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      <ActivityOrMissionDesc>2023 WAS A YEAR FOR ECMC THAT MARKED GROWTH IN SERVICES, IMPROVEMENT IN QUALITY, SUCCESS WITH ACCREDITATION, EFFORTS TO SUPPORT OUR CARING AND INCLUSIVE CULTURE, AND OPERATIONAL IMPROVEMENTS FROM THE LINGERING EFFECTS OF THE COVID-19 PANDEMIC. IN ALMOST EVERY MEASURABLE CATEGORY, INCREASES DEMONSTRATED A SUSTAINABLE POSITIVE TREND IN PATIENT VOLUMES. POSITIVE OPERATIONS GROWTH WAS REFLECTED IN OUR OUTPATIENT SERVICES (8.2%), EMERGENCY DEPARTMENT VISITS (7.9%) AND GENERAL SURGERIES (6.7%). AND TOTAL ACUTE AVERAGE LENGTH OF STAY DROPPED BY 12.1%, WHICH IS VERY BENEFICIAL TO OUR PATIENTS AND OVERALL HOSPITAL OPERATIONS. WHILE THESE INCREASES HAVE NOT MITIGATED OUR FINANCIAL CHALLENGES, THEY ARE HELPING US SIGNIFICANTLY AS WE, LIKE ALL HOSPITALS ACROSS NEW YORK, RECOVER FROM THE EFFECTS OF RESPONDING TO THE COVID PANDEMIC. WE OFTEN SPEAK ABOUT ECMC'S UNIQUE CULTURE AND THE DEDICATION AND RESILIENCE OF OUR CAREGIVERS. THEY ARE THE CORNERSTONE OF OUR INSTITUTION. THEIR ACCOMPLISHMENTS AND NA</ActivityOrMissionDesc>
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      <MissionDesc>TO ASSIST THE ERIE COUNTY MEDICAL CENTER CORPORATION IN PROCURING THE RESOURCES NEEDED TO BE THE MEDICAL CENTER OF CHOICE THROUGH EXCELLENCE IN PATIENT CARE AND CUSTOMER SERVICE.</MissionDesc>
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      <Desc>ON BEHALF OF THE HOSPITAL ("ECMC"), THE ECMC FOUNDATION RAISED, HELD, AND ADMINISTERED FUNDS THAT WERE INVESTED INTO ACHIEVING THE HIGHEST QUALITY OF HEALTHCARE AND TRAUMA CARE FOR PATIENTS, REGARDLESS OF THEIR RACE, GENDER, ETHNICITY, INCOME, OR INSURANCE STATUS. SUCH FUNDS WERE UTILIZED FOR FREE HEALTHCARE PROGRAMS, WELLNESS SEMINARS, AND COMMUNITY OUTREACH PROGRAMS IN THE CITY OF BUFFALO AND WESTERN NEW YORK. ECMC FOUNDATION'S MOBILE MAMMOGRAPHY COACH IS AN EXAMPLE OF A HEALTHCARE/EDUCATIONAL/WELLNESS PROGRAM FOR WOMEN THAT HAS BENEFITED FROM THE FINANCIAL RESOURCES THAT HAVE BEEN RAISED BY ECMC FOUNDATION. THE MOBILE SCREENING PROGRAM TRAVELS TO OFF-SITE LOCATIONS AND OFFERS FREE WALK-ON SCREENINGS FOR WOMEN, REGARDLESS OF THEIR INSURANCE STATUS, IN ADDITION TO BREAST HEALTH EDUCATION. ECMC FOUNDATION'S SUMMER YOUTH HEALTHCARE INTERNSHIP PROGRAM IS ANOTHER EXAMPLE OF HOW FUNDS RAISED BY ECMC FOUNDATION HAVE CONTRIBUTED TO IMPROVING HEALTH CARE EDUCATION FOR YOUNG CITIZENS. THE INTERNSHIP ALLOWS HIGH SCHOOL STUDENTS TO EXPLORE CAREERS IN MEDICAL FIELDS AND THE HEALTH SCIENCES WHILE RECEIVING MENTORING BY HEALTHCARE PROFESSIONALS IN A HOSPITAL SETTING. EACH YEAR THE SUMMER YOUTH PROGRAM HAS 120 YOUTH PARTICIPANTS. ECMC FOUNDATION'S FUNDS HAVE ALSO CONTRIBUTED TO ADVANCEMENTS THAT HAVE BEEN MADE IN HOSPITAL STAFF TRAINING PROGRAMS AND EMPLOYEE EDUCATION SEMINARS. ECMC FOUNDATION PERIODICALLY PROVIDES FINANCIAL AND ADMINSTRATIVE SUPPORT FOR CAPITAL IMPROVEMENTS AT ECMC, INCLUDING INNOVATIONS IN TECHNOLOGY, MEDICAL EQUIPMENT, AND SAFETY FOR HOSPITAL PATIENTS AND EMPLOYEES. ECMC FOUNDATION'S ABILITY TO ADMINISTER DONOR REQUESTS AND/OR HOSPITAL NEEDS HAS HELPED ECMC BECOME ONE OF THE LEADING PUBLIC HOSPITALS IN THE CITY OF BUFFALO AND WESTERN NEW YORK COMMUNITY.</Desc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ERIE COUNTY MEDICAL CENTER CORPORATION ("ECMCC")IS DEEMED TO BE A RELATED PARTY TRANSACTION BY VIRTUE OF THEIR SHARED MISSION AND AFFILIATION THROUGH GOVERNANCE AND MANAGEMENT ACTIVITIES. AMOUNTS HELD IN CUSTODY FOR OTHERS, A LIABILITY OF THE FOUNDATION, WAS 595,956 AT DECEMBER 31, 2022 (656,814 - 2021). AMOUNTS HELD IN CUSTODY FOR OTHERS CONSIST OF TWO GENERAL CATEGORIES OF MONIES HELD BY THE FOUNDATION IN AN AGENT CAPACITY INCLUDING SPECIAL PURPOSE FUNDS AND GRANTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY AS DESCRIBED IN SECTION 509(A) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL TAXES UNDER SECTION 501(C)(3) OF THE CODE. ACCORDINGLY, NO PROVISIONS FOR FEDERAL TAXES ARE INCLUDED IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION FOR TAX PURPOSES. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMNTS. ADDITIONALLY, THE FOUNDATION IS NO LONGER TO FEDERAL OR STATE TAX EXAMINATION BY TAX AUTHORITIES, FOR ALL RETURNS FILED, FOR THE YEARS ENDING DECEMBER 31, 2023 AND PRIOR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE NETTED AGAINST REVENUE 1,326,554</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED AGAINST INCOME 1,326,554</ExplanationTxt>
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        <DirectExpenseSummaryEventsAmt>1326554</DirectExpenseSummaryEventsAmt>
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          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>462 GRIDER STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14221</ZIPCd>
        </USAddress>
        <RecipientEIN>830382654</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>945834</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIE</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>TO AID MEDICAL CENTE</PurposeOfGrantTxt>
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      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 2: THE EXECUTIVE COMMITTEE APPROVES ALL GRANT REQUESTS PRIOR TO THE ISSUANCE OF THE GRANT.</ExplanationTxt>
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        <PersonNm>SUSAN M GONZALEZ</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>204459</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>969</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA VACANTI</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>5353</OtherCompensationRltdOrgsAmt>
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        <Desc>FOOD &amp; PRIZES</Desc>
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        <MethodOfDeterminingRevenuesTxt>BOOK VALUE</MethodOfDeterminingRevenuesTxt>
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    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ON BEHALF OF THE HOSPITAL ("ECMC"), THE ECMC FOUNDATION RAISED, HELD, AND ADMINISTERED FUNDS THAT WERE INVESTED INTO ACHIEVING THE HIGHEST QUALITY OF HEALTHCARE AND TRAUMA CARE FOR PATIENTS, REGARDLESS OF THEIR RACE, GENDER, ETHNICITY, INCOME, OR INSURANCE STATUS. SUCH FUNDS WERE UTILIZED FOR FREE HEALTHCARE PROGRAMS, WELLNESS SEMINARS, AND COMMUNITY OUTREACH PROGRAMS IN THE CITY OF BUFFALO AND WESTERN NEW YORK. ECMC FOUNDATION'S MOBILE MAMMOGRAPHY COACH IS AN EXAMPLE OF A HEALTHCARE/EDUCATIONAL/WELLNESS PROGRAM FOR WOMEN THAT HAS BENEFITED FROM THE FINANCIAL RESOURCES THAT HAVE BEEN RAISED BY ECMC FOUNDATION. THE MOBILE SCREENING PROGRAM TRAVELS TO OFF-SITE LOCATIONS AND OFFERS FREE WALK-ON SCREENINGS FOR WOMEN, REGARDLESS OF THEIR INSURANCE STATUS, IN ADDITION TO BREAST HEALTH EDUCATION. ECMC FOUNDATION'S SUMMER YOUTH HEALTHCARE INTERNSHIP PROGRAM IS ANOTHER EXAMPLE OF HOW FUNDS RAISED BY ECMC FOUNDATION HAVE CONTRIBUTED TO IMPROVING HEALTH CARE EDUCATION FOR YOUNG CITIZENS. THE INTERNSHIP ALLOWS HIGH SCHOOL STUDENTS TO EXPLORE CAREERS IN MEDICAL FIELDS AND THE HEALTH SCIENCES WHILE RECEIVING MENTORING BY HEALTHCARE PROFESSIONALS IN A HOSPITAL SETTING. EACH YEAR THE SUMMER YOUTH PROGRAM HAS 120 YOUTH PARTICIPANTS. ECMC FOUNDATION'S FUNDS HAVE ALSO CONTRIBUTED TO ADVANCEMENTS THAT HAVE BEEN MADE IN HOSPITAL STAFF TRAINING PROGRAMS AND EMPLOYEE EDUCATION SEMINARS. ECMC FOUNDATION PERIODICALLY PROVIDES FINANCIAL AND ADMINSTRATIVE SUPPORT FOR CAPITAL IMPROVEMENTS AT ECMC, INCLUDING INNOVATIONS IN TECHNOLOGY, MEDICAL EQUIPMENT, AND SAFETY FOR HOSPITAL PATIENTS AND EMPLOYEES. ECMC FOUNDATION'S ABILITY TO ADMINISTER DONOR REQUESTS AND/OR HOSPITAL NEEDS HAS HELPED ECMC BECOME ONE OF THE LEADING PUBLIC HOSPITALS IN THE CITY OF BUFFALO AND WESTERN NEW YORK COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE EXECUTIVE COMMITTEE AND FULL BOARD REVIEW THE FORM 990 PRIOR TO SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS IS REQUIRED TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS IT, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FOUNDATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PERIODIC REVIEWS ARE UNDERTAKEN TO ENSURE THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES. AN OUTSIDE ADVISOR MAY OR MAY NOT BE USED TO CONDUCT THESE REVIEWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INCLUDES AN ANNUAL REVIEW WITH THE BOARD CHAIRMAN AND ERIE COUNTY MEDICAL CENTER CORPORATION'S CEO, FOLLOWED BY DISCUSSION BETWEEN BOARD CHAIRMAN AND THE BOARD EXECUTIVE COMMITTEE. DURING AN EXECUTIVE SESSION FOLLOWING THE DISCUSSION, THERE IS A MOTION AND APPROVAL OF INCREASE, BONUS, CHANGES IN CONTRACT TERMS, ETC. THESE ARE THEN PRESENTED BY THE BOARD CHAIRMAN TO THE EXECUTIVE DIRECTOR AND FOLLOWED WITH A LETTER TO THE FINANCIAL ANALYST/PAYROLL FOR CHANGES, AND A COPY TO THE PERSONNEL FILE. THE EXECUTIVE DIRECTOR ALSO RECEIVES A COPY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH IN INTERNAL REVENUE CODE SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERAL BOARD MEMBERS ARE EMPLOYEES OF ERIE COUNTY MEDICAL CENTER CORPORATION, A RELATED ORGANIZATION. NONE OF THESE INDIVIDUALS ARE PAID FOR THEIR SERVICE AS A BOARD MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE NETTED AGAINST REVENUE 1,326,554 FUNDRAISING EXPENSES NETTED AGAINST INCOME -1,326,554</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>GRIDER TRANSPORT SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>462 GRIDER STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14215</ZIPCd>
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        <InvolvedAmt>945834</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2470740</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>57750</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>660128</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>ERIE COUNTY MEDICAL CENTER CORPORTATION PRIMARY ACTIVITY: ECMC IS A REGIONAL CENTER FOR TRAUMA, BURN, REHABILITATION AND CARDIAC CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED ON A REVIEW OF THE RELATED PARTY CRITERIA SPECIFIED IN THE INSTRUCTIONS FOR FORM 990, THE FOUNDATION CONCLUDED THAT NONE OF THE RELATIONSHIPS OR CONTROL CRITERIA WERE APPLICABLE TO THE RELATIONSHIP THAT EXISTS BETWEEN THE FOUNDATION AND THE ERIE COUNTY MEDICAL CENTER CORPORATION. HOWEVER, DUE TO THE HISTORICALLY CLOSE WORKING RELATIONSHIP BETWEEN THE TWO ORGANIZATIONS, THE FOUNDATION IS DISCLOSING THE HOSPITAL AS A RELATED PARTY ON SCHEDULE R. THE FOUNDATION EXISTS TO SUPPORT THE ERIE COUNTY MEDICAL CENTER CORPORATION AND IS RECOGNIZED IN THE COMMUNITY AS THE FOUNATION ARM OF THE HOSPITAL.</ExplanationTxt>
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</Return>