2026-05-11T14:29:01-05:00 2025-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2024-07-01 452696517 ARH MARY BRECKINRIDGE HEALTH SERVICES INC ARHM 8592262440 2260 EXECUTIVE DRIVE LEXINGTON KY 40505 BYRON GABBARD CFO 8592262440 2026-05-11 1 1 MELANIE MCPEAK P01346034 8885871719 2024 2025-03-06 01:10:19Z HOLLIE HARRIS 2260 EXECUTIVE DRIVE LEXINGTON KY 40505 137576142 0 X WWW.ARH.ORG X 2011 KY TO PROVIDE LESLIE, KNOX, MARTIN, AND SURROUNDING COUNTIES AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITALS, CLINICS, AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES. 4 1 671 35 813189 52845 0 561 124766411 133869341 3236291 3336548 268357 367582 128271059 137574032 30624 86726 0 0 47188674 48016672 0 0 0 51778575 57438520 98997873 105541918 29273186 32032114 172520990 211880783 37969820 38827755 134551170 173053028 X TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. 0 0 86352462 86726 133869341 THE 2025 FISCAL YEAR HAS BEEN REMARKABLE FOR MARY BRECKINRIDGE ARH HEALTH SERVICES, MARKED BY SIGNIFICANT GROWTH AND IMPACT THROUGH EXPANDED COMMUNITY OUTREACH PROGRAMS IN LESLIE AND CLAY COUNTIES. OUR COMMITMENT TO IMPROVING HEALTHCARE SERVICES AND ENGAGEMENT WITHIN OUR COMMUNITIES CONTINUES TO BE A DRIVING FORCE FOR OUR ORGANIZATION.ANGELA CAMPBELL, OUR INFECTION PREVENTIONIST, WAS HONORED WITH AN AWARD FROM THE KENTUCKY HOSPITAL ASSOCIATION IN 2025. REPRESENTATIVES FROM THE ASSOCIATION TRAVELED FROM LOUISVILLE, KY TO PERSONALLY PRESENT ANGELA WITH THIS RECOGNITION AT MARY BRECKINRIDGE ARH. A RECEPTION WAS HELD TO CELEBRATE ANGELA'S ACHIEVEMENT, WHICH HIGHLIGHTED HER EXEMPLARY PERFORMANCE AND DEDICATION, PARTICULARLY THROUGHOUT THE COVID-19 PANDEMIC.IN AUGUST 2025, THE DNV ACCREDITING AGENCY VISITED MARY BRECKINRIDGE ARH HOSPITAL FOR THE ANNUAL RECERTIFICATION. THE DNV STAFF OBSERVED AND COMMENDED SEVERAL NOTEWORTHY PRACTICES DURING THEIR TWO-DAY VISIT, REFLECTING POSITIVELY ON OUR ONGOING COMMITMENT TO EXCELLENCE. IN OCTOBER 2025, DNV RETURNED TO EVALUATE OUR STROKE READY DESIGNATION, USING STANDARDS SET BY THE BRAIN ATTACK COALITION AND THE AMERICAN STROKE ASSOCIATION. THEIR REVIEW CONFIRMED OUR RECERTIFICATION, DEMONSTRATING THAT OUR HOSPITAL MAINTAINS A DEDICATED, STROKE-FOCUSED PROGRAM. ELIZABETH JONES, RN, STROKE COORDINATOR, AND HER TEAM WORKED DILIGENTLY TO UPHOLD THE STANDARDS NECESSARY FOR THIS IMPORTANT DESIGNATION.MARY BRECKINRIDGE ARH WAS RECOGNIZED WITH A SILVER ACHIEVEMENT AWARD FOR CORONARY ARTERY DISEASE AS PART OF THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" PROGRAM. ADDITIONALLY, THE HOSPITAL RECEIVED A SILVER ACHIEVEMENT AWARD FOR RURAL STROKE FROM THE SAME ORGANIZATION, FURTHER VALIDATING OUR COMMITMENT TO QUALITY CARE IN THESE CRITICAL AREAS. OUR STROKE COORDINATOR, ELIZABETH JONES, RN, AND HER STAFF CONDUCTED 134 STROKE SCREENINGS WITHIN THE COMMUNITY. THE TEAM ALSO PERFORMED FINGER STICK A1C TESTS TO MONITOR BLOOD SUGAR LEVELS, PROVIDING VALUABLE EDUCATION AND RAISING STROKE AWARENESS AMONG PATIENTS AND RESIDENTS. IN ADDITION, 148 STUDENTS AGED 10 AND UNDER ACROSS LESLIE COUNTY SCHOOL SYSTEMS RECEIVED INSTRUCTION ON RECOGNIZING STROKE SYMPTOMS AND THE IMPORTANCE OF CALLING 911. CHRISTA BROCK, RN, IS ENHANCING PATIENT CARE BY TRAVELING TO VARIOUS ARH FACILITIES TO BECOME PROFICIENT IN MIDLINE IV INSERTIONS, ENABLING PATIENTS TO RECEIVE LONG-TERM IV THERAPY LOCALLY WITHOUT HAVING TO TRAVEL ELSEWHERE.OUR DEDICATION TO COMMUNITY ENGAGEMENT WAS REFLECTED IN A VARIETY OF ANNUAL EVENTS. AT OUR CHILDREN'S CHRISTMAS PARTY, EVERY CHILD RECEIVED A WRAPPED GIFT, TOBOGGAN, GLOVES, FRUIT BAG, JUICE, AND HOT CHOCOLATE. MR. AND MRS. CLAUS WERE PRESENT TO HAND OUT GIFTS AND GREET FAMILIES, MAKING THE OCCASION MEMORABLE FOR ALL. WE HOSTED OUR ANNUAL TRUNK OR TREAT HALLOWEEN EVENT, WHERE ELEVEN DEPARTMENTS DECORATED THEIR TRUNKS WITH UNIQUE THEMES, CREATING A FUN AND FESTIVE ATMOSPHERE. TO HONOR OUR FIRST RESPONDERS, WE ORGANIZED A RECOGNITION EVENT FEATURING LOCAL FOOD TRUCK "TRAILS OF SMOKE," WHICH SERVED HICKORY SMOKED RIBS, PULLED PORK, AND SIDES. DJ MICHAEL DEWAYNE FROM RADIO STATION 97.9 PROVIDED MUSIC, AND WE EXPRESSED OUR DEEP APPRECIATION FOR THE VITAL ROLE FIRST RESPONDERS PLAY IN OUR COMMUNITY. THE COMMUNITY-WIDE PICNIC, WHICH MARKED THE START OF THE MARY BRECKINRIDGE FESTIVAL, WAS ANOTHER SUCCESSFUL EVENT. OVER 850 MEALS WERE SERVED, FREE HEALTH SCREENINGS WERE OFFERED, AND FLU VACCINES WERE MADE AVAILABLE. THE LOCAL SHRINER'S CHAPTER CONTRIBUTED BY PREPARING FOOD FOR ATTENDEES.OUR ANNUAL EASTER EGG HUNT AT THE BOBBY OSBORNE PAVILION FEATURED 5,000 EGGS FILLED WITH TREATS FOR CHILDREN TO DISCOVER, AS WELL AS PHOTO OPPORTUNITIES WITH THE EASTER BUNNY. WE ALSO HELD A SPECIAL "BLESSING OF THE HANDS" CEREMONY FOR STAFF MEMBERS, IN WHICH THE CHAPLAIN OFFERED PRAYERS FOR THOSE WHO WISHED TO PARTICIPATE.WE CONTINUE TO PROVIDE VALUABLE SENIOR CARE SERVICES, OFFERING BOTH INDIVIDUAL AND GROUP THERAPY TO SUPPORT THE ELDERLY POPULATION. OUR PULMONARY REHABILITATION PROGRAM REMAINS AN ESSENTIAL RESOURCE FOR PATIENTS WITH RESPIRATORY CHALLENGES, RECEIVING POSITIVE FEEDBACK FROM PARTICIPANTS. OUR HOME HEALTH STAFF CONTINUES TO PROVIDE SERVICES FOR OUR PATIENTS IN THEIR HOME ENVIRONMENT WITH CERTIFIED NURSING ASSISTANTS, RNS, PHYSICAL AND OCCUPATIONAL THERAPY. AS YOU CAN IMAGINE, THIS IS MUCH NEEDED SERVICE IN EASTERN KENTUCKY. MANY OF OUR PATIENTS ARE HOME BOUND AND NOT ABLE TO DRIVE. FOOD DRIVES ARE REGULARLY CONDUCTED, WITH FOOD BOXES DISTRIBUTED TO FAMILIES AND INDIVIDUALS EXPERIENCING FOOD INSECURITY AT OUR ER, HOME HEALTH, SENIOR CARE, HYDEN, AND BIG CREEK ARH CLINICS. MARY BRECKINRIDGE ARH COLLABORATES WITH BIG CREEK MISSION DURING SUMMER PROGRAMS AT THE WILLIE B. SANDLIN POOL, WHERE CHILDREN RECEIVE FREE MEALS AND ENJOY GAMES AND SWIMMING. OUR STAFF ATTEND THESE EVENTS TO DELIVER EDUCATION ON BULLYING, PEER PRESSURE, BICYCLE SAFETY, STROKE AWARENESS, AND DIALING 911 FOR EMERGENCIES.WE HAVE SUCCESSFULLY RECRUITED JENNIFER MEARS, A SPEECH THERAPIST WITH TWENTY YEARS OF EXPERIENCE, WHO RELOCATED TO HYDEN FROM FLORIDA. HER SCHEDULE REMAINS FULLY BOOKED, AND WE ARE ACTIVELY SEEKING TO ADD ANOTHER SPEECH THERAPIST TO MEET GROWING DEMAND. TASHA MCCORMICK, APRN, IS NOW PROVIDING SPECIALIZED HEPATITIS C TREATMENT. WITH APPROPRIATE PATIENT PARTICIPATION AND MEDICATION REGIMENS, THIS VIRUS CAN BE FULLY CURED.WE WERE ABLE TO RECRUIT ASHLEY HACKER, MENTAL HEALTH APRN WHO IS PROVIDING MENTAL HEALTH COUNSELING TO HYDEN AND BIG CREEK ARH CLINIC PATIENTS. TO ADDRESS SPACE LIMITATIONS IN OUR LABORATORY, THE BOARD OF TRUSTEES APPROVED EXPANSION BY RENOVATING AN UNUSED OPERATING ROOM. THIS PROJECT IS NEARING COMPLETION AND WILL PROVIDE IMPROVED WORKSPACE, AMPLE ROOM FOR EQUIPMENT, AND A WAITING AREA FOR PATIENTS NEEDING LAB WORK. WE ANTICIPATE MOVING INTO THE NEW LAB FACILITY BY MID-FEBRUARY.WE SUCCESSFULLY RECRUITED LIDA COLLETT, RN AS OUR EDUCATIONAL COORDINATOR. 86352462 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 1 671 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 1 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 2260 EXECUTIVE DRIVE LEXINGTON KY 40505 HOLLIE P HARRIS PRESIDENT/CEO 5.00 35.00 X X 0 1503777 118812 BYRON GABBARD TREASURER 5.00 35.00 X X 0 664251 60915 CHRISTI LEE CHIEF LEGAL COUNCIL 5.00 35.00 X 0 483617 69752 ANDREA MASSEY TRUSTEE 3.00 3.00 X 0 0 0 JAMES WEST HOSPITALIST 40.00 0.00 X 387420 0 29284 LARRY E WARREN FAMILY PHYSICIAN 40.00 0.00 X 450419 0 36308 JERRY L WOOLUM FAMILY PHYSICIAN 40.00 0.00 X 368839 0 46898 JAMES D ADAMS HOSPITALIST 40.00 0.00 X 457163 0 38695 CHRISTOPHER M YOST FAMILY PHYSICIAN 40.00 0.00 X 387498 0 73447 2051339 2651645 474111 49 0 1 0 SODEXO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 152516170 SERVICE MANAGEMENT 1546337 CARDIOSOLUTIONLLC 4675 CORNELL ROAD CINCINNATI OH 45241 CONTRACT LABOR 1012405 SOUTHERN MEDICAL PARTNERS PO BOX 677979 DALLAS TX 752677979 PHYSICIAN SERVICES 998493 BEAVER CREEK EMERGENCY GROUP PO BOX 677979 DALLAS TX 752677979 PHYSICIAN SERVICES 913262 HYDEN EMERGENCY PHYSICIANS LLC PO BOX 677979 DALLAS TX 752677979 PHYSICIAN SERVICES 636370 28 561 561 PATIENT REVENUE 621110 82040493 82040493 HOSPITAL RATE IMPROVEMENT PROGRAM 900099 27386768 27386768 LABORATORY REVENUE 621500 20741633 20716246 25387 RETAIL PHARMACY REVENUE 456110 3700447 2912645 787802 133869341 1434015 1434015 1904643 0 2110 1904643 -2110 1902533 1902533 CAPITATION REVENUE 900099 336118 336118 VENDOR REBATE INCOME 900099 24135 24135 OTHER REVENUE 900099 4534 4534 2795 2795 367582 137574032 133056152 813189 3704130 86726 86726 36672664 30341550 6331114 706625 586499 120126 8212255 6796422 1415833 2425128 2012856 412272 8717 8717 10531047 9066785 1464262 114000 69540 44460 2706165 2064146 642019 326745 199314 127431 4062292 2860232 1202060 63323 38627 24696 54506 33249 21257 1488505 1265229 223276 2057903 1255321 802582 MEDICAL SUPPLIES & PHAR 17749025 17484105 264920 CENTRAL EXPENSES 12530114 7643369 4886745 BAD DEBT EXPENSE 4200357 4200357 PROVIDER TAXES 928375 928375 617446 339418 278028 105541918 86352462 19189456 0 168616 57642 9742044 9015833 2046731 1893350 704595 637388 33801020 11695998 16149113 22105022 143709891 178171548 172520990 211880783 1797903 3435319 263473 263126 35908444 35129310 37969820 38827755 X 134551170 173053028 134551170 173053028 172520990 211880783 32032114 6469744 0 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 8717 8717 0 PART II-B, LINE 1: MARY BRECKENRIDGE IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENSES. 397024 397024 9605544 2429448 7176096 11002439 9079004 1923435 12796013 187546 12608467 22105022 SECURITY DEPOSITS 42359 OPERATING LEASE RIGHT-OF-USE ASSETS 12817525 DUE FROM RELATED ORGANIZATIONS 165311664 178171548 REFUNDS DUE PATIENTS 1039366 SELF INSURANCE RESERVE 4453087 CAPITAL LEASE OBLIGATIONS 342591 MEDICARE AND MEDICAID ESTIMATED SETTLEMENTS 13345046 OTHER LIABILITIES 134023 OPERATING LEASE LIABILITY 12474934 MISCELLANEOUS NON-PATIENT LIABILITIES 3340263 35129310 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 2073625 2073625 0.02050 29540135 49671823 0 0.00000 31613760 49671823 2073625 0.02050 132 0 70923 70923 0.00070 13 479 3484 3484 0.00000 145 479 74407 74407 0.00070 145 479 31688167 49671823 2148032 0.02120 5 0 201 201 0.00000 28 380 17722 17722 0.00020 2 11 140 140 0.00000 5 30 191 191 0.00000 84 3491 25279 25279 0.00020 124 3912 43533 43533 0.00040 1 4200357 2096237 10224043 13258948 -3034905 X 1 1 3 1 ARH MARY BRECKINRIDGE HEALTH SERVICES INC 130 KATE IRELAND DRIVE HYDEN KY 41749 600067 X X X X A 2 BARBOURVILLE ARH HOSPITAL 80 HOSPITAL DR BARBOURVILLE KY 40906 600080 X X X X A 3 ARH OUR LADY OF THE WAY 11203 MAIN STREET MARTIN KY 41649 600056 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 0 1 X HTTPS://WWW.ARH.ORG/CHNA/ X 1 24 1 HTTPS://WWW.ARH.ORG/CHNA/ 0 1 X 100.000000000000 200.000000000000 X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X 1 X 0 0 PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP SUMMARY WEBSITE: HTTPS://WWW.ARH.ORG/FINANCIAL-ASSISTANCE/ PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ARH MARY BRECKINRIDGE HEALTH SERVICES, INC, - FACILITY 2: BARBOURVILLE ARH HOSPITAL, - FACILITY 3: ARH OUR LADY OF THE WAY 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. THESE ASSESSMENTS, CONDUCTED OVER EIGHT MONTHS, INCLUDED OVER 4,000 PUBLIC SURVEYS, 60 FOCUS GROUPS, 14 STEERING COMMITTEES, AND SECONDARY DATA COLLECTION. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: ARH MARY BRECKINRIDGE HEALTH SERVICE, INC 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: ARH MARY BRECKINRIDGE HEALTH SERVICE, INC. CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EACH OF ITS 3 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: 1. SUBSTANCE USE DISORDER, 2. MENTAL HEALTH, 3. ACCESS TO HEALTH CARE- AFTER HOURS & URGENT CARE, 4. TRANSPORTATION 5. HEALTH EDUCATION - HEALTHY EATING AND FOOD PREPARATION, REDUCING HYPERTENSION, DIABETES, CHILDHOOD OBESITY, TOBACCO USE AND VAPING, 6. OBESITY.MENTAL HEALTHMARY BRECKENRIDGE ARH HAS IMPROVED MENTAL HEALTH IN OUR COMMUNITY BY GROWING OUTPATIENT BEHAVIORAL HEALTH SERVICES AS WELL AS COMMUNITY ENGAGEMENT FROM OUR BEHAVIORAL HEALTH TEAM IN MANY WAYS. THE FACILITY ADDED A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER TO ITS STAFF THAT PROVIDES NEEDED SERVICES FOR ALL AGE GROUPS. A BEHAVIORAL HEALTH SATELLITE CLINIC HAS OPENED ONCE PER MONTH IN BIG CREEK, KY, IN ADDITION TO THE CLINIC IN HYDEN. THE MPHNP ALSO PROVIDES TELEHEALTH VISITS. BEHAVIORAL HEALTH STAFF HAVE ATTENDED COMMUNITY EVENTS TO EDUCATE ABOUT ANXIETY, DEPRESSION, BULLYING, AND MANY OTHER MENTAL HEALTH TOPICS AS REQUESTED FROM THE COMMUNITY. MARY BRECKENRIDGE ALSO REOPENED THEIR SENIOR CARE PROGRAM IN 2023. ARH SENIOR CARE PROVIDES OLDER ADULTS WITH QUALITY BEHAVIORAL HEALTHCARE. PATIENTS THAT COME TO THE PROGRAM TYPICALLY HAVE MEDICARE PART B AND A DIAGNOSIS SUCH AS MAJOR DEPRESSIVE DISORDER, GENERALIZED ANXIETY DISORDER, AND OTHER MENTAL HEALTH DIAGNOSES. THE STAFF AT ARH SENIOR CARE UTILIZES A MULTIDISCIPLINARY TREATMENT TEAM INCLUDING A PSYCHIATRIST, A THERAPIST, AND A REGISTERED NURSE TO DEVELOP AN INDIVIDUALIZED PLAN OF TREATMENT FOR EACH PATIENT. OUR GOAL IS TO PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENTS TO COME AND SHARE THEIR FEELINGS WITH OTHERS THAT ARE EXPERIENCING SIMILAR ISSUES. PATIENTS RECEIVE TRANSPORTATION TO AND FROM THE PROGRAM.BARBOURVILLE ARH HAS ADDRESSED SUBSTANCE USE AND MENTAL HEALTH. PARTICIPATING IN MANY COALITIONS AND COUNCILS SUCH AS UNITE COALITION, CUMBERLAND VALLEY QUICK RESPONSE TEAM, AND THE KNOX COUNTY HEALTH COALITION THAT WORK TO COMBAT SUBSTANCE ABUSE IN OUR COMMUNITY. BARBOURVILLE ARH CEO PARTICIPATED IN A COMMUNITY FORUM: PARTNERING FOR PREVENTION HOSTED AT UNION COLLEGE. THE FACILITY PROMOTED PROMOTE KENTUCKY'S NEW MENTAL HEALTH HOTLINE, 988, THROUGHOUT THE COMMUNITY AND IN OUR AMBULATORY CLINIC. BETWEEN 2022-2024, OUR AMBULATORY CLINICS LOGGED 2,641 PATIENT BEHAVIORAL HEALTH VISITS, WITH A 54% GROWTH FROM 2022 TO 2024.OUR LADY OF THE WAY ARH (OLOTW) HAS IMPLEMENTED MENTAL HEALTH AND ADDICTION PROGRAMMING IN OUR COMMUNITY BY PROVIDING 3 FREE MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR STAFF FROM 2023-2024 IN WHICH 26 OLOTW EMPLOYEES WERE CERTIFIED. ARH STAFF PARTICIPATED ANNUALLY IN TRUTH AND CONSEQUENCES, A PROGRAM FOR ALL HIGH SCHOOL FRESHMAN AND SOPHOMORES IN THE COUNTY. THIS PROGRAM ALLOWS HIGH SCHOOL STUDENTS TO "EXPERIENCE" THE HARSH REALITIES OF SUBSTANCE ABUSE FROM DANGERS TO THEIR HEALTH TO INCARCERATIONBY WALKING THROUGH A SCENARIO PROVIDED TO EACH OF THEM. THEY SPONSORED OPERATION UNITE'S "SHOOT HOOPS, NOT DRUGS" PROGRAM, WHICH PROMOTES POSITIVE ACTIVITIES FOR LOCAL YOUTH WHILE PROVIDING EDUCATION ON DRUG PREVENTION. COMMUNITY DEVELOPMENT TEAM CONDUCTED 5 ANTI-VAPING PRESENTATIONS AT MAY VALLEY ELEMENTARY, BETSY LAYNE HIGH SCHOOL, AND THE FLOYD COUNTY BOARD OF EDUCATION.ACCESS TO HEALTHCARESINCE 2022, MARY BRECKENRIDGE ARH HAS ADDRESSED ACCESS TO CARE BY ADDING MANY NEW SERVICES THAT WOULD OTHERWISE REQUIRE PATIENT TRAVEL, INCLUDING: HEPATITIS C TREATMENT IN THE HYDEN RURAL HEALTH CLINIC, OUTPATIENT PULMONARY REHABILITATION, A PROGRAM THAT HELPS PEOPLE WITH LUNG DISEASE IMPROVE THEIR FUNCTION AND QUALITY OF LIFE THROUGH EXERCISE AND EDUCATION, AND A PODIATRY CLINIC IN HYDEN, OFFERING A MUCH-NEEDED SERVICE FOR OUR DIABETIC PATIENTS. IN 2024, THE FACILITY RECEIVED CERTIFICATION FROM DNV AS AN ACUTE STROKE READY CENTER, AFFIRMING THE HOSPITAL'S READINESS TO HANDLE STROKES AND STROKE RELATED MEDICAL PROBLEMS. THE ADVANTAGE OF AN ACUTE STROKE READY CERTIFIED PROGRAM IS THAT THESE STROKE CENTERS USUALLY SERVE COMMUNITIES WHERE ACCESS TO A LARGER, MORE EQUIPPED HOSPITAL IS TOO FAR FOR PATIENTS TO REACH IN LIMITED TIME.BARBOURVILLE ARH HAS IMPROVED COLLABORATION BY INCREASING ACTIVITY ON COMMUNITY COUNCILS, BOARDS, AND COALITIONS IN AN EFFORT TO BREAK DOWN SILOS, MEET COMMUNITY HEALTH NEEDS, AND FOSTER PARTNERSHIPS BETWEEN HEALTH CARE ORGANIZATIONS. BARBOURVILLE ARH HAS IMPROVED ACCESS TO CARE. WITH MORE THAN 80% OF HOSPITAL STAFF UNDERGOING TRAINING AND CERTIFICATION, BARBOURVILLE ARH RECEIVED THE CERTIFIED AUTISM CENTER (CAC) DESIGNATION GRANTED BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES) IN AUGUST 2024. BARBOURVILLE HAS INCREASED ACCESS TO CARE SO COMMUNITY MEMBERS DO NOT HAVE TO TRAVEL FOR HEALTH SERVICES BY: REOPENING THE SENIOR CARE PROGRAM, RECEIVING ACUTE STROKE READY STATUS, RECRUITING TWO NEW SPECIALTY PROVIDERS/SERVICES (PODIATRY AND GENERAL SURGERY), PROVIDING TWO NEW REHABILITATION SERVICES (CARDIAC REHAB AND PULMONARY REHAB), DEVELOPMENT OF PRE-ADMISSION TESTING PROGRAM TO DECREASE SURGERY NO-SHOW RATE AND PATIENT TRAVEL. IMPROVED PATIENT OUTCOMES THROUGH IMPLEMENTING THE AHA GET WITH THE GUIDELINES PROGRAM, RECEIVED CAD RURAL ACUTE NON ST-ELEVATION ACUTE CORONARY SYNDROME (NSTE-ACS) BRONZE AWARD.AS OF 2022, OUR LADY OF THE WAY (OLOTW) PROVIDED FREE GYM MEMBERSHIPS TO NO LIMITS FITNESS. SPONSORED NUMEROUS PHYSICAL ACTIVITY PROGRAMS IN THE COMMUNITY, INCLUDING THOSE THAT BENEFIT THE LOCAL HOMELESS SHELTER AND ANIMAL SHELTER (PAWS FOR A CAUSE, STRIKE OUT STROKE, RUN FOR SHELTER, LOCAL PEEWEE FOOTBALL). THEY PROVIDED 11 STROKE RISK ASSESSMENT SCREENING EVENTS THROUGHOUT THE COMMUNITY AT AREA RETAIL STORES, GROCERY STORES, SENIOR CENTERS, ETC. HOSTED A HEART HEALTH EDUCATION EVENT ON-SITE IN 2022, HOSTED THE FACES OF COLON CANCER PROGRAM IN OUR LOBBY IN MARCH OF 2024, PROVIDED LUNG CANCER PRESENTATIONS ON 2 OCCASIONS AND BRAIN PROTECTORS STROKE EDUCATION CLASSES IN 2 SCHOOLS. OUR LADY OF THE WAY ARH HAS INCREASED ACCESS TO CARE, SO COMMUNITY MEMBERS DO NOT HAVE TO TRAVEL FOR HEALTH SERVICES BY INCREASING SLEEP LAB SERVICES TO 5 NIGHTS PER WEEK AND INCREASING NUMBER OF HOME SLEEP STUDY UNITS BY 2. WE OPENED WEEKLY CARDIOLOGY AND ORTHOPEDICS CLINICS IN THE HAROLD COMMUNITY AND ADDED SURGERY CONSULTATIONS TO THE SETON CLINIC MONTHLY. PROVIDING NEW SPECIALTY SERVICES BY TELEMEDICINE, CARDIOLOGY AND NEUROLOGY. RECRUITING TWO NEW PROVIDERS THAT STARTED IN 2023 AND EXTENDED HOURS OF OPERATION AT MARTIN CLINIC TO 6:30PM. OUR LADY OF THE WAY ALSO RECEIVED ACUTE STROKE READY STATUS IN 2023.HEALTH EDUCATIONMARY BRECKENRIDGE ARH HAS PROVIDED COMMUNITY EDUCATION AND SUPPORT BY LAUNCHING THE PEER SUPPORT PROGRAM IN 2022, WHICH EMPLOYS PEER SUPPORT COACHES TO WORK IN OUR EMERGENCY DEPARTMENTS AND THROUGHOUT THE COMMUNITY. SINCE THEY HAVE ENCOUNTERED 65 PATIENTS AND COMPLETED 9,674 SBIRT SCREENINGS. THEY HAVE IMPLEMENTED "TOO GOOD FOR DRUGS" CLASS AT WB MUNCY ELEMENTARY AND SERVED ON OPERATION UNITE LESLIE COUNTY COALITION. THE PEER RECOVERY COACHES HAVE ALSO PROVIDED "TOO GOOD FOR DRUGS" PROGRAMMING TO MIDDLE SCHOOL AGE STUDENTS IN LESLIE COUNTY SCHOOLS. THE FACILITY HAS SUPPORTED NARCAN DISTRIBUTION EFFORTS AND SAVE A LIFE ROADSHOW IN PARTNERSHIP WITH KY DEPARTMENT OF PUBLIC HEALTH. THEY HAVE SPONSORED WEEKLY AA/NA MEETINGS HELD AT ROCKHOUSE BAPTIST CHURCH AND FORMED A PARTNERSHIP WITH THE LESLIE COUNTY HEALTH DEPARTMENT TO OFFER SMOKING CESSATION CLASSES TO COMMUNITY MEMBERS AND EDUCATION ON THE HARMFUL EFFECTS TO SMOKING. ARH EMPLOYEE WERE ALSO GIVEN ACCESS TO SMOKING CESSATION SERVICES INCLUDING FREE ONLINE COUNSELING AND NICOTINE REPLACEMENT THERAPIES. 14 1 - HYDEN ARH CLINIC 130 KATE IRELAND DRIVE HYDEN KY 41749 CLINIC 2 - BIG CREEK ARH CLINIC 17644 SOUTH HWY 421 BIG CREEK KY 40914 CLINIC 3 - CUMBERLAND VALLEY MEDICAL SURGICAL ASSOC 80 HOSPITAL DRIVE BARBOURVILLE KY 40906 CLINIC 4 - ARH CUMBERLAND VALLEY MEDICAL & SURGICAL 3504 W CUMBERLAND AVE MIDDLESBORO KY 40965 CLINIC 5 - ARH PRIMARY CARE ASSOC NI - MARTIN 11087 MAIN STREET MARTIN KY 41649 CLINIC 6 - ARH PRIMARY CARE ASSOC - CORBIN 1317 CUMBERLAND FALLS HWY SUITE B CORBIN KY 40701 CLINIC 7 - ARH CUMBERLAND VALLEY MEDICAL & SURGICAL 302 WALNUT ST PINEVILLE KY 40977 CLINIC 8 - ARH MEDICAL & SPECIALTY ASSOC - HAROLD 24 LEFT PENHOOK ROAD HAROLD KY 41635 CLINIC 9 - ARH PRIMARY CARE ASSOC - SETON 11088 MAIN STREET SUITE 101 MARTIN KY 41649 CLINIC 10 - ARH PRIMARY CARE ASSOC NJ - BETSY LANE 12579 MAIN STREET STE 101 MARTIN KY 41649 CLINIC 11 - OUR LADY OF THE WAY PHARMACY 12579 MAIN STREET MARTIN KY 41649 PHARMACY 12 - ARH SPECIALTY PHARMACY- BARBOURVILLE 80 HOSPITAL DRIVE BARBOURVILLE KY 40906 PHARMACY 13 - ARH CUMBERLAND VALLEY PHARMACY 3504 W CUMBERLAND AVE MIDDLESBORO KY 40965 PHARMACY 14 - MB ARH HOME HEALTH AGENCY 166 KATE IRELAND DRIVE HYDEN KY 41749 HOME HEALTH 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 II, COMMUNITY BUILDING ACTIVITIES: THE 2025 FISCAL YEAR HAS BEEN REMARKABLE FOR MARY BRECKINRIDGE ARH HEALTH SERVICES, MARKED BY SIGNIFICANT GROWTH AND IMPACT THROUGH EXPANDED COMMUNITY OUTREACH PROGRAMS IN LESLIE AND CLAY COUNTIES. OUR COMMITMENT TO IMPROVING HEALTHCARE SERVICES AND ENGAGEMENT WITHIN OUR COMMUNITIES CONTINUES TO BE A DRIVING FORCE FOR OUR ORGANIZATION.STAFF RECOGNITION AND ACHIEVEMENTSANGELA CAMPBELL, OUR INFECTION PREVENTIONIST, WAS HONORED WITH AN AWARD FROM THE KENTUCKY HOSPITAL ASSOCIATION IN 2025. REPRESENTATIVES FROM THE ASSOCIATION TRAVELED FROM LOUISVILLE, KY TO PERSONALLY PRESENT ANGELA WITH THIS RECOGNITION AT MARY BRECKINRIDGE ARH. A RECEPTION WAS HELD TO CELEBRATE ANGELA'S ACHIEVEMENT, WHICH HIGHLIGHTED HER EXEMPLARY PERFORMANCE AND DEDICATION, PARTICULARLY THROUGHOUT THE COVID-19 PANDEMIC.CERTIFICATIONS AND ACCREDITATIONSIN AUGUST 2025, THE DNV ACCREDITING AGENCY VISITED MARY BRECKINRIDGE ARH HOSPITAL FOR THE ANNUAL RECERTIFICATION. THE DNV STAFF OBSERVED AND COMMENDED SEVERAL NOTEWORTHY PRACTICES DURING THEIR TWO-DAY VISIT, REFLECTING POSITIVELY ON OUR ONGOING COMMITMENT TO EXCELLENCE. IN OCTOBER 2025, DNV RETURNED TO EVALUATE OUR STROKE READY DESIGNATION, USING STANDARDS SET BY THE BRAIN ATTACK COALITION AND THE AMERICAN STROKE ASSOCIATION. THEIR REVIEW CONFIRMED OUR RECERTIFICATION, DEMONSTRATING THAT OUR HOSPITAL MAINTAINS A DEDICATED, STROKE-FOCUSED PROGRAM. ELIZABETH JONES, RN, STROKE COORDINATOR, AND HER TEAM WORKED DILIGENTLY TO UPHOLD THE STANDARDS NECESSARY FOR THIS IMPORTANT DESIGNATION.AWARDS AND HONORSMARY BRECKINRIDGE ARH WAS RECOGNIZED WITH A SILVER ACHIEVEMENT AWARD FOR CORONARY ARTERY DISEASE AS PART OF THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" PROGRAM. ADDITIONALLY, THE HOSPITAL RECEIVED A SILVER ACHIEVEMENT AWARD FOR RURAL STROKE FROM THE SAME ORGANIZATION, FURTHER VALIDATING OUR COMMITMENT TO QUALITY CARE IN THESE CRITICAL AREAS.COMMUNITY HEALTH INITIATIVES OUR STROKE COORDINATOR, ELIZABETH JONES, RN, AND HER STAFF CONDUCTED 134 STROKE SCREENINGS WITHIN THE COMMUNITY. THE TEAM ALSO PERFORMED FINGER STICK A1C TESTS TO MONITOR BLOOD SUGAR LEVELS, PROVIDING VALUABLE EDUCATION AND RAISING STROKE AWARENESS AMONG PATIENTS AND RESIDENTS. IN ADDITION, 148 STUDENTS AGED 10 AND UNDER ACROSS LESLIE COUNTY SCHOOL SYSTEMS RECEIVED INSTRUCTION ON RECOGNIZING STROKE SYMPTOMS AND THE IMPORTANCE OF CALLING 911. CHRISTA BROCK, RN, IS ENHANCING PATIENT CARE BY TRAVELING TO VARIOUS ARH FACILITIES TO BECOME PROFICIENT IN MIDLINE IV INSERTIONS, ENABLING PATIENTS TO RECEIVE LONG-TERM IV THERAPY LOCALLY WITHOUT HAVING TO TRAVEL ELSEWHERE.ANNUAL COMMUNITY EVENTSOUR DEDICATION TO COMMUNITY ENGAGEMENT WAS REFLECTED IN A VARIETY OF ANNUAL EVENTS. AT OUR CHILDREN'S CHRISTMAS PARTY, EVERY CHILD RECEIVED A WRAPPED GIFT, TOBOGGAN, GLOVES, FRUIT BAG, JUICE, AND HOT CHOCOLATE. MR. AND MRS. CLAUS WERE PRESENT TO HAND OUT GIFTS AND GREET FAMILIES, MAKING THE OCCASION MEMORABLE FOR ALL. WE HOSTED OUR ANNUAL TRUNK OR TREAT HALLOWEEN EVENT, WHERE ELEVEN DEPARTMENTS DECORATED THEIR TRUNKS WITH UNIQUE THEMES, CREATING A FUN AND FESTIVE ATMOSPHERE. TO HONOR OUR FIRST RESPONDERS, WE ORGANIZED A RECOGNITION EVENT FEATURING LOCAL FOOD TRUCK "TRAILS OF SMOKE," WHICH SERVED HICKORY SMOKED RIBS, PULLED PORK, AND SIDES. DJ MICHAEL DEWAYNE FROM RADIO STATION 97.9 PROVIDED MUSIC, AND WE EXPRESSED OUR DEEP APPRECIATION FOR THE VITAL ROLE FIRST RESPONDERS PLAY IN OUR COMMUNITY. THE COMMUNITY-WIDE PICNIC, WHICH MARKED THE START OF THE MARY BRECKINRIDGE FESTIVAL, WAS ANOTHER SUCCESSFUL EVENT. OVER 850 MEALS WERE SERVED, FREE HEALTH SCREENINGS WERE OFFERED, AND FLU VACCINES WERE MADE AVAILABLE. THE LOCAL SHRINER'S CHAPTER CONTRIBUTED BY PREPARING FOOD FOR ATTENDEES.OUR ANNUAL EASTER EGG HUNT AT THE BOBBY OSBORNE PAVILION FEATURED 5,000 EGGS FILLED WITH TREATS FOR CHILDREN TO DISCOVER, AS WELL AS PHOTO OPPORTUNITIES WITH THE EASTER BUNNY. WE ALSO HELD A SPECIAL "BLESSING OF THE HANDS" CEREMONY FOR STAFF MEMBERS, IN WHICH THE CHAPLAIN OFFERED PRAYERS FOR THOSE WHO WISHED TO PARTICIPATE.ONGOING PROGRAMS AND SERVICESWE CONTINUE TO PROVIDE VALUABLE SENIOR CARE SERVICES, OFFERING BOTH INDIVIDUAL AND GROUP THERAPY TO SUPPORT THE ELDERLY POPULATION. OUR PULMONARY REHABILITATION PROGRAM REMAINS AN ESSENTIAL RESOURCE FOR PATIENTS WITH RESPIRATORY CHALLENGES, RECEIVING POSITIVE FEEDBACK FROM PARTICIPANTS. OUR HOME HEALTH STAFF CONTINUES TO PROVIDE SERVICES FOR OUR PATIENTS IN THEIR HOME ENVIRONMENT WITH CERTIFIED NURSING ASSISTANTS, RNS, PHYSICAL AND OCCUPATIONAL THERAPY. AS YOU CAN IMAGINE, THIS IS MUCH NEEDED SERVICE IN EASTERN KENTUCKY. MANY OF OUR PATIENTS ARE HOME BOUND AND NOT ABLE TO DRIVE. FOOD DRIVES ARE REGULARLY CONDUCTED, WITH FOOD BOXES DISTRIBUTED TO FAMILIES AND INDIVIDUALS EXPERIENCING FOOD INSECURITY AT OUR ER, HOME HEALTH, SENIOR CARE, HYDEN, AND BIG CREEK ARH CLINICS. MARY BRECKINRIDGE ARH COLLABORATES WITH BIG CREEK MISSION DURING SUMMER PROGRAMS AT THE WILLIE B. SANDLIN POOL, WHERE CHILDREN RECEIVE FREE MEALS AND ENJOY GAMES AND SWIMMING. OUR STAFF ATTEND THESE EVENTS TO DELIVER EDUCATION ON BULLYING, PEER PRESSURE, BICYCLE SAFETY, STROKE AWARENESS, AND DIALING 911 FOR EMERGENCIES.DEPARTMENTAL DEVELOPMENTSWE HAVE SUCCESSFULLY RECRUITED JENNIFER MEARS, A SPEECH THERAPIST WITH TWENTY YEARS OF EXPERIENCE, WHO RELOCATED TO HYDEN FROM FLORIDA. HER SCHEDULE REMAINS FULLY BOOKED, AND WE ARE ACTIVELY SEEKING TO ADD ANOTHER SPEECH THERAPIST TO MEET GROWING DEMAND. TASHA MCCORMICK, APRN, IS NOW PROVIDING SPECIALIZED HEPATITIS C TREATMENT. WITH APPROPRIATE PATIENT PARTICIPATION AND MEDICATION REGIMENS, THIS VIRUS CAN BE FULLY CURED.WE WERE ABLE TO RECRUIT ASHLEY HACKER, MENTAL HEALTH APRN WHO IS PROVIDING MENTAL HEALTH COUNSELING TO HYDEN AND BIG CREEK ARH CLINIC PATIENTS. TO ADDRESS SPACE LIMITATIONS IN OUR LABORATORY, THE BOARD OF TRUSTEES APPROVED EXPANSION BY RENOVATING AN UNUSED OPERATING ROOM. THIS PROJECT IS NEARING COMPLETION AND WILL PROVIDE IMPROVED WORKSPACE, AMPLE ROOM FOR EQUIPMENT, AND A WAITING AREA FOR PATIENTS NEEDING LAB WORK. WE ANTICIPATE MOVING INTO THE NEW LAB FACILITY BY MID-FEBRUARY. PART III, LINE 2: TO DETERMINE THE BAD DEBT EXPENSE ON PART III, LINE 2, THE BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS, WHICH CONSISTS OF GROSS CHARGES LESS DISCOUNTS, WAS CONVERTED TO COST USING THE GLOBAL COST-TO-CHARGE RATIO. 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. 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 SEVERAL 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 RECEIVABLES 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 SEVERAL 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 RECEIVABLES 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 MORE THAN $3 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 $3,034,905 (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 2024, APPALACHIAN REGIONAL HEALTHCARE CONTRACTED UNIVERSITY OF KENTUCKY'S TEAM UP PUBLIC HEALTH COLLABORATIVE TO CONDUCT INDIVIDUAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH OF ITS 14 FACILITIES. THESE ASSESSMENTS, CONDUCTED OVER EIGHT MONTHS, INCLUDED OVER 4,000 PUBLIC SURVEYS, 60 FOCUS GROUPS, 14 STEERING COMMITTEES, AND SECONDARY DATA COLLECTION NOT LIMITED TO: HOSPITAL UTILIZATION DATA COUNTY AND STATE HEALTH RANKINGS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM DATA KY KIDS COUNT CENSUS DATA CANCER REGISTRY DATAIN ADDITION TO ASSESSING THE CURRENT STATE OF COMMUNITY HEALTH NEEDS, THESE CHNA REPORTS INCLUDE IMPLEMENTATION PLANS FOR THE NEXT THREE YEARS (CALENDAR YEARS 2025-2027) TO ADDRESS GREATEST PRIORITIES, AND AN OUTCOME SUMMARY FROM THE LAST CHNA CONDUCTED (2022). PART VI, LINE 3: UNDER ARHS FINANCIAL ASSISTANCE PROGRAM AND POLICY, EACH PATIENT WITHOUT MEDICAL COVERAGE FOR RENDERED SERVICES IS OFFERED A 40% DISCOUNT OF GROSS CHARGES AT 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 OBLIGATIONS 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 ON-SITE FINANCIAL COUNSELORS AND/OR ELIGIBILITY AGENCY TO GET THE INDIVIDUAL PLACED IN A 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 OFFERED 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 PROGRAM, THEY ARE THEN STILL GIVEN THE INITIAL 40% DISCOUNT AND MOVED THROUGH THE NORMAL COLLECTION PROCESS. PART VI, LINE 4: PRIMARY COUNTIES IN KENTUCKY SERVED BY APPALACHIAN REGIONAL HEALTHCARE (THOSE WITH FACILITIES IN-COUNTY) INCLUDE BELL, FLOYD, HARLAN, JOHNSON, KNOX, LESLIE, LETCHER, MORGAN, PERRY, PIKE. SECONDARY KENTUCKY COUNTIES INCLUDE BREATHITT, CLAY, KNOTT, LAWRENCE, LEE, MAGOFFIN, MARTIN, OWSLEY, AND WOLFE. PRIMARY COUNTIES IN WEST VIRGINIA SERVED BY APPALACHIAN REGIONAL HEALTHCARE INCLUDE RALEIGH AND SUMMERS, WITH SECONDARY COUNTIES OF BOONE, FAYETTE, AND GREENBRIER, MINGO, AND WYOMING. THIS SERVICE AREA LIES WITHIN THE PORTION OF THE APPALACHIAN REGIONAL COMMISSION (ARC) DESIGNATED APPALACHIAN REGION, INCLUDING MANY OF THE STEEP, FORESTED RIDGES AND NARROW VALLEYS TYPICAL OF THE APPALACHIAN MOUNTAINS IN EASTERN KENTUCKY AND SOUTHERN WEST VIRGINIA. FOR EXAMPLE, IN LETCHER COUNTY, KENTUCKY, THE LANDSCAPE IS DEFINED BY RUGGED MOUNTAINS AND DENSE FOREST, WITH THE 125-MILE RIDGELINE OF PINE MOUNTAIN RUNNING ACROSS THE COUNTY. IN HARLAN COUNTY, KENTUCKY, ANOTHER COUNTY IN THE REGION, THE HEADWATERS OF THE CUMBERLAND RIVER FLOW THROUGH VALLEYS CARVED BETWEEN HIGH RIDGES. HARLAN COUNTY CONTAINS KENTUCKY'S HIGHEST POINT, BLACK MOUNTAIN (4,145 FT), REFLECTING THE ELEVATION EXTREMES. RURAL RESIDENTS OFTEN FACE LONG TRAVEL DISTANCES TO REACH MEDICAL FACILITIES, COMPOUNDED BY LIMITED OR UNRELIABLE PUBLIC TRANSPORTATION, AND LOW VEHICLE OWNERSHIP IN SOME HOUSEHOLDS. GIVEN THE RURAL AND MOUNTAINOUS CONTEXT, MANY COMMUNITIES ARE SMALL, SCATTERED, AND ISOLATED. THAT TENDS TO YIELD LIMITED LOCAL INFRASTRUCTURE; FEWER LARGE EMPLOYERS, FEWER AND SMALLER TOWNS, AND FEWER SERVICES, WHICH ALSO AFFECTS ACCESS TO HEALTH CARE, SOCIAL SERVICES, ECONOMIC OPPORTUNITIES, AND COMMUNITY RESOURCES.THE COUNTIES SERVED, MANY OF THEM COALFIELD AND FORMER COAL-MINING COUNTIES, HAVE LONG FACED ECONOMIC DISLOCATION AS TRADITIONAL INDUSTRIES (LIKE COAL) HAVE FADED. THAT LEGACY AFFECTS INCOME, EMPLOYMENT OPPORTUNITIES, AND ECONOMIC STABILITY IN THE REGION. THIS IS COMMON ACROSS MUCH OF THE EASTERN KENTUCKY COALFIELD AREA. MOREOVER, COMPARED WITH NON-APPALACHIAN REGIONS, PEOPLE IN APPALACHIA TEND TO HAVE LOWER LEVELS OF EDUCATIONAL ATTAINMENT AND HIGHER RATES OF POVERTY, FACTORS THAT CORRELATE WITH POORER HEALTH OUTCOMES.THE TOTAL POPULATION OF ARH'S PRIMARY AND SECONDARY MARKETS IS 503,677, WITH INDIVIDUALS AGE 65 AND OLDER REPRESENTING 22% OF THE POPULATION. NOTABLY, THIS AGE GROUP IS THE ONLY DEMOGRAPHIC EXPECTED TO GROW IN SIZE. THE REGION'S POPULATION IS PREDOMINANTLY CAUCASIAN (92%), WITH AN AVERAGE HOUSEHOLD INCOME OF $63,741. APPROXIMATELY 15% OF RESIDENTS HOLD A BACHELOR'S DEGREE OR HIGHER, WHILE 27% OF HOUSEHOLDS LIVE BELOW THE POVERTY LINE. PART VI, LINE 5: ARH HOSPITALS FURTHER THEIR TAX-EXEMPT PURPOSE THROUGH EXPANDING ACCESS TO CARE, COMMUNITY-BASED HEALTH IMPROVEMENT ACTIVITIES AND SOCIAL DETERMINANT OF HEALTH INTERVENTIONS. IN FY25, ARH INVESTED OVER 5.2 MILLION DOLLARS IN COMMUNITY BENEFIT ACTIVITIES, INCLUDING FREE COMMUNITY-BASED CLINICAL SCREENINGS (NEARLY 4,000 PROVIDED), FOOD IS MEDICINE INITIATIVES (I.E. COOKING CLASSES, DIABETES SUPPORT GROUPS, FARMERS MARKET SUPPORT, ETC.), IN-SCHOOL HEALTH PROGRAMMING, PHYSICAL ACTIVITY PROGRAMMING, CANCER PREVENTION, AND CHRONIC DISEASE EDUCATION. ARH'S COMMUNITY BENEFIT ACTIVITIES ARE TARGETED, MEASURABLE, AND DIRECTLY RESPONSIVE TO THE NEEDS IDENTIFIED IN ITS CHNAS. BY ENSURING ACCESS TO ESSENTIAL HEALTHCARE SERVICES, IMPROVING POPULATION HEALTH, AND ADDRESSING THE UNIQUE GEOGRAPHIC AND SOCIOECONOMIC BARRIERS FACED BY CENTRAL APPALACHIAN RESIDENTS, ARH'S HOSPITALS DEMONSTRABLY ADVANCE THEIR CHARITABLE PURPOSE AND PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE.BETWEEN THESE ARH FACILITIES, OVER 130 EVENTS, CLASSES, AND SUPPORT GROUPS WERE HOSTED IN FY25 FOCUSED ON HEALTHY LIFESTYLE EDUCATION, FREE HEALTH SCREENING EVENTS, CHRONIC DISEASE PREVENTION, AND COMMUNITY HEALTH BETTERMENT. COMMUNITY MEMBERS HAVE BEEN EDUCATED ON SUBSTANCE ABUSE PREVENTION, THE USE OF NARCAN TO REDUCE OVERDOSE, AND THE DANGERS OF SMOKING AND VAPING. ARH HAS BEEN AT THE FOREFRONT OF FOOD IS MEDICINE IN APPALACHIA, EDUCATING PATIENTS AND COMMUNITIES ABOUT THE BENEFITS OF PROPER NUTRITION. THE FOOD IS MEDICINE MOVEMENT FURTHER INTEGRATED NUTRITION INTO HEALTHCARE, HOSTING EVENTS SUCH AS FARMER'S MARKETS, HEALTHY COOKING DEMONSTRATIONS, AND EDUCATIONAL CAMPAIGNS HIGHLIGHTING THE IMPORTANCE OF PROPER NUTRITION. FACILITIES IN ARH'S KY RIVER AND BIG SANDY REGIONS HAVE CONTINUED THEIR IN-FACILITY FOOD PANTRY PROGRAMS, DISTRIBUTING HUNDREDS OF MEALS TO PATIENTS THAT HAVE SCREENED AS FOOD INSECURE. THROUGHOUT THE COMMUNITY, ARH STAFF PARTICIPATE IN BOARDS AND COALITIONS THAT WORK TO BETTER THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS; LOCAL EXTENSION ADVISORY BOARDS, DIABETES COALITIONS, COUNTY HEALTH COALITIONS, AND MORE. ARH ALSO USES LOCAL ADVISORY COUNCILS FOR EACH FACILITY, MADE OF COMMUNITY MEMBERS TO PROVIDE A PLATFORM FOR COMMUNITY INPUT AND FEEDBACK ON HEALTHCARE SERVICES AND POLICIES. THEY HELP TO ENSURE TRANSPARENCY IN HOSPITAL OPERATIONS, ENGAGE COMMUNITY MEMBERS IN PLANNING, AND SUPPORT SHARED DECISION-MAKING. THESE LOCAL ADVISORY BOARDS PLAY A KEY ROLE IN DEVELOPING INCLUSIVE HEALTH PROGRAMS AND REDUCING HEALTH DISPARITIES. BY INCLUDING A DIVERSE RANGE OF COMMUNITY MEMBERS, ARH IS PROMOTING HEALTH EQUITY AND RESPONSIVENESS TO LOCAL NEEDS. PART VI, LINE 6: APPALACHIAN REGIONAL HEALTHCARE (ARH) IS AN INTEGRATED, MULTI-HOSPITAL HEALTHCARE SYSTEM SERVING RURAL AND UNDERSERVED COMMUNITIES THROUGHOUT CENTRAL APPALACHIA. INDIVIDUAL ARH HOSPITALS AND OTHER HEALTH ENTITIES PROVIDE DIRECT INPATIENT, OUTPATIENT, EMERGENCY, SPECIALTY, AND COMMUNITY-BASED CARE TAILORED TO LOCAL HEALTH NEEDS.AT THE SYSTEM LEVEL, ARH SUPPORTS ITS LOCAL COMMUNITY HOSPITALS, CLINICS, PHARMACIES, HOME SERVICES AND OTHER HEALTH-RELATED OPERATIONS THROUGH COORDINATED GOVERNANCE, SHARED CLINICAL AND ADMINISTRATIVE SERVICES, AND SYSTEM-WIDE COMMUNITY BENEFIT AND POPULATION HEALTH INITIATIVES. THESE INCLUDE UNIFORM CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES, COORDINATION OF COMMUNITY HEALTH NEEDS ASSESSMENTS, AND SUPPORT FOR PROGRAMS ADDRESSING CHRONIC DISEASE, SUBSTANCE USE DISORDER, FOOD INSECURITY, PREVENTIVE CARE, AND ACCESS TO HEALTHCARE SERVICES.ARH HOSPITALS IMPLEMENT THESE INITIATIVES LOCALLY THROUGH ACTIVITIES SUCH AS PEER RECOVERY SUPPORT FOR PATIENTS WITH SUBSTANCE USE DISORDER, MOBILE AND COMMUNITY-BASED CLINICS SERVING RURAL AREAS, HEALTH SCREENINGS AND EDUCATION, AND PARTNERSHIPS WITH PUBLIC HEALTH AGENCIES AND COMMUNITY ORGANIZATIONS. TOGETHER, ARH AND ITS AFFILIATED ENTITIES WORK COLLABORATIVELY TO IMPROVE ACCESS TO CARE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES THEY SERVE. PART VI, LINE 7, REPORTS FILED WITH STATES KY,WV PART I, LINE 7F: $4,200,357 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 MOUNTAIN PERFORMING ARTS INC 50 HAL ROGERS DRIVE PRESTONSBURG KY 41653 834107663 501C3 20000 0 TO SUPPORT THE MISSION OF THE ORGANIZATION THAT PROMOTES THE RICH CULTURAL HERITAGE AND ARTISTIC EXPRESSIONS OF THE APPALACHIAN REGION. BARBOURVILLE TOURISM 117 HIGH STREET BARBOURVILLE KY 40906 616001779 GOVERMENT 19450 0 TO PROMOTE COMMUNITY INVOLVEMENT, TOURISM, AND DEVELOPMENT OF SMALL BUSINESSES. BARBOURVILLE INDEPENDENT SCHOOL PO BOX 520 BARBOURVILLE KY 40906 616001386 501C3 13800 0 TO SUPPORT AN ACTIVE, HEALTHLY LIFESTYLE FOR OUR LOCAL YOUTH 3 0 PART I, LINE 2: MONITORING GRANTS AT APPALACHIAN REGIONAL HEALTHCARE (ARH) INVOLVES ADHERENCE TO FEDERAL, STATE, AND GRANTOR-SPECIFIC REGULATIONS, TYPICALLY OVERSEEN BY THE GRANTS MANAGEMENT OFFICE TO ENSURE COMPLIANCE WITH NOTICE OF AWARD (NOA) TERMS. KEY PROCEDURES INCLUDE MAINTAINING UP-TO-DATE DOCUMENTATION, QUARTERLY REPORTING VIA EHBS, FINANCIAL RECONCILIATION, AND, FOR SPECIFIC EMPLOYEE ASSISTANCE, STRICT DOCUMENTATION OF EMERGENCY NEEDS. FOR THE ARH EMPLOYEE EMERGENCY ASSISTANCE FUND (EAF), APPLICANTS MUST BE CURRENT EMPLOYEES, SUBMIT FULL DOCUMENTATION OF FINANCIAL HARDSHIP (E.G., BILLS, NOTICES), AND ADHERE TO THE $2,500 ANNUAL/$5,000 LIFETIME LIMIT. APPALACHIAN REGIONAL HEALTHCARE (ARH) MANAGES SPONSORSHIP REQUESTS BY REQUIRING ONLINE SUBMISSIONS AT LEAST TWO MONTHS IN ADVANCE, FOCUSING ON COMMUNITY HEALTH, WELL-BEING, OR ACCESS TO CARE. APPLICATIONS REQUIRE A COMPLETED FORM, FLYER/BROCHURE, AND, IF APPROVED, SPONSORSHIP FUNDS ARE TYPICALLY DELIVERED VIA CHECK WITHIN 3-4 WEEKS. 0 1 0 0 0 0 1 0 0 HOLLIE P HARRIS PRESIDENT/CEO 0 1125295 0 377829 0 653 0 93659 0 25153 0 1622589 0 0 BYRON GABBARD TREASURER 0 512657 0 150857 0 737 0 60039 0 876 0 725166 0 0 CHRISTI LEE CHIEF LEGAL COUNCIL 0 373233 0 109989 0 395 0 44599 0 25153 0 553369 0 0 JAMES D ADAMS HOSPITALIST 457163 0 0 0 0 0 3338 0 35357 0 495858 0 0 0 LARRY E WARREN FAMILY PHYSICIAN 448839 0 1580 0 0 0 5068 0 31240 0 486727 0 0 0 CHRISTOPHER M YOST FAMILY PHYSICIAN 309596 0 77537 0 365 0 29730 0 43717 0 460945 0 0 0 JAMES WEST HOSPITALIST 387420 0 0 0 0 0 15711 0 13573 0 416704 0 0 0 JERRY L WOOLUM FAMILY PHYSICIAN 368839 0 0 0 0 0 15658 0 31240 0 415737 0 0 0 PART I, LINE 3 THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) 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 PART I, LINE 4B THE RELATED ORGANIZATION, APPALACHIAN REGIONAL HEALTHCARE, INC. (52-0795508) ("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; CHRISTI LEE - $5.070. PART I, LINE 6 THE COMPENSATION AND CONTRACTS COMMITTEE OF THE RELATED ORGANIZATION (APPALACHIAN REGIONAL HEALTHCARE, INC. - 52-0795508) 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 MARY BRECKINRIDGE. 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 MARY BRECKINRIDGE. 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 ARH MARY BRECKINRIDGE FOLLOWS ARH'S CONFLICT OF INTEREST POLICY AND ONGOING ARH'S MONITORING PROCESS IS: A SECURE WEBSITE IS PROVIDED TO OFFICERS AND TRUSTEES FOR ANNUAL DISCLOSURES AND IS MONITORED REGULARLY BY THE VICE PRESIDENT OF LEGAL AFFAIRS AND THE CORPORATE COMPLIANCE OFFICERS. POTENTIAL CONFLICTS OF INTEREST ARE REPORTED DIRECTLY TO THE CHAIRMAN OF THE BOARD. TRUSTEES IDENTIFIED AS HAVING A CONFLICT OF INTEREST IN A PARTICULAR MATTER BEFORE THE BOARD MAY NOT PARTICIPATE IN THE BOARD'S DECISION-MAKING PROCESS. FAILURE TO DISCLOSE IS SUBJECT TO DISCIPLINE, INCLUDING CENSURE, AND IN SOME CASES, REMOVAL FROM THE BOARD. EMPLOYEE OFFICERS ARE SUBJECT TO DISCIPLINE IN ACCORDANCE WITH THE CORPORATION'S HUMAN RESOURCE POLICIES AND THE ARH CODE OF BUSINESS AND PROFESSIONAL CONDUCT. FORM 990, PART VI, SECTION B, LINE 15 THE RELATED ORGANIZATION, APPALACHIAN REGIONAL HEALTHCARE, INC.'S (ARH) BOARD SETS COMPENSATION LEVELS FOR PRESIDENT/CEO AND OTHER ARH EXECUTIVES AND KEY EMPLOYEES. 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. APPALACHIAN REGIONAL HEALTHCARE HAS DEVELOPED A PARTNERSHIP WITH MERCER GROUP TO EVALUATE EXECUTIVE COMPENSATION PLANS. FORM 990, PART VI, SECTION C, LINE 19 WHILE ARH MARY BRECKINRIDGE HAS NOT YET ADOPTED A POLICY OF SHARING ITS FINANCIAL STATEMENTS WITH THE PUBLIC, IT DOES PROVIDE FINANCIAL INFORMATION THROUGH THE FORM 990 AND PROVIDES CERTAIN FINANCIAL INFORMATION IN OTHER PUBLIC DOCUMENTS, INCLUDING ITS PERIODIC REPORTS TO THE COMMUNITIES IT SERVES. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. PRIOR TO THE START OF THE AUDIT, THE VICE PRESIDENT OF FINANCE MEETS WITH THE INDEPENDENT AUDITORS. AT THE CONCLUSION OF THE AUDIT, THE FINANCE COMMITTEE MEETS WITH THE INDEPENDENT AUDITORS FOR PRESENTATION OF THE FINANCIAL STATEMENTS. THE INDEPENDENT AUDITORS ARE SELECTED WHEN DEEMED NECESSARY BY MANAGEMENT THROUGH A FORMAL "REQUEST FOR PROPOSAL" (RFP) PROCESS. 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 APPALACHIAN REGIONAL HEALTHCARE INC 2260 EXECUTIVE DRIVE LEXINGTON KY 40505 520795508 HEALTH CARE KY 501(C)(3) LINE 3 N/A 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 ADVANCED CARE INC 2260 EXECUTIVE DRIVE LEXINGTON KY 40505 872421892 HEALTH CARE KY 501(C)(3) LINE 3 APPALACHIAN REGIONAL HEALTHCARE INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0