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        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Terry Bourgeois</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Larry Castellani Jr</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ross Eckert</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Feldstein</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Finch</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Gacioch</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Gacioch</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Donna Gioia</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Katie Hamister</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Inman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Pam Jacobs Vogt</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mike Lawley</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Lee</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Judith Lipsey</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dan Misko</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dave Pietrowski</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Luis Rodriguez</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Standish</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lee Wortham</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>True Sense Marketing</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>NEPC LLC</BusinessNameLine1Txt>
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          <USAddress>
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        <ManagementAndGeneralAmt>131783</ManagementAndGeneralAmt>
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        <FundraisingAmt>139702</FundraisingAmt>
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        <ManagementAndGeneralAmt>75</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>36499</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>172575</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>185255</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>263263</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <FundraisingAmt>179185</FundraisingAmt>
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        <ManagementAndGeneralAmt>5692</ManagementAndGeneralAmt>
        <FundraisingAmt>20912</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>212508</ManagementAndGeneralAmt>
        <FundraisingAmt>53754</FundraisingAmt>
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      <TravelGrp>
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        <ManagementAndGeneralAmt>16760</ManagementAndGeneralAmt>
        <FundraisingAmt>17352</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>4276</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>8416</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>12058</ManagementAndGeneralAmt>
        <FundraisingAmt>5968</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Reimbursed by Related Party</Desc>
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      <OtherExpensesGrp>
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        <FundraisingAmt>291750</FundraisingAmt>
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      <OtherExpensesGrp>
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        <FundraisingAmt>264695</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Postage</Desc>
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        <ManagementAndGeneralAmt>3473</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>24608247</ProgramServicesAmt>
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        <EOYAmt>2952494</EOYAmt>
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        <FoodAndBeverageOtherEventsAmt>80585</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>4550</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>174908</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>8642221</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>8315025</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>327196</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>0</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>253966</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>142417</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>359907</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>7150</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>935178</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>1698618</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-1371422</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part I, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>The agreement with True Sense Marketing for the direct mail program consulting provides for payment of professional fundraising fees as well as payment of fundraising expenses such as printing, paper, envelopes and postage. Fees for professional fundraising are billed monthly and fees for creative concept design are billed per piece developed. Postage is billed per piece mailed. All other fundraising expenses are combined and billed per piece mailed. Expenses incurred on the True Sense Marketing direct mail projects totaled $297,669 excluding $172,575 for consulting fees.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="R000007" softwareId="22015720" softwareVersionNum="v1.00">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <RecipientEIN>161552370</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>6566379</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>n/a</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Scientific Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <RecipientEIN>161552370</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>5970355</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>n/a</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Capital Expansion</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <RecipientEIN>161552370</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>5679492</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>n/a</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Release the Breakthroughs Campaign</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <RecipientEIN>161552370</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>4250611</CashGrantAmt>
        <NonCashAssistanceAmt>75819</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>See Part IV</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Quality of Life</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <RecipientEIN>161552370</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>1824968</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>n/a</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Community Outreach and Education</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <RecipientEIN>161552370</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>240623</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>n/a</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Equipment</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount of each grant award is determined according to a detailed budget submitted with the grant application. As expenses are incurred in connection with that grant, they are compared to the budget for reasonableness. Any expense not in agreement with the budget is not paid.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part II, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant #3: Non-cash assistance consisted of artwork, wigs, blankets, toys, event tickets and gift cards to be used to improve the patients' quality of life during cancer treatment.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="R000008" softwareId="22015720" softwareVersionNum="v1.00">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cindy Eller</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>192463</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>108500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>75239</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11652</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11666</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>24999</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25966</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1453</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270095</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>221843</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>3803</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tammy Lightcap</PersonNm>
        <TitleTxt>Senior Director of Finance &amp; Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>175763</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9747</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21483</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220993</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>As Executive Director of the Roswell Park Alliance Foundation and Vice President for Development at Roswell Park Comprehensive Cancer Center, Cindy Eller's compensation was jointly set by the compensation committee of both organizations. A comparative study was conducted by an independent compensation consultant of the related organization and was utilized in determining her compensation. The budgetary constraints facing both organizations were also considered.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Cindy Eller participated in and received a class vesting payment in the amount of $3,803 from a supplemental nonqualified retirement plan (a 457(f) plan). The amount deferred for the 2022 calendar year is $24,999.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="R000009" softwareId="22015720" softwareVersionNum="v1.00">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>9</ContributionCnt>
        <NoncashContributionsRptF990Amt>13750</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>8195</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>20</ContributionCnt>
        <NoncashContributionsRptF990Amt>1486493</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <CollectiblesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>230</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </CollectiblesGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>87259</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>10000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Miscellaneous</Desc>
        <ContributionCnt>86</ContributionCnt>
        <NoncashContributionsRptF990Amt>85035</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Equipment &amp; Rentals</Desc>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>47242</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Advertising</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>30300</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Tickets &amp; Gift Certificates</Desc>
        <ContributionCnt>39</ContributionCnt>
        <NoncashContributionsRptF990Amt>23711</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost/FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation is reporting the number of non cash contributions received during the fiscal year ended March 31, 2023 as opposed to reporting the number of items reported in each contribution.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="R000010" softwareId="22015720" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 34</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation evaluated the related party criteria specified in the Form 990 instructions, particularly with respect to its relationship to Roswell Park Comprehensive Cancer Center (the Cancer Center). The Foundation concluded that none of the relationship or control criteria, as specified in the Form 990 and Schedule R instructions, applied to the evaluation of the relationship existing between the Foundation and the Cancer Center. However, in our judgment, the unique fact pattern related to this situation and the historically close working relationship between the two organizations merits the Foundation disclosing the Cancer Center as a related party and accordingly disclosing the nature and amount of transactions between the two parties in Schedule R. Some of the unique facts and circumstances are that the Foundation exists to support the clinical and scientific purposes of the Cancer Center, the Foundation is recognized in the community as the fundraising arm of the Cancer Center, and both share a common mission - understanding, preventing and curing cancer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Board Members Anne D. Gioia, Secretary, and Donna M. Gioia are sisters-in-law. Board Members William Gacioch and Michael Gacioch are father and son.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the Foundation's management. It is then shared with the Foundation's external auditor for substantive review and signature. After incorporating auditor comments into the Form 990, it is provided to each Foundation Board Member for their review. A meeting is held between management and the Finance Committee to review the document, highlight select Parts and Schedules, and answer any questions the Board Members may have. All Board Members are invited to attend the Finance Committee meeting. After incorporating Board Member comments into the Form 990, the final version is sent to each Board Member along with a memo from management and the Finance Committee Chair summarizing the discussion at the meeting with management. This review process is conducted prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to joining the board, and then on an annual basis, each Foundation Board Member completes a Conflict of Interest Disclosure form which is submitted to the Chair of the Executive Committee. Should a conflict or possible conflict arise or be discovered during the year, the Board Member must update the Conflict of Interest Disclosure at that time. In addition, throughout the year, the Executive Director monitors proposed or ongoing transactions at the Foundation (e.g. contracts with vendors and collaborations with third parties) for conflicts of interest and discloses them to the Chair of the Executive Committee. Upon receipt of a conflict of interest disclosure by a Board Member or the Executive Director, identifying actual or potential conflicts, the Chair of the Executive Committee shall convene a meeting of that Committee to review the facts and circumstances involved. The Committee shall prepare a written recommendation to the Board as to whether the transaction is fair and reasonable and should be authorized. The Board Chair shall determine whether a special Board meeting is required or whether the matter can be reviewed and resolved at the next scheduled meeting. The Board may authorize the transaction by approval of 75% of the Board without counting the Member who is the subject of the potential conflict.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual compensation for all Foundation employees, including the top management official, officers and key employees, is reviewed each year by the Personnel Committee of the Board of Directors as part of the annual budget approval process. Comparable compensation data for similar positions at similar organizations is reviewed prior to setting the compensation for each position. The individual employee's job performance is also considered. This process was last undertaken in February 2023 for each employee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's governing documents, conflict of interest policy, and financial statements are available to the public upon request. The Form 990, related schedules, and financial statements are also available on the Foundation's website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Cindy Eller, the Executive Director of the Roswell Park Alliance Foundation, is also the Vice President of Development at Roswell Park Comprehensive Cancer Center. Ms. Eller spends approximately 26 hours in a 40 hour work week on the Foundation and 14 hours on administrative responsibilities for the Cancer Center. Based on the time allocated to each entity, Ms. Eller's total compensation and benefits are allocated accordingly to the Foundation and the Cancer Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 8c</FormAndLineReferenceDesc>
        <ExplanationTxt>Per the Form 990 instructions, the net income or (loss) from fundraising events is calculated as the difference between gross income and direct expenses. The majority of events, including our largest event, The Ride for Roswell, are peer-to-peer fundraising events with a minimal registration fee per participant (i.e. gross income). However in the current year, they generated $7,970,729 in contributions in addition to $65,040 of gross income. Net of direct expenses of $1,462,822, this results in $6,572,947 to support the Foundation's mission.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets or fund balances of ($171,020) equals the sum of uncollectible pledges of ($32,114), the actuarial loss and change in value of split interest agreements of ($99,117), and the actuarial loss on annuity obligations of ($39,789).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>U.S. GAAP requires the inclusion within Roswell Park Comprehensive Cancer Center's financial statements the financial statements of the Roswell Park Alliance Foundation as a component unit based on the nature and significance of the Cancer Center's relationship with the Foundation. The component unit information in the consolidated financial statements includes the financial data of the Cancer Center's discretely presented component unit. The Foundation is reported separately to emphasize that they are legally separate from the Cancer Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Neither the process for the oversight of the audit nor the selection of the independent accountant has changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roswell Park Comprehensive Cancer Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Elm and Carlton Streets</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
        </USAddress>
        <EIN>161552370</EIN>
        <PrimaryActivitiesTxt>Cancer Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>IRC115(1)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>
