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      <OtherExpensesGrp>
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        <EOYAmt>9017</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>3858901</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>19412247</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>21200</CurrentTaxYearMinus1YearAmt>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <ZIPCode>RESTRICTED</ZIPCode>
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        <EndYearBalanceAmt>171704</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
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      <BuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>541847</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
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      <TotalLiabilityAmt>8718</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4 - Intended Uses for Endowment Funds</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has designated certain investments as an endowment. The Organization intends to allow the endowment investment to grow until it reaches $250,000 at which time income can be used for operating expenses or other programs and projects.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>Akron Children's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Akron</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
        </USAddress>
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      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Corwell Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Michigan</AddressLine1Txt>
          <CityNm>Grand Rapids</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49503</ZIPCd>
        </USAddress>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Dayton Children's Hospital</BusinessNameLine1Txt>
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          <CityNm>Dayton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45404</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>Medical Services</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Henry Ford Health Systems</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Hurley Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Flint</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48503</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>Medical Services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Indiana Hemophilia and Thrombosis Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Indianapolis</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46260</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>Medical Services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Karmanos Cancer Institute</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4201 St Antoine</AddressLine1Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Michigan State University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2900 Hannah Blvd</AddressLine1Txt>
          <CityNm>East Lansing</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
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        </USAddress>
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        <PurposeOfGrantTxt>Medical Services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Munson Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1105 Sixth Street</AddressLine1Txt>
          <CityNm>Traverse City</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49684</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>Medical Services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ohio State University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>320 W 10th Ave</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43210</ZIPCd>
        </USAddress>
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        <CashGrantAmt>41187</CashGrantAmt>
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        <PurposeOfGrantTxt>Medical Services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Promedica Toledo Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2150 W Central Ave</AddressLine1Txt>
          <CityNm>Toledo</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HFM provides funding to Hemophilia Treatment Centers (HTCs) in Indiana, Michigan, and Ohio. Hemophilia Treatment Centers increases access to care and provides integrated services to children and adults with rare, bleeding disorders. HFM also provides financial assistance to families impacted by bleeding disorders. Funds are used to pay for housing, utilities, mobility assistance devices, and car repairs and maintenance. Those with bleeding disorders and/or have immediate family with a bleeding disorder are welcome to submit an online application for an academic scholarship to help fund their post-secondary education. The HFM Scholarship Review Committee grades each application with a rubric. The two highest scoring applicants are then awarded the scholarships where funds are directly distributed to their respective schools.</ExplanationTxt>
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        <PersonNm>Gwyn Hulswit</PersonNm>
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        <ExplanationTxt>There is one class of members. They have the right to vote at all generalmembership meetings. Any individual failing to pay membership dues willforfeit his or her rights to vote in any membership matters. They elect themembers of the board of directors.</ExplanationTxt>
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        <ExplanationTxt>The executive director meets with the finance committee and presents the budget. As a part of the proposed budget, there are recommend salaryincreases for the staff. Salary increases are determined using a cost-of-living index, regional salaries for similar organizations, and personalcontacts with other nonprofit organizations. The treasurer presents the budget recommendation to the full board at the meeting in December. The budget is reviewed and approved including salary recommendation. The executive committee performs an annual evaluation of the executive director prior to the employment anniversary date and makes a salary recommendationusing comparison data from other similar organizations. Any salary increases are approved by the executive board and documented in the applicable minutes.</ExplanationTxt>
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