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18 AMBULANCE REVENUE and COST REPORT FIRE DISTRICT and SMALL RURAL COMPANY Arizona Department of Health Services Annual Ambulance Financial Report Arrowhead Mobile Healthcare, Inc Reporting Ambulance Service Address: PO Box 2588 Ctty. Show Low Zip: Report Fiscal Year From: January 1,2011 To: December 31, 2011 Day / hereby verify that Ihavedirected thepreparation oftheenclosed annual report in accordance with thereporting requirements ofthe State ofarizona. Ihavereadthis report andhereby verify that theinformation provided is true andcorrect to thebest ofmy knowledge. This report has been prepared usingthe accrualbasis of accounting. Authorized Signature: ( ^rfun^j^ jqmz*^ y Date: ^/^2 4/ ~> P^/ &~ Print Name and Title: James W. Broome, President / CEO Phone: Mail to: Arizona Department of Health Services Bureau of Emergency Medical Services Certificate of Necessity and Rates Section 150 North 18th Avenue, Suite 540 Phoenix, AZ Telephone: (602) Fax: (602) /22/04 Pagel MAY BEMSTS - CON &RATES TMFMD32.18

19 AMBULANCE REVENUE AND COST REPORT FIRE DISTRICT and SMALL RURAL COMPANY AMBULANCE SERVICE ENTITY: Arrowhead Mobile Healthcare, Inc FOR THE PERIOD FROM: January 1,2011 TO: December 31, 2011 STATISTICAL SUPPORT DATA Line No. _ DESCRIPTION (1) SUBSCRIPTION SERVICE TRANSPORTS *(2) TRANSPORTS UNDER CONTRACT (3) TRANSPORTS NOT UNDER CONTRACT (4) TOTALS 1 Number ofals Billable Transports: 2, Number of BLS Billable Transports: Number of Loaded Billable Miles: ,498 4 Waiting Time (Hrs.): Canceled (Non-Billable) Runs: 601 AMBULANCE SERVICE ROUTINE OPERATING REVENUE 6 ALS Base Rate Revenue $ 2,727,899 7 BLS Base Rate Revenue 8 Mileage Charge Revenue 9 Waiting Charge Revenue 10 Medical Supplies Charge Revenue 11 Nurses Charge Revenue MAY 11* 2012 BEMSTS- GQN &RATP9 467, Standby Charge Revenue 13 TOTAL AMBULANCE SERVICE ROUTINE OPERATING REVENUE (Post to Page 3, Line 1) 3, SALARY AND WAGE EXPENSE DETAIL GROSS WAGES: No. of FTE*s 14 Management and Officers/Owners 316, Paramedics and lemts 16 Emergency MedicalTechnician (EMT) 450, , Other Personnel 18 PayrollTaxes and Fringe Benefits - All Personnel 19 Total Wages, Taxes & Benefits 30, ,991 (Sum Lines 14 through 18; Post to Page 3. Line 10) $ 1,302, This columnreports onlythose runswherea contracted discount ratewas applied. " Full-time equivalents (F.T.E.) is thesum ofall hours for which employees wages were paid during the year divided by2080. Page 2 TMFMD32.19

20 AMBULANCE REVENUE AND COST REPORT FIRE DISTRICT and SMALL RURAL COMPANY AMBULANCE SERVICE ENTITY: Arrowhead Mobile Healthcare, Inc FOR THE PERIOD FROM: January 1,2011 TO: December 31,2011 SCHEDULE OF REVENUES AND EXPENSES Line No, DESCRIPTION Operating Revenues: 1 Total Ambulance Service Operating Revenue (From: Page 2, Line13) Settlement Amounts: 2 AHCCCS 3 Medicare J 4 Subscription Service 5 Contractual 6 Other (Champus/Private Insurance) 7 Total (Sum of Lines 2 through 6) 8 Total Operating Revenue (Line1 minus Line7) $ 3,914, ,681 1,157, ,755 1,504,105 $ 2,409,944 Operating Expenses: 9 Bad Debt 10 TotalSalaries, Wages, and Employee-Related Expenses (From: Page2, Line 19) 11 Professional and Dispatch Services 12 Travel and Entertainment 13 Other General Administrative 14 Depreciation 15 Rent/Leasing 16 Building/ Station 17 Vehicle Expense 18 Other Operating Expense 19 Cost of Medical Supplies 20 Interest 21 Subscription Service Sales Expense 22 Total Operating Expense (Sum oflines 9 through 21) 23 TotalOperating Income or (Loss) (Line 8 minusline 22) 24 Subscription Contract Sales 25 Other Operating Revenue 26 Local Supportive Funding 27 Other Non-Operating Income (Schedule Attached) 28 Other Non-Operating Expense (Schedule Attached) 29 NET INCOME or (LOSS) Before Income Taxes (SumofLines 23 through 27. minusline 28) Provision for Income Taxes: 30 Federal Income Tax 31 State Income Tax 32 Total Income Tax (Line 30. plus Line 31) 33 Ambulance Service Net Income (Loss) (Line 29. minus Line 32) $ 281,831 1,302, ,753 14,763 58,583 79,996 68,900 62, ,279 34,677 52,679 4, ,226,132 $ ,515 0 $ 442, ,968 22,116 $ 168,084 $ 274,243 Page 3 MAY BEMSTS-CON &RATES TMFMD32.20

21 Arrowhead Mobile Healthcare, Inc January 1, 2011 to December 1, 2011 Other Non-Operating Income Schedule Medical Records Gain (Loss) on Sale of Property Interest Income Wildland Income Miscellaneous Total $723 (12,868) ,538 7 $258,515 Arrowhead Mobile Healthcare, Inc January 1, 2011 to December 1, 2011 Other Non-Operating Expense Schedule Total $0 MAY BEMSTS-CON &RATES TMFMD32.21

22 AMBULANCE REVENUE AND COST REPORT FIRE DISTRICT and SMALL RURAL COMPANY AMBULANCE SERVICE ENTITY: Arrowhead Mobile Healthcare, Inc AT: December 31,2011 BALANCE SHEET ASSETS CURRENT ASSETS 1 Cash and Cash Equivalents $ 185,341 2 Accounts Receivable 624,999 3 Less: Allowance for Doubtful Accounts (293,749) 4 Inventory 17,064 5 Prepaid Expenses 12,968 6 Other Current Assets 5,603 7 TOTAL CURRENT ASSETS 9 PROPERTY & EQUIPMENT 10 Less: Accumulated Depreciation 11 OTHER NON CURRENT ASSETS 12 TOTAL ASSETS $ 552, ,382 (332,706) 47,708 $ 1,093,609 LIABILITIES & EQUITY CURRENT LIABILITIES 13 Accounts Payable $ 32, Current Portion of Notes Payable 1, Current Portion oflong-term Debt 16 Deferred Subscription Income 17 Accrued Expenses and Other 66, ~~~^~~~~^~ TOTAL CURRENT LIABILITIES $ 100, NOTES PAYABLE 22 LONG-TERM DEBT, OTHER 23 TOTAL LONG-TERM DEBT EQUITY & OTHER CREDITS Paid-in Capital: 24 Common Stock $ 22, Paid-in Capital in Excess of Par Value 26 Contributed Capital 27 Retained Earnings 1,025, Treasury Stock (55000) 29 : 30 Fund Balance 31 TOTAL EQUITY $ TOTAL LIABILITIES & EQUITY Page 4 MAY BEMSTS-CON TMFMD32.22 &RATES

23 AMBULANCE REVENUE AND COST REPORT AMBULANCE SERVICE ENTITY: Arrowhead Mobile Healthcare, Inc FOR THE PERIOD FROM: January 1,2011 TO: December 31,2011 STATEMENT OF CASH FLOWS OPERATING ACTIVITIES: Income (Loss) Before Income Taxes Adjustments to Reconcile Net Income to Net Cash Providedby Operating Activities: Note: a increase in these accounts improvescash flow Depreciation Expense Deferred Income Tax Loss (gain) on Disposal of Property & Equipment {Increase) Decrease in: Accounts Receivable Inventories and Other Current Assets Prepaid Expenses Note: a decrease in these accounts improves cash flow Increase (Decrease) in: Note: a increase in these accounts improves cash flow Accounts Payable Accrued Expenses and Line of Credit Deferred Subscription Income 442,328 79,996 12,868 (67,972) ,100 (1.191) (23,657) 11 NET CASH PROVIDED (Used) BY OPERATING ACTIVITIES $ 484, INVESTING ACTIVITIES: Purchases of Property & Equipment (est.) Proceeds from Disposal of Property & Equipment Purchases of Investments Proceeds from Disposal of Investments Loans Made Collections on Loans Other $ (143,842) 19 NET CASH PROVIDED (Used) BY INVESTING ACTIVITIES $ (143,842) FINANCING ACTIVITIES: New Borrowings: 20 Long-Term 21 Short-Term Debt Reduction: (Net) 22 Long-Term and Short-Term (est.) 23 Short-Term 24 Capital Contributions 25 Distributions (155,427) (17,803) 26 NET CASH PROVIDED (Used) BY FINANCING ACTIVITIES 27 NET INCREASE (Decrease) IN CASH 28 CASH AT BEGINNING OF YEAR 29 CASH AT END OF YEAR SUPPLEMENTAL DISCLOSURES: Non-cash Investingand FinancingTransactions: Interest Paid (Net of Amounts Capitalized) Income Taxes Paid MAY m Irzo bra^ $ (173,230) $ 167,593 $ 17,748 $ 185,341 $ 4,528 $ PageS BEMSTS-CON &RATES TMFMD32.23

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