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        <CurrentTaxYearMinus1YearAmt>745866</CurrentTaxYearMinus1YearAmt>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - 2020 AMOUNT: $ 9,758. REVENUE FROM SPECIAL EVENTS - 2020 AMOUNT: $ 78,440. 2021 AMOUNT: $ 370,163. 2022 AMOUNT: $ 439,467. 2023 AMOUNT: $ 908,835. 2024 AMOUNT: $ 936,220.</ExplanationTxt>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USES OF ENDOWMENT FUNDS THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: 1.) ADVANCEMENT OF CLINICAL PROGRAMS, MEDICAL EDUCATION AND RESEARCH 2.) SUPPORT OF GENERAL HEALTH CARE SERVICES 3.) PURCHASES OF MEDICAL EQUIPMENT</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 FOOTNOTE FORM 990 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 1C</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR PERIOD ADJUSTMENT AN ADJUSTMENT TO THE BEGINNING OF YEAR BALANCE OF $21,513 IN INCLUDED IN ADDITION TO THE $1,181,118 OF INVESTMENT EARNINGS REPORTED.</ExplanationTxt>
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        <RentFcltyCostsOtherEventsAmt>26593</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>2700</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>3537</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1124721</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>188501</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>936220</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>231766</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>10063</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>6549</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>361678</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>610056</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>326164</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>1408389</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>NA</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>NA</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>DIRECT PAYMENT OF INVOICES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>KALEIDA HEALTH 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 AS EITHER DESIGNATED BY THE DONOR OR FOR THE CHARITABLE PURPOSE OF KALEIDA HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </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>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>136091</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>204137</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>26615</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>39923</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1412</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2119</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5189</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7783</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2656</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3984</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171963</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>257946</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL HORTON</PersonNm>
        <TitleTxt>FORMER VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>311412</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2037</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>42727</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2828</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>359004</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW LASHUA</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER FDNS</TitleTxt>
        <BaseCompensationFilingOrgAmt>75923</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>113885</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16848</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25272</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>53</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>80</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7342</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11012</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7487</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11231</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>107653</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>161480</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER JORDAN DIR DEV</PersonNm>
        <TitleTxt>GRATEFUL PATIENT &amp; FAMILY GIVING</TitleTxt>
        <BaseCompensationFilingOrgAmt>63456</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>95184</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8873</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>13310</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>54</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>81</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10378</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15567</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7489</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11233</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>90250</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>135375</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIN HARTNETT DIR OF DEV</PersonNm>
        <TitleTxt>PRIN. &amp; MAJ. GIFTS &amp; ANNUAL</TitleTxt>
        <BaseCompensationFilingOrgAmt>48235</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>72353</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7308</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10961</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>55</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>83</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3512</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5268</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7469</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11204</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>66579</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>99869</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <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)(II).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MERCHANDISE</Desc>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>46939</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>TICKETS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>4625</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 MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH THE TERMS AND REQUIRMENTS 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 HEALTH BOARD OF DIRECTORS. THE KALEIDA HEALTH 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>REVIEW PROCESS FOR FORM 990 THE ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG LLP, REVIEWS 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>CONFLICT OF INTEREST POLICY UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH BOARD MEMBER AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTERESTS MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING A 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 ARE RETURNED TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION APPROVAL PROCESS ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF KALEIDA HEALTH 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 WITHIN OTHER FOUNDATIONS THAT ARE SIMILAR IN SIZE, DEMOGRAPHICS, AND GEOGRAPHY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCESS TO ORGANIZATIONAL DOCUMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS TO PARENT -2,923,095. OTHER CHANGES -464,483.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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          <BusinessNameLine1Txt>MILLARD FILLMORE AMBULATORY SURG CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA HOME CARE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
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          <ZIPCd>14210</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA OF WESTERN NEW YORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
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        <DisregardedEntityName>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>161332044</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILDREN'S HEALTH HOME OF WNY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER ALLEGHENY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>515 MAIN STREET</AddressLine1Txt>
          <CityNm>OLEAN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14760</ZIPCd>
        </USAddress>
        <EIN>371255425</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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          <BusinessNameLine1Txt>OLEAN GENERAL HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>515 MAIN STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>BRADFORD REGIONAL MED SVCS</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>HEALTH SYSTEM PHYSICIAN PC</BusinessNameLine1Txt>
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          <CityNm>OLEAN</CityNm>
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        </USAddress>
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          <BusinessNameLine1Txt>OGH</BusinessNameLine1Txt>
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          <AddressLine1Txt>3435 MAIN STREET</AddressLine1Txt>
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        <EIN>205588135</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMTON IMAGING LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>199 PARK CLUB LANE SUITE 300</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14221</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SITE E LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>272124795</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHTOWNS IMAGING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5959 BIG TREE RD SUITE 105</AddressLine1Txt>
          <CityNm>ORCHARD PARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14127</ZIPCd>
        </USAddress>
        <EIN>471123230</EIN>
        <PrimaryActivitiesTxt>EQUIPMENT LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COLLABORATIVE CARE VENTURES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET 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>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREAT LAKES MED BILLING SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <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>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHTOWNS SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>464742028</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KALEIDA PROPERTIES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>222738483</EIN>
        <PrimaryActivitiesTxt>PROP MGMT SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WESTLINK CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
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        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 200</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <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 SUITE 200</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>823184375</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OLEAN MEDICAL PRACTICE PLLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>726 EXCHANGE STREET SUITE 515</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14210</ZIPCd>
        </USAddress>
        <EIN>881324896</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>