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NIAGARA FALLS MEMORIAL MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NIAGARA FALLS MEMORIAL MEDICAL CENTER (EIN 16-0743094)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-12-21
IRS object ID
202203559349301400
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-12-21T12:50:56-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRLAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14535ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743094EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA FALLS MEMORIAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNIAGBusinessNameControlTxt
Phone7162784399PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 708AddressLine1Txt
CityNIAGARA FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH RUFFOLOPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone7162784399PhoneNum
Signature2022-12-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOSEPHPersonFirstNm
Person LastRUFFOLOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH PEPLINPreparerPersonNm
PTINP01311564PTIN
Phone5853811000PhoneNum
Preparation2022-12-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH RUFFOLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 708AddressLine1Txt
CityNIAGARA FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14302ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$117,812,522GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NFMMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1578TotalEmployeeCnt
Total Volunteers158TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$25,216,438PYContributionsGrantsAmt
CY Contributions Grants$7,214,228CYContributionsGrantsAmt
PY Program Service Revenue$97,185,833PYProgramServiceRevenueAmt
CY Program Service Revenue$103,638,838CYProgramServiceRevenueAmt
PY Investment Income$63,711PYInvestmentIncomeAmt
CY Investment Income$32,520CYInvestmentIncomeAmt
PY Other Revenue$6,592,818PYOtherRevenueAmt
CY Other Revenue$6,926,936CYOtherRevenueAmt
PY Total Revenue$129,058,800PYTotalRevenueAmt
CY Total Revenue$117,812,522CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$75,983,889PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$75,765,993CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$50,437,145PYOtherExpensesAmt
CY Other Expenses$51,249,755CYOtherExpensesAmt
PY Total Expenses$126,421,034PYTotalExpensesAmt
CY Total Expenses$127,015,748CYTotalExpensesAmt
PY Revenues Less Expenses$2,637,766PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,203,226CYRevenuesLessExpensesAmt
Total Assets BOY$106,847,073TotalAssetsBOYAmt
Total Assets EOY$89,216,615TotalAssetsEOYAmt
Total Liabilities BOY$57,212,223TotalLiabilitiesBOYAmt
Total Liabilities EOY$48,351,791TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,634,850NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,864,824NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$102,193,509ExpenseAmt
Revenue$110,565,774RevenueAmt
DescNIAGARA FALLS MEMORIAL MEDICAL CENTER PROVIDES QUALITY HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, HEALTH FAIRS AND PROGRAMS FOR THOSE WITH SPECIAL NEEDS.Desc
Total Program Service Expenses$102,193,509TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document279IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1578EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHARD BRAUNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7162784399PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 TENTH STREETAddressLine1Txt
CityNIAGARA FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14302ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES C ROSCETTI
CHAIRMAN2.006.00Yes (X)Yes (X)$0$0$0
CYNTHIA A BIANCO
VICE CHAIRMAN2.006.00Yes (X)Yes (X)$0$0$0
CHARLES G RADER PHD
TREASURER2.006.00Yes (X)Yes (X)$0$0$0
MARGARET M TOOHEY
SECRETARY2.006.00Yes (X)Yes (X)$0$0$0
ROBERT L BRADLEY JR
DIRECTOR2.006.00Yes (X)$0$0$0
RONALD R CAMPBELL
DIRECTOR2.006.00Yes (X)$0$0$0
MATTHEW FELDMAN
DIRECTOR2.006.00Yes (X)$0$0$0
MURRAY HEWITT
DIRECTOR2.006.00Yes (X)$0$0$0
DON J KING
DIRECTOR2.006.00Yes (X)$0$0$0
MARION B LAVIGNE PHD
DIRECTOR2.006.00Yes (X)$0$0$0
MARK D PERRY MD
DIRECTOR2.006.00Yes (X)$0$0$0
SALVATORE SANTAROSA
DIRECTOR (1/21 - 6/21)2.006.00Yes (X)$0$0$0
JOSEPH A RUFFOLO
PRESIDENT & CEO34.006.00Yes (X)Yes (X)$567,024$0$33,531
REV CRAIG D PRIDGEN
DIRECTOR2.006.00Yes (X)$0$0$0
VIJAY BOJEDLA MD
VICE PRESIDENT & CMO34.006.00Yes (X)Yes (X)$150,797$0$15,959
JOHN JACK L GRECO
DIRECTOR2.006.00Yes (X)$0$0$0
JUDITH A NOLAN POWELL
DIRECTOR2.006.00Yes (X)$0$0$0
SHEILA KEE
VICE PRESIDENT & COO34.006.00Yes (X)$225,011$0$9,557
MARK WRIGHT
CFO34.006.00Yes (X)$215,007$0$27,312
RAJINDER P BAJWA
PHYSICIAN40.00$415,694$0$29,102Yes (X)
NEIL DASHKOFF
DIRECTOR OF CATH LAB40.00$446,917$0$9,219Yes (X)
KALAISELVI RAJENDRAN
CHIEF OF PSYCHIATRY40.00$375,005$0$2,225Yes (X)
ZUBAIR I SHAIKH
PHYSICIAN40.00$334,022$0$28,557Yes (X)
MAJDEH KAPPUS
PHYSICIAN40.00$317,539$0$7,413Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,047,016TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$162,875TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K103IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AURORA SPINE
1930 PALOMAR POINT WAY STE 103CARLSBADCA92008CONTRACTED SERVICES$1,921,482
GREAT LAKES ANESTHESIOLOGY
1001 MAIN ST SUITE K-3502BUFFALONY14203CONTRACTED SERVICES$1,136,471
KALEIDA HEALTH
PO BOX 1392BUFFALONY142401392CONTRACTED PHYSICIANS$899,727
ROSWELL PARK CANCER INSTITUTE
PO BOX 8000BUFFALONY14267CONTRACTED PHYSICIANS$841,403
KEYSTONE MED SVCS NIAGRA FALLS
6075 POPLAR AVE SUITE 401MEMPHISTN38119CONTRACTED SERVICES$830,294
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Related Organizations$150,000RelatedOrganizationsAmt
Government Grants$7,064,228GovernmentGrantsAmt
Total Contributions$7,214,228TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$97,807,182$97,807,182
AUXILIARY REVENUE621110$5,831,656$5,831,656
FieldValueIRS element (for citing)
Total Program Service Revenue$103,638,838TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,520TotalRevenueColumnAmt
Exclusion$32,520ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY446110$3,879,937$3,879,937
SHARED SERVICES621110$2,581,696$2,581,696
MISCELLANEOUS621110$465,303$465,303
FieldValueIRS element (for citing)
Other Revenue Total$6,926,936OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,812,522TotalRevenueColumnAmt
Related Or Exempt Func Income$110,565,774RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$32,520ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,500,167TotalAmt
Management And General$2,500,167ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$58,567,436TotalAmt
Program Services$48,336,798ProgramServicesAmt
Management And General$10,230,638ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,698,918TotalAmt
Program Services$1,378,688ProgramServicesAmt
Management And General$320,230ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,055,495TotalAmt
Program Services$7,359,020ProgramServicesAmt
Management And General$1,696,475ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,943,977TotalAmt
Program Services$3,134,144ProgramServicesAmt
Management And General$809,833ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$142,136TotalAmt
Program Services$123,280ProgramServicesAmt
Management And General$18,856ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$136,377TotalAmt
Management And General$136,377ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$184,219TotalAmt
Management And General$184,219ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,578,345TotalAmt
Program Services$2,504,441ProgramServicesAmt
Management And General$73,904ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$73,871TotalAmt
Program Services$32,545ProgramServicesAmt
Management And General$41,326ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,376TotalAmt
Program Services$94,399ProgramServicesAmt
Management And General$47,977ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$95,667TotalAmt
Program Services$81,569ProgramServicesAmt
Management And General$14,098ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$560,371TotalAmt
Program Services$341,826ProgramServicesAmt
Management And General$218,545ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,374,518TotalAmt
Program Services$4,939,957ProgramServicesAmt
Management And General$434,561ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,703,024TotalAmt
Program Services$1,038,845ProgramServicesAmt
Management And General$664,179ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$20,188,289$19,243,608$944,681$0
PURCHASED SERVICES$11,336,902$8,099,939$3,236,963
MEDICAL SPECIALIST FEES$3,469,828$3,469,828
SHARED SERVICES$2,581,696$2,581,696

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,682,136TotalAmt
Program Services$2,014,622ProgramServicesAmt
Management And General$667,514ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$127,015,748TotalAmt
Program Services$102,193,509ProgramServicesAmt
Management And General$24,822,239ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,066,653BOYAmt
EOY$2,097,294EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$352,275BOYAmt
EOY$83,608EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,131,219BOYAmt
EOY$18,918,645EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,073,468BOYAmt
EOY$5,861,065EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,948,224BOYAmt
EOY$2,870,668EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$494,478BOYAmt
EOY$419,295EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$172,569,091LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$128,458,865LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,651,666BOYAmt
EOY$44,110,226EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,129,090BOYAmt
EOY$14,855,814EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$106,847,073BOYAmt
EOY$89,216,615EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,111,039BOYAmt
EOY$18,298,517EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,416,328BOYAmt
EOY$792,839EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,460,000BOYAmt
EOY$11,005,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,751,953BOYAmt
EOY$4,226,892EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,755,977BOYAmt
EOY$2,021,665EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,716,926BOYAmt
EOY$12,006,878EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,212,223BOYAmt
EOY$48,351,791EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,463,413BOYAmt
EOY$38,469,384EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,171,437BOYAmt
EOY$2,395,440EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,634,850BOYAmt
EOY$40,864,824EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$106,847,073BOYAmt
EOY$89,216,615EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,203,226ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$433,200OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$292,014OtherCostOrOtherBasisAmt
Book Value$292,014BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,390,267OtherCostOrOtherBasisAmt
Depreciation$49,503,188DepreciationAmt
Book Value$21,887,079BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,770,520OtherCostOrOtherBasisAmt
Depreciation$3,753,086DepreciationAmt
Book Value$1,017,434BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$95,426,950OtherCostOrOtherBasisAmt
Depreciation$75,202,591DepreciationAmt
Book Value$20,224,359BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$689,340OtherCostOrOtherBasisAmt
Book Value$689,340BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$44,110,226TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED TO USE$1,399,239
BENEFICIAL INTEREST IN NFMMC FOUNDATION$2,095,440
DUE FROM RELATED PARTIES$493,241
OTHER ASSETS$164,425
INSURANCE RECEIVABLES$4,270,000
CONTRACT ASSETS$917,383
OPERATING LEASE ROU ASSET$5,516,086
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,855,814TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$152,257
MISCELLANEOUS$1,858,103
INSURANCE PAYABLES$3,665,000
OPERATING LEASE LIABILITY$5,516,086
ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS$815,432
FieldValueIRS element (for citing)
Total Liability$12,006,878TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,086,682TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$899,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,187,400NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,135,074TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,395,115DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,739,959NetCommunityBenefitExpnsAmt
Total Expense0.08460TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,221,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,294,397DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,927,359NetCommunityBenefitExpnsAmt
Total Expense0.09390TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,653,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,614,742DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,111NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,137,394TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$653,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,484,308NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,847,129TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,934,377DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,912,752NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,638,376TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,202,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,436,171NetCommunityBenefitExpnsAmt
Total Expense0.05070TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,860,132TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,496,602DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,363,530NetCommunityBenefitExpnsAmt
Total Expense0.14460TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$13,277,418ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$13,932,703CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$655,285MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA FALLS MEMORIAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 TENTH STREETAddressLine1Txt
CityNIAGARA FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14302ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA FALLS MEMORIAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://NFMMC.ORG/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://NFMMC.ORG/ABOUT-US/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://NFMMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.PHPFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://NFMMC.ORG/CHARITY%20CARE%20APPLICATION%20NFMMC%20MAIN.PDFFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://NFMMC.ORG/FINANCIAL%20ASSISTANCE%20PROGRAM%20PLAIN%20LANGUAGE%20052FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 5: FOCUS GROUPS AND P-2 COLLABORATIVE
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 11: THE MEDICAL CENTER HAS PREPARED A COMMUNITY HEALTH PROGRAM FOR NIAGARA COUNTY WITH 28 STRATEGIES TO IMPROVE HEALTH CARE. THIS PLAN WAS AIRED AT PUBLIC HEARING IN NOVEMBER 2019.
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 13B: IHA COMMERCIAL RATES USED.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:THE MEDICAL CENTER SERVES ALL OF NIAGARA COUNTY AND PARTS OF ERIE COUNTY. THE MAJORITY OF OUR PATIENTS COME FROM THE CITY OF NIAGARA FALLS. NIAGARA FALLS IS ECONOMICALLY CHALLENGED WITH AN AGING INFRASTRUCTURE, AGING POPULATION AND VERY HIGH UNEMPLOYMENT. MORE THAN 50% OF THE POPULATION FROM NIAGARA FALLS RECEIVES SOME FORM OF GOVERNMENT ASSISTANCE AND A SIGNIFICANT PORTION OF THE CITY'S POPULATION IS UNINSURED OR UNDERINSURED.
PART III, LINE 2:THE MEDICAL CENTER UTILIZED THE RESERVE METHOD OF ACCOUNTING TO RECORD BAD DEBT EXPENSE. AT THE END OF EACH MONTH A SELF-PAY AGING IS SUMMARIZED BY DAYS OUTSTANDING. PATIENT BALANCES ARE THEN RESERVED BASED ON AGING CATEGORY. ACCOUNTS THAT ARE AGED OVER 60 DAYS AND BEYOND ARE RESERVED AGAINST. THE OLDER THE ACCOUNTS THE LARGER THE RESERVE UP TO 90% CAN BE RESERVED. THE RESERVE IS SUMMARIZED AND COMPARED TO WHAT IS ON THE GENERAL LEDGER EVERY MONTH. IF THE SELF-PAY BALANCES DECREASE IN A PARTICULAR MONTH THE METHODOLOGY REDUCES THE RESERVE.THE RESERVE IS THEN COMPARED TO ACTUAL ACCOUNTS WRITTEN OFF TO BAD DEBT AND CHARITY BY PATIENT ACCOUNTING STAFF. ONLY PATIENT ACCOUNTING STAFF CAN WRITE AN INDIVIDUAL ACCOUNT TO BAD DEBT AND CHARITY CARE ONLY AFTER IT HAS GONE THROUGH THE NORMAL COLLECTION PROCESS. IN ADDITION, SELF-PAY BALANCES ARE ALSO REVIEWED FOR CHARITY CARE AND DISCOUNTED CHARGES.
PART III, LINE 3:THE MEDICAL CENTER UTILIZED THE RESERVE METHOD OF ACCOUNTING TO RECORD BAD DEBT EXPENSE. AT THE END OF EACH MONTH A SELF-PAY AGING IS SUMMARIZED BY DAYS OUTSTANDING. PATIENT BALANCE ARE THEN RESERVED BASED ON AGING CATEGORY. ACCOUNTS THAT ARE AGED OVER 60 DAYS AND BEYOND ARE RESERVED AGAINST. THE OLDER THE ACCOUNTS THE LARGER THE RESERVE UP TO 90% CAN BE RESERVED. CHARITY CARE IS CONSIDERED A PART OF THE COMMUNITY BENEFIT. THE MEDICAL CENTER USES THE FIRM SEARCH AMERICA TO CONDUCT PRESUMPTIVE ELIGIBILITY APPROVAL OF SELF-PAY ACCOUNTS.ACCOUNTS WITH SELF-PAY BALANCES ARE SENT TO SEARCH AMERICA AND THE FIRM USES VARIOUS INCOME VERIFICATION TOOLS TO SEE IF THE PATIENT IS ELIGIBLE FOR A DISCOUNT BASED ON THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY.THE SLIDING FEE SCALE IS PART OF THE FINANCIAL ASSISTANCE POLICY AND THE PATIENTS ACCOUNTS ARE ADJUSTED ACCORDINGLY. THE CHARITY CARE CHARGES ARE REDUCED TO COST BASED ON RATIO OF COST TO CHARGES WHEN REPORTED ON THE ANNUAL FINANCIAL STATEMENTS.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE PRESENTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD PARTY PAYORS.
PART III, LINE 8:THE MEDICAL CENTER EXPERIENCES A SHORTFALL IN MEDICARE REVENUE OVER COSTS. DESPITE THIS SHORTFALL, THE MEDICAL CENTER CONTINUES TO PROVIDE QUALITY CARE TO THE NIAGARA COMMUNITY. THIS ILLUSTRATES ONE OF THE WAYS THAT WE SUPPORT OUR MISSION - TO PROVIDE QUALITY CARE, REGARDLESS OF ABILITY TO PAY.THE TOTAL MEDICARE CHARGES (LESS MEDICARE CHARGES FOR SUBSIDIZED HEALTH SERVICES) AS REPORTED ON THE COST REPORT WERE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE MEDICARE COST. THE TOTAL COST FROM THE DIRECT GME ALLOWABLE COSTS WERE SUBTRACTED FROM THE MEDICARE COST TO CALCULATE THE TOTAL MEDICARE ALLOWABLE COST.
PART III, LINE 9B:FINANCIAL AID TO INDIVIDUALS IS CONTINGENT ON COOPERATION FROM THE INDIVIDUAL TO ESTABLISH TO THE HOSPITAL'S REASONABLE SATISFACTION THAT A NEED EXISTS. PATIENTS OR THEIR LEGALLY RESPONSIBLE PARTIES ARE REQUIRED TO COOPERATE WITH THE HOSPITAL'S NEED FOR ACCURATE AND DETAILED FINANCIAL INFORMATION. THEREFORE, ANY PATIENTS SEEKING FINANCIAL AID SHALL PROVIDE THE HOSPITAL WITH FINANCIAL AND OTHER INFORMATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL AID, OR TO ASSIST IN ENROLLING IN A PUBLICLY SPONSORED INSURANCE PROGRAM (E.G., MEDICAID, FAMILY HEATH PLUS, CHILD HEALTH PLUS), IF ELIGIBLE. DOCUMENTATION REQUIREMENTS SHOULD BE EASY TO FOLLOW (E.G., REQUIRE EASILY OBTAINABLE DOCUMENTS SUCH AS PAY STUBS, TAX RETURNS, MORTGAGE PAPERS, RENT RECEIPTS, ETC).
PART VI, LINE 2:DESCRIPTION OF NEEDS ASSESSMENT: IN DEVELOPING A PLAN TO MEET THE HEALTH CARE NEEDS OF THE NIAGARA COUNTY COMMUNITY, NIAGARA FALLS MEMORIAL MEDICAL CENTER (NFMMC) REQUESTS COMMUNITY MEMBERS AT LARGE AND NFMMC STAFF TO COMPLETE A CONFIDENTIAL SURVEY. THE COMMUNITY CAN EITHER FILL OUT A HARD COPY OF THE SURVEY OR COMPLETE AN ON-LINE SURVEY THROUGH ON-LINE TOOLS SUCH AS SURVEY MONKEY.THIS SURVEY IS DONE COLLABORATIVELY WITH ALL FOUR HOSPITALS LOCATED IN NIAGARA COUNTY ALONG WITH THE NIAGARA COUNTY HEALTH DEPARTMENT. THIS SURVEY GATHERS THE COMMUNITY INPUT REGARDING THEIR HEALTH CARE NEEDS AN IDENTIFIES VOIDS IN SERVICES IN NIAGARA COUNTY.
PART VI, LINE 3:THE MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN PART, BY COMPLETING A COMMUNITY SERVICES PLAN. NIAGARA FALLS MEMORIAL MEDICAL CENTER'S 2019 COMMUNITY SERVICE PLAN INCLUDES AN ASSESSMENT OF PUBLIC PRIORITIES AND MEMORIAL'S STRATEGIES FOR ADDRESSING SEVERAL PRIORITIES IDENTIFIED IN CONJUNCTION WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S PREVENTION AGENDA. THE MEDICAL CENTER'S PRIORITIES WERE CHOSEN AS PART OF A COLLABORATIVE PROCESS INVOLVING THE NIAGARA COUNTY HEALTH DEPARTMENT AND THE OTHER HOSPITALS IN THE COUNTY.
PART VI, LINE 4:NIAGARA FALLS MEMORIAL DEFINES THE COMMUNITY IT SERVES GEOGRAPHICALLY. EACH YEAR, MEMORIAL PROVIDES HEALTHCARE SERVICES TO 45,600 UNIQUE (UNDUPLICATED PATIENTS).ITS PRIMARY SERVICE AREA ENCOMPASSES ZIP CODES IN WHICH NEARLY 80% OF ITS UNIQUE PATIENTS RESIDE. MEMORIAL'S PRIMARY SERVICE AREA INCLUDES ALL OF THE CITY OF NIAGARA FALLS (14301, 14302, 14303, 14304 AND 14305), LEWISTON (14902), NIAGARA UNIVERSITY (14109), NORTH TONAWANDA (14120), OLCOTT (14126), RANSOMVILLE (14131), SANBORN (14132), WILSON (14172) AND YOUNGTOWN ((14174). THE REMAINING ZIP CODES IN NIAGARA COUNTY COMPRISE MEMORIAL'S SECONDARY SERVICE AREA. THEY INCLUDE ZIP CODES 14008, 14012, 14028, 14067, 14094, 14105, AND 14108 WHICH ARE SITUATED ON THE EASTERN END OF NIAGARA COUNTY.
PART VI, LINE 5:COMMUNITY BUILDING ACTIVITIES ALL FOCUS AROUND PROVIDING ACCESS TO QUALITY CARE TO THE MEDICALLY UNDERSERVED IN OUR SERVICE. THE MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY THE ELECTION OF A COMMUNITY BASED BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS REPRESENTED BY A DEDICATED AND DIVERSE GROUP OF COMMUNITY LEADERS WHOSE PURPOSE IS TO REMAIN FAITHFUL TO THE MISSION OF THE MEDICAL CENTER - TO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTH CARE.
PART VI, LINE 6:THE MEDICAL CENTER IS NOT PART OF A HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH A RUFFOLO
PRESIDENT & CEO$567,024$0$0$0$0$0$7,492$0$26,039$0$600,555$0$0$0
NEIL DASHKOFF
DIRECTOR OF CATH LAB$446,917$0$0$0$0$0$7,118$0$2,101$0$456,136$0$0$0
RAJINDER P BAJWA
PHYSICIAN$415,694$0$0$0$0$0$0$0$29,102$0$444,796$0$0$0
KALAISELVI RAJENDRAN
CHIEF OF PSYCHIATRY$375,005$0$0$0$0$0$0$0$2,225$0$377,230$0$0$0
ZUBAIR I SHAIKH
PHYSICIAN$334,022$0$0$0$0$0$0$0$28,557$0$362,579$0$0$0
MAJDEH KAPPUS
PHYSICIAN$317,539$0$0$0$0$0$0$0$7,413$0$324,952$0$0$0
MARK WRIGHT
CFO$215,007$0$0$0$0$0$4,300$0$23,012$0$242,319$0$0$0
SHEILA KEE
VICE PRESIDENT & COO$225,011$0$0$0$0$0$4,500$0$5,057$0$234,568$0$0$0
VIJAY BOJEDLA MD
VICE PRESIDENT & CMO$150,797$0$0$0$0$0$2,612$0$13,347$0$166,756$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA AREA DEVELOPMENT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN223169112BondIssuerEIN
CUSIP653541AA0CUSIPNum
Bond Issued2011-11-01BondIssuedDt
Issue Price$14,310,000IssuePriceAmt
PurposeREFINANCE PRIOR DEBT AND RENOVATIONSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$14,310,000TotalProceedsAmt
Issuance Costs From Proceeds$286,200IssuanceCostsFromProceedsAmt
Capital Expenditures$1,333,800CapitalExpendituresAmt
Other Spent Proceeds$12,690,000OtherSpentProceedsAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestYes (1)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS THEN MADE AVAILABLE IN THE ADMINISTRATIVE OFFICE, WHERE MEMBERS OF THE BOARD OF DIRECTORS CAN REVIEW A COPY UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLETION OF THE CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED ANNUALLY BY NIAGARA AREA MANAGEMENT CORPORATION (THE PARENT COMPANY) FOR ALL RELATED ENTITIES. IT IS SENT OUT ANNUALLY AND ANY CONFLICTS OF INTEREST ARE INVESTIGATED BY THE CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION COMMITTEE REVIEWS MARKET RATE COMPENSATION IN LIGHT OF ANNUAL EMPLOYEE EVALUATIONS.
FORM 990, PART VI, SECTION C, LINE 18COPIES OF THE FORM 1023 AND 990 ARE PROVIDED UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. GOVERNING DOCUMENTS CAN BE REVIEWED AT THE NIAGARA FALLS MEMORIAL MEDICAL CENTER'S OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST RATE SWAP VALUE 180,100. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF NFMMC FOUNDATION 253,100.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED THE PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION
621 TENTH STREETNIAGARA FALLSNY14302222877349FUNDRAISINGNY501(C)(3)LINE 10NIAGARA AREA MANAGEMENT CORPORATION0
NIAGARA AREA MANAGEMENT CORPORATION
621 TENTH STREETNIAGARA FALLSNY14302222551332MANAGEMENT SERVICESNY501(C)(3)LINE 12B, II0N/A
SCHOELLKOPF HEALTH CENTER
621 TENTH STREETNIAGARA FALLSNY14302160978820NIAGARA AREA MANAGEMENT CORPORATIONNY501(C)(3)LINE 10NIAGARA AREA MANAGEMENT CORPORATION0
NIAGARA FALLS PROPERTIES INC
621 TENTH STREETNIAGARA FALLSNY14302223236735TITLE HOLDING COMPANYNY501(C)(2)N/ANIAGARA AREA MANAGEMENT CORPORATION0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 TENTH STREETAddressLine1Txt
CityNIAGARA FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14302ZIPCd
FieldValueIRS element (for citing)
EIN222551329EIN
Primary ActivitiesDORMANTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$150,000InvolvedAmt
Method Of Amount DeterminationFAIR VALUEMethodOfAmountDeterminationTxt