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      <Desc>SEE SCHEDULE OTHE ORGANIZATION IS A NON-FOR PROFIT CHARITABLE FOUNDATION SUPPORTING THE HEALTH SERVICES AND A SPECIALIZED PEDIATRIC HOSPITAL SITE THAT IS A DIVISION OF KALEIDA HEALTH, BY PROVIDING FUNDING FOR PATIENT CARE, EDUCATION AND RESEARCH.WITH SUPPORT FROM ITS' BOARD OF DIRECTORS AND MANY OTHER VOLUNTEERS, THE ORGANIZATION RAISES GIFTS IN THE FORM OF CASH, STOCKS, ESTATE GIFTS, CORPORATE GIFTS AND GRANTS FROM PRIVATE FOUNDATIONS.THE PRIMARY PROGRAMS AND ACTIVITIES OF THE ORGANIZATION INCLUDE:1. FESTIVAL OF TREES - THE 45TH ANNUAL BLACK-TIE GALA, THE MAIN EVENT, IN SUPPORT OF THE JOHN R. OISHEI CHILDREN'S HOSPITAL, WHICH SYMBOLIZES THE BOND BETWEEN THE HOSPITAL AND THE COMMUNITY THAT IT SERVES WAS BACK AND BETTER THAN EVER. SINCE COVID, THE EVENT HAS RAISED OVER $10 MILLION DOLLARS WITH THE 2023 YEAR'S PROCEEDS BEING UTILIZED TO SUPPORT PROGRAMS AND CARE DELIVERY FOR CHILDREN. THE USUAL EVENTS: DESIGNER SHOWCASE, THE FESTIVAL GALA, AND FAMILY DAY ALL HELD. OVER 900 GUESTS ATTENDED THE FESTIVAL GALA WHERE TREES WERE AVAILABLE VIA SILENT AUCTION. THERE WAS ALSO A LIVE AUCTION, WREATH SALES, AND A CASH APPEAL HELD. FOT ALSO HAS A DESIGNER SHOWCASE WHERE DESIGNERS ARE GIVEN COMPLIMENTARY TICKETS AND AWARDS ARE GIVEN FOR VARIOUS THEMES. OUR FAMILY DAY WAS HELD GIVING FAMILIES TIME TO VIEW THE TREES. BOTH EVENTS WERE TICKETED AND A BASKET RAFFLE WAS HELD AT THE DESIGNER SHOWCASE. NO CHILD IS EVER TURNED AWAY FROM THE OISHEI CHILDREN'S HOSPITAL WHERE EVERY FAMILY IS ENTITLED TO THE VERY BEST CARE NO MATTER THEIR ABILITY TO PAY. WE WERE GRATEFUL TO HAVE RAISED OVER $2 MILLION DOLLARS WHILE NETTING $129,743.2. ERIC WOOD'S FLIGHTS &amp; BITES EVENT - IN 2017 BUFFALO BILLS PLAYER, ERIC WOOD, BROUGHT "THE ERIC WOOD FUND" TO THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION. THE FUND NAME HAS NOW BEEN CHANGED IN HONOR OF ERIC'S BROTHER, EVAN WOOD. THE EVAN WOOD FUND INTRODUCES YOU TO A HOSPITAL-BASED PROGRAM PROVIDING A NETWORK OF SUPPORT TO CHRONICALLY ILL CHILDREN AND THEIR FAMILIES-STONE'S BUDDIES AT OISHEI CHILDREN'S HOSPITAL. IN 2023, THE EVENT WAS HELD ON SEPTEMBER 18TH AT RESURGENCE BREWING COMPANY. GUESTS ENJOYED A UNIQUE EXPERIENCE WHILE INDULGING IN CRAFT BREWS, BUFFALO-INSPIRED BITES, EXCITING LIVE &amp; SILENT AUCTIONS AND LIVE MUSIC. SPONSORSHIPS AND TICKETS WERE SOLD. THE EVENT WAS ENJOYED BY MANY GUESTS AND NETTED OVER $81,111.3. 117 HOLES FOR CHILDREN - ON MAY 30TH, MEMBERS FROM THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION BOARD OF DIRECTORS AND HOSPITAL SUPPORTERS PLAYED 117 HOLES FOR OISHEI CHILDREN'S HOSPITAL AT CRAG BURN GOLF CLUB! PLAYING FROM DAWN TO DUSK, THIS GROUP OF 13 INDIVIDUALS COMPETED NOT ONLY FOR THE MOST STEPS BUT TO RAISE THE MOST MONEY TO SUPPORT THE MOMS, KIDS AND BABIES OF WNY. THE GOLFERS HAD ONLINE DONATION PAGES SET UP AND COLLECTED DONATIONS FOR A WONDERFUL AND NEEDED CAUSE. WITH MORE SPONSORSHIPS SOLD, THE ADDITION OF TWO RELAY TEAMS RAISING FUNDS AND CRAG BURN DONATED THEIR FACILITIES, GOLF FEES AND CARTS TO SUPPORT OUR EVENT. THE EVENT NETTED $23,468.4. BUBBLEQ IN WHITE - ON JUNE 9TH, COMMUNITY COMMITTEE MEMBERS HOSTED BUBBLES IN WHITE, AN UPSCALE COCKTAIL STYLE EVENT UNDER THE STARS AT THE DELAVAN HOTEL. WHILE GUESTS ENJOYED GOURMET FOOD &amp; BEVERAGE AND A BEAUTIFUL ENVIRONMENT THEY ALSO SUPPORTED THE AREAS OF MOST NEED AT OISHEI CHILDREN'S HOSPITAL THROUGH LIVE AUCTION AND CASH APPEAL. THE EVENT NETTED $28,803.</Desc>
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        <BeginningYearBalanceAmt>18837677</BeginningYearBalanceAmt>
        <ContributionsAmt>1634441</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-4034981</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>976347</OtherExpendituresAmt>
        <EndYearBalanceAmt>15460790</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19097071</BeginningYearBalanceAmt>
        <ContributionsAmt>18997</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3978276</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4256667</OtherExpendituresAmt>
        <EndYearBalanceAmt>18837677</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20605777</BeginningYearBalanceAmt>
        <ContributionsAmt>34472</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1923618</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3466796</OtherExpendituresAmt>
        <EndYearBalanceAmt>19097071</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>22910560</BeginningYearBalanceAmt>
        <ContributionsAmt>506257</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3771790</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6582830</OtherExpendituresAmt>
        <EndYearBalanceAmt>20605777</EndYearBalanceAmt>
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      <TermEndowmentBalanceEOYPct>0.21520</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>71293</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>52484</DepreciationAmt>
        <BookValueAmt>18809</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>13068</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13068</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>18809</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>OTHER - INVESTMENTS</Desc>
        <BookValueAmt>25275669</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>25275669</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE FROM/TO AFFILIATES</Desc>
        <Amt>12983026</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12983026</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: 1) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH. 2) SUPPORT OF GENERAL HEALTH CARE SERVICES. 3) PURCHASES OF MEDICAL EQUIPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>KALEIDA AND SUBSTANTIALLY ALL OF ITS AFFILIATES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. KALEIDA RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>117 HOLES</Event1Nm>
        <GrossReceiptsEvent1Amt>383123</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>319123</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>64000</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>15474</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>3700</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>21358</OtherDirectExpensesEvent1Amt>
        <Event2Nm>FESTIVAL OF TREES</Event2Nm>
        <GrossReceiptsEvent2Amt>2039570</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>1251750</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>787820</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>70650</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>166568</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>14366</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>116993</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>289500</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>434855</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>96564</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>338291</GrossRevenueOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>20693</NonCashPrizesOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>74573</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>17824</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>115288</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>2857548</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1667437</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>1190111</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>91343</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>166568</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>104413</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>138517</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>426146</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>926987</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>263124</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KALEIDA HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <RecipientEIN>161533232</RecipientEIN>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>13372516</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>NA</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>NA</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>SUPPORT HOSPITAL</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION IS ORGANIZED AND OPERATED TO PROMOTE PHILANTHROPIC SUPPORT OF PATIENT CARE, EDUCATION, AND RESEARCH ACTIVITIES OF KALEIDA HEALTH (A NOT-FOR-PROFIT ORGANIZATION, EIN: 16-1533232) AND ITS NOT-FOR-PROFIT AFFILIATES. THEREFORE, AS REQUIRED BY THE GOVERNING DOCUMENTS, THE GRANT FUNDS ARE PAID TO KALEIDA HEALTH FOR USE EITHER DESIGNATED BY THE DONOR OR FOR THE CHARITABLE PURPOSE OF KALEIDA HEALTH AS OVERSEEN BY THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION BOARD.</ExplanationTxt>
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    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW BENNETT</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>316943</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>54672</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2813</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14902</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>676</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>390006</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW LASHUA</PersonNm>
        <TitleTxt>DIRECTOR OF DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>148606</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19471</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>120</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>196018</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN INDIVIDUALS QUALIFIED TO RECEIVE BONUS/INCENTIVE COMPENSATION PAYMENTS BASED ON CERTAIN PERFORMANCE METRICS BEING MET. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).</ExplanationTxt>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MERCHANDISE</Desc>
        <ContributionCnt>23</ContributionCnt>
        <NoncashContributionsRptF990Amt>75762</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>GIFT CARD</Desc>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>5850</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS LISTED IN COLUMN (B) OF SCHEDULE M PART I REPRESENT THE NUMBER OF ITEMS CONTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER (NOT A STOCK) CORPORATION UNDER THE NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATION MEMBER IS KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (IE BYLAWS), ON AN ANNUAL BASIS THE ORGANIZATION'S CURRENT BOARD MEMBERS RECOMMEND THE LIST OF CANDIDATES FOR MEMBERSHIP TO THE GOVERNING BODY FOR THE SUBSEQUENT TERM TO THE KALEIDA BOARD OF DIRECTORS. THE KALEIDA BOARD OF DIRECTORS APPROVE AND ELECT THESE CANDIDATES TO SERVE AS THE ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>KALEIDA HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY AND THE DECISION TO DISSOLVE THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG LLP, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE 990 IS FILED WITH THE IRS THE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON EMPLOYMENT AND ANUALLY THEREAFTER EACH KEY EMPLOYEE, OFFICER, OR DIRECTOR OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICT OF INTEREST FORMS AND DISCLOSURE FORMS ARE RETURNED TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF KALEIDA HEALTH (THE FILING ORGANIZATION'S SOLE CORPORATE MEMBER) WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEE FOR REVIEW AND APPROVAL. SUCH INFORMATION INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THIS POSITION WITH OTHER FOUNDATIONS THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF KALEIDA HEALTH (THE FILING ORGANIZATION'S SOLE CORPORATE MEMBER) AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14120. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET TRANSFER TO PARENT -111,634.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>KALEIDA HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <EIN>161533232</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MILLARD FILLMORE AMBULATORY SURG CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>161307129</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA HOME CARE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>161491203</EIN>
        <PrimaryActivitiesTxt>HOME HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA OF WESTERN NEW YORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <EIN>160743214</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KALEIDA HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>515 MAIN STREET</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>BRADFORD REGIONAL MED SVCS</BusinessNameLine1Txt>
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        <EIN>232875157</EIN>
        <PrimaryActivitiesTxt>PHYS. GROUP</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH SYSTEM PHYSICIAN PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>130 SOUTH UNION STREET</AddressLine1Txt>
          <CityNm>OLEAN</CityNm>
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        <PrimaryActivitiesTxt>PHYS. GROUP</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>OGH</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HARLEM ROAD LEASING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3435 MAIN STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14214</ZIPCd>
        </USAddress>
        <EIN>205588135</EIN>
        <PrimaryActivitiesTxt>EQUIPMENT LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMTON IMAGING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>199 PARK CLUB LANE STE 300</AddressLine1Txt>
          <CityNm>WILLIAMSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SITE E LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>726 EXCHANGE STREET STE 200</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <EIN>272124795</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHTOWNS IMAGING LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>5959 BIG TREE ROAD SUITE 150</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14127</ZIPCd>
        </USAddress>
        <EIN>471123230</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COLLABORATIVE CARE VENTURES LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE ST SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>472365690</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREAT LAKES MEDICAL BILLING SERV LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>199 PARK CLUB LANE SUITE 300</AddressLine1Txt>
          <CityNm>WILLIAMSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14221</ZIPCd>
        </USAddress>
        <EIN>461668448</EIN>
        <PrimaryActivitiesTxt>MEDICAL BILLING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHTOWNS SURGERY CENTER LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET STE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>464742028</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KALEIDA PROPERTIES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <PrimaryActivitiesTxt>PROP MGMT SER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WESTLINK CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
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        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREAT LAKES INTEGRATED NETWORK INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OLEAN MEDICAL PRACTICE PLLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 515</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>