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          </USAddress>
          <TitleTxt>Business Manager</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>040.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>49833</CompensationAmt>
          <EmployeeBenefitsAmt>15889</EmployeeBenefitsAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>Deborah Whelan</PersonNm>
          <USAddress>
            <AddressLine1Txt>517 West William Street</AddressLine1Txt>
            <CityNm>Ann Arbor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48103</ZIPCd>
          </USAddress>
          <TitleTxt>Social Worker</TitleTxt>
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          <CompensationAmt>53994</CompensationAmt>
          <EmployeeBenefitsAmt>5399</EmployeeBenefitsAmt>
        </CompensationHighestPaidEmplGrp>
        <OtherEmployeePaidOver50kCnt>2</OtherEmployeePaidOver50kCnt>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Nelson Mullins Riley &amp; Scarborough LLP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO Drawer 11009</AddressLine1Txt>
            <CityNm>Columbia</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>292111009</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>Consulting</ServiceTypeTxt>
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        </CompensationOfHghstPdCntrctGrp>
      </OfficerDirTrstKeyEmplInfoGrp>
      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>Makes products available to hemophilia patients, assists patients without adequate insurance, works with manufacturers to obtain drugs under compassionate use policies, provides allied health services and grant contracts to organizations to provide medical care and allied health services.</Description1Txt>
        <Expenses1Amt>45675921</Expenses1Amt>
      </SummaryOfDirectChrtblActyGrp>
      <SumOfProgramRelatedInvstGrp>
        <Description1Txt>N/A</Description1Txt>
      </SumOfProgramRelatedInvstGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>20662153</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>20662153</TotalFMVOfUnusedAssetsAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>20662153</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt referenceDocumentId="990PF:166">20662153</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>0</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>0</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <Sect4942j3j5FndtnAndFrgnOrgInd>X</Sect4942j3j5FndtnAndFrgnOrgInd>
        <DistributableAsAdjustedAmt>0</DistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <QualifyingDistriPartXIIGrp>
        <ExpensesAndContributionsAmt referenceDocumentId="990PF:167">5859735</ExpensesAndContributionsAmt>
        <CharitableAssetsAcquisPaidAmt>39816186</CharitableAssetsAcquisPaidAmt>
        <QualifyingDistributionsAmt>45675921</QualifyingDistributionsAmt>
        <PctSect4940eOrgNetInvstIncmAmt>808</PctSect4940eOrgNetInvstIncmAmt>
        <AdjustedQualifyingDistriAmt>45675113</AdjustedQualifyingDistriAmt>
      </QualifyingDistriPartXIIGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>0</DistributableAsAdjustedAmt>
        <QualifyingDistributionsAmt>45675921</QualifyingDistributionsAmt>
        <RemainingDistriFromCorpusAmt>45675921</RemainingDistriFromCorpusAmt>
        <TotalCorpusAmt>45675921</TotalCorpusAmt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
      </UndistributedIncomeGrp>
      <PrivateOperatingFoundationsGrp>
        <Section4942j3Ind>X</Section4942j3Ind>
        <LessorAdjNetIncmMinInvstRetGrp>
          <CurrentYearAmt>0</CurrentYearAmt>
          <TotalAmt>0</TotalAmt>
        </LessorAdjNetIncmMinInvstRetGrp>
        <QualifyingDistributionsGrp>
          <CurrentYearAmt>45675921</CurrentYearAmt>
          <Year1Amt>50891525</Year1Amt>
          <Year2Amt>47570532</Year2Amt>
          <Year3Amt>38691418</Year3Amt>
          <TotalAmt>182829396</TotalAmt>
        </QualifyingDistributionsGrp>
        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>45675921</CurrentYearAmt>
          <Year1Amt>50891525</Year1Amt>
          <Year2Amt>47570532</Year2Amt>
          <Year3Amt>38691418</Year3Amt>
          <TotalAmt>182829396</TotalAmt>
        </QualifyingDistriMadeDrtGrp>
        <TotalAssetsGrp>
          <CurrentYearAmt>36232321</CurrentYearAmt>
          <Year1Amt>29037499</Year1Amt>
          <Year2Amt>25669159</Year2Amt>
          <Year3Amt>22526091</Year3Amt>
          <TotalAmt>113465070</TotalAmt>
        </TotalAssetsGrp>
        <TotalAssetsSect4942j3BiGrp>
          <CurrentYearAmt>36232321</CurrentYearAmt>
          <Year1Amt>29037499</Year1Amt>
          <Year2Amt>25669159</Year2Amt>
          <Year3Amt>22526091</Year3Amt>
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        </TotalAssetsSect4942j3BiGrp>
      </PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Akron Children's Hospital</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Perkins Square 5th Floor</AddressLine1Txt>
            <CityNm>Akron</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>443081062</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>203367</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Barbara Ann Karmanos Cancer Institute</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>4100 John R</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48201</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>211882</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Cincinnati Children's Hospital Medical Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3333 Burnet Avenue ML 7015</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45229</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>80373</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Helen DeVos Children's Coagulation Disorder's ProgramSpectrum Health</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>100 Michigan St NE MC 85</AddressLine1Txt>
            <CityNm>Grand Rapids</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>105310</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Henry Ford Hospital</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2799 West Grand Boulevard</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>164843</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hurley Medical Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Hurley Plaza 6W</AddressLine1Txt>
            <CityNm>Flint</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>485035993</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>154801</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Michigan State University</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2900 Hannah Blvd Suite 202</AddressLine1Txt>
            <CityNm>East Lansing</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>167068</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Nationwide Children's Hospital</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>700 Childrens Drive</AddressLine1Txt>
            <CityNm>Columbus</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>432052692</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>80476</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Northern Regional Bleeding Disorder Ctr</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1105 Sixth Street</AddressLine1Txt>
            <CityNm>Traverse City</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49684</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>233074</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Ohio State University Hemophilia Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>320 West 10th Avenue Room M414</AddressLine1Txt>
            <CityNm>Columbus</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43210</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>310279</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Toledo Children's Hospital Northwest Ohio Hemophilia Treatment Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2150 W Central Avenue</AddressLine1Txt>
            <CityNm>Toledo</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43606</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>110417</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University of Cincinnati</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>231 Albert Sabin Way ML 562</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452670562</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>80407</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University Hospitals of ClevelandCase Western</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>11100 Euclid Avenue</AddressLine1Txt>
            <CityNm>Cleveland</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44106</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>120902</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University of Michigan Hemophilia Treatment Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1500 East Medical Center Drive</AddressLine1Txt>
            <CityNm>Ann Arbor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481090235</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>100391</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University Pediatricians</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3901 Beaubien Blvd</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48201</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>231555</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>West Central Ohio Hemophilia Center at Dayton Children's</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Childrens Plaza</AddressLine1Txt>
            <CityNm>Dayton</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>454041815</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>114596</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>West Michigan Cancer Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>200 North Park Street</AddressLine1Txt>
            <CityNm>Kalamazoo</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49007</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>81050</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Central Ohio Chapter of the National Hemophilia Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>P O Box 345</AddressLine1Txt>
            <CityNm>Worthington</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>430850345</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Camperships to Camp Bold Eagle, support for educational programming, and medical needs fund</GrantOrContributionPurposeTxt>
          <Amt>4970</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMOHIO Inc</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2425 Roscoe Court</AddressLine1Txt>
            <CityNm>Dublin</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43016</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Lodging and meal support for FAMOHIO meeting</GrantOrContributionPurposeTxt>
          <Amt>17000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hemophilia Foundation of Michigan</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1921 W Michigan Avenue</AddressLine1Txt>
            <CityNm>Ypsilanti</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48197</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for SpringFest, Camp Bold Eagle, NHF annual meeting, Eagle Expedition, and other Regional Core Services</GrantOrContributionPurposeTxt>
          <Amt>114900</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hemophilia of Indiana</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>5170 E 65th St Suite 106</AddressLine1Txt>
            <CityNm>Indianapolis</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46220</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for annual meeting, Camp Brave Eagle, Doug Thompson Teen Leadership Program, Medical Assistance Fund, and Delta Dental program</GrantOrContributionPurposeTxt>
          <Amt>40500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Northern Ohio Hemophilia Foundation Inc</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Independence Place</AddressLine1Txt>
            <CityNm>Independence</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44131</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for dental program and educational newsletter printing, mailing, and postage costs</GrantOrContributionPurposeTxt>
          <Amt>56652</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Northwest Ohio Hemophilia Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>P O Box 12606</AddressLine1Txt>
            <CityNm>Toledo</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43606</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for camp program, outreach to women with Bleeding disorders, and support to attend NHF meeting</GrantOrContributionPurposeTxt>
          <Amt>11188</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Southwestern Ohio Hemophilia Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>82 Elva Court Suite B</AddressLine1Txt>
            <CityNm>Vandalia</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45377</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Camperships to Bold Eagle and transportation to camp</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Tri-State Bleeding Disorder Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>635 W Seventh Street Suite 407</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45203</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Camperships, assistance to attend NHF annual meeting, and support for medical needs fund</GrantOrContributionPurposeTxt>
          <Amt>15000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>World AIDS Day Detroit</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>c/o HFM 1921 W Michigan Avenue</AddressLine1Txt>
            <CityNm>Ypsilanti</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48197</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support of mission</GrantOrContributionPurposeTxt>
          <Amt>7500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hemophilia Foundation of Michigan</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1921 W Michigan Avenue</AddressLine1Txt>
            <CityNm>Ypsilanti</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48197</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>HFM share of HTC Grants</GrantOrContributionPurposeTxt>
          <Amt>898143</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Various</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>517 West William Street</AddressLine1Txt>
            <CityNm>Ann Arbor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48103</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for dental programs</GrantOrContributionPurposeTxt>
          <Amt>245464</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>4012108</TotalGrantOrContriPdDurYrAmt>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Akron Children's Hospital</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Perkins Square 5th Floor</AddressLine1Txt>
            <CityNm>Akron</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>443081062</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>408098</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Barbara Ann Karmanos Cancer Institute</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>4100 John R</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48201</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>390777</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Cincinnati Children's Hospital Medical Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3333 Burnet Avenue ML 7015</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45229</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>229194</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Helen DeVos Children's Coagulation Disorder's ProgramSpectrum Health</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>100 Michigan St NE MC 85</AddressLine1Txt>
            <CityNm>Grand Rapids</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>196451</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Henry Ford Hospital</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2799 West Grand Boulevard</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>213898</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hurley Medical Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Hurley Plaza 6W</AddressLine1Txt>
            <CityNm>Flint</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>485035993</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>238518</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Michigan State University</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2900 Hannah Blvd Suite 202</AddressLine1Txt>
            <CityNm>East Lansing</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>280776</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Nationwide Children's Hospital</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>700 Childrens Drive</AddressLine1Txt>
            <CityNm>Columbus</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>432052692</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>252133</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Northern Regional Bleeding Disorder Ctr</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1105 Sixth Street</AddressLine1Txt>
            <CityNm>Traverse City</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49684</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>443501</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Ohio State University Hemophilia Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>320 West 10th Avenue Room M414</AddressLine1Txt>
            <CityNm>Columbus</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43210</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>369293</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Toledo Children's Hospital Northwest Ohio Hemophilia Treatment Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2150 W Central Avenue</AddressLine1Txt>
            <CityNm>Toledo</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43606</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>269624</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University of Cincinnati</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>231 Albert Sabin Way ML 562</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452670562</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>108650</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University Hospitals of ClevelandCase Western</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>11100 Euclid Avenue</AddressLine1Txt>
            <CityNm>Cleveland</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44106</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>242189</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University of Michigan Hemophilia Treatment Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1500 East Medical Center Drive</AddressLine1Txt>
            <CityNm>Ann Arbor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481090235</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>189359</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>University Pediatricians</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3901 Beaubien Blvd</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48201</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>324989</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>West Central Ohio Hemophilia Center at Dayton Children's</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Childrens Plaza</AddressLine1Txt>
            <CityNm>Dayton</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>454041815</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>214015</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>West Michigan Cancer Center</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>200 North Park Street</AddressLine1Txt>
            <CityNm>Kalamazoo</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49007</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for medical services for persons with hemophilia and related bleeding disorders</GrantOrContributionPurposeTxt>
          <Amt>153113</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Central Ohio Chapter of the National Hemophilia Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>P O Box 345</AddressLine1Txt>
            <CityNm>Worthington</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>430850345</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Camperships to Camp Bold Eagle, support for educational programming, and medical needs fund</GrantOrContributionPurposeTxt>
          <Amt>62000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMOHIO Inc</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2425 Roscoe Court</AddressLine1Txt>
            <CityNm>Dublin</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43016</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Lodging and meal support for FAMOHIO meeting</GrantOrContributionPurposeTxt>
          <Amt>39493</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hemophilia Foundation of Michigan</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1921 W Michigan Avenue</AddressLine1Txt>
            <CityNm>Ypsilanti</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48197</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for SpringFest, Camp Bold Eagle, NHF annual meeting, Eagle Expedition, and other Regional Core Services</GrantOrContributionPurposeTxt>
          <Amt>138600</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hemophilia of Indiana</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>5170 E 65th St Suite 106</AddressLine1Txt>
            <CityNm>Indianapolis</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46220</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for annual meeting, Camp Brave Eagle, Doug Thompson Teen Leadership Program, Medical Assistance Fund, and Delta Dental program</GrantOrContributionPurposeTxt>
          <Amt>40500</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Northern Ohio Hemophilia Foundation Inc</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>One Independence Place</AddressLine1Txt>
            <CityNm>Independence</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44131</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for dental program and educational newsletter printing, mailing, and postage costs</GrantOrContributionPurposeTxt>
          <Amt>79905</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Northwest Ohio Hemophilia Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>P O Box 12606</AddressLine1Txt>
            <CityNm>Toledo</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43606</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support for camp program, outreach to women with Bleeding disorders, and support to attend NHF meeting</GrantOrContributionPurposeTxt>
          <Amt>32000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Southwestern Ohio Hemophilia Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>82 Elva Court Suite B</AddressLine1Txt>
            <CityNm>Vandalia</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45377</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Camperships to Bold Eagle and transportation to camp</GrantOrContributionPurposeTxt>
          <Amt>25000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Tri-State Bleeding Disorder Foundation</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>635 W Seventh Street Suite 407</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45203</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Camperships, assistance to attend NHF annual meeting, and support for medical needs fund</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>World AIDS Day Detroit</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>c/o HFM 1921 W Michigan Avenue</AddressLine1Txt>
            <CityNm>Ypsilanti</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48197</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Support of mission</GrantOrContributionPurposeTxt>
          <Amt>16000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Hemophilia Foundation of Michigan</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1921 W Michigan Avenue</AddressLine1Txt>
            <CityNm>Ypsilanti</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48197</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>HFM share of HTC Grants</GrantOrContributionPurposeTxt>
          <Amt>1300000</Amt>
        </GrantOrContriApprvForFutGrp>
        <TotalGrantOrContriApprvFutAmt>6278076</TotalGrantOrContriApprvFutAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <IntOnSavAndTempCashInvstGrp>
          <BusinessCd>900099</BusinessCd>
          <ExclusionCd>14</ExclusionCd>
          <ExclusionAmt>80775</ExclusionAmt>
        </IntOnSavAndTempCashInvstGrp>
        <GrossProfitLossSlsOfInvntryGrp>
          <RelatedOrExemptFunctionIncmAmt>10197669</RelatedOrExemptFunctionIncmAmt>
        </GrossProfitLossSlsOfInvntryGrp>
        <OtherRevenueDescribedGrp>
          <Desc>Other income</Desc>
          <BusinessCd>900099</BusinessCd>
          <RelatedOrExemptFunctionIncmAmt>255262</RelatedOrExemptFunctionIncmAmt>
        </OtherRevenueDescribedGrp>
        <SubtotalsIncmProducingActyGrp>
          <ExclusionAmt>80775</ExclusionAmt>
          <RelatedOrExemptFunctionIncmAmt>10452931</RelatedOrExemptFunctionIncmAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>10533706</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>10</LineNumberTxt>
          <RelationshipStatementTxt>Sale of blood products, HIV and Hepatitis C related therapies and other medications, at reduced prices.</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>10</LineNumberTxt>
          <RelationshipStatementTxt>Cascades exempt purpose is to enhance the system of care for hemophilia patients by providing these products.</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>11a</LineNumberTxt>
          <RelationshipStatementTxt>Other related income.</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <AccountingFeesSchedule documentId="990PF:128" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <AccountingFeesDetail>
        <CategoryTxt>Accounting and auditing fees</CategoryTxt>
        <Amt>17320</Amt>
        <DisbursementsCharitablePrpsAmt>17320</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <CashDeemedCharitableExplnStmt documentId="990PF:166" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <ShortExplanationTxt>Because of the immediate need of clotting factor and other medical supplies, it is necessary for Cascade to retain a sufficient amount of cash to purchase these supplies when they become available. Payment must be made immediately.</ShortExplanationTxt>
    </CashDeemedCharitableExplnStmt>
    <GeneralExplanationAttachment documentId="990PF:144" softwareId="17005317" softwareVersionNum="18.2.0.0"></GeneralExplanationAttachment>
    <LandEtcSchedule2 documentId="990PF:148" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <LandEtcGrp>
        <CategoryOrItemTxt>Equipment</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>91787</CostOrOtherBasisAmt>
        <AccumulatedDepreciationAmt>85154</AccumulatedDepreciationAmt>
        <BookValueAmt>6633</BookValueAmt>
        <EOYFMVAmt>6633</EOYFMVAmt>
      </LandEtcGrp>
    </LandEtcSchedule2>
    <LegalFeesSchedule documentId="990PF:127" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <LegalFeesGrp>
        <CategoryTxt>Legal fees</CategoryTxt>
        <LegalFeesAmt>23398</LegalFeesAmt>
        <DisbursementsCharitablePrpsAmt>23398</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
    </LegalFeesSchedule>
    <OtherExpensesSchedule documentId="990PF:131" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <OtherExpensesScheduleGrp>
        <Desc>Insurance</Desc>
        <RevenueAndExpensesPerBooksAmt>77164</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>77164</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Office expenses</Desc>
        <RevenueAndExpensesPerBooksAmt>132553</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>132553</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Factor shipping expense</Desc>
        <RevenueAndExpensesPerBooksAmt>127675</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>127675</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Advertising</Desc>
        <RevenueAndExpensesPerBooksAmt>21288</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>21288</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Other</Desc>
        <RevenueAndExpensesPerBooksAmt>22149</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>22149</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="990PF:126" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <OtherIncomeDetail>
        <Desc>Other income</Desc>
        <RevenueAndExpensesPerBooksAmt>255262</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>255262</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <OtherProfessionalFeesSchedule documentId="990PF:129" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>Other professional fees</CategoryTxt>
        <Amt>437637</Amt>
        <DisbursementsCharitablePrpsAmt>437637</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
    <SalesOfInventoryList documentId="990PF:125" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <InventorySaleGrp>
        <CategoryTxt>Reduced price factor sales</CategoryTxt>
        <GrossSalesAmt>50013855</GrossSalesAmt>
        <CostOfGoodsSoldAmt>39816186</CostOfGoodsSoldAmt>
        <NetAmt>10197669</NetAmt>
      </InventorySaleGrp>
    </SalesOfInventoryList>
  </ReturnData>
</Return>