facebook tracking Harlan Appalachian Regional Healthcare Hospital: Ball Park Rd - Harlan, KY

Harlan Appalachian Regional Healthcare Hospital, Harlan, KY

Ball Park Rd, Harlan, KY 40831Harlan County

Acute care hospital 56 beds (Medicare cost report FY2025) Emergency room

Independent directory · data from CMS, not from this hospital

Harlan Appalachian Regional Healthcare Hospital is a non-profit acute care hospital in Harlan, Kentucky, with an emergency department. According to HospitalsInEachState.com's analysis of the July 2026 CMS release, patients treated and sent home spend a median of 3 hr 16 min in its emergency department, 48 min longer than the average across Kentucky hospitals (2 hr 28 min). Medicare rates it 2 out of 5 stars overall, and patients give it 3 out of 5 in the Medicare patient survey.

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Visiting Harlan Appalachian Regional Healthcare Hospital

Address Ball Park Rd
Harlan, KY 40831
County: Harlan
Directions Apple Maps Call (606) 573-8100
Emergency room Yes. For patients treated and sent home, the median ER visit here lasts 3 hr 16 min (average across KY hospitals: 2 hr 28 min). Medicare's median time in the ER for patients treated and sent home; not a live wait. ER times across KY
What to bring
  • Photo ID and your insurance, Medicare or Medicaid card
  • A list of your medicines, doses and allergies
  • Your doctor's name and phone number
  • A phone charger
Visiting hours and parking vary: call ahead.

Official links: Website for Harlan Appalachian Regional Healthcare Hospital (opens the hospital's site)

Quick answers about Harlan Appalachian Regional Healthcare Hospital

How long is the ER wait at Harlan Appalachian Regional Healthcare Hospital?

CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 3 hr 16 min in the Harlan Appalachian Regional Healthcare Hospital emergency room (the average across Kentucky hospitals is 2 hr 28 min). 2% of ER patients left before being seen. For tonight's wait, check the hospital's website (opens the hospital's own site) or call (606) 573-8100. In an emergency, call 911.

What is the phone number for Harlan Appalachian Regional Healthcare Hospital?

The main phone number for Harlan Appalachian Regional Healthcare Hospital is (606) 573-8100, from Medicare's hospital records.

Call (606) 573-8100
What is the address of Harlan Appalachian Regional Healthcare Hospital?

Harlan Appalachian Regional Healthcare Hospital is at Ball Park Rd, Harlan, KY 40831.

Directions (opens Google Maps)
Does Harlan Appalachian Regional Healthcare Hospital have an emergency room?

Yes. Harlan Appalachian Regional Healthcare Hospital has an emergency department, according to Medicare data.

What is Harlan Appalachian Regional Healthcare Hospital's Medicare star rating?

Harlan Appalachian Regional Healthcare Hospital has an overall rating of 2 out of 5 stars from the Centers for Medicare & Medicaid Services (CMS). Star ratings come from CMS quality and safety measures, not patient reviews.

Quality and performance

Centers for Medicare & Medicaid Services · data as of July 2026

Patients treated and sent home from the emergency department at Harlan Appalachian Regional Healthcare Hospital spend a median of 3 hours 16 minutes there. That is 48 minutes longer than the average across Kentucky hospitals (2 hours 28 minutes).

CMS rating ★★★★★ 2/5
Left before seen 2%
ER volume low
Type Acute Care
Ownership Non-profit
Maternity Birthing-friendly

Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Harlan Appalachian Regional Healthcare Hospital. For a medical emergency, call 911.

Compare ER waits across Kentucky · How Kentucky hospitals rank on star ratings · Other birthing-friendly hospitals in Kentucky · How we source this data · Something wrong on this page? Tell us

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What patients say

CMS patient survey (HCAHPS) · 144 completed surveys · patients discharged Oct 2024 – Sep 2025

Patients gave Harlan Appalachian Regional Healthcare Hospital a 3-star patient experience rating out of 5. 62% would definitely recommend it (U.S. average 71%). 65% rated it 9 or 10 out of 10.

Patient star rating ★★★★★ 3 out of 5
Would definitely recommend 62% U.S. 71% · KY 71%
Rated 9 or 10 of 10 65% U.S. 72% · KY 73%
Survey response rate 13% of patients surveyed
Nurse communicationDid nurses treat you with courtesy and respect, listen carefully and explain things clearly?
★★★★★
81% always · 3% sometimes or never · U.S. 80% always
Doctor communicationDid doctors treat you with courtesy and respect, listen carefully and explain things clearly?
★★★★★
79% always · 10% sometimes or never · U.S. 80% always
Communication about medicinesBefore giving you a new medicine, did staff tell you what it was for and its possible side effects?
★★★★★
63% always · 19% sometimes or never · U.S. 62% always
Discharge informationDid staff talk with you about help you would need at home and symptoms to watch for?
★★★★★
77% yes · 23% no · U.S. 86% yes
CleanlinessHow often were your room and bathroom kept clean?
★★★★★
69% always · 5% sometimes or never · U.S. 74% always
Quiet at nightHow often was the area around your room quiet at night?
★★★★★
64% always · 7% sometimes or never · U.S. 60% always
Overall hospital ratingUsing any number from 0 to 10, what number would you use to rate this hospital?
★★★★★
65% 9 or 10 · 11% 6 or lower · U.S. 72% 9 or 10
Would recommendWould you recommend this hospital to your friends and family?
★★★★★
62% definitely yes · 5% no · U.S. 71% definitely yes

The patient survey (HCAHPS) asks a random sample of adult patients about their recent hospital stay. CMS adjusts the results for the mix of patients and how the survey was done, so hospitals can be compared fairly. About the data.

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Infections, complications and deaths

Centers for Medicare & Medicaid Services · compared with hospitals nationwide

Harlan Appalachian Regional Healthcare Hospital was no different from the national benchmark on the one hospital-acquired infection CMS could compare. Its rate of serious complications was same as national.

Hospital-acquired infections

C. diff intestinal infectionsClostridioides difficile infections, a bacteria that causes severe diarrhea, often after antibiotics.
Same as national 1 infections vs 3 predicted · ratio 0.33

Serious complications

Serious complications (CMS PSI 90)Combines patient safety problems such as falls with fractures, bed sores, collapsed lungs, blood clots and infections after surgery. 1.00 is the national value; lower is better.
Same as national Ratio 0.97

Death rates within 30 days

Patients treated forThis hospitalU.S.
Heart failure patients 13.8% 11.1%
Pneumonia patients 17.9% 15.2%
COPD patients 7.9% 8.6%
Hospital-wide, all conditions 4.2% 3.9%

Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.

Other complications

None of the other safety indicators CMS compares was statistically better or worse than national.

All 6 complication measures
MeasureThis hospitalU.S.CMS comparison
Pressure ulcers (bed sores)per 1,000 patients 0.46 0.63 Same as national
Falls in the hospital that caused a broken boneper 1,000 patients 0.26 0.27 Same as national
Collapsed lung caused by a medical procedureper 1,000 patients 0.2 0.21 Same as national
Bleeding or blood clot under the skin after surgeryper 1,000 patients 2.31 2.34 Same as national
Blood clots in the lungs or legs after surgeryper 1,000 patients 3.92 3.52 Same as national
Accidental cuts or tears during abdominal surgeryper 1,000 patients 1.03 1.06 Same as national

"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted), for Oct 2024 – Sep 2025. Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.

Health insurance at Harlan Appalachian Regional Healthcare Hospital

Original Medicare: Medicare-certified, so it can bill Original Medicare (Medicare number 180050). Medicare Advantage plans have their own networks, which this section does not cover.

Kentucky runs its own exchange, Kynect. Check its provider directory for Harlan Appalachian Regional Healthcare Hospital.

Is Harlan Appalachian Regional Healthcare Hospital in your plan?

Kentucky runs its own health insurance marketplace, so plan networks there aren't in HealthCare.gov's data.

Check on Kynect

Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals Networks change; confirm with your insurer before you go.

Readmissions and return visits

Centers for Medicare & Medicaid Services · Medicare patients · Jul 2023 – Jun 2025

On the 1 readmission and return-visit measures CMS could compare, Harlan Appalachian Regional Healthcare Hospital was no different from the national rate or its expected level.

Back in the hospital within 30 days

After a stay forThis hospitalU.S.CMS comparison
Heart failure 21.8% 21.3% Not compared
Pneumonia 17.3% 17.3% Not compared
COPD (chronic lung disease) 19.7% 20% Not compared

Return trips after a stay or procedure

Extra days back in hospital after heart failureDays spent back in the ER, under observation or readmitted within 30 days, per 100 discharges, compared with what was expected.
Not compared +62.1 days per 100 discharges vs expected · U.S. +1.3
Extra days back in hospital after pneumoniaDays spent back in the ER, under observation or readmitted within 30 days, per 100 discharges, compared with what was expected.
Not compared +30.8 days per 100 discharges vs expected · U.S. +3.9
Hospital visits within 7 days of an outpatient colonoscopyUnplanned hospital visits per 1,000 colonoscopies.
Same as national 14.2 per 1,000 procedures · U.S. 13

Medicare's readmission program

Excess readmission ratio: this hospital's predicted readmissions divided by the number expected for a typical hospital with the same patients. Above 1.00 means more readmissions than expected. 3 of 3 conditions are above 1.00.

ConditionRatioPatientsReadmissions
Pneumonia 1.099 168 More than expected
Heart failure 1.069 50 More than expected
COPD 1.032 56 More than expected

Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.

Timely and effective care

Centers for Medicare & Medicaid Services · all patients unless noted · Oct 2024 – Sep 2025

Harlan Appalachian Regional Healthcare Hospital's emergency department is classed by CMS as low volume.

MeasureThis hospitalU.S.
Sepsis: got all recommended early treatmentPatients with severe sepsis or septic shock who received every step of the recommended early care bundle. Higher is better. 257 patients. 77% 65%
Septic shock: full treatment within 3 hoursHigher is better. 74 patients. 92% 73%
Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 394 patients. 196 min 162 min
Typical ER time for mental health patients sent homeMedian minutes from arrival to leaving. Lower is better. 21 patients. 242 min 257 min
Typical ER time for patients transferred to another facilityMedian minutes from arrival to leaving. Lower is better. 59 patients. 207 min 287 min
Patients who left the ER before being seenLower is better. 13,393 patients. 2% 2%
Health care workers vaccinated against fluHigher is better. 445 patients. 92% 78%
Discharged on two opioids, or an opioid and a benzodiazepinePatients sent home with prescriptions that raise the risk of overdose when combined. Lower is better. 538 patients. 19% 15%
Colonoscopy: right follow-up interval for average-risk patientsHigher is better. 21 patients. 100% 93%

CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. About the data.

Maternity care

Centers for Medicare & Medicaid Services · reported by the hospital · Jan 2024 – Dec 2024

Maternity safety practices (CMS SM-7)Whether the hospital reports taking part in a state or national perinatal quality program and following its patient-safety practices.
Yes

Maternity measures are reported by hospitals that deliver babies. The U.S. figure is the median of the hospitals CMS reports, not a CMS verdict. About the data.

Medicare spending and payment programs

Centers for Medicare & Medicaid Services

Hospital-acquired conditions · FY 2026
1% payment cut
Ranked in the worst-performing quarter of hospitals on infections and patient-safety problems, so Medicare cut its payments by 1% for the year. 719 of 3,012 hospitals were penalized.
Value-based purchasing · FY 2026
27.1 / 100
Total performance score; the median hospital scored 29.5. Medicare raises or lowers each hospital's payments based on this score.
Medicare spending per patient
0.95
5% less than the national median per hospital stay (about $26,046 vs $27,417), counting Medicare spending from 3 days before admission to 30 days after discharge.

Value-based purchasing scores by area

AreaScore (out of 100)
Clinical outcomesDeath rates and complications3.3
Patient experiencePatient survey results15
SafetyHospital-acquired infections40
Efficiency and costMedicare spending per patient50

The Hospital-Acquired Condition Reduction Program cuts Medicare payments by 1% for the quarter of hospitals with the worst scores. The Hospital Value-Based Purchasing Program withholds a small share of every hospital's Medicare payments and pays it back according to the total performance score. A spending ratio of 1.00 equals the national median; spending reflects prices, the services patients received and care after discharge, not quality. Some hospitals, such as critical access, children's and cancer hospitals, are not part of these programs. About the data.

Care after a stay at Harlan Appalachian Regional Healthcare Hospital

Medicare-certified providers near this hospital, with their CMS ratings. A hospital discharge planner can make the referral.

Skilled nursing facilities nearby

Skilled nursing ratings and inspections at Nursing Homes In Each State

Dialysis centers nearby See more

Home health agencies nearby See more

Source: CMS Care Compare. Distances are approximate.

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Inpatient psychiatric unit

In a mental health crisis? Free, 24/7 Suicide & Crisis Lifeline. Emergency? Call 911.

CMS Inpatient psychiatric care Quality Reporting Program, data through March 2025 · unit CCN 180050

Harlan Appalachian Regional Healthcare Hospital runs an inpatient psychiatric unit that reports its own results to Medicare. Readmitted within 30 days: 20% here, against 19% nationally. Where CMS compares facilities statistically, this one is no different from the national rate.

After discharge

Readmitted within 30 days Patients readmitted to any hospital within 30 days of discharge (risk-adjusted). CMS compares each facility with the national rate. Based on 70 patients. Jul 2022 – Jun 2024.
20% U.S. 19% Same as national
Discharge record sent Patients whose discharge record, with the required details, was sent with them or to their next provider. Based on 580 patients. Jan 2024 – Dec 2024.
93% U.S. 63% · top 10% 99%

During the stay

Physical restraint use Hours patients spent in physical restraints for every 1,000 hours of inpatient care. Lower is better. Jan 2024 – Dec 2024.
0.03 U.S. 0.29
Seclusion use Hours patients spent in seclusion for every 1,000 hours of inpatient care. Lower is better. Jan 2024 – Dec 2024.
0.07 U.S. 0.36
Screened for metabolic disorders Patients on antipsychotic medication who were screened for metabolic problems such as diabetes and high cholesterol. Based on 408 patients. Jan 2024 – Dec 2024.
99% U.S. 82% · top 10% 100%
Addiction treatment offered at discharge Patients with an alcohol or drug use disorder who were given or offered treatment when they left. Based on 43 patients. Jan 2024 – Dec 2024.
98% U.S. 72% · top 10% 100%
Tobacco treatment offered at discharge Tobacco users who were given or offered help to quit when they left. Based on 78 patients. Jan 2024 – Dec 2024.
95% U.S. 58% · top 10% 98%
Flu vaccination checked Patients assessed for and, where appropriate, given a flu vaccine. Based on 230 patients. Oct 2024 – Mar 2025.
100% U.S. 76% · top 10% 99%

Source: CMS Inpatient psychiatric care Quality Reporting Program (Provider Data Catalog). Better/worse labels appear only where CMS itself compared the facility with the national rate; other figures are shown next to the national figure for context. If you or someone you know is in crisis, call or text 988 (Suicide and Crisis Lifeline) or call 911.

Doctors at Harlan Appalachian Regional Healthcare Hospital

62 Medicare-enrolled doctors and other clinicians list this hospital as an affiliation, across 19 specialties.

See all 62 clinicians

Find doctors in Harlan

Medicare-enrolled specialists with a practice in Harlan, with addresses, phone numbers and the hospitals they work with.

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What Medicare paid at Harlan Appalachian Regional Healthcare Hospital

Centers for Medicare & Medicaid Services · original Medicare patients · 2024

Average hospital charges and actual payments for the procedures Medicare patients most often had here, compared with the average for Kentucky.

Hospital stays

StayStaysAvg billedAvg payment (Medicare + patient)vs state
Septicemia or severe sepsis without ventilator >96 hours with major complicationsDRG 871 82 $46,779 $15,110 +2%
Simple pneumonia and pleurisy with major complicationsDRG 193 24 $31,946 $10,599 +7%
Chronic obstructive pulmonary disease with major complicationsDRG 190 19 $27,987 $8,977 +9%
Pulmonary edema and respiratory failureDRG 189 15 $25,704 $10,109 +7%
Kidney and urinary tract infections without major complicationsDRG 690 15 $24,173 $6,794 +9%
Respiratory infections and inflammations with major complicationsDRG 177 14 $61,324 $12,764 +6%

Outpatient services

ServiceServicesAvg billedAvg allowed
Comprehensive Observation ServicesAPC 8011 263 $22,713 $2,442
Level 1 Intraocular ProceduresAPC 5491 27 $12,165 $2,094
Level 4 Urology and Related ServicesAPC 5374 15 $23,651 $3,132
Level 3 Vascular ProceduresAPC 5183 14 $21,332 $2,864
Level 3 Urology and Related ServicesAPC 5373 12 $19,062 $1,830

Charges are the hospital's list prices; payments are what Medicare, the patient and any other insurer actually paid (for outpatient services, Medicare's allowed amount). Private insurance prices differ. "vs state" compares this hospital's average payment with the state average for the same stay. All procedure costs.

Size and finances

Medicare cost report · fiscal year ending Jun 2025

Beds
56
Reported to Medicare, FY2025
Employees
290
Full-time equivalent
Discharges
2,080
Inpatient stays a year
Patient revenue
$79.6 million
Net of discounts
Operating margin
7.5%
On patient care
Charity care
$563,000
0.8% of expenses
Bad debt
$3.5 million
Unpaid patient bills

As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare Kentucky hospital finances.

Who owns Harlan Appalachian Regional Healthcare Hospital

Medicare enrollment and ownership records (PECOS)

Medicare lists the hospital's legal name as Appalachian Regional Healthcare Inc, a non-profit organization, incorporated 1963.

128 doctors and other clinicians list Harlan Appalachian Regional Healthcare Hospital as a hospital affiliation in Medicare's clinician directory.

Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.

Non-profit finances

IRS Form 990 · tax year ending Jun 2023 · Appalachian Regional Healthcare Inc (EIN 52-0795508)

Revenue
$882.9 million
Expenses
$901.9 million
Deficit
$19.0 million
-2.2% of revenue
Officer pay
$3.2 million
Compensation of current officers, directors and key employees

As filed with the IRS by Appalachian Regional Healthcare Inc, which also files for 6 other hospitals listed here, so the figures cover more than this hospital. Matched by name and address, so check the filing to confirm it's the right organization. See the full Form 990 filings · Non-profit hospital finances.

The area around Harlan Appalachian Regional Healthcare Hospital

HRSA shortage designations and BLS pay data

Primary care: Parts of Harlan are federally designated health professional shortage areas (1 designation). Highest shortage score 20.

Mental health: Harlan is a federally designated health professional shortage area. Highest shortage score 13.

Dental: Parts of Harlan are federally designated health professional shortage areas (1 designation). Highest shortage score 19.

Nurse pay: registered nurses in Kentucky earn a median $81,040 a year. Healthcare salaries in Kentucky.

Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. Kentucky shortage areas

Healthcare pay in Kentucky

Registered nurses across Kentucky (all employers) earned a median of $81,040 a year (BLS, May 2025).Registered Nurse (RN) salary in KentuckyNurse Practitioner salary in KentuckyRespiratory Therapist salary in KentuckyHealthcare salaries in Kentucky

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Cite this data

Writing about Harlan Appalachian Regional Healthcare Hospital? You're welcome to quote these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.

Figures as of the July 2026 CMS release Updated automatically when CMS publishes new data Permanent link: hospitalsineachstate.com/hospitals/kentucky/harlan/harlan-appalachian-regional-healthcare-hospital/ball-park-rd/

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