Appalachian Regional Healthcare

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 63%; rating input score 63
• Program expense ratio: 81.8%; rating input score 82
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th 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: 61.4%; rating input score 61; 12th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 25%; rating input score 25; 10th 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: 23.3%; rating input score 89; 89th percentile among comparable filings
• Total-asset coverage ratio: 2.01; rating input score 63; 63rd percentile among comparable filings
• Liabilities to assets ratio: 0.18; rating input score 71; 71st percentile among comparable filings
• Officer compensation ratio: 2.4%; rating input score 48; 48th percentile among comparable filings

Growth

• Program expense growth: 13.5% per year; rating input score 100; 85th percentile among comparable filings
• Revenue growth: 16.5% per year; rating input score 100; 91st percentile among comparable filings
• Asset growth: 23.3% per year; rating input score 100; 95th percentile among comparable filings