1. Meet Alliance Oncology Month Day, Year

2. Agenda Alliance Oncology Overview ASCEND – The Alliance Oncology Growth and Market Development System for hospital partners Clinical quality – Commitment to excellence and the highest standards of patient care Partnering for Success – Working together to build sustainable market leadership

3. Mission, Vision & Values Our Mission – Who We Are –Our mission is to provide diagnostic imaging and radiation oncology solutions, working in partnership with hospitals and physicians. We deliver exceptional patient care with unparalleled passion and commitment to ensure the very best healthcare for those we serve. Our Vision – Where We Are Going –Our vision is to be the recognized leader in specialized healthcare services. Through our focus on quality patient care, customer solutions, and team member satisfaction, we will set the standard for a broad range of healthcare needs. Our Values – What We Believe –We are committed to being a customer-focused organization, characterized by quality, innovation, integrity and ethics, respect, teamwork, and accountability.

4. Alliance Oncology Overview Alliance Oncology is a division of Alliance HealthCare Services, a leading national provider of advanced diagnostic imaging services (MRI, PET/CT and CT) and radiation oncology services. –The company is the nation’s largest provider of mobile MRI services and PET/CT services with approximately 200 mobile MRI systems and more than 125 PET/CT systems. –Alliance is also the second-largest operator of fixed-site imaging centers with approximately 140 locations across the country. Alliance Oncology operates 37 radiation therapy centers providing state-of- the-art treatment and care for cancer patients, including 18 dedicated stereotactic radiosurgery (SRS) centers. Our strategic acquisition of US Radiosurgery in April 2011 makes us the nation’s leading provider of SRS services.

5. Alliance Oncology & US Radiosurgery Sites As of April 2011

6. Shared Purpose Alliance Oncology helps our hospital partners grow market share by focusing on preserving and strengthening each partner’s reputation while providing a proven market development system that emphasizes long-term, sustainable results. We have a proven track record of clinical quality, implementing EMR systems and comprehensive error- prevention programs. Our clinical team pioneered the use of peer reviews in medical physics and is on the forefront of new approaches to patient safety. Our market development expertise and access to capital, combined with our team’s clinical expertise, make Alliance Oncology a strong partner for cancer programs.

7. The Alliance Oncology Partnership Assess market Assess technology Research competition Reimbursement analysis Financial modeling Payor contracting Site planning Fast-track upgrades and downtime strategies Develop marketing plan Construction management and equipment acquisition Physician and staff education IT integration RIS and PACS implementation Management of operations Scheduling Billing and collections Patient and physician satisfaction Operational benchmarks Financial metrics Marketing effectiveness Quality indicators

8. ASCEND The Alliance Oncology System for Growth and Sustainable Market Leadership –Proven, proprietary system that drives market growth and brand development with our hospital partners opportunities A nalyze market and growth opportunities S trategic alignment of priorities, objectives, strategies and training for increasing market share C omprehensive market development plan E xecution of the market development plan N eeds assessment and continuous evaluation of success metrics D ynamic updates to shift resources to successful activities

9. A SCEND A nalyze market and growth opportunities –Qualitative analysis Defined process for gathering market intelligence, using internal and external sources Detailed competitive analysis conducted at local and national levels Market analysis with input from clinical and operations team members, led by trained Alliance Oncology leadership –Quantitative analysis Market share by competition Review of market sizing and share by CPT code Market share and opportunity by tumor type The Alliance Oncology System for Growth and Sustainable Market Leadership SAMPLE

10. A S CEND S trategic alignment of priorities, objectives, strategies and training for increasing market share –Process to align all internal and external resources around the goals of the program, including: Physician engagement and involvement Patient volume growth Increase of ancillary services to our hospital partners Long-term market development The Alliance Oncology System for Growth and Sustainable Market Leadership

11. AS C END C omprehensive market development plan –Proven Alliance Oncology methodology using previous ASCEND steps and national expertise –Development of a measurable, tactical plan based on the strategic alignment process The Alliance Oncology System for Growth and Sustainable Market Leadership

12. ASC E ND E xecution of the market development plan –Partnership between hospitals and the Alliance Oncology marketing team with consistent support –Training for the marketing team throughout the year –Consistent contact and on-site support from our marketing team The Alliance Oncology System for Growth and Sustainable Market Leadership

13. ASCE N D N eeds assessment and continuous evaluation of success metrics –Utilization of system and tools to measure success of tactics and resource allocation –Customized database to measure activities and ROI of tactics –Dashboards shared regularly with hospital leadership team Reporting key metrics tied to marketing plan execution and growth targets The Alliance Oncology System for Growth and Sustainable Market Leadership

14. ASCEN D D ynamic updates to shift resources to successful activities –Leverage dashboards and Alliance Oncology ROI analysis –Maximize marketing budget dollars –Support future growth plans and targets The Alliance Oncology System for Growth and Sustainable Market Leadership

15. Reputation for Clinical Quality Alliance Oncology is focused on clinical quality and providing demonstrably superior care to patients. –Clinical quality is central to Alliance’s Mission, Vision and Values. –Patients, referring physicians and customers are surveyed routinely. –In quarterly patient satisfaction surveys by Avatar International, a highly respected, national healthcare research/consulting company, Alliance consistently scores higher on Overall Patient Satisfaction than other healthcare organizations across the United States. Exceeding Patient Expectations 2008 Exceeding Patient Expectations 2007 –Alliance was honored with Avatar International’s Exemplary Service Exceeding Patient Expectations National Award for 2007, 2008, 2009 and 2010. –Alliance Oncology was honored with Avatar International’s Five Star Service Loyalty and Endorsement Award for 2010.

16. Enhancing Professional Practice and Presence Leadership and support from Chief Medical Officer and Vice President of Physics Physics Quality Program –Ensures all Alliance Oncology facilities are prepared for accreditation Clinical Advisory Board –Forum for discussion and exposure to new technologies Medical Advisory Board –Forum for discussion on the direction and trends for radiation oncology

17. Roles & Relationships Alliance Oncology typically provides: –Technology IGRT, IMRT, SRS treatment device and/or CT simulator IT infrastructure -- patient information system Treatment planning systems Acceptance and ongoing service/maintenance –Management services (optional based upon need) Administrative oversight Physics/dosimetry services Marketing support and physician education Billing and collection services IT support Turnkey project oversight P&P, QA, patient satisfaction surveys, advocacy –Future capital availability Construction improvement allowance

18. Case Study: Alliance Oncology and Jordan Hospital Center: Jordan Hospital Radiation Oncology – Plymouth, MA Situation: –Jordan Hospital radiation oncology volume flat –Opportunity for quality improvements –Need for new equipment Solution: –Partnered with Alliance Oncology in March 2008 –Alliance Oncology immediate action items: Recruited strong radiation oncologists Upgraded equipment and installed EMR Developed and executed market development plan Instilled operations discipline Results: –Between April 2009 and April 2010: Consults increased by 69% Currently considering expansion opportunities due to volume growth

19. Q&A and Discussion

20. Legal Disclaimer The information contained in this document is provided on an “as is” basis without any warranties, and may not be relied upon for future results. Alliance HealthCare Services does not guarantee any financial or other performance results, which are subject to a number of uncontrollable conditions such as the market. Please consult with your own financial advisor. Results from case studies are not predictive of results in other cases; results in other cases may vary. Additionally, any marketing performed by Alliance HealthCare Services is consistent with all applicable federal and state laws, is educational in nature, and does not include any inducement or compensation for the referral of patients or business. Copyright 2011 Alliance Oncology, LLC. All rights reserved.

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