2025-11-17T15:40:05-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 922332099 SARH HOLDINGS INC SARH 8708819015 815 THOMPSON AVENUE B EL DORADO AR 71730 BRIAN JONES PRESIDENT/CEO 8708819015 2025-11-17 1 0 KURT BENNION CPA P01469618 4252506100 2025-11-13 2024 2025-03-06 01:10:19Z BRIAN JONES 815 THOMPSON AVENUE B EL DORADO AR 71730 70795435 0 X WWW.SARHCARE.ORG X 2023 AR 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. 11 10 533 12 0 0 42475670 6455000 30383215 63055351 223771 146053 259303 1139031 73341959 70795435 2980 0 0 0 16053849 30809843 0 0 0 25133473 50636955 41190302 81446798 32151657 -10651363 56269589 44089305 24117932 22589011 32151657 21500294 X 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. 0 0 57861005 0 63055351 SOUTH 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. 57861005 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 144 0 1 533 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X BRITNEY SNELL 8708819015 700 WEST GROVE STREET EL DORADO AR 71730 X STEVE COUSINS CHAIR 1.00 0.00 X X 0 0 0 STEVE CAMERON BOARD MEMBER 1.00 0.00 X 0 0 0 ANDREW CLYDE BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE COSSE BOARD MEMBER 1.00 0.00 X 0 0 0 MARCIA FORD BOARD MEMBER 1.00 0.00 X 0 0 0 DR STEPHANIE GARDNER BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS HEGI BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE SMART BOARD MEMBER 1.00 0.00 X 0 0 0 DONALD SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 BRETT WILLIAMSON BOARD MEMBER 1.00 0.00 X 0 0 0 BRIAN JONES PRESIDENT/CEO & VICE CHAIR 15.00 0.00 X 0 0 0 BRITNEY SNELL SECRETARY/TREASURER 10.00 0.00 X 0 0 0 THOMAS KENNEDY MD GENERAL SURGERY 40.00 0.00 X 463559 0 12760 AUSTIN COLLINS REGISTERED NURSE 40.00 0.00 X 157509 0 44 CANDACE CRAWFORD DIRECTOR OF PHARMACY 40.00 0.00 X 148366 0 22437 CHRISTOPHER RILEY MD PEDIATRICS 40.00 0.00 X 249795 0 18897 AMBER ROLLINS CNO (THROUGH AUGUST 2024) 40.00 0.00 X 191629 0 21914 1210858 0 76052 9 0 1 0 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 MEDICAL SERVICES 2180225 CONCORD MEDICAL GROUP PLLC 1602 AVENUE Q LUBBOX TX 79401 MEDICAL SERVICES 2163832 CONCORD COMPANY OF ARKANSAS PLLC 1602 AVENUE Q LUBBOX TX 79401 MEDICAL SERVICES 862336 YOUNG'S PROFESSIONAL SERVICE LLC 4906 AMB CAFFERY PKWY BLDG 1 LAFAYETTE LA 70508 ANESTHESIA SERVICES 745500 RADIOLOGY ASSOCIATES PA 500 S UNIVERSITY AVE STE 600 LITTLE ROCK AR 72205 RADIOLOGIST SERVICES 541671 21 6455000 6455000 NET PATIENT REVENUE 621110 63055351 63055351 63055351 139466 139466 452091 0 452091 452091 452091 6587 0 6587 6587 6587 CAFETERIA REVENUE 722514 659494 659494 MISCELLANEOUS REVENUE 900099 27446 27446 686940 70795435 63055351 0 1285084 X 25247794 20952934 4294860 414341 343858 70483 3271732 2715183 556549 1875976 1556857 319119 29822 29822 187287 187287 100275 100275 22669570 14830652 7838918 93368 24855 68513 3375805 2970525 405280 5214679 133359 5081320 2048254 2034367 13887 148143 3635 144508 682687 682687 2916397 2916397 982331 982331 MEDICAL SUPPLIES 8548548 7359980 1188568 PROVIDER CARE TAX 1129390 1129390 FOOD SUPPLIES 883256 883256 REPAIRS AND MAINTENANCE 623015 594455 28560 1004128 441617 562511 81446798 57861005 23585793 0 3729170 2962596 3000082 12059 27085153 13448956 2706187 2898873 2192445 3264609 19052581 3530912 13960830 15521669 3595722 5980543 56269589 44089305 8407406 12066662 12000000 4130000 3710526 6392349 24117932 22589011 X 32151657 21500294 32151657 21500294 56269589 44089305 -10651363 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7873 7873 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, TO THE FEDERATION OF AMERICAN HOSPITALS, AND TO THE ARKANSAS HOSPITAL ASSOCIATION. THESE ASSOCIATIONS USE A PORTION OF THE MEMBERSHIP DUES TO LOBBY ON BEHALF OF THEIR MEMBERS. 1000808 1000808 7892953 1047730 6845223 360816 140318 220498 9798004 2342864 7455140 15521669 RIGHT-OF-USE LEASE ASSETS 5980543 5980543 RIGHT-OF-USE LEASE LIABILITIES 6392349 6392349 X 70486508 0 70486508 308927 308927 70795435 81137871 0 81137871 308927 308927 81446798 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. 1 1 X 1 X 138.000000000000 1 X 1 1 1 0 0 1258328 1258328 0.01540 10958344 5398873 5559471 0.06830 12216672 5398873 6817799 0.08370 12216672 5398873 6817799 0.08370 1 0 0 22022648 27265059 -5242411 X 1 1 1 1 SOUTH ARKANSAS REGIONAL HOSPITAL 700 WEST GROVE STREET EL DORADO AR 71730 WWW.SARHCARE.ORG AR3950 X X X SOUTH ARKANSAS REGIONAL HOSPITAL 1 0 1 0 0 1 X 138.000000000000 200.000000000000 X X 1 1 X X X X 1 X SEE PART V, LINE 16J X SEE PART V, LINE 16J X SEE PART V, LINE 16J X X X X X X 1 X 0 X X X X 1 X 0 0 SOUTH ARKANSAS REGIONAL HOSPITAL PART V, SECTION B, LINE 2: AS OF JULY 1ST, 2023, THE SOUTH ARKANSAS REGIONAL HOSPITAL WAS ACQUIRED BY SARH HOLDINGS, INC. PRIOR TO THAT TIME, THE HOSPITAL WAS OWNED AND OPERATED AS A FOR-PROFIT HOSPITAL BY COMMUNITY HEALTH SYSTEMS (CHS). SOUTH ARKANSAS REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ATHTTPS://SARHCARE.ORG/PATIENTS-AND-VISITORS/#FINANCIALASSISTANCEDIRECT LINK:HTTPS://SARHCARE.ORG/WP-CONTENT/UPLOADS/2024/04/1-FINAL-FINANCIAL-ASSISTANCE-POLICY-002.PDFDIRECT LINK:HTTPS://SARHCARE.ORG/WP-CONTENT/UPLOADS/2023/06/SARH-FINANCIAL-ASSISTANCE-APPLICATION.PDFDIRECT LINK:HTTPS://SARHCARE.ORG/WP-CONTENT/UPLOADS/2024/04/2-FAP-PLAIN-LANGUAGE-SUMMARY.PDFIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS. 2 1 - SARH OUTPATIENT IMAGING CENTER 2401 W HILLSBORO STREET EL DORADO AR 71730 IMAGING SERVICES 2 - SOUTH ARKANSAS MEDICAL CLINIC 620 W GROVE STREET EL DORADO AR 71730 SURGERY AND ADULT MEDICAL SERVICES PART I, LINE 3C: TO QUALIFY FOR FINANCIAL ASSISTANCE, THE FOLLOWING CONDITIONS MUST BE MET:1. THE INDIVIDUAL RECEIVES MEDICAL NECESSARY HEALTHCARE SERVICES; 2. INDIVIDUAL OR FAMILY INCOME FALLS BELOW 200% OF U.S. FEDERAL POVERTY GUIDELINESOTHER FACTORS THAT WILL BE CONSIDERED WHEN DETERMINING ELIGIBILITY INCLUDE, BUT ARE NOT LIMITED TO, INVESTMENTS, FINANCIAL ACCOUNTS, REAL ESTATE, OTHER ASSETS, FAMILY SIZE, NET WORTH, EMPLOYMENT STATUS, EARNING CAPACITY AND OTHER FINANCIAL OBLIGATIONS.PATIENTS WITH EXTRAORDINARY CIRCUMSTANCES, SUCH AS THOSE WHO INCUR CATASTROPHIC HEALTH EXPENSES BEYOND THEIR INSURANCE COVERAGE OR OWN ABILITY TO PAY MAY BE PROVIDED CATASTROPHIC PROTECTION BY LIMITING PAYMENT LIABILITY AS DETERMINED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. SARH MAY ALSO PRESUME ELIGIBILITY FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO ARE ELIGIBLE FOR OTHER GOVERNMENT PROGRAMS FOR LOW-INCOME INDIVIDUALS OR FOR WHOM A PUBLIC RECORD DATABASE SEARCH REVEALS A LACK OF ASSETS. EXAMPLES OF PATIENTS WHO MAY BE CONSIDERED PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE BUT MAY NOT BE LIMITED TO:A) DECEASED PATIENTS FOR WHOM A DEATH CERTIFICATE OR ESTATE SEARCH SHOWS NO ESTATE (IF THERE ARE NO ASSETS, THE DECEASED PATIENT WILL COUNT AS A FAMILY MEMBER ON THE APPLICATION, BUT THEIR INCOME WILL BE ZERO);B) PATIENTS WHO ARE APPROVED FOR STATE OR LOCAL ASSISTANCE PROGRAMS FOR INDIGENT INDIVIDUALS, INCLUDING, BUT NOT LIMITED TO, FOOD STAMPS, SUBSIDIZED SCHOOL LUNCH PROGRAMS, OR LOW-INCOME/SUBSIDIZED HOUSING.C) PATIENTS WHO ARE HOMELESS IF THEY HAVE A LETTER OF CONFIRMATION FROM A HOMELESS SHELTER OR THE FINANCIAL COUNSELOR CAN VALIDATE THAT THEY ARE HOMELESS (THE APPLICATION NEEDS TO INDICATE IN THE ADDRESS FIELD THAT THE PATIENT IS HOMELESS, AND THE APPLICATION MUST BE SIGNED BY THE PATIENT);D) PATIENTS WHO ARE INCARCERATED IF THEIR MEDICAL EXPENSES ARE NOT COVERED BY THE INCARCERATING ENTITY.E) MEDICAID ELIGIBLE PATIENTS WHO HAVE EXHAUSTED BENEFITS, ARE RECEIVING NON-COVERED SERVICES OR SERVICES IN EXCESS OF A BENEFIT LIMIT MAXIMUM OR LENGTH OF STAY LIMIT.F) PATIENTS WITH MEDICAID OR ANOTHER INDIGENT PROGRAM IN THE PAST TWELVE MONTHS;G) CHARGES NOT COVERED UNDER MEDICAID AS PART OF THE MEDICAID PATIENT'S SHARE OF COST; ANDH) PATIENTS FOR WHOM INFORMATION FROM EXTERNAL SOURCES SUPPORTS THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE.I) PERSONS WITH UNKNOWN IDENTITY PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS PRIMARILY BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER SUGGESTED COSTING METHODS FOR THE FORM 990. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE NET REALIZABLE VALUE OF PATIENT RECEIVABLES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR, PATIENT TYPE AND SERVICE LINE. FOR UNINSURED PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. PART III, LINE 3: THE ORGANIZATION HAS NOT IDENTIFIED A METHOD OF CALCULATING THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO INDIVIDUALS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT RECEIVABLES AND ALLOWANCE FOR CREDIT LOSSES" PARAGRAPH IN NOTE 1 / PAGE 7 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR AN EXPLANATION OF THE CALCULATION OF THE ORGANIZATION'S BAD DEBT EXPENSE. PART III, LINE 8: THE TOTAL MEDICARE REVENUES AND EXPENSES SHOWN ON SCHEDULE H ARE BASED ON THE IRS FORM 990 INSTRUCTIONS AND ARE CALCULATED USING THE MEDICARE COST REPORT.THE MEDICARE SHORTFALL SHOULD BE VIEWED AS A COMMUNITY BENEFIT BECAUSE THESE SERVICES ARE PROVIDED TO MEDICARE BENEFICIARIES, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY. THESE INDIVIDUALS ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: IN COMPLIANCE WITH RELEVANT STATE AND FEDERAL LAWS, AND IN ACCORDANCE WITH THE PROVISIONS OUTLINED IN THIS BILLING AND COLLECTIONS POLICY, SARH MAY ENGAGE IN COLLECTION ACTIVITIES INCLUDING EXTRAORDINARY COLLECTION ACTIONS- (ECA'S) - TO COLLECT OUTSTANDING PATIENT BALANCES. GENERAL COLLECTION ACTIVITIES MAY INCLUDE MAILING BILLING STATEMENTS AND MAKING FOLLOW UP PHONE CALLS. PATIENT BALANCES MAY BE REFERRED TO A THIRD PARTY FOR COLLECTION AT THE DISCRETION OF SARH. SARH WILL MAINTAIN OWNERSHIP OF ANY DEBT REFERRED TO DEBT COLLECTION AGENCIES, AND PATIENT ACCOUNTS WILL BE REFERRED FOR COLLECTION WITH THE FOLLOWING SITUATIONS:A) THERE IS REASONABLE BIAS TO BELIEVE THE PATIENT OWES THE DEBT.B) ALL KNOWN THIRD PARTY PAYERS HAVE BEEN PROPERLY BILLED AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT.SARH WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS COMPLETED THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS (I.E. MEDICAID) AND NOT YET BEEN NOTIFIED OF ITS DETERMINATION.BEFORE ENGAGING IN ECAS TO OBTAIN PAYMENT FOR CARE, SARH MUST MAKE CERTAIN REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY. ECAS MAY BEGIN ONLY WHEN 120 DAYS HAVE PASSED SINCE THE FIRST POST DISCHARGE STATEMENT WAS PROVIDED. HOWEVER, AT LEAST 30 DAYS BEFORE INITIATING ECAS TO OBTAIN PAYMENT, SARH MUST DO THE FOLLOWING:A) PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INDICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE, LISTS POTENTIAL ECA'S THAT MAY BE TAKEN TO OBTAIN PAYMENT FOR CARE, AND GIVES A DEADLINE AFTER WHICH ECA'S MAY BE INITIATED; ANDB) ATTEMPT TO NOTIFY THE INDIVIDUAL ORALLY ABOUT THE FAP AND HOW HE OR SHE MAY GET ASSISTANCE WITH THE APPLICATION PROCESS.AFTER MAKING REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY AS OUTLINED ABOVE, SARH (OR ITS BUSINESS OFFICE PARTNERS) MAY TAKE ANY OF THE FOLLOWING ECA'S TO OBTAIN PAYMENT FOR CARE: REPORT NON-PAYMENT TO CREDIT AGENCIES, FILE JUDICIAL OR LEGAL ACTION, GARNISHMENTS. SARH CFO MAINTAINS THE FINAL AUTHORITY OR RESPONSIBILITY FOR DETERMINING THAT THE SARH HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE AND MAY THEREFORE ENGAGE IN ECA'S. ELECTIVE SERVICES MAY BE DELAYED OR DEFERRED BASED ON CONSULTATION WITH SARH CLINICAL STAFF OR PATIENT'S CARE PROVIDER. SARH MAY DECLINE TO PROVIDE A PATIENT WITH ELECTIVE SERVICES IN THOSE CASES WHERE SARH IS UNABLE TO IDENTIFY A PAYMENT SOURCE, DETERMINE ELIGIBILITY FOR A PUBLIC FINANCIAL ASSISTANCE PROGRAM OR OBTAIN A REQUIRED PROVIDER REFERRAL, PRECERTIFICATION OR AUTHORIZATION. PART VI, LINE 2: SARH ENCOURAGES THE COMMUNITY TO BECOME INVOLVED WITH THE HOSPITAL THROUGH FEEDBACK, INPUT, VOLUNTEER WORK, DONATIONS, AND MORE FOR A SUCCESSFUL HOSPITAL. SOUTH ARKANSAS REGIONAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2023 TO EVALUATE THE COMMUNITY'S HEALTH NEEDS. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE AT THE HOSPITAL'S REGISTRATION DESK AND ON THE HOSPITAL'S WEBSITE. PATIENTS WILL BE PROVIDED WITH INFORMATION ABOUT THIS POLICY UPON REQUEST, INCLUDING SPECIFIC INFORMATION AS TO HOW ELIGIBILITY IS DETERMINED AND THE MEANS OF APPLYING FOR ASSISTANCE. THE NEED FOR FINANCIAL ASSISTANCE MAY BE A SENSITIVE AND DEEPLY PERSONAL ISSUE FOR RECIPIENTS. CONFIDENTIALITY OF INFORMATION AND PRESERVATION OF INDIVIDUAL DIGNITY SHALL BE MAINTAINED FOR ALL WHO SEEK FINANCIAL ASSISTANCE. PART VI, LINE 4: SOUTH ARKANSAS REGIONAL HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE COMMUNITIES OF UNION COUNTY. EL DORADO'S RESIDENTS MAKE UP THE MAJORITY OF BOTH INPATIENTS AND EMERGENCY ROOM PATIENTS. THOSE REMAINING ARE, FOR THE MOST PART, RESIDENTS OF COLUMBIA, NEVADA, OUACHITA, CALHOUN, BRADLEY, ASHLEY, AND UNION PARISH, LA AND ARE CONSIDERED THE SECONDARY SERVICE AREA. PART VI, LINE 5: WITHIN OUR WALLS, YOU WILL FIND A DEDICATED TEAM OF OVER 400 HEALTHCARE PROFESSIONALS WHO ARE PASSIONATE ABOUT DELIVERING EXCEPTIONAL CARE. WE ARE HERE TO PROVIDE A HEALING, CARING, AND CONNECTED ENVIRONMENT FOR YOU AND YOUR LOVED ONES. OUR INPATIENT SERVICES ENCOMPASS A WIDE RANGE OF SPECIALTIES, INCLUDING EMERGENCY SERVICES, OBSTETRICS AND NEWBORN CARE, INTENSIVE CARE, OTOLARYNGOLOGY, GENERAL SURGERY, ORTHOPEDICS, PHYSICAL MEDICINE AND REHABILITATION, SKILLED NURSING FACILITY (SNF), INTERVENTIONAL CARDIOLOGY, AND BEHAVIORAL HEALTH. WE PRIORITIZE YOUR WELL-BEING AND ARE COMMITTED TO DELIVERING THE HIGHEST STANDARD OF CARE ACROSS ALL AREAS OF OUR HOSPITAL. THROUGH OUR TELEMEDICINE SERVICES, WE BRING SPECIALIZED EXPERTISE DIRECTLY TO OUR COMMUNITY. WITH TELEMEDICINE IN PULMONOLOGY, NEUROLOGY AND AR SAVES STROKE TELEMEDICINE, WE ENSURE THAT YOU HAVE ACCESS TO COMPREHENSIVE CARE WITHOUT THE NEED TO TRAVEL LONG DISTANCES. OUR OUTPATIENT SERVICES ARE DESIGNED TO CATER TO YOUR HEALTHCARE NEEDS IN A CONVENIENT MANNER. WE OFFER A FULL-SERVICE LABORATORY, SPEECH, PHYSICAL AND OCCUPATIONAL THERAPIES, HYPERBARIC OXYGEN THERAPY, WOUND CARE, AND RADIOLOGICAL SERVICES INCLUDING MRI, CT, DIGITAL MAMMOGRAPHY, AND MORE. THESE SERVICES ARE AIMED AT PROMOTING PREVENTIVE CARE, EARLY DIAGNOSIS, AND EFFECTIVE TREATMENT OPTIONS. SOUTH ARKANSAS REGIONAL HOSPITAL IS YOUR GO-TO DESTINATION FOR HEALTH AND WELLNESS. WE OFFER A WIDE RANGE OF EVENTS, CLASSES, AND PROGRAMS THAT CATER TO YOUR UNIQUE HEALTH CONCERNS AND HELP YOU LEAD A HEALTHIER, HAPPIER LIFE. WE UNDERSTAND THAT YOUR HEALTH NEEDS ARE UNIQUE AND THAT IS WHY WE PROVIDE A VARIETY OF OFFERINGS TO MEET YOUR NEEDS. OUR EVENTS AND PROGRAMS ARE DESIGNED TO HELP YOU MANAGE YOUR HEALTH CONDITIONS AND ADDRESS YOUR HEALTH CONCERNS. X 0 0 0 0 0 0 0 0 0 THOMAS KENNEDY MD GENERAL SURGERY 463559 0 0 0 0 0 0 0 12760 0 476319 0 0 0 CHRISTOPHER RILEY MD PEDIATRICS 249795 0 0 0 0 0 0 0 18897 0 268692 0 0 0 AMBER ROLLINS CNO (THROUGH AUGUST 2024) 191629 0 0 0 0 0 0 0 21914 0 213543 0 0 0 CANDACE CRAWFORD DIRECTOR OF PHARMACY 148366 0 0 0 0 0 0 0 22437 0 170803 0 0 0 AUSTIN COLLINS REGISTERED NURSE 157509 0 0 0 0 0 0 0 44 0 157553 0 0 0 GREGORY SMART BROTHER OF STEVE SMART, BOARD MEMBER 313243 CONTRACT SERVICES AS DIRECTOR OF INPATIENT REHABILITATION 0 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. 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. SOUTH ARKANSAS REGIONAL HOSPITAL LLC 700 W GROVE STREET EL DORADO AR 71730 923616260 HOSPITAL DE 63747104 43556689 SARH HOLDINGS INC SOUTH ARKANSAS PHYSICIAN GROUP LLC 704 W GROVE STREET EL DORADO AR 71730 923721687 PHYSICIAN CLINIC DE 805218 361051 SOUTH ARKANSAS REGIONAL HOSPITAL LLC