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      <Form990PartVIISectionAGrp>
        <PersonNm>NORA K MCGUIRE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL DUGGAN CFP</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL E SHIELDS DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT J SCHRECK ESQ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEANN MCANULTY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN M ZEBRO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J FOELS MD MMM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRACEY O'CONNOR MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI FEINE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT J MANCUSO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABIGAIL UNGER</PersonNm>
        <TitleTxt>VP OF PSYCHOSOCIAL SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA LUCZKIEWICZ MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C TANGEMAN MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY CLEM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAM PUDLEWSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER JACOBUS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FAUSAT OKE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIE MAJEROWSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA ORELLANA</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6190</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>180053</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES LONG TERM DISABILITY BENEFIT AND SATURN CLUB MEMBERSHIP FEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALICIA POE WAS PAID $24,862.08 DURING 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VII, SECTION A, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTOPHER KERR (CHIEF MEDICAL DIRECTOR/CHIEF EXECUTIVE OFFICER) - $55,987 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC CARY SISTI (CHIEF CLINICAL OPERATIONS OFFICER) - $3,334 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC KRISTIE WHITE (COMPTROLLER) - $31,938 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC SAMANTHA PUDLEWSKI (VP OF ADMISSIONS) - $70,668 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC ABIGAIL UNGER (VP OF PSYCHOSOCIAL SERVICES) - $3,479 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC DEBRA LUCZKIEWICZ (VP OF PSYCHOSOCIAL SERVICES) - $14,371 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990; PART I; LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE PROGRAM SERVICES ARE A SPECIAL WAY OF CARING FOR PEOPLE WITH LIFE THREATENING ILLNESS AND THEIR FAMILIES. OUR PURPOSE IS TO HELP PEOPLE MAINTAIN DIGNITY AND CONTROL OVER THEIR OWN LIVES AND CARE. THE PATIENTS' SYMPTOMS ARE MANAGED SO THAT THEY CAN LIVE A FULL LIFE WITH THE SUPPORT OF FAMILY AND FRIENDS. THIS MEANS THAT WE CARE FOR THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. CARING PROFESSIONALS OFFER MEDICAL AND NURSING SERVICES, SOCIAL SERVICES, PASTORAL AND SPIRITUAL CARE, ASSISTANCE WITH LEGAL AND OTHER ISSUES, AND BEREAVEMENT COUNSELING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR INDIVIDUALS WITH LIFE-LIMITING ILLNESSES THAT EXTENDS TO THEIR FAMILIES AND THOSE ACTING AS CAREGIVERS. OUR PURPOSE IS TO HELP PEOPLE MAINTAIN DIGNITY AND CONTROL OVER THEIR OWN LIVES AND CARE. OUR GOAL IS TO ENHANCE INDIVIDUAL'S QUALITY OF LIFE THROUGH EFFECTIVE PAIN AND SYMPTOM MANAGEMENT. WE PROVIDE COMPREHENSIVE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL CARE THAT IS TAILORED TO THE INDIVIDUAL'S AND FAMILY'S NEEDS AND WISHES. THESE SERVICES ARE PROVIDED BY AN INTERDISCIPLINARY TEAM OF COMPASSIONATE EXPERTS LED BY A PHYSICIAN AND INCLUDES NURSES, SOCIAL WORKERS, AIDES, SPIRITUAL CARE COUNSELORS, MUSIC, ART, AND MASSAGE THERAPISTS, AND BEREAVEMENT COUNSELORS. WE ACKNOWLEDGE AND EMBRACE RELIGIOUS, ETHNIC, AND CULTURAL DIVERSITY. IN ADDITION TO CLINICAL CARE WE ALSO PROVIDE MEDICAL SUPPLIES, EQUIPMENT, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES RELATED TO THE INDIVIDUAL'S PRIMARY DIAGNOSIS. SERVICES ARE PROVIDED IN WHATEVER LOCATION THE INDIVIDUAL CALLS HOME. HOSPICE SERVICES ARE COVERED BY MEDICARE, MEDICAID, AND MOST PRIVATE INSURANCE PLANS. HOSPICE BUFFALO IS COMMITTED TO PROVIDING SERVICES IN THE COMMUNITY, SO NO ONE IS DENIED CARE DUE TO INABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE &amp; PALLIATIVE CARE BUFFALO, INC. IS THE SOLE CORPORATE MEMBER OF HOSPICE BUFFALO, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A STOCKHOLDER AND MEMBERS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IRS FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED BY THE INTERNAL ACCOUNTING STAFF. THE COMPLETED FORM IS PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS AND, AFTER A REVIEW HAS TAKEN PLACE, SUCH IS RECOMMENDED FOR SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMPREHENSIVE CORPORATE COMPLIANCE PLAN AND SET OF POLICIES. THE BOARD AND ALL EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL INSERVICE REGARDING CORPORATE COMPLIANCE. THE INSERVICE SPECIFICALLY REVIEWS THE POLICIES REGARDING CONFLICTS OF INTEREST, HOW TO DETERMINE IF A CONFLICT OF INTEREST HAS OCCURRED, AND ALL MANNERS IN WHICH COMPLIANCE VIOLATIONS CAN BE REPORTED WITHIN THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, EXECUTIVE COMMITTEE HAVE THE RESPONSIBILITY AND OVERSIGHT OF ALL ELEMENTS OF EXECUTIVE COMPENSATION. AN ANNUAL REVIEW AND APPROVAL IS COMPLETED BY THE COMMITTEE. IN THE REVIEW PROCESS ANNUAL COMPENSATION AND KEY GOALS ARE REVIEWED. THE COMMITTEE ALSO COMPARES COMPENSATION OF KEY EMPLOYEES TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF THE ORGANIZATION'S IRS FORM 990 IS DISCLOSED ON THE WEBSITE AND REQUESTS ARE RECEIVED VIA THE WEBSITE, PHONE OR MAIL. THE ORGANIZATION'S IRS FORM 990 IS ALSO AVAILABLE ON THE WEBSITE GUIDESTAR.ORG</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. AVAILABILITY IS DISCLOSED ON THE WEBSITE, AND REQUESTS ARE RECEIVED VIA THE PHONE NUMBER ON THE WEBSITE OR BY MAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990; PART VIII; LINE 11A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXTINGUISHMENT OF DEBT BETWEEN RELATED ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>PALLIATIVE CARE INSTITUTE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>HOSPICE FOUNDATION INC</BusinessNameLine1Txt>
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          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>223137812</EIN>
        <PrimaryActivitiesTxt>ACCEPTS, ADMINISTERS AND INVESTS ALL CHARITABLE FUNDS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KRESGE RESIDENCE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>161467560</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIFE TRANSITIONS CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>222203585</EIN>
        <PrimaryActivitiesTxt>HELP PEOPLE COPE WITH DEATH RELATED ISSUES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAUNDERS PROPERTIES OF WNY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>205359753</EIN>
        <PrimaryActivitiesTxt>HOLD PROPERTIES FOR ITS PARENT COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>225 COMO PARK BLVD</AddressLine1Txt>
          <CityNm>CHEEKTOWAGA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14227</ZIPCd>
        </USAddress>
        <EIN>223141532</EIN>
        <PrimaryActivitiesTxt>PROVIDE SERVICES THAT ENHANCE COMFORT &amp; QUALITY OF LIFE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1197075</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR VALUE OF SERVICES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE FOUNDATION OF WNY</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>2112005</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH TRANSFER</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>HOSPICE &amp; PALLIATIVE CARE BUFFALO INC</BusinessNameLine1Txt>
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        <InvolvedAmt>8120526</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR VALUE OF SERVICES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>SAUNDERS PROPERTIES OF WESTERN NEW YORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>318586</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR VALUE OF SERVICES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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        <TransactionTypeTxt>I</TransactionTypeTxt>
        <InvolvedAmt>291960</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>NET ASSET TRANSFER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>