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      <ActivityOrMissionDesc>THROUGHOUT 2024, ECMC EXPERIENCED CONTINUED GROWTH IN OUR HEALTHCARE SERVICES, BUILDING ON OUR POST-PANDEMIC SUCCESSES IN RESTORING OVERALL HOSPITAL OPERATIONS AND PATIENT VOLUMES. LIKE OTHER SAFETY NET HOSPITALS ACROSS THE COUNTRY AND LOCALLY, IT HAS BEEN CHALLENGING, BUT THE FOCUS ON OUR PATIENTS BY OUR ENTIRE ECMC FAMILY HAS SUPPORTED OUR ABILITY TO CONTINUE TO MAKE PROGRESS AND PROVIDE OUR COMMUNITY WITH THE HIGH-QUALITY CARE THEY EXPECT AND DESERVE. IN ALMOST EVERY MEASURABLE CATEGORY, INCREASES DEMONSTRATED A SUSTAINABLE POSITIVE TREND IN PATIENT VOLUMES THAT IS CERTAINLY BENEFICIAL TO SERVING OUR COMMUNITY AND IMPROVING OUR FINANCIAL CHALLENGES. POSITIVE OPERATIONAL GROWTH WAS REFLECTED IN OUR INPATIENT AND OUTPATIENT SERVICES, EMERGENCY DEPARTMENT VISITS, AND SURGERIES. 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 NATIONALLY RECOGNIZED CLINICAL EXCELLENCE SU</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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        <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, 2024 AND PRIOR.</ExplanationTxt>
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        <CharitableContriEvent2Amt>56394</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>244606</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>56394</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>102944</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>1840</FoodAndBeverageEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>905003</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>569790</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>335213</GrossRevenueOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>44310</NonCashPrizesOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>408613</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>2476949</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>957085</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>1519864</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>431605</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>138891</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1840</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>947528</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>1519864</DirectExpenseSummaryEventsAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>462 GRIDER STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14221</ZIPCd>
        </USAddress>
        <RecipientEIN>830382654</RecipientEIN>
        <IRCSectionDesc>115(1)</IRCSectionDesc>
        <CashGrantAmt>933282</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIE</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>TO AID MEDICAL CENTE</PurposeOfGrantTxt>
      </RecipientTable>
      <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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN M GONZALEZ</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>236660</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>969</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>42298</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>447</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>280374</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA VACANTI</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>151501</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>5467</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>27940</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>25734</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>210642</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc7">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FOOD &amp; PRIZES</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>627493</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>BOOK VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <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 1,519,864 FUNDRAISING EXPENSES NETTED AGAINST INCOME -1,519,864</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRIDER TRANSPORT SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>462 GRIDER STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14215</ZIPCd>
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        <EIN>462522172</EIN>
        <PrimaryActivitiesTxt>FURTHER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ECMC FOUND</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ORATION</BusinessNameLine2Txt>
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          <AddressLine1Txt>462 GRIDER STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14215</ZIPCd>
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        <EIN>830382654</EIN>
        <PrimaryActivitiesTxt>REHAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
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      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
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          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>933282</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1033002</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>57750</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ERIE COUNTY MEDICAL CENTER CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>397526</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <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>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>