RACH was known as Sacred Heart Hospital when it opened in 1954. The hospital later changed its name to Richwood Area Medical Center when it was purchased by Charleston Area Medical Center. The hospital adopted its current name when CAMC sold the hospital to a community consortium. RACH is assisted by two of West Virginia's largest hospitals, CAMC and Raleigh General Hospital in Beckley for more serious injuries. For health concerns that are not life-threatening but cannot be treated at RACH, patients are sent to nearby Summersville Memorial Hospital in Summersville.