X0306 4 2017-03-10 0 0001498068 American Renal Associates Holdings, Inc. ARA 0001655251 Carlucci Joseph A C/O ARAH INC. 500 CUMMING CENTER, SUITE 6550 BEVERLY MA 01915 1 1 0 0 Chief Executive Officer Common Stock 2017-03-10 4 A 0 63255 0 A 63755 D Common Stock 654285 I See Footnote Stock Option (Right to Buy Common Stock) 17.39 2017-03-10 4 A 0 105000 0 A 2027-03-10 Common Stock 105000 105000 D Reflects grant of restricted stock that vests in three equal annual installments beginning on March 10, 2018. Shares held by trust for the benefit of the Reporting Person's family. The Reporting Person disclaims beneficial ownership of the shares held by such trusts, except to the extent of his pecuniary interest therein. The filing of this statement by the Reporting Person shall not be deemed an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, such Reporting Person is the beneficial owner of the securities reported herein. An option that vests in three equal annual installments beginning on March 10, 2018. /s/ Michael R. Costa, by power of attorney 2017-03-13