2016-08-15T16:58:54-05:00 2015-09-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2014-10-01 381613280 BARBARA ANN KARMANOS CANCER INSTITUTE BARB 8005276266 4100 JOHN R DETROIT MI 48201 BRIAN GAMBLE CFO 8005276266 2016-08-11 1 CAROL LALONDE CPA P00181637 2695674500 2016-08-11 2014 2016-09-27 15:27:22Z KARMANOS CANCER INSTITUTE GEROLD BEPLER MD PHD 4100 JOHN R DETROIT MI 48201 83760038 0 X WWW.KARMANOS.ORG X 1947 MI THE KARMANOS CANCER INSTITUTE IS A UNIQUE, INTEGRATED CENTER OF RESEARCH, PATIENT CARE AND EDUCATION, DEDICATED TO THE PREVENTION, EARLY DETECTION, TREATMENT AND EVENTUAL ERADICATION OF CANCER. 46 42 259 113 0 0 6092728 31069804 478941 937190 250779 538266 1480028 7074462 8302476 39619722 547129 966033 0 0 7501632 15240677 89761 262646 1803790 3178437 8718784 11316959 25188140 -3014483 14431582 88588074 95899832 82781761 78446744 5806313 17453088 X THE KARMANOS CANCER INSTITUTE IS A UNIQUE, INTEGRATED CENTER OF RESEARCH, PATIENT CARE AND EDUCATION, DEDICATED TO THE PREVENTION, EARLY DETECTION, TREATMENT AND EVENTUAL ERADICATION OF CANCER. 0 0 13858292 3004 50480 CANCER RESEARCH: AT KARMANOS CANCER INSTITUTE (KCI), THE INSTITUTE'S INVESTIGATORS CONDUCT ALL FORMS OF RESEARCH INTO THE PREVENTION, DETECTION, TREATMENT AND CAUSES OF CANCER. TYPES OF RESEARCH CONDUCTED AT KCI INCLUDE: BASIC, CLINICAL, EPIDEMIOLOGICAL AND BEHAVIORAL. THE CORE RESEARCH FACILITIES OF KCI SERVE TO ENHANCE RESEARCH IN ALL OF THE PROGRAMS BY SUPPLYING INSTRUMENTATION AND/OR EXPERTISE THAT INDIVIDUAL INVESTIGATORS REQUIRE TO PERFORM CUTTING-EDGE RESEARCH. RESEARCH AT KCI IS ORGANIZED WITHIN THE FOLLOWING FOUR PROGRAMS: (1) MOLECULAR IMAGING, (2) MOLECULAR THERAPEUTICS, (3) POPULATION STUDIES AND DISPARITIES RESEARCH, AND (4) TUMOR BIOLOGY & MICROENVIRONMENT. 1860747 747706 14059 KCI IS PART OF THE MICHIGAN BREAST & CERVICAL CANCER CONTROL PROGRAM (BCCCP): THIS PROGRAM IS AVAILABLE TO INDIVIDUALS MEETING THE FOLLOWING CRITERIA: (1) HAVE AN INCOME BELOW 250% OF THE FEDERAL POVERTY LEVEL, (2) BE UNINSURED OR UNDERINSURED (3) BE AGE 40-64 FOR BREAST/CERVICAL CANCER SCREENING AND FOR DIAGNOSTIC FOLLOW-UP OF BREAST/CERVICAL ABNORMALITIES, (4) BE AGE 18-39, HAVE BEEN IDENTIFIED WITH A CERVICAL ABNORMALITY THROUGH THE TITLE X PROGRAM, AND REFERRED TO THE BCCCP FOR CERVICAL CANCER DIAGNOSTIC FOLLOW-UP. BCCCP PROVIDES BREAST CARE SERVICES SUCH AS CLINICAL BREAST EXAMS, MAMMOGRAMS, FOLLOW UP TESTS AND IF NEEDED, CANCER-RELATED TREATMENT. BCCCP ALSO PROVIDES CERVICAL CARE SERVICES SUCH AS PAP SMEARS, PELVIC EXAMS, FOLLOW UP TESTS AND IF NEEDED, CANCER-RELATED TREATMENT. 5283337 215323 885201 COMMUNITY EDUCATION & CORD STEM CELL BANK: COMMUNITY EDUCATION PROVIDED BY KCI STAFF AND VOLUNTEERS OCCUR THROUGH VISITS TO BUSINESSES, CHURCHES, SCHOOLS, SHOPPING MALLS, HEALTH CARE FORUMS AND VIRTUALLY ANY VENUE CONDUCIVE TO INFORMING INDIVIDUALS ON WAYS TO PREVENT CANCER AND ITS WARNING SIGNS, AND THE VERY LATEST IN SCREENING, DIAGNOSTICS, TREATMENT AND FOLLOW-UP CARE THROUGH EDUCATIONAL PRESENTATIONS, MATERIALS AND DISPLAYS. KCI OFFERS FREE FACT SHEETS ON THE MOST COMMON FORMS OF CANCER AND TOPICS OF INTEREST. THESE ARE GEARED TO PERSONS CONCERNED ABOUT THEIR CANCER RISK AND INTERESTED IN PREVENTION AND EARLY DETECTION NOT TO PERSONS DIAGNOSED WITH CANCER. GENETIC COUNSELING EDUCATIONAL SESSIONS ARE OFFERED ON A REGULAR BASIS AT KCI AND BY APPOINTMENT. PARTICIPANTS LEARN ABOUT INHERITED BREAST AND OVARIAN CANCER GENES AND HOW TO REDUCE THEIR RISK. KCI ALSO SUPPORTS EFFORTS AND PROVIDES RESOURCES TO HELP INDIVIDUALS SUCCESSFULLY QUIT SMOKING. THE J.P. MCCARTHY CORD STEM CELL BANK AT KCI IS A PUBLIC, NON-PROFIT STEM CELL BANK WITH OVER 2,500 UMBILICAL CORD BLOOD UNITS IN ITS INVENTORY. THE BANK WAS FOUNDED IN 2001 WITH FUNDING FROM THE J.P. MCCARTHY FUND AND THE CARLS FOUNDATION AND IS ONE OF ONLY A FEW INTERNATIONALLY RECOGNIZED CORD STEM CELL BANKS AFFILIATED WITH THE NATIONAL MARROW DONOR PROGRAM. THE BANK WAS CREATED IN ANTICIPATION OF PROVIDING LIFE-SAVING HOPE TO PEOPLE WHO HAVE BEEN DIAGNOSED WITH CANCER AND SERIOUS BLOOD DISORDERS. KCI COLLECTS, PROCESSES AND STORES DONATED UMBILICAL CORD BLOOD THAT BECOMES A READILY AVAILABLE SOURCE OF HEMATOPOIETIC STEM CELLS FOR TRANSPLANT IN CHILDREN AND ADULTS WITH LEUKEMIA, LYMPHOMA, SICKLE CELL DISEASE OR OTHER LIFE-THREATENING CONDITIONS. THE J.P. MCCARTHY CORD BLOOD BANK AND CARLS PROCESSING LABORATORY IS ALSO ACCREDITED BY THE FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (FACT). THE ACCREDITATION SIGNIFIES THE HIGHEST STANDARDS OF PRACTICE IN COLLECTION, PROCESSING AND TRANSPLANTATION. THIS ACCREDITATION DEMONSTRATES THE COMMITMENT TO QUALITY IN CORD BLOOD BANKING THROUGH ADHERENCE TO RIGOROUS STANDARDS THAT ARE VERIFIED BY PERIODIC INSPECTION AND PEER REVIEW. 21002376 1 1 0 1 0 1 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 1 156 0 1 259 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 X 46 42 1 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 MI X PAMELA A MOLLAN 2483042920 4100 JOHN R DETROIT MI 48201 RANDOLPH J AGLEY BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLES E BECKER BOARD MEMBER & CHAIR 1.00 1.00 X X 0 0 0 GEROLD BEPLER MD PHD PRESIDENT & CEO 25.00 30.00 X X 199516 371660 112573 ARMANDO R CAVAZOS BOARD MEMBER 1.00 1.00 X 0 0 0 DANIEL A CORNWELL BOARD MEMBER 1.00 0.00 X 0 0 0 KC CRAIN BOARD MEMBER 1.00 0.00 X 0 0 0 ETHAN D DAVIDSON BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID W DREWS BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID E DUPREY BOARD MEMBER 1.00 0.00 X 0 0 0 KENNETH EISENBERG BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY FARBER BOARD MEMBER 1.00 0.00 X 0 0 0 JAY DAVID FARNER BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL FERRANTINO JR BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD M GABRYS BOARD MEMBER 1.00 1.00 X 0 0 0 BRUCE A GERSHENSON BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN A GIAMPIETRONI BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS A GOSS BOARD MEMBER 1.00 1.00 X 0 0 0 ADNAN HAMMAD PHD BOARD MEMBER 1.00 0.00 X 0 0 0 PATRICIA HARTMANN BOARD MEMBER 1.00 0.00 X 0 0 0 ELLEN HILL ZERINGUE BOARD MEMBER 1.00 0.00 X 0 0 0 PHILIP A INCARNATI BOARD MEMBER 1.00 54.00 X 0 5583733 1392828 DAVID JACOB BOARD MEMBER 1.00 0.00 X 0 0 0 PETER KARMANOS JR BOARD MEMBER 1.00 0.00 X 0 0 0 C MICHAEL KOJAIAN BOARD MEMBER 1.00 0.00 X 0 0 0 EDWARD C LEVY JR BOARD MEMBER 1.00 0.00 X 0 0 0 DONALD W MANVEL BOARD MEMBER 1.00 0.00 X 0 0 0 MARY MATUJA BOARD MEMBER 1.00 0.00 X 0 0 0 TIMOTHY MONAHAN BOARD MEMBER 1.00 1.00 X 0 0 0 AMY MORGAN BOARD MEMBER 1.00 0.00 X 0 0 0 PAUL L NINE BOARD MEMBER 1.00 0.00 X 0 0 0 DEBRA PARTRICH BOARD MEMBER 1.00 0.00 X 0 0 0 GARY S POLLARD BOARD MEMBER 1.00 0.00 X 0 0 0 W JAMES PROWSE BOARD MEMBER & VICE CHAIR 1.00 2.00 X X 0 8750 0 PAUL R PURTAN BOARD MEMBER 1.00 0.00 X 0 0 0 EUNICE RING BOARD MEMBER 1.00 0.00 X 0 0 0 NAZLI G SATER BOARD MEMBER 1.00 0.00 X 0 0 0 ALAN S SCHWARTZ BOARD MEMBER & VICE CHAIR 1.00 1.00 X X 0 0 0 JOHN JH SCHWARTZ MD BOARD MEMBER 1.00 0.00 X 0 0 0 NEDDA N SHAYOTA BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT J SKANDALARIS BOARD MEMBER 1.00 0.00 X 0 0 0 JACK SOBEL MD BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT A STONE BOARD MEMBER 1.00 0.00 X 0 0 0 JANE R THOMAS PHD BOARD MEMBER 1.00 0.00 X 0 0 0 VAINUTIS K VAITKEVICIUS MD BOARD MEMBER 1.00 0.00 X 26281 0 14658 M ROY WILSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 NANCY YAW BOARD MEMBER 1.00 0.00 X 0 0 0 GRACE LIEBLEIN BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 JAMES BENNETHUM BOARD MEMBER (PARTIAL FY) 1.00 1.00 X 0 0 0 KAREN CULLEN BOARD MEMBER (PARTIAL FY) 1.00 1.00 X 0 0 0 DEBBIE DINGELL BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 VALERIE M PARISI BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 DAVID TROTT BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 JEFFREY M WILLIAMS BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 MARGARET DIMOND PHD SECRETARY 1.00 54.00 X 0 673006 27175 BRIAN R GAMBLE TREASURER AND CFO 20.00 20.00 X 0 0 0 JUSTIN KLAMERUS MD EVP COMMUNITY BASED PROGRAMS 40.00 0.30 X 328092 323200 23202 MICHAEL F GRISDELA FORMER TREASURER AND CFO 20.00 20.00 X 208877 0 15058 PAMELA MOLLAN CONTROLLER/INTERIM CFO 20.00 20.00 X 160653 0 8937 PETER LITTRUP PHYSICIAN MANAGER (PART YEAR) 40.00 0.00 X 430840 0 39653 GARY MORRISON COO (FORMER) 20.00 20.00 X 331189 0 11291 NICODEMUS KARMANOS VP DEVELOPMENT 40.00 0.00 X 185101 0 20584 DAVID JANSEN VP HUMAN RESOURCES 40.00 0.00 X 178625 0 21968 LORENZO RINALDI DIRECTOR PURCHASING 40.00 0.00 X 127143 0 20564 2176317 6960349 1708491 17 0 1 0 DETROIT MEDICAL CENTER 4707 ST ANTOINE STE W-514 DETROIT MI 48201 PATIENT AND NON-CLINICAL SERVICES 61152799 WAYNE STATE UNIVERSITY 540 E CANFIELD DETROIT MI 48201 RESEARCH STAFFING 11715757 ALLSCRIPTS HEALTHCARE LLC 8529 SIX FORKS RD FORUM IV RALEIGH NC 27615 IT STAFFING SERVICES 5950137 UNIVERSITY PHYSICIAN GROUP 550 E CANFIELD SUITE 324 DETROIT MI 48201 PHYSICIAN SERVICES 5228082 NATIONAL MARROW DONOR PROGRAM 500 N 5TH ST MINNEAPOLIS MN 55413 MEDICAL SERVICES 3156657 53 303589 2569910 11600000 43141 16553164 499172 31069804 CORD BANK 541700 451705 451705 MEDICAL SERVICES 621610 405585 405585 EDUCATION AND SUPPORT 611710 60622 60622 CELL LINES 541700 15600 15600 MEDICAL RECORDS ANALYSIS 541700 3678 3678 937190 787684 787684 12550 12550 42348065 42583648 13835 -235583 -13835 -249418 -249418 2227150 2569910 1510535 716615 716615 36350 25635 10715 10715 8079 6663 1416 1416 AFFILIATION REVENUE 541700 6320590 6320590 MISCELLANEOUS REVENUE 541700 12576 12576 6333166 39619722 949740 0 7600178 666365 666365 299668 299668 1518216 803785 714431 10181472 5869365 3983397 328710 49957 124073 -79311 5195 2694460 1833237 796203 65020 796572 550538 223694 22340 269385 105115 116165 48105 88624 17500 71124 182646 182646 262646 262646 41572 41572 2170715 1535042 619240 16433 616063 272403 279356 64304 1983452 839325 1091122 53005 8194777 8194777 1737794 1509845 154997 72952 264691 222321 40901 1469 192994 172015 16249 4730 229898 180753 49145 3739114 3439940 299174 1754208 792865 932549 28794 15341 15341 MCL ALLOCATION 1149311 1149311 IDC/BILLING & CLINICAL -2856528 -2670971 -185557 KCI CORPORATE ALLOCATIO -3415566 2333125 -6471687 722996 IT ALLOCATION -7709258 2043494 -9859772 107020 69551 62573 6907 71 25188140 21002376 2381974 1803790 12179785 15508884 23407833 22431252 14184063 16478906 2059358 1830901 3028 3667 6992282 6495316 14457850 2914953 8713292 11542897 21048433 21608009 88588074 95899832 18354268 17423893 273470 1233437 9452521 7334742 4700000 4700000 50001502 47754672 82781761 78446744 X -35855787 -31281431 28259332 31882280 13402768 16852239 5806313 17453088 88588074 95899832 X 14431582 -1195574 -1589233 X X 0 1 X 1 0 X 21853236 23045512 15538392 7391402 21733304 89561846 21853236 23045512 15538392 7391402 21733304 89561846 3922248 85639598 1025762 1773712 2058514 294399 800234 5952621 95514467 8416404 0.89660 0.88150 X PART II THE ORGANIZATION FILED TWO RETURNS IN 2014 TO CHANGE THE YEAR END TO THAT OF THE PARENT ORGANIZATION. THE SHORT YEAR RETURN IS REFLECTED IN THE 2013 COLUMN. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 182646 182646 25005494 25188140 1000000 250000 0 0 1000000 1000000 715848 1000000 3715848 5573772 146553 177275 73451 182646 579925 250000 250000 178962 250000 928962 1393443 SCHEDULE C, PART II-A, LINE 1B LOBBYING EXPENDITURES INCLUDE PAYMENTS TO FRANKLIN PARTNERSHIP TO ASSIST THE ORGANIZATION IN BUILDING AND MAINTAINING RELATIONSHIP WITH MEMBERS OF CONGRESS, THEIR STAFF, AND RELEVANT REGULATORY AGENCIES. FRANKLIN PARTNERSHIP ALSO PROVIDES GUIDANCE ON FEDERAL POLICY ISSUES RELATED TO CANCER CARE, CONGRESSIONAL APPROPRIATION REQUESTS, AND FEDERAL FUNDING OPPORTUNITIES. RWC ASSOCIATES (FORMERLY WIENER ASSOCIATES) PROVIDE CONSULTING AND GUIDANCE IN THE SAME RESPECT BUT ON THE STATE LEVEL. CAROL CHRISTNER, AN INDEPENDENT CONTRACTOR, PROVIDED GOVERNMENT ADVOCACY SERVICES, AND TIME AND TRAVEL EXPENSES RELATED TO DIRECT LOBBYING. 2 70535 158636 400080 1 1 13352176 2527184 15879360 13297568 54608 13352176 14741088 56480 1500000 13297568 13823815 917273 14741088 13970249 14409 160843 13823815 0.06300 0.93700 1 0 180000 180000 1238662 144894 1093768 299908 45487 254421 6472211 1858518 4613693 6267069 866054 5401015 11542897 DUE TO KCC - INTERCOMPANY PAYABLE 46865718 DUE TO MCLAREN (RELATED ORGANIZATION) 682142 DUE TO WSU (RELATED ORGANIZATION) 206812 47754672 X PART V, LINE 4: ENDOWMENT FUNDS ARE HELD FOR INVESTMENT. ENDOWMENT EARNINGS ARE USED TO MAINTAIN PROGRAM SERVICES AS SPECIFIED BY EACH DONOR. PART X, LINE 2: THE CORPORATION AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS. SOME SUBSIDIARIES ARE FOR-PROFIT CORPORATIONS. INCOME TAX PROVISIONS ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENTS. COMPANIES MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO FEDERAL TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2012. X X X X X X 1 AMERGENT INC 9 CENTENNIAL DR PEABODY MA 01960 AMERGENT ACTS AS FUNDRAISING COUNSEL AND ADVISER TO CONDUCT 0 353664 216158 137506 GRIZZARD COMMUNICATIONS GROUP INC 3500 LENOX ROAD SUITE 1900 ATLANTA GA 30326 GRIZZARD'S SERVICES INCLUDE CAMPAIGN MANAGEMENT, PLANNING/CO 0 14354 46488 -32134 368018 262646 105372 MI ANNUAL DINNER 3015340 1268081 1747259 964 102416 46310 446689 RACE FOR THE CURE 1662893 1232441 430452 36128 17203 452605 2 118827 69388 49439 2311 77481 11118 32948 284362 4797060 2569910 2227150 39403 94684 113534 79258 1183656 1510535 716615 36350 25450 185 1 1.00000 36350 25450 185 25635 10715 MI 1 0 0 0 0.00000 1.00000 GERALYN KRAUSE 4100 JOHN R DETROIT MI 48201 0 KARRY SAMULSKI SUPERVISION AND MANAGEMENT OF GAMING OPERATIONS X 0 1 SUSAN G KOMEN BREAST CANCER FOUNDATION 5005 LBJ FREEWAY SUITE 250 DALLAS TX 75244 751835298 501(C)(3) 566952 BREAST CANCER RESEARCH ACCESS COMMUNITY HEALTH RESEARCH CENTER 6450 MAPLE ROAD DEARBORN MI 48126 237444497 501(C)(3) 81913 TO FUND AN EXTENSIVE BREAST CANCER EDUCATION, OUTREACH, AND SCREENING PROGRAM FOR THE LOW-INCOME ARAB-AMERICAN COMMUNITY IN SOUTHEASTERN MICHIGAN. THROUGH THE PROGRAM 2297 WOMEN HAVE RECEIVED COMPREHENSIVE ONE-ON-ONE HEALTH EDUCATION, AND 1698 WOMEN RECEIVED A FREE MAMMOGRAM AND CLINICAL BREAST EXAM. MCLAREN GREATER LANSING 401 WEST GREENLAWN AVE LANSING MI 48910 381434090 501(C)(3) 17500 TO SUPPORT THE UNIFICATION OF THE OSTEOPATHIC AND ALLOPATHIC HEMATOLOGY AND ONCOLOGY FELLOWSHIP PROGRAMS. 3 0 ASSISTANCE TO INDIVIDUALS CONSISTS OF MEDICAL SERVICES, FINANCIAL ASSISTANCE, PRESCRIPTION AND MEDICAL SUPPLIES, AND MISCELLANEOUS ASSISTANCE. 508 299668 PART I, LINE 2: GRANTEES OPERATE UNDER A ONE-YEAR CONTRACT THAT REQUIRES AT LEAST TWO PROGRESS REPORTS (MID-YEAR AND YEAR-END). X 1 1 1 1 0 0 0 0 0 0 0 GEROLD BEPLER MD PHD PRESIDENT & CEO 132042 344621 66700 0 774 27039 1333 92844 6944 11452 207793 475956 0 0 PHILIP A INCARNATI BOARD MEMBER 0 1667934 0 1560500 0 2355299 0 1378144 0 14684 0 6976561 0 0 MARGARET DIMOND PHD SECRETARY 0 350435 0 121528 0 201043 0 13000 0 14175 0 700181 0 0 JUSTIN KLAMERUS MD EVP COMMUNITY BASED PROGRAMS 320537 162757 0 67266 7555 93177 2600 5200 13207 2195 343899 330595 0 0 MICHAEL F GRISDELA FORMER TREASURER AND CFO 207395 0 0 0 1482 0 2113 0 12945 0 223935 0 0 0 PAMELA MOLLAN CONTROLLER/INTERIM CFO 139239 0 21000 0 414 0 1406 0 7531 0 169590 0 0 0 PETER LITTRUP PHYSICIAN MANAGER (PART YEAR) 430066 0 0 0 774 0 19900 0 19753 0 470493 0 0 0 GARY MORRISON COO (FORMER) 327625 0 0 0 3564 0 2600 0 8691 0 342480 0 0 0 NICODEMUS KARMANOS VP DEVELOPMENT 184291 0 0 0 810 0 1873 0 18711 0 205685 0 0 0 DAVID JANSEN VP HUMAN RESOURCES 176303 0 0 0 2322 0 1790 0 20178 0 200593 0 0 0 PART I, LINE 1A THE CORPORATE CEO, SUBSIDIARY CEO'S AND CORPORATE VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. THE FOLLOWING INDIVIDUALS HAVE RECEIVED THESE BENEFITS: GEROLD BEPLER AND MARGARET DIMOND. GEROLD BEPLER, AND NICODEMUS KARMANOS BOTH RECEIVED HEALTH OR SOCIAL CLUB DUES. THESE BENEFITS HAVE NOT BEEN INCLUDED AS TAXABLE COMPENSATION AS THEY ARE PROVIDED FOR BUSINESS USE. PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B LINE 4A: THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: GARY MORRISON - $299,127 LINE 4B: MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. THE INDIVIDUAL LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP IS: PHILIP INCARNATI. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE MARGARET DIMOND AND GEROLD BEPLER. PART I, LINE 6 MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE MANAGERS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHCC SERVES, AND (C) PROTECTING MHCC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. A MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2013-12-20 11000000 INFORMATION TECHNOLOGY PROJECTS & OTHER CAPITAL EXPENDITURES 0 0 0 A 11000000 2450488 8549512 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 A 0 AMY MORGAN BOARD MEMBER 129651 BOARD MEMBER AMY MORGAN'S FATHER OWNS A CONTROLLING INTEREST IN THE PARENT COMPANY OF ABSOPURE WHICH PROVIDES WATER SUPPLY TO THE ORGANIZATION. 0 X 1 1200 APPRAISED VALUE X 1 75000 MARKET VALUE X 6 212942 MARKET VALUE X EVENTS GOODS & DECORATIONS 33 184611 FAIR MARKET X EVENTS FOOD & BEVERAGES 7 25419 FAIR MARKET 0 1 1 PART I, LINE 32B: CONTRIBUTIONS RECEIVED IN STOCKS AND SECURITIES ARE SOLD BY A THIRD PARTY ON BEHALF OF THE BARBARA ANN KARMANOS CANCER INSTITUTE. FORM 990, PART VI, SECTION A, LINE 2 PETER KARMANOS JR, BOARD MEMBER, AND NICK KARMANOS, HIGHLY COMPENSATED EMPLOYEE, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 MCLAREN HEALTH CARE CORPORATION IS THE SOLE MEMBER OF BARBARA ANN KARMANOS CANCER INSTITUTE. FORM 990, PART VI, SECTION A, LINE 7A MCLAREN HEALTH CARE CORPORATION, THE SOLE MEMBER, HAS THE POWER TO RECOMMEND AND NOMINATE CANDIDATES FOR THE BARBARA ANN KARMANOS CANCER INSTITUTE BOARD. THE MEMBER MAY ALSO REMOVE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MCLAREN HEALTH CARE CORPORATION, THE SOLE MEMBER OF BARBARA ANN KARMANOS CANCER INSTITUTE, HAS THE POWER TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION AND APPROVE ANY AMENDMENT OF THE BYLAWS OF THE CORPORATION. THE SOLE MEMBER MAY ALSO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF BARBARA ANN KARMANOS CANCER INSTITUTE, OR OTHER CHANGE IN CORPORATE FORM. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY DIRECTORS AND CFOS WITHIN FINANCE. COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHCC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHCC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHCC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPICE/SUBSIDIARIES CEO'S) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2015. FORM 990, PART VI, SECTION C, LINE 19 KARMANOS CANCER INSTITUTE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII MICHAEL F GRISDELA - 3896 VICKSBURG WAY, HOWELL, MI 48843. PETER LITTRUP - 951 TIMBERLAKE , BLOOMFIELD HILLS, MI 48302. GARY MORRISON - 4505 SENDA LANE, AUSTIN, TX 78725. FORM 990, PART XI, LINE 9: WRITE OFF OF PRIOR YEAR PLEDGE RECEIVABLE -1,300,000. OFFSET PRIOR YEAR PLEDGE RECEIVABLE WRITE OFF WITH NEW DONOR AGREEMENT 1,050,000. TRANSFER OF DONOR RESTRICTED GIFTS TO REIMBURSE KARMANOS CANCER CENTER -1,339,233. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM THE PRIOR YEAR. 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