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Nonprofit · EIN 87-2421892

ARH ADVANCED CARE INC

Tax-exempt · HAZARD, KY 41701

Financials

$3.6M$11.8M2022$3.9M$13.1M2023$10.8M$17.2M2024
Revenue Expenses · by fiscal year end
Financials of ARH ADVANCED CARE INC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$10,842,087$17,219,185-$6,377,098$13,430,001$37,590,687-$24,160,686
June 30, 2024990$3,873,984$13,139,690-$9,265,706$3,573,137$21,356,725-$17,783,588
June 30, 2023990$3,552,070$11,846,931-$8,294,861$7,911,129$16,429,011-$8,517,882
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$0
Program service revenue
$10,829,411
Investment income
$0
Other revenue
$12,676

Expenses

Grants and similar amounts paid
$0
Compensation of officers, directors and key employees
$280,926
Other salaries and wages
$5,997,552
Salaries, compensation and benefits (total)
$7,018,761
Professional fundraising fees
$0
Occupancy
$541,252
Travel
$21,942
Depreciation
$121,342
Program services (functional)
$14,358,394
Management and general (functional)
$2,860,791

Balance sheet and other

Total assets, start of year
$3,573,137
Total assets, end of year
$13,430,001
Total liabilities, end of year
$37,590,687
Net assets, end of year
-$24,160,686
Land, buildings and equipment
$10,859,721
Net assets without donor restrictions
-$24,160,686
Gross receipts
$10,842,087
Employees
101
Volunteers
24
Year formed
2021
State of legal domicile
KY

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
HOLLIE P HARRISCORPORATE DIRECTOR/SECRETARY
Trustee or director, Officer
3$0$1,503,777$118,812
BYRON GABBARDCORPORATE DIRECTOR
Trustee or director
5$0$664,251$60,915
RUSSELL BARKERPRESIDENT/CEO (TERM 1/2/25)
Officer
40$131,846$0$57,332
JIM MAYNARDCOO (TERM 1/31/25)
Officer
40$0$97,836$5,843
PATRICK DOWNS MDDIRECTOR/INTERIM CEO (START 6/25)
Trustee or director, Officer
40$0$0$0
LEON HOLLONCHAIRMAN
Trustee or director, Officer
3$0$0$0
DR AARON CRUMDIRECTOR
Trustee or director
3$0$0$0
JILL MAYNARDDIRECTOR
Trustee or director
3$0$0$0
CHARLES LOVELLINTERIM CEO (1/25-6/25)
Officer
40$0$0$0
990 for the year ended June 30, 2024: 8 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
HOLLIE P HARRISCORPORATE DIRECTOR/SECRETARY
Trustee or director, Officer
3$0$1,115,375$112,193
BYRON GABBARDCORPORATE DIRECTOR
Trustee or director
5$0$505,151$52,023
RUSSELL BARKERPRESIDENT/CEO
Officer
40$189,323$0$34,050
JIM MAYNARDCHIEF OPERATING OFFICER
Officer
40$115,836$0$0
PATRICK DOWNS MDDIRECTOR
Trustee or director
12$0$0$0
LEON HOLLONCHAIRMAN
Trustee or director, Officer
5$0$0$0
DR AARON CRUMDIRECTOR
Trustee or director
5$0$0$0
JILL MAYNARDDIRECTOR
Trustee or director
5$0$0$0
990 for the year ended June 30, 2023: 8 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
HOLLIE P HARRISCORPORATE DIRECTOR/ SECRETARY
Trustee or director, Officer
3$0$1,074,400$35,340
BYRON GABBARDCORPORATE DIRECTOR
Trustee or director
3$0$505,015$27,300
RUSSELL BARKERPRESIDENT/CEO
Officer
40$154,828$0$11,550
JIM MAYNARDCHIEF OPERATING OFFICER
Officer
40$0$114,383$3,043
PATRICK DOWNS MDCHIEF MEDICAL OFFICER
Officer
40$9,800$0$0
DR AARON CRUMDIRECTOR
Trustee or director
5$0$0$0
JILL MAYNARDDIRECTOR
Trustee or director
5$0$0$0
LEON HOLLONCHAIRMAN
Trustee or director, Officer
5$0$0$0

Address and contacts

Address (IRS master file)
100 AIRPORT GARDENS RD, HAZARD, KY 41701-9529
In care of
% APPALACHIAN REGIONAL HEALTHCARE I
Mailing address (990-N for 2021)
2260 EXECUTIVE DRIVE, LEXINGTON KY 40505
Principal officer (990 for 2024)
DR PATRICK DOWNS, 100 AIRPORT GARDENS ROAD, HAZARD, KY 41701
Principal officer (990-N for 2021)
HOLLIE HARRIS, 2260 EXECUTIVE DRIVE, LEXINGTON KY 40505
Signed the 990
DR PATRICK DOWNS, CEO
Phone
(859) 226-2440
Return prepared by
CHERRY BEKAERT ADVISORY LLC

Mission

TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.

990 for the year ended June 30, 2025

Program accomplishments

  • 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.
    Expenses $14,358,394 · revenue $10,829,411

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
87-2421892
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2023
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E20)
Assets (IRS master file)
$13,430,001
Income (IRS master file)
$10,842,087

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$10,842,087$17,219,185$13,430,001XML
990June 2024$3,873,984$13,139,690$3,573,137IRS
990June 2023$3,552,070$11,846,931$7,911,129IRS
990-N for 2021
Officer: HOLLIE HARRIS
June 30, 2022≤ $50,000 receipts––e-Postcard

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 87-2421892).

Questions about ARH ADVANCED CARE INC

What is the EIN of ARH ADVANCED CARE INC?
The employer identification number (EIN) of ARH ADVANCED CARE INC is 87-2421892.
Is ARH ADVANCED CARE INC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2023.
Are donations to ARH ADVANCED CARE INC tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does ARH ADVANCED CARE INC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of ARH ADVANCED CARE INC due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did ARH ADVANCED CARE INC last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of ARH ADVANCED CARE INC?
The 990 for the year ended June 30, 2025 names DR PATRICK DOWNS.
Who are the officers and directors of ARH ADVANCED CARE INC?
The 990 for the year ended June 30, 2025 lists 9 people; 1 received compensation from the organization.
How much revenue does ARH ADVANCED CARE INC have?
On its 990 for the year ended June 30, 2025 it reported revenue of $10,842,087, expenses of $17,219,185 and total assets of $13,430,001 at year end.

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