2018-08-15T13:42:45-05:00 2017-09-30 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2016-10-01 381613280 BARBARA ANN KARMANOS CANCER INSTITUTE BARB 8005276266 4100 JOHN R DETROIT MI 48201 BRIAN R GAMBLE CFO 8005276266 2018-08-14 1 Carol LaLonde CPA P00181637 2695674500 2018-08-14 2016 2022-09-23 18:48:47Z Karmanos Cancer Institute GEROLD BEPLER MD PHD 4100 JOHN R DETROIT MI 48201 67734600 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. 35 30 278 182 0 0 20063263 16963381 821388 603474 456399 2242086 10112434 9342128 31453484 29151069 3481610 800695 0 0 15882121 16230259 230529 254003 1722976 9433525 7261882 29027785 24546839 2425699 4604230 78376679 91677103 69003612 79389293 9373067 12287810 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 12726361 5620 5076110 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. 1294762 467921 41070 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. 6992433 327154 4608715 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 2,700 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. 21013556 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 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 173 0 1 278 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 35 30 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 MI X BRIAN R GAMBLE 3135768935 4100 JOHN R DETROIT MI 48201 RICHARD M GABRYS BOARD MEMBER & CHAIR 1.00 1.00 X X 0 0 0 W JAMES PROWSE BOARD MEMBER & VICE CHAIR 1.00 1.00 X X 0 0 0 GEROLD BEPLER MD PHD PRESIDENT & CEO; INTERIM SECRETARY 20.00 20.00 X X 0 1462410 28973 JUSTIN KLAMERUS MD BOARD MEMBER 20.00 20.30 X 479251 0 23810 RANDOLPH J AGLEY BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLES E BECKER BOARD MEMBER 1.00 0.00 X 0 0 0 ARMANDO R CAVAZOS BOARD MEMBER 1.00 0.00 X 0 0 0 KC CRAIN 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 MICHAEL FERRANTINO JR 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 53.00 X 0 6466669 198282 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 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 PAUL L NINE BOARD MEMBER 1.00 0.00 X 0 0 0 SANDRA O'BRIEN BOARD MEMBER 1.00 0.00 X 0 0 0 DEBRA PARTRICH BOARD MEMBER 1.00 0.00 X 0 0 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 NEDDA N SHAYOTA BOARD MEMBER 1.00 0.00 X 0 0 0 JACK SOBEL MD BOARD MEMBER 1.00 1.00 X 0 0 0 MAUREEN L STAPLETON BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT A STONE BOARD MEMBER 1.00 0.00 X 0 0 0 VAINUTIS K VAITKEVICIUS MD BOARD MEMBER 1.00 0.00 X 24739 0 14339 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 JEFFREY FARBER BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 EDWARD C LEVY JR BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 AMY MORGAN BOARD MEMBER (PARTIAL FY) 1.00 0.00 X 0 0 0 BRIAN R GAMBLE TREASURER AND CFO 20.00 20.00 X 323274 0 25546 ANN SCHWARTZ VP, RES & ADAC AFFAIRS/DEP DIRECTOR 40.00 0.00 X 158340 0 792 NICODEMUS KARMANOS VP DEVELOPMENT 40.00 0.00 X 251838 0 24245 DAVID JANSEN VP HUMAN RESOURCES 40.00 0.00 X 232789 0 23896 PAMELA MOLLAN CONTROLLER 40.00 0.00 X 178088 0 11913 LISA LANGE VP CLINICAL TRIALS OFFICE 40.00 0.00 X 144803 0 22789 LAUREN LAWRENCE DIRECTOR COMMUNITY BASED PROGRAMS 40.00 0.00 X 143669 0 4861 1936791 7929079 379446 15 0 1 0 DETROIT MEDICAL CENTER 4707 ST ANTOINE STE W-514 DETROIT MI 48201 PATIENT AND NON-CLINICAL SERVICES 52122574 WAYNE STATE UNIVERSITY 540 E CANFIELD DETROIT MI 48201 RESEARCH STAFFING 13380421 ALLSCRIPTS HEALTHCARE LLC 8529 SIX FORKS RD FORUM IV RALEIGH NC 27615 IT STAFFING SERVICES 5877671 UNIVERSITY PHYSICIAN GROUP 550 E CANFIELD SUITE 324 DETROIT MI 48201 PHYSICIAN SERVICES 3917834 NATIONAL MARROW DONOR PROGRAM 500 N 5TH ST MINNEAPOLIS MN 55413 MEDICAL SERVICES 2665306 49 312118 790776 11600000 4260487 126953 16963381 MEDICAL SERVICES 621610 260704 260704 EDUCATION AND SUPPORT 611710 167004 167004 CORD BANK 541700 160960 160960 CELL LINES 541700 12525 12525 MEDICAL RECORDS ANALYSIS 541700 2281 2281 603474 877531 877531 10000 10000 38985006 12000 37528778 103673 1456228 -91673 1364555 1364555 1134610 790776 939480 195130 195130 13460 5250 8210 8210 8421 6350 2071 2071 AFFILIATION REVENUE 541700 9122421 9122421 MISCELLANEOUS REVENUE 541700 4296 4296 9126717 29151069 9725895 0 2461793 423584 423584 377111 377111 1896563 1085928 810635 10793282 7132056 3412467 248759 202346 167518 28447 6381 2432651 1778329 633461 20861 905417 691375 196568 17474 239868 91414 118223 30231 77430 77430 148027 148027 254003 254003 5600 5600 1920984 1803283 96444 21257 337245 145087 141272 50886 1760048 788665 912043 59340 7885335 7885335 940280 567825 276677 95778 232671 213467 18134 1070 191035 152089 30264 8682 83415 83415 4363569 4321003 42566 1370567 958834 375891 35842 16114 16114 MCL ALLOCATION 1621352 1621352 KCI CORPORATE ALLOCATIO -2940687 2708041 -6438694 789966 IDC/BILLING & CLINICAL -3954825 -3903598 -51227 IT ALLOCATION -7036146 1428130 -8546722 82446 24546839 21013556 1810307 1722976 9821173 13710949 0 3119723 672131 1499853 1520007 4390 3874 1687836 1414736 14810222 6050230 8949354 8759992 44623822 40301180 8670528 25294234 78376679 91677103 15964292 10309504 844526 622186 5152984 2905315 4700000 4700000 42341810 60852288 69003612 79389293 X -27614048 -20904981 19020387 15201000 17966728 17991791 9373067 12287810 78376679 91677103 X 4604230 36128 -1725615 X X 0 1 X 1 0 X 12291934 6092728 31069804 20063263 16963381 86481110 12291934 6092728 31069804 20063263 16963381 86481110 493349 85987761 663937 294399 800234 734607 887531 3380708 4270970 2253918 8604745 11948043 10283208 37360884 127222702 3978409 0.67590 0.71840 X Schedule A, Part II, Line 10, Explanation of Other Income: FUNDRAISING REVENUE - 2012 Amount: $ 3,154,132. 2013 Amount: $ 1,250,374. 2014 Amount: $ 2,227,150. 2015 Amount: $ 3,111,589. 2016 Amount: $ 1,134,610. GAMING REVENUE - 2012 Amount: $ 80,680. 2013 Amount: $ 48,300. 2014 Amount: $ 36,350. 2015 Amount: $ 89,490. 2016 Amount: $ 13,460. SALE OF INVENTORY - 2012 Amount: $ 11,646. 2013 Amount: $ 5,901. 2014 Amount: $ 8,079. 2015 Amount: $ 9,911. 2016 Amount: $ 8,421. MISCELLANEOUS REVENUE - 2012 Amount: $ 1,024,512. 2013 Amount: $ 949,343. 2014 Amount: $ 6,333,166. 2015 Amount: $ 8,737,053. 2016 Amount: $ 9,126,717. 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 148027 148027 24398812 24546839 1000000 250000 0 0 715848 1000000 1000000 1000000 3715848 5573772 73451 182646 142307 148027 546431 178962 250000 250000 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. 2 76617 85000 415111 1 1 17203332 532584 17735916 15879360 1323972 17203332 13352176 2527184 15879360 13297568 54608 13352176 14741088 56480 1500000 13297568 0.05640 0.94360 1 0 180000 180000 1654224 370225 1283999 299908 96352 203556 7553897 4040696 3513200 5122193 1542957 3579237 8759992 ESCROW FUNDS - LIMITED USE, CURE NOTE PLEDGES, OTHER NONCURRENT 5472894 DEFERRED IT ASSETS 5025408 CURE NOTE PLEDGES - LONG TERM 4700000 RESTRICTED CASH - OTHER NONCURRENT 10095932 25294234 DUE TO KCC - INTERCOMPANY PAYABLE 59128473 DUE TO MCLAREN (RELATED ORGANIZATION) 1723815 60852288 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 AMERGENT INC 9 CENTENNIAL DR PEABODY MA 01960 0 377046 254003 123043 377046 254003 123043 MI RACE FOR THE CURE 924495 535640 388855 2071 18329 15050 355199 PARTNERS NIGHT 925532 204777 720755 22550 69054 115318 189514 2 75359 50359 25000 152395 1925386 790776 1134610 2071 40879 69054 130368 697108 939480 195130 SCHEDULE G, PART I, LINE 2B, LIST O HIGHEST PAID FUNDRAISERS: (I) NAME OF FUNDRAISER: AMERGENT INC (I) ADDRESS OF FUNDRAISER: 9 CENTENNIAL DR., PEABODY, MA 01960 (II) ACTIVITY: AMERGENT ACTS AS FUNDRAISING COUNSEL AND ADVISER TO CONDUCT DIRECT MAIL SOLICITATION FOR CONTRIBUTIONS. AMERGENT PROVIDES ADVICE AND MAKES RECOMMENDATIONS IN CONNECTION WITH THE PREPARATION OF EDUCATIONAL MATERIALS AND PUBLIC SUPPORT APPEALS, INCLUDING DETERMINING THE CLASS OF POSTAGE TO BE USED, PRODUCTION OF MAILING, PRINTING OF MATERIALS AND SECURING LISTING. IN ADDITION TO PAYMENT FOR SERVICES, AMERGENT IS REIMBURSED FOR FUNDRAISING EXPENSES SUCH AS PRINTING, PAPER, ENVELOPES, POSTAGE, AND MAILING LIST RENTAL. 1 SUSAN G KOMEN BREAST CANCER FOUNDATION 5005 LBJ FREEWAY SUITE 250 DALLAS TX 75244 751835298 501(C)(3) 129927 BREAST CANCER RESEARCH MCLAREN OAKLAND FOUNDATION 50 N PERRY ST PONTIAC MI 48342 200442217 501(C)(3) 248294 promoting breast cancer awareness, early detection and prompt treatment KARMANOS CANCER CENTER 4100 JOHN R DETROIT MI 48201 201649466 501(C)(3) 45363 GIFT OF DONOR RESTRICTED FUNDS FOR CAPITAL ASSET PURCHASES 3 0 MEDICAL SERVICES, FINANCIAL ASSISTANCE, PRESCRIPTION AND MEDICAL SUPPLIES 688 377111 Part I, Line 2: GRANTEES OPERATE UNDER A ONE-YEAR CONTRACT THAT REQUIRES AT LEAST TWO PROGRESS REPORTS (MID-YEAR AND YEAR-END). X X 1 1 1 1 0 0 0 0 0 0 0 GEROLD BEPLER MD PHD PRESIDENT & CEO; INTERIM SECRETARY 0 625286 0 209600 0 627524 0 13250 0 15723 0 1491383 0 275657 JUSTIN KLAMERUS MD BOARD MEMBER 417090 0 61621 0 540 0 4722 0 19088 0 503061 0 0 0 PHILIP A INCARNATI BOARD MEMBER 0 1762990 0 1548156 0 3155523 0 188387 0 9895 0 6664951 0 0 BRIAN R GAMBLE TREASURER AND CFO 291740 0 29212 0 2322 0 5300 0 20246 0 348820 0 0 0 ANN SCHWARTZ VP, RES & ADAC AFFAIRS/DEP DIRECTOR 84903 0 73437 0 0 0 0 0 792 0 159132 0 0 0 NICODEMUS KARMANOS VP DEVELOPMENT 217792 0 33438 0 608 0 4125 0 20120 0 276083 0 0 0 DAVID JANSEN VP HUMAN RESOURCES 199310 0 30806 0 2673 0 3965 0 19931 0 256685 0 0 0 PAMELA MOLLAN CONTROLLER 152865 0 24194 0 1029 0 3708 0 8205 0 190001 0 0 0 LISA LANGE VP CLINICAL TRIALS OFFICE 144104 0 0 0 699 0 2944 0 19845 0 167592 0 0 0 Part I, Line 1a THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. 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. 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: NICODEMUS KARMANOS $46,877 DAVID JANSEN $38,795 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 6 MCLAREN HEALTH CARE CORPORATION (MHCC) 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 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 5527106 5472894 0 0 0 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 A 0 NICODEMUS KARMANOS FAMILY MEMBER OF PETER KARMANOS, BOARD MEMBER 276082 NICODEMUS KARMANOS WAS EMPLOYED BY THE BARBARA ANN KARMANOS CANCER INSTITUTE. 0 X 4875 MARKET VALUE X 6 37975 MARKET VALUE X EVENTS GOODS & DECORATIONS 51 63829 MARKET VALUE X EVENTS FOOD & BEVERAGES 7 20274 MARKET VALUE 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. MICHAEL FERRANTINO JR. AND PETER KARMANOS JR, BOARD MEMBERS, HAVE A BUSINESS 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 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 CORPORATION (MHCC). 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 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 2017. 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: WRITE OFF OF PRIOR YEAR PLEDGE RECEIVABLE -1,963,127. RECLASSIFICATION OF UNRESTRICTED AND RESTRICTED NET ASSETS 237,512. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS 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 GREAT LAKES CANCER INSTITUTE 401 S BALLENGER HWY FLINT MI 48532 383584572 CANCER CARE CENTER MI 501(c)(3) Line 7 MCLAREN HEALTH CARE 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262693350 SUPPORTING ORG MI 501(c)(3) Line 12a, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD SUITE 200 FLINT MI 48532 272204037 INSURANCE MI 501(c)(4) MCLAREN HEALTH PLAN 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(c)(4) MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HOSPICE & HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(c)(3) Line 12a, I VISITING NURSE SERVICES OF MICHIGAN 1 MCLAREN HOSPITALITY HOUSE 401 S BALLENGER HIGHWAY FLINT MI 48532 455567669 HOSPITALITY HOUSE MI 501(c)(3) Line 7 MCLAREN FLINT FOUNDATION 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(c)(3) Line 12a, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(c)(3) Line 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE 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MI 501(c)(3) Line 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(c)(3) Line 3 MCLAREN NORTHERN MICHIGAN 1 PARKVIEW PROPERTY MANAGEMENT CORPORATION PO BOX 5011 PORT HURON MI 48060 382467310 MANAGEMENT CORP MI 501(c)(3) Line 12a, I MCLAREN PORT HURON 1 MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(c)(3) Line 12c, III-FI MCLAREN OAKLAND 1 MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(c)(3) Line 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(c)(3) Line 12a, I MCLAREN PORT HURON 1 REGIONAL EMERGENCY MEDICAL SERVICE INC 25400 W 8 MILE ROAD SOUTHFIELD MI 48034 383255499 AMBULANCE SERVICE MI 501(c)(3) Line 10 MCLAREN MEDICAL MANAGEMENT INC 1 THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(c)(3) Line 3 MCLAREN NORTHERN MICHIGAN 1 VISITING NURSE SERVICE OF MICHIGAN 1515 Cal Drive DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(c)(3) Line 10 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(c)(3) Line 10 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(c)(3) Line 12a, I MCLAREN FLINT 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C 0 DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48201 454758176 HOLD PASSIVE INVESTMENT MI KARMANOS CANCER INSTITUTE C 332678 1.00000 1 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 0 HOSPITAL HEALTH CARE INC 50 NORTH PERRY STREET PONTIAC MI 48342 382643070 HEALTH CARE MI N/A C 0 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 0 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 0 MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI N/A C 0 RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY 416 CONNABLE AVENUE PETOSKEY MI 49770 383465261 RETAIL PHARMACY MI N/A C 0 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 0 0 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 0 1 MCLAREN HEALTH CARE CORPORATION M 13370960 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION P 7927431 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION S 113267 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION C 11600000 Cash POH RILEY FOUNDATION B 248294 Cash MCLAREN PORT HURON M 254330 Allocation of actual cost MCLAREN PORT HURON Q 306635 Allocation of actual cost MCLAREN FLINT Q 647633 Allocation of actual cost MCLAREN LAPEER REGION Q 123393 Allocation of actual cost MCLAREN GREATER LANSING Q 739823 Allocation of actual cost MCLAREN BAY REGION Q 564019 Allocation of actual cost MCLAREN MACOMB Q 429679 Allocation of actual cost MCLAREN OAKLAND O 122372 Other MCLAREN OAKLAND P 86141 Allocation of actual cost MCLAREN OAKLAND Q 597019 Allocation of actual cost MCLAREN CENTRAL MICHIGAN Q 197404 Allocation of actual cost MCLAREN NORTHERN MICHIGAN Q 642051 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION N 677350 Allocation of actual cost KARMANOS CANCER CENTER S 1359977 Cash KARMANOS CANCER CENTER D 7587815 Other KARMANOS CANCER CENTER J 1005036 Allocation of actual cost KARMANOS CANCER CENTER L 17501577 Allocation of actual cost KARMANOS CANCER CENTER M 268182 Allocation of actual cost KARMANOS CANCER CENTER O 2131050 Allocation of actual cost KARMANOS CANCER CENTER Q 231198423 Allocation of actual cost