2026-08-07T16:07:13+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 995 YARD STREET SUITE 450 GRANDVIEW HEIGHTS OH 43212 990 2024-10-01 201649466 BARBARA ANN KARMANOS CANCER HOSPITAL BARB 8005276266 4100 JOHN R DETROIT MI 482012013 BORIS PASCHE MD PHD PRESIDENT 3135768567 2026-08-07 true AMY TOPALOV CPA P00796388 6148493000 2026-08-04 2024 2025-03-06 01:10:19Z KARMANOS CANCER CENTER BORIS PASCHE MD PHD 4100 JOHN R DETROIT MI 482012013 606826459 false 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. 18 13 1156 13 264165 51661 83144 12431 569368319 602719774 1459527 2591931 1701261 1502323 572612251 606826459 952943 592835 0 124913840 149680230 0 0 0 383582692 400778067 509449475 551051132 63162776 55775327 237115927 239417405 160957806 155044034 76158121 84373371 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. false false 400252250 463409 469224612 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 2024 TO SEPTEMBER 2025, THE FOLLOWING OUTPATIENT STATISTICS WERE REPORTED: CLINICAL ENCOUNTERS 66,637; INFUSION PATIENT ENCOUNTERS 34,405; IMAGING ENCOUNTERS 45,569; PHERESIS PATIENT ENCOUNTERS 577; INPATIENT AND OUTPATIENT RADIATION ONCOLOGY ENCOUNTERS 25,325; AND OUTPATIENT SURGERIES 1,543. 76367129 88715 104228129 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 2024 TO SEPTEMBER 2025, KARMANOS HAD 20,987 PATIENT DAYS AND 2,359 DISCHARGES FOR AN AVERAGE LENGTH OF STAY OF 8.90 DAYS. IN ADDITION, THERE WERE 188 BONE MARROW TRANSPLANTS, 1,089 INPATIENT SURGERIES, AND 7,520 INPATIENT IMAGING ENCOUNTERS. 23445397 40711 29267033 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 2024 TO SEPTEMBER 30, 2025, KCC HAD 4,249 PHASE 1 INFUSION PATIENT VISITS, 265 ACTIVE CLINICAL DRUG TRIALS; 297 PATIENTS WILLING TO PARTICIPATE IN CLINICAL PROGRAMS, AND 483 ELIGIBLE AND REGISTERED PARTICIPANTS. 500064776 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false true true false false false false false true false false true false false false false false false true false false false false true 0 0 1156 true true true false false false false false false false false false false false X 18 13 false false false false true true true true true false false false false true true true true true false true true true X REGINA DOXTADER 3135768567 4100 JOHN R DETROIT MI 482012013 X BORIS PASCHE MD BOARD MEMBER/PRESIDENT KCI 21.0 20.0 X X 0 735782 18785 BRIAN GAMBLE PRESIDENT KCC 41.0 0.0 X X 0 1040039 55000 GEORGE H YOO MD BOARD MEMBER/CHIEF MEDICAL OFFICER 41.0 0.0 X X 197302 0 0 SCOTT HUNTER BOARD MEMBER/CHAIR 1.0 1.0 X X 0 0 0 DANIEL RET BOARD MEMBER 1.0 1.0 X 0 0 0 DAVID E DUPREY BOARD MEMBER 1.0 0.0 X 0 0 0 DEBORAH SAVOIE BOARD MEMBER 1.0 1.0 X 0 0 0 DEBRA PATRICH BOARD MEMBER 1.0 1.0 X 0 0 0 GEANEEN M ARENDS BOARD MEMBER 1.0 1.0 X 0 0 0 HUSSEIN AOUN BOARD MEMBER 1.0 0.0 X 0 0 0 KELLEY LAFONTAINE BOARD MEMBER 1.0 1.0 X 0 0 0 KIMBERLY ESPY BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL DUHAIME BOARD MEMBER 1.0 1.0 X 0 0 0 PHILIP INCARNATI BOARD MEMBER 1.0 46.0 X 0 12956846 79753 SHARI FERBER-KAUFMAN BOARD MEMBER 1.0 1.0 X 0 0 0 SYLVESTER HESTER BOARD MEMBER 1.0 0.0 X 0 0 0 TIMONTHY MONAHAN BOARD MEMBER 1.0 2.0 X 0 39500 0 TOM KALAS BOARD MEMBER 1.0 1.0 X 0 0 0 WAEL SAKR BOARD MEMBER - PART YEAR 1.0 1.0 X 0 0 0 REGINA DOXTADER VP CFO & SECRETARY 20.0 20.0 X 0 427422 41684 CHRISTOPHER D GRAUNSTADT VP, OPERATIONS 40.0 0.0 X 342809 0 36801 JACOB BURMEISTER CHIEF OF PHYSICS 40.0 0.0 X 311411 0 14028 JOSE SALDIVAR DIR FACILITIES MAINTENANCE 40.0 0.0 X 169032 0 37413 KATHLEEN CAROLIN VP, CHIEF NURSING OFFICER - PART YEAR 40.0 0.0 X 309066 0 22410 KATHLEEN FEDORONKO VP, CHIEF NURSING OFFICER 40.0 0.0 X 223327 0 63080 STEPHEN SMITH VP CHIEF PHARMACY OFFICER 40.0 0.0 X 230660 0 10950 SURENDER KANAPARTHI VP CHIEF PHARMACY OFFICER 40.0 0.0 X 156017 0 10247 DAVID STERNBERG PHYSICIAN MANAGER 40.0 0.0 X 705867 0 32889 EVITA SINGH RADIOLOGIST 40.0 0.0 X 658621 0 32937 JEFFREY HOTALING PHYSICIAN MANAGER 40.0 0.0 X 1329696 0 17264 NATASHA ROBINETTE SERVICE CHIEF RADIOLOGY 40.0 0.0 X 716173 0 17264 SYED RAZA PHYSICIAN MANAGER 40.0 0.0 X 1337224 0 34239 6687205 15199589 524744 255 false true false 0 12431 12431 OUTPATIENT MEDICAL SERVICES 621400 317331757 317331757 AMBULATORY/SPECIALTY PHARMACIES 900099 139564732 139564732 INPATIENT MEDICAL SERVICES 621110 104228129 104228129 DRUG CLINICAL STUDIES 900099 29267033 29267033 PROFESSIONAL MEDICAL SERVICES 621400 10419192 10419192 1908931 1908931 0 0 602719774 2591931 2591931 0 0 0 0 QUALITY IMPROVEMENT AND SHARE SAVINGS 900099 1148200 1148200 JV INCOME 531390 264165 264165 MEDICAL STAFF DUES 900099 79828 79828 10130 0 0 10130 1502323 606826459 602719774 264165 3830089 X 592835 592835 2027262 1474752 552510 125162400 106994237 18168163 3437097 3396906 40191 12269704 9041675 3228029 6783767 6687230 96537 283307 283307 45417 45417 6647 6647 115396503 97915620 17480883 0 117166 53180 63986 1544016 1453290 90726 6937498 6937498 11513375 11265302 248073 182872 151827 31045 81379 46943 34436 1752208 1343944 408264 9033400 6723981 2309419 864873 864873 DRUGS 211443574 211443574 QAAP TAXES 17154457 17154457 BAD DEBT EXPENSE 16151554 16151554 MEDICAL/SURGICAL SUPPLIES 7857106 7857106 412715 316363 96352 0 551051132 500064776 50986356 0 20960529 4183805 5799231 7636366 89786052 95496711 0 525745 0 0 13882107 15828826 2217367 2553434 156379797 70424014 85088969 85955783 2198353 2198353 0 17183319 25038382 237115927 239417405 91580703 110969374 1122461 1231909 0 0 37628759 38258078 30625883 4584673 160957806 155044034 X 75551729 83736618 606392 636753 76158121 84373371 237115927 239417405 X 55775327 -47560077 X X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6647 6647 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF MEMBERSHIP DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION TO SUPPORT LOBBYING ACTIVITIES. 7100574 7100574 71588781 23462221 48126560 17089711 5894532 11195179 53885914 36429349 17456565 6714817 4637912 2076905 85955783 RETIREMENT 457B INVESTMENTS 4584673 RESTRICTED CASH 636753 INTEREST RECEIVABLE 606 ESCROW FUNDS 123048 BED LICENSES 150000 NON-PATIENT RECEIVABLES 4271918 NET RIGHT OF USE ASSET 7805562 DUE FROM MCLAREN ENTITIES 7465822 25038382 FEDERAL INCOME TAXES RETIREMENT 457B 4584673 4584673 true true X true X 400 true X true true true false true true 1883001 1883001 0.00352 96517494 82611319 13906175 0.02600 0 0.0 0 0 98400495 82611319 15789176 0.02952 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 98400495 82611319 15789176 0.02952 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 16151554 56171588 55488253 683335 X true true 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 false false true X X X X X X X X X 24 true false false true X HTTPS://TINYURL.COM/YAWXCY14 X true 24 true HTTPS://TINYURL.COM/YAWXCY14 false true X 400.0 400.0 X X X true true X X X true X HTTPS://TINYURL.COM/43WYY8FX X HTTPS://TINYURL.COM/43WYY8FX X HTTPS://TINYURL.COM/43WYY8FX X X X X X X true X false X X X X false X X X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - BARBARA ANN KARMANOS CANCER HOSPITAL: PART V, SECTION V, LINE 5:. THE CHNA TEAM COLLECTED COMMUNITY INPUT AT VARIOUS COMMUNITY EVENTS FROM 2021 TO 2023. THE 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 SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - BARBARA ANN KARMANOS CANCER HOSPITAL:. 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). SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - BARBARA ANN KARMANOS CANCER HOSPITAL:. 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. SCHEDULE H, PART V, SECTION B, LINE 21 FACILITY , 1 FACILITY , 1 - BARBARA ANN KARMANOS CANCER HOSPITAL:. 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. 0 SCHEDULE H, PART V, SECTION B, LINE 13 ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE 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. SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG INCOME CRITERIA IS BASED ON A 400% FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. SCHEDULE H, PART I, LINE 7F BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION BAD DEBT EXPENSE OF $16,151,554 WAS INCLUDED IN FORM 990, PART IX, LINE 25 BUT SUBTRACTED WHEN CALCULATING SCH H, PART I, LINE 7, COL F. SCHEDULE H, PART VI DURING AN IRS EXAMINATION OF THE ORGANIZATION'S COMPLIANCE WITH IRC § 501(R) FOR THE TAXABLE YEAR ENDED SEPTEMBER 30, 2022, THE ORGANIZATION RESOLVED CERTAIN MATTERS RELATING TO ITS FINANCIAL ASSISTANCE POLICY AND PROVIDER LIST. THE ORGANIZATION REVISED ITS FINANCIAL ASSISTANCE POLICY AND PROVIDER LIST TO CLARIFY ELIGIBILITY CRITERIA, POSTED THE REVISED POLICIES ON ITS WEBSITE, AND ALSO RESTORED AFFECTED INDIVIDUALS AS APPROPRIATE, SO THAT THEY PAID NO MORE THAN THE AMOUNT FOR WHICH A FINANCIAL-ASSISTANCE-ELIGIBLE INDIVIDUAL WOULD BE PERSONALLY RESPONSIBLE. THE IRS ACCEPTED THE ORGANIZATION'S FORM 990 AS FILED. A RELATED MATTER CONCERNING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WAS SUBSEQUENTLY RESOLVED THROUGH THE IRS INDEPENDENT OFFICE OF APPEALS, WHO CLOSED THE CASE WITH NO DEFICIENCY, OVERASSESSMENT, OR FURTHER ACTION REQUIRED. NO EXCISE TAX UNDER IRC § 4959 WAS ULTIMATELY ASSESSED. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION OUR PARENT, MCLAREN HEALTH CARE CORPORATION PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITAL. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS IN THE LINE 7 TABLE FOR LINES 7A-7D. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE 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. THE CORPORATION'S PATIENT ACCOUNTS RECEIVABLE BALANCE CONSISTS OF AMOUNTS DUE FROM ITS PATIENTS AND THIRD-PARTY PAYORS. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT EXPECTED NET REALIZABLE AMOUNTS. AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNT EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE CORPORATION EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON SIMILAR RISK CHARACTERISTICS THAT EXIST WITHIN CERTAIN CLASSES OF PAYORS. THE CORPORATION CALCULATES THE ALLOWANCE USING AN EXPECTED LOSS MODEL THAT CONSIDERS THE CORPORATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE CORPORATION CONSIDERS MARKET TRENDS, FUTURE ECONOMIC CONDITIONS, AND CREDIT RATINGS OF ITS PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR CREDIT LOSSES IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF ARE RECOGNIZED WHEN RECEIVED SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT, WHICH DO NOT SHOW A SHORTFALL. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE 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. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - BARBARA ANN KARMANOS CANCER HOSPITAL: LINE 16A URL: HTTPS://TINYURL.COM/43WYY8FX; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - BARBARA ANN KARMANOS CANCER HOSPITAL: LINE 16B URL: HTTPS://TINYURL.COM/43WYY8FX; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - BARBARA ANN KARMANOS CANCER HOSPITAL: LINE 16C URL: HTTPS://TINYURL.COM/43WYY8FX; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT 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. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION 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. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH 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. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM 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). SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT MI true LODGING 252 33896 0 N/A N/A TRAVEL AND MILEAGE 45 1092 0 N/A N/A TREATMENT ASSISTANCE 2689 557847 0 N/A N/A SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS MONITOR MONTHLY BY REVIEWING THE ACTIVITY AND MONTHLY ACCOUNT RECONCILIATIONS AND BY COMPARISON TO BUDGETS AND CONTRACTS. false true false false false false false true false BORIS PASCHE MD BOARD MEMBER/PRESIDENT KCI 0 462885 0 0 0 272897 0 4121 0 14664 0 754567 0 0 BRIAN GAMBLE PRESIDENT KCC 0 462613 0 250000 0 327426 0 4409 0 50591 0 1095039 0 0 GEORGE H YOO MD BOARD MEMBER/CHIEF MEDICAL OFFICER 0 0 197302 0 0 0 0 0 0 0 197302 0 0 0 PHILIP INCARNATI BOARD MEMBER 0 2847015 0 1733910 0 8375921 0 24927 0 54826 0 13036599 0 0 REGINA DOXTADER VP CFO & SECRETARY 0 353600 0 71500 0 2322 0 17250 0 24434 0 469106 0 0 CHRISTOPHER D GRAUNSTADT VP, OPERATIONS 282488 0 59511 0 810 0 36787 0 14 0 379610 0 0 0 JACOB BURMEISTER CHIEF OF PHYSICS 272077 0 38092 0 1242 0 14014 0 14 0 325439 0 0 0 KATHLEEN CAROLIN VP, CHIEF NURSING OFFICER - PART YEAR 246071 0 58804 0 4191 0 14583 0 7827 0 331476 0 0 0 STEPHEN SMITH VP CHIEF PHARMACY OFFICER 177382 0 51576 0 1702 0 10936 0 14 0 241610 0 0 0 KATHLEEN FEDORONKO VP, CHIEF NURSING OFFICER 195424 0 25581 0 2322 0 38646 0 24434 0 286407 0 0 0 SURENDER KANAPARTHI VP CHIEF PHARMACY OFFICER 155769 0 0 0 248 0 0 0 10247 0 166264 0 0 0 JOSE SALDIVAR DIR FACILITIES MAINTENANCE 147719 0 20280 0 1033 0 12979 0 24434 0 206445 0 0 0 SYED RAZA PHYSICIAN MANAGER 300000 0 1036774 0 450 0 17250 0 16989 0 1371463 0 0 0 JEFFREY HOTALING PHYSICIAN MANAGER 473269 0 856127 0 300 0 17250 0 14 0 1346960 0 0 0 NATASHA ROBINETTE SERVICE CHIEF RADIOLOGY 530767 0 184164 0 1242 0 17250 0 14 0 733437 0 0 0 DAVID STERNBERG PHYSICIAN MANAGER 681977 0 23200 0 690 0 17250 0 15639 0 738756 0 0 0 EVITA SINGH RADIOLOGIST 546309 0 112012 0 300 0 32923 0 14 0 691558 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS MCLAREN HEALTH CARE CORPORATION (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND MANAGERS. 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. SCHEDULE J, 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. SCHEDULE J, 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. JEFFREY HOTALING HIGHEST PAID EMPLOYEE PAYMENTS TREATED AS LOANS FOR MCAP PROGRAM X 68558 70450 false true true NATASHA ROBINETTE HIGHEST PAID EMPLOYEE PAYMENTS TREATED AS LOANS FOR MCAP PROGRAM X 424523 455295 false true true 525745 LAURA DUPREY DAUGHTER IN LAW OF DAVID DUPREY, BOARD MEMBER 111148 EMPLOYEE COMPENSATION false FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF BARBARA ANN KARMANOS CANCER HOSPITAL IS THE BARBARA ANN KARMANOS CANCER INSTITUTE. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY 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, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS 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, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY 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 THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHC). COPIES OF THE RETURNS ARE MADE AVAILABLE TO THE MHC 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 OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY 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, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES 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 2025. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE BARBARA ANN KARMANOS CANCER HOSPITAL GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE ALL OTHER - TOTAL REVENUE: 1908931, RELATED OR EXEMPT FUNCTION REVENUE: 1908931, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE PURCHASE DISCOUNT - TOTAL REVENUE: 9731, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 9731; MEDICAL RECORDS - TOTAL REVENUE: 399, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 399; FORM 990, PART IX, LINE 11G OTHER FEES PURCHASED SERVICES - DMC & WSU - TOTAL EXPENSE: 90602735, PROGRAM SERVICE EXPENSE: 87921136, MANAGEMENT AND GENERAL EXPENSES: 2681599, FUNDRAISING EXPENSES: 0; REPAIRS AND MAINTENANCE - TOTAL EXPENSE: 4364682, PROGRAM SERVICE EXPENSE: 3987782, MANAGEMENT AND GENERAL EXPENSES: 376900, FUNDRAISING EXPENSES: 0; CLINICAL TRIALS - TOTAL EXPENSE: 1932734, PROGRAM SERVICE EXPENSE: 1731131, MANAGEMENT AND GENERAL EXPENSES: 201603, FUNDRAISING EXPENSES: 0; OTHER - TOTAL EXPENSE: 18496352, PROGRAM SERVICE EXPENSE: 4275571, MANAGEMENT AND GENERAL EXPENSES: 14220781, FUNDRAISING EXPENSES: 0; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO RELATED PARTIES - -47295912; ADJUSTMENT FOR JOINT VENTURE INCOME RECORDED AT COST PER BOOKS - -264165; TOTAL - -47560077; FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS 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) TYPE I MCLAREN BAY REGION true MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) TYPE I MCLAREN BAY REGION true MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) 3 MCLAREN BAY REGION true MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) 10 MCLAREN NORTHERN MICHIGAN true KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) 7 BARBARA ANN KARMANOS CANCER INSTITUTE true 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