Civic Intelligence

Barbara Ann Karmanos Cancer Hospital

EIN 20-1649466 • 501(c)3 • Detroit, MI

Profile

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.

4100 John RDetroit, MI 48201-2013

www.karmanos.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.68x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

33rd percentile

0.28x

Higher debt load relative to revenue than 33% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

67th percentile

11%

Higher net margin than 67% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

99th percentile

$11,859,773

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

6th percentile

-12%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

77th percentile

22%

Faster revenue growth than 77% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$237,115,927

Down $31,641,029 (-12%) from 2023

Liabilities

Up

$160,957,806

Up $48,338,280 (+43%) from 2023

Net Assets

Down

$76,158,121

Down $79,979,309 (-51%) from 2023

Revenue

Up

$572,612,251

Up $103,702,128 (+22%) from 2023

Expenses

Up

$509,449,475

Up $74,763,423 (+17%) from 2023

Net Income

Up

$63,162,776

Up $28,938,705 (+85%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $76,644,563Liabilities 2010: $54,320,061Net Assets 2010: $22,324,5022010Assets 2011: $76,384,436Liabilities 2011: $50,517,954Net Assets 2011: $25,866,4822011Assets 2012: $86,490,552Liabilities 2012: $55,335,941Net Assets 2012: $31,154,6112012Assets 2013: $98,170,852Liabilities 2013: $57,459,857Net Assets 2013: $40,710,9952013Assets 2014: $124,451,413Liabilities 2014: $58,407,654Net Assets 2014: $66,043,7592014Assets 2015: $131,637,026Liabilities 2015: $56,608,476Net Assets 2015: $75,028,5502015Assets 2016: $145,859,370Liabilities 2016: $50,885,661Net Assets 2016: $94,973,7092016Assets 2017: $156,959,876Liabilities 2017: $41,095,204Net Assets 2017: $115,864,6722017Assets 2018: $199,390,031Liabilities 2018: $71,785,275Net Assets 2018: $127,604,7562018Assets 2019: $225,571,437Liabilities 2019: $81,580,631Net Assets 2019: $143,990,8062019Assets 2020: $267,671,466Liabilities 2020: $103,036,830Net Assets 2020: $164,634,6362020Assets 2021: $299,240,270Liabilities 2021: $113,844,349Net Assets 2021: $185,395,9212021Assets 2022: $204,595,141Liabilities 2022: $159,560,870Net Assets 2022: $45,034,2712022Assets 2023: $268,756,956Liabilities 2023: $112,619,526Net Assets 2023: $156,137,4302023Assets 2024: $237,115,927Liabilities 2024: $160,957,806Net Assets 2024: $76,158,1212024

Highlighted filing

2024

Assets$237,115,927
Liabilities$160,957,806
Net Assets$76,158,121

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$800M$600M$400M$200M$0Expenses 2010: $571,980,8112010Expenses 2011: $604,078,0462011Expenses 2012: $633,054,0342012Expenses 2013: $658,053,3682013Revenue 2014: $102,742,599Expenses 2014: $96,862,602Net Income 2014: $5,879,9972014Revenue 2015: $254,650,074Expenses 2015: $247,121,607Net Income 2015: $7,528,4672015Revenue 2016: $274,943,986Expenses 2016: $253,714,105Net Income 2016: $21,229,8812016Revenue 2017: $269,558,040Expenses 2017: $248,023,927Net Income 2017: $21,534,1132017Revenue 2018: $279,850,206Expenses 2018: $267,682,164Net Income 2018: $12,168,0422018Revenue 2019: $304,637,537Expenses 2019: $288,041,032Net Income 2019: $16,596,5052019Revenue 2020: $324,568,138Expenses 2020: $304,003,178Net Income 2020: $20,564,9602020Revenue 2021: $374,893,071Expenses 2021: $354,322,783Net Income 2021: $20,570,2882021Revenue 2022: $402,469,972Expenses 2022: $377,588,451Net Income 2022: $24,881,5212022Revenue 2023: $468,910,123Expenses 2023: $434,686,052Net Income 2023: $34,224,0712023Revenue 2024: $572,612,251Expenses 2024: $509,449,475Net Income 2024: $63,162,7762024

Highlighted filing

2024

Revenue$572,612,251
Expenses$509,449,475
Net Income$63,162,776

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$237$161$76.2$573$509$63.2
2023Detailed filing. Detailed filing data is available for this year.$269$113$156$469$435$34.2
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$205$160$45.0$402$378$24.9
2021Detailed filing. Detailed filing data is available for this year.$299$114$185$375$354$20.6
2020Detailed filing. Detailed filing data is available for this year.$268$103$165$325$304$20.6
2019Detailed filing. Detailed filing data is available for this year.$226$81.6$144$305$288$16.6
2018Detailed filing. Detailed filing data is available for this year.$199$71.8$128$280$268$12.2
2017Detailed filing. Detailed filing data is available for this year.$157$41.1$116$270$248$21.5
2016Detailed filing. Detailed filing data is available for this year.$146$50.9$95.0$275$254$21.2
2015Detailed filing. Detailed filing data is available for this year.$132$56.6$75.0$255$247$7.53
2014Summary only. Only limited summary data is available for this year.$124$58.4$66.0$103$96.9$5.88
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$98.2$57.5$40.7$658
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$86.5$55.3$31.2$633
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.4$50.5$25.9$604
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.6$54.3$22.3$572
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 5, 2025
Return Version
2023v6.0
Gross Receipts
$574,651,335
Mission and Program Overview

Mission

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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$72,892,995$89,786,052▲ $16,893,057
Land, Buildings, and Equipment, Net$86,923,498$85,088,969▼ $1,834,529
Cash and Non-Interest-Bearing Accounts$15,186,959$20,960,529▲ $5,773,570
Inventories for Sale or Use$12,817,859$13,882,107▲ $1,064,248
Pledges and Grants Receivable$5,609,040$5,799,231▲ $190,191
Prepaid Expenses and Deferred Charges$1,099,290$2,217,367▲ $1,118,077
Investments Other Securities$2,198,353$2,198,353→ $0
Total Assets$268,756,956$237,115,927▼ $31,641,029
Other Assets Total$72,028,962$17,183,319▼ $54,845,643
Liabilities
Accounts Payable and Accrued Expenses$68,351,187$91,580,703▲ $23,229,516
Mortgage Notes Payable Secured by Investment Property$38,054,462$37,628,759▼ $425,703
Other Liabilities$5,791,354$30,625,883▲ $24,834,529
Deferred Revenue$422,523$1,122,461▲ $699,938
Total Liabilities$112,619,526$160,957,806▲ $48,338,280
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$155,471,326$75,551,729▼ $79,919,597
Net Assets With Donor Restrictions$666,104$606,392▼ $59,712
Total Net Assets Fund Balance$156,137,430$76,158,121▼ $79,979,309
Total Liabilities and Net Assets / Fund Balance$268,756,956$237,115,927▼ $31,641,029

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$49,713,331$21,335,383$71,048,714
Equipment$16,125,082$33,076,780$49,201,862
Leasehold Improvements$8,168,335$4,840,978$13,009,313
Other Land Buildings$3,981,647$4,366,736$8,348,383
Land$7,100,574-$7,100,574
Other Assets Org$7,247,397--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Syed RazaPhysician ManagerFT$302,346$742,252$1,044,598
Jeffrey HotalingPhysician ManagerFT$579,038$427,741$1,006,779
Natasha RobinetteService Chief RadiologyFT$637,220$67,602$704,822
David SternbergPhysician ManagerFT$617,131$30,492$647,623
Hussein AounRadiologistFT$598,900$43,774$642,674
Christopher D GraunstadtVP, OperationsFT$252,569$93,598$346,167
Kathleen CarolinVP, Chief Nursing OfficerFT$236,159$81,833$317,992
Jacob BurmeisterChief of PhysicsFT$253,237$47,164$300,401
Stephen SmithVP Chief Pharmacy OfficerFT$205,998$65,088$271,086
George H Yoo MdChief Medical OfficerFT$182,980$182,980$182,980
Timothy MonahanBoard Member--$36,000$36,000

Board Members and Trustees

NameTitle
Scott HunterBoard Member/chair
Boris Pasche MdBoard Member/president Kci
Brian GamblePresident Kcc
Daniel RetBoard Member
David E DupreyBoard Member
Geaneen M ArendsBoard Member
Kimberly EspyBoard Member
Michael DuhaimeBoard Member
Philip IncarnatiBoard Member
Shari Ferber-kaufmanBoard Member
Sylvester HesterBoard Member
Tom KalasBoard Member
Wael SakrBoard Member
Abhinav Deol MdBoard Member - Part Year
Jim BennethumBoard Member - Part Year
Karen CullenBoard Member - Part Year
Myron FrasierBoard Member - Part Year
Regina DoxtaderVP CFO & Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$83,144
Program Service Revenue
$569,368,319
Investment Income
$1,459,527
Other Revenue
$1,701,261
All Other Contributions
$22,225
Change in Net Assets
$63,162,776
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$383,582,692
Salaries, Compensation, and Employee Benefits$124,913,840
Grants and Similar Amounts Paid$952,943
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$116,231,277$18,032,399-$134,263,676
Other Salaries and Wages$85,777,216$17,358,662-$103,135,878
Other Employee Benefits$7,620,228$3,943,622-$11,563,850
Depreciation Depletion$8,886,330$2,333,662-$11,219,992
Occupancy$10,209,211$130,718-$10,339,929
Information Technology-$7,609,220-$7,609,220
Other Expenses$6,529,663--$6,529,663
Payroll Taxes$5,559,878$94,508-$5,654,386
Pension Plan Contributions$2,811,173$28,070-$2,839,243
Interest$1,337,730$405,953-$1,743,683
Current Officers, Directors, Trustees, and Key Employees$1,118,197$602,286-$1,720,483
Office Expenses$1,534,777$84,175-$1,618,952
Insurance-$1,118,324-$1,118,324
Grants to Domestic Individuals$952,943--$952,943
All Other Expenses$241,992$108,047-$350,039
Fees for Services Legal-$209,200-$209,200
Travel$86,838$6,468-$93,306
Conferences and Meetings$46,791$3,035-$49,826
Fees for Services Accounting-$44,316-$44,316
Advertising$8,176$26,137-$34,313
Fees for Services Lobbying-$5,159-$5,159
Total Functional Expenses$457,305,514$52,143,961$0$509,449,475
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Laura DupreyDaugher-in-law of David Duprey, Board MemberEmployee CompensationNo$83,011
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Mclaren Entities Due From$23,539,741
Retirement 457b$3,679,562
Malpractice Insurance Reserve$3,311,036
Medical Staff Funds$95,544
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 2024.

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.

Filing and Contact Details

Filer

Filer Name
Barbara Ann Karmanos Cancer Hospital
EIN
20-1649466
Phone
8005276266
Address
4100 JOHN R, DETROIT, MI 48201-2013
Doing Business As
Karmanos Cancer Center

Signing Officer

Name
Regina Doxtader
Title
VP CFO
Phone
8005276266
Signed
2025-08-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Boris Pasche Md Phd
Formed
2004
Legal Domicile
Mi
Voting Board Members
15
Independent Board Members
10
Employees
1,125
Volunteers
8

Preparer

Firm
Plante & Moran Pllc
Address
3000 TOWN CENTER SUITE 100, SOUTHFIELD, MI 48075
Preparer
Amy Ciminello
Phone
2483522500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services - dmc & wsu: program service expenses 89,807,925. Management and general expenses 4,443,616. Fundraising expenses 0. Total expenses 94,251,541. Repairs and maintenance: program service expenses 2,225,909. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,225,909. Clinical trials: program service expenses 16,951,493. Management and general expenses 218,388. Fundraising expenses 0. Total expenses 17,169,881. Other: program service expenses 7,245,950. Management and general expenses 13,370,395. Fundraising expenses 0. Total expenses 20,616,345.

FORM 990, PART XI, LINE 9:

Transfer to related parties -143,591,696. Adjustment for joint venture income recorded at cost per books -230,967.

FORM 990, PART XII, LINE 2C:

This process has not changed from the prior year.

Raw XML AppendixShowing 400 of 1,844 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2PHYSICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT KCC
IRS990/Form990PartVIISectionAGrp/TitleTxt4SERVICE CHIEF RADIOLOGY
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt6RADIOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt7VP CFO & SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt8VP, OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt9VP, CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHIEF OF PHYSICS
IRS990/Form990PartVIISectionAGrp/TitleTxt11VP CHIEF PHARMACY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER/PRESIDENT KCI
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF MEDICAL OFFICER
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IRS990/MissionDesc0THE 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.
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