Civic Intelligence

Sarh Holdings Inc

EIN 92-2332099 • 501(c)3 • El Dorado, AR

Profile

The mission of sarh is to improve the health and healing of the people of south arkansas, and its vision is to be the regional health care provider of choice through the values of "we care": welcoming, excellence, compassion, adaptability, respect, equality.

815 Thompson Avenue BEl Dorado, AR 71730

www.sarhcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.51x

Higher debt load relative to assets than 72% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

49th percentile

0.32x

Higher debt load relative to revenue than 49% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

12th percentile

-15%

Higher net margin than 12% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

66th percentile

$476,319

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

4th percentile

-22%

Faster asset growth than 4% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

22nd percentile

-3.5%

Faster revenue growth than 22% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$44,089,305

Down $12,180,284 (-22%) from 2023

Liabilities

Down

$22,589,011

Down $1,528,921 (-6.3%) from 2023

Net Assets

Down

$21,500,294

Down $10,651,363 (-33%) from 2023

Revenue

Down

$70,795,435

Down $2,546,524 (-3.5%) from 2023

Expenses

Up

$81,446,798

Up $40,256,496 (+98%) from 2023

Net Income

Down

-$10,651,363

Down $42,803,020 (-133%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2023: $56,269,589Liabilities 2023: $24,117,932Net Assets 2023: $32,151,6572023Assets 2024: $44,089,305Liabilities 2024: $22,589,011Net Assets 2024: $21,500,2942024

Highlighted filing

2024

Assets$44,089,305
Liabilities$22,589,011
Net Assets$21,500,294

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MRevenue 2023: $73,341,959Expenses 2023: $41,190,302Net Income 2023: $32,151,6572023Revenue 2024: $70,795,435Expenses 2024: $81,446,798Net Income 2024: -$10,651,3632024

Highlighted filing

2024

Revenue$70,795,435
Expenses$81,446,798
Net Income-$10,651,363

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$70,795,435
Mission and Program Overview

Mission

The mission of sarh is to improve the health and healing of the people of south arkansas, and its vision is to be the regional health care provider of choice through the values of "we care": welcoming, excellence, compassion, adaptability, respect, equality.

The mission of sarh holdings is to improve the health and healing of the people of south arkansas, and its vision is to be the regional health care provider of choice through the values of "we care": welcoming, excellence, compassion, adaptability, respect, equality.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,960,830$15,521,669▲ $1,560,839
Accounts Receivable$27,085,153$13,448,956▼ $13,636,197
Prepaid Expenses and Deferred Charges$2,192,445$3,264,609▲ $1,072,164
Cash and Non-Interest-Bearing Accounts$3,729,170$2,962,596▼ $766,574
Inventories for Sale or Use$2,706,187$2,898,873▲ $192,686
Savings and Temporary Cash Investments$3,000,082$12,059▼ $2,988,023
Total Assets$56,269,589$44,089,305▼ $12,180,284
Other Assets Total$3,595,722$5,980,543▲ $2,384,821
Liabilities
Accounts Payable and Accrued Expenses$8,407,406$12,066,662▲ $3,659,256
Other Liabilities$3,710,526$6,392,349▲ $2,681,823
Mortgage Notes Payable Secured by Investment Property$12,000,000$4,130,000▼ $7,870,000
Total Liabilities$24,117,932$22,589,011▼ $1,528,921
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$32,151,657$21,500,294▼ $10,651,363
Total Net Assets Fund Balance$32,151,657$21,500,294▼ $10,651,363
Total Liabilities and Net Assets / Fund Balance$56,269,589$44,089,305▼ $12,180,284

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$7,455,140$2,342,864$9,798,004
Buildings$6,845,223$1,047,730$7,892,953
Land$1,000,808-$1,000,808
Leasehold Improvements$220,498$140,318$360,816
Other Assets Org$5,980,543--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas Kennedy MdGeneral SurgeryFT$463,559$12,760$476,319
Christopher Riley MdPediatricsFT$249,795$18,897$268,692
Amber RollinsCNO (through August 2024)FT$191,629$21,914$213,543
Candace CrawfordDirector of PharmacyFT$148,366$22,437$170,803
Austin CollinsRegistered NurseFT$157,509$44$157,553

Board Members and Trustees

NameTitle
Steve CousinsChair
Brian JonesPresident/CEO & Vice Chair
Andrew ClydeBoard Member
Brett WilliamsonBoard Member
Chris HegiBoard Member
Donald SmithBoard Member
Dr Stephanie GardnerBoard Member
Marcia FordBoard Member
Steve CameronBoard Member
Steve CosseBoard Member
Steve SmartBoard Member
Britney SnellSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Chg Companies INCMedical ServicesPO BOX 972651, Dallas, TX 75397$2,180,225
Concord Medical Group PllcMedical Services1602 AVENUE Q, Lubbox, TX 79401$2,163,832
Concord Company Of Arkansas PllcMedical Services1602 AVENUE Q, Lubbox, TX 79401$862,336
Young's Professional Service LLCAnesthesia Services4906 AMB CAFFERY PKWY BLDG 1, Lafayette, LA 70508$745,500
Radiology Associates PaRadiologist Services500 S UNIVERSITY AVE STE 600, Little Rock, AR 72205$541,671
Revenue and Support

Revenue Composition

Contributions and Grants
$6,455,000
Program Service Revenue
$63,055,351
Investment Income
$146,053
Other Revenue
$1,139,031
All Other Contributions
$6,455,000
Change in Net Assets
$-10,651,363

Audited Revenue Reconciliation

Revenue per Audited Statements
$70,486,508
Revenue Not Reported on Financial Statements
$308,927
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$308,927
Total Revenue per Audited Statements
$70,486,508
Total Revenue per Form 990
$70,795,435
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$50,636,955
Salaries, Compensation, and Employee Benefits$30,809,843
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$20,952,934$4,294,860-$25,247,794
Fees for Services Other$14,830,652$7,838,918-$22,669,570
Information Technology$133,359$5,081,320-$5,214,679
Office Expenses$2,970,525$405,280-$3,375,805
Other Employee Benefits$2,715,183$556,549-$3,271,732
Depreciation Depletion$2,916,397--$2,916,397
Occupancy$2,034,367$13,887-$2,048,254
Payroll Taxes$1,556,857$319,119-$1,875,976
All Other Expenses$441,617$562,511-$1,004,128
Insurance$982,331--$982,331
Interest-$682,687-$682,687
Other Expenses$594,455$28,560-$623,015
Pension Plan Contributions$343,858$70,483-$414,341
Fees for Services Legal-$187,287-$187,287
Travel$3,635$144,508-$148,143
Fees for Services Accounting-$100,275-$100,275
Advertising$24,855$68,513-$93,368
Fees for Services Management-$29,822-$29,822
Total Functional Expenses$57,861,005$23,585,793$0$81,446,798

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$81,446,798
Expenses per Audited Statements$81,137,871
Total Expenses per Audited Statements$81,137,871
Expenses Not Reported on Financial Statements$308,927
Other Expense Adjustments$308,927
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Brother of Steve Smart, Board MemberContract Services as Director of Inpatient RehabilitationNo$313,243
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right-of-use Lease Liabilities$6,392,349
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The board of directors may appoint an executive committee consisting of the officers of the board and other members appointed by the board. The executive committee would exercise the powers of the board in the management of the organization's affairs and business as allowed under the arkansas nonprofit corporation act of 1993. The executive committee would maintain regular minutes of its proceedings and report the same to the board at each regular board meeting. There was not an active executive committee in 2024.

Form 990, Part VI, Section A, Line 3

Share foundation provides executive management services. Additionally, ovation healthcare provides hospital administrative services (including the hospital's president), operations and clinical management consulting, financial reporting, revenue cycle, information technology and supply chain/group purchasing shared services support to south arkansas regional hospital holding company, south arkansas regional hospital, llc and south arkansas physician group, llc through multiple lines-of-business and related statements of work including, but not limited to octave leadership advisory, amplify revenue cycle shared services, elevate supply chain management, and tempo information technology shared services. Furthermore, services totaling $33,000 were paid to share foundation for britney snell's services.

Form 990, Part VI, Section A, Line 6

The members of sarh holdings are share foundation, the murphy foundation, murphy usa charitable foundation, and arhealth ventures.

Form 990, Part VI, Section A, Line 7A

All individuals serving on the board of directors are elected by the members. Six directors are elected by share foundation, one of which is the chair of the board. Two directors are elected by murphy usa charitable foundation. Arhealth ventures and the murphy foundation each elect one director.

Form 990, Part VI, Section A, Line 7B

Amendments to the articles of incorporation and bylaws require approval of the members.

Form 990, Part VI, Section B, Line 11B

Prior to filing, the 990 was provided to the board of directors.

Form 990, Part VI, Section B, Line 12C

All board members are asked to review the conflict of interest policy and disclose interests annually. Upon disclosure of the material facts of a transaction and a director's interest therein, a conflict of interest transaction may be authorized, approved or ratified if it receives the affirmative vote of a majority of the directors then in office who have no direct or indirect interest in the transaction.

Form 990, Part VI, Section B, Line 15

The ceo's services are provided through a contract with a third party, so their compensation is set by that third party. The president, cfo and cno's compensation is determined by the board's personnel and compensation committee, which reviews external compensation benchmarks, approves recommendations and presents those to the finance committee and the board of directors for approval. The process and outcome are documented.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, financial statements and conflict of interest policy are not available to the public.

Filing and Contact Details

Filer

Filer Name
Sarh Holdings Inc
EIN
92-2332099
Phone
8708819015
Address
815 THOMPSON AVENUE B, EL DORADO, AR 71730

Signing Officer

Name
Brian Jones
Title
President/CEO
Phone
8708819015
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brian Jones
Formed
2023
Legal Domicile
Ar
Voting Board Members
11
Independent Board Members
10
Employees
533
Volunteers
12

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services and professional services: program service expenses 14,830,652. Management and general expenses 7,838,918. Fundraising expenses 0. Total expenses 22,669,570.

FORM 990, PART XII, LINE 2C:

The authority and process for selecting the financial statement auditor and for overseeing the financial statement audit did not change during the year.

Financial Statement Notes

PART X, LINE 2:

Sarh holdings, inc. Is a nonprofit corporation as described in section 501(c)(3) of the internal revenue code (irc) that is exempt from federal income taxes on related income pursuant to section 501(c)(3) of the code. The hospital and the physician group are disregarded entities of sarh holdings, inc. The organzaiton has elected to adopt guidance in the income tax standard regarding the recognition and measurement of uncertain tax positions. The organization follows the accounting standard for contingencies for evaluating uncertain tax positions. The adoption of this standard has no effect on the consolidated financial statements. The organization's income tax returns are subject to review and examination by federal, state, and local authorities.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 308,927.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 308,927.

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IRS990/ActivityOrMissionDesc0THE MISSION OF SARH HOLDINGS IS TO IMPROVE THE HEALTH AND HEALING OF THE PEOPLE OF SOUTH ARKANSAS, AND ITS VISION IS TO BE THE REGIONAL HEALTH CARE PROVIDER OF CHOICE THROUGH THE VALUES OF "WE CARE": WELCOMING, EXCELLENCE, COMPASSION, ADAPTABILITY, RESPECT, EQUALITY.
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IRS990/Desc0SOUTH ARKANSAS REGIONAL HOSPITAL (SARH) IS A TRUSTED HEALTHCARE PROVIDER IN COLLABORATION WITH UAMS THAT SERVES THE RURAL COMMUNITIES OF SOUTH ARKANSAS. AFTER NEARLY 60 YEARS OF SERVING THE COMMUNITY, IT TRANSITIONED BACK TO LOCAL OWNERSHIP IN 2023 AND BECAME A NONPROFIT HOSPITAL EMPOWERING LOCAL COMMUNITY STAKEHOLDERS, LEADERS, AND CLINICIANS TO GUIDE COMMUNITY-FOCUSED HEALTHCARE.THE SARH TEAM COMMONLY USES THE PHRASE OR SLOGAN 'CLOSE TO HOME' TO EXPRESS ITS COMMITMENT TO COMMUNITY-FOCUSED HEALTHCARE. THIS COMMITMENT CAN BE SEEN IN RECENT INVESTMENTS IN CUTTING-EDGE MEDICAL TECHNOLOGIES. (CONTINUED IN SCHEDULE O)SARH IS ACCREDITED BY THE JOINT COMMISSION AND PROUDLY SERVES AS A GENERAL ACUTE LEVEL III TRAUMA CENTER LICENSED BY THE ARKANSAS DEPARTMENT OF HEALTH. ITS COMMITMENT TO EXCELLENCE IS REFLECTED IN THE FACILITY, WHERE SARH OFFERS A COMPREHENSIVE RANGE OF SERVICES TO MEET THE DIVERSE HEALTHCARE NEEDS OF THE COMMUNITY. THOSE SERVICES INCLUDE INPATIENT, OUTPATIENT, TELEMEDICINE, AND OTHER SERVICES.OUTPATIENT SERVICES AT SARH ARE DESIGNED TO CATER TO HEALTHCARE NEEDS CONVENIENTLY BY OFFERING A FULL-SERVICE LABORATORY, SPEECH, PHYSICAL AND OCCUPATIONAL THERAPIES, HYPERBARIC OXYGEN THERAPY, WOUND CARE, AND RADIOLOGICAL SERVICES INCLUDING MRI, CT, 3D MAMMOGRAPHY, AND MORE. THESE SERVICES ARE AIMED AT PROMOTING PREVENTATIVE CARE, EARLY DIAGNOSIS, AND EFFECTIVE TREATMENT OPTIONS.SARH ALSO OFFERS TELEMEDICINE SERVICES THAT BRING SPECIALIZED EXPERTISE DIRECTLY TO THE COMMUNITY IN PULMONOLOGY, NEUROLOGY, AND AR SAVES STROKE TELEMEDICINE THAT PROVIDES ACCESS TO COMPREHENSIVE CARE WITHOUT THE NEED TO TRAVEL LONG DISTANCES. WHEN HEALTH EMERGENCIES ARISE, SARH CAN BE A CRITICAL LIFELINE TO RESIDENTS BY PROVIDING ESSENTIAL EMERGENCY SERVICES AND OTHER SPECIALIZED CARE. SARH IS EQUIPPED TO HANDLE URGENT MEDICAL NEEDS; HOWEVER, FOR PATIENTS REQUIRING A HIGHER LEVEL OF CARE, SARH COLLABORATES WITH SURVIVAL FLIGHT'S ONSITE HELICOPTER AND CREW FOR EXPEDITIOUS TRANSFERS.THE FUTURE IS BRIGHT FOR SARH AS IT CONTINUES TO MOVE FORWARD WITH STRATEGIC GOALS IN PLACE FOR ONGOING IMPROVEMENT IN LOCAL HEALTHCARE.
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