ARH ADVANCED CARE INC

EIN: 872421892 501(c)(3) Health Care

HAZARD, KY

Total Revenue
$10,842,087
Total Expenses
$17,219,185
Total Assets
$13,430,001
Net Assets
$-24,160,686
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
2021
Legal Domicile
KY
Principal Officer
DR PATRICK DOWNS
Phone
8592262440
Tax Period
2024-07-01 to 2025-06-30

ARH ADVANCED CARE INC, founded in 2021, is a mid-sized nonprofit in the Health Care sector that reported $10.8M in total revenue in fiscal year 2024. Revenue surged 180% from the prior year, signaling strong growth momentum. Expenses of $17.2M exceeded revenue, resulting in a 59% operating deficit.

Mission

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

Program Service Accomplishments

Program 1
Expenses: $14,358,394 Revenue: $10,829,411

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...

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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.

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Trantor Score

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $0
Program Service Revenue $10,829,411
Investment Income $0
Other Revenue $12,676
TOTAL REVENUE $10,842,087

Expense Breakdown

Grants Paid $0
Salaries & Benefits $7,018,761
Fundraising Expenses $0
Program Expenses $14,358,394
Other Expenses $10,200,424
TOTAL EXPENSES $17,219,185

Year-over-Year Comparison

2024 2023 Change
Revenue $10,842,087 $3,873,984 +1.8%
Expenses $17,219,185 $13,139,690 +0.3%
Net Income $-6,377,098 $-9,265,706 -0.3%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Governance

Voting Members
6
Independent Members
4
Employees
101
Volunteers
24

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
6
$1,915,446
Total Directors
6
$2,347,755
Key Employees
0
$0
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
PATRICK DOWNS MD DIRECTOR/INTERIM CEO (START 6/25) 40.00
Officer Director
$0 $0 $0
LEON HOLLON CHAIRMAN 3.00
Officer Director
$0 $0 $0
HOLLIE P HARRIS CORPORATE DIRECTOR/SECRETARY 3.00
Officer Director
$0 $118,812 $1,622,589
BYRON GABBARD CORPORATE DIRECTOR 5.00
Director
$0 $60,915 $725,166
DR AARON CRUM DIRECTOR 3.00
Director
$0 $0 $0
JILL MAYNARD DIRECTOR 3.00
Director
$0 $0 $0
CHARLES LOVELL INTERIM CEO (1/25-6/25) 40.00
Officer
$0 $0 $0
RUSSELL BARKER PRESIDENT/CEO (TERM 1/2/25) 40.00
Officer
$131,846 $57,332 $189,178
JIM MAYNARD COO (TERM 1/31/25) 40.00
Officer
$0 $5,843 $103,679
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2025 $10,842,087 $17,219,185 $13,430,001 $-6,377,098
2024 No data No data No data No data
2023 $3,552,070 $11,846,931 $7,911,129 $-8,294,861
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