL IS AN IMPLEMENTATION PLAN ADDRESSING THE IDENTIFIED ISSUES FROM THIS PROCESS AND AN OUTCOMES SUMMARY FROM THE CHNA PROCESS AND IMPLEMENTATION CONDUCTED SINCE 2019. ALL OF THE INFORMATION IN THESE REPORTS PROVIDES VALUABLE INFORMATION THAT WILL BE USED IN THE FUTURE FOR PLANNING PURPOSES, SERVICE IMPROVEMENTS AND COMMUNITY OUTREACH. IT IS ARH'S HOPE THAT THIS ASSESSMENT WILL HELP OUR FACILITIES, IN PARTNERSHIP WITH OUR COMMUNITIES, TO IDENTIFY RESPECTIVE HEALTH CONCERNS, MEASURE THE IMPACT OF CURRENT PUBLIC HEALTH EFFORTS AND GUIDE THE APPROPRIATE USE OF LOCAL RESOURCES. WE ALSO HOPE THAT TOGETHER WE CAN IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA.DURING THE 2022 CHNA PROCESS, THE APPOINTED COUNTY STEERING COMMITTEE IDENTIFIED THE FOLLOWING HEALTH NEEDS WITH ALL OF OUR FACILITIES: 1. MENTAL HEALTH 2. OBESITY 3. CULTURE OF HEALTH/ HEALTHY LIFESTYLE EDUCATION 4. SUBSTANCE USE DISORDER, 5. AGING IN PLACE AND OTHER SENIOR-ORIENTED SERVICES, 6. BUILD AND EXPAND CAPACITY OF HEALTH CONSORTIUM, 7. BETTER ACCESS TO CARE.HAZARD ON BOARDED KAITLYN WARFIELD, LCSW TO PROVIDE THERAPEUTIC SERVICES TO PATIENTS IN THE HAZARD COMMUNITY. COMPLETED RENOVATIONS AND OPENED HAZARD PSYCHIATRIC CENTER'S TREATMENT MALL IN DEC. 2023. THE ARH BEHAVIORAL HEALTH TEAM CREATED A VIDEO SERIES FOR SOCIAL MEDIA WITH 9 EDUCATIONAL VIDEOS THAT GARNERED OVER 3,000 VIEWS ON YOUTUBE. MENTAL HEALTH EDUCATION AND AWARENESS EVENTS HAVE ALSO BEEN A FOCUS OF THE COMMUNITY DEVELOPMENT AND BEHAVIORAL HEALTH TEAMS SINCE 2022.SINCE 2022, TUG VALLEY ARH HAS ADDRESSED MENTAL HEALTH IN OUR COMMUNITY BY EXPANDING OUTREACH ACTIVITIES SPECIFIC TO MENTAL HEALTH EDUCATION AND REDUCTION OF STIGMA. THEY HAVE PROVIDED TWO YEARS OF SPONSORSHIP AND STAFF PRESENTATIONS AT PIKE COUNTY STRONG, A SELF-ESTEEM, LEADERSHIP, AND MENTAL HEALTH AWARENESS EVENT FOR ALL FEMALE, JUNIOR YEAR HIGH SCHOOL STUDENTS IN THE COUNTY. PARTICIPATED IN "SAFE A LIFE" ROAD SHOW IN 2023 AND 2024, AN EVENT THAT PROVIDES MENTAL HEALTH EDUCATION, DRUG TREATMENT RESOURCES, NARCAN DISTRIBUTION, AND MORE AT LOCAL RETAIL STORES. THE ARH BEHAVIORAL HEALTH TEAM HAS ALSO CREATED A VIDEO SERIES FOR SOCIAL MEDIA WITH 9 EDUCATIONAL VIDEOS THAT GARNERED OVER 3,000 VIEWS ON YOUTUBE. THESE VIDEOS FEATURE ARH STAFF AND PROVIDERS DISCUSSING RELEVANT MENTAL HEALTH TOPICS LIKE SUICIDE PREVENTION, PTSD, SEASONAL AFFECTIVE DISORDER, AND POSTPARTUM DEPRESSION.WHITESBURG ARH HAS IMPROVED THE MENTAL HEALTH LANDSCAPE OF OUR COMMUNITY BY PROVIDING QUARTERLY FREE MENTAL HEALTH FIRST AID TRAINING FOR STAFF FROM 2023-2024. PROVIDING 3,303 BEHAVIORAL HEALTH CLINIC VISITS AND PARTICIPATED IN SEVERAL MENTAL HEALTH COMMUNITY EVENTS SUCH AS THE COUNTY'S ANNUAL CHILD ABUSE AWARENESS WALK AND THE WORLD DIABETES DAY CELEBRATION HEALTH FAIR IN 2024. WHITESBURG ARH HAS ALSO PARTNERED WITH A CERTIFIED TRAUMA INSTRUCTOR TO HOST 2 YOGA AND MINDFULNESS STRESS RELIEF CLASSES IN LETCHER COUNTY.CULTURE OF HEALTH & HEALTHY LIFESTYLE EDUCATIONSINCE 2022, HAZARD ARH HAS HOSTED 20 EVENTS THAT SPECIFICALLY PROMOTE CANCER AWARENESS, TEACH ABOUT EARLY DETECTION, AND ENCOURAGE PREVENTATIVE LIFESTYLES. HOSTING 7 COLON CANCER SCREENING EVENTS, 7 COMMUNITY PRESENTATIONS ABOUT THE EARLY DETECTION OF LUNG CANCER AND LOW DOSE CT SCREENINGS PROVIDED BY THE ARH LUNG CANCER SCREENING PROGRAM MANAGER, HELD 4 BREAST CANCER AWARENESS LUNCHEONS OR DINNERS PROVIDED FREE OF COST TO THE COMMUNITY WITH BREAST CANCER SURVIVORS. THEY HELD 1 "MAMMS DAY OUT" MAMMOGRAM SCREENING EVENT AND 1 ORAL CANCER SCREENING EVENT IN PARTNERSHIP WITH UK SCHOOL OF DENTISTRY. SINCE 2022, HAZARD HAS ALSO HOSTED SEVERAL SUPPORT GROUPS AND INFORMATIONAL EVENTS COVERING THE TOPICS OF DIABETES PREVENTION AND MANAGEMENT, STROKE AND HEART HEALTH, NUTRITION AND FOOD INSECURITY AT HEALTH FAIRS AND IN LOCAL SCHOOLS. DURING THESE EVENTS 370 VACCINES WERE ADMINISTERED, AND 907 STROKE RISK SCREENINGS AND BLOOD PRESSURE CHECKS WERE COMPLETED.TUG VALLEY ARH HAS EDUCATED THE COMMUNITY ON HEALTHY CHOICES, PREVENTATIVE CARE, AND HEALTHCARE ACCESS AT COMMUNITY EVENTS SUCH AS COLON CANCER AWARENESS DAY IN 2022, IN WHICH STAFF, VISITORS, AND COMMUNITY WERE EDUCATED ON THE IMPORTANCE OF SCREENINGS, WARNING SIGNS, AND CANCER PREVENTION IN PARTNERSHIP WITH KENTUCKY CANCER PROGRAM. LUNG CANCER EDUCATION, VAPING EDUCATION, AND LOW DOSE CT INFORMATION WERE PROVIDED AT THE ANNUAL HILLBILLY DAYS FESTIVAL. FREE HEALTH SCREENINGS AND EDUCATION WERE PROVIDED AT COMMUNITY HEALTH FAIRS SUCH AS THE CHATTAROY CHURCH OF GOD HEALTH FAIR, GEARHEART ENERGY EMPLOYEE HEALTH FAIR, AND SOAR CAREER PATHWAYS FAIR. HOSTED HEART HEALTH DAY AT MINGO COUNTY SCHOOLS, IN WHICH FREE SCREENINGS AND EDUCATION WERE PROVIDED TO FACULTY AND STAFF. AN ARH HEART HEALTH FOOTBALL GAME - TUG VALLEY VS MINGO CENTRAL WAS HELD WHERE ATTENDEES WERE EDUCATED ABOUT HEART DISEASE PREVENTION.BUILD AND EXPAND CAPACITY OF HEALTH CONSORTIUMTUG VALLEY ARH HAS ADDRESSED COMMUNICATION BY ACTIVELY PARTICIPATING IN 10 COUNCILS, COALITIONS, AND BOARDS IN PIKE AND MINGO COUNTIES SINCE 2022. THESE GROUPS WORK TO BETTER THE HEALTH AND WELLNESS OF APPALACHIANS BUT MAY ALSO HAVE COMMUNITY BETTERMENT AND ECONOMIC DEVELOPMENT GOALS. SIMILAR TO THE OTHER FACILITIES IN THE ARH COMPANY, IN AN EFFORT TO INCREASE PROVIDER AND COMMUNITY KNOWLEDGE OF SERVICES AVAILABLE, TUG VALLEY ARH HAS CREATED SERVICE FLYERS THAT INCLUDE ALL TUG VALLEY ARH CLINICS, SPECIALTIES, AND PROVIDERS. THEY HAVE UPDATED THE OVERALL ARH WEBSITE WITH A NEW KYRUUS SYSTEM THAT ALLOWS FOR MORE ACCURACY AND DEEPER SEARCH WHEN RESEARCHING PROVIDERS AND LOCATIONS ON SOCIAL MEDIA, POSTED AT LEAST 1X PER WEEK ABOUT SERVICES AVAILABLE IN THE BIG SANDY REGION AND AT LEAST 2X A WEEK ABOUT HEALTH EDUCATION TOPICS (URGING ROUTINE HEALTHCARE, DISEASE PREVALENCE, ETC.). ADDED LARGE INFORMATIONAL MONITORS TO OUR CLINICS AND IN THE HOSPITAL'S MAIN LOBBY THAT PLAY ARH SERVICE COMMERCIALS AND VIDEOS ONLY. PHYSICIAN LIAISON MADE VISITS TO TUG VALLEY PROVIDERS 3 TIMES PER MONTH.BETTER ACCESS TO CARETUG VALLEY ARH HAS PROMOTED ACCESS TO CARE BY RECRUITING MANY NEW PROVIDERS SINCE 2022 IN AN EFFORT TO INCREASE ACCESS TO CARE FOR OUR PATIENTS. IN AN EFFORT TO DECREASE TRAVEL FOR PATIENTS IN NEED OF TESTING OR SPECIALTY SERVICES, TUG VALLEY ARH HAS ADDED: AN ENDOFLIP IMPEDANCE PLANIMETRY SYSTEM (TESTING FOR GASTRIC MOTILITY AND ACIDITY), SITE-RITE ULTRASOUND SYSTEM (ALLOWING FOR PICC LINE INSERTIONS), WOUND CARE/HYPERBARIC CHAMBER, DIGITAL 3D MAMMOGRAM, PFT MACHINE, MOBILE PET SERVICES, AND NEW TESTING FOR HEP C, GGT, PROCAL. THEY HAVE UPDATED THEIR LAB ANALYZERS FOR QUICKER LAB TURNAROUND TIMES FOR COVID/FLU/RSV AND ADDED MYCOPLASMA PNEUMONIA TESTING. OTHER EFFORTS TO INCREASE ACCESS TO CARE INCLUDE PROVIDING PATIENT TRANSPORTATION ASSISTANCE AND EXTENDED HOURS FOR OUR AFTER-HOURS CLINICS. PART V, SECTION B, LINE 13A: FPG FAMILY INCOME IS UNLIMITED FOR ELIGIBILITY FOR FREE CARE. PART I, LINE 3C: THE DISCOUNTS ARE BASED ON A SLIDING FEE SCHEDULE STARTING AT 100% OF FPG QUALIFYING FOR FREE CARE, RANGING UP TO UNLIMITED INCOME LEVELS FOR A 40% DISCOUNT ON ALL UNINSURED CARE PROVIDED. PART I, LINE 6A: A COMBINED ANNUAL COMMUNITY BENEFIT REPORT WAS FILED FOR ALL FACILITIES WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM; FILED BY APPALACHIAN REGIONAL HEALTHCARE, INC. (EIN: 52-0795508), THE PARENT ORGANIZATION. PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART I, LINE 3B: FPG FAMILY INCOME IS UNLIMITED FOR ELIGIBILITY FOR FREE CARE. PART III, LINE 2: 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. PART III, LINE 3: MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ASSOCIATED WITH CREDIT RISK. THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING RECEIVABLES IS CRITICAL TO ITS RESULTS OF OPERATIONS AND CASH FLOWS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE CORPORATION ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. 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. PART III, LINE 4: 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. PART III, LINE 8: A SIGNIFICANT PORTION OF THE CORPORATION'S PATIENT REVENUES ARE DERIVED FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES. IN TURN, PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FELL SHORT OF THE COST TO PROVIDE SUCH SERVICES BY NEARLY $3.7 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 $2,544,224 (OR 100%) OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 7 BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 9B: THE PROVISIONS IN THE WRITTEN DEBT COLLECTION POLICY ARE THAT CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS ARE VALID FOR 6 MONTHS. AFTER THAT TIME, THE PATIENT MUST REAPPLY AND PRESENT CURRENT FINANCIAL DOCUMENTS AS NECESSARY. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CONDUCTED BY ARH, SYSTEM AFFILIATE TO ARH ADVANCED CARE, EVERY THREE YEARS, ARH ALSO CONTINALLY ASSESSES COMMUNITY NEEDS IN OTHER FORMS AS WELL. THE NEEDS OF THE COMMUNITIES THAT ARH ADVANCED CARE SERVES THROUGHOUT EASTERN KENTUCKY ARE ASSESSED BY FOLLOWING EMERGING MEDICAL PRACTICE NEEDS AS A WHOLE ACROSS THE NATION AND SPECIFICALLY IN THE APPALACHIAN REGION. THE HEALTH NEEDS ARE EXAMINED BY LOOKING AT HEALTH STATISTICS AND DISEASE PREVALENCE COMPARED TO SERVICE/PHYSICIAN AVAILABILITY. PATIENT AND COMMUNITY SURVEYS ARE ALSO REGULARLY CONDUCTED TO ASSESS CONSUMER PERCEIVED NEEDS. LOCAL ADVISORY COUNCILS (LACS) ALSO EXIST IN EACH OF ARH'S HOSPITAL COMMUNITIES. THE COUNCILS ARE COMPRISED OF LOCAL CITIZENS WHO VOLUNTEER TO HELP ARH IMPROVE THE HEALTH OF ITS COMMUNITIES THROUGH REGULAR MEETINGS THAT DISCUSS COMMUNITY HEALTH ISSUES AND HELP ARH IDENTIFY AND ADDRESS THEM. MEMBERS ALSO ADVISE ARH ABOUT IMPROVEMENTS NEEDED AND COMMUNITY PERCEPTIONS OF ARH FACILITIES AND THESE INDIVIDUALS SERVE AS EXCELLENT AMBASSADORS FOR ARH AND ITS SERVICES. THESE INDIVIDUALS HAVE DEMONSTRATED THEIR LEADERSHIP IN LOCAL CIVIC AFFAIRS AND REFLECT A CROSS SECTION OF THE COMMUNITY. PART VI, LINE 3: ARH ADVANCED CARE, INC. DOING BUSINESS AS ARH ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER MAINTAINS A FINANCIAL ASSISTANCE PROGRAM AND POLICY. UNDER THIS PROGRAM AND POLICY, EACH PATIENT WITHOUT MEDICAL COVERAGE FOR RENDERED SERVICES IS OFFERED A 40% DISCOUNT OF GROSS CHARGES AT THE TIME OF SERVICE. IF THE PATIENT EXTENDS PAYMENT AT TIME OF SERVICE, THEY ARE GIVEN ANOTHER 10% DISCOUNT, MAKING THEIR LIABILITY 50% OF GROSS CHARGES. ALL OF THESE DISCOUNTS ARE APPLIED AT TIME OF CHARGE AND BILLED AFTER THE DISCOUNT IS TAKEN. IF SAID PATIENT IS UNABLE TO MEET THE FINANCIAL OBLIGATION FOR SERVICE, THEY ARE EDUCATED AND SCREENED FOR POTENTIAL FEDERAL AND/OR STATE ASSISTANCE PROGRAMS. BY DOING THIS, THE PATIENT IS REVIEWED AND EDUCATED BY ARH FINANCIAL COUNSELERS (WHOSE SERVICES ARE PROVIDED UNDER A VENDED SERVICE AGREEMENT) AND/OR ELIGIBILITY AGENCY TO GET THE INDIVIDUAL PLACED IN AN ASSISTANCE PROGRAM. BASED ON INCOME AND FAMILY STATUS THE PATIENT IS SCREENED IN CONJUNCTION WITH THE FEDERAL AND STATE POVERTY GUIDELINES. AT THIS TIME, ALL APPLICATIONS ARE COMPLETED WITH THE ASSISTANCE OF ARH PERSONNEL AND SUBMITTED FOR APPROVAL. IN THE EVENT AN AGENCY REQUIRES THE PATIENT/GUARANTOR TO APPLY IN PERSON, THE INDIVIDUAL IS ASKED TO MAKE AN APPOINTMENT WITH THAT AGENCY AND FILE THEIR COMPLETED DOCUMENTS. IF THE RESPONSIBLE PARTY IS NOT ELIGIBLE FOR FEDERAL, OR STATE ASSISTANCE, THEY ARE ADDITIONALLY SCREENED BY ARH FOR ELIGIBILITY INTO OUR INTERNAL SLIDING FEE SCHEDULE CHARITY PROGRAM FOR ADDITIONAL DISCOUNTS UP TO 100% OF GROSS CHARGES. IF THE PATIENT IS HELD RESPONSIBLE, ADDITIONAL EFFORTS TO ASSIST THE PATIENT ARE MADE BY OFFERING REASONABLE PAYMENT PLANS AND DEFERRED PAYMENTS. IN THE EVENT THE PATIENT/GUARANTOR DOES NOT MAKE A REASONABLE EFFORT TO COMPLETE NECESSARY DOCUMENTATION TO APPLY OR BECOME ELIGIBLE FOR A FINANCIAL ASSISTANCE. PART VI, LINE 4: THE RURAL SERVICE AREA COVERED BY ARH ADVANCED CARE, INC. DOING BUSINESS AS ARH ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER IN EASTERN KENTUCKY INCLUDES PERRY, PIKE AND THEIR SURROUNDING COUNTIES. THIS REGION IS FRAUGHT WITH SOME OF THE HIGHEST CHRONIC HEALTH PREVALENCE RATES IN THE COUNTRY FOR LUNG CANCER, DIABETES, AND HEART DISEASE. TO COMPOUND THESE PROBLEMS, ARH ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER ARE LOCATED IN AREAS THAT ARE AT LEAST PARTIALLY CLASSIFIED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. IN ADDITION, THE AREAS SERVED BY ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER ALSO FACE UNEMPLOYMENT RATES THAT ARE SUBSTANTIALLY HIGHER THAN STATE AND NATIONAL AVERAGES AND A HIGHER NUMBER OF CITIZENS IN THESE AREAS RANK BELOW THE NATIONAL POVERTY LEVEL. PART VI, LINE 5: ARH ADVANCED CARE, INC. DOING BUSINESS AS ARH ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER PROVIDES SERVICES TO PERRY, PIKE AND THEIR SURROUNDING COUNTIES. THE FOCUS OF ARH ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER IS TO PROVIDE AN ACUTE CARE INPATIENT SETTING WHICH FOCUSES ON THE CARE OF PATIENTS REQUIRING AN EXTENDED ACUTE INPATIENT STAY. THE MISSION OF ARH ADVANCED CARE BIG SANDY AND ARH ADVANCED CARE KY RIVER IS TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. ARH ADVANCED CARE, INC. CONSISTS OF TWO ACUTE CARE FACILITIES FOR THE CARE AND TREATMENT OF THOSE PATIENTS REQUIRING AN EXTENDED ACUTE INPATIENT STAY FOR COMPLEX CONDITIONS. AS PART OF THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM, ARH ADVANCED CARE, INC. SERVES AS AN APPROPRIATE SETTING FOR PATIENTS REQUIRING AN EXTENDED STAY, WHILE ALLOWING PATIENTS TO REMAIN CLOSER TO THEIR HOME AND SUPPORT SYSTEMS. UNTIL THE ESTABLISHMENT OF THESE TWO FACILITIES, PATIENTS REQUIRING THIS VENUE OF CARE WERE TRANSFERRED TO FACILITIES A GREAT DISTANCE, MEANING THAT THEY WERE FREQUENLTY AWAY FROM THEIR COMMUNITY AND WITHOUT THEIR SUPPORT SYSTEMS. PART VI, LINE 6: DURING FISCAL YEAR 2025, ARH ADVANCED CARE, INC CONTINUED TO ESTABLISH ITSELF AS A NEW PROVIDER WITHIN THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM. THE MISSION OF THE ARH ADVANCED CARE, INC. FACILITIES IS TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. AS PART OF THE APPALACHIAN HEALTH CARE SYSTEM, ARH ADVANCED CARE, INC. FACILITIES WILL PROVIDE AN APPROPRIATE VENUE OF CARE FOR THOSE PATIENTS REQUIRING AN EXTENDED ACUTE CARE STAY. SPECIFCALLY, ARH ADVANCED CARE, INC. SPECIALIZES IN THE CARE AND TREATMENT OF A COMPLEX PATIENT POPULATION INCLUDING, BUT NOT LIMITED TO, RESPIRATORY AND VENTILATORY CARE AND TREATMENT, COMPLEX POST OPERATIVE INFECTIONS, EXTENSIVE WOUND CARE, AND DIALYSIS TREATMENT. THESE FACILITIES WILL ALLOW THE PEOPLE OF CENTRAL APPALACHIA TO REMAIN CLOSE TO THEIR HOMES AND SUPPORT SYSTEMS INSTEAD OF BEING REQUIRED TO TRAVEL HOURS AWAY TO RECEIVE AN EXTENDED ACUTE INPATIENT STAY. PART VI, LINE 7, REPORTS FILED WITH STATES KY,WV PART I, LINE 7F: $5,880,266 OF BAD DEBT EXPENSE WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25; BUT WAS EXCLUDED IN CALCULATING COMMUNITY BENEFIT EXPENSE FOR SCHEDULE H, LINE 7. COMMUNITY BENEFIT EXPENSES WERE CALCULATED USING COST REPORTS FOR THE FISCAL YEAR ENDED JUNE 30, 2025. 1 1 0 0 0 0 1 0 0 HOLLIE P HARRIS CORPORATE DIRECTOR/SECRETARY 0 1125295 0 377829 0 653 0 93659 0 25153 0 1622589 0 0 BYRON GABBARD CORPORATE DIRECTOR 0 512657 0 150857 0 737 0 60039 0 876 0 725166 0 0 RUSSELL BARKER PRESIDENT/CEO (TERM 1/2/25) 130749 0 0 0 1097 0 19673 0 37659 0 189178 0 0 0 PART I, LINE 3 THE RELATED ORGANIZATION USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION FOR ITS CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4A RUSSELL BARKER RECEIVED $60,288.90 OF SEVERANCE. JAMES MAYNARD RECEIVED $27,913.68 OF SEVERANCE. SCHEDULE J, PART I, LINE 4B THE RELATED ORGANIZATION, ARH, PROVIDES SENIOR EXECUTIVES A CONTRIBUTION 3, 5,OR 7 PERCENT OF PAY (SUBJECT TO DOLLAR CAP), DEPENDING ON JOB TITLE, INTO THE TOP HAT 457(B) RETIREMENT PLAN. THE CONTRIBUTION AND EARNINGS ARE TAX DEFERRED UNTIL ASSETS ARE DISTRIBUTED OR WITHDRAWN. THE MAXIMUM CONTRIBUTION IS SUBJECT TO THE IRS COMPENSATION CAP, WHICH ALLOWS A CONTRIBUTION OF UP TO $23,000 IN 2024. THIS CONTRIBUTION TOTAL IS AN AGGREGATE TOTAL REGARDLESS OF WHETHER ARH OR THE EXECUTIVE MAKES THE CONTRIBUTION. CONTRIBUTION TO THE 457(B) DOES NOT AFFECT THE AMOUNTS THE EXECUTIVE MIGHT CONTRIBUTE TO THE 403(B) THRIFT PLAN. THE EXECUTIVE MAY CONTRIBUTE HIS/HER OWN MONEY TO THE PLAN PRE-TAX, TO THE EXTENT THE IRS CAPS ALLOW ROOM AFTER ARH'S CONTRIBUTION. CATCH UP CONTRIBUTIONS ARE ALLOWED WITHIN IRS LIMITS IN THE LAST THREE YEARS PRIOR TO RETIREMENT (AND, IF THE 3,5 OR 7 PERCENT OF PAY EXCEEDS THE REGULAR DOLLAR CAP, ARH MAY USE THE BALANCE OF THE PERCENTAGE TO FUND UP THE CATCH UP LIMIT). BENEFITS ARE SUBJECT TO SOCIAL SECURITY AND MEDICARE TAXES AS THEY ACCRUE. THE FUNDS ARE INVESTED AS DIRECTED BY THE EXECUTIVE, BUT THE ACCOUNT REMAINS A GENERAL ASSET OF ARH. IF ARH BECOMES INSOLVENT, THE EXECUTIVE WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. IF THE FUNDING OF THE 457(B), INCLUDING ANY CATCH UP PROVISIONS, IS LESS THAN THE 3,5 OR 7 PERCENT OF BASE PAY, THEN ARH WILL CONTRIBUTE THE REMAINDER TO A 457(F) PLAN. INDIVIDUALS PARTICIPATING IN THE 457(F) PLAN AND THE RESPECTIVE EMPLOYER CONTRIBUTIONS FOR EACH INCLUDE: HOLLIE HARRIS - $53,317.50; BYRON GABBARD - $28,870. SCHEDULE J, PART I, LINE 6 THE COMPENSATION AND CONTRACTS COMMITTEE OF THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) ("ARH") BOARD OF TRUSTEES ADOPTED A SHORT-TERM INCENTIVE COMPENSATION PROGRAM FOR EXECUTIVES IN SEPTEMBER 2002. THE PROGRAM ESTABLISHED INCENTIVES FOR ACHIEVING SYSTEM AND COMMUNITY OBJECTIVES FOR EXECUTIVE LEADERSHIP BY INTEGRATING THE PERFORMANCE MANAGEMENT AND EXECUTIVE COMPENSATION SYSTEMS. THE INCENTIVE THRESHOLDS HAVE BEEN MODIFIED ACROSS TIME TO REFLECT INCREASED PERFORMANCE EXPECTATIONS AS IDENTIFIED IN THE SYSTEM'S STRATEGIC, BUDGET AND OPERATIONS PLAN. THE INCENTIVE AWARDS PROVIDE ADDITIONAL CASH COMPENSATION AS A PERCENTAGE OF BASE SALARY IN RELATION TO LEVELS OF ACHIEVEMENT. THESE ACHIEVEMENT LEVELS RANGE FROM THRESHOLD (LOWEST), TO TARGET (10% ABOVE THE THRESHOLD), AND MAXIMUM (HIGHEST AND 20% ABOVE THE THRESHOLD) AND VARY BASED UPON EXECUTIVE LEVEL. THE EXECUTIVE INCENTIVE PLAN WILL BE ADMINISTERED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: A. OBJECTIVES AND TARGETS ARE SET THROUGH THE STRATEGIC PLANNING, BUDGETING AND PERFORMANCE MANAGEMENT PROCESSES. B. SYSTEM MARGIN AND CASH BUDGET THRESHOLDS MUST BE MET BEFORE INDIVIDUAL AWARDS WILL BE CONSIDERED. C. AWARDS WILL BE CONSIDERED AS HAVING BEEN EARNED UPON AFFIRMATION BASED ON AUDITED FINANCIAL RESULTS AND ACTUAL OPERATING PERFORMANCE. D. THE PRESIDENT AND CEO WILL RECOMMEND PAYMENT OF INDIVIDUAL AWARDS, IF ANY, TO THE COMPENSATION AND CONTRACTS COMMITTEE FOR CONSIDERATION. E. THE COMPENSATION AND CONTRACTS COMMITTEE MAY ACCEPT, REJECT, OR MODIFY THE PRESIDENT AND CEO'S RECOMMENDATION. 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. 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. APPALACHIAN REGIONAL HEALTHCARE INC 2260 EXECUTIVE DR LEXINGTON KY 40505 520795508 HEALTH CARE KY 501(C)(3) LINE 3 N/A 0 THE ARH FOUNDATION FOR HEALTHIER COMMUNITIES INC 100 AIRPORT GARDENS RD HAZARD KY 41701 204840007 CARRYING OUT FUNDRAISING AND CHARITABLE ACTIVITIES FOR ARH KY 501(C)(3) LINE 7 APPALACHIAN REGIONAL HEALTHCARE INC 0 ARH TUG VALLEY HEALTH SERVICES INC 2260 EXECUTIVE DRIVE LEXINGTON KY 40505 822577178 HEALTH CARE KY 501(C)(3) LINE 3 APPALACHIAN REGIONAL HEALTHCARE INC 0 ARH MARY BRECKINRIDGE HEALTH SERVICES INC 2260 EXECUTIVE DR LEXINGTON KY 40505 452696517 HEALTH CARE KY 501(C)(3) LINE 3 APPALACHIAN REGIONAL HEALTHCARE INC 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1