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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
HEMOPHILIA FOUNDATION OF MICHIGAN
 
Employer identification number
38-1905673
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) CASE WESTERN RESERVE
11100 EUCLID AVE
CLEVELAND,OH44106
34-1018992 501C3 35,000       MEDICAL SERVICES
(2) CHILDREN'S HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD
DETROIT,MI48201
38-1357994 501C3 80,486       MEDICAL SERVICES
(3) DAYTON CHILDREN'S MEDICAL CENTER
ONE CHILDRENS PLAZA
DAYTON,OH45404
31-0672132 501C3 23,589       MEDICAL SERVICES
(4) HENRY FORD HEALTH SYSTEMS
2799 W GRAND BLVD
DETROIT,MI48202
38-1357020 501C3 41,084       MEDICAL SERVICES
(5) HURLEY HOSPITAL
ONE HURLEY PLAZA
FLINT,MI48503
38-9006501 115 35,500       MEDICAL SERVICES
(6) INDIANA HEMOPHILIA AND THROMBOSIS
8402 HARCOURT RD
INDIANAPOLIS,IN46260
35-2047838 501C3 37,419       MEDICAL SERVICES
(7) KARMONOS HOSPITAL
4201 ST ANTOINE
DETROIT,MI48201
38-2320476 501C3 32,655       MEDICAL SERVICES
(8) MICHIGAN STATE UNIVERSITY
2900 HANNAH BLVD
EAST LANSING,MI48823
38-6005984 115 95,465       MEDICAL SERVICES
(9) MUNSON MEDICAL CENTER
1105 SIXTH ST
TRAVERSE CITY,MI49684
38-1362830 501C3 56,236       MEDICAL SERVICES
(10) NATIONWIDE CHILDREN'S HOSPITAL
700 CHILDRENS DRIVE
COLUMBUS,OH43205
31-6056230 501C3 38,854       MEDICAL SERVICES
(11) OHIO STATE UNIVERSITY
320 W 10TH AVE
COLUMBUS,OH43210
31-6401599 501C3 30,254       MEDICAL SERVICES
(12) SPECTRUM HEALTH HOSPITALS
100 MICHIGAN
GRAND RAPIDS,MI49503
38-2752328 501C3 42,358       MEDICAL SERVICES
(13) TOLEDO CHILDREN'S HOPSITAL
2150 W CENTRAL AVE
TOLEDO,OH43606
34-4428256 501C3 42,859       MEDICAL SERVICES
(14) UNIVERSITY OF CINNCINNATI MEDICAL
231 ALBERT SABIN WAY
CINCINNATI,OH45267
31-6000989 115 34,672       MEDICAL SERVICES
(15) UNIVERSITY OF MICHIGAN
1500 EAST MEDICAL CENTER DR
ANN ARBOR,MI48109
38-6006309 115 51,944       MEDICAL SERVICES
(16) UNIVERSITY PEDIATRICIANS
7457 M E CAD BLVD
CLARKSTON,MI48348
38-3336414 501C3 79,289       MEDICAL SERVICES
(17) WEST MICHIGAN CANCER CENTER
200 NORTH PARK ST
KALAMAZOO,MI49007
38-3061574 501C3 34,856       MEDICAL SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
17
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018
Page 2

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) FINANCIAL ASSISTANCE 35 29,786      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2018



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