2025-08-11T15:57:17-05:00 2024-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2023-10-01 381613280 BARBARA ANN KARMANOS CANCER INSTITUTE BARB 8005276266 4100 JOHN R DETROIT MI 48201 REGINA DOXTADER VP CFO 8005276266 2025-08-05 1 1 AMY CIMINELLO P00796388 2483522500 2025-08-05 2023 2025-03-06 01:10:19Z KARMANOS CANCER INSTITUTE BORIS PASCHE MD 4100 JOHN R DETROIT MI 48201 112409991 0 X WWW.KARMANOS.ORG X 1947 MI TO LEAD IN TRANSFORMATIVE CANCER CARE, RESEARCH AND EDUCATION THROUGH COURAGE, COMMITMENT AND COMPASSION. 12 9 306 11 0 0 11396879 5781666 10394690 11015314 2601586 5385862 29728 3213117 24422883 25395959 105655 66235 0 0 14436632 16946149 20827 24197 2120833 17532412 15734128 32095526 32770709 -7672643 -7374750 262170775 250659734 34292057 38743257 227878718 211916477 X TO LEAD IN TRANSFORMATIVE CANCER CARE, RESEARCH AND EDUCATION THROUGH COURAGE, COMMITMENT AND COMPASSION. 0 0 18271456 6280871 CANCER RESEARCH: AT KARMANOS CANCER INSTITUTE (KCI), THE INSTITUTES 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. 96745 96745 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/DIAGNOSTIC/TREATMENT SERVICES , (4) BE AGE 21-39, REFERRED TO THE BCCCP WITH AN ABNORMAL PAP TEST OR CLINICAL BREAST EXAM WHICH REQUIRES BREAST/CERVICAL DIAGNOSTIC SERVICES. THE BCCCP PROVIDES BREAST CARE SERVICES SUCH AS CLINICAL BREAST EXAMS, MAMMOGRAMS, FOLLOW UP TESTS AND IF NEEDED, CANCER-RELATED TREATMENT. THE BCCCP ALSO PROVIDES CERVICAL CARE SERVICES SUCH AS PAP SMEARS, PELVIC EXAMS, FOLLOW UP TESTS AND IF NEEDED, CANCER-RELATED TREATMENT. THE BCCCP CAN ENROLL AND PROVIDE POST-SCREENING DIAGNOSTIC FOLLOW UP CARE (IMAGING, BIOPSY, OTHER) FOR INSURED WOMEN WHOSE DEDUCTIBLE CREATES A FINANCIAL HARDSHIP IF THEY MEET THE ABOVE BCCCP ELIGIBILITY REQUIREMENTS. 7289653 66235 4637698 AFFILIATION / NETWORK SUPPORT, 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 2,800 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. 25657854 1 1 0 1 0 1 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 307 0 1 306 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 MI X REGINA DOXTADER 3135768657 4100 JOHN R DETROIT MI 48201 TIMONTHY MONAHAN BOARD MEMBER & CHAIR 1.00 2.00 X 0 36000 0 DANIEL RET BOARD MEMBER 1.00 1.00 X 0 0 0 KIMBERLY ESPY PHD BOARD MEMBER 1.00 1.00 X 0 0 0 GEANEEN M ARENDS BOARD MEMBER 1.00 1.00 X 0 0 0 KAREN CULLEN BOARD MEMBER - PART YEAR 1.00 0.00 X 0 0 0 MICHAEL DUHAIME BOARD MEMBER 1.00 2.00 X 0 0 0 DAVID E DUPREY BOARD MEMBER 1.00 1.00 X 0 0 0 PHILIP A INCARNATI BOARD MEMBER 1.00 45.00 X 0 11811455 48318 SHARI FERBER-KAUFMAN BOARD MEMBER 1.00 1.00 X 0 0 0 SYLVESTER HESTER BOARD MEMBER 1.00 1.00 X 0 0 0 JIM BENNETHUM BOARD MEMBER - PART YEAR 1.00 0.00 X 0 0 0 SCOTT HUNTER BOARD MEMBER 1.00 1.00 X 0 0 0 TOM KALAS BOARD MEMBER 1.00 1.00 X 0 0 0 BORIS PASCHE MD BOARD MEMBER/PRESIDENT KCI 41.00 2.00 X X 0 246785 2048 REGINA DOXTADER VP CFO & SECRETARY 21.00 22.00 X 339822 0 23984 PRAVEEN DALMIA CORP DIR RADIATION SVCS-PART YEAR 40.00 0.00 X 437987 0 50364 SCOTT MCCARTER IT SITE DELIVERY MANAGER 40.00 0.00 X 318340 0 58843 LAUREN LAWRENCE VP KARMANOS CANCER NETWORK-PART YEAR 40.00 0.00 X 315135 0 20962 AMY RYDER VP HUMAN RESOURCES 40.00 0.00 X 297459 0 34559 EVANO PIASENTIN ACD & VP RESEARCH ADMIN 40.00 0.00 X 278442 0 13169 DORIS RANSKI-ZAZULA VP KARMANOS CANCER NETWORK 40.00 0.00 X 222277 0 19585 ANN SCHWARTZ VP RES & ADAC AFFAIRS/DEP DIRECTOR 40.00 0.00 X 206867 0 4151 JOSEPH NUGENT DIRECTOR INFORMATION TECHNOLOGY SVC 40.00 0.00 X 206988 0 23187 MONICA PAPASIAN DIRECTOR OF FINANCE ACCOUNTING 40.00 0.00 X 188219 0 26274 SARAH BIGELOW VP CLINICAL TRIALS OFFICE 40.00 0.00 X 184449 0 6954 PATRICIA KEIGHER REG DIR CANCER SERVICES 40.00 0.00 X 176755 0 14291 TAMARA COLLINS VP MARKETING BUSINESS DEV 40.00 0.00 X 172717 0 12212 NICHOLAS ERIKSON REG DIR CANCER SERVICES - PART YEAR 40.00 0.00 X 157940 0 35239 RICHARD MORRISON SYSTEMS ENGINEER SR 40.00 0.00 X 171110 0 32549 BENJAMIN HERRING DIR RESEARCH ADMINISTRATION 40.00 0.00 X 159154 0 34165 THOMAS BELCHER MGR IT PROGRAMS 40.00 0.00 X 159416 0 19755 JODY HURTUBISE DIR ACCOUNTING FINANCE 40.00 0.00 X 149915 0 15585 GEROLD BEPLER MD PHD FORMER PRESIDENT & CEO, SECRETARY 1.00 1.00 X 0 1134476 0 4142992 13228716 496194 49 1 1 0 AMERISOURCE BERGEN PO BOX 959 VALLEY FORGE PA 19482 PHARMACEUTICAL DISTRIBUTION 137084579 DETROIT MEDICAL CENTER 4201 ST ANTOINE DETROIT MI 48201 PATIENT & NON-CLINICAL SERVICES 48954694 WAYNE STATE UNIVERSITY 540 E CANFIELD DETROIT MI 48201 RESEARCH STAFFING 25783164 CARDINAL HEALTH 105 INC 7000 CARDINAL PLACE DUBLIN OH 430 DUBLIN OH 43017 CAR T-CELL THERAPY 16206756 STATE OF MICHIGAN PO BOX 30158 LANSING MI 48909 QUALITY ASSURANCE ASSESSMENT PROGRAM 9711922 92 92941 47440 5641285 5781666 AFFILIATION REVENUE 541700 10485122 10485122 MEDICAL SERVICES 621610 211445 211445 EDUCATION AND SUPPORT 611710 201605 201605 CORD BANK 541700 105455 105455 CELL LINES 541700 11625 11625 62 62 11015314 4436792 4436792 87873190 86924120 949070 949070 949070 125814 47440 89912 35902 35902 INDIRECT COST RETURNS 561499 3177215 3177215 3177215 25395959 11015314 0 8598979 66235 66235 3765070 1290662 2474408 11450937 10125723 1325214 272781 244729 28052 962301 860599 101702 495060 419903 75157 946 601 287 58 44586 29473 15113 44077 44077 24197 24197 1914484 1446796 412062 55626 1014259 860906 83466 69887 745471 526975 218496 23791 8063 15728 984299 696405 147109 140785 198638 189872 110 8656 182477 177086 108 5283 365502 326211 38643 648 8004692 8004692 636143 382923 216989 36231 MCLAREN CORP ALLOCATION 1574763 1574763 32770709 25657854 4992022 2120833 70486491 104059394 1310295 1576876 113037461 32042143 67684 67684 673037 777533 14664781 13027710 3948720 1637071 49362174 88206874 23284913 22292159 262170775 250659734 24759294 30415528 524414 490312 4650000 4650000 4358349 3187417 34292057 38743257 X 192466298 170106286 35412420 41810191 227878718 211916477 262170775 250659734 X -7374750 10481132 -19068623 X X 0 1 X 1 1 1 X 6848962 6568869 5120941 11396879 5781666 35717317 6848962 6568869 5120941 11396879 5781666 35717317 6291848 29425469 1163245 1366334 1417682 2803803 4436793 11187857 72664 156096 218880 14000 125814 587454 47492628 58572908 0.61960 0.51820 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING REVENUE - 2019 AMOUNT: $ 69,973. 2020 AMOUNT: $ 148,181. 2021 AMOUNT: $ 218,785. 2022 AMOUNT: $ 14,000. 2023 AMOUNT: $ 125,814. GAMING REVENUE - SALE OF INVENTORY - 2019 AMOUNT: $ 2,691. 2020 AMOUNT: $ 1,081. 2021 AMOUNT: $ 95. MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 6,834. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 32770709 32770709 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 0 0 0 0 250000 250000 250000 250000 1000000 1500000 SCHEDULE C, PART II-A, LINE 2C PAST 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. NO LOBBYING EXPENSES IN FYE 2024. 2 0 12536 175940 1 1 18848589 25946 18874535 18802411 46178 18848589 18630788 171623 18802411 18584153 46635 18630788 18474088 110065 18584153 0.00000 1.00000 0.00000 1 0 1821885 1291236 530649 20000 20000 0 9899360 8886482 1012878 2923536 2829992 93544 1637071 DEFERRED IT ASSETS 7478886 CURE NOTE PLEDGES - LONG TERM 4650000 RESTRICTED CASH 8359701 RIGHT OF USE OPERATING LEASE & OTHER ASSETS 1803572 22292159 OTHER LIABILITIES - 457B 1154825 LEASE LIABILITIES 2032592 3187417 PART V, LINE 4: ENDOWMENT FUNDS ARE HELD FOR INVESTMENT. ENDOWMENT EARNINGS ARE USED TO MAINTAIN PROGRAM SERVICES AS SPECIFIED BY EACH DONOR. X X X X X X 1 THE STELTER COMPANY 10435 NEW YORK AVE URBANDALE IA 50322 SEE PART IV 0 334598 24197 310401 334598 24197 310401 MI CANCER GENETICS EVENT 60395 20790 39605 1025 11783 1200 5696 FORE A CURE GOLF EVENT 76855 23010 53845 33335 10053 500 1 36004 3640 32364 24344 1976 173254 47440 125814 34360 46180 1200 8172 89912 35902 SCHEDULE G, PART I, LINE 2B, LIST OF TEN HIGHEST PAID FUNDRAISERS: (I) NAME OF FUNDRAISER: THE STELTER COMPANY (II) ADDRESS OF FUNDRAISER: 10435 NEW YORK AVE, URBANDALE, IA 50322 (III) ACTIVITY: THE STELTER COMPANY PROVIDES A PLANNED GIVING NEWSLETTER. THE NEWSLETTER CONTAINS ARTICLES REGARDING TAX-WISE GIVING, ESTATE PLANNING, AND DONATIONS. 1 MEDICAL SERVICES, FINANCIAL ASSISTANCE, PRESCRIPTION AND MEDICAL SUPPLIES 211 66235 N/A N/A PART I, LINE 2: MAINTAINS GRANTS IN INDIVIDUAL ACCOUNTS SO THEY CAN BE MONITORED FOR SPENDING. GRANTS ARE REVIEWED EACH MONTH DURING OUR MONTH END PROCESS. X 1 1 0 1 0 0 0 0 0 1 0 PHILIP A INCARNATI BOARD MEMBER 0 2700387 0 1562972 0 7548096 0 7694 0 40624 0 11859773 0 0 GEROLD BEPLER MD PHD FORMER PRESIDENT & CEO, SECRETARY 0 0 0 511976 0 622500 0 0 0 0 0 1134476 0 0 PRAVEEN DALMIA CORP DIR RADIATION SVCS-PART YEAR 347620 0 87248 0 3119 0 35907 0 14457 0 488351 0 0 0 SCOTT MCCARTER IT SITE DELIVERY MANAGER 258092 0 59024 0 1224 0 36328 0 22515 0 377183 0 0 0 REGINA DOXTADER VP CFO & SECRETARY 337500 0 0 0 2322 0 655 0 23329 0 363806 0 0 0 LAUREN LAWRENCE VP KARMANOS CANCER NETWORK-PART YEAR 256978 0 54490 0 3667 0 12746 0 8216 0 336097 0 0 0 AMY RYDER VP HUMAN RESOURCES 238998 0 54270 0 4191 0 14873 0 19686 0 332018 0 0 0 EVANO PIASENTIN ACD & VP RESEARCH ADMIN 232353 0 45279 0 810 0 13155 0 14 0 291611 0 0 0 BORIS PASCHE MD BOARD MEMBER/PRESIDENT KCI 0 156041 0 0 0 90744 0 1374 0 674 0 248833 0 0 DORIS RANSKI-ZAZULA VP KARMANOS CANCER NETWORK 191935 0 26778 0 3564 0 10195 0 9390 0 241862 0 0 0 JOSEPH NUGENT DIRECTOR INFORMATION TECHNOLOGY SVC 180176 0 24492 0 2320 0 9416 0 13771 0 230175 0 0 0 MONICA PAPASIAN DIRECTOR OF FINANCE ACCOUNTING 165454 0 22030 0 735 0 6588 0 19686 0 214493 0 0 0 ANN SCHWARTZ VP RES & ADAC AFFAIRS/DEP DIRECTOR 86520 0 120347 0 0 0 4137 0 14 0 211018 0 0 0 RICHARD MORRISON SYSTEMS ENGINEER SR 156396 0 14024 0 690 0 8556 0 23993 0 203659 0 0 0 BENJAMIN HERRING DIR RESEARCH ADMINISTRATION 139040 0 19474 0 640 0 7341 0 26824 0 193319 0 0 0 NICHOLAS ERIKSON REG DIR CANCER SERVICES - PART YEAR 133821 0 23720 0 399 0 12749 0 22490 0 193179 0 0 0 SARAH BIGELOW VP CLINICAL TRIALS OFFICE 160962 0 23250 0 237 0 6940 0 14 0 191403 0 0 0 PATRICIA KEIGHER REG DIR CANCER SERVICES 151180 0 21837 0 3738 0 4901 0 9390 0 191046 0 0 0 TAMARA COLLINS VP MARKETING BUSINESS DEV 152011 0 20208 0 498 0 3720 0 8492 0 184929 0 0 0 THOMAS BELCHER MGR IT PROGRAMS 144286 0 13894 0 1236 0 19741 0 14 0 179171 0 0 0 JODY HURTUBISE DIR ACCOUNTING FINANCE 148077 0 0 0 1838 0 0 0 15585 0 165500 0 0 0 PART I, LINE 1A THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR 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: BORIS PASCHE LAUREN LAWRENCE RECEIVED A HOUSING ALLOWANCE. THESE BENEFITS HAVE BEEN TREATED AS A TAXABLE BENEFIT. BORIS PASCHE 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, 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. PART I, LINE 7 MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. 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 MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. 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 11B 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 ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC 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 MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE 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 RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, SECTION B, LINE 15B 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 PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) 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 ANNUALLY 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. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2024. 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 XI, LINE 9: NET ASSET TRANSFER FROM AFFILIATE -19,068,623. NET ASSET RLSD FOR CAPITAL -2,621,355. RELEASED FROM RESTR-OPER 2,621,355. FORM 990, PART XI, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN GREATER LANSING FOUNDATION 2900 COLLINS ROAD LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN GREATER LANSING 1 MCLAREN GREATER LANSING 2900 COLLINS ROAD LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) LINE 3 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN LAPEER REGION 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN LAPEER REGION 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) LINE 10 PORT HURON HOSPITAL 1 MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) LINE 12A, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER 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