2024-05-13T09:17:28-05:00 2023-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-07-01 710437657 Central Arkansas Radiation Therapy Institute Inc CENT 5012963438 8901 Carti Way Little Rock AR 72205 Jennifer Styron CFO/Treasurer 5012963438 2024-05-10 1 Jennifer Styron 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CARTI Adam Head 8901 Carti Way Little Rock AR 72205 421667504 0 X www.carti.com X 1970 AR Provides multidisciplinary oncology services to cancer patients throughout Arkansas. 15 11 1051 12 0 0 4534610 13631144 297869292 377768054 10034279 1624295 0 0 312438181 393023493 448512 2705 0 0 88586307 98727813 0 0 0 223500230 292690539 312535049 391421057 -96868 1602436 345911634 365362253 223939361 238389560 121972273 126972693 X To make trusted cancer care accessible for every patient we serve through compassion, innovation and purpose. 0 0 340945617 2705 377768054 For more than 40 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 ten more satellite locations throughout Arkansas. Continued on Schedule O.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 twelve medical oncologists, eight radiation oncologists, three diagnostic radiologists, one surgical oncologist, and one interventional 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, Russellville, and Stuttgart. Radiation oncology is offered in Little Rock, North Little Rock, Conway Mountain Home, and Searcy. Ribbon cutting ceremonies for the CARTI Cancer Center - a new, 170,000 square foot, 90 million multi-story comprehensive treatment facility located in Little Rock were conducted on October 16, 2015. Serving as the administrative hub of the CARTI network, the CARTI Cancer Center is located just south of interstate 630 on a 37.12-acre plot with easy access to I-630 to allow patients easier access to fully integrated cancer care. The CARTI Cancer Center officially opened its doors and began treating patients on November 2, 2015. CARTI treats a wide variety of cancers, with the three most widely treated cancers being breast, lung and colorectal. As the largest not-for-profit network of private practice cancer care specialists in Arkansas, CARTI currently sees an estimated 30,000 patients per year. 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 to inform patients of available resources. Social workers assess patient need requests to assist 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, CARTI patient assistance referrals were made to multiple patients for the following assistance programs: transportation, housing, emotional support, therapeutic massage, dental referrals, and other referrals including but not limited to medicine, nutrition, translation, etc. CARTI is committed to Arkansas communities by providing a tremendous number of outreach programs at no cost to participants. CARTI provides multiple functions throughout the year including: the cancer answers educational luncheon is open to the community for former patients as well as community members to attend and 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. The CARTI Kids Program is a program designed for pediatric cancer survivors and will assist in emotional, physical, and financial challenges as well as provide events and scholarships to the participating children. 340945617 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 228 0 1 1051 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jennifer Styron 5012963431 8901 Carti Way Little Rock AR 72205 Rhonda Gentry MD Physician / Director 40.00 0.00 X 1269691 0 23255 Adam Head - PresidentCEO Ex-Officio voting Director 40.00 1.00 X X 649398 0 27939 Scott Stern MD - CMO Ex-Officio voting Director/Physician 40.00 0.00 X 613550 0 24760 Terry Vick Chair - Ex-Officio voting 1.00 1.00 X X 0 0 0 Rodney Thomason Vice Chair 1.00 0.00 X X 0 0 0 Ardyth Neill Director 1.00 0.00 X 0 0 0 Brett Madison Director 1.00 0.00 X 0 0 0 Kim Ellis Director 1.00 1.00 X 0 0 0 Rajesh Chokhani Director 1.00 0.00 X 0 0 0 Sarah Catherine Gutierrez Director 1.00 0.00 X 0 0 0 Schawnee Hightower Director 1.00 0.00 X 0 0 0 William Clark Director 1.00 0.00 X 0 0 0 Matthew Hardee MD Ph Director 1.00 0.00 X 0 0 0 Paul Benham Director 1.00 0.00 X 0 0 0 Judge Mark D Leverett Director 1.00 0.00 X 0 0 0 Jennifer Styron CFO/Treasurer 40.00 1.00 X 402222 0 14970 Shelia Garner Secretary 41.00 0.00 X 107504 0 12002 Jacob Zach-VP Finance Assistant Treasurer 40.00 2.00 X 115558 0 22724 Jill Tate - Exec Assistant Assistant Secretary 40.00 1.00 X 85184 0 24096 Balagopalan Nair MD Medical Oncology 40.00 0.00 X 2120597 0 33225 Kamal Patel MD Medical Oncology 40.00 0.00 X 1862739 0 21933 Lawrence Mendelsohn MD Medical Oncology 40.00 0.00 X 1494538 0 27840 Omer Khalil MD Medical Oncology 40.00 0.00 X 1248402 0 24735 Thomas Sneed MD Medical Oncology 40.00 0.00 X 1333569 0 24196 11302952 0 281675 119 0 1 0 Kinco Constructors LLC 12600 Lawson Road Little Rock AR 72135 Construction 20450540 Radiation Oncology Associates 500 South University Suite 600 Little Rock AR 72205 Radiation Oncology 8701378 Clark Contractors LLC 15825 Cantrell Road Little Rock AR 72223 Construction 3293056 Nabholz Construction Services 612 Garland St PO Box 2090 Conway AR 720332090 Construction 2369462 Edafio Technologies LLC 5400 Northshore Dr North Little Rock AR 72118 IT Consulting 2208147 20 1049194 12581950 13631144 Patient Services 621110 373562886 373562886 Other patient revenue 621110 2997315 2997315 Patient lab revenue 621500 491767 491767 716086 716086 377768054 1514033 1514033 28754273 28637573 6438 116700 -6438 110262 110262 393023493 377768054 0 1624295 2705 2705 3436957 1910967 1525990 82680131 68915295 13764836 1285447 937028 348419 6639735 4813392 1826343 4685543 3373591 1311952 261147 164523 96624 62079 62079 17546695 10945140 6601555 2173133 273579 1899554 1118322 380229 738093 5521948 2485741 3036207 7205530 9287 7196243 501939 170659 331280 320964 109128 211836 4516532 4516532 10631527 9432615 1198912 1552670 313760 1238910 Medical Supplies 236159571 236120619 38952 Repairs/Maintenance 4460643 356637 4104006 Dues/Subscriptions/Lice 346559 117830 228729 Dietary Expenses 296185 100703 195482 15095 12189 2906 391421057 340945617 50475440 0 329319 4161924 52425526 58177337 404876 498221 4988330 7668811 5979257 3918343 274962533 82597491 166067476 192365042 79229180 59040324 10235820 10235820 26251850 29296431 345911634 365362253 50019787 63423776 4298852 4210011 40439880 39684880 99575003 111591016 9232632 0 20373207 19479877 223939361 238389560 X 115188573 120188993 6783700 6783700 121972273 126972693 345911634 365362253 1602436 3397984 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2485920 1027250 319064 939837 2892397 3000840 343204 -235730 13775 608619 2485920 6197315 3220 694693 3800000 94388 3000840 8311293 11266 73262 1676945 521561 6197315 9243531 2080734 977114 1289809 2700277 8311293 0.41850 0.00800 0.57350 0 1 1 12026408 12026408 156871740 21780065 135091675 100785314 60669584 40115730 5279071 147842 5131229 192365042 Due from CARTI Foundation 446469 Operating right-of-use assets 18263127 Interest in net assets of CARTI Foundation, Inc. 6783700 ERC receivable 3803135 29296431 Operating lease liabilities 18697447 Finance lease liability 782430 19479877 X 396365836 3397984 3397984 392967852 62079 -6438 55641 393023493 391365416 6438 6438 391358978 62079 62079 391421057 Part V, Line 4: CARTI Foundation, a related organization, holds and administers the endowments to provide grants to CARTI's cancer patients. Donations to the endowment provide a gift with both immediate and long-term benefits. Endowment donations are invested. A portion of the annual income from the investment is used to address immediate needs at CARTI. The remaining funds are reinvested to ensure indefinite support. Part X, Line 2: CARTI believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. CARTI would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Loss on disposal of equip reported in expenses in the Financial Statements -6,438. Part XII, Line 2d - Other Adjustments: Loss on disposal of equip reported in revenues on the Form 990 6,438. X X X X 0 0 0 0 0 0 0 0 0 Balagopalan Nair MD Medical Oncology 977330 0 1139707 0 3560 0 4673 0 28552 0 2153822 0 0 0 Kamal Patel MD Medical Oncology 942534 0 916645 0 3560 0 4673 0 17260 0 1884672 0 0 0 Lawrence Mendelsohn MD Medical Oncology 937889 0 553089 0 3560 0 4660 0 23180 0 1522378 0 0 0 Thomas Sneed MD Medical Oncology 682599 0 647410 0 3560 0 5400 0 18796 0 1357765 0 0 0 Rhonda Gentry MD Physician / Director 639575 0 626556 0 3560 0 4337 0 18918 0 1292946 0 0 0 Omer Khalil MD Medical Oncology 642538 0 602304 0 3560 0 3946 0 20789 0 1273137 0 0 0 Adam Head - PresidentCEO Ex-Officio voting Director 645838 0 0 0 3560 0 4750 0 23189 0 677337 0 0 0 Scott Stern MD - CMO Ex-Officio voting Director/Physician 547039 0 62951 0 3560 0 6750 0 18010 0 638310 0 0 0 Jennifer Styron CFO/Treasurer 398662 0 0 0 3560 0 8001 0 6969 0 417192 0 0 0 A Arkansas Development Finance Authority 710503641 04108VBY9 2021-07-29 41014043 CARTI surgery center project 0 0 0 A 41014043 584000 40430043 2023 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 Clark Contractors LLC William Clark, Board member, is owner 157392 Construction services 0 Form 990, Part VI, Section A, line 1a The Executive Committee consists of the Chair, Vice Chair, President, the Chair of CARTI Foundation, Inc., the CMO or Physician, serving in a reserved position, and at least two (2) Directors appointed by the Chair. The Executive Committee has the power to: - Transact the ordinary business affairs of the Corporation during the period between the meetings of the Board of Directors, subject to any prior limitation imposed by the Board of Directors; - Evaluate and make recommendations with regard to major operational issues affecting the Corporation; - Review and recommend changes to the Articles of Incorporation and Bylaws; - Oversight and full approval of all committee actions pnor to recommending to the Board of Directors; and - Evaluate the needs of the Board of Directors and develop a profile for prospective directors to fill vacancies. The Committee shall solicit recommendations from Directors and/or Corporate staff and identify and recruit individuals to best fit the profiles and needs of the Board of Directors. The Committee will provide a slate of candidates for Board of Directors discussion and approval at the annual meeting, or as needed to fill vacancies. Form 990, Part VI, Section A, line 4 Article III 3.1: The Bylaws were amended August 1, 2022 to remove the Member, Carti Health System, Inc. Article IV 4.3: The number of Directors shall be no less than 3 as required by Arkansas law. 4.4: Except with regard to Ex-Officio Directors, each Directors shall be recommended by the Executive Committee and approved by the Board of Directors. The Executive Committee Shall submit to the Board a slate of prospective Directors from names submitted by Directors and/or by the Executive Committee, the names will be submitted to the Board of Directors for approval. 4.6: Up to four (4) Director positions shall be reserved for Physician employees and independent contractors of the Corporation, if any. The Chief Medical Officer (CMO) is ex-officio, plus three (3) more physicians. At no time shall there be more than four (4) Directors who are physicians either employed by or contracted with the Corporation. 4.7: The President of the Corporation, the Chief Medical Officer (CMO) of the Corporation, and the Chair of CARTI Foundation, Inc. shall serve as ex-officio voting members. 4.8.2: A Director's pattern of failing to attend Board or Board Committee meetings. Form 990, Part VI, Section A, line 6 The Corporation had one member, CARTI Health System, Inc. until CARTI Health System, Inc. dissolved during the fisacal year and the Bylaws were amended removing the member. Form 990, Part VI, Section A, line 7a Until the Member dissolved, each Director, except Ex-Officio Directors, were elected by the Board of Directors of the Member. The Member dissolved during the fiscal year. After the Member dissolved, up to four (4) Director positions shall be reserved for physician employees and independent contractors of the Corporation, if any. The Chief Medical Officer (CMO) is Ex-Officio, plus three (3) more physicians. At no time shall there be more than four (4) Directors who are physicians either employed by or contracted with the Corporation. The President of the Corporation, the Chief Medical Officer (CMO), and the Chair of CARTI Foundation, Inc. shall serve as Ex-Officio voting Directors. Form 990, Part VI, Section B, line 11b The Organization provides a copy of the Form 990 to the governing body for review and comments prior to filing the form with the IRS. The CFO and Finance team reviews the Form 990. Form 990, Part VI, Section B, line 12c The Corporation's Conflict of Interest Policy is to protect the Corporation's interest when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director of the Corporation or might result in a possible excess benefit transaction. Any director, principal officer, or member of a committee, who has a direct or indirect interest, must disclose the existence of the interest and must be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. After disclosure of the interest and all material facts, and after any discussion with the board member making the disclosure, he/she shall leave the governing board or committee meeting, but only while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists, and whether to move forward with the conflict of interest transaction if the remainder of the board or committee determines such to be in the best interest of the Corporation. Each director, principal officer and member of a committee with governing board delegated powers shall annually sign a Conflict of Interest Statement. In the event that the Board Chair believes that a Director may have a conflict of interest that the Director has not disclosed, the Board Chair may raise the question of a conflict with regard to any other Director. Similarly, the Vice Chair may raise the question of a conflict with regard to the Board Chair if the Board Chair fails to disclose a matter that may constitute a conflict. Form 990, Part VI, Section B, line 15 The process for determining compensation for the President/CEO and CFO commences with obtaining market pricing information from an external compensation consultant. The Organizations' Human Resource Department develops a salary action recommendation from the data. The recommendation is provided to the Board of Directors for review and approval. The process and determination is documented in the board minutes and personnel files. The process was last completed in December 2022. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon written request. CARTI Oncology Solutions LLC PO Box 55050 Little Rock AR 72215 204705711 Clinic management services AR 0 0 Central Arkansas Radiation Therapy Institute Inc CARTI Foundation Inc 8901 Carti Way Little Rock AR 72205 710589907 Provide support to CARTI and CARTI Cancer Centers, Inc. AR 501(c)(3) Line 7 CARTI Inc 1 CARTI Auxiliary Inc 8901 Carti Way Little Rock AR 72205 834300187 Provide support to CARTI Foundation Inc. AR 501(c)(3) Line 12a, I CARTI Foundation Inc 0 CARTI Health System Inc (Dissolved 91522) 8901 Carti Way Little Rock AR 72205 462053881 Support CARTI and CARTI Foundation AR N/A C 0 CARTI Cancer Centers Inc (Dissolved 111022) 9500 Kanis Rd Little Rock AR 72205 462065628 Provide cancer patient services AR N/A C 0 CARTI Holdings Inc (Dissolved 111022) 9500 Kanis Rd Little Rock AR 72205 462079639 Support CARTI and CARTI Foundation AR N/A C 0 CARTI Health Services Inc (Dissolved 111022) 9500 Kanis Rd Little Rock AR 72205 462087747 Support CARTI and CARTI Foundation AR N/A C 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 CARTI Foundation Inc C 1049194 General ledger