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      <Description>Cancer Research: At Karmanos Cancer Institute (KCI), the more than 300 investigators conduct all forms of research into the prevention, detection, treatment and causes of cancer. Types of research conducted at KCI include: basic, clinical, translational, 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 five National Cancer Institute-recognized interdisciplinary programs. These five interdisciplinary programs are: (1) Breast Cancer Biology, (2) Developmental Therapeutics, (3) Molecular Biology and Genetics, (4) Population Studies and Disparities and (5) Proteases and Cancer.</Description>
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        <Description>Hospice Program: The KCI Hospice Program was a licensed, Medicare-certified, Joint Commission accredited, interdisciplinary program providing expert symptom management and supportive care for patients, with any type of life limiting illness. KCI Hospice was dedicated to improving the quality of living for the terminally ill person and their family members. This mission was fulfilled through the provision of direct patient care, education, supportive counseling, pharmaceuticals, medical equipment and supplies necessary to manage pain and other distressing symptoms. Additionally, professionals addressed the special needs of patients with an advanced cancer diagnosis. KCI Hospice affirmed life with the hope and belief that through compassionate, efficient, and effective care, patients and their families were supported physically, medically, emotionally and spiritually to experience a peaceful end of life. The KCI Hospice program was sold effective January 14, 2013, and had provided services to individuals living in Wayne, Oakland and Macomb counties. 9443 days of Hospice care occurred from May 1, 2012 to January 14, 2013.</Description>
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        <Description>Community Education &amp; 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 2,000 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.</Description>
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        <NamePerson>ADNAN HAMMAD PhD</NamePerson>
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        <NamePerson>ELLEN HILL ZERINGUE</NamePerson>
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        <NamePerson>PETER KARMANOS JR</NamePerson>
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        <BookValue>19895633</BookValue>
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        <Description>DUE TO KCC - INTERCOMPANY PAYABLE</Description>
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      <OtherLiabilities>
        <Description>DONOR ANNUITY</Description>
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        <DirectExpenseSummaryGaming>36285</DirectExpenseSummaryGaming>
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        <Relationship>President Wayne State University</Relationship>
        <AmountOfTransaction>10711353</AmountOfTransaction>
        <DescriptionOfTransaction>Research Staffing</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>Lillian Erdeljan Board Member</NamePerson>
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        <Relationship>Parent of N London Employee</Relationship>
        <AmountOfTransaction>132468</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Compensation</DescriptionOfTransaction>
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          <NamePerson>Peter Karmanos Jr Board Member</NamePerson>
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        <Relationship>Parent of N Karmanos employee</Relationship>
        <AmountOfTransaction>178159</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Daniel A Cornwell Board Member</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>President &amp; Shareholder Cambridge Consulting Group</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Benefit Consultant</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="R000010" softwareId="12000197" softwareVersion="v1.00">
      <CarsAndOtherVehicles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>75000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Market Value</MethodOfDeterminingRevenues>
      </CarsAndOtherVehicles>
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>11</NumberOfContributions>
        <NoncashContribsRptdF990>105078</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Market Value</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Food and Beverages</Description>
        <NumberOfContributions>15</NumberOfContributions>
        <NoncashContribsRptdF990>35556</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Decorations/Goods</Description>
        <NumberOfContributions>76</NumberOfContributions>
        <NoncashContribsRptdF990>164008</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Advertising/Entertainment</Description>
        <NumberOfContributions>49</NumberOfContributions>
        <NoncashContribsRptdF990>743033</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
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    <IRS990ScheduleO documentId="R000011" softwareId="12000197" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P03_S00_L03</Identifier>
        <ReturnReference>Form 990, Part III, Line 3</ReturnReference>
        <Explanation>KCI Hospice Program was sold to Residential Hospice, LLC, an independent home health care and hospice provider in Michigan, effective January 14, 2013.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>(1) David Jacob, Board Member, and Nathan Forbes, Board Member, have a family relationship; and (2) Peter Karmanos Jr, Board Member, and Nick Karmanos, Highly Compensated Employee, have a family relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>A full copy of the Form 990 is made available to all Board Members prior to filing the return. The review process includes a presentation of the form 990 to the Finance and Executives Committees of the Board of Directors at their respective meetings prior to filing the return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Annual Conflict of interest questionaries are completed by all Board Members and Executive Committee members that are subject to disclosure rules. Conflicts are summarized and reported to the nomination and governance committee for its review and assessment. This summarized report is compared to our vendor list to ensure that all potential transactions involving a conflict of interest are properly disclosed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>The Compensation committee is responsible for reviewing compensation for the CEO, Officers and Key Employees. This Committee is also responsible for the administration of the short-term incentive plan program whenever the funds are available for distribution. As part of the annual budget process, the Finance Committee and Board of Directors review and approve any annual salaries increases.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Karmanos Cancer Institute makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P09_S00_L11g</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11g</ReturnReference>
        <Explanation>Other fee for services include IT service &amp; maintenance contracts $9,058,084; Lab Services $99,593; Independent Contractors $21,494; Purchased Services $208,033; Inpatient Nursing Home Service and Ambulatory Services $286,046; consultant fees $256,277. Total $9,929,527.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L09</Identifier>
        <ReturnReference>Form 990, Part XI, Line 9</ReturnReference>
        <Explanation>Other Changes in Net Assets ($6,049,345) represent net amounts transferred from KCI to KCC primarily relating to fixed assets purchase.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000012" softwareId="12000197" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BARBARA ANN KARMANOS CANCER HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4100 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>201649466</EIN>
        <PrimaryActivities>CANCER HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BARBARA ANN KARMANOS CANCER INSTITUTE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MICHIGAN CANCER SOCIETY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4100 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382823451</EIN>
        <PrimaryActivities>BENEFICIARY IN DONOR WILLS AND TRUST</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BARBARA ANN KARMANOS CANCER INSTITUTE</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DELPHINUS INVESTMENT INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4100 JOHN R ST</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48075</ZIPCode>
        </AddressUS>
        <EIN>454758176</EIN>
        <PrimaryActivity>HOLD PASSIVE INVESTMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>BARBARA ANN KARMANOS CANCER INSTITUTE</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
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        <ShareOfEOYAssets>582547</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
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      <Explanation>The organization needed additional time to accurately state revenue and expenses and have the Board of Directors review the return.</Explanation>
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