Health and Medical Administrative Services at American National University-Pikeville

This certificate carries an unusual earning pattern worth understanding: graduates start at $29,859 but see their income drop to $26,616 four years later—an 11% decline that's uncommon for healthcare administration roles. While first-year earnings beat both Kentucky's median ($26,638) and the national average ($27,783) for this program, the trajectory reversal suggests graduates may be hitting job-market headwinds or transitioning into lower-paying roles. That said, the program ranks in the 60th percentile statewide, meaning it outperforms many Kentucky alternatives, just not the top-tier programs like Sullivan University ($38,362) or Jefferson Community and Technical College ($36,397).

The debt picture is actually the bright spot here. At $17,264, borrowing is modest—well below the national median of $10,372 but competitive with Kentucky's typical $14,850. The debt-to-earnings ratio of 0.58 means graduates start owing about seven months' salary, which is manageable if those early earnings hold steady. However, given that 80% of students receive Pell grants, most families here are price-sensitive and may struggle if income declines post-graduation.

The small sample size (under 30 graduates) makes these numbers less reliable than larger programs. If you're considering this certificate, the safer Kentucky options appear to be community colleges or established programs with stronger four-year earnings. This works best for students who can secure strong positions quickly and either advance within their organization or use the credential as a stepping stone.