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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 is 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 is dedicated to improving the quality of living for the terminally ill person and their family members. This mission is 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 address the special needs of patients with an advanced cancer diagnosis. KCI Hospice affirms life with the hope and belief that through compassionate, efficient, and effective care, patients and their families can be supported physically, medically, emotionally and spiritually to experience a peaceful end of life. KCI Hospice services are available to individuals living in Wayne, Oakland and Macomb counties. 15,172 days of Hospice care occurred from May 1, 2011 to April 30, 2012.</Description>
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        <Description>KCI is part of the Michigan Breast &amp; 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) uninsured or under-insured, (3) 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.</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 1,200 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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      <CloselyHeldEquityInterests>
        <BookValue>0</BookValue>
      </CloselyHeldEquityInterests>
      <TotalOfBookValueSecurities>15866675</TotalOfBookValueSecurities>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT HELD AT WAYNE STATE UNIVERSITY</Description>
        <BookValue>3153930</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN DELPHINUS INC.</Description>
        <BookValue>1505671</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>4659601</TotalOfBookValueProgramRelated>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO KCC - INTERCOMPANY PAYABLE</Description>
        <Amount>25346349</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DONOR ANNUITY</Description>
        <Amount>531443</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>25877792</TotalOfAmounts>
      <TotalRevenue>24630778</TotalRevenue>
      <TotalExpenses>28756287</TotalExpenses>
      <ExcessOrDeficitForYear>-4125509</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1664093</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>-3726224</OtherAmount>
      <TotalAdjustments>-5390317</TotalAdjustments>
      <ExcessOrDeficitPerFS>-9515826</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>26411536</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>26411536</RevenueSubtotal>
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      <OtherRevenuesNotIncluded>-1780758</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-1780758</RevenueNotRptdOnFinStmt>
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      <ExpensesNotRptdF990>2126086</ExpensesNotRptdF990>
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      <ExpensesNotRptdOnFinStmt>2899617</ExpensesNotRptdOnFinStmt>
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        <Identifier>SchD_P05_S00_L04</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE HELD FOR INVESTMENT. ENDOWMENT EARNINGS ARE USED TO MAINTAIN PROGRAM SERVICES AS SPECIFIED BY EACH DONOR.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P10_S00_L02</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>ACCOUNTING PRINCIPLES GENERALLY ACEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE INSTITUTE AND RECOGNIZE A TAX LIABILITY IF THE INSTITUTE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE INSISTUTE AND HAS CONCLUDED THAT AS OF APRIL 30, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATMENTS.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P11_S00_L08</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 8</ReturnReference>
        <Explanation>OTHER ITEMS TO RECONCILE CHANGE IN NET ASSETS ARE: ($3,726,224) THAT REPRESENTS NET AMOUNT TRANSFERRED FROM KCI TO KCC PRIMARILY RELATING TO FIXED ASSET PURCHASES.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L04b</Identifier>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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      <EmailSolicitations>X</EmailSolicitations>
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          <BusinessNameLine1>AMERGENT</BusinessNameLine1>
        </NameOfOrganization>
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          <AddressLine1>9 CENTENNIAL DR</AddressLine1>
          <City>PEABODY</City>
          <State>MA</State>
          <ZIPCode>019607906</ZIPCode>
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        <OtherDirectExpensesOtherGaming>590</OtherDirectExpensesOtherGaming>
        <GrossRevenueTotalGaming>53575</GrossRevenueTotalGaming>
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      <PercentageOfGamingOthrFacility>1</PercentageOfGamingOthrFacility>
      <NameOfGamingRecKeeperPerson>GERALYN KRAUSE</NameOfGamingRecKeeperPerson>
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        <State>MI</State>
        <ZIPCode>48201</ZIPCode>
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      <GamingManagerServicesProvided>DIRECTOR SPECIAL EVENTS</GamingManagerServicesProvided>
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          <BusinessNameLine1>ACCESS</BusinessNameLine1>
          <BusinessNameLine2>COMMUNITY HEALTH &amp; RESEARCH CENTER</BusinessNameLine2>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>6450 MAPLE ROAD</AddressLine1>
          <City>DEARBORN</City>
          <State>MI</State>
          <ZIPCode>481262259</ZIPCode>
        </AddressUS>
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        <IRCSection>501 (c)(3)</IRCSection>
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        <MethodOfValuation>FAIR MARKET VALUE</MethodOfValuation>
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      <RecipientTable>
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        </RecipientNameBusiness>
        <AddressUS>
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          <AddressLine2>STE 250</AddressLine2>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75244</ZIPCode>
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          <BusinessNameLine2>(POH) RILEY FOUNDATION</BusinessNameLine2>
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          <City>PONTIAC</City>
          <State>MI</State>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VHS DETROIT RECEIVING HOSPITAL</BusinessNameLine1>
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          <AddressLine1>DEPT 4519</AddressLine1>
          <City>CAROL STREAM</City>
          <State>IL</State>
          <ZIPCode>601224519</ZIPCode>
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        <NamePerson>PAMELA MOLLAN</NamePerson>
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        <BonusFilingOrg>25000</BonusFilingOrg>
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        <Identifier>SchJ_P01_S00_L01a</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>MEMBERSHIP DUES ARE PAID ON BEHALF OF GEROLD BEPLER MD PhD, CEO. HOUSING ALLOWANCE IS PAID ON BEHALF OF MICHAEL F GRISDELA, CFO. THESE PAYMENTS ARE PART OF AN EMPLOYMENT AGREEMENT AND PROPER SUBSTANTIATION IS REQUIRED FOR REIMBURSEMENT.</Explanation>
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        <Identifier>SchJ_P01_S00_L03</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING COMPENSATION FOR THE CEO, KEY OFFICERS AND EMPLOYEES. COMPENSATION INCLUDING INCENTIVE PLANS AND ANNUAL SALARY INCREASES ARE REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE ANNUAL BUDGET.</Explanation>
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        <NameOfInterestedPerson>
          <NamePerson>Thomas Odgen Board Member</NamePerson>
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        <AmountOfTransaction>1899546</AmountOfTransaction>
        <DescriptionOfTransaction>Interest and Principal on loans</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Alan S Schwartz Board Member</NamePerson>
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        <Relationship>Partner at Honigman Miller &amp; Schwartz</Relationship>
        <AmountOfTransaction>739791</AmountOfTransaction>
        <DescriptionOfTransaction>Legal Services</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NamePerson>David Jacob Board Member</NamePerson>
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        <AmountOfTransaction>739791</AmountOfTransaction>
        <DescriptionOfTransaction>Legal Services</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>Valeri Parisi MD Board Member</NamePerson>
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        <DescriptionOfTransaction>Physician Services</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NamePerson>Allan Gilmour Board Member</NamePerson>
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        <Relationship>President Wayne State University</Relationship>
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        <DescriptionOfTransaction>Research Staffing</DescriptionOfTransaction>
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          <NamePerson>Lilian Erdeljan Board Member</NamePerson>
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        <AmountOfTransaction>78332</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Compensation</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>Peter Karmanos Jr Board Member</NamePerson>
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        <Relationship>Parent of N Karmanos, employee</Relationship>
        <AmountOfTransaction>190681</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Compensation</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>Daniel A Cornwell Board Member</NamePerson>
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        <Relationship>President &amp; Shareholder Cambridge Consulting Group</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Benefit Consultant</DescriptionOfTransaction>
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      <CarsAndOtherVehicles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>120000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Market value</MethodOfDeterminingRevenues>
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      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>8</NumberOfContributions>
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        <MethodOfDeterminingRevenues>Market value</MethodOfDeterminingRevenues>
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        <Description>Food and Beverage</Description>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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        <Description>Decorations/Goods</Description>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Advertising/Entertainment</Description>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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      <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, KEY 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 EXECUTIVE 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, KEY OFFICERS AND 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 SALARY 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_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS OF ($5,390,317) CORRESPOND TO UNREALIZED LOSSES ON INVESTMENT OF ($1,664,093) REPORTED ON FINANCIAL STATEMENTS AS OTHER OPERATING LOSSES; AND ($3,726,224) OF NET AMOUNT TRANSFERRED FROM KCI TO KCC PRIMARILY RELATING TO FIXED ASSET PURCHASES.</Explanation>
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    </IRS990ScheduleO>
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        <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>
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      <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>
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          <BusinessNameLine1>BARBARA ANN KARMANOS CANCER INSTITUTE</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>DELPHINUS INVESTMENT INC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <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>
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          <BusinessNameLine1>BARBARA ANN KARMANOS CANCER INSTITUTE</BusinessNameLine1>
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      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
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      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
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      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
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      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
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    <ReasonableCauseExplanation documentId="R000013" softwareId="11000129" softwareVersion="v1.00">
      <Explanation>In response to the notice denying our Form 8868, Application for extension of time to file an exempt organization return. We acknowledge the filing of Form 8868 was postmarked past the automated extension granted of December 15, 2012. We are complying with filing requirement for Form 990 as quickly as possible. We are operating in good faith by keeping to our established guidelines that all members of our governing body have the opportunity to review a complete copy of the return before the filing. Please be mindful there was no deliberate or willful intent of this organization to disobey the taxing statues. Our filing history proves that all prior tax years have been compliant. This was a one-time event and steps including implementing an automated reminder system have been taken to prevent a recurrence. Barbara Ann Karmanos Cancer Institute has operated in good faith and we believe the facts and circumstances outlined above support an abatement of any penalties especially given that actions have been taken to ensure that all future filings will be timely.</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>