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Short-term acute care hospital · Prestonsburg, Kentucky · 63 beds · CMS certification number 180005

Highlands Arh Regional Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS May 29, 2026. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$110.6M
$110,637,584 · G-3 line 3
Operating expenses
$135.0M
$135,023,291 · G-3 line 4
Result from patient care
−$24.4M
−$24,385,707 · G-3 line 5
Margin on patient care
−22.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $50.6M in its first year on file (1997) to $110.6M in 2025.
  • Its result from patient care: −$31.5M (2023), −$30.3M (2024), −$24.4M (2025).
  • None of the 5 short-term acute care hospital peers below with a margin on file reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 2.3% of its inpatient days and Medicare for 20.2%.
  • APPALACHIAN REGIONAL HEALTHCARE INC holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$50.6M
$50.7M
1998
reopened
$54.0M
$53.6M
1999
reopened
$53.6M
$52.4M
2000
reopened
$40.4M
$41.0M
2001
reopened
$48.1M
$46.6M
2002
reopened
$56.8M
$51.9M
2003
reopened
$53.4M
$49.5M
2004
reopened
$57.1M
$53.9M
2005
settled
$58.0M
$56.2M
2006
reopened
$62.5M
$60.6M
2007
reopened
$62.8M
$60.3M
2008
settled
$76.1M
$72.5M
2009
reopened
$82.2M
$77.9M
2010
reopened
$84.1M
$80.9M
2011
reopened
$79.7M
$64.6M
2012
reopened
$79.1M
$80.8M
2013
reopened
$77.9M
$84.6M
2014
reopened
$67.6M
$85.9M
2015
reopened
$80.6M
$82.1M
2016
reopened
$86.4M
$87.1M
2017
reopened
$82.4M
$91.7M
2018
settled
$74.2M
$79.2M
2019
reopened
$74.3M
$83.7M
2020
reopened
$79.5M
$83.4M
2021
settled
$90.7M
$99.2M
2022
settled
$98.5M
$121.9M
2023
settled
$96.5M
$128.0M
2024
as submitted
$94.7M
$125.0M
2025
as submitted
$110.6M
$135.0M

Beside its peers

Short-term acute care hospitals in Kentucky with 50 to 99 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Highlands Arh Regional Medical Center63$110,637,584$135,023,291−22.0%
Clark Regional Medical Center, Winchester75$202,084,066$164,314,38918.7%
Centerpoint Health - Georgetown, Georgetown75$167,034,909$138,920,22416.8%
Harlan Arh Hospital, Harlan56$79,561,979$73,625,7227.5%
Spring View Hospital, Lebanon63$55,396,366$54,372,3791.8%
Three Rivers Medical Center, Louisa65$53,838,593$44,588,76517.2%

Patients and payers

Discharges
3,357
S-3 line 14, col 15
Inpatient days
15,013
S-3 line 14, col 8
Beds in use, on an average day
41.2
days ÷ days in year
Occupancy
65.3%
days ÷ bed days
Medicare share of days
20.2%
S-3 cols 6 ÷ 8
Medicaid share of days
2.3%
S-3 cols 7 ÷ 8

Who owns it

  • APPALACHIAN REGIONAL HEALTHCARE INC100%

Related organizations on its own cost report: ARH (100%), home office.

Other hospitals with the same owner: Paintsville Arh Hospital (KY), Arh Our Lady of the Way (KY), Mary Breckinridge Arh Hospital (KY), Barbourville Arh Hospital (KY), Arh Advanced Care - Big Sandy (KY), Arh Advance Care-Ky River (KY).

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 180005. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read May 29, 2026.