ARH ADVANCED CARE BIG SANDY

South Williamson, KY

260 Hospital Dr, South Williamson, KY 41503(606) 237-4960

Beds

Inpatient discharges a year

$1.5M

Net patient revenue a year

About this hospital

ARH ADVANCED CARE BIG SANDY is a 25-bed hospital in South Williamson, KY.

CCN: 182010
NPI: 1275201162
Website: arh.org
County: Pike County
Metro area: Pikeville, KY MicroSA
Medicare contractor: Jurisdiction 15, CGS Administrators (15101)
In Medicare since: 2023
Last CMS survey: 2022

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
3 affiliated clinicians
See doctors and services
Finances
$1.5M net patient revenue
- Operating margin on patient care -250.1%
- -$3.5M net income
See finances
Ownership and leadership
Owned by Appalachian Regional Healthcare Inc
- Private (not for profit)
- Russell Barker, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for ARH ADVANCED CARE BIG SANDY in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
87-2421892Arh Advanced Care INC	18Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Aspirus Health Plan and 13 more	1275201162 Arh Advanced Care Inc.1346918240 Arh Advanced Care Inc.

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

260 Hospital Dr, South Williamson, KY 41503

(606) 237-4960

Get directions

Accreditation and services

Not accredited
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
25
Medicare-certified beds
5
Registered nurses (full-time equivalent)
2023
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What ARH ADVANCED CARE BIG SANDY reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

83
Inpatient discharges
Medicare 18%, Medicaid 5%
1,290
Inpatient days
14% of available bed days used
28
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 828636). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges ARH ADVANCED CARE BIG SANDY reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	437	56	797	1,290
Discharges	15	4	64	83
Average length of stay	29.1 days	14.0 days	12.5 days	15.5 days
Average daily census	1.2	0.2	2.2	3.5

277
Medicaid managed care days
18 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	25	1,290	437	14%

Source: CMS cost report (HCRIS, Form 2552-10), report 828636, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units ARH ADVANCED CARE BIG SANDY reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.

5
Registered nurses
2
Nurse anesthetists (CRNAs)
50
Respiratory therapists
2
Physical therapists
2
Occupational therapists
20
Speech pathologists and audiologists
2
Radiology technicians
2
Nuclear medicine technicians
3
Laboratory technicians
2
Dietitians
10
Social workers
9
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

3 clinicians who bill Medicare list ARH ADVANCED CARE BIG SANDY as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 2
Adult Medicine Physician 1

Christopher Beckett, DO
Adult Medicine Physician
NPI 1174575898
See commercial rates for Christopher Beckett, DO
Gabriel Carrillo, DO
Family Medicine Physician
NPI 1376032904
See commercial rates for Gabriel Carrillo, DO
Garett Francis, DO
Family Medicine Physician
NPI 1972125375
See commercial rates for Garett Francis, DO

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income ARH ADVANCED CARE BIG SANDY reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$7.8M	536.8%
Inpatient	$7.8M	536.8%
Contractual allowances and discounts	-$6.4M	-436.8%
Net patient revenue	$1.5M	100.0%
Operating expenses	-$5.1M	-350.1%
Operating income from patient care	-$3.7M	-250.1%
Other income	$130,228	8.9%
Net income	-$3.5M	-241.2%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$1.9M	24.6%
Other payers and self-pay	$5.9M	75.4%
Total charges	$7.8M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828636, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from ARH ADVANCED CARE BIG SANDY's latest cost report.

-250.1%
Operating margin
Operating income from patient care / net patient revenue
-221.5%
Total margin
Net income / net patient revenue plus other income
-201.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
-63.9%
Return on assets
Net income for a year / total assets
-63.9%
Return on equity
Net income for a year / fund balance
169 days
Days in patient receivables
Net patient receivables / daily net patient revenue
0.29
Asset turnover
Total revenue for a year / total assets
15.0 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 828636, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What ARH ADVANCED CARE BIG SANDY owned and owed at the end of its reporting period (Jun 2025), across all fund types: $5.5M in total assets and a $5.5M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Patient receivables, net	$677,426	12.3%
Inventory	$103,529	1.9%
Total current assets	$780,955	14.1%
Property and equipment, net of depreciation	$4.2M	76.3%
Investments and other assets	$529,777	9.6%
Total assets	$5.5M	100.0%
Fund balance (net assets)	$5.5M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828636, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

ARH ADVANCED CARE BIG SANDY's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 2 years

Fiscal year ending	Jun 2024	Jun 2025
Net patient revenue	$366,858	$1.5M
Operating expenses	$3.5M	$5.1M
Operating margin	-867.1%	-250.1%
Net income	-$3.2M	-$3.5M
Total assets	$3.7M	$5.5M
Discharges	42	83
Inpatient days	577	1,290
Beds	25	25
Employees (FTE)	21	28

Source: CMS cost report (HCRIS, Form 2552-10), report 828636, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center ARH ADVANCED CARE BIG SANDY reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 21 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge
Respiratory therapy	$368,478	$633,101	$1.7M	0.38
Drugs charged to patients		$275,659	$1.4M	0.20
Medical supplies charged to patient		$160,233	$404,160	0.40
Laboratory		$121,666	$692,752	0.18
Physical therapy		$49,072	$241,912	0.20
Occupational therapy		$42,353	$202,163	0.21
Radiology-diagnostic		$22,998	$205,713	0.11
Speech pathology		$7,080	$18,561	0.38

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$1.5M	$4.4M	$3.1M	1.45

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$117,387	$1.6M	11,794
Cap rel costs-bldg & fixt		$263,507	11,794
Employee benefits department	$43,478	$84,996
Social service	$68,418	$74,541
Cap rel costs-mvble equip		$54,981
Medical records & library	$30,013	$32,906
Pharmacy		$26,384
Laundry & linen service		$16,686
Operation of plant		$5,423
Dietary		$2,500
Central services & supply		$840
Housekeeping		$7

Source: CMS cost report (HCRIS, Form 2552-10), report 828636, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Ownership

Organizations ARH ADVANCED CARE BIG SANDY reports to Medicare as owners or with operational control.

Appalachian Regional Healthcare Inc
5% or greater direct ownership interest, 100%, since 2021

Sources: CMS Hospital All Owners.

Leadership

The officers and board members on ARH ADVANCED CARE BIG SANDY's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Hollie Harris Officer, Secretary, since 2021
James Maynard II Officer, Chief Operations Officer, since 2022
Russell Barker Officer, CEO, since 2022
Leon Hollon Officer, Chairman Of The Board, since 2023
Byron Lynn Gabbard Officer, Treasurer, since 2023
Jill Maynard Director, Director, since 2021
Aaron W Crum Director, Director, since 2023

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 7 of 11 are shown.

Officers and key employees of Arh Advanced Care Inc (IRS Form 990, tax year 2024)

Arh Advanced Care Inc files the Form 990 for the tax ID insurers list for ARH ADVANCED CARE BIG SANDY, so these people may lead the wider organization rather than ARH ADVANCED CARE BIG SANDY alone.

Name	Title
Hollie P Harris	Corporate Director/secretary
Russell Barker	President/ceo (term 1/2/25)
Jim Maynard	COO (term 1/31/25)
Patrick Downs MD	Director/interim CEO (start 6/25)
Leon Hollon	Chairman
Charles Lovell	Interim CEO (1/25-6/25)

Board members: Byron Gabbard, Dr Aaron Crum, Jill Maynard.

Source: IRS Form 990 Part VII filed by Arh Advanced Care Inc (EIN 87-2421892), via the IRS e-file data. A health system's return can cover several hospitals.

Frequently asked questions

About ARH ADVANCED CARE BIG SANDY's rates and hospital price transparency.

How many patients does ARH ADVANCED CARE BIG SANDY admit?

ARH ADVANCED CARE BIG SANDY reported 83 inpatient discharges and 1,290 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does ARH ADVANCED CARE BIG SANDY have?

ARH ADVANCED CARE BIG SANDY reported 28 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does ARH ADVANCED CARE BIG SANDY make?

ARH ADVANCED CARE BIG SANDY reported $1.5M in net patient revenue on $7.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -250.1%, and net income of -$3.5M.

Who is the CEO of ARH ADVANCED CARE BIG SANDY?

ARH ADVANCED CARE BIG SANDY's Medicare enrollment lists Russell Barker as CEO since 2022.

What is ARH ADVANCED CARE BIG SANDY's tax ID (EIN)?

Insurers' price transparency files list ARH ADVANCED CARE BIG SANDY under employer identification number 87-2421892 (Arh Advanced Care INC). 18 health plans and networks list 87-2421892 for it.

How many doctors are affiliated with ARH ADVANCED CARE BIG SANDY?

3 clinicians who bill Medicare list ARH ADVANCED CARE BIG SANDY as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (2), adult medicine physician (1).

Is ARH ADVANCED CARE BIG SANDY accredited?

CMS's Provider of Services file lists no accrediting organization for ARH ADVANCED CARE BIG SANDY; it is certified for Medicare through state survey.

Who owns ARH ADVANCED CARE BIG SANDY?

In its Medicare enrollment, ARH ADVANCED CARE BIG SANDY reports Appalachian Regional Healthcare Inc as 5% or greater direct ownership interest (100%).

How many beds does ARH ADVANCED CARE BIG SANDY have?

ARH ADVANCED CARE BIG SANDY has 25 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is ARH ADVANCED CARE BIG SANDY and what is its phone number?

ARH ADVANCED CARE BIG SANDY is located at 260 Hospital Dr, South Williamson, KY 41503. Its main phone number is (606) 237-4960.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]

{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

Talk to us about your MRF

Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

Talk to us about your chargemaster

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Officers and key employees of Arh Advanced Care Inc (IRS Form 990, tax year 2024)

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts