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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J EDBAUER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NORA K MCGUIRE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL E SHIELDS DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL S DUGGAN CFP</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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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>
        <TitleTxt>TRUSTEE/CHAIR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J FOELS MD MMM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRACEY O' CONNOR MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI FEINE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VINCE J MANCUSO</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARY SISTI</PersonNm>
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        <ReportableCompFromRltdOrgAmt>336286</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ARIEL CLAY</PersonNm>
        <TitleTxt>DIRECTOR OF PALLIATIVE CARE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTONIO SAMEDI</PersonNm>
        <TitleTxt>DIRECTOR OF IT &amp; CYBERSECURITY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTY FEIGHTNER</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL OUTREACH &amp; PARTNERSHIPS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLYN LALIBERTY</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIE WHITE</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>112994</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEAH SANCHEZ</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29349</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2572267</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>478817</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECOLOGIC STUDIO ARCHITECTURE &amp; ENGINEE</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2495 MAIN ST 431</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RIVETER LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>14207</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>5996923</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>16784</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <ManagementAndGeneralAmt>3069925</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>862043</ProgramServicesAmt>
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        <ProgramServicesAmt>68591</ProgramServicesAmt>
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        <ProgramServicesAmt>82687</ProgramServicesAmt>
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        <ProgramServicesAmt>63769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320598</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>15825</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>429</ProgramServicesAmt>
        <ManagementAndGeneralAmt>489706</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>687761</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>14761</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>290397</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4653759</ProgramServicesAmt>
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        <EOYAmt>652310</EOYAmt>
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        <EOYAmt>12805580</EOYAmt>
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        <EOYAmt>2008627</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>12805580</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>391252</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>332201</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>194016</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>167568</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>14987565</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>15976</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>16784</CurrentTaxYearAmt>
        <TotalAmt>95818</TotalAmt>
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        </USAddress>
        <EIN>222203558</EIN>
        <PrimaryActivitiesTxt>HELP PEOPLE COPE WITH DEATH RELATED ISSUES</PrimaryActivitiesTxt>
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        <EIN>205359753</EIN>
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      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>SUPPORTIVE MEDICAL PARTNERS PLLC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE FOUNDATION OF WNY</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>SUPPORTIVE MEDICAL PARTNERS PLLC</BusinessNameLine1Txt>
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  </ReturnData>
</Return>