Bre~ If you have further questions about this matter, please do not hesitate to call. February 14, 2018

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1 ROPER ST. FRANCIS 125 Doughty Street, Suite 760, Charleston, SC (843) P (843) F February 14, 2018 Digital Assurance Certification, L.L.C Orlando, Florida RE: Officers Certificate for CareAlliance Health Services d/b/a Roper St. Francis Healthcare Relating to the required Annual Filing Issues Including: South Carolina Jobs-Economic Development Authority, Lease Revenue Bonds (SPE Fayssoux Properties, LLC Project), $84,235,000 consisting of Series 2016A, $61,265,000 [CUSIPs 83704AAB8, 83704AAC6, 83704AAD4, 83704AAE2, 83704AAF9, 83704AAAO]; and Taxable Series 2016B, $22,970,000 [CUSIPs 83704AAG7, 83704AAH5, 83704AAJ1,83704AAK.8,83704AAL6,83704AA1\14,8704AAN"2,83704AAP7]; Dated: July 27, 2016 I hereby certify that the "Financial Statements-Unaudited " and "Operating and Financial Data " documents filed on February 14, 2018, constitute the annual financial information required by the Continuing Disclosure Agreement. I further certify the information complies with the Continuing Disclosure Agreement and the Rule as required. DAC shall be entitled to rely on this certificate. If you have further questions about this matter, please do not hesitate to call. Sincerely, Bre~ Senior Vice President & CFO Roper St. Francis

2 CAREALLIANCE HEALTH SERVICES (d/b/a Roper St. Francis Healthcare) CONSOLIDATED BALANCE SHEETS As of December 31, 2017 and 2016 Unaudited Assets CURRENT ASSETS Cash and cash equivalents $ 41,741,000 $ 47,442,000 Patient accounts receivable-net 136,938, ,782,000 Other receivables 6,532,000 8,355,000 Short term investments 9,815,000 9,725,000 Inventories 13,442,000 13,510,000 Prepaid expenses and other 13,632,000 13,630,000 Total current assets 222,100, ,444,000 LONG-TERM INVESTMENTS 161,791, ,808,000 ASSETS LIMITED AS TO USE 88,768, ,900,000 PROPERTY AND EQUIPMENT-NET 613,487, ,372,000 OTHER ASSETS 56,688,000 48,715,000 See page 3 for breakout TOTAL $ 1,142,834,000 $ 1,124,239,000 Liabilities and Net Assets CURRENT LIABILITIES Current portion of long-term debt $ 17,109,000 $ 14,166,000 Accounts payable 65,790,000 73,370,000 Accrued expenses 76,470,000 69,335,000 Accrued contribution payable to members 14,800,000 9,528,000 Total current liabilities 174,169, ,399,000 LONG-TERM DEBT-Net of current portion 472,055, ,309,000 OTHER LIABILITIES 111,756,000 94,612,000 See page 3 for breakout Total liabilities 757,980, ,320,000 NET ASSETS: Unrestricted: CareAlliance 349,740, ,876,000 Noncontrolling interests in Lowcountry Surgery Center, LLC 156, ,000 Noncontrolling interests in RSFH-ATI Physical Therapy, LLC 4,323,000 3,386,000 Total unrestricted net assets 354,219, ,422,000 Temporarily restricted net assets 20,639,000 13,872,000 Permanently restricted net assets 9,996,000 8,625,000 Total net assets 384,854, ,919,000 TOTAL $ 1,142,834,000 $ 1,124,239,000

3 CAREALLIANCE HEALTH SERVICES (d/b/a Roper St. Francis Healthcare) CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016 Unaudited UNRESTRICTED REVENUES: Net patient service revenue (net of contractual allowances and discounts) $ 911,436,000 $ 863,052,000 Provision for bad debt (36,058,000) (32,225,000) Net patient service revenue 875,378, ,827,000 Other operating revenue 24,861,000 23,689,000 Total unrestricted revenues 900,239, ,516,000 EXPENSES: Salaries and employee benefits 481,048, ,384,000 Supplies 173,813, ,746,000 Purchased services 105,174,000 92,729,000 Other expenses 75,445,000 75,621,000 Depreciation and amortization 62,818,000 60,639,000 Interest 13,584,000 11,037,000 Total operating expenses 911,882, ,156,000 OPERATING (LOSS) INCOME (11,643,000) (9,640,000) NONOPERATING GAINS (LOSSES): Investment gains --- net 22,204,000 10,760,000 See page 3 for breakout Change in fair value of interest rate swaps 1,855,000 1,339,000 Loss on extinguishment of debt (549,000) - Other --- net (2,258,000) (5,206,000) (DEFICIT) EXCESS OF REVENUE OVER EXPENSES 9,609,000 (2,747,000) INCOME (LOSS) ATTRIBUTABLE TO NONCONTROLLING INTEREST 21,000 (30,000) (DEFICIT) EXCESS OF REVENUES OVER EXPENSES ATTRIBUTABLE TO CAREALLIANCE HEALTH SERVICES $ 9,630,000 $ (2,777,000)

4 CAREALLIANCE HEALTH SERVICES d/b/a Roper St. Francis Healthcare Unaudited Other Assets As of 12/31/17 As of 12/31/16 Investments in subsidiaries (74,000) (75,000) Goodwill 22,600,000 22,786,000 Amortization of Goodwill (1,388,000) (1,388,000) Deferred compensation 781, ,000 CAB Long term payment plan 1,029, ,000 Other - Chas Plastic Surg 1,852,000 1,852,000 Interest rate swap valuation 628, ,000 Physician recruitment/noncompete 510, ,000 Includes FIN45-3 Restricted (Temp & Perm) Foundation 30,635,000 22,497,000 LT portion of prepaid malpractice (PP) 6,000 72,000 Foundation pledge receivable (2,000) 14,000 Other 111,000 81,000 Total 56,688,000 48,714,000 Other Liabilities As of 12/31/17 As of 12/31/16 Interest rate swap liability 26,607,000 28,461,000 EITF Liability-RSFCC 13,534,000 14,395,000 EITF Liability-Data Center 16,073,000 16,377,000 EITF Liability-Office Park 28,736,000 29,280,000 EITF Liability-Berkeley MOB 5,573,000 - EITF Liability-University Blvd MOB 15,663,000 - Executive staff incentive-lt 1,403,000 1,157,000 Deferred compensation 595,000 1,224,000 Deferred rent 2,949,000 3,157,000 FIN-47 Asbestos 623, ,000 Due to Morrisons (buildout/renovation) - (26,000) Total 111,756,000 94,612,000 Investment Income For the Year For the Year Ended 12/31/17 Ended 12/31/16 Realized gains (losses) 1,382,000 7,038,000 Unrealized gains 19,092,000 2,299,000 Interest and dividends 2,307,000 2,008,000 Investment fees ( 577,000 ) ( 585,000 ) Total investment income 22,204,000 10,760,000

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UNAUDITED FINANCIAL STATEMENTS - DRAFT Mary Washington Healthcare and Subsidiaries. Consolidated Balance Sheets

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