Arh Advanced Care Inc

Nonprofit profile at a glance

EIN
872421892
IRS 990 coverage
2022–2024
Forms available
Form 990 2024, Form 990-N 2021
Location
Hazard, KY, USA
Phone
8592262440
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$10,842,087
Expenses
$17,219,185
Assets
$13,430,001
Liabilities
$37,590,687

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

Leadership & pay

9 people listed

Executive titles in this filing

  • PATRICK DOWNS MD (DIRECTOR/INTERIM CEO (START 6/25))
  • CHARLES LOVELL (INTERIM CEO (1/25-6/25))
  • RUSSELL BARKER (PRESIDENT/CEO (TERM 1/2/25))

Highest reported compensation

  • HOLLIE P HARRIS (CORPORATE DIRECTOR/SECRETARY): $1,622,589 total reported compensation
  • BYRON GABBARD (CORPORATE DIRECTOR): $725,166 total reported compensation
  • RUSSELL BARKER (PRESIDENT/CEO (TERM 1/2/25)): $189,178 total reported compensation

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

Overview

Mission

To improve health and promote well-being of all people in central appalachia in partnership with our communities.

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 100% 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. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 60
  • Accountability: 81
  • Sustainability: 18
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 83.4%; rating input score 83
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 11th 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: -58.8%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0.78; rating input score 28; 28th percentile among comparable filings
  • Liabilities to assets ratio: 2.8; rating input score 1; 1st percentile among comparable filings
  • Officer compensation ratio: 2.2%; rating input score 75; 75th percentile among comparable filings

Growth

  • Program expense growth: 9.6% per year; rating input score 100; 69th percentile among comparable filings
  • Revenue growth: 59.9% per year; rating input score 100; 99th percentile among comparable filings
  • Asset growth: 33.2% per year; rating input score 100; 97th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 83.4% of spending went to programs
  • Governance: 4 of 6 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $14.4M in reported program spending
  • Leadership: top reported pay $1.6M · 9 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $2.6M reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 6 filed schedules · includes executive pay
  • Filing history: 3 filing years from 2022 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 4 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.

Key Signals

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

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Sustainability: Total-asset coverage ratio scored 28/100.
  • High — Sustainability: Liabilities to assets ratio scored 1/100.