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        <TypeOfOrganization>HOSPITAL</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>130779</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>130779</SumOfAmounts>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="00000004" softwareId="12000225">
      <CurrentYear>
        <BeginningOfYearBalance>47366</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>4678</InvestmentEarningsOrLosses>
        <EndOfYearBalance>52044</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>48964</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-1598</InvestmentEarningsOrLosses>
        <EndOfYearBalance>47366</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>44745</BeginningOfYearBalance>
        <Contributions>100</Contributions>
        <InvestmentEarningsOrLosses>4119</InvestmentEarningsOrLosses>
        <EndOfYearBalance>48964</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>37279</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>7466</InvestmentEarningsOrLosses>
        <EndOfYearBalance>44745</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>49046</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-11767</InvestmentEarningsOrLosses>
        <EndOfYearBalance>37279</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <PermanentEndowmentEOYBalance>0.79360</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.20640</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <OtherAssets>
        <Description>DONOR RESTRICTED PROMISES TO GIVE</Description>
        <BookValue>50000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DONOR RESTRICTED CASH AND CASH EQUIVALENTS</Description>
        <BookValue>234905</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ENDOWMENT FUND</Description>
        <BookValue>52044</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>336949</TotalBookValueOtherAssets>
      <Form990ScheduleDPartXIII>
        <Explanation>AN ENDOWMENT FUND IS HELD AT THE NORTHERN CHAUTAUQUA COMMUNITY FOUNDATION FOR THE PURPOSE OF PROMOTING COMMUNITY PHILANTHROPIC SUPPORT OF WESTFIELD MEMORIAL HOSPITAL AND TO PROVIDE FUNDING FOR EXPANSION AND MODERNIZATION OF THE HOSPITAL'S EQUIPMENT AND FACILITIES.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="00000005">
      <EventsInformation>
        <NameOfEvent1>GOLF TOURNAMENT</NameOfEvent1>
        <GrossReceiptsEvent1>88272</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>70739</CharitableContributionsEvent1>
        <GrossRevenueEvent1>17533</GrossRevenueEvent1>
        <NonCashPrizesEvent1>32166</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>5698</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>9038</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>503</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>88272</GrossReceiptsTotal>
        <CharitableContributionsTotal>70739</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>17533</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>32166</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>5698</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>9038</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>503</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>47405</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-29872</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="00000006" softwareId="12000225">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WESTFIELD MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>189 E MAIN STREET</AddressLine1>
          <City>WESTFIELD</City>
          <State>NY</State>
          <ZIPCode>14787</ZIPCode>
        </AddressUS>
        <EINOfRecipient>160743222</EINOfRecipient>
        <AmountOfCashGrant>116779</AmountOfCashGrant>
        <AmountOfNonCashAssistance>14000</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>MED EQUIP</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>MED EQUIP</PurposeOfGrant>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="00000007">
      <OtherNonCashContributionsTable>
        <Description>GOLF TOURN EXPENSES</Description>
        <NumberOfContributions>92</NumberOfContributions>
        <NoncashContribsRptdF990>29181</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <Description>OTHER GIFTS</Description>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>2475</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <Description>MEDICAL EQUIP</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>14000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="00000008" softwareId="12000225">
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11b</Identifier>
        <Explanation>FORM 990 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>TREASURER PRIOR TO FILING, WHO REVIEWS IT WITH THE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>BOARD OF DIRECTORS SUBSEQUENT TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>COMPLIANCE IS MONITORED ON AN ANNUAL BASIS THROUGH</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>UPDATED DISCLOSURES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part I, Line 16</Identifier>
        <Explanation>MARKETING EXPENSES OTHER ADMINISTRATIVE EXPENSES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 24</Identifier>
        <Explanation>PROMISES TO GIVE DONOR RESTRICTED ASSETS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 26</Identifier>
        <Explanation>GRANTS PAYABLE</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000009" softwareId="12000225">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WESTFIELD MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>189 MAIN ST</AddressLine1>
          <City>WESTFIELD</City>
          <State>NY</State>
          <ZIPCode>14787</ZIPCode>
        </AddressUS>
        <EIN>160743222</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NONE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WESTFIELD MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>130779</AmountInvolved>
        <MethodOfAmtDetermination>CASH GRANTS/NONCASH-FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT VINCENT HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>50000</AmountInvolved>
        <MethodOfAmtDetermination>CASH GRANT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WESTFIELD MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>64750</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>