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1 For Pperwork Reution At tie, see the seprte instrutions. l efile GRAPHIC p rint - DO NOT PROCESS As File Dt - DLN: OMB Return of Orgniztion Exempt From Inome Tx Form 990 Uner setion 501 ( ), 527, or 4947 ( )(1) of the Internl Revenue Coe (exept privte fountions) 2O1 3 Deprtment of the Tresury Do not enter Soil Seurity numers on this form s it my e me puli By lw, the IRS Open Internl Revenue Servie generlly nnot ret the informtion on the form Inspetion - Informtion out Form 990 n its instrutions is t For the 2013 lenr yer, or tx yer eginning , 2013, n ening C Nme of orgniztion B Chek if pplile CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC F Aress hnge Doing Business As F Nme hn g e CARTI D Employer ientifition numer fl Initil return Numer n street (or P 0 ox if mil is not elivere to street ress) Room/suite E Telephone numer PO BOX p Terminte (501) (- Amene return City or town, stte or provine, ountry, n ZIP or foreign postl oe LITTLE ROCK, AR Applition pening G Gross reeipts $ 487,020,667 F Nme n ress of prinipl offier H() Is this group return for JEFF BURTON PO BOX suorintes? (-Yes LITTLE ROCK,AR H() Are ll suorintes 1Yes(- inlue? I Tx-exempt sttus F 501()(3) 1 501() ( ) I (insert no (- 4947()(1) or F_ 527 If "," tth list (see instrutions) J Wesite : - WWW CARTI CO M H() Group exemption numer 0- K Form of orgniztion F Corportion 1 Trust F_ Assoition (- Other 0- L Yer of formtion 1973 M Stte of legl omiile AR w Summry 1 Briefly esrie the orgniztion's mission or most signifint tivities CARTI PROVIDES MULTI-DISCIPLINARY ONCOLOGY SERVICES TO CANCER PATIENTS THROUGHOUT ARKANSAS 2 Chek this ox if the orgniztion isontinue its opertions or ispose of more thn 25% of its net ssets 3 Numer of voting memers of the governing oy (Prt VI, line 1) Numer of inepenent voting memers of the governing oy (Prt VI, line 1 ) Totl numer of iniviuls employe in lenr yer 2013 (Prt V, line 2) Totl numer of volunteers (estimte if neessry) Totl unrelte usiness revenue from Prt VIII, olumn (C), line Net unrelte usiness txle inome from Form 990-T, line Prior Yer Current Yer 8 Contriutions n grnts (Prt VIII, line 1h). 6,064, ,587 9 Progrm servie revenue (Prt V I I I, l i n e 2g) ,042, ,044,989 N 10 Investment inome (Prt VIII, olumn (A), lines 3, 4, n 7 )... 7,722,468 12,971,003 LLJ 11 Other revenue (Prt VIII, olumn (A), lines 5, 6, 8, 9, 10, n 11e) 258, , Totl revenue- lines 8 through 11 (must equl Prt VIII, olumn (A), line 12) ,088, ,052, Grnts n similr mounts pi (Prt IX, olumn (A), lines 1-3) Benefits pi to or for memers (Prt IX, olumn (A), line 4) Slries, other ompenstion, employee enefits (Prt IX, olumn (A), lines 5-10) 37,878,461 46,167, Professionl funrising fees (Prt IX, olumn (A), line 11e) 0 0 Totl funrising expenses (Prt IX, olumn (D), line 25) Other expenses (Prt IX, olumn (A), lines h1-11, 11f-24e) ,402, ,125, Totl expenses A lines (must equl Prt IX, olumn (A), line 25) 336,280, ,292, Revenue less expenses Sutrt line 18 from line ,807,074 9,759,957 Beginning of Current Yer En of Yer 20 Totl ssets (Prt X, line 16) ,942, ,398,068 M %TS 21 Totl liilities (Prt X, line 26) ,026,039 69,765,456 ZLL 22 Net ssets or fun lnes Sutrt line 21 from line ,916, ,632,612 lijw Signture Blok Uner penlties of perjury, I elre tht I hve exmine this return, inluin my knowlege n elief, it is true, orret, n omplete Delrtion of preps preprer hs ny knowlege Sign Here Signture of offier JEFF BURTON DIRECTOR OF ACCOUNTING Type or print nme n title Print/Type preprer's nme GINA R MORAN Pi Firm's nme 1- HUDSON CISNE & CO LLP Pre pre r Use Only Firm's ress ANDERSON DRIVE STE 300 My the IRS isuss this LITTLE ROCK, AR Preprers signture return with the preprer shown ove? (see instruts

2 Form 990 (2013) Pge 2 Sttement of Progrm Servie Aomplishments Chek if Sheule 0 ontins response or note to ny line in this Prt III.F 1 Briefly esrie the orgniztion'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 Di the orgniztion unertke ny signifint progrm servies uring the yer whih were not liste on the prior Form 990 or 990-EZ fl Yes F If "Yes," esrie these new servies on Sheule 0 3 Di the orgniztion ese onuting, or mke signifint hnges in how it onuts, ny progrm servies? F Yes F If "Yes," esrie these hnges on Sheule 0 4 Desrie the orgniztion's progrm servie omplishments for eh of its three lrgest progrm servies, s mesure y expenses Setion 501()(3) n 501()(4) orgniztions re require to report the mount of grnts n llotions to others, the totl expenses, n revenue, if ny, for eh progrm servie reporte 4 (Coe ) (Expenses $ 442,092,368 inluing grnts of $ ) (Revenue $ 469,673,237 FOR ALMOST 39 YEARS, CARTI HAS BEEN SYNONYMOUS WITH CUTTING-EDGE, STATE OF THE ART CANCER CARE TREATMENT IN ARKANSAS FROM ITS ORIGINS AS ONE OF THE NATION'S 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 CARTI WAS INCORPORATED IN 1970 AND OPENED ITS FIRST RADIATION THERAPY CENTER IN LITTLE ROCK ON APRIL 5, 1976 LITTLE ROCK HEMATOLOGY/ONCOLOGY (LRHO) BECAME PART OF CARTI ON DECEMBER 1, 2011 HEMATOLOGY ONCOLOGY SERVICES OF ARKANSAS (HOSA) JOINED THE CARTI NETWORK ON JANUARY 1, 2013 PHYSICIANS ON STAFF AT CARTI INCLUDE 11 MEDICAL ONCOLOGISTS, NINE RADIATION ONCOLOGISTS, THREE DIAGNOSTIC RADIOLOGISTS AND ONE SURGICAL ONCOLOGIST CARTI HAS A STATEWIDE NETWORK OF SATELLITE CLINICS MEDICAL ONCOLOGY IS OFFERED IN LITTLE ROCK, NORTH LITTLE ROCK, BENTON, CLINTON, CONWAY, EL DORADO, HEBER SPRINGS, MONTICELLO, MORRILTON, RUSSELLVILLE AND STUTTGART RADIATION ONCOLOGY IS OFFERED IN LITTLE ROCK, NORTH LITTLE ROCK, CONWAY, MOUNTAIN HOME AND SEARCY CONSTRUCTION IS CURRENTLY UNDERWAY ON THE CARTI CANCER CENTER, A COMPREHENSIVE TREATMENT CENTER LOCATED IN LITTLE ROCK THAT WILL ALLOW PATIENTS EASIER ACCESS TO FULLY INTEGRATED CANCER CARE THE CARTI CANCER CENTER, WHICH IS EXPECTED TO OPEN FALL 2015, WILL SERVE AS THE HUB OF THE NETWORK AND WILL BE AN APPROXIMATELY 170,000 SQUARE FOOT, MULTI-STORY TREATMENT FACILITY LOCATED ON RILEY ROAD IN LITTLE ROCK THE BUILDING WILL SET ON A ACRE PLOT WITH EASY ACCESS TO THE TOTAL COST OF THE BUILDING, INCLUDING FURNISHINGS AND MEDICAL EQUIPMENT, IS ESTIMATED AT $90 MILLION CARTI TREATS A WIDE VARIETY OF CANCERS, WITH THE THREE MOST WIDELY TREATED CANCERS BEING BREAST, LUNG AND COLO-RECTAL DURING THE FISCAL YEAR ENDING JUNE 30, 2014, APPROXIMATELY 19,250 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 119 PATIENTS AT A COST OF $47,611 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 $128,214 WERE MADE FOR APPROXIMATELY 504 PATIENTS THIS NUMBER IS IN ADDITION TO THE FREE TRANSPORTATION OFFERED BY CARTI TO HOSPITAL AND/OR NURSING HOME PATIENTS THERE WERE 284 REFERRALS MADE FOR EMOTIONAL SUPPORT, WHICH WAS PAID FOR BY CARTI AT A COST OF $28,235 ADDITIONALLY, FINANCIAL ASSISTANCE IN THE AMOUNT OF $24,575 WAS PROVIDED FOR 152 PATIENTS WHO COULD NOT AFFORD NECESSARY MEDICATIONS IN ADDITION, APPROXIMATELY 370 FREE MASSAGES (AT A COST OF $10,998) 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 679 PEOPLE IN EIGHT 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, SIX 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 356 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 300 PEOPLE ADDITIONALLY, APPROXIMATELY 21 CARTI KIDS TOOK PART IN A SUMMER TRIP TO OSAGE BEACH, MO 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 (Coe ) (Expenses $ inluing grnts of $ ) (Revenue $ 4 (Coe ) (Expenses $ inluing grnts of $ ) (Revenue $ 4 Other progrm servies (Desrie in Sheule 0 ) (Expenses $ inluing grnts of $ ) (Revenue $ 4e Totl progrm servie expenses 1-442,092,368 Form 990 (2013)

3 Form 990 (2013) Pge 3 Cheklist of Require Sheules 1 Is the orgniztion esrie in setion 501()(3) or4947()(1) (other thn privte fountion)? If "Yes," Yes omplete Sheule As Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)? 2 Yes 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes,"omplete Sheule C, Prt I Setion 501 ( )(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 501(h) eletion in effet uring the tx yer? If "Yes,"omplete Sheule C, Prt II Is the orgniztion setion 501 ()(4), 501 ()(5), or 501()(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, Prt III N o 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If "Yes,"omplete Sheule D, Prt Is Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes,"omplete Sheule D, Prt II Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," omplete Sheule D, Prt III N o 9 Di the orgniztion report n mount in Prt X, line 21 for esrow or ustoil ount liility, serve s ustoin for mounts not liste in Prt X, or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, 10 Yes permnent enowments, or qusi-enowments? If "Yes,"omplete Sheule D, Prt V. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 10? If "Yes," omplete Sheule D, Prt VI ll Di the orgniztion report n mount for investments-other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, PrtVIIN ll Di the orgniztion report n mount for investments-progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, PrtVIII ll Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, PrtIX'S li e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt, f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 740)? If "Yes," omplete Sheule D, Prt X Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Sheule D, Prts XI n XII Yes Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "" to line 12, then ompleting Sheule D, Prts XI n XII is optionl Is the orgniztion shool esrie in setion 170()(1)(A)(ii)? If "Yes," ompletesheulee lle llf 12 Yes Yes Yes Yes Yes N o Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes?. 14 Di the orgniztion hve ggregte revenues or expenses of more thn $10,000 from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $100,000 or more? If "Yes," omplete Sheule F, Prts I n IV Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5,000 of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5,000 of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV Di the orgniztion report totl of more thn $15,000 of expenses for professionl funrising servies on Prt 17 IX, olumn (A), lines 6 n 11e? If "Yes," omplete Sheule G, Prtl (seeinstrutions) Di the orgniztion report more thn $15,000 totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II Di the orgniztion report more thn $15,000 of gross inome from gming tivities on Prt VIII, line 9? If 19 "Yes," omplete Sheule G, Prt III Di the orgniztion operte one or more hospitl filities? If "Yes,"omplete Sheule H Yes If "Yes" to line 20, i the orgniztion tth opy of its uite finnil sttements to this return? 20 Yes Form 990 (2013)

4 Form 990 (2013) Pge 4 Cheklist of Require Sheules (ontinue) 21 Di the orgniztion report more thn $5,000 of grnts or other ssistne to ny omesti orgniztion or 21 government on Prt IX, olumn (A), line 1? If "Yes, "omplete Sheule I, Prts I n II Di the orgniztion report more thn $5,000 of grnts or other ssistne to iniviuls in the Unite Sttes on Prt IX, olumn (A), line 2? If "Yes," omplete Sheule I, Prts I n III. 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste employees? If "Yes," 23 omplete Sheule J Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $100,000 s of the lst y of the yer, tht ws issue fter Deemer 31, 2002? If"Yes," nswer lines 24 through 24 n omplete Sheule K. If ","go to line Yes Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?. 24 Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer to efese ny tx-exempt ons?. 24 Di the orgniztion t s n on ehlf of issuer for ons outstning t ny time uring the yer? Setion 501( )( 3) n 501 ( )(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt I Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 990 or 990-EZ? If 25 "Yes," omplete Sheule L, Prt I S 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or isqulifie persons? 26 If so, omplete Sheule L, Prt II Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily 27 memer of ny of these persons? If "Yes," omplete Sheule L, Prt III S 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions) A urrent or former offier, iretor, trustee, or key employee? If "Yes,"omplete Sheule L, Prt IV A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV A n entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes,"omplete Sheule L, Prt IV.. 28 Yes 29 Di the orgniztion reeive more thn $25,000 in non-sh ontriutions? If "Yes,"ompleteSheuleM 29 I I 30 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie onservtion ontriutions? If "Yes," omplete Sheule M Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, Prt I Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes, " omplete Sheule N, Prt II Di the orgniztion own 100% of n entity isregre s seprte from the orgniztion uner Regultions setions n ? If "Yes," omplete Sheule R, PrtI Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes,"omplete Sheule R, Prt II, III, oriv, n Prt V, line t Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If'Yes'to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512 ()(13 )? If "Yes,"omplete Sheule R, Prt V, line Yes 36 Setion 501( )( 3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle relte orgniztion? If "Yes," omplete Sheule R, Prt V, line Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, Prt VI Di the orgniztion omplete Sheule 0 n provie explntions in Sheule 0 for Prt VI, lines 1 l n 19? te. All Form 990 filers re require to omplete Sheule Yes Yes Yes N o N o 36 Yes Form 990 (2013)

5 Form 990 (2013) Pge 5 Sttements Regring Other IRS Filings n Tx Compline MEW- Chek if Sheule 0 ontins response or note to ny line in this Prt V (- l Enter the numer reporte in Box 3 of Form 1096 Enter -0- if not pplile. l 87 Enter the numer of Forms W-2G inlue in line l Enter-0- if not pplile l 0 2 Di the orgniztion omply with kup withholing rules for reportle pyments to venors n reportle gming (gmling) winnings to prize winners? Yes Enter the numer of employees reporte on Form W-3, Trnsmittl of Wge n Tx Sttements, file for the lenr yer ening with or within the yer overe y this return If t lest one is reporte on line 2, i the orgniztion file ll require feerl employment tx returns? te. If the sum of lines l n 2 is greter thn 250, you my e require to e-file (see instrutions) 3 Di the orgniztion hve unrelte usiness gross inome of $1,000 or more uring the yer?.. 3 If "Yes," hs it file Form 990-T for this yer? If '" to line 3, provie n explntion in Sheule O At ny time uring the lenr yer, i the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)? If "Yes," enter the nme of the foreign ountry 0- See instrutions for filing requirements for Form TD F , Report of Foreign Bnk n Finnil Aounts 2 Yes Yes 5 Ws the orgniztion prty to prohiite tx shelter trnstion t ny time uring the tx yer?.. 5 Di ny txle prty notify the orgniztion tht it ws or is prty to prohiite tx shelter trnstion? If "Yes," to line 5 or 5, i the orgniztion file Form 8886-T? 6 Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $100,000, n i the 6 orgniztion soliit ny ontriutions tht were not tx eutile s hritle ontriutions?.. If "Yes," i the orgniztion inlue with every soliittion n express sttement tht suh ontriutions or gifts were not tx eutile?. 6 7 Orgniztions tht my reeive eutile ontriutions uner setion 170(). Di the orgniztion reeive pyment in exess of $75 me prtly s ontriution n prtly for goos n 7 servies provie to the pyor?. If "Yes," i the orgniztion notify the onor of the vlue of the goos or servies provie?. 7 Di the orgniztion sell, exhnge, or otherwise ispose of tngile personl property for whih it ws require to file Form If "Yes," inite the numer of Forms 8282 file uring the yer e Di the orgniztion reeive ny funs, iretly or iniretly, to py premiums on personl enefit ontrt?. f Di the orgniztion, uring the yer, py premiums, iretly or iniretly, on personl enefit ontrt? g If the orgniztion reeive ontriution of qulifie intelletul property, i the orgniztion file Form 8899 s require?. h If the orgniztion reeive ontriution of rs, ots, irplnes, or other vehiles, i the orgniztion file Form 1098-C?. 8 Sponsoring orgniztions mintining onor vise funs n setion 509( )( 3) supporting orgniztions. Di the supporting orgniztion, or onor vise fun mintine y sponsoring orgniztion, hve exess usiness holings t ny time uring the yer?. 9 Sponsoring orgniztions mintining onor vise funs. Di the orgniztion mke ny txle istriutions uner setion 4966?.. Di the orgniztion mke istriution to onor, onor visor, or relte person?.. 10 Setion 501()(7) orgniztions. Enter Initition fees n pitl ontriutions inlue on Prt VIII, line Gross reeipts, inlue on Form 990, Prt VIII, line 12, for puli use of lu 10 filities 11 Setion 501( )( 12) orgniztions. Enter Gross inome from memers or shreholers Gross inome from other soures (Do not net mounts ue or pi to other soures ginst mounts ue or reeive from them ) e 7f 7g 7h Setion 4947( )(1) non -exempt hritle trusts. Is the orgniztion filing Form 990 in lieu of Form 1041? If "Yes," enter the mount of tx-exempt interest reeive or rue uring the yer Setion 501( )( 29) qulifie nonprofit helth insurne issuers. Is the orgniztion liense to issue qulifie helth plns in more thn one stte? te. See the instrutions for itionl informtion the orgniztion must report on Sheule 0 Enter the mount of reserves the orgniztion is require to mintin y the sttes in whih the orgniztion is liense to issue qulifie helth plns 13 Enter the mount of reserves on hn Di the orgniztion reeive ny pyments for inoor tnning servies uring the tx yer? If "Yes," hs it file Form 720 to report these pyments? If ","provie n explntion in Sheu le Form 990 (2013)

6 Form 990 ( 2013) Pge 6 Lm Governne, Mngement, n Dislosure For eh "Yes" response to lines 2 through 7 elow, n for "" response to lines 8, 8, or 1O elow, esrie the irumstnes, proesses, or hnges in Sheule 0. See instrutions. Chek if Sheule 0 ontins response or note to ny line in this Prt VI.F Setion A. Governing Boy n Mngement l Enter the numer of voting memers of the governing oy t the en of the tx yer If there re mteril ifferenes in voting rights mong memers of the governing oy, or if the governing oy elegte ro uthority to n exeutive ommittee or similr ommittee, explin in Sheule 0 l 18 Enter the numer of voting memers inlue in line l, ove, who re inepenent l 16 2 Di ny offier, iretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, iretor, trustee, or key employee? 3 Di the orgniztion elegte ontrol over mngement uties ustomrily performe y or uner the iret supervision of offiers, iretors or trustees, or key employees to mngement ompny or other person? 4 Di the orgniztion mke ny signifint hnges to its governing ouments sine the prior Form 990 ws file? 5 Di the orgniztion eome wre uring the yer of signifint iversion of the orgniztion's ssets? 6 Di the orgniztion hve memers or stokholers? 7 Di the orgniztion hve memers, stokholers, or other persons who h the power to elet or ppoint one or more memers of the governing oy?.. Are ny governne eisions of the orgniztion reserve to (or sujet to pprovl y) memers, stokholers, or persons other thn the governing oy? 8 Di the orgniztion ontemporneously oument the meetings hel or written tions unertken uring the yer y the following The governing oy? Eh ommittee with uthority to t on ehlf of the governing oy? Yes I Is there ny offier, iretor, trustee, or key employee liste in Prt VII, Setion A, who nnot e rehe t the orgniztion's miling ress? If "Yes,"provie the nmes n resses in Sheule Setion B. Poliies ( This Setion B re q uests informtion out p oliies not re q uire y the Internl Revenue Coe.) 10 Di the orgniztion hve lol hpters, rnhes, or ffilites? 10 Yes If "Yes," i the orgniztion hve written poliies n proeures governing the tivities of suh hpters, ffilites, n rnhes to ensure their opertions re onsistent with the orgniztion's exempt purposes? 10 Yes 11 Hs the orgniztion provie omplete opy of this Form 990 to ll memers of its governing oy efore filing the form? Yes Desrie in Sheule 0 the proess, if ny, use y the orgniztion to review this Form Di the orgniztion hve written onflit of interest poliy? If ","go to line Yes Were offiers, iretors, or trustees, n key employees require to islose nnully interests tht oul give rise to onflits? Yes Di the orgniztion regulrly n onsistently monitor n enfore ompline with the poliy? If "Yes," esrie in Sheule 0 how this ws one. 12 Yes 13 Di the orgniztion hve written whistlelower poliy? 13 Yes 14 Di the orgniztion hve written oument retention n estrution poliy?. 14 Yes 15 Di the proess for etermining ompenstion of the following persons inlue review n pprovl y inepenent persons, omprility t, n ontemporneous sustntition of the eliertion n eision? The orgniztion's CEO, Exeutive Diretor, or top mngement offiil 15 Yes Other offiers or key employees of the orgniztion 15 Yes If "Yes" to line 15 or 15, esrie the proess in Sheule 0 (see instrutions) 16 Di the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity uring the yer? If "Yes," i the orgniztion follow written poliy or proeure requiring the orgniztion to evlute its prtiiption in joint venture rrngements uner pplile feerl tx lw, n tke steps to sfegur the orgniztion's exempt sttus with respet to suh rrngements? Setion C. Dislosure 17 List the Sttes with whih opy of this Form 990 is require to e file- AR 18 Setion 6104 requires n orgniztion to mke its Form 1023 (or 1024 if pplile), 990, n 990-T (501() (3)s only) ville for puli inspetion Inite how you me these ville Chek ll tht pply fl Own wesite fl Another's wesite F Upon request fl Other (explin in Sheule O ) 19 Desrie in Sheule 0 whether (n if so, how) the orgniztion me its governing ouments, onflit of interest poliy, n finnil sttements ville to the puli uring the tx yer 20 Stte the nme, physil ress, n telephone numer of the person who possesses the ooks n reors of the orgniztion -JEFF BURTON PO BOX LITTLE ROCK,AR (501) Yes Yes Yes N o Form 990 (2013)

7 Form 990 (2013) Pge 7 Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compenste Employees, n Inepenent Contrtors Chek if Sheule 0 ontins response or note to ny line in this Prt VII.(- Setion A. Offiers, Diretors, Trustees, Kev Employees, n Highest Compenste Employees l Complete this tle for ll persons require to e liste Report ompenstion for the lenr yer ening with or within the orgniztion's tx yer * List ll of the orgniztion's urrent offiers, iretors, trustees (whether iniviuls or orgniztions), regrless of mount of ompenstion Enter-0- in olumns (D), (E), n (F) if no ompenstion ws pi * List ll of the orgniztion's urrent key employees, if ny See instrutions for efinition of "key employee " * List the orgniztion's five urrent highest ompenste employees (other thn n offier, iretor, trustee or key employee) who reeive reportle ompenstion (Box 5 of Form W-2 n/or Box 7 of Form 1099-MISC) of more thn $100,000 from the orgniztion n ny relte orgniztions * List ll of the orgniztion 's former offiers, key employees, or highest ompenste employees who reeive more thn $100,000 of reportle ompenstion from the orgniztion n ny relte orgniztions * List ll of the orgniztion 's former iretors or trustees tht reeive, in the pity s former iretor or trustee of the orgniztion, more thn $10,000 of reportle ompenstion from the orgniztion n ny relte orgniztions List persons in the following orer iniviul trustees or iretors, institutionl trustees, offiers, key employees, highest ompenste employees, n former suh persons 1 Chek this ox if neither the orgniztion nor ny relte orgniztion ompenste ny urrent offier, iretor, or trustee (A) (B) (C) (D) (E) (F) Nme n Title Averge Position ( o not hek Reportle Reportle Estimte hours per more thn one ox, unless ompenstion ompenstion mount of week ( list person is oth n offier from the from relte other ny hours n iretor /trustee ) orgniztion orgniztions ompenstion for relte 5 0 = T (W- 2/ (W- 2/1099- from the orgniztions CL :1 2 fd o MISC) MISC) orgniztion elow m _ (D rt, n relte otte line ) u S - - orgniztions (1) LAWRENCE MENDELSOHN DIRECTOR (2) DAVID HOLSTED 1 00 DIRECTOR (3) THOMAS KOONCE DIRECTOR (4) W DUCOTE HAYNES 1 00 DIRECTOR (5) CHUCK COOK 1 00 DIRECTOR (6) MIKE WILKINSON 1 00 DIRECTOR (7) JOHN STEURI 1 00 DIRECTOR (8) MIKE COULSON 1 00 DIRECTOR (9) MARY JANE REBICK 1 00 DIRECTOR (10) GUS VRATSINAS 1 00 DIRECTOR (11) Z LYNN ZENO 1 00 DIRECTOR (12) SHANE BROADWAY 1 00 DIRECTOR (13) PAUL HART 1 00 DIRECTOR (14) SCOTT KORENBLAT 1 00 DIRECTOR (15) GENE WHISENHUNT 1 00 DIRECTOR (16) HARRY HAMLIN 1 00 DIRECTOR (17) JANICE E BURFORD PRESIDENT & CEO X 1,568, ,523 X X 894, ,377 X X X X X X X X X X X X X X 474, ,423 Form 990 (2013)

8 Form 990 (2013) Pge 8 Setion A. Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees (ontinue) (A) (B) (C) (D ) ( E) (F) Nme n Title Averge Position (o not hek Reportle Reportle Estimte hours per more thn one ox, unless ompenstion ompenstion mount of other week ( list person is oth n offier from the from relte ompenstion ny hours n iretor/trustee ) orgniztion orgniztions from the for relte 0 - ;rl = T (W- 2/1099- ( W- 2/1099- orgniztion M orgniztions - EL 5 ^] (o MISC) MISC) n relte elow Q m 0 r, orgniztions otte line ) C:, SL T! fd 0 J. =71 (D _0 (18) JAMES SOLBERG X 240, ,637 CFO/TREASURER (19) JEFF BURTON X 121, ,075 ASSISTANT TREASURER (20) LYNN TUBBS X 56, ,694 SECRETARY (21) NICOLE CYPERT X 34, ,871 ASSISTANT SECRETARY (22) BRAD BALTZ X 1,903, ,199 PHYSICIAN (23) KAMAL PATEL X 1,390, ,509 PHYSICIAN (24) BALAGOPALAN NAIR X 1,382, ,699 PHYSICIAN (25) CRAIG COMISH X 239, ,962 VICE PRESIDENT/COO (26) MARIANN HARRINGTON X 1,000, ,506 PHYSICIAN (27) DIANE WILDER X 1,078, ,006 PHYSICIAN (28) KEWEN JAUSS X 882, ,523 PHYSICIAN (29) SCOTT STERN X 535, ,448 PHYSICIAN (30) RHONDA GENTRY X 689, ,738 PHYSICIAN l Su -Totl Totl from ontinution sheets to Prt VII, Setion A Totl ( lines l n 1 ) ,492, ,190 Totl numer of iniviuls (inluing ut not limite to those liste ove) who reeive more thn $100,000 of reportle ompenstion from the orgniztion-21 Di the orgniztion list ny former offier, iretor or trustee, key employee, or highest ompenste employee on line l? If "Yes," omplete Sheule Jfor suh iniviu l For ny iniviul liste on line l, is the sum of reportle ompenstion n other ompenstion from the orgniztion n relte orgniztions greter thn $150,0007 If "Yes," omplete Sheule -7 for suh iniviul Di ny person liste on line l reeive or rue ompenstion from ny unrelte orgniztion or iniviul for servies renere to the orgniztion? If "Yes," omplete Sheule Jfor suh person Setion B. Inepenent Contrtors 1 Complete this tle for your five highest ompenste inepenent ontrtors tht reeive more thn $100,000 of ompenstion from the orgniztion Report ompenstion for the lenr yer ening with or within the orgniztion's tx yer (A) Nme n usiness ress (B) Desription of servies (C) Compenstion RADIATION ONCOLOGY ASSOCIATES PA 500 SOUTH UNIVERSITY SUITE 600 LITTLE ROCK AR RADIATION ONCOLOGISTS 6,519,461 VINES MEDIA 9 ALPINE COURT LITTLE ROCK AR MEDIA SERVICES 304,801 AR DIAGNOSTIC IMAGING PA 4401 OAKS BLUFF DRIVE LITTLE ROCK AR DIAGNOSTIC RADIOLOGY 198,261 2 Totl numer of inepenent ontrtors ( inluing ut not limite to those liste ove ) who reeive more thn $100,000 of ompenstion from the orgniztion 0-3 Form 990 (2013)

9 Form 990 (2013) Pge 9 Z Sttement of Revenue Chek if Sheule 0 ontins response or note to ny line in this Prt VIII F l Feerte mpigns. l r = Memership ues.... l E Funrising events (A) (B) (C) (D) Totl revenue Relte or Unrelte Revenue exempt usiness exlue from funtion revenue tx uner revenue setions tj' Relte orgniztions. l 379,587 E e Government grnts ( ontriutions) le V ^ f All other ontriutions, gifts, grnts, n if similr mounts not inlue ove g nsh ontriutions inlue in lines l-if $ h Totl. A lines l -1f. 379,587 Business Coe 2 PROFESSIONAL FEES ,989, ,989,281 2 S Q PATIENT SERVICES ,055, ,055,708 C e f All other progrm servie revenue g Totl. A lines 2-2f ,044,989 3 Investment inome (inluing iviens, interest, n other similr mounts ) Inome from investment of tx- exempt on proees Roylties Gross rents Less rentl expenses Rentl inome or (loss) (i) Rel (ii) Personl Net rentl ino me or ( loss).. lim- (i) Seurities (ii) Other 7 Gross mount from sles of 28,579,126 ssets other thn inventory Less ost or other sis n 16,916,168 51,675 sles expenses Gin or (loss) 11,662,958-51,675 1,359,720 1,359,720 Net gin or ( loss). lim- 11,611,283 11,611,283 8 Gross inome from funrising W events ( not inluing 3 $ of ontriutions reporte on line 1) See Prt IV, line 18 s Less iret expenses. Net inome or (loss) from funrising events Gross inome from gming tivities See Prt IV, line 19.. Less iret expenses. Net inome or (loss ) from gming ti vities...0- Gross sles of inventory, less returns n llownes. Less ost of goos sol. Net inome or (loss ) from sles of inventory. lim- Misellneous Revenue Business Coe 11 STUDIES INCOME , ,173 HEMATOLOGY/ONCOLOGY , ,411 SERVICES C OTHER INCOME , ,971 All other revenue. 1,690 1,690 e Totl.A lines , Totl revenue. See Instrutions 0-470,052, ,673, Form 990 (2013)

10 Form 990 (2013) Form 990 (2013) Pge 10 Sttement of Funtionl Expenses Setion 501()(3) n 501()(4) orgniztions must omplete ll olumns All other orgniztions must omplete olumn (A) Chek if Sheule 0 ontins response or note to ny line in this Prt IX Do not inlue mounts reporte on lines 6, 7, 8, 9, n 10 of Prt VIII. 1 Grnts n other ssistne to governments n orgniztions in the Unite Sttes See Prt IV, line 21 2 Grnts n other ssistne to iniviuls in the Unite Sttes See Prt IV, line 22 3 Grnts n other ssistne to governments, orgniztions, n iniviuls outsie the Unite Sttes See Prt IV, lines 15 n 16 4 Benefits pi to or for memers ( A) Totl expenses (B) Progrm servie expenses (C) Mngement n generl expenses 5 Compenstion of urrent offiers, iretors, trustees, n key employees 14,338,907 13,412, ,767 6 Compenstion not inlue ove, to isqulifie persons (s efine uner setion 4958 ( f)(1)) n persons esrie in setion 4958 ( )(3)(B) 7 Other slries n wges 24,854,868 16,656,291 8,198,577 8 Pension pln ruls n ontriutions ( inlue setion 401(k) n 403 ( ) employer ontriutions ) 2,220,587 1,515, ,649 9 Other employee enefits 2,692,664 1,838, , Pyroll txes 2,060,687 1,406, , Fees for servies ( non-employees) Mngement.. Legl.. Aounting.. Loying.. e Professionl funrising servies See Prt IV, line 17 f Investment mngement fees.. g Other (If line 11g mount exees 10 % of line 25, olumn ( A) mount, list line 11g expenses on Sheule O ).. 12 Avertising n promotion. 13 Offie expenses.. 14 Informtion tehnology 15 Roylties 16 Oupny 3,797,782 2,083,155 1,714, Trvel.. 18 Pyments of trvel or entertinment expenses for ny feerl, stte, or lol puli offiils 19 Conferenes, onventions, n meetings. 20 Interest 12,432 12, Pyments to ffilites 22 Depreition, epletion, n mortiztion 3,757,120 2,330,282 1,426, Insurne 512, , , Other expenses Itemize expenses not overe ove (List misellneous expenses in line 24e If line 24e mount exees 10% of line 25, olumn ( A) mount, list line 24e expenses on Sheule 0 CONTRACTUAL ADJUSTMENTS 312,477, ,477,592 RADIATION TREATMENT SUP 72,194,951 72,194,951 PROFESSIONAL &CONTRACT 8,135,374 8,135,374 UNCOLLECTIBLE ACCOUNTS 5,259,147 5,259,147 e All other expenses 7,978,314 4,583,447 3,394,867 (D) Funrising expenses 25 Totl funtionl expenses. A lines 1 through 24e 460,292, ,092, ,200, Joint osts. Complete this line only if the orgniztion reporte in olumn ( B) joint osts from omine eutionl mpign n funrising soliittion Chek here - fl if following SOP 98-2 (ASC )

11 Form 990 (2013) Pge 11 Blne Sheet Chek if Sheule 0 ontins response or note to ny line in this Prt X F (A) Beginning of yer (B) En of yer 1 Csh-non-interest-ering 422, ,477,628 2 Svings n temporry sh investments 2 3 Pleges n grnts reeivle, net 3 4 Aounts reeivle, net ,644, ,950,015 5 Lons n other reeivles from urrent n former offiers, iretors, trustees, key employees, n highest ompenste employees Complete Prt II of Sheule L.. 6 Lons n other reeivles from other isqulifie persons (s efine uner setion 4958(f)(1)), persons esrie in setion 4958()(3)(B), n ontriuting employers n sponsoring orgniztions of setion 501()(9) voluntry employees' enefiiry orgniztions (see instrutions) Complete Prt II of Sheule L 7 tes n lons reeivle, net 7 8 Inventories for sle or use 2,287, ,976,083 9 Prepi expenses n eferre hrges. 552, , Ln, uilings, n equipment ost or other sis Complete Prt VI of Sheule D 10 81,256,084 Less umulte epreition ,811,826 31,195, ,444, Investments-pulily tre seurities Investments-other seurities See Prt IV, line 11 81,688, ,358, Investments-progrm-relte See Prt IV, line Intngile ssets ,235, ,235, Other ssets See Prt IV, line 11 12,915, ,222, Totl ssets. A lines 1 through 15 (must equl line 34). 157,942, ,398, Aounts pyle n rue expenses 13,270, ,790, Grnts pyle Deferre revenue Tx-exempt on liilities ,653, Esrow or ustoil ount liility Complete Prt IV of Sheule D Lons n other pyles to urrent n former offiers, iretors, trustees, key employees, highest ompenste employees, n isqulifie persons Complete Prt II of Sheule L Seure mortgges n notes pyle to unrelte thir prties , Unseure notes n lons pyle to unrelte thir prties Other liilities (inluing feerl inome tx, pyles to relte thir prties, n other liilities not inlue on lines 17-24) Complete Prt X of Sheule D. 755, ,141, Totl liilities. A lines 17 through ,026, ,765,456 Orgniztions tht follow SFAS 117 (ASC 958 ), hek here 1- F n omplete lines 27 through 29, n lines 33 n 34. C5 27 Unrestrite net ssets 131,756, ,257,884 M r_ W_ 28 Temporrily restrite net ssets 12,160, I 15,374, Permnently restrite net ssets 29 Orgniztions tht o not follow SFAS 117 (ASC 958 ), hek here 1 omplete lines 30 through Cpitl stok or trust prinipl, or urrent funs Pi-in or pitl surplus, or ln, uiling or equipment fun 31 4T 32 Retine ernings, enowment, umulte inome, or other funs Totl net ssets or fun lnes 143,916, ,632, Totl liilities n net ssets/fun lnes 157,942, ,398,068 F n 5 6 Form 990 (2013)

12 Form 990 (2013) Pge 12 «Reonillition of Net Assets Chek if Sheule 0 ontins response or note to ny line in this Prt XI. F 1 Totl revenue (must equl Prt VIII, olumn (A), line 12).. 2 Totl expenses (must equl Prt IX, olumn (A), line 25).. 3 Revenue less expenses Sutrt line 2 from line 1 4 Net ssets or fun lnes t eginning of yer (must equl Prt X, line 33, olumn (A)) 5 Net unrelize gins (losses) on investments 6 Donte servies n use of filities 7 Investment expenses.. 8 Prior perio justments.. 9 Other hnges in net ssets or fun lnes (explin in Sheule 0) 10 Net ssets or fun lnes t en of yer Comine lines 3 through 9 (must equl Prt X, line 33, olumn (B)) Finnil Sttements n Reporting 1 470,05 2, ,29 2, ,75 9, ,91 6, ,25 8, ,21 4, ,63 2,61 2 Chek if Sheule 0 ontins response or note to ny line in this Prt XII (- Yes 1 Aounting metho use to prepre the Form 990 fl Csh 17 Arul (Other If the orgniztion hnge its metho of ounting from prior yer or heke " Other," explin in Sheule 0 2 Were the orgniztion 's finnil sttements ompile or reviewe y n inepenent ountnt? 2 If'Yes,'hek ox elow to inite whether the finnil sttements for the yer were ompile or reviewe on seprte sis, onsolite sis, or oth fl Seprte sis fl Consolite sis fl Both onsolite n seprte sis Were the orgniztion 's finnil sttements uite y n inepenent ountnt? 2 Yes If'Yes,'hek ox elow to inite whether the finnil sttements for the yer were uite on seprte sis, onsolite sis, or oth F Seprte sis fl Consolite sis fl Both onsolite n seprte sis If "Yes," to line 2 or 2, oes the orgniztion hve ommittee tht ssumes responsiility for oversight of the uit, review, or ompiltion of its finnil sttements n seletion of n inepenent ountnt? 2 Yes If the orgniztion hnge either its oversight proess or seletion proess uring the tx yer, explin in Sheule 0 3 As result of feerl wr, ws the orgniztion require to unergo n uit or uits s set forth in the Single Auit At n 0 MB Cirulr A-1 33? If "Yes," i the orgniztion unergo the require uit or uits? If the orgniztion i not unergo the 3 require uit or uits, explin why in Sheule 0 n esrie ny steps tken to unergo suh uits 3 Form 990 (2013)

13 efile GRAPHIC p rint - DO NOT PROCESS As File Dt - DLN: SCHEDULE A Puli Chrity Sttus n Puli Support (Form 990 or 990EZ) Complete if the orgniztion is setion 501( )(3) orgniztion or setion 4947()(1) nonexempt hritle trust. OMB Deprtment of the Oil Atth to Form 990 or Form 990-EZ. Oil See seprte instrutions. Open Puli Tresury Oil Informtion out Sheule A (Form 990 or 990- EZ) n its instrutions is t Internl Revenue Servie Ins pe ti o n gov Iform 990. Nme of the orgniztion Employer ientifition numer CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC MIMM" Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte fountion euse it is (For lines 1 through 11, hek only one ox) 1 1 A hurh, onvention of hurhes, or ssoition of hurhes esrie in setion 170 ( )(1)(A)(i). 2 fl A shool esrie in setion 170 ()(1)(A)(ii). (Atth Sheule E ) 3 F A hospitl or oopertive hospitl servie orgniztion esrie in setion 170()(1)(A)(iii). 4 1 A meil reserh orgniztion operte in onjuntion with hospitl esrie in setion 170 ()(1)(A)(iii). Enter the hospitl's nme, ity, n stte 5 1 An orgniztion operte for the enefit of ollege or university owne or operte y governmentl unit esrie in setion 170 ( )(1)(A)(iv ). (Complete Prt II ) 6 1 A feerl, stte, or lol government or governmentl unit esrie in setion 170 ( )(1)(A)(v). 7 1 An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli esrie in setion 170()(1)(A)(vi ). (Complete Prt II ) 8 fl A ommunity trust esrie in setion 170 ( )(1)(A)(vi ) (Complete Prt II ) 9 1 An orgniztion tht normlly reeives (1) more thn 331/3% of its support from ontriutions, memership fees, n gross reeipts from tivities relte to its exempt funtions-sujet to ertin exeptions, n (2) no more thn 331/3% of its support from gross investment inome n unrelte usiness txle inome (less setion 511 tx) from usinesses quire y the orgniztion fter June 30, 1975 See setion 509()(2). (Complete Prt III ) 10 1 An orgniztion orgnize n operte exlusively to test for puli sfety See setion 509()(4) An orgniztion orgnize n operte exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supporte orgniztions esrie in setion 509()(1) or setion 509( )( 2) See setion 509()(3). Chek the ox tht esries the type of supporting orgniztion n omplete lines Ile through 11 h fl Type I fl Type II fl Type III - Funtionlly integrte fl Type III - n- funtionlly integrte e (- By heking this ox, I ertify tht the orgniztion is not ontrolle iretly or iniretly y one or more isqulifie persons other thn fountion mngers n other thn one or more pulily supporte orgniztions esrie in setion 509 ( )(1 ) or setion 509()(2) f If the orgniztion reeive written etermintion from the IRS tht it is Type I, Type II, ortype III supporting orgniztion, hek this ox F g Sine August 17, 2006, hs the orgniztion epte ny gift or ontriution from ny of the following persons? (i) A person who iretly or iniretly ontrols, either lone or together with persons esrie in (ii) Yes h n (iii) elow, the governing oy of the supporte orgniztion? 11g(i) (ii) A fmily memer of person esrie in (i) ove? 11g(ii) (iii) A 35% ontrolle entity of person esrie in (i) or (ii) ove? 11g(iii) Provie the following informtion out the supporte orgniztion(s) (i) Nme of (ii) EIN (iii) Type of (iv) Is the (v) Di you notify (vi) Is the (vii) Amount of supporte orgniztion orgniztion in the orgniztion orgniztion in monetry orgniztion (esrie on ol (i) liste in in ol (i) of your ol (i) orgnize support lines 1-9 ove your governing support? in the U S? or IRC setion oument? (see instrutions)) Yes Yes Yes Totl For Pperwork Reution At tie, see the Instrutions for Form 990 or 990EZ. Ct 11285F SheuleA(Form 990 or 990 -EZ)2013

14 Sheule A (Form 990 or 990-EZ) 2013 Sheule A (Form 990 or 990-EZ) 2013 Pge 2 MU^ Support Sheule for Orgniztions Desrie in Setions 170()(1)(A)(iv) n 170()(1)(A)(vi) (Complete only if you heke the ox on line 5, 7, or 8 of Prt I or if the orgniztion file to qulify uner Prt III. If the orgniztion fils to qulify uner the tests liste elow, plese omplete Prt III.) Setion A. Puli Support Clenr yer ( or fisl yer eginning in) () 2009 () 2010 () 2011 () 2012 (e) 2013 (f) Totl 1 Gifts, grnts, ontriutions, n memership fees reeive (Do not inlue ny "unusul grnts ") 2 Tx revenues levie for the orgniztion's enefit n either pi to or expene on its ehlf 3 The vlue of servies or filities furnishe y governmentl unit to the orgniztion without hrge 4 Totl.A lines 1 through 3 5 The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supporte orgniztion) inlue on line 1 tht exees 2% of the mount shown on line 11, olumn (f) 6 Puli support. Sutrt line 5 from line 4 Setion B. Totl Su pp ort Clenr yer ( or fisl yer eginning in) () 2009 () 2010 () 2011 () 2012 (e) 2013 (f) Totl 7 Amounts from line 4 8 Gross inome from interest, iviens, pyments reeive on seurities lons, rents, roylties n inome from similr soures 9 Net inome from unrelte usiness tivities, whether or not the usiness is regulrly rrie on 10 Other inome Do not inlue gin or loss from the sle of pitl ssets (Explin in Prt IV ) 11 Totl support (A lines 7 through 10) 12 Gross reeipts from relte tivities, et (see instrutions) First five yers. If the Form 990 is for the orgniztion's first, seon, thir, fourth, or fifth tx yer s 501()(3) orgniztion, hek this ox n stop here ^ Setion C. Com p uttion of Puli Su pp ort Perent g e 14 Puli support perentge for 2013 (line 6, olumn (f) ivie y line 11, olumn (f)) Puli support perentge for 2012 Sheule A, Prt II, line / 3%support test If the orgniztion i not hek the ox on line 13, n line 14 is 33 1/3% or more, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion 331 / 3%support test If the orgniztion i not hek ox on line 13 or 16, n line 15 is 33 1/3% or more, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion 17 10%-fts-n -irumstnes test If the orgniztion i not hek ox on line 13, 16, or 16, n line 14 is 10% or more, n if the orgniztion meets the "fts-n-irumstnes" test, hek this ox n stop here. Explin in Prt IV how the orgniztion meets the "fts-n-irumstnes" test The orgniztion qulifies s pulily supporte orgniztion 10%-fts -n-irumstnes test If the orgniztion i not hek ox on line 13, 16, 16, or 17, n line 15 is 10% or more, n if the orgniztion meets the "fts- n-irumstnes" test, hek this ox n stop here. Explin in Prt IV how the orgniztion meets the "fts-n-irumstnes" test The orgniztion qulifies s pulily supporte orgniztion 18 Privte fountion. If the orgniztion i not hek ox on line 13, 16, 16, 17, or 17, hek this ox n see instrutions

15 Sheule A (Form 990 or EZ) 2013 Sheule A (Form 990 or 990-EZ) 2013 Pge 3 IMMITM Support Sheule for Orgniztions Desrie in Setion 509()(2) (Complete only if you heke the ox on line 9 of Prt I or if the orgniztion file to qulify uner Prt II. If the orgniztion fils to qulify uner the tests liste elow, plese omplete Prt II.) Setion A. Puli Support Clenr yer ( or fisl yer eginning in) () 2009 () 2010 () 2011 () 2012 (e) 2013 (f) Totl 1 Gifts, grnts, ontriutions, n memership fees reeive (Do not inlue ny "unusul grnts ") 2 Gross reeipts from missions, merhnise sol or servies performe, or filities furnishe in ny tivity tht is relte to the orgniztion's tx-exempt purpose 3 Gross reeipts from tivities tht re not n unrelte tre or usiness uner setion Tx revenues levie for the orgniztion's enefit n either pi to or expene on its ehlf 5 The vlue of servies or filities furnishe y governmentl unit to the orgniztion without hrge 6 Totl. A lines 1 through 5 7 Amounts inlue on lines 1, 2, n 3 reeive from isqulifie persons Amounts inlue on lines 2 n 3 reeive from other thn isqulifie persons tht exee the greter of$5,000 or 1% of the mount on line 13 for the yer A lines 7 n 7 8 Puli support (Sutrt line 7 from line 6 ) Setion B. Totl Suuuort Clenr yer ( or fisl yer eginning in) () 2009 () 2010 () 2011 () 2012 (e) 2013 (f) Totl 9 Amounts from line 6 10 Gross inome from interest, iviens, pyments reeive on seurities lons, rents, roylties n inome from similr soures Unrelte usiness txle inome (less setion 511 txes) from usinesses quire fter June 30, 1975 A lines 10 n Net inome from unrelte usiness tivities not inlue in line 10, whether or not the usiness is regulrly rrie on 12 Other inome Do not inlue gin or loss from the sle of pitl ssets (Explin in Prt IV ) 13 Totl support. (A lines 9, 1O, 11, n 12 ) 14 First five yers. If the Form 990 is for the orgniztion's first, seon, thir, fourth, or fifth tx yer s 501()(3) orgniztion, hek this ox n stop here Setion C. Computtion of Puli Support Perentge 15 Puli support perentge for 2013 (line 8, olumn (f) ivie y line 13, olumn (f)) Puli support perentge from 2012 Sheule A, Prt III, line Setion D. Com p uttion of Investment Inome Perent g e 17 Investment inome perentge for 2013 (line 10, olumn (f) ivie y line 13, olumn (f)) Investment inome perentge from 2012 Sheule A, Prt III, line / 3% support tests If the orgniztion i not hek the ox on line 14, n line 15 is more thn 33 1/3%, n line 17 is not more thn 33 1/3%, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion lk'f 331 / 3% support tests If the orgniztion i not hek ox on line 14 or line 19, n line 16 is more thn 33 1/3% n line 18 is not more thn 33 1/3%, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion lk'f- 20 Privte fountion. If the orgniztion i not hek ox on line 14, 19, or 19, hek this ox n see instrutions

16 Sheule A (Form 990 or 990-EZ) 2013 Pge 4 Supplementl Informtion. Provie the explntions require y Prt II, line 10; Prt II, line 17 or 17; n Prt III, line 12. Also omplete this prt for ny itionl informtion. (See instrutions). Fts An Cirumstnes Test I Return Referene I Explntion I Sheule A (Form 990 or 990-EZ) 2013

17 lefile GRAPHIC print - DO NOT PROCESS As File Dt - DLN: OMB SCHEDULE D Supplementl Finnil Sttements (Form 990) 0- Complete if the orgniztion nswere "Yes," to Form 990, 2013 Prt IV, line 6, 7, 8, 9, 10, 11, 11, 11, 11, 11e, 11f, 12, or 12 Deprtment of the Tresury 0- Atth to Form See seprte instrutions. 1- Informtion out Sheule D (Form 990) Iİ - Internl Revenue Servie n its instrutions is t www. irs.gov /form Nme of the orgniztion Employer ientifition numer CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Orgniztions Mintining Donor Avise Funs or Other Similr Funs or Aounts. Complete if the or g niztion nswere "Yes" to Form 990, Prt IV, line 6. () Donor vise funs () Funs n other ounts 1 Totl numer t en of yer 2 Aggregte ontriutions to (uring yer) 3 Aggregte grnts from ( uring yer) 4 Aggregte vlue t en of yer 5 Di the orgniztion inform ll onors n onor visors in writing tht the ssets hel in onor vise funs re the orgniztion ' s property, sujet to the orgniztion ' s exlusive legl ontrol? F Yes I 6 Di the orgniztion inform ll grntees, onors, n onor visors in writing tht grnt funs n e use only for hritle purposes n not for the enefit of the onor or onor visor, or for ny other purpose onferring impermissile privte enefit? fl Yes fl MRSTI-Conservtion Esements. Complete if the orgniztion nswere "Yes" to Form 990, Prt IV, line 7. 1 Purpose ( s) of onservtion esements hel y the orgniztion ( hek ll tht pply) 1 Preservtion of ln for puli use ( e g, reretion or eution ) 1 Preservtion of n historilly importnt ln re 1 Protetion of nturl hitt 1 Preservtion of ertifie histori struture fl Preservtion of open spe 2 Complete lines 2 through 2 if the orgniztion hel qulifie onservtion ontriution in the form of onservtion esement on the lst y of the tx yer Totl numer of onservtion esements Totl rege restrite y onservtion esements Numer of onservtion esements on ertifie histori struture inlue in () Numer of onservtion esements inlue in () quire fter 8/17/06, n not on histori struture liste in the Ntionl Register Hel t the En of the Yer 3 N umer of onservtion esements moifie, trnsferre, relese, extinguishe, or terminte y the orgniztion uring the tx yer 0-4 N umer of sttes where property sujet to onservtion esement is lote 0-5 Does the orgniztion hve written poliy regring the perioi monitoring, inspetion, hnling of violtions, n enforement of the onservtion esements it hols? fl Yes fl 6 Stff n volunteer hours evote to monitoring, inspeting, n enforing onservtion esements uring the yer 0-7 Amount of expenses inurre in monitoring, inspeting, n enforing onservtion esements uring the yer 0- $ 8 Does eh onservtion esement reporte on line 2() ove stisfy the requirements of setion 170(h)(4)(B)(i) n setion 170(h)(4)(B)(ii)? F Yes 1 9 In Prt XIII, esrie how the orgniztion reports onservtion esements in its revenue n expense sttement, n lne sheet, n inlue, if pplile, the text of the footnote to the orgniztion's finnil sttements tht esries the orgniztion's ounting for onservtion esements Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets. Complete if the orniztion nswere "Yes" to Form 990. Prt IV. line 8. l If the orgniztion elete, s permitte uner SFAS 116 (ASC 958), not to report in its revenue sttement n lne sheet works of rt, historil tresures, or other similr ssets hel for puli exhiition, eution, or reserh in furtherne of puli servie, provie, in Prt XIII, the text of the footnote to its finnil sttements tht esries these items If the orgniztion elete, s permitte uner SFAS 116 (ASC 958), to report in its revenue sttement n lne sheet works of rt, historil tresures, or other similr ssets hel for puli exhiition, eution, or reserh in furtherne of puli servie, provie the following mounts relting to these items (i) Revenues inlue in Form 990, Prt VIII, line 1 $ (ii)assets inlue in Form 990, Prt X $ 2 If the orgniztion reeive or hel works of rt, historil tresures, or other similr ssets for finnil gin, provie the following mounts require to e reporte uner SFAS 116 (ASC 958) relting to these items Revenues inlue in Form 990, Prt VIII, line 1 $ Assets inlue in Form 990, Prt X $ For Pperwork Reution At tie, see the Instrutions for Form 990. Ct 52283D Sheule D (Form 990) 2013

18 Sheule D (Form 990) 2013 Pge 2 r:ftnfw Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets (ontinue) 3 Using the orgniztion's quisition, ession, n other reors, hek ny of the following tht re signifint use of its olletion items (hek ll tht pply) F_ Puli exhiition fl Lon or exhnge progrms 1 Sholrly reserh e (- Other F Preservtion for future genertions 4 Provie esription of the orgniztion's olletions n explin how they further the orgniztion's exempt purpose in Prt XIII 5 During the yer, i the orgniztion soliit or reeive ontions of rt, historil tresures or other similr ssets to e sol to rise funs rther thn to e mintine s prt of the orgniztion's olletion? 1 Yes 1 l Esrow n Custoil Arrngements. Complete if the orgniztion nswere "Yes" to Form 990, Prt IV, line 9, or reporte n mount on Form 990, Prt X, line 21. Is the orgniztion n gent, trustee, ustoin or other intermeiry for ontriutions or other ssets not inlue on Form 990, Prt X7 1 Yes F If "Yes," explin the rrngement in Prt XIII n omplete the following tle Beginning lne 1 Aitions uring the yer l e Distriutions uring the yer le f Ening lne if A mount 2 Di the orgniztion inlue n mount on Form 990, Prt X, line 21? fl Yes fl If "Yes," explin the rrngement in Prt XIII Chek here if the explntion hs een provie in Prt XIII F MWAF-Enowment Funs. Com p lete if the org niztion nswere "Yes" to Form 990, Prt IV, line 10. ()Current yer ()Prior yer ()Two yers k ()Three yers k (e)four yers k l Beginning of yer lne. e Contriutions Net investment ernings, gins, n losses Grnts or sholrships Other expenitures for filities n progrms f Aministrtive expenses. g En of yer lne 81,688,880 81,431,822 82,049,508 63,561,605 49,309,946 5,065,765 9,656,000 6,049,565 9,229,734 10,159,119-22,558 3,685,626 12,785,963 5,308,060 16,737,399 4,381,788 13,600,805 2 Provie the estimte perentge of the urrent yer en lne (line 1g, olumn ()) hel s Bor esignte or qusi-enowment % Permnent enowment 0- Temporrily restrite enowment 0- The perentges in lines 2, 2, n 2 shoul equl 100% 369, , , , ,135 74,740,932 81,688,880 81,431,822 82,049,508 63,561,605 3 Are there enowment funs not in the possession of the orgniztion tht re hel n ministere for the orgniztion y Yes (i) unrelte orgniztions (i) (ii) relte orgniztions (ii) Yes If "Yes" to 3(ii), re the relte orgniztions liste s require on Sheule R?.. I 3 I Yes 4 Desrie in Prt XIII the intene uses of the orgniztion's enowment funs Ln, Builings, n Equipment. Complete if the orgniztion nswere 'Yes' to Form 990, Prt IV, line 1 1 See Form 990 Prt X line 1(l Desription of property () Cost or other sis (investment ) ()Cost or other sis (other ) () Aumulte epreition ( ) Book vlue l Ln 11,192,062 11,192,062 Builings 10,015,389 8,416,798 1,598,591 Lesehol improvements.. Equipment 60,048,633 28,395,028 31,653,605 e Other Totl. A lines 1 through 1 e (Column () must equl Form 990, Prt X, olumn (B), line 10 ().) ,444,258 Sheule D (Form 990) 2013

19 Sheule D ( Form 990) 2013 Sheule D (Form 990) 2013 Pge 3 Investments - Other Seurities. Complete if the orgniztion nswere 'Yes' to Form 990, Prt IV, line 11. See Form 990. Prt X. line 12- () Desription of seurity or tegory (inluing nme of seurity) (1 )Finnil erivtives (2)Closely-hel equity interests ()Book vlue () Metho of vlution Cost or en-of-yer mrket vlue (3)Other (A)ACCRUED INTEREST 289,816 F (B) SECURITIES - 1ST COMMERCIAL 34,138,541 F (C) CARTI CANCER CENTER 40,312,575 F (D) SERIES 2013 BOND FUND 44,617,874 F Totl. (Column () must equl Form 990, Prt X, ol (B) line 12) 1 19,3 5 8,8 0 6 I glvj$$ Investments - Progrm Relte. Complete it the orgniztion nswere 'Yes' to Form 990, Prt IV, line 11. See Form 990, Prt X, line 13. () Desription of investment () Book vlue () Metho of vlution Cost or en-of-yer mrket vlue Totl. (Column () must equl Form 990, Prt X, ol (8) line 13 ) 0.1 Other Assets. Complete if the orgniztion nswere 'Yes' to Form 990, Prt IV, line 11 See Form 990, Prt X, line 15 () Desription () Book vlue (1) ECONOMIC INT IN CARTI FOUNDATION 15,374,734 (2) DEFERRED COMPENSATION INVESTMENTS 1,141,277 (3) BOND ISSUE COSTS, NET 625,767 (4) OTHER RECEIVABLES 80,296 Totl. (Column () must equl Form 990, Prt X, o/.(8) line 15.) ,222,074 Other Liilities. Complete if the orgniztion nswere 'Yes' to Form 990, Prt IV, line 11e or 11f. See 2. Liility for unertin tx positions In Prt XIII, provie the text of the footnote to the orgniztion ' s finnil sttements tht reports the orgniztion's liility for unertin tx positions uner FIN 48 (A SC 740) Chek here if the text of the footnote hs een provie in Prt XIII F

20 Sheule D (Form 990) 2013 Sheule D (Form 990) 2013 Pge 4 Reonilition of Revenue per Auite Finnil Sttements With Revenue per Return Complete if the or g niztion nswere 'Yes' to Form 990, Prt IV line Totl revenue, gins, n other support per uite finnil sttements ,805,640 2 Amounts inlue on line 1 ut not on Form 990, Prt VIII, line 12 Net unrelize gins on investments. 2-3,258,219 Donte servies n use of filities. 2 Reoveries of prior yer grnts 2 Other (Desrie in Prt XIII ) ,259,147 e A lines 2 through e -8,517,366 3 Sutrt line 2e from line ,323,006 4 Amounts inlue on Form 990, Prt VIII, line 12, ut not on line 1 Investment expenses not inlue on Form 990, Prt VIII, line 7. 4 Other (Desrie in Prt XIII ) ,729,818 A lines 4 n ,729,818 5 Totl revenue A lines 3 n 4. (This must equl Form 990, Prt I, line 12 ) ,052,824 «Reonilition of Expenses per Auite Finnil Sttements With Expenses per Return. Complete if the org niztion nswere 'Yes' to Form 990, Prt IV line Totl expenses n losses per uite finnil sttements 1 140,303,902 2 Amounts inlue on line 1 ut not on Form 990, Prt IX, line 25 Donte servies n use of filities. 2 Prior yer justments 2 Other losses Other (Desrie in Prt XIII ) e A lines 2 through e 0 3 Sutrt line 2e from line ,303,902 4 Amounts inlue on Form 990, Prt IX, line 25, ut not on line 1: Investment expenses not inlue on Form 990, Prt VIII, line 7 4 Other (Desrie in Prt XIII ) ,988,965 A lines 4 n ,988,965 5 Totl expenses A lines 3 n 4. (This must equl Form 990, Prt I, line 18 ) ,292,867 OT1174M Su pp lementl Informtion Provie the esriptions require for Prt II, lines 3, 5, n 9, Prt III, lines l n 4, Prt IV, lines l n 2, Prt V, line 4, Prt X, line 2, Prt XI, lines 2 n 4, n Prt XII, lines 2 n 4 Also omplete this prt to provie ny itionl informtion Return Referene PART XI, LINE 2D - OTHER ADJUSTMENTS PART XI, LINE 4B - OTHER ADJUSTMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS Explntion UNCOLLECTIBLE ACCOUNTS ADJUSTMENT -5,259,147 CHARITABLE CARE EXPENSE 2,252,226 CONTRACTUAL ADJUSTMENTS 312,477,592 CHARITABLE CARE EXPENSE 2,252,226 CONTRACTUAL ADJUSTMENTS 312,477,592 UNCOLLECTIBLE ACCOUNTS ADJUSTMENT 5,259,147

21 Sheule D (Form 990) 2013 Pge 5 Sheule D (Form 990) 2013

22 i l efile GRAPHIC print - DO NOT PROCESS As File Dt - DLN: SCHEDULE H (Form 990) Hospitls OMB Complete if the orgniztion nswere "Yes" to Form 990, Prt IV, question Atth to Form See seprte instrutions. Deprtment of the Tresury 0- Informtion out Sheule H (Form 990) n its instrutions is t Ope n Internl Revenue Servie I Inspetion Nme of the orgniztion Employer ientifition numer CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Finnil Assistne n Certin Other Community Benefits t Cost l Di the orgniztion hve finnil ssistne poliy uring the tx yer? If "," skip to question 6 If "Yes," ws it written poliy? l Yes 2 If the orgniztion h multiple hospitl filities, inite whih of the following est esries pplition of the finnil ssistne poliy to its vrious hospitl filities uring the tx yer F Applie uniformly to ll hospitl filities F Applie uniformly to most hospitl filities F Generlly tilore to iniviul hospitl filities 3 Answer the following se on the finnil ssistne eligiility riteri tht pplie to the lrgest numer of the orgniztion ' s ptients uring the tx yer l Yes I Yes Di the orgniztion use Feerl Poverty Guielines ( FPG) s ftor in etermining eligiility for proviing free re? If "Yes," inite whih of the following ws the FPG fmily inome limit for eligiility for free re F 100% F 150% F 200% F Other % Di the orgniztion use FPG s ftor in etermining eligiility for proviing isounte re? If "Yes," inite whih of the following ws the fmily inome limit for eligiility for isounte re F 200% F 250% F 300% F 350% F 400% F Other % 3 3 Yes Yes If the orgniztion use ftors other thn FPG in etermining eligiility, esrie in Prt VI the inome se riteri for etermining eligiility for free or isounte re Inlue in the esription whether the orgniztion use n sset test or other threshol, regrless of inome, s ftor in etermining eligiility for free or isounte re 4 Di the orgniztion ' s finnil ssistne poliy tht pplie to the lrgest numer of its ptients uring the tx ye r provie for free or isounte re to the "meilly inigent"? 4 Yes 5 Di the orgniztion uget mounts for free or isounte re provie uner its finnil ssistne poliy uring the tx yer? 5 Yes If "Yes," i the orgniztion ' s finnil ssistne expenses exee the ugete mount? 5 Yes If "Yes" to line 5, s result of uget onsiertions, ws the orgniztion unle to provie free or isounte re to ptient who ws eligiile for free or isounte re? 5 6 Di the orgniztion prepre ommunity enefit report uring the tx yer? 6 If "Yes," i the orgniztion mke it ville to the puli? 6 Complete the following tle using the worksheets provie in the Sheule H instrutions Do not sumit these worksheets with the Sheule H 7 Finnil Assistne n Certin Other Community Benefits t Cost Finnil Assistne n Mens - Teste Government Progrms () Numer of Persons Totl ommunity Diret offsetting Net ommunity enefit f Perent of tivities or ( ) serve ( ) enefit expense ( ) revenue g () expense totl ( ) expense progrms (optionl) (optionl) Finnil Assistne t ost (from Worksheet 1). 2,080,475 2,080, % Meii (from Worksheet 3, olumn )... 4,783,383 2,526,897 2,256, % Costs of other mens-teste government progrms (from Worksheet 3, olumn ) Totl Finnil Assistne n Mens-Teste Government Progrms 6,863,858 2,526,897 4,336, % Other Benefits e Community helth improvement servies n ommunity enefit opertions (from Worksheet 4). f Helth professions eution (from Worksheet 5). g Susiize helth servies (from Worksheet 6). h Reserh (from Worksheet 7) Csh n in-kin ontriutions for ommunity enefit (from Worksheet 8) j Totl. Other Benefits k Totl. A lines 7 n 7j 6,863,858 2,526,897 4,336, % For Pperwork Reution At tiee see the Instrutions for Form 990. Ct N o 50192T Sheule H (Form 990) 2013

23 Sheule H (Form 990) 2013 Sheule H (Form 990) 2013 Pge 2 2 Community Builing Ativities Complete this tle if the orgniztion onute ny ommunity uiling tivities uring the tx yer, n esrie in Prt VI how its ommunity uiling tivities promote the helth of the ommunities it serves- () Numer of () Persons () Totl ommunity () Diret offsetting (e) Net ommunity (f) Perent of tivities or progrms (optionl) serve (optionl) uiling expense revenue uiling expense totl expense 1 Ph y sil im p rovements n housing 2 Eonomi evelopment 3 Communit y su pp ort 4 Environmentl improvements 5 Leership evelopment n trining for ommunity memers 6 Colition uiling 7 Community helth improvement voy 8 Workfore evelopment 9 Other 10 Totl Ill: B Det, Meire, & Colletion Prties Setion A. B Det Expense Yes 1 Di the orgniztion report et expense in orne with Hethre Finnil Mngement Assoition Sttement 15? Yes 2 Enter the mount of the orgniztion's et expense Explin in Prt VI the methoology use y the orgniztion to estimte this mount 2 4,509,146 3 Enter the estimte mount of the orgniztion's et expense ttriutle to ptients eligile uner the orgniztion's finnil ssistne poliy Explin in Prt VI the methoology use y the orgniztion to estimte this mount n the rtionle, if ny, for inluing this portion of et s ommunity enefit 3 400,000 4 Provie in Prt VI the text of the footnote to the orgniztion's finnil sttements tht esries et expense or the pge numer on whih this footnote is ontine in the tthe finnil sttements Setion B. Meire 5 Entertotl revenue reeive from Meire (inluing DSH n IME). 5 61,616,258 6 Enter Meire llowle osts of re relting to pyments on line ,519,845 7 Sutrt line 6 from line 5 This is the surplus (or shortfll). 7-17,903,587 8 Desrie in Prt VI the extent to whih ny shortfll reporte in line 7 shoul e trete s ommunity enefit Also esrie in Prt VI the osting methoology or soure use to etermine the mount reporte on line 6 Chek the ox tht esries the metho use r- Cost ounting system F Cost to hrge rtio F Other Setion C. Colletion Prties 9 Di the orgniztion hve written et olletion poliy uring the tx yer?. If "Yes," i the orgniztion 's olletion poliy tht pplie to the lrgest numer of its ptients uring the tx yer ontin provisions on the olletion prties to e followe for ptients who re known to qulify for finnil ssistne? Desrie in Prt VI Yes MITUT Mnnernent Comnnies n Joint VenturesrnvunPri,n nr mnr hvnfrr rlrrtnr triit kvmnlnv n nhvnn-s intrnrtinnl 1 2 () Nme of entity () Desription of primry tivity of entity () Orgniztion's profit % or stok ownership % () Offiers, iretors, trustees, or key employees' profit % or stok ownership (e) Physiins' profit % or stok ownership

24 Sheule H (Form 990) 2013 Pge 3 2 Fility Informtion Setion A. Hospitl Filities -^ s CD - m (list in orer of size from lrgest to smllest-see instrutions) o CL 0 How mny hospitl filities i the 5 ( -0 orgniztion operte uring the tx yer? 17 U 0 Nme, ress, primry wesite ress, n stte liense numer Other (Desrie) Fility reporting group See Aitionl Dt Tle Sheule H (Form 990) 2013

25 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI ST VINCENT Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501 (r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 1 Sheule H (Form 990) 2013

26 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1 The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1 The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

27 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions ( esrie in Prt VI) 1 Other (esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP -Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

28 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI BAPTIST Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 2 Sheule H (Form 990) 2013

29 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

30 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

31 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI NLR Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 3 Sheule H (Form 990) 2013

32 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

33 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

34 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI CONWAY Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 4 Sheule H (Form 990) 2013

35 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

36 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions ( esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

37 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI MOUNTAIN HOME Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 5 Sheule H (Form 990) 2013

38 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny F' Insurne sttus F' Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

39 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

40 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI SEARCY Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 6 Sheule H (Form 990) 2013

41 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

42 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions ( esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

43 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI BENTON Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 7 Sheule H (Form 990) 2013

44 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

45 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

46 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI CLINTON Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 8 Sheule H (Form 990) 2013

47 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

48 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP -Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

49 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI DP200 Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501 (r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 9 Sheule H (Form 990) 2013

50 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

51 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

52 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI DP330 Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 10 Sheule H (Form 990) 2013

53 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

54 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions ( esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP -Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

55 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI HOSA Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501 (r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 11 Sheule H (Form 990) 2013

56 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

57 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP -Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

58 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI HEBER SPRINGS Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501 (r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 12 Sheule H (Form 990) 2013

59 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

60 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP -Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

61 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI IMAG Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 13 Sheule H (Form 990) 2013

62 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

63 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other (esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

64 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI LRHO Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 14 Sheule H (Form 990) 2013

65 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

66 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

67 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI NORTH LITTLE ROCK Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 15 Sheule H (Form 990) 2013

68 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

69 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP -Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

70 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI PET-LRHO Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501 (r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 16 Sheule H (Form 990) 2013

71 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i F' Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? Yes If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1' The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1' The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e I The poliy ws provie, in writing, to ptients on mission to the hospitl fility f F The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

72 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions ( esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

73 Sheule H (Form 990) 2013 Pge 4 2 Fility Informtion (ontinue) Setion B. Fility Poliies n Prties (Complete seprte Setion B for eh of the hospitl filities or fility reporting groups liste in Prt V, Setion A) CARTI HR-LRHO Nme of hospitl fility or fility reporting group If reporting on Prt V, Setion B for single hospitl fility only: line numer of hospitl fility (from Sheule H, Prt V, Setion A) Community Helth Nees Assessment (Lines 1 through 8 re optionl for tx yers egining on or efore Mrh 23, 2012) 1 During the tx yer or either of the two immeitely preeing tx yers, i the hospitl fility onut ommunity helth nees ssessment (CHNA)? If "," skip to line If "Yes," inite wht the CHNA report esries (hek ll tht pply) 1 A efinition of the ommunity serve y the hospitl fility 1 Demogrphis of the ommunity Existing helth re filities n resoures within the ommunity tht re ville to respon to the helth nees of the ommunity e f F How t ws otine F The helth nees of the ommunity F Primry n hroni isese nees n other helth issues of uninsure persons, low-inome persons, n minority groups 9 1 The proess for ientifying n prioritizing ommunity helth nees n servies to meet the ommunity helth nees h 1 The proess for onsulting with persons representing the ommunity's interests i 1 Informtion gps tht limit the hospitl fility's ility to ssess the ommunity's helth nees j 1 Other (esrie in Prt VI) 2 Inite the tx yer the hospitl fility lst onute CHNA 20 3 In onuting its most reent CHNA, i the hospitl fility tke into ount input from persons who represent the ro interests of the ommunity serve y the hospitl fility, inluing those with speil knowlege of or expertise in puli helth? If "Yes," esrie in Prt VI how the hospitl fility took into ount input from persons who represent the ommunity, n ientify the persons the hospitl fility onsulte Ws the hospitl fility's CHNA onute with one or more other hospitl filities? If "Yes," list the other hospitl filities in Prt VI Di the hospitl fility mke its CHNA report wiely ville to the puli? If "Yes," inite how the CHNA report ws me wiely ville (hek ll tht pply) F Hospitl fility's wesite (list url) F Other wesite (list url) F Aville upon request from the hospitl fility F Other (esrie in Prt VI) 6 If the hospitl fility resse nees ientifie in its most reently onute CHNA, inite how (hek ll tht pply s of the en of the tx yer) F Aoption of n implementtion strtegy tht resses eh of the ommunity helth nees ientifie through the CHNA 1 Exeution of the implementtion strtegy 1 Prtiiption in the evelopment of ommunity-wie pln 1 Prtiiption in the exeution of ommunity-wie pln e 1 Inlusion of ommunity enefit setion in opertionl plns f 1 Aoption of uget for provision of servies tht ress the nees ientifie in the CHNA g 1 Prioritiztion of helth nees in its ommunity h 1 Prioritiztion of servies tht the hospitl fility will unertke to meet helth nees in its ommunity i 1 Other (esrie in Prt VI) 7 Di the hospitl fility ress ll of the nees ientifie in its most reently onute CHNA? If "," explin in Prt VI whih nees it hs not resse n the resons why it hs not resse suh nees Di the orgniztion inur n exise tx uner setion 4959 for the hospitl fility's filure to onut CHNA s require y setion 501( r)(3)? If "Yes" to line 8, i the orgniztion file Form 4720 to report the setion 4959 exise tx? If "Yes" to line 8, wht is the totl mount of setion 4959 exise tx the orgniztion reporte on Form 4720 for ll of its hospitl filities? $ 17 Sheule H (Form 990) 2013

74 Sheule H (Form 990) 2013 Pge 5 2 Fility Informtion (ontinue) Finnil Assistne Poliy Yes 9 Di the hospitl fility hve in ple uring the tx yer written finnil ssistne poliy tht Expline eligiility riteri for finnil ssistne, n whether suh ssistne inlues free or isounte re? 9 Yes 10 Use feerl poverty guielines (FPG) to etermine eligiility for proviing free re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for free re % If "," explin in Prt VI the riteri the hospitl fility use 11 Use FPG to etermine eligiility for proviing isounte re? Yes If "Yes," inite the FPG fmily inome limit for eligiility for isounte re % If "," explin in Prt VI the riteri the hospitl fility use 12 Expline the sis for lulting mounts hrge to ptients? Yes e f g h If "Yes," inite the ftors use in etermining suh mounts (hek ll tht pply) F' Inome level F' Asset level F' Meil inigeny I Insurne sttus I Uninsure isount F' Meii/Meire F' Stte regultion F' Resieny i 7 Other (esrie in Prt VI) 13 Expline the metho for pplying for finnil ssistne? Yes 14 Inlue mesures to puliize the poliy within the ommunity serve y the hospitl fility? If "Yes," inite how the hospitl fility puliize the poliy (hek ll tht pply) 1 The poliy ws poste on the hospitl fility's wesite 1 The poliy ws tthe to illing invoies 1 The poliy ws poste in the hospitl fility's emergeny rooms or witing rooms 1 The poliy ws poste in the hospitl fility's missions offies e 1 The poliy ws provie, in writing, to ptients on mission to the hospitl fility f I The poliy ws ville upon request g I Other (esrie in Prt VI) Billing n Colletions 15 Di the hospitl fility hve in ple uring the tx yer seprte illing n olletions poliy, or written finnil ssistne poliy (FAP) tht expline tions the hospitl fility my tke upon non-pyment? Yes 16 Chek ll of the following tions ginst n iniviul tht were permitte uner the hospitl fility's poliies uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e ' Other similr tions (esrie in Setion C) 17 Di the hospitl fility or n uthorize thir prty perform ny of the following tions uring the tx yer efore mking resonle efforts to etermine the iniviul's eligiility uner the fility's FAP? Yes If "Yes," hek ll tions in whih the hospitl fility or thir prty engge F' Reporting to reit geny F' Lwsuits F' Liens on resienes F' Boy tthments e F' Other similr tions (esrie in Setion C) Sheule H (Form 990) 2013

75 Sheule H (Form 990) 2013 Pge 6 2 Fility Informtion (ontinue) 18 Inite whih efforts the hospitl fility me efore inititing ny of the tions liste in line 17 (hek ll tht pply) F tifie iniviuls of the finnil ssistne poliy on mission 1 tifie iniviuls of the finnil ssistne poliy prior to ishrge 7 tifie iniviuls of the finnil ssistne poliy in ommunitions with the iniviuls regring the iniviuls' ills 7 Doumente its etermintion of whether iniviuls were eligile for finnil ssistne uner the hospitl fility's finnil ssistne poliy e 1 Other (esrie in Setion C) Poliy Relting to Emergeny Meil Cre 19 Di the hospitl fility hve in ple uring the tx yer written poliy relting to emergeny meil re tht requires the hospitl fility to provie, without isrimintion, re for emergeny meil onitions to iniviuls regrless of their eligiility uner the hospitl fility's finnil ssistne poliy? If "," inite why F The hospitl fility i not provie re for ny emergeny meil onitions 1 The hospitl fility's poliy ws not in writing 1 The hospitl fility limite who ws eligile to reeive re for emergeny meil onitions (esrie in Prt VI) 1 Other ( esrie in Prt VI) Chrges to Iniviuls Eligile for Assistne uner the FAP (FAP- Eligile Iniviuls) 20 Inite how the hospitl fility etermine, uring the tx yer, the mximum mounts tht n e hrge to FA P- eligile iniviuls for emergeny or other meilly neessry re F The hospitl fility use its lowest negotite ommeril insurne rte when lulting the mximum mounts tht n e hrge F- The hospitl fility use the verge of its three lowest negotite ommeril insurne rtes when lulting the mximum mounts tht n e hrge 1 The hospitl fility use the Meire rtes when lulting the mximum mounts tht n e hrge 1 Other (esrie in Prt VI) 21 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul to whom the hospitl fility provie emergeny or other meilly neessry servies more thn the mounts generlly ille to iniviuls who h insurne overing suh re? If "Yes," explin in Prt VI 22 During the tx yer, i the hospitl fility hrge ny FAP-eligile iniviul n mount equl to the gross hrge for ny servie provie to tht iniviul? If "Yes," explin in Prt VI Sheule H (Form 990) 2013

76 Sheule H (Form 990) 2013 Pge 7 2 Fility Informtion (ontinue) Setion C. Supplementl Informtion for Prt V, Setion B.Provie esriptions require for Prt V, Setion B, lines 1], 3, 4, 5, 61, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19, 19, 20, 21, n 22. If pplile, provie seprte esriptions for eh fility in fility reporting group, esignte y "Fility A," "Fility B," et. Form n Line Referene I Explntion Sheule H (Form 990) 2013

77 Sheule H (Form 990) 2013 Pge 8 2 MVIVI-Fility Informtion (ontinue) Setion D. Other Helth Cre Filities Tht Are t Liense, Registere, or Similrly Reognize s Hospitl Fility (list in orer of size, from lrgest to smllest) How mny non-hospitl helth re filities i the orgniztion operte uring the tx yer? Nme n ress T yp e of Fility ( esrie ) Sheule H (Form 990) 2013

78 Sheule H (Form 990) 2013 Pge 9 2 Supplementl Informtion Provie the following informtion 1 Require esriptions. Provie the esriptions require for Prt I, lines 3, 6, n 7, Prt II n Prt III, lines 2, 3, 4, 8 n 9 2 Nees ssessment. Desrie how the orgniztion ssesses the helth re nees of the ommunities it serves, in ition to ny CHNAs reporte in Prt V, Setion B 3 Ptient eution of eligiility for ssistne. Desrie how the orgniztion informs n eutes ptients n persons who my e ille for ptient re out their eligiility for ssistne uner feerl, stte, or lol government progrms or uner the orgniztion's finnil ssistne poliy 4 Community informtion. Desrie the ommunity the orgniztion serves, tking into ount the geogrphi re n emogrphi onstituents it serves 5 Promotion of ommunity helth. Provie ny other informtion importnt to esriing how the orgniztion's hospitl filities or other helth re filities further its exempt purpose y promoting the helth of the ommunity (e g, open meil stff, ommunity or, use of surplus funs, et ) 6 Affilite helth re system. If the orgniztion is prt of n ffilite helth re system, esrie the respetive roles of the orgniztion n its ffilites in promoting the helth of the ommunities serve 7 Stte filing of ommunity enefit report. If pplile, ientify ll sttes with whih the orgniztion, or relte orgniztion, files ommunity enefit report 990 Sheule H, Supplementl Informtion Form n Line Referene Explntion PART I, LN 7 COL(F) PART II, COMMUNITY BUILDING ACTIVITIES PART III, LINE 4 PART III, LINE 8 PART III, LINE 9B PART VI, LINE 2 PART VI, LINE 3 PART VI, LINE 4 PART VI, LINE 5 PART VI, LINE 6 N/A THE FOOTNOTES TO THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDES THE FOLLOWING WORDING DE SCRIBING BAD DEBT EXPENSE "CARTI PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BAS ED UPON A REVIEW O F OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTIN G ECONOMIC CONDITIONS DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT E VALUATION AND SPECIFIC CIRCUMSTANCES OF THE 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 THE ORGANIZATION'S PHILOSOPHY IS THAT 100% OF THE SHORTFALL REPORTED IN LINE 7 OF SCHEDULE H, PART III, SHOULD BE TREATED AS COMMUNITY BENEFIT 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% TO 100% OF THE PATIENT BALANCE THE COMMITTEE INCLUDES RESOURCE COORDINATOR, PATIENT ACCOUNT 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 CARTI DOES NOT PREPARE A FORMAL NEEDS ASSESSMENT DOCUMENT ALL PATIENTS COMPLETE A REGISTRATION PROCESS PART OF THIS PROCESS IS MEETING WITH OUR RES OURCE COORDINATORS, WHO PROVIDE THE PATIENTS WITH A DETAILED PATIENT INFORMATION PACKET T HIS PACKET INCLUDES, AMONG OTHER DOCUMENTS, CARTIS FINANCIAL ASSISTANCE AND CHARITY INFORM ATION IN ADDITION,THE RESOURCE COORDINATORS PROVIDE COUNSELING REGARDING CARTIS PROGRAMS - SUCH AS TRANSPORTATION, HOUSING, FUEL VOUCHERS, AND EDUCATION AND SUPPORT SEMINARS CARTI HAS SEVEN CENTERS (SEE SCHEDULE H, PART V) ACROSS THE STATE OF ARKANSAS PROVIDING RA DIATION THERAPY TO PATIENTS FROM ALL 75 COUNTIES IN ARKANSAS AND FROM THE SURROUNDING STAT ES PLEASE REFER TO DETAILED RESPONSE GIVEN TO QUESTION 4(A) OF FORM 990, PART III N/A

79 Sheule H (Form 990) 2013

80 Aitionl Dt Softwre ID: Softwre Version: EIN: Nme : CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Form 990 Sheule H, Prt V Setion A. Hospitl Filities Setion A. Hospitl Filities CD CL {3 0 (P =2 0 ( list in orer of size from lrgest to ^' 0 smllest- see instrutions) C o 0 How mny hospitl filities i the 5 (P -0 CP (P ( orgniztion operte uring the tx yer? P 17 I Nme, ress, primry wesite ress, n stte liense numer Other ( Desrie) Fility reporting group 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 NLR RADIATION SPRINGHILL DRIVE X HERAPY NORTH LITTLE ROCK AR INSTITUTE CARTI CONWAY RADIATION COLLEGE AVENUE X HERAPY CONWAY,AR INSTITUTE CARTI MOUNTAIN HOME RADIATION HOSPITAL DRIVE X THERAPY MOUNTAIN HOME AR INSTITUTE CARTI SEARCY RADIATION MEDICAL DRIVE X THERAPY SEARCY,AR INSTITUTE CARTI BENTON RADIATION 7 3 MEDICAL PARK PLAZA X THERAPY BENTON AR INSTITUTE CARTI CLINTON RADIATION HWY 65 SOUTH X THERAPY CLINTON,AR INSTITUTE CARTI DP200 RADIATION LILE DRIVE X THERAPY LITTLE ROCK AR INSTITUTE CARTI DP330 RADIATION LILE DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE ry ro m p

81 Form 990 Sheule H. Prt V Setion A. Hosuitl Filities E- 0 Setion A. Hospitl Filities 0 L - - C} (list in orer of size from lrgest to ^' 0 smllest- see instrutions) CL o (P CD CL CP (P ( How mny hospitl filities i the (P orgniztion operte uring the tx yer? P o 17 e3 Nme, ress, primry wesite ress, n stte liense numer Other(Desrie) Fility reporting group CARTI HOSA RADIATION KANIS RD STE 200 X THERAPY LITTLE ROCK AR INSTITUTE CARTI HEBER SPRINGS RADIATION BY PASS ROAD X THERAPY HEBER SPRINGS,AR INSTITUTE CARTI IMAG RADIATION LILE DRIVE X THERAPY LITTLE ROCK AR INSTITUTE CARTILRHO RADIATION LILE DRIVE X THERAPY LITTLE ROCK,AR INSTITUTE CARTI NORTH LITTLE ROCK RADIATION SPRINGHILL DRIVE X HERAPY NORTH LITTLE ROCK AR INSTITUTE CARTI PET-LRHO RADIATION LILE DRIVE X HERAPY LITTLE ROCK,AR INSTITUTE CART HR-LRHO RADIATION LILE DRIVE X HERAPY LITTLE ROCK AR INSTITUTE ^ ry m p

82 l efile GRAPHIC p rint - DO NOT PROCESS As File Dt - DLN: Sheule J Compenstion Informtion OMB (Form 990) For ertin Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees 1- Complete if the orgniztion nswere " Yes" to Form 990, Prt IV, line Deprtment of the Tresury 1- Atth to Form See seprte instrutions. ' Internl Revenue Servie 1- Informtion out Sheule J (Form 990) n its instrutions is t www. irs.gov /form990. Nme of the orgniztion CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Questions Re g rin g Com p enstion Employer ientifition numer l Chek the ppropite ox(es ) if the orgniztion provie ny of the following to or for person liste in Form 990, Prt VII, Setion A, line l Complete Prt III to provie ny relevnt informtion regring these items 1 First-lss or hrter trvel 1 Housing llowne or resiene for personl use 1 Trvel for ompnions 1 Pyments for usiness use of personl resiene 1 Tx iemnifition n gross - up pyments 1 Helth or soil lu ues or initition fees 1 Disretionry spening ount F Personl servies ( e g, mi, huffeur, hef) Yes If ny of the oxes in line l re heke, i the orgniztion follow written poliy regring pyment or reimursement or provision of ll of the expenses esrie ove? If "," omplete Prt III to explin l 2 Di the orgniztion require sustntition prior to reimursing or llowing expenses inurre y ll iretors, trustees, offiers, inluing the CEO/ Exeutive Diretor, regring the items heke in line l? 2 Yes 3 Inite whih, if ny, of the following the filing orgniztion use to estlish the ompenstion of the orgniztion 's CEO/ Exeutive Diretor Chek ll tht pply Do not hek ny oxes for methos use y relte orgniztion to estlish ompenstion of the CEO / Exeutive Diretor, ut explin in Prt III F Compenstion ommittee 1 Written employment ontrt F Inepenent ompenstion onsultnt F Compenstion survey or stuy 1 Form 990 of other orgniztions F Approvl y the or or ompenstion ommittee 4 During the yer, i ny person liste in Form 990, Prt VII, Setion A, line l with respet to the filing orgniztion or relte orgniztion Reeive severne pyment or hnge-of-ontrol pyment? 4 Yes Prtiipte in, or reeive pyment from, supplementl nonqulifie retirement pln? 4 Prtiipte in, or reeive pyment from, n equity-se ompenstion rrngement? 4 If "Yes" to ny of lines 4-, list the persons n provie the pplile mounts for eh item in Prt III Only 501 ( )(3) n 501 ( )(4) orgniztions only must omplete lines For persons liste in Form 990, Prt VII, Setion A, line l, i the orgniztion py or rue ny ompenstion ontingent on the revenues of The orgniztion? 5 Any relte orgniztion? 5 If "Yes," to line 5 or 5, esrie in Prt III 6 For persons liste in Form 990, Prt VII, Setion A, line l, i the orgniztion py or rue ny ompenstion ontingent on the net ernings of The orgniztion? 6 Any relte orgniztion? 6 If "Yes," to line 6 or 6, esrie in Prt III 7 For persons liste in Form 990, Prt VII, Setion A, line l, i the orgniztion provie ny non-fixe pyments not esrie in lines 5 n 6? If "Yes," esrie in Prt III 7 8 Were ny mounts reporte in Form 990, Prt VII, pi or ure pursunt to ontrt tht ws sujet to the initil ontrt exeption esrie in Regultions setion ()(3)? If "Yes," esrie in Prt III 9 If "Yes" to line 8, i the orgniztion lso follow the reuttle presumption proeure esrie in Regultions setion ()? 9 8 For Pperwork Reution At tie, see the Instrutions for Form 990. Ct 50053T Sheule 3 (Form 990) 2013

83 Sheule J (Form 990) 2013 Pge 2 Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees. Use uplite opies if itionl spe is neee. For eh iniviul whose ompenstion must e reporte in Sheule J, report ompenstion from the orgniztion on row (i) n from relte orgniztions, esrie in the instrutions, on row (ii) Do not list ny iniviuls tht re not liste on Form 990, Prt VII te. The sum of olumns (B)(1)-(iii) for eh liste iniviul must equl the totl mount of Form 990, Prt VII, Setion A, line l, pplile olumn (D) n (E) mounts for tht iniviul (A) Nme n Title (B) Brekown of W-2 n/or 1099-MISC ompenstion (C) Retirement n (D) ntxle (E) Totl of (F) Compenstion (ii) Bonus & (iii) (i) Bse Other other eferre enefits olumns reporte s eferre inentive reportle ompenstion ompenstion (B)(i)-(D) in prior Form 990 ompenstion ompenstion See Aitionl Dt Tle Sheule 3 (Form 990) 2013

84 Sheule J (Form 990) 2013 Pge 3 Supplementl Informtion Provie the informtion, explntion, or esriptions require for Prt I, lines l, 1, 3, 4, 4, 4, 5, 5, 6, 6, 7, n 8, n for Prt II Also omplete this prt for ny itionl informtion F Return Referene Explntion PART I, LINE 1A PERSONAL SERVICES, INCLUDING TRANSPORTATION AND PERSONAL ERRANDS, WERE PROVIDED ON THE BEHALF OF TO THREE EMPLOYED PHYSICIANS THE BENEFITS WERE NOT INCLUDED IN THE TAXABLE INCOME OF THE INDIVIDUALS PART I, LINE 1B ALTHOUGH CARTI, INC DOES NOT FOLLOW AN OFFICIAL WRITTEN POLICY REGARDING THE PAYMENT, PROVISION, OR REIMBURSEMENT OF ALL SUCH BENEFITS. IT REQUIRES THE SAME LEVEL OF SUBSTANTIATION AS ALL OTHER EXPENSES THAT ARE SUBMITTED FOR PAYMENT Sheule 3 (Form 990) 2013

85 Aitionl Dt Softwre ID: Softwre Version: EIN: Nme : CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Form 990, Sheule J, Prt II - Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees (A) Nme (B) Brekown of W-2 n/or 1099-MISC ompenstion (C) Deferre (D) ntxle (E) Totl of olumns (F) Compenstion (ii) Bonus & ompenstion enefits (B)(i)-(D) reporte in prior Form (i) Bse (iii) Other 990 or Form 990-EZ inentive Compenstion ompenstion ompenstion LAWRENCE (1) 779, ,911 8,150 34,500 4,023 1,607,302 0 MENDELSOHN (u) DIRECTOR THOMAS KOONCE (i) 774,114 74,467 45,450 34,500 5, ,408 0 DIRECTOR (ii) JANICE E BURFORD (i) 381,252 92, ,800 1, ,501 0 PRESIDENT & CEO (ii) JAMES SOLBERG (i) 240, ,003 1, ,026 0 CFO/TREASURER (ii) BRAD BALTZ (i) 762,042 1,141, ,500 3,699 1,941,366 0 PHYSICIAN (ii) KAMAL PATEL (i) 524, ,255 6,750 34,500 4,009 1,429,259 0 PHYSICIAN (ii) BALAGOPALAN NAIR (1) 522, ,352 16,850 34,500 6,199 1,423,456 0 PHYSICIAN (ii) CRAIG COMISH VICE (i) 239, ,263 3, ,535 0 PRESIDENT/COO (ii) MARIANN (i) 525, ,023 10,750 34,500 3,006 1,038,027 0 HARRINGTON (ii) PHYSICIAN DIANE WILDER (i) 523, ,843 20,450 34,500 5,506 1,118,547 0 PHYSICIAN (ii) KEWEN JAUSS (i) 518, ,549 5,200 34,500 4, ,041 0 PHYSICIAN (ii) SCOTT STERN (1) 417, ,211 13,600 33,925 6, ,492 0 PHYSICIAN (ii) RHONDA GENTRY (i) 366, , ,405 3, ,541 0 PHYSICIAN (ii)

86 lefile GRAPHIC print - DO NOT PROCESS As File Dt - DLN: Sheule K OMB (Form 990) Supplementl Informtion on Tx Exempt Bons 1- Complete if the orgniztion nswere "Yes" to Form 990, Prt IV, line 24. Provie esriptions, explntions, n ny itionl informtion in Prt VI. 1- Atth to Form See seprte instrutions. Deprtment of the Tresury 1-Informtion out Sheule K (Form 990) n its instrutions is t Internl Revenue Servie Nme of the orgniztion CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Bon Issues () Issuer nme () Issuer EIN () CUSIP # ( ) Dte issue (e) Issue prie (f) Desription of purpose 2013 Employer ientifition numer (g) Defese (h) On ehlf of issuer (i) Pool finning Yes Yes Yes PULASKI COUNTY PUBLIC CONSTRUCTION OF CANCER A FACILITIES BOARD EAT ,650,880 X X X CENTER m.ii Proees 1 A mount of ons retire 2 Amount of ons leglly efese A B C D 3 Totl proees of issue 50,650,880 4 Gross proees in reserve funs 5 Cpitlize interest from proees 6 Proees in refuning esrows 1,291,184 7 Issune osts from proees 639,989 8 Creit enhnement from proees 9 Working pitl expenitures from proees 10 Cpitl expenitures from proees 6,694, Other spent proees 12 Other unspent proees 43,326, Yer of sustntil ompletion 14 Were the ons issue s prt of urrent refuning issue? X 15 Were the ons issue s prt of n vne refuning issue? X 16 Hs the finl llotion of proees een me? X 17 Does the orgniztion mintin equte ooks n reors to support the finl llotion of proees? f iii Privte Business Use 1 Ws the orgniztion prtner in prtnership, or memer of n LLC, whih owne property finne y tx-exempt ons? 2 Are there ny lese rrngements tht my result in privte usiness use of onfinne property? Yes Yes Yes Yes X A B C D Yes Yes Yes Yes For Pperwork Reution At tie, see the Instrutions for Form 990. Ct 50193E Sheule K (Form 990) 2013

87 Sheule K (Form 990) 2013 Sheule K (Form 990) 2013 P g e 2 Privte Business Use (Continue) 3 Are there ny mngement or servie ontrts tht my result in privte usiness use of on-finne property? If "Yes" to line 3, oes the orgniztion routinely engge on ounsel or other outsie ounsel to review ny mngement or servie ontrts relting to the finne property? Are there ny reserh greements tht my result in privte usiness use of onfinne property? If "Yes" to line 3, oes the orgniztion routinely engge on ounsel or other outsie ounsel to review ny reserh greements relting to the finne property? 4 Enter the perentge of finne property use in privte usiness use y entities other thn setion 501()(3) orgniztion or stte or lol government 0-5 Enter the perentge of finne property use in privte usiness use s result of unrelte tre or usiness tivity rrie on y your orgniztion, nother setion 501()(3) orgniztion, or stte or lol government 0-6 Totl of lines 4 n 5 7 Does the on issue meet the privte seurity or pyment test? g Hs there een sle or isposition of ny of the on finne property to nongovernmentl person other thn 501()(3) orgniztion sine the ons were issue? If "Yes" to line 8, enter the perentge of on-finne property sol or ispose of If "Yes" to line 8, ws ny remeil tion tken pursunt to Regultions setions n g Hs the orgniztion estlishe written proeures to ensure tht ll nonqulifie ons of the issue re remeite in orne with the requirements uner Regultions setions n ? Aritrge 1 Hs the issuerfile Form 8038-T? X 2 If "" to line 1, i the following pply? Rete not ue yet? X Exeption to rete? X rete ue? X If you heke rete ue" in line 2, provie in Prt VI the te the rete omputtion ws performe 3 Is the on issue vrile rte issue? X 4 Hs the orgniztion or the governmentl issuer entere into qulifie hege with respet to the on issue? Nme of provier A B C D Yes Yes Yes Yes A B C D Yes Yes Yes Yes X e Term of hege Ws the hege superintegrte? Ws the hege terminte?

88 Sheule K (Form 990 ) 2013 Pge 3 Aritrge (Continue) 5 Were gross proees investe in gurntee investment X ontrt (GIC)7 Nme of provier A B C D Yes Yes Yes Yes C Term of GIC Ws the regultory sfe hror for estlishing the fir mrket vlue of the GIC stisfie? 6 Were ny gross proees investe eyon n ville temporry perio? 7 Hs the orgniztion estlishe written proeures to monitor the requirements of setion 148? Proeures To Unertke Corretive Ation Hs the orgniztion estlishe written proeures to ensure tht violtions of feerl tx requirements re timely ientifie n orrete through the voluntry losing greement progrm if self-remeition is not ville uner rdlile regultions? X X A D I Yes I I Yes I I Yes I I Yes I NOTION Supplementl informtion. Provie itionl informtion for responses to questions on Sheule K (see instrutions).

89 l efile GRAPHIC p rint - DO NOT PROCESS As File Dt - DLN: Sheule L Trnstions with Intereste Persons OMB (Form 990 or 990-EZ) 0- Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, lines 25, 25, 26, 27, 28, 28, or 28, or Form 990-EZ, Prt V, line 38 or 40. 2O13 Deprtment of the Tresury 0- Atth to Form 990 or Form 990-EZ. 0- See seprte instrutions. Open Internl Revenue Servie 1-Informtion out Sheule L (Form 990 or EZ) n its instrutions is t Insp e tion Nme of the orgniztion CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC Employer ientifition numer L^l Exess Benefit Trnstions (setion 501()(3) n setion 501()(4) orgniztions only). Cmmn It ifth nrnnvtinn nwr "Y" nn Fnrm 99O Prt TV Iin 75 nr 75h nr Fnrm 990-F7 Prt V Iin 40h 1 () Nme of isqulifie person () Reltionship etween isqulifie () Desription of trnstion () Correte? person n orgniztion Yes 2 Enter the mount of tx inurre y orgniztion mngers or isqulifie persons uring the yer uner setion $ 3 Enter the mount of tx, if ny, on line 2, ove, reimurse y the orgniztion. $ Lons to n / or From Intereste Persons. Complete if the orgniztion nswere "Yes" on Form 990-EZ, Prt V, line 38, or Form 990, Prt IV, line 26, or if the () Nme of () () () Lon to intereste Reltionship Purpose of or from the person with lon orgniztion? orgniztion To I From (e)originl (f)blne (g) In prinipl ue efult? mount Yes I (h) A pprove y or or ommittee? Yes F (i)written greement? Yes I Totl $ Grnts or Assistne Benefitting Intereste Persons. Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 27. () Nme of intereste () Reltionship etween () Amount of ssistne () Type of ssistne (e) Purpose of ssistne person intereste person n the orgniztion For Pperwork Reution At tiee see the Instrutions for Form 990 or 990 -EZ. Ct 50056A Sheule L (Form 990 or EZ) 2013

90 Sheule L (Form 990 or 990-EZ) 2013 Pge 2 Business Trnstions Involving Intereste Persons. Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 28, 28, or 28. () Nme of intereste person ( ) Reltionship etween intereste person n the orgniztion () Amount of trnstion ( ) Desription of trnstion (e) Shring of orgniztion's revenues? (1)THOMAS KOONCE KEY EMPLOYEE OF CARTI, INC, SHAREHOLDER IN ARKANSAS MEDICAL CYCLOTRON LLC 714,000 PURCHASES OF CT CONTRAST FROM ARKANSAS MEDICAL CYCLOTRON LLC Yes Supplementl Informtion Return Referene I Explntion Sheule L (Form 990 or 990-EZ) 2013

91 efile GRAPHIC p rint - DO NOT PROCESS As File Dt - DLN: SCHEDULE 0 (Form 990 or 990-EZ) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC 990 Sheule 0, Supplementl Informtion Supplementl Informtion to Form 990 or 990-EZ OMB Complete to provie informtion for responses to speifi questions on Form 990 or to provie ny itionl informtion. Open 1- Atth to Form 990 or 990-EZ. Inspetion 1- Informtion out Sheule 0 (Form 990 or 990- EZ) n its instrutions is t gov/form990. Employer ientifition numer Return Referene Explntion FORM 990, PART VI, SECTION B, LINE 11 FORM 990, PART VI, SECTION B, LINE EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE IN CONNECTION WITH ANY 12C 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 FACT S TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE P ROPOSED TRANSACTION OR ARRANGEMENT ACCORDINGLY, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEM BER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIR MS THAT SUCH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (B) HAS R EAD AND UNDERSTANDS THE POLICY, (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTA NDS THAT CARTI IS A CHARITABLE ORGANIZATION, AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEM PTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX- EXEM PT PURPOSES FORM 990, PART VI, SECTION B, LINE THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS/KEY 15 EMPLOYEES BEGINS WITH OBTAINING MARKET PRICING INFORMATION FROM AN EXTERNAL COMPENSATION CONSULTANT - HEWITT ASSOCIATES USING THAT MARKET DATA, THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT DEVELOPS A "SALARY ACTION RECOMMENDATION", WHICH IS PROVIDED TO THE BOARD OF DIRECTORS FO R THEIR REVIEW AND ULTIMATE APPROVAL FORM 990, PART VI, SECTION C, LINE THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL 18 STATEMEN TS AREAVAILABLETO THE PUBLIC UPON WRITTEN REQUEST FORM 990, PART VI, SECTION C, LINE THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL 19 STATEMEN TS AREAVAILABLETO THE PUBLIC UPON WRITTEN REQUEST FORM 990, PART XI, LINE 9 INCREASE IN EQUITY INTEREST IN CARTI FOUNDATION NET ASSETS 3,214,535

92 For Pperwork Reution At tie, see the Instrutions for Form 990. Ct 50135Y Sheule R (Form 990) 2013 l efile GRAPHIC p rint - DO NOT PROCESS SCHEDULE R (Form 990) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC As File Dt - Relte Orgniztions n Unrelte Prtnerships 1- Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 33, 34, 35, 36, or Atth to Form See seprte instrutions. 1- Informtion out Sheule R (Form 990) n its instrutions is t Employer ientifition numer Ientifition of Disregre Entities Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 33. () Nme, ress, n EIN (if pplile) of isregre entity () Primry tivity () Legl omiile (stte or foreign ountry) () Totl inome (e) En-of-yer ssets DLN: (f) Diret ontrolling entity OMB (1) CARTI ONCOLOGY SOLUTIONS LLC PO BOX LITTLE ROCK, AR MANAGEMENT SERVICES AR THE TAXPAYER (CARTI) Ientifition of Relte Tx-Exempt Orgniztions Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 34 euse it h one or more relte tx-exempt orgniztions uring the tx yer. (1) CARTI FOUNDATION INC POBOX ( ) Nme, ress, n EIN of relte orgniztion () Primry tivity TO FOSTER, SUPPORT & ENCOURAGE ACTIVITIES OF CARTIINC () Legl omiile (stte or foreign ountry) ( ) Exempt Coe setion ( e) Puli hrity sttus (if setion 501()(3)) AR 501(C)(3) 509(A)(3) TYPE 1 N/A (f) Diret ontrolling entity (g) Setion 512() (13) ontrolle entity? Yes LITTLE ROCK, AR

93 Sheule R (Form 990) 2013 Sheule R (Form 990) 2013 Pge 2 Ientifition of Relte Orgniztions Txle s Prtnership Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 34 euse it h one or more relte orgniztions trete s prtnership uring the tx yer. () Nme, ress, n EIN of relte orgniztion () Primry tivity () Legl omiile (stte or foreign ountry) () Diret ontrolling entity (e) Preominnt inome(relte, unrelte, exlue from tx uner setions ) (f) Shre of totl inome (g) Shre of en-of-yer ssets (h) Disproprtionte llotions? (i) Coe V-UBI mount in ox 20 of Sheule K-1 (Form 1065) U) Generl or mnging prtner? Yes Yes (k) Perentge ownership Ientifition of Relte Orgniztions Txle s Corportion or Trust Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 34 euse it h one or more relte orgniztions trete s orportion or trust uring the tx yer. () Nme, ress, n EIN of relte orgniztion () Primry tivity () Legl omiile (stte or foreign ountry) () Diret ontrolling entity (e) Type of entity (C orp, S orp, or trust) (f) Shre of totl inome (g) Shre of enof-yer ssets (h) Perentge ownership (i) Setion 512 ()(13) ontrolle entity? Yes

94 Sheule R (Form 990) 2013 Sheule R (Form 990) 2013 ff^ Trnstions With Relte Orgniztions Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 34, 35, or 36. te. Complete line 1 if ny entity is liste in Prts II, III, or IV of this sheule 1 During the tx yer, i the orgrniztion engge in ny of the following trnstions with one or more relte orgniztions liste in Prts II-IV? Reeipt of (i) interest (ii) nnuities (iii) roylties or (iv) rent from ontrolle entity Gift, grnt, or pitl ontriution to relte orgniztion(s) Gift, grnt, or pitl ontriution from relte orgniztion(s) Lons or lon gurntees to or for relte orgniztion(s) e Lons or lon gurntees y relte orgniztion(s) Pge 3 YesF Yes f Diviens from relte orgniztion(s) g Sle of ssets to relte orgniztion(s) h Purhse of ssets from relte orgniztion(s) i Exhnge of ssets with relte orgniztion(s) j Lese of filities, equipment, or other ssets to relte orgniztion(s) if lg lh li li k Lese of filities, equipment, or other ssets from relte orgniztion(s) lk - I Performne of servies or memership or funrising soliittions for relte orgniztion(s) m Performne of servies or memership or funrising soliittions y relte orgniztion(s) n Shring of filities, equipment, miling lists, or other ssets with relte orgniztion(s) o Shring of pi employees with relte orgniztion(s) ll lm In to Yes Yes Yes Yes p Reimursement pi to relte orgniztion(s) for expenses lp q Reimursement pi y relte orgniztion(s) for expenses lq Yes r Other trnsfer of sh or property to relte orgniztion(s) lr s Other trnsfer of sh or property from relte orgniztion(s) is 2 If the nswer to ny of the ove is "Yes," see the instrutions for informtion on who must omplete this line, inluing overe reltionships n trnstion threshols () Nme of relte orgniztion () Trnstion type (-s) () Amount involve (1) CARTI FOUNDATION C 379,587 ACTUAL AMOUNT PAID (2) CARTI FOUNDATION Q 1,163,597 ACTUAL AMOUNT PAID () Metho of etermining mount involve

95 Sheule R (Form 990) 2013 Sheule R (Form 990) 2013 Pge 4 Unrelte Orgniztions Txle s Prtnership Complete if the orgniztion nswere "Yes" on Form 990, Prt IV, line 37. Provie the following informtion for eh entity txe s prtnership through whih the orgniztion onute more thn five perent of its tivities (mesure y totl ssets or gross revenue) tht ws not relte orgniztion See instrutions regring exlusion for ertin investment prtnerships () Nme, ress, n EIN of entity () Primry tivity () Legl omiile (stte or foreign ountry) () Preominnt inome (relte, unrelte, exlue from tx uner setions ) (e) Are ll prtners setion 501()(3) orgniztions? (f) Shre of totl inome (g) Shre of en-of-yer ssets (h) Disproprtionte llotions? (i) Coe V7UBI mount in ox 20 of Sheule K-1 (Form 1065) U) Generl or mnging prt ner? Yes Yes Yes (k) Perentge ownership

96 Sheule R (Form 990) 2013 Pge 5 Supplementl Informtion Provie itionl informtion for responses to uestions on Sheule R (see instrutions Return Referene Explntion Sheule R (Form 990) 201

97 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 with REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS

98 CONTENTS PAGE Report of inepenent ertifie puli ountnts Finnil sttements: Consolite lne sheets Consolite sttements of opertions Consolite sttements of hnges in net ssets Consolite sttements of sh flows tes to onsolite finnil sttements

99 uson isne & Co Lt.P REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS Bor of Diretors Centrl Arknss Rition Therpy Institute, In. Little Rok, Arknss Report on the Finnil Sttements We hve uite the ompnying onsolite finnil sttements of Centrl Arknss Rition Therpy Institute, In. (CARTI), whih omprise the onsolite lne sheets s of June 30, 2014 n 2013, n the relte onsolite sttements of opertions, hnges in net ssets n sh flows for the yers then ene, n the relte notes to the finnil sttements. Mngement ' s Responsiility for the Finnil Sttements Mngement is responsile for the preprtion n fir presenttion of these finnil sttements in orne with ounting priniples generlly epte in the Unite Sttes of Ameri; this inlues the esign, implementtion, n mintenne of internl ontrol relevnt to the preprtion n fir presenttion of finnil sttements tht re free from mteril missttement, whether ue to fru or error. Auitor' s Responsiility Our responsiility is to express n opinion on these finnil sttements se on our uits. We onute our uits in orne with uiting stnrs generlly epte in the Unite Sttes of Ameri. Those stnrs require tht we pln n perform the uits to otin resonle ssurne out whether the finnil sttements re free from mteril missttement. An uit involves performing proeures to otin uit eviene out the mounts n islosures in the finnil sttements. The proeures selete epen on the uitor's jugment, inluing the ssessment of the risks of mteril missttement of the finnil sttements, whether ue to fru or error. In mking those risk ssessments, the uitor onsiers internl ontrol relevnt to the orgniztion's preprtion n fir presenttion of the finnil sttements in orer to esign uit proeures tht re pproprite in the irumstnes, ut not for the purpose of expressing n opinion on the effetiveness of the orgniztion's internl ontrol. Aoringly, we express no suh opinion. An uit lso inlues evluting the ppropriteness of ounting poliies use n the resonleness of signifint ounting estimtes me y mngement, s well s evluting the overll presenttion of the finnil sttements. We elieve tht the uit eviene we hve otine is provie sis for our uit opinion. suffiient n pproprite to Huson, Cisne & Co. LLP Huron Lne Little Rok, AR Phone: (501) Fx: (501) 221,9236

100 Opinion In our opinion, the onsolite finnil sttements referre to ove present firly, in ll mteril respets, the onsolite finnil position of Centrl Arknss Rition Therpy Institute, In., s of June 30, 2014 n 2013, n the hnges in its net ssets n its sh flows for the yers then ene in orne with ounting priniples generlly epte in the Unite Sttes of Ameri. Little Rok, Arknss Septemer 15, 2014 L-Le

101 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. CONSOLIDATED BALANCE SHEETS JUNE 30, 2014 AND 2013 ASSETS Current ssets: Csh $ 3,477,634 $ 422,227 Ptient ounts reeivle, net of llownes, $38,943,282, $29,640,456 24,784,634 18,464,810 Due from CARTI Fountion, In 166,091 67,092 Other reeivles 79, ,706 Inventory - Rition supplies 610, ,812 - Meil onology supplies 2,365,365 1,607,252 Prepi expenses n other 733, ,818 Totl urrent ssets 32,217,412 21,906,717 Assets limite s to use: Internlly esignte 74,740,932 81,688,880 Hel y trustee 44,617,874 - Totl ssets limite s to use 119,358,806 81,688,880 Property n equipment, net 44,444,258 31,195,300 Deferre ompenstion investments, t fir vlue 1,141, ,468 Other ssets: Interest in net ssets of CARTI Fountion, In 15,374,728 12,160,193 Goowill 10,235,820 10,235,820 Bon issue osts, net of umulte mortiztion 625,767 - Totl other ssets 26,236,315 22,396,013 Totl ssets $ 223,398,068 $ _ 157,942,378 LIABILITIES AND NET ASSETS Current liilities: Aounts pyle $ 8,250,116 $ 7,078,913 Arue expenses 8,724,476 6,191,658 Current mturities of long - term et 16,224 - Totl urrent liilities 16,990,816 13,270,571 Long-term liilities: Retinge pyle 816,091 - Bon pyle, net of unmortize isount of $121,362 50,653,638 - Other long-term liilities, less urrent mturities 163,634 - Totl long - term liilities 51,633,363 - Deferre ompenstion pyle 1,141, ,468 Net ssets: Unrestrite 138,257, ,756,146 Temporrily restrite 15,374,728 12,160,193 Totl net ssets 153,632, ,916,339 Totl liilities n net ssets $ 223, 398,068 $ 157,942,378 See ompnying notes

102 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 4 CONSOLIDATED STATEMENTS OF OPERATIONS YEARS ENDED JUNE 30, 2014 AND 2013 Unrestrite revenues, gins n other support: Net ptient servie revenue $ 141,315,171 $ 111,744,937 Provision for unolletile ounts (5,259,147) (3,082,034) Net ptient servie revenue less provision for unolletile ounts 136,056, ,662,903 Other revenue 657, ,669 Expenses: Totl unrestrite revenues, gins n other support 136,713, ,921,572 Slries 39,193,774 32,391,494 Employee enefits 6,973,938 5,486,967 Oupny osts 3,797,782 3,147,311 Professionl n ontrt servies 8,988,137 8,285,153 Equipment repirs n mintenne 1,213, ,106 Rition tretment supplies 335, ,982 Meil onology supplies 71,863,102 49,505,474 Community ffirs n mrketing 509, ,392 Informtion servies tehnology 1,753,747 1,601,955 Supplies n other 1,393,621 1,340,410 Soil servie progrms - 239,210 Insurne 512, ,452 Interest expense 12,432 12,415 Depreition n mortiztion 3,757,120 2,679,811 Totl expenses 140,303, ,901,132 Operting ( loss) inome (3,590,633) 2,020,440 Other inome: Investment return 13,022,678 8,185,269 Grnts reeive from CARTI Fountion, In 379, ,166 Donte property - 5,440,000 Loss on isposl of property n equipment (51,675) (462,801) Totl other inome 13,350,590 13,786,634 Exess of revenues over expenses 9,759,957 15,807,074 Chnge in unrelize ( losses ) gins on investments (3,258,219 ) 1,517,403 Inrese in unrestrite net ssets $ 6,501,738 $ 17,324,477 See ompnying notes

103 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 5 CONSOLIDATED STATEMENTS OF CHANGES IN NET ASSETS YEARS ENDED JUNE 30, 2014 AND 2013 Unrestrite net ssets Exess of revenues over expenses Chnge in unrelize (losses) gins on investments Inrese in unrestrite net ssets 2014 $ 9,759,957 (3,258,219 ) 6,501, $ 15,807,074 1,517,403 17,324,477 Temporrily restrite net ssets Inrese in equity interest in net ssets of CARTI Fountion, In ')in : 1,524,785 Inrese in net ssets 9,716,273 18,849,262 Net ssets - eginning of yer in: o1a ::o i 1) na' n77 Net ssets - en of yer $ 153,632,612 $ 143,916,339 See ompnying notes

104 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 6 CONSOLIDATED STATEMENTS OF CASH FLOWS YEARS ENDED JUNE 30, 2014 AND Csh flows from operting tivities: Chnge in net ssets $ 9,716,273 $ 18,849,262 Ajustments to reonile hnge in net ssets to net sh (use in) provie y operting tivities Depreition n mortiztion 3,757,120 2,679,811 Chnge in interest in net ssets of CARTI Fountion, In (3,214,535) (1,524,785) Loss on isposl of property n equipment 51, ,801 Donte property - (5,440,000) Net relize n unrelize gin on investments (8,404,739) (8,171,405) Chnges in operting ssets n liilities Ptient ounts reeivle, net (6,319,824) (4,648,985) Due from CARTI Fountion, In (98,999) 100,490 Other reeivles 33,120 (99,177) Inventory (689,019) 60,694 Bon issue ost (639,989) - Prepi expenses n other (180,566) 345,895 Aounts pyle n rue expenses 3,704,021 1,347,369 Net sh (use in) provie y operting tivities (2,285,462) 3,961,970 Csh flows from investing tivities: Proees from sle of investments 26,974,716 25,745,254 Purhse of investments (11,586,683) (17,830,907) Pyments for quisition - (781,788) Proees from sle of property n equipment - 13,000 Chnge in ssets hel y trustee (44,653,220) - Purhse of property n equipment (16,224,682) (16,190,026) Net sh use in investing tivities (45,489,869) (9,044,467) Csh flows from finning tivities: Proees from issune of long-term et 50,841,199 - Pyments on long-term et (10,461 ) - Net sh provie y finning tivities 50,830,738 - Net inrese ( erese ) in sh 3,055,407 (5,082,497) Csh, eginning of yer 422,227 5,504,724 Csh, en of yer $ 3,477,634 $ 422,227 See ompnying notes

105 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 7 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 1: Nture of opertions n summry of signifint ounting poliies Nture of opertions The Centrl Arknss Rition Therpy Institute, In (CARTI) is not-for-profit orgniztion tht provies rition onology n meil onology tretments to ptients throughout Arknss CARTI's primry lotion is in Little Rok, Arknss, with stellite opertions in rth Little Rok, Sery, Mountin Home, Conwy, Russellville, El Doro, Stuttgrt n Benton, Arknss It is exempt from tx uner Setion 501()(3) of the Internl Revenue Coe Bsis of ounting CARTI prepres its finnil sttements on the rul sis of ounting in orne with ounting priniples generlly epte in the Unite Sttes of Ameri Susequent events The Susequent Events Topi of the Aounting Stnrs Coifition (ASC) estlishes generl stnrs of ounting for n islosure of events tht our fter the onsolite lne sheet te ut efore onsolite finnil sttements re issue or re ville to e issue CARTI hs evlute ll susequent events for potentil reognition n islosure through Septemer 15, 2014, the te these onsolite finnil sttements were ville to e issue Priniples of onsolition The onsolite finnil sttements inlue the ounts of CARTI n its susiiry, CARTI Onology Solutions, LLC, whih provies lini mngement servies for onology physiin groups All signifint interompny lnes n trnstions hve een eliminte Use of estimtes The preprtion of finnil sttements in onformity with ounting priniples generlly epte in the Unite Sttes of Ameri requires mngement to mke estimtes n ssumptions tht ffet the reporte mounts of ssets n liilities n islosure of ontingent ssets n liilities t the te of the onsolite finnil sttements n the reporte mounts of revenues n expenses uring the reporting perio Ares of prtiulr signifine to CARTI re those estimtes relte to (1) the llownes for ontrtul justments n outful ounts, (2) the vlution of goowill, (3) meil mlprtie lims, (4) estimte lives n methos use to lulte epreition, (5) the estimte fir vlue of finnil instruments n (6) the llotion of funtionl expenses Aoringly, tul results oul iffer from those estimtes Csh n sh equivlents Csh n sh equivlents inlue ll monies in nks n highly liqui investments with mturity tes of less thn three months The rrying vlue of sh n sh equivlents pproximtes fir vlue euse of the short mturities of those finnil instruments

106 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 8 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 1: Nture of opertions n summry of signifint ounting poliies ( ontinue) Ptient ounts reeivle Ptient ounts reeivle re stte t net relizle mounts from ptients, thir-prty pyers n others for servies renere CARTI provies n llowne for outful ounts, whih is se upon review of outstning reeivles, historil olletion informtion n existing eonomi onitions Delinquent reeivles re written off se on iniviul reit evlution n speifi irumstnes of the ptient or thir-prty pyer Inventory Inventory onsists of rition n hemotherpy-relte rugs n supplies n is ost or mrket, etermine using the first-in, first-out metho stte t the lower of Investments n investment return Investments in equity seurities with reily eterminle fir vlues, n ll investments in et seurities, re vlue t their fir mrket vlue in the onsolite lne sheets Other investments re vlue t the lower of ost (or fir vlue t time of ontion, if quire y ontriution) or fir vlue Investment return inlues iviens, interest n other investment inome, relize n unrelize gins n losses on investments rrie t fir vlue, n relize gins n losses on other investments Investment return tht is initilly restrite y onor stipultion n for whih the restrition will e stisfie in the sme yer is inlue in unrestrite net ssets Other investment return is reflete in the onsolite sttements of opertions s unrestrite, temporrily restrite or permnently restrite se upon the existene n nture of ny onor or leglly impose restritions The investment in equity investee is reporte on the equity metho of ounting Assets limite s to use Assets limite s to use - internlly esignte inlue ssets set sie y the Bor of Diretors for future pitl improvements over whih the Bor retins ontrol n my t its isretion susequently use for other purposes Assets limite s to use - hel y trustee onsist of mutul funs n ertifites of eposit tht re restrite for prinipl n interest pyments through ontrtul greements ssoite with the outstning on pyle Deferre ompenstion investments Investments of the eferre ompenstion pln re hel y externl ministrtors in CARTI' s re reore t their reily eterminle fir vlues se on quote mrket vlues nme n Property n equipment Property n equipment re epreite on stright-line sis over the estimte useful life of eh sset Depreition expense ws $3,740,140 n $2,679,811 for the yers ene June 30, 2014 n 2013, respetively Dontions of property n equipment re reporte t fir vlue s n inrese in unrestrite net ssets unless use of the ssets is restrite y the onor Monetry gifts tht must e use to quire property n equipment re reporte s restrite support The expirtion of suh restritions is reporte s n inrese in unrestrite net ssets when the onte sset is ple in servie

107 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 9 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 1: Nture of opertions n summry of signifint ounting poliies ( ontinue ) Bon issue osts CARTI pitlize ertin osts ssoite with issuing ons, inluing unerwriting osts re eing mortize over the term of the on The ost Goowill CARTI ounts for goowill uner the Intngiles - Goowill n Other Topi of the ASC CARTI nnully performs n impirment test of goowill s require y the Topi When the rrying vlue of the goowill exees its fir vlue, the lne is permnently reue through hrge ginst CARTI's ernings for tht yer There were no impirments s of June 30, 2014 or 2013 Temporrily restrite net ssets Temporrily restrite net ssets re those whose use y CARTI hs een limite y onors to speifi time perio or purpose Net ptient servie revenue CARTI hs greements with thir-prty pyers tht provie for pyments to CARTI t mounts ifferent from its estlishe rtes Net ptient servie revenue is reporte t the estimte net relizle mounts from ptients, thir-prty pyers n others for servies renere Chrity re CARTI provies re without hrge or t mounts less thn its estlishe rtes to ptients who meet ertin riteri uner its hrity re poliy Chrity re is not reporte s revenue Meil mlprtie CARTI purhses meil mlprtie insurne uner lims-me poliy Uner suh poliy, only lims me n reporte to the insurer re overe uring the poliy term, regrless of when the inient giving rise to the lim ourre Sttements of sh flows For the yer ene June 30, 2014, non-sh investing n finning trnstions onsisting of retinge pyle ssume in the onstrution of new ner enter totle $ 816,091 There were no non-sh trnstions for the yer ene June 30, 2013 Inome txes CARTI is not-for-profit orgniztion tht is exempt from inome txes uner Setion 501()(3) of the Internl Revenue Coe n similr provision of stte lw However, CARTI is sujet to feerl inome tx on ny unrelte usiness txle inome As of June 30, 2014, CARTI hs generte net operting losses of pproximtely $246,000 from unrelte usiness tivities whih re ville to offset unrelte usiness txle inome in future yers, ut will egin expiring t June 30, 2027, if unuse Any resulting eferre tx enefit is onsiere immteril

108 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 10 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 1: Nture of opertions n summry of signifint ounting poliies (ontinue ) Inome txes ( ontinue) In orne with the Aounting for Inome Txes Topi of the ASC, CARTI woul reognize, if ny, rue interest n penlties ssoite with unertin tx positions s n inome tx provision The pst three yers of tx returns, long with the urrent yer return, re sujet to potentil exmintion y txing uthorities Exess of revenues over expenses The onsolite sttements of opertions inlue exess of revenues over expenses Chnges in unrestrite net ssets whih re exlue from exess of revenues over expenses, onsistent with inustry prtie, inlue unrelize gins n losses on investments, permnent trnsfers to n from ffilites for other thn goos n servies n ontriutions of long-live ssets (inluing ssets quire using ontriutions whih y onor restrition were to e use for the purpose of quiring suh ssets) te 2: Chnge in ounting estimtes It is CARTI's poliy to perioilly review the estimte ontrtul llownes n net relizle vlues of ounts reeivle During the yer ene June 30, 2014, this review inite tht tul ontrtul llownes relte to hemtology onology servies iffere from the historil perent llownes previously use for llowne purposes in the orgniztion's finnil sttements As result, CARTI revise the estimte ontrtul llownes, effetive July 1, 2013 The effet of this hnge in estimte ws to inrese ontrtul llowne y $750,000 n to reue operting inome n hnge in unrestrite net ssets y $750,000 te 3: Net ptient servie revenue CARTI hs greements with thir-prty pyers tht provie for pyments to the orgniztion t mounts ifferent from its estlishe rtes A summry of signifint pyment rrngements follows Meire n Meii servies renere to Meire n Meii progrm enefiiries re se on fee sheules tht estlish pyment mounts for ll servies furnishe in ll fee sheule res for the yer Approximtely 61% n 60% of gross ptient servie revenues were from prtiiption in the Meire n stte-sponsore Meii progrms for the yers ene June 30, 2014 n 2013, respetively CARTI hs lso entere into pyment greements with ertin ommeril insurne rriers, helth mintenne orgniztions n preferre provier orgniztions The sis for pyment to CARTI uner these greements inlues isounts from estlishe hrges n prospetively etermine ily rtes

109 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 11 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 4: Conentrtions of reit risk CARTI grnts reit without ollterl to its ptients, most of whom re re resients n re insure uner thir-prty pyer greements The mix of reeivles from ptients n thir-prty pyers re s follows Meire Meii Blue Cross Other thir-prty pyers Ptients 46% % % 100% te 5: Investments n investment return Assets limite s to use inlue Csh n sh equivlents Certifites of eposit Mutul funs Commeril pper Equity seurities Corporte ons $ 13,724,986 15,964,655 23,725,025 7,722,550 24,708, $ 15,211,985 3,515,956 39,516, Totl investment return is omprise of the following Interest n ivien inome (net of investment expenses of $404,361 in 2014 n $358,507 in 2013) $ 1,359,720 $ 1,531,267 Relize gins on sles of investments 11,662,958 6,654,002 Chnge in unrelize ( losses ) gins on investments (3,258,219) 1,517,403 Totl investment return is reflete in the onsolite sttements of opertions s follows Investment return $ 13,022,678 $ 8,185,269 Chnge in unrelize (losses ) gins on investments (3,258,219) 1,517,403 9,764, Certin investments in et n mrketle equity seurities re reporte in the onsolite finnil sttements t n mount less thn their historil ost Totl fir vlue of these investments t June 30, 2014 ws $22,398,887, whih is pproximtely 19% of CARTI's investment portfolio These elines primrily resulte from filures of ertin investments to mintin onsistent reit qulity rtings or meet projete ernings trgets

110 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 12 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 5: Investments n investment return ( ontinue Bse on evlution of ville eviene, inluing reent hnges in mrket interest rtes, reit rting informtion n informtion otine from regultory filings, mngement elieves the elines in fir vlue for these seurities re temporry Shoul the impirment of ny of these seurities eome other thn temporry, the ost sis of the investment will e reue n the resulting loss reognize in net inome in the perio the other-thntemporry impirment is ientifie The following tle shows CARTI's investments' gross unrelize losses n fir vlue, ggregte y investment tegory n length of time tht iniviul seurities hve een in ontinuous unrelize loss position t June Less thn 12 months 12 months or more Totl Desription of Unrelize Unrelize Unrelize seurities Fir N slue losses Fir N slue losses Fir N slue losses Det seunties $ 14, $ 107,210 $ 7,605,177 $ 136A18 $ $ Totl tempornln impire seunties $ 14,793,710 $ $ $ 136,418 $ 22,398,887 $ 243, Less thn 12 months 12 months or more Totl Desription of seurities Fir N slue Unrelize losses Fir N slue Unrelize losses Fir N slue Unrelize losses Det seurities $ 6, $ $ ; $ 49,774 $ $ Equm seurities Totl tempornln impire seunties $ $ $ ; $ $ $ te 6: Fir vlue Aounting stnrs efine fir vlue s the prie tht woul e reeive to sell n sset or pi to trnsfer liility in n orerly trnstion etween mrket prtiipnts t the mesurement te They lso estlish fir vlue hierrhy whih requires n entity to mximize the use of oservle inputs n minimize the use of unoservle inputs when mesuring fir vlue Following re the three levels of inputs tht my e use to mesure fir vlue Level 1 : Quote pries in tive mrkets for ientil ssets or liilities

111 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 13 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 6: Fir vlue ( ontinue) Level 2 : Oservle inputs other thn Level 1 pries, suh s quote pries for similr ssets or liilities in tive mrkets, quote pries for ientil or similr ssets or liilities in mrkets tht re not tive, or other inputs tht re oservle or n e orroorte y oservle mrket t for sustntilly the full term of the ssets or liilities Level 3 : Unoservle inputs tht re supporte y little or no mrket tivity n tht re signifint to the fir vlue of the ssets or liilities The following tle presents CARTI's hierrhy for its finnil ssets mesure t fir vlue on reurring sis s of June 30 Assets: 2014 Totl Level 1 Level 2 Level 3 Csh n sh equivlents $ 17,202,620 $ 17,202,620 $ - $ - Certifites of eposit 15,964,655-15,964,655 - Commeril pper 7,722,550-7,722,550 - Mutul funs Smll-p equity 2,794,304 2,794, Money mrket funs 20,930,721 20,930, Equity seurities Aerospe n efense 407, , Bnks n finnil institutions 3,035,501 3,035, Beverges 901, , Chemils 1,310,892 1,310, Commeril servies n supplies 490, , Computers n peripherls 1,806,761 1,806, Constrution mterils 475, , Diversifie finnils 841, , Diversifie teleom servies 403, , Eletril equipment 674, , Eletroni equipment n Instruments 443, , Foo n rug retiling 391, , Helthre equipment n supplies 926, , Helthre proviers n Servies 927, , Hotels, resturnts, n leisure 316, , Househol prouts 1,628,803 1,628, Informtion tehnology 190, , Internet n tlog retil 357, , Internet softwre n servies 417, , IT onsulting n servies 428, , Mhinery 857, , Mei 925, , Oil n gs 3,352,814 3,352, Phrmeutils 491, ,

112 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 14 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 6: Fir vlue (ontinue) Assets: Softwre Speilty retil Textiles n pprel Trnsporttion infrstruture Corporte ons AA AA- A+ A A- BBB+ BBB BBB- Deferre ompenstion investments Totl ssets 2014 ( ontinue) Totl Level 1 Level 2 Level 3 1,565,952 1,565, , , , , , , , , ,052,667 1,052, ,410,112 3,410, ,061,397 6,061, ,197,601 7,197, ,237,842 10,237, ,461,520 3,461, ,478,526 1,478, ,141,277 1,141, $ - Assets: Totl Level _ Level 2 Level 3 Csh n sh equivlents $ 15,864,456 $ 15,864,456 $ Mutul funs Smll-p equity 3,515,956 3,515,956 Equity seurities Aerospe n efense 446, ,481 Bnks n finnil institutions 4,909,829 4,909,829 Beverges 1,296,708 1,296,708 Chemils 1,454,383 1,454,383 Commeril servies n supplies 754, ,134 Communitions equipment 413, ,695 Computers n peripherls 3,319,076 3,319,076 Constrution mterils 669, ,256 Diversifie finnils 1,594,763 1,594,763 Diversifie teleom servies 704, ,460 Eletroni equipment n instruments 623, ,760

113 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 15 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 6: Fir vlue ( ontinue) Assets: 2013 ( ontinue) Totl Level1 Level 2 Level 3 Eletril equipment 1,059,831 1,059, Foo n rug retiling 628, , Helthre equipment n supplies 3,943,467 3,943, Hotels, resturnts, n leisure 596, , Househol prouts 2,337,001 2,337, Informtion tehnology 748, , Internet n tlog retil 805, , IT onsulting n servies 543, , Mhinery 1,473,984 1,473, Mei 1,562,634 1,562, Multi-utilities 551, , Oil n gs 3,937,693 3,937, Phrmeutils 1,015,170 1,015, Softwre 2,010,685 2,010, Speilty retil 914, , Textiles n pprel 540, , Trnsporttion infrstruture 622, , Corporte ons AAA 409, , AA 273, , AA- 1,393,970 1,393, A+ 4,446,916 4,446, A 1,902,325 1,902, A- 6,177,106 6,177, BBB+ 6,136,151 6,136, BBB 1,977,023 1,977, BBB- 534, , Deferre ompenstion investments 755, , Totl ssets $ $ $ - $ - CARTI rries these finnil ssets in their finn il reors t their fir vlue The following setion esries the vlution methoologies tht CARTI uses to reflet these finnil ssets t fir vlue Csh n sh equivlents - Csh n sh equivl ents re reflete t their stte vlues Certifites of eposits - Vlue se on mortize ost or originl ost plus rue interest Commeril pper - Consists of short-term notes usully with mturities of nine months or less Vlue se on prinipl plus rue interest whih is expete to estimte fir vlue ue to the short-term nture of the investment Mutul funs - Exhnge - tre mu tul funs re generlly vlue se on quote pries from the exhnge

114 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 16 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 6: Fir vlue ( ontinue Equity seurities - exhnge Corporte ons - from the mrket Exhnge-tre equity seurities re generlly vlue se on quote pries from the Corporte ons re generlly vlue se on quote pries of their usip numers Deferre ompenstion investments - Inlue money mrket funs n mutul funs whih re generlly vlue se on quote pries from the exhnge te 7: Property n equipment A summry of property n equipment t June 30 follows Ln Builing improvements Fixe equipment Mjor movle equipment n other Furniture n fixtures Minor movle equipment n other Deposits on equipment Meil onology equipment Aumulte epreition Net ook vlue Constrution in progress 2014 $ 11,192,062 10,015,389 29,865,530 12,292,787 1,392,625 1,329,466 3,580,422 69,668,281 (36,811,826) 32,856,455 11,587, $ 11,191,660 10,379,535 26,43 7,222 9,599,754 1,387,157 1,342,641 63,420 3,267,462 63,668,851 (34,157,615) 29,511,236 1,684,064 Property n equipment, net 44,444, te 8: Interest in the net ssets of CARTI Fountion, In. CARTI n the CARTI Fountion, In (the Fountion) re finnilly interrelte orgniztions s efine in the Finnilly Interrelte Entities Topi of the ASC The Fountion seeks privte support for n hols net ssets on ehlf of CARTI The Fountion trnsfers ssets to CARTI when eeme pproprite to o so y the Fountion's Bor The Fountion trnsferre $379,587 n $624,166 to CARTI uring the yers ene June 30, 2014 n 2013, respetively CARTI ounts for its interest (Interest) in the net ssets of the Fountion in mnner similr to the equity metho The Interest is reflete s n sset stte t fir vlue n hnges in the Interest re inlue in the hnge in net ssets Trnsfers of ssets etween the Fountion n CARTI re reognize s inreses n ereses in the interest in the net ssets of the Fountion with orresponing ereses n inreses in the ssets trnsferre n hve no effet on the hnge in net ssets CARTI's interest in the net ssets of the Fountion ws $15,374,728 n $12,160,193 t June 30, 2014 n 2013, respetively This interest inlues ertin net ssets tht onors hve stipulte shoul e use for speifie CARTI purposes These mounts re reflete on the onsolite lne sheets s temporrily restrite net ssets

115 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 17 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 9: Deferre on issune osts The eferre on issune osts represent osts inurre in onnetion with the issune of the Pulski County Puli Filities Bor, Helth Fility Revenue Bons - Series 2013 (te 12) The eferre on issune osts re eing mortize over 30 yers to mth the life of the relte ons in metho not mterilly ifferent from the effetive interest metho Amortiztion expense ws $14,222 for the yer ene June 30, 2014, there ws no mortiztion expense for the yer ene June 30, 2013 The gross rrying vlue of the on issune osts ws $639,989 s of June 30, 2014 The umulte mortiztion of the on issune osts ws $14,222 s of June 30, 2014 Expete future mortiztion expense is s follows 2015 $ 21, , , , ,333 Therefter $ 625,767 te 10: Temporrily restrite net ssets Temporrily restrite net ssets re ville for the following purposes or perios Ptient servies Eution Peitri progrm Cpitl mpign For peri os fter June $ 536, , ,206 2,621,373 11,161, $ 766, , , ,026 9,789,105 15,374,728 : During 2014 n 2013, net ssets were relese from onor restritions y inurring expenses, stisfying the restrite purposes of ptient servies, peitri progrms, helth re eution n equipment purhses in the mount of $379,587 n $624,166, respetively te 11: Line of reit CARTI otine $7,000,000 revolving line of reit in 2014 tht mtures in June 2015 At June 30, 2014 the line of reit h no outstning orrowings Interest is pyle monthly t vrile rte equl to LIBOR plus 98 sis points (1 13% t June 30, 2014) The line is seure y revenues, ounts reeivle, n inventory n ontins ertin restritions, inluing finnil ovennts

116 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 18 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 12: Long-term et Long-term et onsists of the following t June % note pyle, ue in monthly instllments of $1,927 inluing interest with lne ue Otoer 2023, seure y lesehol improvements Pulski County Puli Filities Bor, Helth Fility Revenue Bons - Series 2013, ering interest from 3 0% to 5 5% (3 0% t June 30, 2014), ue in vrying mounts through July 2043, seure y ertin fility n equipment finne y the ons n y plege of ertin revenues n other reeipts Current mturities Unmortize isount on on $ 179,858 50,775,000 50,954,858 (16,224) (121,362) Long-term et, less urrent mturities n isount $ 50,817,272 $ - In vemer 2013, CARTI issue $50,775,000 of 2013 Series ons through the Pulski County Puli Filities Bor t isount in the mount of $124,120 The isount on on pyle is eing mortize over 30 yers to mth the life of the relte on in metho not mterilly ifferent from the effetive interest metho The Bons re generl oligtions of CARTI The proees of the Bons re eing use to finne the onstrution n equipment of new ner enter The Bons re txexempt series ons The prinipl pyments egin on July 1, 2015, with the finl prinipl pyment on July 1, 2043 Uner the terms of the on inenture, CARTI is require to mintin ertin eposits with trustee Suh eposits re inlue with ssets limite s to use, see te 1 Csh pyment for interest on long-term et totle pproximtely $409,000 for the yer ene June 30, 2014, there were no sh pyments for long-term et for the yer ene June 30, 2013 Interest, either pi or rue, of $1,685,713 ws pitlize with the ost of the onstrution in progress for the yer ene June 30, 2014 There ws no pitlize interest for the yer ene June 30, 2013 Sheule mturities of long-term et t June 30, 2014, re s follows Long-term et 2015 $ 16, , , , ,034 Therefter 47,251,

117 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 19 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 13: Chrity re Chrges exlue from revenue uner CARTI's hrity re poliy were $2,252,226 n $1,270,517 for 2014 n 2013, respetively te 14: Funtionl expenses CARTI provies rition therpy to resients within its geogrphi lotion Expenses relte to proviing these servies re s follows Helth re servies Generl n ministrtive $ 122,003,405 $ 88,709,757 18,300,497 18,191, ,303,902: te 15: Operting leses As of June 30, 2014, CARTI ws oligte uner ertin operting lese greements, extening to the yer 2020 for ln n uilings, whih require CARTI to py ll exeutory osts (property txes, mintenne n insurne) The pproximte future minimum lese pyments uner these operting leses re s follows 2015 $ 2,449, ,400, , , ,191 Therefter 590,532 Future minimum lese pyments Rent expense uner these operting leses for the yers ene June 30, 2014 n 2013, totle pproximtely $2,430,000 n $2,050,000, respetively te 16: Pension pln CARTI hs profit shring pln tht overs sustntilly ll eligile employees CARTI lso sponsors tx sheltere nnuity pln in whih n employee my voluntrily efer portion of his or her ompenstion on pre-tx sis Comine pension expense totle $2,233,532 n $1,826,724 for the yers ene June 30, 2014 n 2013, respetively

118 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE, INC. 20 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 te 17: Deferre ompenstion pln CARTI hs retirement pln uner Setion 457 of the Internl Revenue Coe Certin mngement employees lssifie s Presient or Vie Presient of CARTI re eligile to prtiipte in the pln Uner the terms of the pln, prtiipnts my elet to efer portion of their slry efore tx to e ontriute to the pln, n CARTI my mke ontriutions to the pln upon its isretion All mounts ontriute to the pln for the enefit of prtiipnts n ny ernings thereon re onsiere property of CARTI until the enefits re tully pi to the prtiipnts For the yers ene June 30, 2014 n 2013, employee ontriutions to the pln totle $279,949 n $61,411, respetively te 18: Signifint onentrtions Perioilly throughout the yer, CARTI h sh lnes t finnil institutions lote in Arknss in exess of feerlly insure limits At June 30, 2014, CARTI's uninsure sh lnes totle pproximtely $17,000,000 However, CARTI oes not elieve tht it is sujet to unusul reit risk eyon the norml reit risk ssoite with ommeril nking reltionships te 19: Business omintion On Deemer 31, 2012, CARTI purhse ll of the property, lesehol improvements, equipment n servie lines of Hemtology-Onology Servies of Arknss, P A (HOSA) in Little Rok, Arknss for $781,788 The purpose of the quisition ws to leverge synergies n eonomies of sle from the usiness omintion The fir mrket vlue of tngile ssets quire ws otine from n inepenent helth re ppriser There were no intngile ssets quire All results of the opertions of this new lotion, fter the te of quisition, re inlue in the ompnying onsolite finnil sttements