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      <InvestmentExpensesNotIncld2Amt>214697</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>214697</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12356499</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION INC IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION TAKES MANY TAX POSITIONS RELATIVE TO TAX LAWS INCLUDING THOSE TAKEN IN DETERMINING THE CHARACTERIZATION OF INCOME AS TAXABLE (FOR EXAMPLE, UNRELATED BUSINESS INCOME) OR NONTAXABLE. THE ORGANIZATION IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2020 THROUGH 2023 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED AGAINST REVENUE 328,603. GAMING EXPENSES NETTED AGAINST REVENUE 5,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED AGAINST REVENUE 328,603. GAMING EXPENSES NETTED AGAINST REVENUE 5,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>BOUQUET</Event1Nm>
        <GrossReceiptsEvent1Amt>404989</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>15869</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>389120</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>2998</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>430</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>153575</OtherDirectExpensesEvent1Amt>
        <Event2Nm>HARVEST FEST</Event2Nm>
        <GrossReceiptsEvent2Amt>285864</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>180975</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>104889</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>11422</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>53659</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>12690</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>17963</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>4</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>314841</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>42500</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>272341</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>86678</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1005694</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>239344</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>766350</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>14420</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>54089</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>12690</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>258216</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>339415</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>426935</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>9736</GrossRevenueOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>5000</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>1</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>1.00000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>9736</GrossRevenueTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>5000</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>5000</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>4736</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>NY</StatesWhereGamingConductedCd>
      <LicensedInd>0</LicensedInd>
      <ExplanationIfNoTxt>NOT REQUIRED BY NEW YORK STATE LAW IF NET GAMING GENERATES LESSTHAN $30,000 OF NET PROCEEDS.</ExplanationIfNoTxt>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>0</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>1.00000</GamingOwnFacilityPct>
      <PersonsWithBooksName>
        <BusinessNameLine1Txt>KRISTIE WHITE COMPTROLLER</BusinessNameLine1Txt>
      </PersonsWithBooksName>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
        <CityNm>CHEEKTOWAGA</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14227</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPICE BUFFALO INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <RecipientEIN>510202066</RecipientEIN>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>3155567</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM EXPENSES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUPPORTIVE MEDICAL PARTNERS PLLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <RecipientEIN>200847340</RecipientEIN>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>2822287</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM EXPENSES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <RecipientEIN>223141532</RecipientEIN>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>4233430</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM EXPENSES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAUNDERS PROPERTIES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLV</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <RecipientEIN>205359753</RecipientEIN>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>14125</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM EXPENSES</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE ONLY MADE TO RELATED ORGANIZATIONS WHO SHARE THE SAME CEO AND COMPTROLLER, AND ARE SUBJECT TO BOARD APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER KERR MD</PersonNm>
        <TitleTxt>TRUSTEE/CMO/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>515995</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>13705</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>29700</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6565</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>575965</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARY SISTI</PersonNm>
        <TitleTxt>CHIEF CLINICAL OPERATIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>273367</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>34358</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6345</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25374</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14168</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>353612</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROSEANN MCANULTY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>267064</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>34302</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6875</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>23951</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5675</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>337867</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH SIDERAKIS</PersonNm>
        <TitleTxt>FOUNDATION EXECUTIVE VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>129834</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>55643</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>626</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>268</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11685</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5008</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>105</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>45</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>145750</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>62464</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTIE WHITE</PersonNm>
        <TitleTxt>COMPTROLLER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>148418</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>7500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3448</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13663</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5659</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>178688</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>REPORTABLE COMPENSATION FROM UNRELATED ORGANIZATION INCLUDED IN BASE COMPENSATION: CHRISTOPHER KERR (CHIEF MEDICAL DIRECTOR/CHIEF EXECUTIVE OFFICER) - $53,970 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC CARY SISTI (CHIEF CLINICAL OPERATIONS OFFICER) - $59,673 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC KRISTIE WHITE (COMPTROLLER) - $31,873 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>121352</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>STOCK EXCHANGE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990; PART I; LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF THE HOSPICE FOUNDATION OF WESTERN NEW YORK IS TO SOLICIT, ACCEPT, ADMINISTER AND INVEST CHARITABLE FUNDS ON BEHALF OF HOSPICE &amp; PALLIATIVE CARE BUFFALO, INC. AND ITS AFFILIATES. THESE INCLUDE: HOSPICE BUFFALO, INC., THE PALLIATIVE CARE INSTITUTE, INC., THE MARY &amp; RALPH, C. WILSON, JR. HOSPICE INPATIENT UNIT, THE WILSON SUPPORT CENTER AND ESSENTIAL CARE FOR CHILDREN. HOSPICE &amp; PALLIATIVE CARE BUFFALO, INC. IS A NOT-FOR- PROFIT ORGANIZATION UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE SERVICE CODE. HOSPICE BUFFALO IS THE ONLY CERTIFIED HOSPICE PROGRAM IN ERIE COUNTY, NY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE &amp; PALLIATIVE CARE BUFFALO, INC. IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER ELECTS THE BOARD OF TRUSTEES OF THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IRS FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED BY THE INTERNAL ACCOUNTING STAFF. THE COMPLETED FORM IS PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS AND, AFTER A REVIEW HAS TAKEN PLACE, SUCH IS RECOMMENDED FOR SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMPREHENSIVE CORPORATE COMPLIANCE PLAN AND SET OF POLICIES. THE BOARD AND ALL EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL INSERVICE REGARDING CORPORATE COMPLIANCE. THE INSERVICE SPECIFICALLY REVIEWS THE POLICIES REGARDING CONFLICTS OF INTEREST, HOW TO DETERMINE IF A CONFLICT OF INTEREST HAS OCCURRED AND ALL INSTANCES IN WHICH COMPLIANCE VIOLATIONS CAN BE REPORTED WITHIN THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, EXECUTIVE COMMITTEE HAVE THE RESPONSIBILITY AND OVERSIGHT OF ALL ELEMENTS OF EXECUTIVE COMPENSATION. AN ANNUAL REVIEW AND APPROVAL IS COMPLETED BY THE COMMITTEE. IN THE REVIEW PROCESS ANNUAL COMPENSATION AND KEY GOALS ARE REVIEWED. THE COMMITTEE ALSO COMPARES COMPENSATION OF KEY EMPLOYEES TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF THE ORGANIZATION'S IRS FORM 990 IS DISCLOSED ON THE WEBSITE AND REQUESTS ARE RECEIVED VIA THE WEBSITE, PHONE OR MAIL. THE ORGANIZATION'S IRS FORM 990 IS ALSO AVAILABLE ON THE WEBSITE, GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. AVAILABILITY IS DISCLOSED ON THE WEBSITE AND REQUESTS ARE RECEIVED VIA THE WEBSITE PHONE OR MAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990; PART IX; LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>EXTINGUISHMENT OF DEBT BETWEEN RELATED ENTITIES - $6,540,791.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE PALLIATIVE CARE INSTITUTE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLV</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>161593163</EIN>
        <PrimaryActivitiesTxt>INTERCONNECT COMMUNITY AND UNIVERSITY EFFORTS ACROSS DSICIPLINES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE BUFFALO INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLV</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>510202066</EIN>
        <PrimaryActivitiesTxt>PROVIDE EMOTIONAL, SPIRITUAL, SOCIAL AND MEDICAL CARE TO PATIENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FAIR VALUE OF SERVICES</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>