Appalachian Regional Healthcare

Nonprofit profile at a glance

EIN
520795508
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Lexington, KY, USA
Phone
8592262440
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$1,078,005,401
Expenses
$928,702,308
Assets
$1,690,508,848
Liabilities
$770,717,777

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

26 people listed

Executive titles in this filing

  • HOLLIE P HARRIS (PRESIDENT/CEO)

Highest reported compensation

  • HOLLIE P HARRIS (PRESIDENT/CEO): $1,622,589 total reported compensation
  • ADNAN M BHOPALWALA (CARDIOLOGIST): $1,305,727 total reported compensation
  • JAYARAMAKRISHNA DEPA (NEPHROLOGIST): $1,043,515 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

ARH Mission: To improve health and promote well-being of all people in Central Appalachia in partnership with our communities. Addiction Recovery Bariatric Surgery Behavioral Health Cancer Care Cardiac & Pulmonary Rehab Cardiology Diabetes Education & Support Ear/Nose/Throat Electrophysiology Endocrinology Gastroenterology General Surgery Hematology Home Health Home Medical Equipment Hospitals Infectious Disease Labs Lifestyle Medicine Long Term Acute Care Hospital Nephrology (Kidney) Neurology Open Heart & Thoracic Surgery Orthopedics Pain Medicine Pediatrics Pharmacy PM & R Podiatry Pregnancy & Newborn Care Primary Care (Family)/Internal Medicine Pulmonology (Lung Care) Radiation Oncology Radiology / Imaging Rehab (PT, OT, Speech Therapy) Senior Care Program Skilled Nursing/Swing Sleep Labs Urology Vascular Surger.

What it reported doing in 2024

Just as it has for the past seven decades, appalachian regional healthcare (arh) remained committed to its mission to provide the people of central appalachia with the highest quality of care in 2025. With 14 hospitals as well clinics, home health agencies, home medical equipment stores, pharmacies and rehabilitation services spread across both Kentucky and West Virginia, arh and its more than 6,000 team members and 1,300 medical providers is essential to the lives of those who reside in central appalachia. Arh's commitment to excellence was recognized throughout the 2025 fiscal year with a variety of honors and certifications. The arh system was named to forbes' list of america's best-in-state employers, summers county arh, barbourville arh, mary breckinridge arh, mcdowell arh, and tug valley arh regional medical center were all recognized as acute stroke ready centers. With those certifications bestowed by dnv, each of arh's 14 hospitals were officially stroke certified. Beckley and summers county arh received silver honors from the West Virginia hospital association and summers county arh received the wvha governor's award for outstanding support of tissue and cornea donation. Three arh birthing hospitals hazard arh, highlands arh and whitesburg arh, received the Kentucky perinatal quality collaborative (kypqc) award for the second consecutive year. Twelve arh hospitals were honored with american heart association get with the guidelines awards for their commitment to the treatment of stroke. The arh system's hard work on the technical front was again recognized as it achieved a level 8 ranking in chime's most wired health systems for both ambulatory and acute care for the fifth consecutive year.

Operating model

Revenue model
Earned-program. 93% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filed totals do not add up and liabilities are high compared with assets.

Rating breakdown

  • Financial Efficiency: 66
  • Transparency & Controls: 73
  • Accountability: 100
  • Sustainability: 69
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69.8%; rating input score 70
  • Program expense ratio: 80.8%; rating input score 81
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 84.6%; rating input score 85; 1st percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 61.8%; rating input score 62; 12th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 13.8%; rating input score 80; 80th percentile among comparable filings
  • Total-asset coverage ratio: 1.82; rating input score 60; 60th percentile among comparable filings
  • Liabilities to assets ratio: 0.46; rating input score 40; 40th percentile among comparable filings
  • Officer compensation ratio: 1.1%; rating input score 73; 73rd percentile among comparable filings

Growth

  • Program expense growth: 3.8% per year; rating input score 100; 29th percentile among comparable filings
  • Revenue growth: 4.1% per year; rating input score 100; 34th percentile among comparable filings
  • Asset growth: 9.7% per year; rating input score 100; 69th percentile among comparable filings

Details

  • What they do: 1 operating location identified
  • Where the money goes: 69.8% of revenue deployed · 80.8% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $750.5M in reported program spending
  • Leadership: top reported pay $1.6M · 26 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $64.4M reported
  • Consistency: 33 of 35 current checks pass · 2 findings to review
  • Schedules: 11 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 28 filed money-flow records
  • Related organizations: 28 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 40/100.