Millard Fillmore Ambulatory Surgery Center C/O Kaleida Health

“The entity no longer retains a governing body and kaleida health, as the sole corporate member, maintains the operations of the filing organization. Kaleida health's board of directors are responsible for all decisions relating to millard fillmore ambulatory surgical center.”

“Form 990, part vi, question 6 the organization is a membership (not a stock) corporation under new york state law. The organization's sole corporate member is kaleida health, a related not-for-profit organization.”

“Form 990, part vi, section b, question 11a the board of directors of kaleida health, the organization's sole corporate member, in consultation with the organization's tax advisors, kpmg, reviews the form 990. This financial review is based on the organization's financial statements for the relevant time period. The board of directors of kaleida health, acting as the governing body for the filing organization, receives a copy of form 990 before it is filed with the irs.”

“Form 990, part vi, section b, line 12c the filing organization is a member of the health care organizational structure of kaleida health, as such the conflict of interest policy applicable to kaleida health's board of directors and key employees would also be applicable to the filing organization. Kaleida health, the organization's sole corporate member, monitors its conflict of interest policy as follows: upon employment and annually thereafter each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can (1) determine whether any potential or actual conflicts of interests may exist, and (2) monitor work or service assignments to avoid placing the key employee, officer or director in a position where there may be a potential, actual, or even appearance, of a conflict of interest or a question of objectivity. The completed conflict of interest forms for directors are returned to the organization.”

“Form 990, part vi, section c, question 19 the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at the offices of kaleida health (the organization's sole corporate member) at 726 exchange street, suite 200, buffalo, ny 14210. A nominal fee is charged if copies are requested.”

“Other changes in net assets: write-off stale dated checks $ 2,150 reclass patient refund 173 -------------- 2,323”