Carti
Legal name: Central Arkansas Radiation Therapy Institute Inc
Nonprofit profile at a glance
- EIN
- 710437657
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Jul 2026
- Forms available
- Form 990 2024
- Location
- Little Rock, AR, United States
- Phone
- 855.552.2784
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Cancer
Reported finances
- Revenue
- $620,523,795
- Expenses
- $616,085,257
- Assets
- $376,499,241
- Liabilities
- $243,417,814
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Highest reported compensation
- Balagopalan Nair MD (Medical Oncology): $2,171,865 total reported compensation
- Kamal Patel MD (Medical Oncology): $2,004,867 total reported compensation
- Lawrence Mendelsohn MD (Medical Oncology): $1,698,674 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
CARTI’s mission is making trusted cancer care accessible for every patient we serve through compassion, innovation and purpose. CARTI cancer treatment center began in 1976 with a mission not dissimilar to the core values we still hold dear today. We strive to bring patient focused innovative care to all by combining compassion with research and technology. This has allowed CARTI to become THE cancer treatment center in the state of Arkansas serving not only the people of the Natural State but beyond. By focusing on the patient as a whole, we offer support services that allow our patients and their caregivers access to resources to make their cancer journey smoother. We follow the latest trends and invest in technology that provides superior results while reducing patient down time. CARTI promotes screening and pro-ac.
What it reported doing in 2024
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 informe
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Program spending has declined or grown slowly and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 79
- Transparency & Controls: 84
- Accountability: 88
- Sustainability: 33
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 89.3%; rating input score 89
- Program expense ratio: 89.5%; rating input score 90
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.7%; rating input score 36; 36th percentile among comparable filings
- Total-asset coverage ratio: 0.61; rating input score 24; 24th percentile among comparable filings
- Liabilities to assets ratio: 0.65; rating input score 25; 25th percentile among comparable filings
- Officer compensation ratio: 2.1%; rating input score 55; 55th percentile among comparable filings
Growth
- Program expense growth: -1.9% per year; rating input score 0; 4th percentile among comparable filings
- Revenue growth: 4.5% per year; rating input score 100; 38th percentile among comparable filings
- Asset growth: 7.8% per year; rating input score 100; 57th percentile among comparable filings
Details
- What they do: 5 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 89.3% of revenue deployed · 89.5% of spending went to programs
- Governance: 12 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $551.5M in reported program spending
- Leadership: top reported pay $2.2M · 24 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $15.5M reported
- Consistency: 32 of 33 current checks pass · 1 finding to review
- Schedules: 6 filed schedules · includes executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 12 filed money-flow records
- Related organizations: 3 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Growth: Program expense growth scored 0/100.
- Moderate — Sustainability: Operating margin scored 36/100.
- High — Sustainability: Total-asset coverage ratio scored 24/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- High — Sustainability: Liabilities to assets ratio scored 25/100.
- Review — Sustainability: Officer compensation ratio scored 55/100.