Appalachian Regional Healthcare Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.
- Income
- $1.1 billion
- Spending
- $928.7 million
- Spent on programs
- 81%
- Reserves
- 8.2 months of spending
- Largest source of income
- fees for its services, 92%
- Employees
- 5,638
- Volunteers
- 112
- Highest pay
- $1.6 million, president/ceo
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 83 out of 100. Higher than 78% of charities in its peer group (health care, over $100m).
Reserves
28 of 35Spendable reserves would cover 8.2 months of spending.
Debt
10 of 20It owes 46% of what it owns.
Living within its means
15 of 15Income exceeded spending by 14% of income.
Income trend
15 of 15Income rose 14% on the year before.
Spending floor
15 of 1581% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 2512 of 12 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $750.5 million spent. 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.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since March 1964.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.