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        <Fundraising>29035</Fundraising>
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      <FeesForServicesAccounting>
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        <Fundraising>255823</Fundraising>
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        <ManagementAndGeneral>1036800</ManagementAndGeneral>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ManagementAndGeneral>62430</ManagementAndGeneral>
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        <ProgramServices>807927</ProgramServices>
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        <ProgramServices>78361</ProgramServices>
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      <OtherExpenses>
        <Description>Corporate Allocation to KCC</Description>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>-4123570</ManagementAndGeneral>
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      <OtherExpenses>
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        <ManagementAndGeneral>-4992401</ManagementAndGeneral>
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        <ProgramServices>-1349398</ProgramServices>
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        <EOY>45519104</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <CurrentYear>0</CurrentYear>
        <Total>0</Total>
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        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>13240558</EndOfYearBalance>
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      <FinancialDerivatives>
        <BookValue>12468596</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
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      <CloselyHeldEquityInterests>
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      <OtherAssets>
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        <BookValue>41376</BookValue>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Karmanos Cancer Center</Description>
        <Amount>16498579</Amount>
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      <TotalExpenses>27542976</TotalExpenses>
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      <NetUnrealizedGLOnInvestments>-906191</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
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        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>The Compensation Committee is responsible for the review of compensation for the CEO and other key officers and employees, including the administration of the short-term incentive plan program when the funds are available to distribute under the plan. Any annual salary increase program is reviewed and approved by the KCI/KCC Finance Committee and KCI/KCC Boards of Directors as part of the annual budget process.</Explanation>
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        <Relationship>Executive Officer of Comerica Bank</Relationship>
        <AmountOfTransaction>7179054</AmountOfTransaction>
        <DescriptionOfTransaction>Interest Expense and Principal Payments</DescriptionOfTransaction>
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        <DescriptionOfTransaction>Legal Services</DescriptionOfTransaction>
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        <AmountOfTransaction>838678</AmountOfTransaction>
        <DescriptionOfTransaction>Legal Services</DescriptionOfTransaction>
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        <Description>Special Events items and services</Description>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>David Jacob and Nathan Forbes have a family relationship. Peter Karmanos, Jr and Nick Karmanos also have a family relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L09</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 9</ReturnReference>
        <Explanation>John C Ruckdeschel, Nevada Cancer Center, One Breakthrough Way, Las Vegas, NV 89135, Cynthia Sikina, 24236 Bramblewood Drive, Novi, MI 48374, William G Bennett, CFO, Nevada Cancer Center, One Breakthrough Way, Las Vegas, NV 89135</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11</ReturnReference>
        <Explanation>The review of Form 990 includes distribution and review of Form 990 to the Finance Committee of the Board of Directors and Board of Directors at their respective meetings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Annual conflict of interest questionaires are completed by Board Members, Officers and executive administration. Conflicts are summarized and reported to the Nominating &amp; Governance Committee for its review and assessment. This reported information is compared to our vendor list to ensure all potential transactions that involve a conflict of interest are 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 the review of compensation for the CEO and other key officers and employees, including the administration of the short-term incentive plan program when the funds are available to distribute under the plan. Any annual salary increase program is reviewed and approved by the KCI/KCC Finance Committee and KCI/KCC Boards of Directors as part of the annual budget process.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Our governing documents, conflict of interest and financial statements are available to the public upon request.</Explanation>
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          <BusinessNameLine1>Barbara Ann Karmanos Cancer Hospital</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4100 John R</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
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        <LegalDomicileState>MI</LegalDomicileState>
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          <BusinessNameLine1>Barbara Ann Karmanos Cancer Institute</BusinessNameLine1>
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      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Michigan Cancer Society</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4100 John R</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
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        <PrimaryActivities>Beneficiary in donor wills and trust</PrimaryActivities>
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          <BusinessNameLine1>Barbara Ann Karmanos Cancer Institute</BusinessNameLine1>
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          <BusinessNameLine1>Crittenton-Karmanos Health Services</BusinessNameLine1>
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          <City>Rochester Hills</City>
          <State>MI</State>
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          <BusinessNameLine1>Delphinus Medical Technologies LLC</BusinessNameLine1>
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          <City>Plymouth</City>
          <State>MI</State>
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        <PrimaryActivity>Design, manufacture, market and sell medical devices and services.</PrimaryActivity>
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