Paid Preparer ' s Firm 's name (or yours HUDSON CISNE & CO LLP Use Only. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN:

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1 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: OMB No Return of Organization Exempt From Inome Tax Form 990 Under setion 501 (), 527, or 4947 ( a)(1) of the Internal Revenue Code ( exept lak lung enefit trust or private foundation) 2011 Department of the Treasury Internal Revenue Servie 1-The organization may have to use a opy of this return to satisfy state reporting requirements MEMO A For the 2011 alendar year, or tax year eginning and ending C Name of organization D Employer identifiation numer B Chek if appliale CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC F Address hange Doing Business As E Telephone numer F Name hange CARTI (501) F Initial return Numer and street (or P 0 ox if mail is not delivered to street address ) Room/suite PO BOX G Gross reeipts $ 282,780,572 F_ Terminated 1 Amended return City or town, state or ountry, and ZIP + 4 LITTLE ROCK, AR I Appliation pending F Name and address of prinipal offier JIM SOLBERG PO BOX LITTLE ROCK,AR I Tax - exempt status F 501()(3) 1 501( ) ( ) -4 (insert no ) (a)(1) or F_ 527 J Wesite :0- WWWCARTI COM H(a) Is this a group return for affiliates? fl Yes F No H() Are all affiliates inluded? fl Yes F_ No If "No," attah a list (see instrutions) H() Group exemption numer 0- K Form of organization F Corporation 1 Trust F_ Assoiation 1 Other 0- L Year of formation 1973 M State of legal domiile AR Summary 1 Briefly desrie the organization's mission or most signifiant ativities CARTI PROVIDES MULTI-DISCIPLINARY ONCOLOGY SERVICES TO CANCER PATIENTS THROUGHOUT ARKANSAS 2 Chek this ox 1ii if the organization disontinued its operations or disposed of more than 25% of its net assets 3 Numer of voting memers of the governing ody (Part VI, line 1a) r,f 4 N umer of independent voting memers of the governing ody (Part VI, line 1 ) Total numer of individuals employed in alendar year 2011 (Part V, line 2a) Total numer of volunteers (estimate if neessary) aTotal unrelated usiness revenue from Part VIII, olumn (C), line 12. 7a 0 Net unrelated usiness taxale inome from Form 990-T, line Prior Year Current Year 8 Contriutions and grants (Part VIII, line 1h). 579, ,664 9 Program servie revenue (Part VIII, line 2g) 133,013, ,985, Investment inome (Part VIII, olumn (A), lines 3, 4, and 7d... 2,751,611 11,739, Other revenue (Part VIII, olumn (A), lines 5, 6d, 8, 9, 10, and 11e) 125, , Total revenue-add lines 8 through 11 (must equal Part VIII, olumn (A), line 12) ,470, ,496, Grants and similar amounts paid (Part IX, olumn (A), lines 1-3) Benefits paid to or for memers (Part IX, olumn (A), line 4) Salaries, other ompensation, employee enefits (Part IX, olumn (A ), lines 5-10) 14,135,232 27,494,109 16a Professional fundraising fees (Part IX, olumn (A), line l le). 0 0 sc Total fundraising expenses (Part IX, olumn (D), line 25) 0-0 LLJ 17 Other expenses (Part IX, olumn (A), lines 1la-11d, 11f-24e) ,292, ,443, Total expenses Add lines (must equal Part IX, olumn (A), line 25) 128,428, ,937, Revenue less expenses Sutrat line 18 from line 12. 8,042,445 16,559,430 Beginning of Current Year End of Year 'M 20 Total assets (Part X, line 16) ,968, ,471, Total liailities (Part X, line 26) ,191,651 12,404,727 ZLL 22 Net assets or fund alanes Sutrat line 21 from line ,776, ,067,077 Signature Blok Under penalties of perjury, I delare that I have examined this return, inluding ao knowledge and elief, it is true, orret, and omplete. Delaration of preparer (othe knowledge. Sign Here Signature of offier JIM SOLBERG VICE PRESIDENT/CFO Type or print name and title Preparers Date signature COREY T MOLINE Paid Preparer ' s Firm 's name (or yours HUDSON CISNE & CO LLP Use Only If self-employed), address, and ZIP HURON LANE LITTLE ROCK, AR May the IRS disuss this return with the preparer shown aove? (see instruts

2 Form 990 ( 2011) Page 2 Statement of Program Servie Aomplishments Chek if Shedule 0 ontains a response to any question in this Part III. F 1 Briefly desrie the organization 's mission CARTI'S MISSION IS TO PROMOTE THE FINEST QUALITY CANCER TREATMENT AND COMPASSIONATE CARE AND TO IMPROVE OUR KNOWLEDGE THROUGH EDUCATION AND RESEARCH 2 Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ fl Yes F No If"Yes,"desrie these new servies on Shedule 0 3 Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies? F Yes F No If"Yes,"desrie these hanges on Shedule 0 4 Desrie the organization 's program servie aomplishments for eah of its three largest program servies, as measured y expenses Setion 501()(3) and 501( )(4) organizations and setion 4947( a)(1) trusts are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported 4a (Code ) (Expenses $ 235,111,140 inluding grants of $ ) (Revenue $ 251,985,292 FOR ALMOST 37 YEARS, CARTI HAS BEEN SYNONYMOUS WITH CUTTING-EDGE, STATE OF THE ART CANCER CARE TREATMENT IN ARKANSAS FROM ITS ORIGINS AS ONE OF THE NATIONS LEADING NETWORKS OF FREESTANDING, NOT-FOR-PROFIT RADIATION THERAPY PROVIDERS TO ITS MODERN EVOLUTION AS A COMPREHENSIVE CANCER CENTER, CARTI REMAINS COMMITTED TO ITS CORE MISSION OF PROVIDING THE FINEST QUALITY CANCER TREATMENT AND COMPASSIONATE PATIENT CARE WHILE ALSO CONTINUING TO IMPROVE OUR KNOWLEDGE THROUGH EDUCATION AND RESEARCH CARTI FIRST OPENED ON APRIL 5, 1976 AS THE CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE ON THE CAMPUS OF ST VINCENT INFIRMARY MEDICAL CENTER IN LITTLE ROCK OPERATING AS AN INDEPENDENT NETWORK OF RADIATION THERAPY PROVIDERS, CARTI WOULD GROW TO INCLUDE SIX MORE SATELLITE LOCATIONS THROUGHOUT ARKANSAS WITH ADDITIONAL LITTLE ROCK LOCATIONS ON THE CAMPUSES OF BAPTIST MEDICAL CENTER AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, AS WELL AS CENTERS IN NORTH LITTLE ROCK, CONWAY SEARCY AND MOUNTAIN HOME IN DECEMBER 2011, CARTI ACQUIRED LITTLE ROCK HEMATOLOGY ONCOLOGY (LRHO), THE LARGEST PRIVATE CANCER CLINIC IN CENTRAL ARKANSAS, THUS EXPANDING ITS ORGANIZATIONAL FOCUS TO INCLUDE CHEMOTHERAPY, SURGERY AND DIAGNOSTIC IMAGING WITH 10 PHYSICIANS TREATING ADULT CANCERS AND BLOOD DISORDERS, LRHO OPERATES CLINICS IN LITTLE ROCK, NORTH LITTLE ROCK, BENTON, CLINTON, EL DORADO, HEBER SPRINGS AND MORRILTON PLANS ARE CURRENTLY UNDERWAY TO BUILD THE CARTI CANCER CENTER, A COMPREHENSIVE TREATMENT CENTER LOCATED IN LITTLE ROCK THAT WILL ALLOW PATIENTS EASIER ACCESS TO FULLY INTEGRATED CANCER CARE CARTI TREATS A WIDE VARIETY OF CANCERS, WITH THE THREE MOST WIDELY TREATED CANCERS BEING OF THE LUNG, BREAST, AND PROSTATE DURING THE FISCAL YEAR ENDING JUNE 30, 2012, APPROXIMATELY 13,175 PATIENTS FROM ACROSS THE STATE OF ARKANSAS AS WELL AS SURROUNDING STATES RECEIVED CANCER TREATMENT AT A CARTI FACILITY IN ADDITION TO UTILIZING LEADING-EDGE RADIATION THERAPY TO HELP THOSE ARKANSANS WHO ARE DIAGNOSED WITH CANCER, CARTI HAS A "RAY OF HOPE" NETWORK THAT EXISTS TO CARE FOR THE WHOLE PATIENT FROM PUBLIC EDUCATION PROGRAMS LIKE CANCER ANSWERS TO WELLNESS INITIATIVES LIKE MASSAGE THERAPY, THE RAY OF HOPE NETWORK PROVIDES A BROAD SCOPE OF ASSISTANCE TO MEET THE MANY AND DIVERSE NEEDS OF THOSE FIGHTING FOR THEIR LIVES, AS WELL AS HELPING THE FAMILY MEMBERS WHO SUPPORT THEM AS PART OF THE RAY OF HOPE NETWORK, CARTI OFFERS A COMPREHENSIVE COUNSELING AND RESOURCE PROGRAM THAT ENSURES EACH PATIENT IS SEEN BY A SOCIAL WORKER WHO INFORMS THEM OF AVAILABLE RESOURCES THE RESOURCE COORDINATOR ASSESSES EACH PATIENT AND ASSISTS HIM OR HER IN OBTAINING THE RESOURCES NECESSARY TO MAKE THEIR CANCER TREATMENT POSSIBLE PATIENTS WHO QUALIFY FINANCIALLY ARE OFFERED ASSISTANCE IN THE AREAS OF LODGING AND TRANSPORTATION AS WELL AS FINANCIAL ASSISTANCE FOR PRESCRIPTION MEDICINES AND PERSONAL NEEDS AS THEY RELATE TO THEIR TREATMENT DURING THE FISCAL YEAR, THE DEPARTMENT REFERRED 124 PATIENTS AT A COST OF $77,736 FOR HOUSING DURING TREATMENT, WHICH WAS EITHER PAID IN FULL BY A GRANT FROM THE CARTI FOUNDATION OR COVERED PARTIALLY BY THE FOUNDATION AND OFFERED AT AN EXTREMELY REDUCED COST TO THE PATIENT TRANSPORTATION REFERRALS FOR THE YEAR INCLUDING CAB AND GAS VOUCHERS IN THE AMOUNT OF ALMOST $83,708 WERE MADE FOR APPROXIMATELY 321 PATIENTS THIS NUMBER IS IN ADDITION TO THE FREE TRANSPORTATION OFFERED BY CARTI TO HOSPITAL AND/OR NURSING HOME PATIENTS THERE WERE 59 REFERRALS MADE FOR EMOTIONAL SUPPORT, WHICH WAS PAID FOR BY CARTI AT A COST OF $24,614 ADDITIONALLY, FINANCIAL ASSISTANCE IN THE AMOUNT OF $8,948 WAS PROVIDED FOR 101 PATIENTS WHO COULD NOT AFFORD NECESSARY MEDICATIONS IN ADDITION, APPROXIMATELY 250 FREE MASSAGES (AT A COST OF $8,715) WERE DELIVERED TO PATIENTS WHO WERE UNDER TREATMENT TO HELP RELIEVE FATIGUE AND STRESS, TWO OF THE MORE COMMON SIDE EFFECTS OF CANCER TREATMENT CARTI IS COMMITTED TO ARKANSAS COMMUNITIES BY PROVIDING A TREMENDOUS NUMBER OF OUTREACH PROGRAMS AT NO COST TO PARTICIPANTS THE CANCERANSWERS EDUCATIONAL LUNCHEON PROGRAM WAS ATTENDED BY APPROXIMATELY 650 PEOPLE IN SIX COMMUNITIES ACROSS ARKANSAS THIS EVENT IS OPEN TO THE COMMUNITY, WITH FORMER PATIENTS AS WELL AS COMMUNITY MEMBERS INVITED TO ATTEND TO BECOME BETTER INFORMED ABOUT ISSUES RELATED TO CANCER WEEKEND RETREATS ARE OFFERED AT NO COST EACH YEAR FOR CANCER PATIENTS AND THEIR FAMILIES TO LEARN COPING MECHANISMS, COMMUNICATION AND RESOURCE USE DURING THIS FISCAL YEAR, FOUR RETREATS WERE HELD ON PETIT JEAN MOUNTAIN THAT WERE GEARED TOWARD DIFFERENT SURVIVOR GROUPS, SUCH AS BREAST AND PROSTATE CANCER SURVIVORS, AND INCLUDED A GENERAL RETREAT FOR FAMILIES FACING A DIAGNOSIS OF CANCER CARTI WELCOMED APPROXIMATELY 250 PARTICIPANTS TO THESE RETREATS CARTI KIDS, A SPECIALTY PROGRAM DESIGNED FOR PEDIATRIC CANCER SURVIVORS UP TO THE AGE OF 18, ASSISTS YOUNG CANCER SURVIVORS IN DEALING WITH EMOTIONAL, PHYSICAL AND FINANCIAL CHALLENGES DUE TO THEIR DIAGNOSIS IN THIS FISCAL YEAR, CARTI OFFERED A VARIETY OF EVENTS FOR THE CARTI KIDS, INCLUDING A SUMMER TRIP FOR PEDIATRIC CANCER PATIENTS AND A CHRISTMAS PARTY FOR THOSE PATIENTS AND THEIR FAMILIES THE CARTI KIDS CHRISTMAS PARTY, A HOLIDAY GATHERING FOR FORMER/CURRENT PEDIATRIC CANCER PATIENTS AND THEIR FAMILIES, WAS ATTENDED BY MORE THAN 350 PEOPLE ADDITIONALLY, APPROXIMATELY 30 CARTI KIDS TOOK PART IN A SUMMER TRIP TO ASPEN, CO THANKS TO THE CARTI FOUNDATION, 20 PEDIATRIC CANCER SURVIVORS RECEIVED SCHOLARSHIPS VALUED AT $2,500 EACH AS THEY ENTERED COLLEGE, HELPING ADDRESS THE FINANCIAL BURDEN PLACED UPON THE FAMILIES WHOSE CHILDREN HAVE BATTLED PEDIATRIC CANCER 4 (Code ) (Expenses $ inluding grants of $ ) (Revenue $ 4 (Code ) (Expenses $ inluding grants of $ ) (Revenue $ 4d Other program servies (Desrie in Shedule 0 ) (Expenses $ inluding grants of $ ) (Revenue $ 4e Total program servie expensesl-$ 235,111,140 Form 990 (2011 )

3 Form 990 (2011) Form 990 (2011) Page 3 Cheklist of Required Shedules 1 Is the organization desried in setion 501()(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes omplete Shedule As Is the organization required to omplete Shedule B, Shedule of Contnutors(see instrutions )? IN. 2 Yes 3 Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to No andidates for puli offie? If "Yes,"omplete Shedule C, Part I Setion 501 ( )(3) organizations. Did the organization engage in loying ativities, or have a setion 501(h) No eletion in effet during the tax year? If "Yes,"omplete Shedule C, Part II Is the organization a setion 501 ()(4), 501 ()(5), or 501()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 98-19? If "Yes," omplete Shedule C, Part III 5 N o 6 Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "Yes,"omplete Shedule D, Part Is Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas or histori strutures? If "Yes," omplete Shedule D, Part II 7 Yes No 6 N o 8 Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," omplete Shedule D, Part III N o 9 Did the organization report an amount in Part X, line 21, serve as a ustodian for amounts not listed in Part X, or provide redit ounseling, det management, redit repair, or det negotiation servies? If "Yes," omplete Shedule D, Part IV Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, 10 Yes permanent endowments, or quasi-endowments? If "Yes,"omplete Shedule D, Part V 11 If the organization's answer to any of the following questions is 'Yes/then omplete Shedule D, Parts VI, VII, VIII, IX, or X as appliale a Did the organization report an amount for land, uildings, and equipment in Part X, linel0? If "Yes,"omplete Shedule D, Part VI.95 Did the organization report an amount for investments-other seurities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," omplete Shedule D, Part VII. ll Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes, "omplete Shedule D, Part VIII. 11 d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," omplete Shedule D, Part IX. lid e Did the organization report an amount for other liailities in Part X, line 25? If "Yes," omplete Shedule D, PartX.95 f Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FIN 48 (ASC 740)? If "Yes,"omplete 11f No Shedule D, Part X.95 12a Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes,"omplete Shedule D, Parts XI, XII, and XIII a Yes Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes,"and if the organization answered 'No'to line 12a, then ompleting Shedule D, Parts XI, XII, and XIII is optional 12 N o Is the organization a shool desried in setion 170()(1)(A)(ii)? If "Yes, "omplete Shedule E lla lie Yes Yes Yes Yes No N o No 13 No 14a Did the organization maintain an offie, employees, or agents outside of the United States?. 14a No Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 or more? if "Yes, " omplete Shedule F, Part I. 14 N o 15 Did the organization report on Part IX, olumn (A ), line 3, more than $5,000 of grants or assistane to any organization or entity loated outside the U S? If "Yes," omplete Shedule F, Part II and IV. 15 N o 16 Did the organization report on Part IX, olumn (A ), line 3, more than $5,000 of aggregate grants or assistane to individuals loated outside the U S? If "Yes," omplete Shedule F, Part III and IV. 16 No 17 Did the organization report a total of more than $15,000, of expenses for professional fundraising servies on 17 No P a rt I X, olumn (A), lines 6 and 11 e? If "Yes, " omplete Shedule G, Part I 18 Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "Yes," omplete Shedule G, Part II No 19 Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If 19 No "Yes,"omplete Shedule G, Part III a Did the organization operate one or more hospitals? If "Yes, "omplete Shedule H. 20a If"Yes" to line 20a, did the organization attah its audited finanial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attah audited finanial statements 20 Yes Yes

4 Form 990 (2011) Page 4 Cheklist of Required Shedules (ontinued) 21 Did the organization report more than $5,000 of grants and other assistane to governments and organizations in 21 No the United States on Part IX, olumn (A), line 1? If "Yes," omplete Shedule I, Parts I and II.. 22 Did the organization report more than $5,000 of grants and other assistane to individuals in the U nited States on Part IX, olumn (A), line 2? If "Yes," omplete Shedule I, Parts I and III. 23 Did the organization answer "Yes" to Part VII, Setion A, questions 3, 4, or 5, aout ompensation of the organization's urrent and former offiers, diretors, trustees, key employees, and highest ompensated 23 Yes employees? If "Yes,"ompleteSheduleJ a Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of the last day of the year, that was issued after Deemer 31, 2002? If "Yes," answer questions 24-24d and omplete Shedule K. If "No,"go to line a Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption?. 24 Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds?. 24 d Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year? 25a Setion 501( )( 3) and 501 ( )(4) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Part I. 25a No Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Forms 990 or 990-EZ? If 25 No "Yes,"omplete Shedule L, Part I Was a loan to or y a urrent or former offier, diretor, trustee, key employee, highly ompensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes," omplete Shedule L, 26 No Part II Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor, or a grant seletion ommittee memer, or to a person related to suh an individual? If "Yes," 27 No omplete Shedule L, Part III Was the organization a party to a usiness transation with one of the following parties? (see Shedule L, Part IV instrutions for appliale filing thresholds, onditions, and exeptions) 22 24d No N o a A urrent or former offier, diretor, trustee, or key employee? If "Yes,"omplete Shedule L, Part IV A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV No A n entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or owner? If "Yes,"omplete Shedule L, Part IV. 28 No 29 Did the organization reeive more than $25,000 in non-ash ontriutions? If "Yes, "omplete Shedule M 29 No 30 Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "Yes, "omplete Shedule M Did the organization liquidate, terminate, or dissolve and ease operations? If "Yes," omplete Shedule N, Part I Did the organization sell, exhange, dispose of, or transfer more than 25% of its net assets? If "Yes, " omplete Shedule N, Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes,"omplete Shedule R, PartI No 34 Was the organization related to any tax-exempt or taxale entity? If "Yes,"omplete Shedule R, Parts II, III, IV, and V, line IN I 35a Is any related organization a ontrolled entity of the filing organization within the meaning of setion 512()(13)? Did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 512()(13 )? If "Yes,"omplete Shedule R, Part V, line a 34 Yes 36 Setion 501( )( 3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes,"omplete Shedule R, Part V, line No 37 Did the organization ondut more than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inome tax purposes? If "Yes," omplete Shedule R, Part VI No 38 Did the organization omplete Shedule 0 and provide explanations in Shedule 0 for Part VI, lines 11 and 19? Note. All Form 990 filers are required to omplete Shedule a 35 Yes Yes Yes No No N o N o Form 990 (2011 )

5 Form 990 (2011) Page 5 Statements Regarding Other IRS Filings and Tax Compliane KEW Chek if Shedule 0 ontains a response to any question in this Part V la Enter the numer reported in Box 3 of Form 1096 Enter-0- if not appliale Yes No 2a 3a Enter the numer of Forms W-2G inluded in line la Enter-0- if not appliale la 43 l 0 Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? Yes Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the alendar year ending with or within the year overed y this return a 370 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines la and 2a is greater than 250, you may e required to e-file (see instrutions) Did the organization have unrelated usiness gross inome of $1,000 or more during the year? a No If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Shedule O a At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount or seurities aount)? a No If "Yes," enter the name of the foreign ountry 0- See instrutions for filing requirements for Form TD F , Report of Foreign Bank and Finanial Aounts 2 Yes 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year?.. 5a No Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? If"Yes" to line 5a or 5, did the organization file Form 8886-T? 6a Does the organization have annual gross reeipts that are normally greater than $100,000, and did the 6a No organization soliit any ontriutions that were not tax dedutile?.. If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile? Organizations that may reeive dedutile ontriutions under setion 170(). a Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and 7a No servies provided to the payor? If "Yes," did the organization notify the donor of the value of the goods or servies provided?. 7 Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form No d If "Yes," indiate the numer of Forms 8282 filed during the year. 7d 5 5 No e Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? e f Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? 7f g If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required?. 7g h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C?. 7h 8 Sponsoring organizations maintaining donor advised funds and setion 509(a )( 3) supporting organizations. Did the supporting organization, or a donor advised fund maintained y a sponsoring organization, have exess usiness holdings at any time during the year?. 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxale distriutions under setion 4966?. 9a Did the organization make a distriution to a donor, donor advisor, or related person? Setion 501( )( 7) organizations. Enter a Initiation fees and apital ontriutions inluded on Part VIII, line a Gross reeipts, inluded on Form 990, Part VIII, line 12, for puli use of lu 10 failities 11 Setion 501( )( 12) organizations. Enter a Gross inome from memers or shareholders a Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them ) a Setion 4947( a)(1) non -exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041? 12a If "Yes," enter the amount of tax-exempt interest reeived or arued during the year 13 Setion 501()(29) qualified nonprofit health insurane issuers. a Is the organization liensed to issue qualified health plans in more than one state? Note. All 501()(29) organizations must list in Shedule 0 eah state in whih they are liensed to issue qualified health plans, the amount of reserves required y eah state, and the amount of reserves the organization alloated to eah state Enter the aggregate amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans 13 Enter the aggregate amount of reserves on hand 14a Did the organization reeive any payments for indoor tanning servies during the tax year?... 14a No If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Shedule a Form 990 (2011 )

6 Form 990 ( 2011) Page 6 Lam Governane, Management, and Dislosure For eah "Yes" response to lines 2 through 7 elow, and for a "No" response to lines 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule 0. See instrutions. Chek if Shedule 0 ontains a response to any question in this Part VI.F Setion A. Governing Body and Management Yes No la Enter the numer of voting memers of the governing ody at the end of the tax year la 14 Enter the numer of voting memers inluded in line la, aove, who are independent l 12 2 Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? 2 No 3 Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors or trustees, or key employees to a management ompany or other person?. 3 No 4 Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? 4 No 5 Did the organization eome aware during the year of a signifiant diversion of the organization's assets? 5 No 6 Did the organization have memers or stokholders? 6 No 7a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody? a No Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, 7 No or persons other than the governing ody? 8 Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following a The governing ody? 8a Yes Eah ommittee with authority to at on ehalf of the governing ody?. 8 Yes FT 9 Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization's mailing address? If"Yes," provide the names and addresses i n Shedule No Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code. ) 10a Did the organization have loal hapters, ranhes, or affiliates? 10a Yes If"Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exempt purposes? a Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form? 11a Yes Desrie in Shedule 0 the proess, if any, used y the organization to review the Form 990 O Yes Yes No 12a Did the organization have a written onflit of interest poliy? If "No,"go to line a Yes Were offiers, diretors or trustees, and key employees required to dislose annually interests that ould give rise to onflits? Yes Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If"Yes," desrie in Shedule 0 how this was done Yes 13 Did the organization have a written whistlelower poliy? 13 Yes 14 Did the organization have a written doument retention and destrution poliy?. 14 Yes 15 Did the proess for determining ompensation of the following persons inlude a review and approval y independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? a The organization's CEO, Exeutive Diretor, or top management offiial 15a Yes Other offiers or key employees of the organization 15 Yes If "Yes," to line 15a or 15, desrie the proess in Shedule 0 (see instrutions) 16a Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year? a No If "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization's exempt status with respet to suh arrangements? Setion C. Dislosure 17 List the States with whih a opy of this Form 990 is required to e filed- AR 18 Setion 6104 requires an organization to make its Form 1023 (or 1024 if appliale), 990, and 990-T (501() (3 )s only) availale for puli inspetion Indiate how you made these availale Chek all that apply fl Own wesite fi Another's wesite F Upon request 19 Desrie in Shedule 0 whether (and if so, how), the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli See Additional Data Tale 20 State the name, physial address, and telephone numer of the person who possesses the ooks and reords of the organization0- JIM SOLBERG PO BOX LITTLE ROCK,AR (501) Form 990(2011)

7 Form 990 (2011) Page 7 Compensation of Offiers, Diretors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Chek if Shedule 0 ontains a response to any question in this Part VII (- Setion A. Offiers, Diretors, Trustees, Kev Employees, and Highest Compensated Employees la Complete this tale for all persons required to e listed Report ompensation for the alendar year ending with or within the organization's tax year * List all of the organization' s urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation, and urrent key employees Enter -0- in olumns (D), (E), and (F) if no ompensation was paid * List all of the organization' s urrent key employees, if any See instrutions for definition of "key employee " * List the organization's five urrent highest ompensated employees (other than an offier, diretor, trustee or key employee) who reeived reportale ompensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations * List all of the organization 's former offiers, key employees, or highest ompensated employees who reeived more than $100,000 of reportale ompensation from the organization and any related organizations * List all of the organization' s former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $10,000 of reportale ompensation from the organization and any related organizations List persons in the following order individual trustees or diretors, institutional trustees, offiers, key employees, highest ompensated employees, and former suh persons 1 Chek this ox if neither the organization nor any related organizations ompensated any urrent or former offier, diretor, or trustee (A) (B) (C) (D ) ( E) (F) Name and Title Average Position (do not hek Reportale Reportale Estimated hours more than one ox, ompensation ompensation amount of other per unless person is oth from the from related ompensation week an offier and a organization (W- organizations from the (desrie diretor/trustee) 2/1099-MISC) (W- 2/1099- organization and hours id = MISC) related for - oo organizations related 0 rr" Q - {7 organizations rt,^ Shedule 0) 1j. a, a, fd 4 m M t ^ 1 T O (1) LAWRENCE MENDELSOHN DIRECTOR (2) PORTER RODGERS MD DIRECTOR (3) THOMAS KOONCE DIRECTOR (4) W DUCOTE HAYNES DIRECTOR (5) CHUCK COOK VICE CHAIR (6) MIKE WILKINSON DIRECTOR (7) JOHN STEURI DIRECTOR (8) PAUL BENHAM DIRECTOR (9) MARY JANE REBICK DIRECTOR (10) WALTER NUNNELLY DIRECTOR (11) KAREN FLAKE CHAIRMAN (12) Z LYNN ZENO DIRECTOR (13) TOM KANE DIRECTOR (14) HARRY HAMLIN DIRECTOR (15) JANICE E BURFORD PRESIDENT & CEO (16) DANIEL SUMMERS VP-CFO (17) LAWRENCE BERKLEY VP-PHYSICS & ENGINEERING X 51, , X X 51, , X X X X X X X X X X X X 418, , X 254, , X 303, ,677 Form 990 (2011 )

8 Form 990 (2011) Page 8 Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (A) (B) (C) (D ) ( E) (F) Name and Title Average Position (do not hek Reportale Reportale Estimated hours more than one ox, ompensation ompensation amount of other per unless person is oth from the from related ompensation week an offier and a organization (W- organizations from the (desrie diretor/trustee ) 2/1099-MISC) ( W- 2/1099- organization and hours id = MISC) related for - oo organizations related M 0 ID organizations rt,d 0 Shedule 0) fd 4 m M t ^ 1 T O a, (18) ROBERT J ALTOFF VP-CLINICAL SERVICES (19) EDWARD GRANT DIRECTOR (20) DALE CAMPBELL SENIOR MED PHYSICIST (21) PAUL ANTHONY BRUCE MEDICAL PHYSICIST (22) JEFFERY YAKOUBIAN MEDICAL PHYSICIST (23) JAMES BEATY CHEIF ENGINEER X 182, , X 178, , X 217, , X 141, , X 190, , X 145, ,365 l Su -Total Total from ontinuation sheets to Part VII, Setion A.... d Total ( add lines l and 1 ) ,136, ,218 Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $100,000 of reportale ompensation from the organization-9 Did the organization list any former offier, diretor or trustee, key employee, or highest ompensated employee on line la? If "Yes," ompleteshedulejforsuh individual No 4 For any individual listed on line la, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $150,0007 If "Yes," omplete Shedule -7 for suh individual No Did any person listed on line la reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes,"omplete Shedule J for suh person. 5 No Setion B. Independent Contrators 1 Complete this tale for your five highest ompensated independent ontrators that reeived more than $100,000 of ompensation from the organization Report ompensation for the alendar year ending with or within the organization's tax year (A) (B) (C) Name and usiness address Desription of servies Compensation RADIATION ONCOLOGY ASSOCIATES PA 500 SOUTH UNIVERSITY SUITE 600 RADIATION ONCOLOGISTS 6,167,987 LITTLE ROCK, AR VINES MEDIA 9 ALPINE COURT MEDIA SERVICES 315,643 LITTLE ROCK, AR THE HEALTH LAW FIRM 2800 CANTRELL RD SUITE 200 LEGAL SERVICES 237,817 LITTLE ROCK, AR Total numer of independent ontrators ( inluding ut not limited to those listed aove ) who reeived more than $100,000 of ompensation from the organization 0-3 Form 990 (2011 )

9 Form 990 (2011) Page 9 N Statement of Revenue la Federated ampaigns. la (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt usiness exluded from funtion revenue tax under revenue setions 512, 513, or 514 C C 45 Cx^ Memership dues.... l Fundraising events. 1 d Related organizations. ld 559,664 e Government grants ( ontriutions) le i f All other ontriutions, gifts, grants, and if similar amounts not inluded aove g Nonash ontriutions inluded in lines la-1f $ h Total. Add lines la -1f ,664 Business Code 2a PATIENT SERVICES ,693, ,693,932 a2 S Q PROFESSIONAL FEES ,291, ,291,360 C d e f All other program servie revenue g Total. Add lines 2a -2f ,985,292 3 Investment inome ( inluding dividends, interest and other similar amounts ). 0-1,298,695 1,298,695 4 Inome from investment of tax -exempt ond proeeds,. 0-5 Royalties a Gross rents Less rental expenses Rental inome or (loss) (i) Real (ii) Personal d Net rental ino me or ( loss).. (i) Seurities (ii) Other 7a Gross amount 19,197,332 9,526,934 from sales of assets other than inventory Less ost or 17,368, ,540 other asis and sales expenses Gain or (loss) 1,829,200 8,611,394 d Net gain or ( loss) ,440,594 10,440,594 8a Gross inome from fundraising w events ( not inluding 3 $ of ontriutions reported on line 1) See Part IV, line 18. L a Less diret expenses. 9a Net inome or (loss ) from fundraising events.. Gross inome from gaming ativities See Part IV, line 19.. Less diret expenses. Net inome or (loss ) from gaming ativities a Gross sales of inventory, less returns and allowanes. a a Less ost of goods sold. Net inome or (loss ) from sales of inventory. 0- Misellaneous Revenue Business Code 11a MISC REVENUE - RELATED , ,655 C d All other revenue.. e Total.Add lines 11a-11d , Total revenue. See Instrutions ,496, ,937,236, 0 0 Form 990 (2011)

10 Form 990 (2011) Page 10 Statement of Funtional Expenses Setion 501()(3) and 501()(4) organizations must omplete all olumns All other organizations must omplete olumn (A) ut are not required to omplete olumns (B), (C), and (D) Chek if Shedule 0 ontains a response to any question in this Part IX (- Do not inlude amounts reported on lines 6, 7, 8, 9, and 10 of Part VIII. 1 Grants and other assistane to governments and organizations in the United States See Part IV, line 21 2 Grants and other assistane to individuals in the United States See Part IV, line 22 3 Grants and other assistane to governments, organizations, and individuals outside the United States See Part IV, lines 15 and 16 4 Benefits paid to or for memers ( A) Total expenses (B) Program servie expenses (C) Management and general expenses 5 Compensation of urrent offiers, diretors, trustees, and key employees 2,136, ,417 1,159,717 6 Compensation not inluded aove, to disqualified persons (as defined under setion 4958( f)(1)) and persons desried in setion 4958 ()(3)(B) 7 Other salaries and wages 21,166,442 15,814,893 5,351,549 8 Pension plan ontriutions (inlude setion 401(k) and setion 403() employer ontriutions ) 1,496,289 1,011, ,798 9 Other employee enefits 1,441, , , Payroll taxes 1,254, , , Fees for servies ( non-employees) a Management.. Legal.. Aounting.. d Loying.. e Professional fundraising See Part IV, Tine 17.. f Investment management fees.. g Other 12 Advertising and promotion. 13 Offie expenses.. 14 Information tehnology 15 Royalties 16 Oupany 2,939,815 2,134, , Travel.. 18 Payments of travel or entertainment expenses for any federal, state, or loal puli offiials 19 Conferenes, onventions, and meetings. 20 Interest 1,149 1, Payments to affiliates 22 Depreiation, depletion, and amortization 3,119,243 2,427, , Insurane 327, ,704 71, Other expenses Itemize expenses not overed aove (List misellaneous expenses in line 24f If line 24f amount exeeds 10% of line 25, olumn (A) amount, list line 24f expenses on Shedule 0 a CONTRACTUAL ADJUSTMENTS 163,425, ,425,127 RADIATION TREATMENT SUP 26,338,094 26,338,094 PROFESSIONAL &CONTRACT 7,248,633 7,248,633 d UNCOLLECTIBLE ACCOUNTS 6,252,813 6,252,813 e f All other expenses 10,790,591 7,403,172 3,387,419 (D) Fundraising expenses 25 Total funtional expenses. Add lines 1 through 24f 247,937, ,111,140 12,826, Joint osts. Chek here 1F- if following SOP 98-2 (ASC ) Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation Form 990(2011)

11 Form 990 (2011) Page 11 Balane Sheet (A) Beginning of year (B) End of year 1 Cash-non-interest-earing 2,783, ,504,721 2 Savings and temporary ash investments 2 3 Pledges and grants reeivale, net 3 4 Aounts reeivale, net. 5,089, ,983,407 5 Reeivales from urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees Complete Part II of Shedule L 5 6 Reeivales from other disqualified persons (as defined under setion 4958(f)(1)) and persons desried in setion 4958()(3)(B) Complete Part II of Shedule L 6 7 Notes and loans reeivale, net 7 8 Inventories for sale or use 636, ,347,758 9 Prepaid expenses and deferred harges 1,474, ,713 10a Land, uildings, and equipment ost or other asis Complete 46,907,905 Part VI of Shedule D 10a Less aumulated depreiation 10 34,968,807 9,393, ,939, Investments-pulily traded seurities Investments-other seurities See Part IV, line 11 82,049, ,431, Investments-program-related See Part IV, line Intangile assets ,235, Other assets See Part IV, line 11 10,541, ,130, Total assets. Add lines 1 through 15 (must equal line 34).. 111,968, ,471, Aounts payale and arued expenses 3,822, ,923, Grants payale Deferred revenue 14, Tax-exempt ond liailities Esrow or ustodial aount liaility Complete Part IVof Shedule D Payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons Complete Part II of Shedule L Seured mortgages and notes payale to unrelated third parties Unseured notes and loans payale to unrelated third parties Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 17-24) Complete Part X of Shedule D. 354, , Total liailities. Add lines 17 through 25. 4,191, ,404,727 Organizations that follow SFAS 117, hek here 1- F and omplete lines 27 through 29, and lines 33 and 34. C5 27 Unrestrited net assets 97,623, ,431,665 M a r_ W_ 28 Temporarily restrited net assets 10,152, ,635, Permanently restrited net assets 29 Organizations that do not follow SFAS 117, hek here 1 F- and omplete lines 30 through Capital stok or trust prinipal, or urrent funds Paid-in or apital surplus, or land, uilding or equipment fund 31 < 32 Retained earnings, endowment, aumulated inome, or other funds Total net assets or fund alanes 107,776, ,067, Total liailities and net assets/fund alanes 111,968, ,471,804 Form 990 (2011 )

12 Form 990 (2011) Page 12 «Reonilliation of Net Assets Chek if Shedule 0 ontains a response to any question in this Part XI. F 1 Total revenue (must equal Part VIII, olumn (A), line 12) 2 Total expenses (must equal Part IX, olumn (A), line 25) 3 Revenue less expenses Sutrat line 2 from line 1. 4 Net assets or fund alanes at eginning of year (must equal Part X, line 33, olumn (A)) 5 Other hanges in net assets or fund alanes (explain in Shedule O) ,496, ,937, ,559, ,776, ,808 6 Net assets or fund alanes at end of year Comine lines 3, 4, and 5 (must equal Part X, line 33, olumn (B)) 6 125,067,077 Finanial Statements and Reporting GZMM- Chek if Shedule 0 ontains a response to any question in this Part XII (- Yes No Aounting method used to prepare the Form 990 fl Cash 17 Arual (Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule 0 2a Were the organization's finanial statements ompiled or reviewed y an independent aountant? 2a No Were the organization's finanial statements audited y an independent aountant?. 2 Yes If "Yes," to 2a or 2, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant? If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule 0 2 Yes d If "Yes" to line 2a or 2, hek a ox elow to indiate whether the finanial statements for the year were issued on a separate asis, onsolidated asis, or oth F Separate asis fl Consolidated asis fl Both onsolidated and separated asis 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-133? a No If"Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required 3 audit or audits, explain why in Shedule 0 and desrie any steps taken to undergo suh audits. Form 990 (2011)

13 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: OMB No SCHEDULE A Puli Charity Status and Puli Support (Form 990 or 990EZ) Complete if the organization is a setion 501()( 3) organization or a setion 2011 Department of the Treasury 4947( a)(1) nonexempt haritale trust. Internal Revenue Servie Name of the organization CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Attah to Form 990 or Form 990-EZ. See separate instrutions. Employer identifiation numer Reason for Puli Charity Status (All organizations must omplete this part.) See Instrutions The organization is not a private foundation eause it is (For lines 1 through 11, hek only one ox) 1 1 A hurh, onvention of hurhes, or assoiation of hurhes setion 170()(1)(A)(i). 2 1 A shool desried in setion 170 ()(1)(A)(ii). (Attah Shedule E ) 3 F A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). 4 1 A medial researh organization operated in onjuntion with a hospital desried in setion 170 ()(1)(A)(iii). Enter the hospital's name, ity, and state 5 fl An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170 ( )(1)(A)(iv ). (Complete Part II ) 6 fl A federal, state, or loal government or governmental unit desried in setion 170 ( )(1)(A)(v). 7 1 An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170 ( )(1)(A)(vi ) (Complete Part II ) 8 fl A ommunity trust desried in setion 170()(1)(A)(vi ) ( Complete Part II ) 9 1 An organization that normally reeives (1) more than 331/3% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and (2 ) no more than 331/3% of its support from gross investment inome and unrelated usiness taxale inome ( less setion 511 tax ) from usinesses aquired y the organization after June 30, 1975 See setion 509 ( a)(2). (Complete Part III ) 10 1 An organization organized and operated exlusively to test for puli safety Seesetion 509(a)(4) An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509 ( a)(1) or setion 509(a )( 2) See setion 509(a)(3). Chek the ox that desries the type of supporting organization and omplete lines 11e through 11h a fl Type I fl Type II fl Type III - Funtionally integrated d fl Type III - Other e (- By heking this ox, I ertify that the organization is not ontrolled diretly or indiretly y one or more disqualified persons other than foundation managers and other than one or more pulily supported organizations desried in setion 509 ( a)(1 ) or setion 509(a)(2) f If the organization reeived a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, hek this ox F g Sine August 17, 2006, has the organization aepted any gift or ontriution from any of the following persons? (i) a person who diretly or indiretly ontrols, either alone or together with persons desried in (ii) Yes No h and (iii) elow, the governing ody of the the supported organization? 11g(i) (ii) a family memer of a person desried in (i) aove? 11g(ii) (iii) a 35% ontrolled entity of a person desried in (i) or (ii) aove? 11g(iii) Provide the following information aout the supported organization(s) 0) Name of supported organization (ii) EIN (iii) (iv) Type of (v) (vi) Is the organization Did organization in you notify the Is the (desried on organization in organization in ol (i) listed in lines 1-9 aove ol (i) of your ol (i) organized your governing or IRC setion support? in the U S? doument? (see instrutions)) Yes No Yes No Yes No vii Amount of support? Total For Paperwork Redution At Notie, seethe Instrutions for Form 990 Cat No 11285F Shedule A (Form 990 or 990-EZ) 2011

14 Shedule A (Form 990 or 990-EZ) 2011 Shedule A (Form 990 or 990-EZ) 2011 Page 2 Support Shedule for Organizations Desried in IRC 170( )( 1)(A)(iv) and 170 ( )(1)(A)(vi) (Complete only if you heked the ox on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total 1 Gifts, grants, ontriutions, and memership fees reeived (Do not inlude any "unusual grants ") 2 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 3 The value of servies or failities furnished y a governmental unit to the organization without harge 4 Total.Add lines 1 through 3 5 The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line 1 that exeeds 2% of the amount shown on line 11, olumn (f) 6 Puli Support. Sutrat line 5 from line 4 Setion B. Total Su pp ort Calendaryear (or fisal year eginning in) (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total 7 Amounts from line 4 8 Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on 10 Other inome (Explain in Part IV ) Do not inlude gain or loss from the sale of apital assets 11 Total support (Add lines 7 through 10) 12 Gross reeipts from related ativities, et (See instrutions First Five Years If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a 501()(3) organization, hek this ox and stop here llik^f- Setion C. Computation of Puli Support Perentage 14 Puli Support Perentage for 2011 (line 6 olumn (f) divided y line 11 olumn (f)) Puli Support Perentage for 2010 Shedule A, Part II, line a 331 / 3%support test Ifthe organization did not hek the ox on line 13, and line 14 is 33 1/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization 33 1 / 3%support test Ifthe organization did not hek the ox on line 13 or 16a, and line 15 is 33 1/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization 17a 10%-fats-and -irumstanes test If the organization did not hek a ox on line 13, 16a, or 16 and line 14 is 10% or more, and if the organization meets the "fats and irumstanes" test, hek this ox and stop here. Explain in Part IV how the organization meets the "fats and irumstanes" test The organization qualifies as a pulily supported organization 10%-fats -and-irumstanes test If the organization did not hek a ox on line 13, 16a, 16, or 17a and line 15 is 10% or more, and if the organization meets the "fats and irumstanes" test, hek this ox and stop here. Explain in Part IV how the organization meets the "fats and irumstanes" test The organization qualifies as a pulily supported organization 18 Private Foundation If the organization did not hek a ox on line 13, 16a, 16, 17a or 17, hek this ox and see instrutions

15 Shedule A (Form 990 or 990-EZ) 2011 Shedule A (Form 990 or 990-EZ) 2011 Page 3 IMMITM Support Shedule for Organizations Desried in IRC 509(a)(2) (Complete only if you heked the ox on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please omplete Part II.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total 1 Gifts, grants, ontriutions, and memership fees reeived (Do not inlude any "unusual grants ") 2 Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization's tax-exempt purpose 3 Gross reeipts from ativities that are not an unrelated trade or usiness under setion Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 5 The value of servies or failities furnished y a governmental unit to the organization without harge 6 Total. Add lines 1 through 5 7a Amounts inluded on lines 1, 2, and 3 reeived from disqualified persons Amounts inluded on lines 2 and 3 reeived from other than disqualified persons that exeed the greater of$5,000 or 1% of the amount on line 13 for the year Add lines 7a and 7 8 Puli Support (Sutrat line 7 from line 6 ) Setion B. Total Su pp ort Calendar year (or fisal year eginning in) (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total 9 Amounts from line 6 10a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures Unrelated usiness taxale inome (less setion 511 taxes) from usinesses aquired after June 30, 1975 Add lines 10a and Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on 12 Other inome Do not inlude gain or loss from the sale of apital assets (Explain in Part IV ) 13 Total support (Add lines 9, 10, 11 and 12) 14 First Five Years If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a 501()(3) organization, hek this ox and stop here Setion C. Com p utation of Puli Su pp ort Perenta g e 15 Puli Support Perentage for 2011 (line 8 olumn (f) divided y line 13 olumn (f)) Puli support perentage from 2010 Shedule A, Part III, line Setion D. Computation of Investment Inome Perentage 17 Investment inome perentage for 2011 (line 10 olumn (f) divided y line 13 olumn (f)) Investment inome perentage from 2010 Shedule A, Part III, line a 33 1/3%support tests If the organization did not hek the ox on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization 33 1 / 3% support tests If the organization did not hek a ox on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization 20 Private Foundation If the organization did not hek a ox on line 14, 19a or 19, hek this ox and see instrutions

16 Shedule A (Form 990 or 990-EZ) 2011 Page 4 Supplemental Information. Supplemental Information. Complete this part to provide the explanation required y Part II, line 10; Part II, line 17a or 17; or Part III, line 12. Also omplete this part for any additional information. (See instrutions). Fats And Cirumstanes Test Explanation Shedule A (Form 990 or 990-EZ) 2011

17 lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Servie Supplemental Finanial Statements 1- Complete if the organization answered "Yes," to Form 990, Part IV, line 6, 7, 9, 10, 11a, 11, 11, 11d, 11e, 11f, 12a, or Attah to Form See separate instrutions. OMB No Name of the organization Employer identifiation numer CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Organizations Maintaining Donor Advised Funds or Other Similar Funds or Aounts. Complete if the oraanization answered "Yes" to Form 990. Part IV. line 6. (a) Donor advised funds ( ) Funds and other aounts 1 Total numer at end of year 2 Aggregate ontriutions to (during year) 3 Aggregate grants from ( during year) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization ' s property, sujet to the organization ' s exlusive legal ontrol? F Yes I No 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may e used only for haritale purposes and not for the enefit of the donor or donor advisor, or for any other purpose onferring impermissile private enefit fl Yes fl No OTIM-Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. 1 Purpose ( s) of onservation easements held y the organization ( hek all that apply) 1 Preservation of land for puli use ( e g, rereation or pleasure ) 1 Preservation of an historially importantly land area 1 Protetion of natural haitat 1 Preservation of a ertified histori struture fl Preservation of open spae Complete lines 2a-2d if the organization held a qualified onservation ontriution in the form of a onservation easement on the last day of the tax year a Total numer of onservation easements 2a Total areage restrited y onservation easements 2 Numer of onservation easements on a ertified histori struture inluded in (a) 2 d Numer of onservation easements inluded in () aquired after 8/17/06 2d Held at the End of the Year N umer of onservation easements modified, transferred, released, extinguished, or terminated y the organization during the taxale year 0-4 N umer of states where property sujet to onservation easement is loated 0-5 Does the organization have a written poliy regarding the periodi monitoring, inspetion, handling of violations, and enforement of the onservation easements it holds? fl Yes fl No Staff and volunteer hours devoted to monitoring, inspeting and enforing onservation easements during the year 1- Amount of expenses inurred in 0- $ monitoring, inspeting, and enforing onservation easements during the year Does eah onservation easement reported on line 2 ( d) aove satisfy the requirements of setion 170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? 1 Yes fl No 9 In Part XIV, desrie how the organization reports onservation easements in its revenue and expense statement, and alane sheet, and inlude, if appliale, the text of the footnote to the organization's finanial statements that desries the organization's aounting for onservation easements Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. la If the organization eleted, as permitted under SFAS 116, not to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation or researh in furtherane of puli servie, provide, in Part XIV, the text of the footnote to its finanial statements that desries these items If the organization eleted, as permitted under SFAS 116, to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide the following amounts relating to these items (i) Revenues inluded in Form 990, Part VIII, line 1 1 $ (ii)assets inluded in Form 990, Part X 1$ If the organization reeived or held works of art, historial treasures, or other similar assets for finanial gain, provide the following amounts required to e reported under SFAS 116 relating to these items a Revenues inluded in Form 990, Part VIII, line 1 $ Assets inluded in Form 990, Part X 1 $ For Privay At and Paperwork Redution At Notie, see the Intrutions for Form 990 Cat No 52283D Shedule D ( Form 990) 2011

18 Shedule D (Form 990) 2011 Page 2 r:ftnfw Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets (ontinued) 3 Using the organization's aession and other reords, hek any of the following that are a signifiant use of its olletion items (hek all that apply) a F_ Puli exhiition d fl Loan or exhange programs 1 Sholarly researh e (- Other F Preservation for future generations 4 Provide a desription of the organization's olletions and explain how they further the organization's exempt purpose in Part XIV 5 During the year, did the organization soliit or reeive donations of art, historial treasures or other similar assets to e sold to raise funds rather than to e maintained as part of the organization's olletion? 1 Yes 1 No la Esrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. Is the organization an agent, trustee, ustodian or other intermediary for ontriutions or other assets not inluded on Form 990, Part X7 1 Yes F No If "Yes," explain the arrangement in Part XIV and omplete the following tale Beginning alane 1 d Additions during the year ld e Distriutions during the year le f Ending alane if Amount 2a Did the organization inlude an amount on Form 990, Part X, line 21? fl Yes fl No If"Yes," explain the arrangement in Part XIV MITIT-Endowment Funds. Com p lete If the or g anization answered "Yes" to Form 990, Part IV, line 10. (a)current Year ()Prior Year ()Two Years Bak (d)three Years Bak (e)four Years Bak la Beginning of year alane Contriutions Investment earnings or losses d Grants or sholarships.. e f Other expenditures for failities and programs Administrative expenses g End of year alane. 2 Provide the estimated perentage of the yearend alane held as a Board designated or quasi-endowment % Permanent endowment 0- Term endowment 0-82,049,508 63,561,605 49,309,946 50,536,545 9,656,000 6,049,565 9,229,734 6,496,939 3,685,626 12,785,963 5,308,060-4,498,129 13,600,805 3,000, , , , ,409 81,431,822 82,049,508 63,561,605 49,309,946 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization y Yes No (i) unrelated organizations a(i) No (ii) related organizations a(ii) Yes If "Yes" to 3a(ii), are the related organizations listed as required on Shedule R?.. I 3 I Yes 4 Desrie in Part XIV the intended uses of the organization's endowment funds ITTMvi d Land. Buildinas. and Eauioment. See Form 990. Part X. line 10. Desription of property (a) Cost or other asis (investment) ()Cost or other asis (other) () Aumulated depreiation (d) Book value la Land 178, ,000 Buildings 10,008,898 7,941,990 2,066,908 Leasehold improvements.. d Equipment 36,721,007 27,026,817 9,694,190 e Other Total. Add lines la-le (Column (d) should equal Form 990, Part X, olumn (B), line 10().) ,939,098 Shedule D (Form 990) 2011

19 I Shedule D (Form 990) 2011 Page 3 Investments-Other Seurities. See Form 990, Part X, line 12. (a) Desription of seurity or ategory (inluding name of seurity) (1 )Finanial derivatives (2)Closely-held equity interests ()Book value () Method of valuation Cost or end-of-year market value (3)Other (A) VARIOUS SECURITIES 81,155,491 F (B) ACCRUED INTEREST 276,331 F Total. (Column () should equal Form 990, Part X, ol (B) line 12) ,431,822 Investments - Pro ram Related. See Form 990, Part X, line 13. (a) Desription of investment type () Book value I () Method of valuation Cost or end-of-year market value Total. (Column () should equal Form 990, Part X, ol (B) line 13 ) 01 1 Other Assets. See Form 990, Part X line 15. (a) Desription () Book value (1) ECONOMIC INT IN CARTI FOUNDATION 10,635,411 (2) OTHER RECEIVABLES 13,529 (3) DEFERRED COMPENSATION INVESTMENTS Total. (Column () should equal Form 990, Part X, o/.(8) line 15.) ,130,465 Other Liailities. See Form 990, Part X line (a) Desription of Liaility () Amount Federal Inome Taxes DEFERRED COMPENSATION PAYABLE Total. (Column () should equal Form 990, Part X, ol (B) line 25) P. I 4 8 1, Fin 48 (ASC 740) Footnote In Part XIV, provide the text of the footnote to the organization's finanial statements that reports the organization's liaility for unertain tax positions under FIN 48 (ASC740) Shedule D ( Form 990) 2011

20 Shedule D (Form 990) 2011 Page W Reoniliation of Chan g e in Net Assets from Form 990 to Finanial Statements 1 Total revenue (Form 990, Part VIII, olumn (A), line 12) 1 264,496,900 2 Total expenses (Form 990, Part IX, olumn (A), line 25) 2 247,937,470 3 Exess or (defiit) for the year Sutrat line 2 from line ,559,430 4 Net unrealized gains (losses) on investments 4 248,301 5 Donated servies and use of failities 5 6 Investment expenses 6 7 Prior period adjustments 7 8 Other (Desrie in Part XIV) 8 482,507 9 Total adjustments (net) Add lines , Exess or (defiit) for the year per finanial statements Comine lines 3 and ,290,238 «Reoniliation of Revenue p er Audited Finanial Statements With Revenue p er Return 1 Total revenue, gains, and other support per audited finanial statements. 1 97,793,080 2 Amounts inluded on line 1 ut not on Form 990, Part VIII, line 12 a Net unrealized gains on investments. 2a 248,301 Donated servies and use of failities. 2 Reoveries of prior year grants 2 d Other (Desrie in Part XIV) d e Add lines 2a through 2d e 248,301 3 Sutrat line 2e from line ,544,779 4 Amounts inluded on Form 990, Part VIII, line 12, ut not on line 1 a Investment expenses not inluded on Form 990, Part VIII, line 7 4a Other (Desrie in Part XIV) ,952,121 Add lines 4a and ,952,121 5 Total Revenue Add lines 3 and 4. (This should equal Form 990, Part I, line ,496,900 «Reoniliation of Expenses per Audited Finanial Statements With Expenses per Return 1 Total expenses and losses per audited finanial 80,985,349 statements. 1 2 Amounts inluded on line 1 ut not on Form 990, Part IX, line 25 a Donated servies and use of failities. 2a Prior year adjustments 2 Other losses d Other (Desrie in Part XIV) d e Add lines 2a through 2d e 0 3 Sutrat line 2e from line ,985,349 4 Amounts inluded on Form 990, Part IX, line 25, ut not on line 1: a Investment expenses not inluded on Form 990, Part VIII, line 7 4a Other (Desrie in Part XIV) ,952,121 Add lines 4a and ,952,121 5 Total expenses Add lines 3 and 4. (This should equal Form 990, Part I, line ,937,470 «Su lementalinformation Complete this part to provide the desriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines l and 2, Part V, line 4, Part X, Part XI, line 8, Part XII, lines 2d and 4, and Part XIII, lines 2d and 4 Also omplete this part to provide any additional information Identifier Return Referene Explanation PART XI, LINE 8 - OTHER INCREASE IN EQUITY INTEREST IN CARTI FOUNDATION ADJUSTMENTS NET ASSETS 482,507 PART XII, LINE 4B - OTHER CHARITABLE CARE EXPENSE 3,526,994 CONTRACTUAL ADJUSTMENTS ADJUSTMENTS 163,425,127 PART XIII, LINE 4B - OTHER CHARITABLE CARE EXPENSE 3,526,994 CONTRACTUAL ADJUSTMENTS ADJUSTMENTS 163,425,127 Shedule D (Form 990) 2011

21 l efile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: Hospitals OMB No SCHEDULE H (Form 990) 1- Complete if the organization answered "Yes" to Form 990, Part IV, question Department of the Treasury 1- Attah to Form See separate instrutions. Ope n Internal Revenue Servie Inspetion Name of the organization Employer identifiation numer CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC i la Did the organization have a harity are poliy? If "No," skip to question 6a.. If "Yes," is it a written poliy?.. 2 If the organization had multiple hospitals, indiate whih of the following est desries appliation of the harity are poliy to the various hospitals F Applied uniformly to all hospitals F Applied uniformly to most hospitals F Generally tailored to individual hospitals 3 Answer the following ased on the harity are eligiility riteria that applies to the largest numer of the organization ' s patients during the tax year la l Yes Yes Yes No a Did the organization use Federal Poverty Guidelines (FPG) to determine eligiility for providing free are? If "Yes," indiate whih of the following is the FPG family inome limit for eligiility for free are 3a I Yes F 100% I_ 150% F 200% F Other 0/0 Did the organization use FPG to determine eligiility for providing disounted are? If "Yes," indiate whih of the following is the family inome limit for eligiility for disounted are. F 200% F 250% F 300% F 350% F 400% I ( F Other % 3 I Yes If the organization did not use FPG to determine eligiility, desrie in Part VI the inome ased riteria for determining eligiility for free or disounted are Inlude in the desription whether the organization uses an asset test or other threshold, regardless of inome, to determine eligiility for free or disounted are 4 Did the organization's poliy provide free or disounted are to the "medially indigent"? 4 Yes 5a Did the organization udget amounts for free or disounted are provided under its finanial assistane poliy during the tax year? a Yes If "Yes," did the organization's harity are expenses exeed the udgeted amount?. 5 Yes If "Yes" to line 5, as a result of udget onsiderations, was the organization unale to provide free or disounted are to a patient who was eligiile for free or disounted are?. 5 6a Did the organization prepare a ommunity enefit reportduring the tax year? 6a 6 If "Yes," did the organization make it availale to the puli? 6 Complete the following tale using the worksheets provided in the Shedule H instrutions Do not sumit these worksheets with the Shedule H 7 Charity Care and Certain Other Community Benefits at Cost Charity Care and ( a) Numer of ( ) Persons ( ) Total ommunity ( d) Diret offsetting ( e) Net ommunity enefit ( f) Perent of Means - Tested Government ativities or served enefit expense revenue expense total expense programs ( optional) Programs ( optional) a Charity are at ost (from Worksheet 1).. 909, , % Mediaid ( from Worksheet 3, olumn a ).... 3,103,875 2,104, , % Costs of other means - tested government programs (from Worksheet 3, olumn ) d Total Charity Care and Means - Tested Government Programs 4,013,431 2,104,327 1,909, % Other Benefits e Community health improvement servies and ommunity enefit operations (from (Worksheet 4). f Health professions eduation (from Worksheet 5). g Susidized health servies (from Worksheet 6) h Researh (from Worksheet 7) i Cash and in - kind ontriutions for ommunity enefit (from Worksheet 8).. j Total Other Benefits... k Total. Add lines 7d and 7j 4,013,431, 2,104,327, 1,909,104, % For Privay At and Paperwork Redution At Notiee see the Instrutions for Form 990. Cat N o 50192T Shedule H (Form 990) 2011 No No

22 Shedule H (Form 990) 2011 Shedule H (Form 990) 2011 Page 2 Community Building Ativities Complete this tale if the organization onduted any ommunity uilding ativities. (a) Numer of () Persons () Total ommunity (d) Diret offsetting (e) Net ommunity (f) Perent of ativities or programs (optional) served (optional) uilding expense revenue uilding expense total expense 1 Physial improvements and housing 2 Eonomi develo p ment 3 Community support 4 Environmental im p rovements 5 Leadership development and training for ommunit y memers 6 Coalition uilding 7 Community health improvement advoay 8 Workfore development 9 Other 10 Total Bad Det, Mediare, & Colletion Praties Setion A. Bad Det Expense Yes No 1 Did the organization report ad det expense in aordane with Heathare Finanial Management Assoiation Statement No 15? Yes 2 Enterthe amount of the organization's ad det expense. 2 1,110,235 3 Enter the estimated amount of the organization's ad det expense attriutale to patients eligile under the organization's harity are poliy. 3 60,000 4 Provide in Part VI the text of the footnote to the organization's finanial statements that desries ad det expense In addition, desrie the osting methodology used in determining the amounts reported on lines 2 and 3, and rationale for inluding a portion of ad det amounts as ommunity enefit Setion B. Mediare 5 Entertotal revenue reeived from Mediare (inluding DSH and IME). 5 27,123,716 6 Enter Mediare allowale osts of are relating to payments on line ,767,970 7 Sutrat line 6 from line 5 This is the surplus or (shortfall). 7-7,644,254 8 Desrie in Part VI the extent to whih any shortfall reported in line 7 should e treated as ommunity enefit Also desrie in Part VI the osting methodology or soure used to determine the amount reported on line 6 Chek the ox that desries the method used r- Cost aounting system I' Cost to harge ratio F Other Setion C. Colletion Praties 1 2 9a Did the organization have a written det olletion poliy during the tax year?. 9a Yes If "Yes," did the organization's olletion poliy that applied to the largest numer of its patients during the tax year ontain provisions on the olletion praties to e followed for patients who are known to qualify for finanial assistane? Desrie in Part VI 9 Yes Management Companies and Joint Ventures (see instrutions) (a) Name of entity () Desription of primary ativity of entity () Organization's profit % or stok ownership % (d) Offiers, diretors, trustees, or key employees' profit % or stok ownership% (e) Physiians' profit % or stok ownership

23 Shedule H (Form 990) 2011 Page 3 Setion A. Faility Information Hospital Failities list in order of size from largest to smallest) ow many hospital failities did the organization operate during the tax year? 17 r 5 I'D - O +k i T CD 3 n p t 2- - p (P u {3 ' a Cu 0 f} n {6 rl (P - RP- Z ^yo {6 0 m N 0 0 ry m g_ Cp ame and address See Additional Data Tale er (Desrie) Shedule H (Form 990) 2011

24 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI ST VINCENT Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 1 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

25 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount F Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

26 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

27 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI BAPTIST Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 2 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

28 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

29 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

30 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI UAMS Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 3 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

31 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

32 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

33 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI NLR Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 4 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

34 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

35 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

36 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI CONWAY Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 5 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

37 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

38 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

39 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI MOUNTAIN HOME Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 6 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

40 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny 1 Insurane status 1 Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

41 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

42 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI SEARCY Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 7 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

43 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

44 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

45 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI BENTON Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 8 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

46 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

47 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

48 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI CLINTON Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 9 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

49 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

50 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

51 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI DP200 Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 10 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

52 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

53 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

54 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI DP330 Line Numer of Hospital Faility ( from Shedule H, Part V, Setion A): 11 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

55 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

56 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

57 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI ELDOR Line Numer of Hospital Faility ( from Shedule H, Part V, Setion A): 12 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

58 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

59 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

60 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI HEBER Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 13 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

61 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

62 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

63 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI IMAG Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 14 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

64 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

65 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

66 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI LRHO Line Numer of Hospital Faility (from Shedule H, Part V, Setion A): 15 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

67 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

68 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

69 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI MORR Line Numer of Hospital Faility ( from Shedule H, Part V, Setion A): 16 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

70 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

71 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

72 Shedule H (Form 990) 2011 Page 4 Faility Information (ontinued) Setion B. Faility Poliies and Praties. (Complete a separate Setion B for eah of the hospital failities listed in Part V, Setion A) Name of Hospital Faility: CARTI PET Line Numer of Hospital Faility ( from Shedule H, Part V, Setion A): 17 Community Health Needs Assessment (Lines 1 through 7 are optional for During the tax year or any prior tax year, did the hospital faility ondut a ommunity health needs assessment ("Needs Assessment")? If "No," skip to question If"Yes," indiate what the Needs Assessment desries (hek all that apply) a F A definition of the ommunity served y the hospital faility F Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity d F How data was otained e F The health needs of the ommunity f F Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups g F The proess for identifying and prioritizing ommunity health needs and servies to meet those needs h F The proess for onsulting with persons representing the ommunity's interests i F Information gaps that limit the hospital faility's aility to assess the ommunity's health needs j F Other (desrie in Part VI) 2 Indiate the tax year the hospital faility last onduted a Needs Assessment 20 _ 3 In onduting its most reent Needs Assessment, did the hospital faility take into aount input from persons who represent the ommunity served y the hospital faility? If "Yes," desrie in Part VI how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted 3 4 Was the hospital faility's Needs Assessment onduted with one or more other hospital failities? If"Yes," list the other hospital failities in Part VI Did the hospital faility make its Needs Assessment widely availale to the puli? If"Yes," indiate how the Needs Assessment was made widely availale (hek all that apply) a 1 Hospital faility's wesite 1 Availale upon request from the hospital faility 1 Other (desrie in Part VI) 6 If the hospital faility addressed needs identified in its most reently onduted Needs Assessment, indiate how (hek all that apply) a F Adoption of an implementation strategy to address the health needs of the hospital faility's ommunity F Exeution of the implementation strategy F Development of a ommunity-wide ommunity enefit plan for the faility d F Partiipation in ommunity-wide ommunity enefit plan e F Inlusion of a ommunity enefit setion in operational plans f F Adoption of a udget for provision of servies that address the needs identified in the CHNA g F Prioritization of health needs in the ommunity h F Prioritization of servies that the hospital faility will undertake to meet health needs in its ommunity i F Other (desrie in Part VI) 7 Did the hospital faility address all of the needs identified in its most reently onduted Needs Assessment? If"No," Yes I No Finanial Assistane Poliy Did the hospital faility have in plae during the tax year a written finanial assistane poliy that 8 Explains eligiility riteria for finanial assistane, and whether suh assistane inludes free or disounted are? 8 Yes 9 Used federal poverty guidelines (FPG) to determine eligiility for providing free are? Yes If "Yes," indiate the FPG family inome limit for eligiility for free are % If "No," explain in Part VI the riteria the hospital faility used Shedule H (Form 990) 2011

73 Shedule H (Form 990) 2011 Page 5 Failit y information (ontinued) 10 Used FPG to determine eligiility for providing disounted are? Yes If"Yes," indiate the FPG family inome limit for eligiility for disounted are % If "No," explain in Part VI the riteria the hospital faility used 11 Explained the asis for alulating amounts harged to patients? Yes If"Yes," indiate the fators used in determining suh amounts (hek all that apply) a d e f g I Inome level I Asset level I Medial indigeny I Insurane status I Uninsured disount I Mediaid/Mediare 1 State regulation h 1 Other (desrie in Part VI) 12 Explained the method for applying for finanial assistane? Yes 13 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? Yes If"Yes," indiate how the hospital faility puliized the poliy (hek all that apply) a F The poliy was posted at all times on the hospital faility's we site F The poliy was attahed to all illing invoies F The poliy was posted in the hospital faility's emergeny rooms or waiting rooms d F The poliy was posted in the hospital faility's admissions offies e F The poliy was provided, in writing, to patients upon admission to the hospital faility f F' The poliy was availale upon request g F' Other (desrie in Part VI) Billing and Colletions 14 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained ations the hospital faility may take upon non-payment? Yes 15 Chek all of the following olletion ations against an individual that were permitted under the hospital faility's poliies during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FA P a 1' Reporting to redit ageny d F Lawsuits 1' Liens on residenes 1' Body attahments or arrests e FO ther similar ations (desrie in Part VI) 16 Did the hospital faility or an authorized third party perform any of the following ations during the tax year efore making reasonale efforts to determine the patient's eligiility under the faility's FAP? Yes If"Yes," hek all ations in whih the hospital faility or a third party engaged a d 1' Reporting to redit ageny F Lawsuits 1' Liens on residenes 1' Body attahments e FO ther similar ations (desrie in Part VI) 17 Indiate whih efforts the hospital faility made efore initiating any of the ations heked in question 16 (hek all that apply) a F Notified patients of the finanial assistane poliy upon admission F' Notified patients of the finanial assistane poliy prior to disharge F Notified patients of the finanial assistane poliy in ommuniations with the patients regarding the patients' ills d F Doumented its determination of whether patients were eligile for finanial assistane under the hospital faility's finanial assistane poliy e F' Other (desrie in Part VI) Yes No Shedule H (Form 990) 2011

74 Shedule H (Form 990) 2011 Page 6 Faility Information (ontinued) Poliy Relating to Emergeny Medial Care Yes No 18 Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that requires the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility's finanial assistane poliy? No If"No," indiate why a F The hospital faility did not provide are for any emergeny medial onditions 1 The hospital faility's poliy was not in writing 1 The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Part VI) d 1 Other (desrie in Part VI) Individuals Eligile for Finanial Assistane 19 Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FA P- eligile individuals for emergeny or other medially neessary are a F The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged 1 The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged 1 The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged d 1 Other (desrie in Part VI) 20 Did the hospital faility harge any of its patients who were eligile for assistane under the hospital faility's finanial assistane poliy, and to whom the hospital faility provided emergeny or other medially neessary servies, more than the amounts generally illed to individuals who had insurane overing suh are? No If"Yes," explain in Part VI 21 Did the hospital faility harge any of its FAP-eligile patients an amount equal to the gross harge for servies provided to that patient? No If"Yes," explain in Part VI Shedule H (Form 990) 2011

75 Shedule H (Form 990) 2011 Page 7 MWITZ-Faility Information (ontinued) Setion C. Other Failities That Are Not Liensed, Registered, or Similarly Reognized as a Hospital Faility (list in order of size from largest to smallest) How many non-hospital failities did the organization operate during the tax year? Name and address Typ e of Faility ( Desrie ) Shedule H (Form 990) 2011

76 Shedule H (Form 990) 2011 Page 8 Supplemental Information Complete this part to provide the following information 1 Required desriptions. Provide the desriptions required for Part I, lines 3, 6a, and 7, Part II, Part III, lines 4, 8, and 9, and Part V, Setion B, lines 1j, 3, 4, 5, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21 2 Community health needs assessment. Desrie how the organization assesses the health are needs of the ommunities it serves, in addition to any ommunity health needs assessments reported in Part V, Setion B 3 Patient eduation of eligiility for assistane. Desrie how the organization informs and eduates patients and persons who may e illed for patient are aout their eligiility for assistane under federal, state, or loal government programs or under the organization's finanial assistane poliy 4 Community information. Desrie the ommunity the organization serves, taking into aount the geographi area and demographi onstituents it serves 5 Promotion of ommunity health. Provide any other information important to desriing how the organization's hospital failities or other health are failities further its exempt purpose y promoting the health of the ommunity (e g, open medial staff, ommunity oard, use of surplus funds, et ) 6 Affiliated health are system. If the organization is part of an affiliated health are system, desrie the respetive roles of the organization and its affiliates in promoting the health of the ommunities served 7 State filing of ommunity enefit report. If appliale, identify all states with whih the organization, or a related organization, files a ommunity enefit report Identifier ReturnReferene Explanation PART I, L7 COL(F) THE FOOTNOTES TO THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDES HE FOLLOWING WORDING DESCRIBING BAD DEBT EXPENSE "CARTI PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OFTHE PATIENT OR THIRD- PARTY PAYER Shedule H (Form 990) 2011

77 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART II N/A Shedule H (Form 990) 2011

78 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART III, LINE 4 THE FOOTNOTES TO THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDES HE FOLLOWING WORDING DESCRIBING BAD DEBT EXPENSE "CARTI PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OFTHE PATIENT OR THIRD- PARTY PAYER THE ORGANIZATION USED THE "COST-TO- CHARGE RATIO" METHOD TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF SCHEDULE H, PART III Shedule H (Form 990) 2011

79 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART III, LINE 8 THE ORGANIZATION'S PHILOSOPHY IS THAT 100% OFTHE SHORTFALL REPORTED IN LINE 7 OF SCHEDULE H, PART III, SHOULD BE TREATED AS COMMUNITY BENEFIT Shedule H (Form 990) 2011

80 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART III, LINE 9B WHERE THERE IS AN ESTABLISHED, VERIFIABLE LACK OF ABILITY TO REIMBURSE CARTI FOR SERVICES RENDERED,THE PATIENT ACCOUNTING FINANCE COMMITTEE DETERMINES THE APPROPRIATE WRITE-OFF TO QUALIFIED PATIENTS OF BETWEEN 10% O 100% OFTHE PATIENT BALANCE THE COMMITTEE INCLUDES RESOURCE COORDINATOR, PATIENT CCOUNT REPRESENTATIVE(S), THE PATIENT ACCOUNTS MANAGER, AND THE CHIEF FINANCIAL OFFICER THIS DEMONSTRATED, DOCUMENTED NEED FOR CHARITY OR DISCOUNTED BALANCE IS THE ONLY VEHICLE FOR WHICH CHARITY OR A DISCOUNTED BALANCE CAN BE GRANTED Shedule H (Form 990) 2011

81 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART VI, LINE 2 CARTI DOES NOT PREPARE A FORMAL NEEDS ASSESSMENT DOCUMENT Shedule H (Form 990) 2011

82 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART VI, LINE 3 ALL PATIENTS COMPLETE A REGISTRATION PROCESS PART OFTHIS PROCESS IS MEETING WITH OUR RESOURCE COORDINATORS, WHO PROVIDE THE PATIENTS WITH A DETAILED PATIENT INFORMATION PACKET THIS PACKET INCLUDES,AMONG OTHER DOCUMENTS, CARTIS FINANCIAL ASSISTANCE AND CHARITY INFORMATION IN ADDITION,THE RESOURCE COORDINATORS PROVIDE COUNSELING REGARDING CARTIS PROGRAMS - SUCH AS RANSPORTATION, HOUSING, FUEL VOUCHERS, AND EDUCATION AND SUPPORT SEMINARS Shedule H (Form 990) 2011

83 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART VI, LINE 4 CARTI HAS SEVEN CENTERS (SEE SCHEDULE H, PART V) ACROSS THE STATE OF ARKANSAS PROVIDING RADIATION THERAPY TO PATIENTS FROM LL 75 COUNTIES IN ARKANSAS AND FROM THE SURROUNDING STATES Shedule H (Form 990) 2011

84 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART VI, LINE 5 PLEASE REFER TO DETAILED RESPONSE GIVEN TO QUESTION 4(A) OF FORM 990, PART III Shedule H (Form 990) 2011

85 Shedule H (Form 990) 2011 Page 8 Identifier ReturnReferene Explanation PART VI, LINE 6 N/A Shedule H (Form 990) 2011

86 Additional Data Software ID: Software Version: EIN: Name : CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Form 990 Shedule H, Part V Setion A. Hospital Failities Setion A. Hospital Failities (list in order of size, measured y total revenue per faility, from largest to smallest) r ro 0 ) M m M CD CD -0 How many hospital failities did the organization operate during - e3 P s o the tax year? 17 4 a rn ro Other ( Desrie) i Name and address CARTI ST VINCENT RADIATION 1 4 ST VINCENT CIRCLE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI BAPTIST RADIATION KANIS ROAD X THERAPY LITTLE ROCK,AR INSTITUTE CARTI UAMS RADIATION SHUFFIELD DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI NLR RADIATION SPRINGHILL DRIVE X THERAPY NORTH LITTLE ROCK,AR INSTITUTE CARTI CONWAY RADIATION COLLEGE AVENUE X THERAPY CONWAY,AR INSTITUTE CARTI MOUNTAIN HOME RADIATION HOSPITAL DRIVE X THERAPY MOUNTAIN HOME,AR INSTITUTE CARTI SEARCY RADIATION RODGERS DRIVE X THERAPY SEARCY,AR INSTITUTE CARTI BENTON RADIATION 8 3 MEDICAL PARK PLAZA X THERAPY BENTON,AR INSTITUTE CARTI CLINTON RADIATION HWY 65 SOUTH X THERAPY CLINTON,AR INSTITUTE CARTI DP200 RADIATION BAPTIST HEALTH DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI DP330 RADIATION BAPTIST HEALTH DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI ELDORADO RADIATION SOUTH TIMBERLANE X THERAPY EL DORADO,AR INSTITUTE CARTI HEBER SPRINGS RADIATION BY PASS ROAD X THERAPY HEBER SPRINGS,AR INSTITUTE CARTI IMAG RADIATION BAPTIST HEALTH DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI LRHO RADIATION BAPTIST HEALTH DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI MORR RADIATION 16 4 HOSPITAL DRIVE X THERAPY MORRILTON,AR INSTITUTE CARTI PET RADIATION BAPTIST HEALTH DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE

87 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: Shedule J Compensation Information OMB No (Form 990) For ertain Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" to Form 990, Department of the Treasury Part IV, question 23. Open to Puli Internal Revenue Servie 1- At tah to Form See separate instrutions. Inspetion Name of the organization CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Questions Regarding Compensation Employer identifiation numer la Chek the appropiate ox(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Setion A, line la Complete Part III to provide any relevant information regarding these items 1 First-lass or harter travel 1 Housing allowane or residene for personal use 1 Travel for ompanions 1 Payments for usiness use of personal residene 1 Tax idemnifiation and gross - up payments 1 Health or soial lu dues or initiation fees 1 Disretionary spending aount 1 Personal servies ( e g, maid, hauffeur, hef) Yes I No If any of the oxes in line la are heked, did the organization follow a written poliy regarding payment or reimursement orprovision of all the expenses desried aove? If "No," omplete Part III to explain l 2 Did the organization require sustantiation prior to reimursing or allowing expenses inurred y all offiers, diretors, trustees, and the CEO/Exeutive Diretor, regarding the items heked in line la? 2 3 Indiate whih, if any, of the following the organization uses to estalish the ompensation of the organization 's CEO /Exeutive Diretor Chek all that apply F Compensation ommittee F Written employment ontrat F Independent ompensation onsultant F Compensation survey or study fl Form 990 of other organizations F Approval y the oard or ompensation ommittee 4 During the year, did any person listed in Form 990, Part VII, Setion A, line la with respet to the filing organization or a related organization a Reeive a severane payment or hange-of-ontrol payment? 4a No Partiipate in, or reeive payment from, a supplemental nonqualified retirement plan? 4 No Partiipate in, or reeive payment from, an equity-ased ompensation arrangement? 4 No If "Yes" to any of lines 4a-, list the persons and provide the appliale amounts for eah item in Part III Only 501 ( )(3) and 501 ( )(4) organizations only must omplete lines For persons listed in form 990, Part VII, Setion A, line la, did the organization pay or arue any ompensation ontingent on the revenues of a The organization? 5a No Any related organization? 5 No If "Yes," to line 5a or 5, desrie in Part III 6 For persons listed in form 990, Part VII, Setion A, line la, did the organization pay or arue any ompensation ontingent on the net earnings of a The organization? 6a No Any related organization? 6 No If "Yes," to line 6a or 6, desrie in Part III 7 For persons listed in Form 990, Part VII, Setion A, line la, did the organization provide any non-fixed payments not desried in lines 5 and 6? If "Yes," desrie in Part III 7 No 8 Were any amounts reported in Form 990, Part VII, paid or aured pursuant to a ontrat that was sujet to the initial ontrat exeption desried in Regs setion (a)(3)? If "Yes," desrie in Part III 9 If "Yes" to line 8, did the organization also follow the reuttale presumption proedure desried in Regulations setion ()? 9 8 No For Privay At and Paperwork Redution At Notie, see the Intrutions for Form 990 Cat No 50053T Shedule 3 ( Form 990) 2011

88 Shedule 3 (Form 990) 2011 Shedule J (Form 990) 2011 Page 2 Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees. Use Shedule 3-1 if additional spae needed. For eah individual whose ompensation must e reported in Shedule J, report ompensation from the organization on row (i) and from related organizations, desried in the instrutions on row (ii) Do not list any individuals that are not listed on Form 990, Part VII Note. The sum of olumns (B)(i)-(iii) for eah listed individual must equal the total amount of Form 990, Part VII, Setion A, line la, olumns (D) and (E) for that individual (A) Name (B) Breakdown of W-2 and/or 1099-MISC ompensation (C) Retirement and (D) Nontaxale (E) Total of olumns (F) Compensation (ii) Bonus & (iii) Other other deferred enefits (B)(i)-(D) reported in prior (i) Base inentive reportale ompensation Form 990 or ompensation ompensation ompensation Form 990-EZ (1)3ANICE E (1) 331,391 87, ,700 2, ,870 0 BURFORD (ii) (2) DANIEL SUMMERS (i) 212,360 42, ,950 5, ,776 0 (^^) (3) LAWRENCE (i) 251,450 52, ,700 7, ,357 0 BERKLEY (ii) (4) ROBERT J ALTOFF (i) 149,248 33, ,959 8, ,777 0 (^^) (5) EDWARD GRANT (i) 172,130 6, ,784 3, ,668 0 (^^) (6) DALE CAMPBELL (i) 191,706 25, ,805 7, ,156 0 (^^) (7) PAUL ANTHONY (i) 136,307 5, ,077 5, ,875 0 BRUCE (ii) (8) JEFFERY (i) 183,395 7, ,028 4, ,844 0 YAKOUBIAN (ii) (9)JAMES BEATY (i) 127,437 18, ,888 3, ,873 0 (^^)

89 Shedule J (Form 990) 2011 Page 3 Supplemental Information Complete this part to provide the information, explanation, or desriptions required for Part I, lines la, 1, 4, 5a, 5, 6a, 6, 7, and 8 Also omplete this part for any additional information Identifier Return Referene Explanation Shedule 3 (Form 990) 2011

90 efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: SCHEDULE 0 (Form 990 or 990-EZ ) Department of the Treasury Internal Revenue Servie Supplemental Information to Form 990 or 990-EZ OMB No Complete to provide information for responses to speifi questions on Form 990 or to provide any additional information. Open 1- Attah to Form 990 or 990-EZ. Inspetion Name of the organization CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Employer identifiation numer Identifier Return Explanation Referene FORM 990, PART VI, SECTION B, LINE 11 FORM 990, PART VI, SECTION B, LINE 12C USING A SECURE WEBSITE, THE ORGANIZATION CIRCULATES A DRAFT COPY OF THE FORM 990 TO THE MEMBERS OF ITS GOVERNING BODY FOR THEIR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE FORM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT ACCORDINGLY, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT CARTI IS A CHARITABLE ORGANIZATION, AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES FORM 990, THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS/KEY PART VI, EMPLOYEES BEGINS WITH OBTAINING MARKET PRICING INFORMATION FROM AN EXTERNAL SECTION B, COMPENSATION CONSULTANT - HEWITT ASSOCIATES USING THAT MARKET DATA, THE ORGANIZATION'S LINE 15 HUMAN RESOURCES DEPARTMENT DEVELOPS A "SALARY ACTION RECOMMENDATION', WHICH IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND ULTIMATE APPROVAL FORM 990, PART VI, SECTION C, LINE 18 FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST CHANGES IN FORM 990, NET UNREALIZED GAINS ON INVESTMENTS 248,301 INCREASE IN EQUITY INTEREST IN CARTI FOUNDATION NET ASSETS PART XI, LINE NET ASSETS 482,507 TOTAL TO FORM 990, PART XI, LINE 5 730,808 OR FUND 5 BALANCES

91 For Privay At and Paperwork Redution At Notie, see the Instrutions for Form 990. Cat No 50135Y Shedule R (Form 990) 2011 jefile GRAPHIC print - DO NOT PROCESS SCHEDULE R (Form 990) Department of the Treasury Internal Revenue Servie Name of the organization CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC As Filed Data - Related Organizations and Unrelated Partnerships 1- Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or Attah to Form See separate instrutions. Employer identifiation numer Identifiation of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.) DLN: OMB No Name, address, and EIN of disregarded entity Primary ativity Legal domiile ( state or foreign ountry ) Total inome End-of-year assets Diret ontrolling entity (1) CARTI ONCOLOGY SOLUTIONS LLC PO BOX LITTLE ROCK, AR MANAGEMENT SERVICES AR THE TAXPAYER (CARTI) Identifiation of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 eause it had one or more related tax-exempt organizations during the tax year.) (a) Name, address, and EIN of related organization (1) CARTI FOUNDATION INC POBOX LITTLE ROCK, AR () Primary ativity TO FOSTER, SUPPORT & ENCOURAGE ACTIVITIES OF CARTI INC () Legal domiile (state or foreign ountry) (d ) Exempt Code setion (e) Puli harity status (if setion 501()(3)) (f) Diret ontrolling entity (g) Setion 512()(13) ontrolled organization AR 501(C)(3) 509(A)(3) TYPE 1 N/A No Yes No

92 Shedule R (Form 990) 2011 Page 2 Identifiation of Related Organizations Taxale as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 eause it had one or more related organizations treated as a partnership during the tax year.) (a) Name, address, and EIN of related organization () Primary ativity () Legal domiile (state or foreign ountry) (d) Diret ontrolling entity (e) Predominant inome (related, unrelated, exluded from tax under setions ) (f) Share of total inome (9) Share of end-ofyear assets (h) Disproprtionate alloations7 (i) Code V-UBI amount in ox 20 of Shedule K-1 (Form 1065) U) General or managing part ner? (k) Perentage ownership Yes N. Yes N. Identifiation of Related Organizations Taxale as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 eause it had one or more related organizations treated as a orporation or trust during the tax year.) (a) Name, address, and EIN of related organization () Primary ativity () Legal domiile (state or foreign ountry) (d ) Diret ontrolling entity (e) Type of entity (C orp, S orp, or trust) Share(oftotal inome (9) Share of end-of-year assets (h) Perentage ownership Shedule R (Form 990) 2011

93 Shedule R (Form 990) 2011 Shedule R (Form 990) 2011 Page 3 Transations With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.) Note. Complete line 1 if any entity is listed in Parts II, III or IV Yes No 1 During the tax year, did the orgranization engage in any of the following transations with one or more related organizations listed in Parts II-IV? a Reeipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a ontrolled entity la No Gift, grant, or apital ontriution to related organization (s) l No Gift, grant, or apital ontriution from related organization (s) l Yes d Loans or loan guarantees to or for related organization (s) ld No e Loans or loan guarantees y related organization (s) le No f Sale of assets to related organization( s) if No g Purhase of assets from related organization( s) lg No h Exhange of assets with related organization( s) lh No i Lease of failities, equipment, or other assets to related organization( s) ii No j Lease of failities, equipment, or other assets from related organization( s) 1j No k Performane of servies or memership or fundraising soliitations for related organization (s) lk Yes I Performane of servies or memership or fundraising soliitations y related organization( s) 11 Yes m Sharing of failities, equipment, mailing lists, or other assets with related organization (s) lm Yes n Sharing of paid employees with related organization (s) in Yes o Reimursement paid to related organization(s) for expenses 10No p Reimursement paid y related organization(s) for expenses lp Yes q Other transfer of ash or property to related organization (s) lq No r Other transfer of ash or property from related organization( s) lr No 2 If the answer to any of the aove is "Yes," see the instrutions for information on who must omplete this line, inluding overed relationships and transation thresholds (1) CARTI FOUNDATION (2) CARTI FOUNDATION (a) Transation () (^) Method of determining (d) amount Name of other organization Amount involved type(a-r) involved C 559,664 ACTUAL AMOUNT PAID P 954,565 ACTUAL AMOUNT PAID (3) (4) (5) (6)

94 Shedule R (Form 990) 2011 Page 4 Unrelated Organizations Taxale as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.) Provide the following information for eah entity taxed as a partnership through whih the organization onduted more than five perent of its ativities (measured y total assets or gross revenue) that was not a related organization See instrutions regarding exlusion for ertain investment partnerships (a) Name, address, and EIN of entity () Primary ativity () Legal domiile (state or foreign ountry) (d) Predominant inome(related, unrelated, exluded from tax under setions ) (e) Are all partners setion 501()(3) organizations? (f) Share of total inome (g) Share of end-of-year assets (h) Disproprtionate alloations? (i) Code V-UBI amount in ox 20 of Shedule K-1 (Form 1065) U) General or managing part ner? Yes No Yes No Yes No (k) Perentage ownership Shedule R (Form 990) 2011

95 Shedule R (Form 990) 2011 Page 5 Supplemental Information Complete this part to provide additional information for responses to questions on Shedule R (see instrutions) Identifier Return Referene Explanation Shedule R (Form 990) 2011

96 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 with REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS

97 CONTENTS PAGE Report of independent ertified puli aountants Finanial statements: Consolidated alane sheets Consolidated statements of operations Consolidated statements of hanges in net assets Consolidated statements of ash flows Notes to onsolidated finanial statements 6-17

98 la dson isne & Co LLP REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS Board of Diretors Central Arkansas Radiation Therapy Institute, In. Little Rok, Arkansas We have audited the aompanying onsolidated alane sheets of Central Arkansas Radiation Therapy Institute, In. (CARTI) as of June 30, 2012 and 2011, and the related onsolidated statements of operations, hanges in net assets and ash flows for the years then ended. These finanial statements are the responsiility of the Institute's management. Our responsiility is to express an opinion on these finanial statements ased on our audits. We onduted our audits in aordane with auditing standards generally aepted in the United States of Ameria. Those standards require that we plan and perform the audit to otain reasonale assurane aout whether the finanial statements are free of material misstatement. An audit inludes examining, on a test asis, evidene supporting the amounts and dislosures in the finanial statements. An audit also inludes assessing the aounting priniples used and signifiant estimates made y management, as well as evaluating the overall finanial statement presentation. We elieve that our audits provide a reasonale asis for our opinion. In our opinion, the finanial statements referred to aove present fairly, in all material respets, the onsolidated finanial position of Central Arkansas Radiation Therapy Institute, In., as of June 30, 2012 and 2011, and the hanges in its net assets and its ash flows for the years then ended in onformity with aounting priniples generally aepted in the United States of Ameria. Septemer 19, 2012 Hudson, Cisne & Co. LLP Huron Lane Little Rok, AR Phone: (501) Fax: (501 )

99 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 2 CONSOLIDATED BALANCE SHEETS JUNE 30, 2012 AND 2011 ASSETS Current assets: Cash Patient aounts reeivale, net of allowanes; $29,657,044; $16,515,528 Due from CARTI Foundation, In. Other reeivales Inventory - Radiation supplies - Medial onology supplies Prepaid expenses and other Total urrent assets Assets limited as to use: Internally designated Property and equipment, net Deferred ompensation investments, at fair value Other assets: Interest in net assets of CARTI Foundation, In. Goodwill (see Note 16) Total other assets Total assets $ 5,504,724 $ 2,783,124 13,815,825 4,942, , ,128 13,529 34, , ,986 1,813,308-81,431,822 82,049,508 11,939,098 9,393, , ,960 10,63 5,408 10,152,901 10,235,820-20,871,228 10,152,901 $ 137,471,804 $ 111,968,490 LIABILITIES AND NET ASSETS Current liailities: Aounts payale Arued expenses Total urrent liailities Deferred gain on leaseak $ 6,110,272 $ 1,249,937 14,104 Deferred ompensation payale Net assets: Unrestrited Temporarily restrited Total net assets 481, ,431, ,067, ,960 97,623, ,776,839 Total liailities and net assets $ 137,471,804 $ 111,968,490 See aompanying notes.

100 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 3 CONSOLIDATED STATEMENTS OF OPERATIONS YEARS ENDED JUNE 30, 2012 AND 2011 Unrestrited revenues, gains and other support: Net patient servie revenue Other revenue Total unrestrited revenues, gains and other support $ 85,033,171 $ 41,243, , ,979 85,245,826 41,369,495 Expenses: Salaries Employee enefits Oupany osts Professional and ontrat servies Equipment repairs and maintenane Radiation treatment supplies Medial onology supplies Community affairs and marketing Information servies tehnology Supplies and other Soial servie programs Insurane Interest expense Depreiation and amortization Provision for unolletile aounts Total expenses 23,302,576 4,191,533 2,939,815 8,286,057 1,354, ,159 25,867, ,718 1,630,439 2,323, , ,896 1,149 3,1 19,243 6,252,813 80,985,349 11,390,520 2,744,712 2,131,417 7,563, , , , ,722 1,776, , ,138 3,141,465 4,482,688 36,658,226 Operating inome Other inome (expense): Investment return Grants reeived from CARTI Foundation, In. Gain on disposal of property and equipment Total other inome Exess of revenues over expenses Change in unrealized gains on investments Inrease in unrestrited net assets 4,260,477 4,71 1,269 3,127,895 2,750, , ,565 8,611,394 1, ,559,430 8,042, $ 16,807,731 $ 17,783,334 See aompanying notes.

101 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 4 CONSOLIDATED STATEMENTS OF CHANGES IN NET ASSETS YEARS ENDED JUNE 30, 2012 AND 2011 Unrestrited net assets Exess of revenues over expenses Change in unrealized gains on investments Inrease in unrestrited net assets Temporarily restrited net assets Inrease in equity interest in net assets of CARTI Foundation, In. Inrease in net assets $ 16,559,430 $ 8,042, ,301 9,740,889 16,807,731 17,783, ,507 1,520,683 17,290,238 19,304,017 Net assets - Net assets - eginning of year end of year i n-r -7-r non 00 n-rn nnn $ 125,067,077 $ 107,776,839 See aompanying notes.

102 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 5 CONSOLIDATED STATEMENTS OF CASH FLOWS YEARS ENDED JUNE 30, 2012 AND 2011 Cash flows from operating ativities: Change in net assets Adjustments to reonile hange in net assets to net ash provided y operating ativities: Depreiation and amortization Change in interest in net assets of CARTI Foundation, In. Gain on disposal of property and equipment Net realized and unrealized gain on investments Changes in operating assets and liailities: Patient aounts reeivale, net Other urrent assets Aounts payale and arued expenses Net ash provided y operating ativities 2012 $ 17,290,238 3,1 19,243 (482,507) (8,611,394) (2,077,501) (8,873,506) (1,135,176) 8,100,615 7,330, $ 19,304,017 3,141,465 (1,520,683) (1,300) (11,205,572) (235,583) (92,263) (1,612,001 ) 7,778,080 Cash flows from investing ativities: Net hange in investments Payments for aquisition Proeeds from sale of property and equipment Purhase of property and equipment Net ash used in investing ativities 2,695,187 (7,282,331) (13,034,454) - 9,500,000 1,300 (3,769,145 ) (564,874 ) (4,608,412 ) (7,845,905 ) Net inrease (derease) in ash Cash, eginning of year Cash, end of year 2,721,600 2,783,124 $ 5,504,724 (67,825) 2,850,949 $ 2,783,124 See aompanying notes.

103 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 6 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 1: Nature of operations and summary of signifiant aounting poliies Nature of operations The Central Arkansas Radiation Therapy Institute, In (CARTI) is a not-for-profit organization that provides radiation onology and medial onology treatments to patients throughout Arkansas CARTI's primary loation is in Little Rok, Arkansas, with satellite operations in North Little Rok, Seary, Mountain Home, Conway, and Benton, Arkansas It is exempt from tax under Setion 501()(3) of the Internal Revenue Code Susequent events The Susequent Events Topi of the Aounting Standards Codifiation (ASC) estalishes general standards of aounting for and dislosure of events that our after the onsolidated alane sheet date ut efore onsolidated finanial statements are issued or are availale to e issued CARTI has evaluated all susequent events for potential reognition and dislosure through Septemer 19, 2012, the date these onsolidated finanial statements were availale to e issued Priniples of onsolidation The onsolidated finanial statements inlude the aounts of CARTI and its susidiary, CARTI Onology Solutions, LLC, whih provides lini management servies for onology physiian groups All signifiant interompany alanes and transations have een eliminated Use of estimates The preparation of finanial statements in onformity with aounting priniples generally aepted in the United States of Ameria requires management to make estimates and assumptions that affet the reported amounts of assets and liailities and dislosure of ontingent assets and liailities at the date of the onsolidated finanial statements and the reported amounts of revenues and expenses during the reporting period Areas of partiular signifiane to CARTI are those estimates related to (1) the allowanes for ontratual adjustments and doutful aounts, (2) the valuation of goodwill, (3) medial malpratie laims, (4) estimated lives and methods used to alulate depreiation, (5) the estimated fair value of finanial instruments and (6) the alloation of funtional expenses Aordingly, atual results ould differ from those estimates Cash and ash equivalents Cash and ash equivalents inlude all monies in anks and highly liquid investments with maturity dates of less than three months The arrying value of ash and ash equivalents approximates fair value eause of the short maturities of those finanial instruments Patient aounts reeivale Patient aounts reeivale are stated at net realizale amounts from patients, third-party payers and others for servies rendered CARTI provides an allowane for doutful aounts, whih is ased upon a review of outstanding reeivales, historial olletion information and existing eonomi onditions Delinquent reeivales are written off ased on individual redit evaluation and speifi irumstanes of the patient or third-party payer

104 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 7 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 1: Nature of operations and summary of signifiant aounting poliies (ontinued) Inventory Inventory onsists of radiation and hemotherapy-related drugs and supplies and is ost or market, determined using the first-in, first-out method stated at the lower of Investments and investment return Investments in equity seurities with readily determinale fair values, and all investments in det seurities, are valued at their fair market value in the onsolidated alane sheets Other investments are valued at the lower of ost (or fair value at time of donation, if aquired y ontriution) or fair value Investment return inludes dividends, interest and other investment inome, realized and unrealized gains and losses on investments arried at fair value, and realized gains and losses on other investments Investment return that is initially restrited y donor stipulation and for whih the restrition will e satisfied in the same year is inluded in unrestrited net assets Other investment return is refleted in the onsolidated statements of operations as unrestrited, temporarily restrited or permanently restrited ased upon the existene and nature of any donor or legally imposed restritions The investment in equity investee is reported on the equity method of aounting Assets limited as to use Assets limited as to use inlude assets set aside y the Board of Diretors for future apital improvements over whih the Board retains ontrol and may at its disretion susequently use for other purposes Deferred ompensation investments Investments of the deferred ompensation plan are held y external administrators in CARTI 's name and are reorded at their readily determinale fair values ased on quoted market values Property and equipment Property and equipment are depreiated on a straight - line asis over the estimated useful life of eah asset Depreiation expense was $3,119,243 and $3,141,465 for the years ended June 30, 2012 and 2011, respetively Donations of property and equipment are reported at fair value as an inrease in unrestrited net assets unless use of the assets is restrited y the donor Monetary gifts that must e used to aquire property and equipment are reported as restrited support The expiration of suh restritions is reported as an inrease in unrestrited net assets when the donated asset is plaed in servie Goodwill Goodwill represents the exess of ost over the fair value of the assets aquired in the usiness omination disussed in Note 16 CARTI aounts for goodwill under the Intangiles - Goodwill and Other Topi of the ASC CARTI annually performs an impairment test of goodwill as required y the Topi When the arrying value of the goodwill exeeds its fair value, the alane is permanently redued through a harge against CARTI's earnings for that year There were no impairments as of June 30, 2012

105 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 8 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 1: Nature of operations and summary of signifiant aounting poliies ( ontinued ) Temporarily restrited net assets Temporarily restrited net assets are those whose use y CARTI has een limited y donors to a speifi time period or purpose Net patient servie revenue CARTI has agreements with third-party payers that provide for payments to CARTI at amounts different from its estalished rates Net patient servie revenue is reported at the estimated net realizale amounts from patients, third-party payers and others for servies rendered Charity are CARTI provides are without harge or at amounts less than its estalished rates to patients who meet ertain riteria under its harity are poliy Charity are is not reported as revenue Medial malpratie CARTI purhases medial malpratie insurane under a laims-made poliy Under suh poliy, only laims made and reported to the insurer are overed during the poliy term, regardless of when the inident giving rise to the laim ourred Inome taxes CARTI is a not-for-profit organization that is exempt from inome taxes under Setion 501()(3) of the Internal Revenue Code and a similar provision of state law However, CARTI is sujet to federal inome tax on any unrelated usiness taxale inome As of June 30, 2012, CARTI has generated net operating losses of approximately $246,000 from unrelated usiness ativities whih are availale to offset unrelated usiness taxale inome in future years, ut will egin expiring at June 30, 2027 if unused Any resulting deferred tax enefit is onsidered immaterial In aordane with the Aounting for Inome Taxes Topi of the ASC, CARTI would reognize, if any, arued interest and penalties assoiated with unertain tax positions as an inome tax provision The past three years of tax returns, along with the urrent year return, are sujet to potential examination y taxing authorities Exess of revenues over expenses The onsolidated statements of operations inludes exess of revenues over expenses Changes in unrestrited net assets whih are exluded from exess of revenues over expenses, onsistent with industry pratie, inlude unrealized gains and losses on investments, permanent transfers to and from affiliates for other than goods and servies and ontriutions of long-lived assets (inluding assets aquired using ontriutions whih y donor restrition were to e used for the purpose of aquiring suh assets) Relassifiations Certain relassifiations have een made to the 2011 finanial statements in order to onform with the 2012 presentation

106 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 9 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 2: Net patient servie revenue CARTI has agreements with third-party payers that provide for payments to the organization at amounts different from its estalished rates A summary of signifiant payment arrangements follows Mediare and Mediaid servies rendered to Mediare and Mediaid program enefiiaries are ased on fee shedules that estalish payment amounts for all servies furnished in all fee shedule areas for the year Approximately 55% and 52% of gross patient servie revenues were from partiipation in the Mediare and state-sponsored Mediaid programs for the years ended June 30, 2012 and 2011, respetively CARTI has also entered into payment agreements with ertain ommerial insurane arriers, health maintenane organizations and preferred provider organizations The asis for payment to CARTI under these agreements inludes disounts from estalished harges and prospetively determined daily rates Note 3: Conentrations of redit risk CARTI grants redit without ollateral to its patients, most of whom are area residents and are insured under third-party payer agreements The mix of reeivales from patients and third-party payers are as follows Mediare 33% 32% Mediaid 7 8 Blue Cross Other third-party payers Patients % 100% Note 4: Investments and investment return Assets limited as to use eause of internal designations inlude Cash and ash equivalents $ 11,119,800 $ 7,078,621 Equity seurities 45,533,570 48,641,652 Corporate seurities 24,778,452 26,329,

107 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 10 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 4: Investments and investment return (ontinued) Total investment return is omprised of the following Interest and dividend inome (net of investment expenses of $358,507 in 2012 and $347,625 in 2011) $ 1,298,695 $ 1,288,628 Realized gains on sales of investments 1,829,200 1,461,683 Change in unrealized gains on investments 248,301 9,740,889 Total investment return is refleted in the onsolidated statements of operations as follows Investment return Change in unrealized gains on investments $ 3,127,895 $ 2,750, $ 3,376,196 $ 12,491,200 Certain investments in det and marketale equity seurities are reported in the onsolidated finanial statements at an amount less than their historial ost Total fair value of these investments at June 30, 2012 was $9,719,334, whih is approximately 12% of CARTI's investment portfolio These delines primarily resulted from failures of ertain investments to maintain onsistent redit quality ratings or meet projeted earnings targets Based on evaluation of availale evidene, inluding reent hanges in market interest rates, redit rating information and information otained from regulatory filings, management elieves the delines in fair value for these seurities are temporary Should the impairment of any of these seurities eome other than temporary, the ost asis of the investment will e redued and the resulting loss reognized in net inome in the period the other-thantemporary impairment is identified The following tale shows CARTI's investments' gross unrealized losses and fair value, aggregated y investment ategory and length of time that individual seurities have een in a ontinuous unrealized loss position at June Less than 12 months 12 months or more Total Desription of Unrealized Unrealized Unrealized seurities Fair N slue losses Fair N slue losses Fair N slue losses Det seunties $ 4,467,759 $ 40,518 $ 1, $ 61,814 $ 5,897,229 $ Equm seurities 2,686, A9; 1,1; ;,520 ;,822,105 ;60.1;0 Total temporan1n impaired seurities $ $ $ $ $ $ 462,345

108 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 11 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 4: Investments and investment return (ontinued) 2011 Less than 12 months 12 months or more Total Desription of Unrealized Unrealized Unrealized seurities Fair N slue losses Fair N slue losses Fair N slue losses Det seunties $ 3,001,610 $ 38,733 $ 1, $ 80,578 $ $ 119,311 Equm seurities 1,182, , Total temporanln impaired seurities $ 4,183,805 $ $ $ $ 7,609,930 $ 566,305 Note 5: Fair value Aounting standards define fair value as the prie that would e reeived to sell an asset or paid to transfer a liaility in an orderly transation etween market partiipants at the measurement date They also estalish a fair value hierarhy whih requires an entity to maximize the use of oservale inputs and minimize the use of unoservale inputs when measuring fair value Following are the three levels of inputs that may e used to measure fair value Level 1 : Quoted pries in ative markets for idential assets or liailities Level 2 : Oservale inputs other than Level 1 pries, suh as quoted pries for similar assets or liailities in ative markets, quoted pries for idential or similar assets or liailities in markets that are not ative, or other inputs that are oservale or an e orroorated y oservale market data for sustantially the full term of the assets or liailities Level 3 : Unoservale inputs that are supported y little or no market ativity and that are signifiant to the fair value of the assets or liailities The following tale presents CARTI's hierarhy for its finanial assets measured at fair value on a reurring asis as of June 30 Assets: 2012 Total Level 1 Level 2 Level 3 Cash and ash equivalents Mutual funds Small-ap equity $ 16,900,832 $ 16,900,832 $ 3,249,348 3,249,348 - $ - Equity seurities Aerospae and defense 448, ,528 Auto omponents 745, ,553 Banks and finanial institutions 5,199,954 5,199,954

109 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 12 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 5: Fair value ( ontinued) 2012 (ontinued) Total Level1 Level 2 Level 3 Beverages Chemials Commerial servies and supplies Computer tehnology Constrution materials Diversified teleom servies Eletrial equipment Food and drug retailing Healthare Hotels, restaurants, and leisure Household produts Information tehnology Internet and atalog retain Mahinery Media Multi-utilities Oil and gas Pharmaeutials Speialty retail Textiles and apparel Transportation infrastruture Corporate onds AAA AA AA- A+ A A- BBB+ BBB BBB- Deferred ompensation investments 1,580,358 1,580, ,465,885 1,465, , , ,530,103 7,530, , , , , ,795,504 1,795, , , ,381,713 3,381, , , ,748,092 2,748, ,119,972 1,119, , , ,791,552 1,791, ,393,110 1,393, , , ,308,299 4,308, ,649,776 1,649, , , , , , , , , , , , , ,739,182 3,739, ,316,120 4,316, ,246,954 7,246, ,620,030 4,620, ,115,591 2,115, , , , ,525 Total assets $ 87,418,071 $ 87,418,071 $ - $ -

110 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 13 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 5: Fair value (ontinued) Assets: Total Level Level2 Level 3 Cash and ash equivalents $ Mutual funds Small-ap equity Equity seurities Aerospae and defense Auto omponents Banks and finanial institutions Beverages Chemials Computer tehnology Diversified teleom servies Eletrial equipment Food and drug retailing Healthare Household produts Industrials Information tehnology Mahinery Media Oil and gas Pharmaeutials Speialty retail Textiles and apparel Transportation infrastruture 10,187,100 $ 10,187,100 $ 4,091,513 4,091,513 1,288,179 1,288, , ,099 5,905,455 5,905,455 1,466,247 1,466,247 1,805,014 1,805,014 8,542,935 8,542, , ,775 2,542,413 2,542,413 1,306,208 1,306,208 2,877,044 2,877,044 2,676,349 2,676, , ,690 1,224,012 1,224,012 1,770,160 1,770,160 1,670,007 1,670,007 5,234,331 5,234,331 1,531,522 1,531, , , , , , ,421 - $ - Corporate onds AAA AA+ AA AA- A+ A A- BBB+ BBB BBB- 422, , , , ,251,036 2,251, ,723,831 1,723, ,813,607 2,813, ,563,167 6,563, ,263,952 5,263, ,198,630 3,198, ,739,410 1,739, ,790,305 1,790, Deferred ompensation investments 354, ,960 Total assets

111 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 14 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 5: Fair value ( ontinued) CARTI arries these finanial assets in their finanial reords at their fair value The following setion desries the valuation methodologies that CARTI uses to reflet these finanial assets at fair value Cash and ash equivalents - Cash and ash equivalents are refleted at their stated values Mutual funds - Exhange-trade mutual funds are generally valued ased on quoted pries from the exhange Equity seurities - exhange Corporate onds - from the market Exhange-trade equity seurities are generally valued ased on quoted pries from the Corporate onds are generally valued ased on quoted pries of their usip numers Deferred ompensation investments - Inlude money market funds and mutual funds whih are generally valued ased on quoted pries from the exhange Note 6: Property and equipment A summary of property and equipment at June 30 follows Land Building improvements Fixed equipment Major movale equipment and other Furniture and fixtures Minor movale equipment and other Deposits on equipment Medial onology equipment Aumulated depreiation Net ook value Constrution in progress 2012 $ 178,000 10,008,898 22,574,245 8,417,673 1,387,157 1,342, ,009 2,798,634 46,883,257 (34,968,807 ) 11,914, ,000 10,089,234 31,084,000 9,498,027 1,616,573 1,344, ,226 53,939,415 (44, 546,143 ) 9,393,272 Property and equipment, net $ 11,939,098 $ 9,393,272 Note 7: Interest in the net assets of CARTI Foundation, In. CARTI and the CARTI Foundation, In ("the Foundation") are finanially interrelated organizations as defined in the Finanially Interrelated Entities Topi of the ASC The Foundation seeks private support for and holds net assets on ehalf of CARTI The Foundation transfers assets to CARTI when deemed appropriate to do so y the Foundation's Board The Foundation transferred $559,664 and $579,565 to CARTI during the years ended June 30, 2012 and 2011, respetively

112 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 15 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 7: Interest in the net assets of CARTI Foundation, In. (ontinued) CARTI aounts for its interest ("Interest") in the net assets of the Foundation in a manner similar to the equity method The Interest is refleted as an asset stated at fair value and hanges in the Interest are inluded in the hange in net assets Transfers of assets etween the Foundation and CARTI are reognized as inreases and dereases in the interest in the net assets of the Foundation with orresponding dereases and inreases in the assets transferred and have no effet on the hange in net assets CARTI's interest in the net assets of the Foundation was $10,635,408 and $10,152,901 at June 30, 2012 and 2011, respetively This interest inludes ertain net assets that donors have stipulated should e used for speified CARTI purposes These amounts are refleted on the onsolidated alane sheets as temporarily restrited net assets Note 8: Temporarily restrited net assets Temporarily restrited net assets are availale for the following purposes or periods Patient servies $ 833,799 $ 815,491 Eduation 106, ,235 Pediatri program 940, ,734 For periods after June 30 8,754,236 8,414,441 10,635,408 : During 2012 and 2011, net assets were released from donor restritions y inurring expenses, satisfying the restrited purposes of patient servies, pediatri programs, health are eduation and equipment purhases in the amount of $559,664 and $579,565, respetively Note 9: Line of redit CARTI otained a $10,000,000 revolving line of redit in 2012 that matures in Feruary 2014 At June 30, 2012, the line of redit had no outstanding orrowings Interest is payale monthly at a variale rate equal to LIBOR plus 170 asis points (1 94% at June 30, 2012) The line is seured y aounts reeivale and inventory and ontains ertain restritions, inluding finanial ovenants Note 10: Charity are Charges exluded from revenue under CARTI's harity are poliy were $3,526,994 and $2,950,211 for 2012 and 2011, respetively

113 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 16 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 11: Funtional expenses CARTI provides radiation therapy to residents within its geographi loation Expenses related to providing these servies are as follows Health are servies $ 68,159,019 $ 27,993,639 General and administrative 12,826,330 8,664, Note 12: Operating leases As of June 30, 2012, CARTI was oligated under ertain operating lease agreements, extending to the year 2021 for land and uildings, whih require CARTI to pay all exeutory osts (property taxes, maintenane and insurane) The approximate future minimum lease payments under these operating leases are as follows 2013 $ 1,653, , , , ,983 Thereafter 840,960 Future minimum lease payments Rent expense under these operating leases for the years ended June 30, 2012 and 2011, totaled $2,004,996 and $1,380,160, respetively Note 13: Pension plan CARTI has a profit sharing plan that overs sustantially all eligile employees CARTI also sponsors a tax sheltered annuity plan in whih an employee may voluntarily defer a portion of his or her ompensation on a pre-tax asis Comined pension expense totaled $1,496,289 and $1,018,198 for the years ended June 30, 2012 and 2011, respetively Note 14: Deferred ompensation plan CARTI has a retirement plan under Setion 457 of the Internal Revenue Code Certain management employees lassified as a President or Vie President of CARTI are eligile to partiipate in the plan Under the terms of the plan, partiipants may elet to defer a portion of their salary efore tax to e ontriuted to the plan, and CARTI may make ontriutions to the plan upon its disretion All amounts ontriuted to the plan for the enefit of partiipants and any earnings thereon are onsidered property of CARTI until the enefits are atually paid to the partiipants For the years ended June 30, 2012 and 2011, employee ontriutions to the plan totaled $62,081 and $49,500, respetively

114 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 17 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2012 AND 2011 Note 15: Signifiant onentrations Periodially throughout the year, CARTI had ash alanes at finanial institutions loated in Arkansas in exess of federally insured limits At June 30, 2012, CARTI's uninsured ash alanes totaled $11,293,983 However, CARTI does not elieve that it is sujet to unusual redit risk eyond the normal redit risk assoiated with ommerial anking relationships Note 16: Business omination On Deemer 1, 2011, CARTI purhased all of the property, equipment and servie lines of Little Rok Hematology Onology Assoiates (LRHO) in Little Rok Arkansas for $13,034,454 The purpose of the aquisition was to leverage synergies and eonomies of sale from the usiness omination as well the addition of new servies CARTI ould provide its patients, inluding hemotherapy and diagnosti imaging servies Independent appraisals were performed to otain the market value of the property and equipment LRHO's operations inluded a separately identifiale diagnosti imaging and positron emission tomography ("PET") servie line The market value of ertain tangile and intangile assets omprising the imaging and PET servie line were otained from an independent health are appraiser, valued as a going onern utilizing the disounted ash flow method All results of the operations of this new loation, after the date of aquisition, are inluded in the aompanying onsolidated finanial statements Under the Aounting Standards Codifiation, intangile assets are reported separately from goodwill if they an e individually identified and valued If they annot e individually identified and valued, the amount paid is refleted as goodwill Sine the intangile assets aquired from LRHO were valued as a group, they are not ale to e individually identified and valued Aordingly, the amount paid for them is refleted as goodwill Refleted elow is a summary of the ost of the assets purhased Property and equipment $ 2,798,634 Goodwill 10,235,820 13, Note 17: Susequent event During the year ended June 30, 2012, CARTI' s Board of Diretors agreed to expand CARTI 's mission from solely providing radiation onology servies to that of providing omprehensive onology servies through a health system It was determined to e neessary to estalish new usiness entities to allow for the expanded mission to e arried out in an effiient and legally defensile manner Susequent to year end, those new entities have een estalished to egin the proess of onverting into a health system