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        <Desc>ALTHOUGH HOSPICE CARE WILL ALWAYS BE PRIMARILY PROVIDED IN A PATIENT'S OR CAREGIVER'S HOME, THERE ARE SOME INDIVIDUALS WHO DO NOT HAVE A HOME ENVIRONMENT APPROPRIATE FOR HOSPICE CARE, OR LACK THE FAMILY OR FRIENDS NECESSARY TO PROVIDE 24/7 CARE IN A HOME ENVIRONMENT. ADDITIONALLY, SOME HOSPICE PATIENTS NEED AROUND-THE-CLOCK MEDICAL ATTENTION DURING MEDICATION ADJUSTMENTS OR FOR SYMPTOM MANAGEMENT. IN RESPONSE TO THESE NEEDS, NIAGARA HOSPICE HOUSE WAS BUILT.NIAGARA HOSPICE HOUSE IS NIAGARA COUNTY'S ONLY RESIDENTIAL HOSPICE HOUSE, PROVIDING SERVICES TO PATIENTS AND THEIR FAMILIES WHO ARE NOT ABLE TO RECEIVE HOME HOSPICE CARE. THE RESIDENTIAL WING CONSISTS OF EIGHT SUITES SPECIFICALLY DESIGNED FOR LONGER STAYS WHEN THE HOME CAREGIVING STRUCTURE IS COMPROMISED. THE IN-PATIENT WING HAS TEN SUITES DESIGNED FOR PATIENTS NEEDING SHORT-TERM MEDICAL MONITORING AND SYMPTOM MANAGEMENT.EACH SUITE IS DESIGNED WITH PATIENT AND FAMILY IN MIND WITH A SITTING AREA AND EASY-CHAIR SLEEPER. EACH FAMILY ALSO HAS ACCESS TO GATHERING ROOMS, FIREPLACES, A CHAPEL, KITCHEN AND THE HOSPICE MEMORIAL GARDENS.</Desc>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>226045</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DALE DIBBLE</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>37.50</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>137388</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13045</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARRIE B GEBHARDT</PersonNm>
        <TitleTxt>DIRECTOR OF ADVANCEMENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>37.50</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>126344</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>647281</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1066282</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>174934</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NIAGARA HOSPICE ALLIANCE INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>746488</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>314642</ExclusionAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-7066</TotalRevenueColumnAmt>
        <ExclusionAmt>-7066</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>200856</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>133987</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>162202</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>38654</TotalRevenueColumnAmt>
        <ExclusionAmt>38654</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>38150</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>17010</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>21140</TotalRevenueColumnAmt>
        <ExclusionAmt>21140</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURACE CLAIM SETTLEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>150000</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>SURPLUS NOTE INTEREST INCOME</Desc>
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        <ExclusionAmt>143386</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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      <TotalBookValueLandBuildingsAmt>6115830</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO PHCN</Desc>
        <Amt>63962</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO GROUP</Desc>
        <Amt>26816</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ALLIANCE</Desc>
        <Amt>53451</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ORLEANS</Desc>
        <Amt>-112012</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>32217</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20888636</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>83333</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>7655</OtherRevenueAmt>
      <RevenueNotReportedAmt>90988</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20797648</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20797648</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20548304</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>7066</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>7066</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>20541238</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>20541238</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY IS AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN FOR INCOME TAX PURPOSES WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. THE TAX RETURNS FOR THE TAX YEARS ENDED JUNE 30TH, 2022 - 2025 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION 589. LOSS ON DISPOSITION OF FIXED ASSETS 7,066.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSITION OF FIXED ASSETS 7,066.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>MIGHTY NIAGARA</Event1Nm>
        <GrossReceiptsEvent1Amt>115489</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>51321</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>64168</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>2000</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>4508</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>10144</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>8456</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>3010</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>28107</OtherDirectExpensesEvent1Amt>
        <Event2Nm>SPRING BOUQUET</Event2Nm>
        <GrossReceiptsEvent2Amt>85895</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>41793</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>44102</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>42993</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>4</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>133459</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>40873</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>92586</GrossRevenueOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>2441</NonCashPrizesOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>13181</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>7796</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>3970</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>35596</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>334843</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>133987</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>200856</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>2000</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>6949</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>23325</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>16252</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>6980</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>106696</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>162202</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>38654</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>38150</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>9000</CashPrizesOtherGamingAmt>
        <RentFcltyCostsOtherGamingAmt>2672</RentFcltyCostsOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>5338</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>0</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>38150</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>9000</CashPrizesTotalGamingAmt>
        <RentFcltyCostsTotalGamingAmt>2672</RentFcltyCostsTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>5338</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>17010</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>21140</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>NY</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>0</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>1.00000</GamingOwnFacilityPct>
      <IndividualWithBooksNm>CARLO FIGLIOMENI</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>4675 SUNSET DRIVE</AddressLine1Txt>
        <CityNm>LOCKPORT</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14094</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAY NEWMAN</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>306990</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13821</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>400</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>321211</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD CASTALDO</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>269515</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12575</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18462</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>300552</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD O'BRIEN</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>218140</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7905</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10182</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6441</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>242668</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIELLE M BURNGASSER</PersonNm>
        <TitleTxt>VICE PRESIDENT OF OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>200030</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4929</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9285</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18462</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232706</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DALE DIBBLE</PersonNm>
        <TitleTxt>DIRECTOR OF PLANT/FACILITY OPERATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>137388</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6307</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6738</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>150433</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (THE GROUP) PERFORMS SOME MANAGEMENT, FUNDRAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE, INC. THE GROUP CHARGES NIAGARA HOSPICE, INC. A MANAGEMENT FEE FOR THESE SERVICES WHICH INCLUDES THE PAYROLL RELATED EXPENSES OF THE CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING AND FINANCIAL OFFICER. THESE INDIVIDUALS MEET THE DEFINITION OF OFFICERS OF NIAGARA HOSPICE, INC. ACCORDING TO THE IRS 990 INSTRUCTIONS. HOWEVER, NIAGARA HOSPICE, INC.'S AND THE GROUP'S RELATIONSHIP DOES NOT MEET THE DEFINITION OF RELATED PARTIES PER THE IRS 990 INSTRUCTIONS AND THEREFORE THEIR WAGE INFORMATION HAS NOT BEEN REPORTED ON PART VII, SECTION A NOR ON SCHEDULE J.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (AN AFFILIATED 501 (C) (3) ORGANIZATION EIN 56-2298553) PERFORMS SOME MANAGEMENT, FUNDRAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE, INC. THE HOSPICE AND PALLIATIVE CARE GROUP, INC. CHARGES NIAGARA HOSPICE, INC. A MANAGEMENT FEE FOR THESE SERVICES. NIAGARA HOSPICE, INC.'S BOARD OF DIRECTORS HAS OVERSIGHT OVER THESE ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED IN DRAFT FORM TO THE MEMBERS OF THE GOVERNING BODY OF NIAGARA HOSPICE, INC. AFTER IT HAS BEEN REVIEWED BY AGENCY FISCAL PERSONNEL. EACH MEMBER OF THE BOARD HAS THE OPPORTUNITY TO REVIEW THE RETURN AND SUGGEST ANY CHANGES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>NIAGARA HOSPICE, INC. IS COMMITTED TO IDENTIFY AND DISCLOSE ALL INDIVIDUALS THAT MAY HAVE A POTENTIAL TO INFLUENCE OR DIRECT DECISIONS TO HIS/HER OWN GAIN. ALL BOARD MEMBERS AND EMPLOYEES PARTICIPATING IN THE ACTIVITIES AND/OR OPERATIONS OF THE NIAGARA HOSPICE, INC. MUST SIGN A CONFLICT OF INTEREST FORM, AND DISCLOSE ANY DIRECT OR INDIRECT RELATIONSHIP, INVESTMENT OR INTEREST WHICH MAY REQUIRE HIS/HER EXCLUSION FROM PARTICIPATING IN CERTAIN DECISION - MAKING PROCESSES. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST COMPLETE A DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST FORM. NO EMPLOYEE OF NIAGARA HOSPICE, INC. MAY HAVE EMPLOYMENT, CONSULTING OR OTHER BUSINESS RELATIONSHIP WITH A COMPETITOR, PATIENT/FAMILY, SUPPLIER, OR INVEST IN ANY COMPETITOR OR SUPPLIER (EXCEPT FOR MODERATE HOLDINGS OF PUBLICLY TRADED SECURITIES) UNLESS WRITTEN PERMISSION IS GRANTED BY THE CEO AND CHIEF OPERATING AND FINANCIAL OFFICER IN ADVANCE. OUTSIDE EMPLOYMENT MAY CONSTITUTE A CONFLICT OF INTEREST IF IT PLACES AN EMPLOYEE IN THE POSITION OF APPEARING TO REPRESENT THE AGENCY, INVOLVES SERVICES SIMILAR TO THOSE THE AGENCY PROVIDES OR LESSENS THE EFFICIENCY, ALERTNESS OR PRODUCTIVITY NORMALLY EXPECTED OF EMPLOYEES ON THEIR JOBS. OUTSIDE EMPLOYMENT MAY ALSO CONSTITUTE A CONFLICT OF INTEREST IF EMPLOYEES PERFORM SERVICES EITHER FOR INDIVIDUALS OR ENTITIES THAT MAKE REFERRALS. ALL OUTSIDE EMPLOYMENT THAT IS IN QUESTION MUST BE DISCLOSED TO THE AGENCY AND BE EVALUATED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS WITH THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE &amp; CHIEF OPERATING AND FINANCIAL OFFICER. THE PURPOSE OF THIS COMMITTEE IS TO: APPROVE THE ANNUAL PERFORMANCE STANDARDS OF THE EXECUTIVE DIRECTOR. DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. CONDUCT THE ANNUAL PERFORMANCE APPRAISAL. DETERMINE THE TOTAL COMPENSATION PACKAGE. ANNUALLY REVIEW, AND APPROVE ANY CHANGE TO, THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE &amp; CHIEF OPERATING AND FINANCIAL OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST OVER THE PHONE, IN WRITING, IN PERSON, AND VIA E-MAIL. THE 990 IS ALSO AVAILABLE THROUGH THE GUIDESTAR AND NY AGS WEBSITES. THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 34:</FormAndLineReferenceDesc>
        <ExplanationTxt>NIAGARA HOSPICE, INC. (EIN 22-2524016) AND NIAGARA HOSPICE ALLIANCE, INC. (EIN 26-1101852) ARE RELATED ACCORDING TO THE IRS 990 INSTRUCTIONS.</ExplanationTxt>
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    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>NIAGARA HOSPICE ALLIANCE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4675 SUNSET DRIVE</AddressLine1Txt>
          <CityNm>LOCKPORT</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14904</ZIPCd>
        </USAddress>
        <EIN>261101852</EIN>
        <PrimaryActivitiesTxt>PROVIDES CONTRACTED SERVICES.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NIAGARA HOSPICE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</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>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NIAGARA HOSPICE ALLIANCE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>3365657</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL PR DOLLARS/TIME SPENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>