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Nonprofiteer
← ARH ADVANCED CARE INC

Form 990 for tax year 2022

Filed by ARH ADVANCED CARE INC.

Totals

Total revenue
$3,552,070
Total expenses
$11,846,931
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,551,718
Investment income
$0
Other revenue
$352
Total assets, end of year
$7,911,129
Total liabilities, end of year
$16,429,011
Net assets or fund balances, end of year
-$8,517,882
Program services expenses (Part IX)
$11,837,405
Management and general expenses
$9,526
Fundraising expenses
$0
Program service expenses (Part III)
$11,837,405

Program services were 99.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PATIENT REVENUE

    total $3,551,718 · related or exempt $3,551,718

  • 11a · Other revenue: MISCELLANEOUS

    total $352 · excluded $352

  • 11e · Other revenue, total

    $352

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $166,378 · program services $166,308 · management and general $70

  • 7 · Other salaries and wages

    total $5,587,207 · program services $5,584,666 · management and general $2,541

  • 8 · Pension plan contributions

    total $7,555 · program services $7,555

  • 9 · Other employee benefits

    total $87,405 · program services $83,454 · management and general $3,951

  • 10 · Payroll taxes

    total $140,893 · program services $138,751 · management and general $2,142

  • 11g · Fees: other

    total $1,723,717 · program services $1,723,404 · management and general $313

  • 13 · Office expenses

    total $38,131 · program services $38,049 · management and general $82

  • 16 · Occupancy

    total $364,630 · program services $364,630

  • 17 · Travel

    total $2,157 · program services $1,730 · management and general $427

  • 23 · Insurance

    total $16,200 · program services $16,200

  • 24a · Other expenses: BAD DEBT

    total $3,465,719 · program services $3,465,719

  • 24b · Other expenses: SUPPLIES

    total $228,147 · program services $228,147

  • 24c · Other expenses: RECRUITMENT EXPENSE

    total $8,316 · program services $8,316

  • 24d · Other expenses: EQUIPMENTAL RENTAL AND

    total $318 · program services $318

  • 24e · All other expenses

    total $10,158 · program services $10,158

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $27,583 · end of year $130,482

  • 4 · Accounts receivable

    beginning of year $0 · end of year $6,722,133

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $136,147

  • 9 · Prepaid expenses and deferred charges

    beginning of year $15,731 · end of year $922,367

  • 17 · Accounts payable and accrued expenses

    beginning of year $43,446 · end of year $7,800,788

  • 25 · Other liabilities

    beginning of year $222,889 · end of year $8,628,223

  • 27 · Net assets without donor restrictions

    beginning of year -$223,021 · end of year -$8,517,882

Mission and programs · 2022

Mission

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

Activities or mission (Part I)

TO PROVIDE TREATMENT FOR SERIOUS MEDICAL CONDITIONS THROUGH ITS LONG-TERM ACUTE CARE HOSPITALS.

  • 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 NEEDED EXTENDED LONG TERM CARE AND IMPROVE THE OVERALL HEALTH OF THE RESIDENTS THAT LIVE IN THE TARGETED CENTRAL APPALACHIA REGION.DURING FY23, ARH ADVANCED CARE COMPLETED THE LTACH CONSTRUCTION PROJECT AND STARTED TREATING PATIENTS AT BOTH LOCATIONS. THE BIG SANDY LOCATION HAS COMPLETED THE 6 MONTH DEMONSTRATION PERIOD REQUIREMENTS FOR CMS AND IS AWAITING APPROVAL AS A CERTIFIED LTACH. THE KY RIVER LOCATION HAS SUBMITTED A CERTIFICATION PACKET TO CMS FOR REVIEW AND APPROVAL.ARH ADVANCED CARE HAS 93 PROVIDERS CREDENTIALED AT BIG SANDY AND 120 PROVIDERS CREDENTIALED AT KY RIVER. IN SEPTEMBER 2023, IN-PATIENT DIALYSIS SERVICES WERE ADDED TO THE SERVICES OFFERED AT BOTH ARH ADVANCED CARE LOCATIONS.IN KEEPING WITH THE MISSION OF ARH ADVANCED CARE, THIS FACILITY HAS 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 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.

    Expenses $11,837,405 · Revenue $3,551,718

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • BYRON GABBARD

    CORPORATE DIRECTOR

    Total calculated
    $532,315
    From this org
    $0
    From related orgs
    $505,015
    Other
    $27,300
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $393,015 related
    Bonus
    $0 + $112,000 related
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $6,800 related
    Filer's total
    $0 + $532,315 related

  • DR AARON CRUM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • HOLLIE P HARRIS

    CORPORATE DIRECTOR/ SECRETARY

    Total calculated
    $1,109,740
    From this org
    $0
    From related orgs
    $1,074,400
    Other
    $35,340
    Hours/week
    3 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $836,960 related
    Bonus
    $0 + $237,440 related
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $14,840 related
    Filer's total
    $0 + $1,109,740 related

  • JILL MAYNARD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • LEON HOLLON

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    5

  • JIM MAYNARD

    CHIEF OPERATING OFFICER

    Total calculated
    $117,426
    From this org
    $0
    From related orgs
    $114,383
    Other
    $3,043
    Hours/week
    40

  • PATRICK DOWNS MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $9,800
    From this org
    $9,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • RUSSELL BARKER

    PRESIDENT/CEO

    Total calculated
    $166,378
    From this org
    $154,828
    From related orgs
    $0
    Other
    $11,550
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,828
    Bonus
    $0
    Other
    $0
    Deferred
    $11,550
    Nontaxable benefits
    $0
    Filer's total
    $166,378

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE RELATED ORGANIZATION USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION FOR ITS CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE RELATED ORGANIZATION, 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 $20,500 IN 2022. 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 - $14,840; BYRON GABBARD - $6,800
PART I, LINE 6
THE COMPENSATION AND CONTRACTS COMMITTEE OF THE RELATED ORGANIZATION (ARH) 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202411369349306816

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