2025-01-15T11:15:26-06:00 2023-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 201649466 BARBARA ANN KARMANOS CANCER HOSPITAL BARB 8005276266 4100 JOHN R DETROIT MI 482012013 DAVID MAZURKIEWICZ SENIOR VICE PRESIDENT & CFO 8005276266 2025-01-14 1 1 AMY CIMINELLO P00796388 2483522500 2025-01-14 2022 2024-10-15 13:58:12Z X KARMANOS CANCER CENTER BORIS PASCHE MD PHD 4100 JOHN R DETROIT MI 482012013 468910123 0 X WWW.KARMANOS.ORG X 2004 MI THE BARBARA ANN KARMANOS CANCER HOSPITAL IS DEDICATED TO THE DELIVERY OF CANCER CARE SERVICES, THE TREATMENT AND CARE OF CANCER PATIENTS AND THE PREVENTION OF CANCER. 16 12 1158 12 0 0 2205800 910901 398602926 465086493 576861 2101258 1084385 811471 402469972 468910123 798415 1101545 0 0 94857673 108791706 0 0 0 281932363 324792801 377588451 434686052 24881521 34224071 204595141 268756956 159560870 112619526 45034271 156137430 X THE BARBARA ANN KARMANOS CANCER HOSPITAL IS DEDICATED TO THE DELIVERY OF CANCER CARE SERVICES, THE TREATMENT AND CARE OF CANCER PATIENTS AND THE PREVENTION OF CANCER. ADDITIONALLY, KARMANOS PROMOTES, ENCOURAGES, AIDS AND PERFORMS SCIENTIFIC INVESTIGATIONS AND RESEARCH ADDRESSING THE CAUSE, TREATMENT AND PREVENTION OF CANCER. ESSENTIAL CANCER MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY. 0 0 72475680 214594 92606187 INPATIENT: HEALTH CARE DELIVERY & MANAGEMENT: BARBARA ANN KARMANOS CANCER HOSPITAL IS DEDICATED TO THE DELIVERY OF CANCER CARE SERVICES, THE TREATMENT AND CARE OF CANCER PATIENTS AND THE PREVENTION OF CANCER. ADDITIONALLY, KARMANOS PROMOTES, ENCOURAGES, AIDS AND PERFORMS SCIENTIFIC INVESTIGATIONS AND RESEARCH ADDRESSING THE CAUSE, TREATMENT AND PREVENTION OF CANCER. ESSENTIAL CANCER MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY. FROM OCTOBER 2022 TO SEPTEMBER 2023, KARMANOS HAD 20,656 PATIENT DAYS AND 2,188 DISCHARGES FOR AN AVERAGE LENGTH OF STAY OF 9.44 DAYS. IN ADDITION, THERE WERE 245 BONE MARROW TRANSPLANT CASES, 801 INPATIENT SURGICAL CASES, AND 6,408 INPATIENT IMAGING CASES. 304262819 858377 353854398 AMBULATORY SERVICES: THE BARBARA ANN KARMANOS CANCER HOSPITAL PROVIDED MEDICAL SERVICES TO CANCER PATIENTS INCLUDING RADIATION ONCOLOGY, CHEMOTHERAPY, BONE MARROW TRANSPLANT, MAMMOGRAPHY AND HEMATOLOGY CONSULTATIVE, DIAGNOSTIC AND TREATMENT SERVICES. ESSENTIAL CANCER AND MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY. FROM OCTOBER 2022 TO SEPTEMBER 2023, THE FOLLOWING OUTPATIENT STATISTICS WERE REPORTED: CLINICAL VISITS OF 60,794; INFUSION PATIENTS OF 22,896; IMAGING PROCEDURES OF 42,996; PHERESIS PATIENTS TOTALLED 633; INPATIENT AND OUTPATIENT RADIATION ONCOLOGY PROCEDURES OF 27,140 AND OUTPATIENT SURGICAL CASES OF 1,440. 18262937 28574 18625908 THE BARBARA ANN KARMANOS CANCER HOSPITAL PROMOTES AIDS AND PERFORMS SCIENTIFIC INVESTIGATIONS AND RESEARCH ADDRESSING THE CAUSE, TREATMENTS AND PREVENTION OF CANCER. FOR THE PERIOD OCTOBER 2022 TO SEPTEMBER 30, 2023, KCC HAD 3,635 PHASE 1 INFUSION PATIENT VISITS, 265 ACTIVE CLINICAL DRUG TRIALS; 253 PATIENTS WILLING TO PARTICIPATE IN CLINICAL PROGRAMS, AND 425 ELIGIBLE AND REGISTERED PARTICIPANTS. 395001436 1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1158 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X REGINA DOXTADER 3135768567 4100 JOHN R DETROIT MI 482012013 X PHIL INCARNATI BOARD MEMBER 1.00 46.00 X 0 10748363 35341 GEROLD BEPLER MD PHD FORMER BOARD MEMBER/PRESIDENT KCI 0.00 0.00 X 0 1374928 17482 JEFFREY HOTALING PHYSICIAN MANAGER 40.00 0.00 X 802256 0 19927 SYED RAZA PHYSICIAN MANAGER 40.00 0.00 X 707759 0 20875 DAVID STERNBERG PHYSICIAN MANAGER 40.00 0.00 X 615087 0 33619 BRIAN GAMBLE PRESIDENT KCC 1.00 44.00 X X 0 554878 93035 NATASHA ROBINETTE SERVICE CHIEF RADIOLOGY 40.00 0.00 X 565280 0 28312 SUNIL BAJAJ RADIOLOGIST 40.00 0.00 X 527202 0 28077 KATHLEEN CAROLIN VP, CHIEF NURSING OFFICER 45.00 0.00 X 285960 0 33699 CHRISTOPHER D GRAUNSTADT VP, OPERATIONS 45.00 0.00 X 289398 0 6508 GEORGE H YOO MD CHIEF MEDICAL OFFICER 45.00 0.00 X 174417 0 2 REGINA DOXTADER VP, CFO & SECRETARY 25.00 25.00 X 0 18750 0 TIMONTHY MONAHAN BOARD MEMBER 1.00 2.00 X 0 16500 0 BORIS PASCHE MD BOARD MEMBER/PRES KCI-STARTED 2023 25.00 25.00 X X 0 0 0 SCOTT HUNTER BOARD MEMBER/CHAIR 1.00 1.00 X X 0 0 0 JOSEPH UBERTI MD BOARD MEMBER 1.00 2.00 X 0 0 0 JIM BENNETHUM BOARD MEMBER 1.00 2.00 X 0 0 0 KAREN CULLEN BOARD MEMBER 1.00 1.00 X 0 0 0 GEANEEN M ARENDS BOARD MEMBER 1.00 1.00 X 0 0 0 MICHAEL DUHAIME BOARD MEMBER 1.00 1.00 X 0 0 0 MYRON FRASIER BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL RET BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID E DUPREY BOARD MEMBER 1.00 0.00 X 0 0 0 ABHINAV DEOL MD BOARD MEMBER 1.00 0.00 X 0 0 0 WAEL SAKR BOARD MEMBER 1.00 0.00 X 0 0 0 3967359 12713419 316877 171 1 1 0 0 910901 910901 OUTPATIENT MEDICAL SERVICES 621400 246303211 246303211 AMBULATORY/SPECIALTY PHARMACIES 900099 97902229 97902229 INPATIENT MEDICAL SERVICES 621110 92606187 92606187 DRUG CLINICAL STUDIES 900099 18625908 18625908 PROFESSIONAL MEDICAL SERVICES 621400 7291457 7291457 2357501 2357501 465086493 1697463 1697463 403795 0 403795 403795 403795 QUALITY IMPROVEMENT AND SHARE SAV 900099 734679 734679 MEDICAL STAFF DUES 900099 71377 71377 SPONSOR REVENUE 900099 2200 2200 3215 3215 811471 468910123 465086493 0 2912729 X 1101545 1101545 1125686 656662 469024 90984795 77364813 13619982 2509170 2469367 39803 9030440 6305192 2725248 5141615 5045344 96271 94275 94275 107243 107243 4931 4931 128243190 113577093 14666097 25285 4962 20323 1768297 1728092 40205 4345815 4345815 10570451 10382908 187543 97902 88150 9752 42413 41810 603 1726160 1337730 388430 10810445 8897177 1913268 869653 869653 DRUGS 138899694 138899694 QAAP TAXES 11423593 11423593 BAD DEBT EXPENSE 8653547 8653547 MED/SURG SUPPLIES 6788517 6788517 321390 235240 86150 434686052 395001436 39684616 0 7746688 15186959 4058053 5609040 67893976 72892995 12318904 12817859 1905194 1099290 142813303 55889805 94224870 86923498 2198353 2198353 14249103 72028962 204595141 268756956 58969969 68351187 604564 422523 38466106 38054462 61520231 5791354 159560870 112619526 X 44052360 155471326 981911 666104 45034271 156137430 204595141 268756956 X 34224071 275772 76603315 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 4931 4931 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION TO SUPPORT LOBBYING ACTIVITIES. 1353 X 0 7100574 7100574 70952362 17938431 53013931 10613726 4153501 6460225 46380509 29813093 16567416 7766132 3984780 3781352 86923498 RETIREMENT 457B INVESTMENTS 2550183 RESTRICTED CASH 560806 INTEREST RECEIVABLE 303 ESCROW FUNDS 112291 MCLAREN-MALPRACTICE SELF INS TRUST 1745510 BED LICENSES 168000 NON-PATIENT RECEIVABLES 2592145 NET RIGHT OF USE ASSET 7719293 MCLAREN ENTITIES DUE FROM 56580431 72028962 MALPRACTICE INSURANCE RESERVE 3104527 MEDICAL STAFF FUNDS 136644 RETIREMENT 457B 2550183 5791354 PART III, LINE 4: ARTWORK IS DISPLAYED FOR PATIENT ENJOYMENT AND RELAXATION. 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 1740842 1740842 0.00410 80411947 54626053 25785894 0.06050 82152789 54626053 27526736 0.06460 82152789 54626053 27526736 0.06460 0 8653547 54593733 53940436 653297 X 1 1 1 1 BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R DETROIT MI 48201 WWW.KARMANOS.ORG 1060000170 X X BARBARA ANN KARMANOS CANCER HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTPS://TINYURL.COM/YAWXCY14 X 1 23 1 HTTPS://TINYURL.COM/YAWXCY14 0 1 X 400.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X X X X X X 1 X 0 X X X X 0 X X X 0 0 BARBARA ANN KARMANOS CANCER HOSPITAL PART V, SECTION B, LINE 5: THE CHNA TEAM COLLECTED COMMUNITY INPUT AT VARIOUS COMMUNITY EVENTS FROM 2021 TO 2023. THE 2023 CHNA SURVEY CONSISTED OF 12 TARGETED QUESTIONS TO GAIN INSIGHT ON CANCER-RELATED NEEDS, POTENTIAL HEALTH CARE CONCERNS OF THE COMMUNITY, AND IMPACT OF THE PANDEMIC. THE CHNA TEAM FOCUSED ON COLLECTING SURVEY DATA FROM 3 COUNTIES IN SOUTHEASTERN MICHIGAN: OAKLAND, MACOMB, AND WAYNE COUNTY. SURVEYS WERE DISTRIBUTED AT HEALTH FAIRS AS WELL AS FOOD AND COMMUNITY EDUCATION EVENTS HELD IN METRO DETROIT. THE SURVEYS WERE ALSO TRANSLATED INTO SPANISH AND ARABIC TO REFLECT THE CULTURAL DIVERSITY OF THE METRO DETROIT AREA. AS WITH PREVIOUS SURVEY FINDINGS, MOST RESPONDENTS OF THE CHNA SURVEY WERE FEMALE, AT SEVENTY-ONE PERCENT. AND DESPITE EFFORTS TO INCREASE THE DIVERSITY OF RESPONSES, THE MAJORITY OF THOSE COMPLETING THE SURVEYS WERE AFRICAN AMERICAN/BLACK. EIGHTY-NINE PERCENT OF RESPONDENTS WERE OVER THE AGE OF 40 WITH MOST OVER 65 YEARS OLD AT FIFTY-SIX PERCENT.THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT BARBARA ANN KARMANOS CANCER HOSPITAL PART V, SECTION B, LINE 11: KARMANOS HAS SEVERAL RESOURCES AND PROCESSES IN PLACE THAT WILL CONTINUE TO SUPPORT AND ADDRESS THE NEEDS IDENTIFIED IN THE 2023 CHNA. KARMANOS' MULTIDISCIPLINARY TEAM APPROACH TO PATIENT TRIAGE HELPS TO INDIVIDUALIZE CARE ACROSS THE CONTINUUM. EACH OF THE 13 MULTIDISCIPLINARY TEAMS CONSISTS OF WAYNE STATE UNIVERSITY-AFFILIATED ONCOLOGISTS, RADIOLOGISTS, SURGEONS, PATHOLOGISTS, GENETICISTS, AND COUNSELORS. EACH MULTIDISCIPLINARY TEAM HAS A REGISTERED NURSE TEAM LEADER TO SERVE AS THE PATIENTS' PRIMARY NAVIGATOR, SUPPORTED BY PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, SOCIAL WORKERS, NAVIGATORS, AND DIETICIANS. THE KARMANOS CANCER INSTITUTE CALL CENTER HAS ALSO BEEN TRAINED TO TRIAGE PATIENT CALLS AND CONCERNS 24/7. THE KARMANOS DEPARTMENTS OF MARKETING AND COMMUNICATION, DEVELOPMENT, PATIENT/COMMUNITY EDUCATION, VOLUNTEER SERVICES, SOCIAL WORK, CASE MANAGEMENT SERVICES, NUTRITION, AND PATIENT CARE SERVICES CAN HAVE A DIRECT IMPACT ON INCREASING COMMUNITY AWARENESS AND ACCESS TO HEALTH SERVICES. KARMANOS STAFF CONSISTENTLY PARTICIPATES AND FOSTERS A RELATIONSHIP WITH COMMUNITY ORGANIZATIONS, INCLUDING THE BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP), THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), THE TRI-COUNTY TOBACCO CESSATION COALITIONS, AND SEVERAL AREA FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). BARBARA ANN KARMANOS CANCER HOSPITAL PART V, SECTION B, LINE 13B: PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE APPLIED BASED ON THIRD PARTY INFORMATION OR A PRIOR FINANCIAL ASSISTANCE DETERMINATION. DESIGNATED PERSONNEL WILL MAKE REASONABLE EFFORT TO NOTIFY THE INDIVIDUAL OF ASSISTANCE. BARBARA ANN KARMANOS CANCER HOSPITAL PART V, SECTION B, LINE 21D: THE BARBARA ANN KARMANOS CANCER HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT. HOWEVER, IF THERE WAS AN EMERGENCY MEDICAL SITUATION, THERE ARE PROCEDURES IN PLACE TO TRANSPORT THE INDIVIDUAL(S) TO THE NEAREST HOSPITAL WITH AN EMERGENCY DEPARTMENT. PART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT STARTING AT PAGE 14. PART V, SECTION B, LINE 13A: FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 400% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. PART I, LINE 6A: OUR PARENT, MCLAREN HEALTH CARE CORPORATION PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITAL. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $8,653,547 WAS INCLUDED IN FORM 990, PART IX, LINE 25 BUT SUBTRACTED WHEN CALCULATING SCH H, PART I, LINE 7, COL F.PART III, LINE 2:COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2 FROM THE INSTRUCTIONS. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. ANY SHORTFALLS REPORTED ARE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 9B: A FORMAL WRITTEN DEBT COLLECTION POLICY IS IN PLACE. THE COLLECTION POLICY WILL ASSESS A PATIENT'S ABILITY TO PAY FOR SERVICES INCLUDING METHODS OF PAYMENTS, ENTITLEMENT PROGRAMS, CHARITY CARE POLICIES, DISCOUNT POLICIES, INQUIRIES OF CREDIT REPORT AND OTHER AVAILABLE INFORMATION RELATIVE TO THE PATIENT'S FINANCIAL SITUATION. THE COLLECTION PROCESS BEGINS AT THE POINT OF SERVICE AND IS COMPLETED WHEN THE BALANCE IS RECONCILED AND MAY INCLUDE USE OF EXTERNAL COLLECTION AGENCIES AND OR ATTORNEY'S. PART VI, LINE 2: THE CHNA CORE TEAM REVIEWED HISTORICAL DATA AND PREVIOUS SURVEY FINDINGS. THESE REPORTS WERE HELPFUL IN STRUCTURING OUR CONVERSATIONS AND TO FURTHER UNDERSTAND THE HEALTH NEEDS OF OUR COMMUNITY AGAINST OTHERS THROUGHOUT THE STATE OF MICHIGAN. PART VI, LINE 3: ALL PATIENTS RECEIVE A COPY OF THEIR PATIENT RIGHTS UPON REGISTRATION AS A NEW PATIENT. PATIENTS ARE ASKED ABOUT HEALTH CARE COVERAGE WHEN SCHEDULING AN APPOINTMENT AND VERIFIED DURING THE PRE-REGISTRATION PROCESS. THOSE PATIENTS WITHOUT INSURANCE OR THAT ARE UNDERINSURED ARE THEN DIRECTED TO SPECIAL GRANT PROGRAMS OR TO A FINANCIAL COUNSELOR FOR APPLICATIONS TO OTHER PROGRAMS. PART VI, LINE 4: THE BARBARA ANN KARMANOS CANCER INSTITUTE AND BARBARA ANN KARMANOS CANCER HOSPITAL (KCC), HEADQUARTERED IN DETROIT, MICHIGAN (WAYNE COUNTY), REMAINS MICHIGAN'S ONLY HOSPITAL DEDICATED EXCLUSIVELY TO FIGHTING CANCER. KARMANOS IS ONE OF 72 NATIONAL CANCER INSTITUTE (NCI) DESIGNATED COMPREHENSIVE CANCER CENTERS IN THE UNITED STATES. KARMANOS IS THE LARGEST CANCER RESEARCH AND PROVIDER NETWORK IN MICHIGAN. IT HAS ONE OF THE LARGEST CLINICAL TRIALS PROGRAMS IN THE NATION, GIVING PATIENTS INNOVATIVE CANCER TREATMENTS AND THE NEWEST CANCER-FIGHTING DRUGS. IN 2023, KARMANOS CANCER CENTER SERVED 6,897 PATIENTS. ACROSS THE NETWORK, KARMANOS SERVES APPROXIMATELY 14,000 NEW PATIENTS ANNUALLY. THROUGH 16 NETWORK SITES, KARMANOS REACHES PATIENTS IN 47 COUNTIES IN MICHIGAN AND NORTHERN OHIO, INCLUDING URBAN, SUBURBAN AND RURAL POPULATIONS. THE PATIENTS SERVED WERE PREDOMINANTLY FEMALE AND THE RACES AND CULTURES REPRESENTED AT KARMANOS WERE, AMERICAN INDIAN/ESKIMO/ALEUT, ASIAN PACIFIC ISLANDER, BLACK, OTHER, SPANISH/HISPANIC, UNKNOWN, AND WHITE. A MAJORITY OF VISITS WERE COVERED BY MEDICARE, MEDICARE ADVANTAGE, BX TRUST, AND MEDICAID HMO INSURANCE PLANS. PART VI, LINE 5: KARMANOS PROVIDES CANCER EDUCATION TO MEDICAL PROFESSIONALS AND THE COMMUNITY. ANNUAL SYMPOSIUMS ARE HELD ON LUNG, BREAST, PROSTATE, GASTROINTESTINAL, AND GYNECOLOGIC CANCER. KARMANOS CANCER INSTITUTE'S ANNUAL CANCER SYMPOSIUM IS HELD FREE TO THE PUBLIC IN PERSON AND VIRTUALLY. PART VI, LINE 6: THE BARBARA ANN KARMANOS CANCER HOSPITAL PATIENT AND COMMUNITY EDUCATION DEPARTMENTS PROVIDE EDUCATION TO THE COMMUNITY THROUGH HEALTH FAIRS, CANCER PREVENTION, AND EARLY DETECTION PRESENTATIONS. PATIENTS RECEIVE SUPPORT THROUGHOUT ALL PHASES OF THEIR CANCER JOURNEY. CANCER EDUCATIONAL BOOKLETS FROM THE AMERICAN CANCER SOCIETY, LEUKEMIA AND LYMPHOMA SOCIETY, AND PANCREATIC CANCER ACTON NETWORK ARE PROVIDED FOR OUR PATIENTS, AND ARE AVAILABLE IN OUR EDUCATION AND RESOURCE CENTER (ERC). PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 LODGING 120 22480 N/A N/A TRAVEL AND MILEAGE 20 3744 N/A N/A TREATMENT ASSISTANCE 3778 1075321 N/A N/A PART I, LINE 2: MONITOR MONTHLY BY REVIEWING THE ACTIVITY AND MONTHLY ACCOUNT RECONCILIATIONS AND BY COMPARISON TO BUDGETS AND CONTRACTS. 0 1 0 0 0 0 0 1 0 PHIL INCARNATI BOARD MEMBER 0 2557928 0 1412352 0 6778083 0 0 0 35341 0 10783704 0 0 GEROLD BEPLER MD PHD FORMER BOARD MEMBER/PRESIDENT KCI 0 638063 0 254318 0 482547 0 0 0 17482 0 1392410 0 0 JEFFREY HOTALING PHYSICIAN MANAGER 579923 0 222063 0 270 0 19913 0 14 0 822183 0 0 0 SYED RAZA PHYSICIAN MANAGER 481141 0 226318 0 300 0 20861 0 14 0 728634 0 0 0 DAVID STERNBERG PHYSICIAN MANAGER 613737 0 900 0 450 0 22187 0 11432 0 648706 0 0 0 BRIAN GAMBLE PRESIDENT KCC 0 411835 0 92993 0 50050 0 59157 0 33878 0 647913 0 0 NATASHA ROBINETTE SERVICE CHIEF RADIOLOGY 525576 0 38462 0 1242 0 28298 0 14 0 593592 0 0 0 SUNIL BAJAJ RADIOLOGIST 525222 0 0 0 1980 0 28063 0 14 0 555279 0 0 0 KATHLEEN CAROLIN VP, CHIEF NURSING OFFICER 224874 0 54895 0 6191 0 27976 0 5723 0 319659 0 0 0 CHRISTOPHER D GRAUNSTADT VP, OPERATIONS 233033 0 55555 0 810 0 6494 0 14 0 295906 0 0 0 GEORGE H YOO MD CHIEF MEDICAL OFFICER 0 0 174417 0 0 0 0 0 2 0 174419 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. 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. LAURA DUPREY DAUGHER-IN-LAW OF DAVID DUPREY, BOARD MEMBER 54206 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF BARBARA ANN KARMANOS CANCER HOSPITAL IS THE BARBARA ANN KARMANOS CANCER INSTITUTE. FORM 990, PART VI, SECTION A, LINE 7A BARBARA ANN KARMANOS CANCER INSTITUTE, THE SOLE MEMBER, HAS THE POWER TO RECOMMEND AND NOMINATE CANDIDATES FOR THE BARBARA ANN KARMANOS CANCER HOSPITAL BOARD OF DIRECTORS. THE MEMBER MAY ALSO REMOVE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B BARBARA ANN KARMANOS CANCER INSTITUTE, SOLE MEMBER OF BARBARA ANN KARMANOS CANCER HOSPITAL, 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 HOSPITAL, 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 2023. FORM 990, PART VI, SECTION C, LINE 19 THE BARBARA ANN KARMANOS CANCER HOSPITAL GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII AND SCHEDULE J THIS FY 2023 RETURN IS BEING AMENDED TO PROPERLY CATEGORIZE COMPENSATION AND HOURS ON PART VII AND SCHEDULE J. FORM 990, PART IX, LINE 11G PURCHASED SERVICES - DMC & WSU: PROGRAM SERVICE EXPENSES 87,237,018. MANAGEMENT AND GENERAL EXPENSES 1,266,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,503,039. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 2,840,416. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,840,416. CLINICAL TRIALS: PROGRAM SERVICE EXPENSES 16,161,494. MANAGEMENT AND GENERAL EXPENSES 238,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,400,036. OTHER: PROGRAM SERVICE EXPENSES 7,338,165. MANAGEMENT AND GENERAL EXPENSES 13,161,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,499,699. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED PARTIES 76,603,315. FORM 990, PART XII, 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 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