STRATEGY STUDIO / PUBLIC DATA EXPLORER

NIAGARA FALLS MEMORIAL MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NIAGARA FALLS MEMORIAL MEDICAL CENTER (EIN 16-0743094)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-08
IRS object ID
201823129349301942
Schema version
2017v2.3
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)
Return2018-11-08T13:58:21-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGRACE GONZALEZPreparerPersonNm
PTINP01357170PTIN
Phone5853811000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address4.14.157.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-08IPDt
IP Tm09:25:58IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC3D5B9C76B4193CDE65B1B708C5971EBDFD40C33AtSubmissionCreationDeviceId
At Submission Filing Device IdCF34A56E2680307EE238050C01EA4C2F4CBE5210AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

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$113,915,189GrossReceiptsAmt
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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1263TotalEmployeeCnt
Total Volunteers257TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,202,638PYContributionsGrantsAmt
CY Contributions Grants$9,698,173CYContributionsGrantsAmt
PY Program Service Revenue$93,086,570PYProgramServiceRevenueAmt
CY Program Service Revenue$97,956,759CYProgramServiceRevenueAmt
PY Investment Income$14,968PYInvestmentIncomeAmt
CY Investment Income$13,162CYInvestmentIncomeAmt
PY Other Revenue$6,413,894PYOtherRevenueAmt
CY Other Revenue$6,247,095CYOtherRevenueAmt
PY Total Revenue$110,718,070PYTotalRevenueAmt
CY Total Revenue$113,915,189CYTotalRevenueAmt
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$67,247,010PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$68,670,814CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,570,589PYOtherExpensesAmt
CY Other Expenses$42,345,952CYOtherExpensesAmt
PY Total Expenses$106,817,599PYTotalExpensesAmt
CY Total Expenses$111,016,766CYTotalExpensesAmt
PY Revenues Less Expenses$3,900,471PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,898,423CYRevenuesLessExpensesAmt
Total Assets BOY$89,656,259TotalAssetsBOYAmt
Total Assets EOY$87,623,188TotalAssetsEOYAmt
Total Liabilities BOY$45,243,865TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,199,119TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,412,394NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,424,069NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$83,844,980ExpenseAmt
Revenue$104,203,854RevenueAmt
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$83,844,980TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document161IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1263EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 Line1RAJESH MEHTABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7162784339PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (23 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
ROBERT J GADAWSKI MD
DIRECTOR2.006.00Yes (X)$0$0$0
RONALD R CAMPBELL
DIRECTOR2.006.00Yes (X)$0$0$0
STEPHANIE W COWART
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
MICHAEL R KIMELBERG
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
DIRECTOR2.006.00Yes (X)$0$0$0
JOSEPH A RUFFOLO
PRESIDENT & CEO34.006.00Yes (X)Yes (X)$517,936$0$49,337
RAJESH MEHTA
CFO34.006.00Yes (X)$145,278$0$19,786
SHEILA KEE
VICE PRESIDENT & COO40.00Yes (X)$215,591$0$9,719
VENKATESWARA R KOLLI MD
CHIEF OF SURGERY40.00$457,555$0$26,381Yes (X)
NEIL DASHKOFF
PHYSICIAN40.00$424,815$0$17,228Yes (X)
VIKRAM VATTIPALLY MD
PHYSICIAN40.00$344,437$0$8,125Yes (X)
BALA GANGADHAR REDDY THATIGOLAMD
PHYSICIAN40.00$338,089$0$9,981Yes (X)
KOMAL CHANDAN
PHYSICIAN40.00$313,399$0$1,212Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,757,100TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$141,769TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
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
GREAT LAKES ANESTHESIOLOGY
219 BRYANT STREETBUFFALONY14222CONTRACTED PHYSICIANS$679,189
NIAGARA PATHOLOGY PC
175 FOREST CREEK LANEGRAND ISLANDNY14072CONTRACTED PHYSICIANS$671,712
KEYSTONE MEDICAL SERVICES OF NIAGARA FAL
6075 POPLAR AVENUE SUITE 401MEMPHISTN38119CONTRACTED PHYSICIANS$469,912
GENERAL PHYSICIAN PC
726 EXCHANGE STREET SUITE 516BUFFALONY14203CONTRACTED PHYSICIANS$392,604
GSI HEALTH LLC
1735 MARKET STREET 53RD FLOORPHILADELPHIAPA19103CONTRACTED SERVICES$314,315
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$1,558,272RelatedOrganizationsAmt
Government Grants$4,542,728GovernmentGrantsAmt
All Other Contributions$3,597,173AllOtherContributionsAmt
Total Contributions$9,698,173TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$97,956,759TotalRevenueColumnAmt
Related Or Exempt Func Income$97,956,759RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$97,956,759TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,162TotalRevenueColumnAmt
Exclusion$13,162ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED SERVICES900099$2,497,204$2,497,204
PHARMACY446110$1,981,341$1,981,341
MISCELLANEOUS621110$1,282,669$1,282,669

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$485,881TotalRevenueColumnAmt
Related Or Exempt Func Income$485,881RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,247,095OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$113,915,189TotalRevenueColumnAmt
Related Or Exempt Func Income$104,203,854RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,162ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$957,647TotalAmt
Management And General$957,647ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$53,931,295TotalAmt
Program Services$43,028,476ProgramServicesAmt
Management And General$10,902,819ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,618,431TotalAmt
Program Services$1,294,418ProgramServicesAmt
Management And General$324,013ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,302,379TotalAmt
Program Services$6,555,774ProgramServicesAmt
Management And General$1,746,605ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,861,062TotalAmt
Program Services$3,031,113ProgramServicesAmt
Management And General$829,949ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$119,890TotalAmt
Program Services$60,947ProgramServicesAmt
Management And General$58,943ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$123,602TotalAmt
Program Services$2,310ProgramServicesAmt
Management And General$121,292ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,008TotalAmt
Management And General$117,008ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,808,843TotalAmt
Program Services$1,726,728ProgramServicesAmt
Management And General$82,115ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$408,366TotalAmt
Program Services$168,754ProgramServicesAmt
Management And General$239,612ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$200,597TotalAmt
Program Services$149,245ProgramServicesAmt
Management And General$51,352ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$231,374TotalAmt
Program Services$190,846ProgramServicesAmt
Management And General$40,528ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$826,868TotalAmt
Management And General$826,868ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,880,367TotalAmt
Program Services$3,509,460ProgramServicesAmt
Management And General$2,370,907ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$972,681TotalAmt
Program Services$19,330ProgramServicesAmt
Management And General$953,351ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$14,093,536$13,441,194$652,342
PURCHASED SERVICES$8,568,938$5,851,382$2,717,556
MEDICAL SPECIALIST FEES$3,449,270$3,189,069$260,201
SHARED SERVICES$2,497,204$2,497,204

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,047,408TotalAmt
Program Services$1,625,934ProgramServicesAmt
Management And General$1,421,474ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$111,016,766TotalAmt
Program Services$83,844,980ProgramServicesAmt
Management And General$27,171,786ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,551,059BOYAmt
EOY$4,094,389EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$143,134BOYAmt
EOY$71,895EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,041,678BOYAmt
EOY$11,912,307EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,053,320BOYAmt
EOY$3,646,759EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,338,917BOYAmt
EOY$2,616,249EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$614,665BOYAmt
EOY$805,691EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$157,592,347LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$107,370,324LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,116,102BOYAmt
EOY$50,222,023EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,797,384BOYAmt
EOY$14,253,875EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,656,259BOYAmt
EOY$87,623,188EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,789,474BOYAmt
EOY$12,946,416EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,391,956BOYAmt
EOY$847,611EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,365,000BOYAmt
EOY$13,350,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,613,449BOYAmt
EOY$4,762,179EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,797,720BOYAmt
EOY$1,365,871EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,286,266BOYAmt
EOY$7,927,042EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,243,865BOYAmt
EOY$41,199,119EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,967,015BOYAmt
EOY$43,986,264EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,811,204BOYAmt
EOY$1,803,630EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$634,175BOYAmt
EOY$634,175EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,412,394BOYAmt
EOY$46,424,069EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,656,259BOYAmt
EOY$87,623,188EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,898,423ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$886,748OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

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$62,178,849OtherCostOrOtherBasisAmt
Depreciation$37,899,978DepreciationAmt
Book Value$24,278,871BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,241,731OtherCostOrOtherBasisAmt
Depreciation$3,102,083DepreciationAmt
Book Value$1,139,648BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,011,499OtherCostOrOtherBasisAmt
Depreciation$66,368,263DepreciationAmt
Book Value$19,643,236BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,868,254OtherCostOrOtherBasisAmt
Book Value$4,868,254BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$50,222,023TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED TO USE$6,390,288
BENEFICIAL INTEREST IN NFMMC FOUNDATION$2,137,805
DUE FROM RELATED PARTIES$495,519
OTHER ASSETS$164,425
INSURANCE RECEIVABLES$5,000,000
INTEREST RATE SWAP$65,838
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,253,875TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$23,762
MISCELLANEOUS$1,573,472
INSURANCE PAYABLES$5,000,000
ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS, NET$139,393
UNRELATED PARTNER EQUITY IN JOINT VENTURE$1,190,415
FieldValueIRS element (for citing)
Total Liability$7,927,042TotalLiabilityAmt

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
Percent300Yes (X)Percent300Ind
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$1,907,205TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,413,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$494,205NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,686,982TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,415,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,271,655NetCommunityBenefitExpnsAmt
Total Expense0.02950TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,594,187TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,828,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,765,860NetCommunityBenefitExpnsAmt
Total Expense0.03400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,470,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,945,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$525,279NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,596,104TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$503,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,092,144NetCommunityBenefitExpnsAmt
Total Expense0.01880TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,685,259TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,798,450DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,886,809NetCommunityBenefitExpnsAmt
Total Expense0.01700TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,752,068TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,247,836DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,504,232NetCommunityBenefitExpnsAmt
Total Expense0.04050TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,346,255TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,076,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,270,092NetCommunityBenefitExpnsAmt
Total Expense0.07450TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$309,719BadDebtExpenseAmt
Bad Debt Expense Attributable$147,576BadDebtExpenseAttributableAmt
Reimbursed By Medicare$17,619,383ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,619,383CostOfCareReimbursedByMedcrAmt

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 Conducted16CHNAConductedYr
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 Adpt14ImplementationStrategyAdptYr
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 Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
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
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
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 2016.
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 13B: IHA COMMERCIAL RATES USED.

Supplemental Information Detail SupplementalInformationDetail (11 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:PART I - LINE 3C - N/APART I - LINE 6A - N/APART I - LINE 7 - THE COSTING METHODOLOGIES USED TO CALCULATE THE AMOUNTS REPORTED IN LINE 7, ARE THE SAME FOR EACH PROGRAM OR BENEFIT AND INCLUDES ALL PATIENT SEGMENTS. THE GROSS CHARGES RELATED TO EACH SEGMENT WERE MULTIPLIED BY THE RCC. THE RCC WAS CALCULATED BY DIVIDING THE PATIENT CARE CHARGES BY THE PATIENT CARE COST, AS REPORTED ON THE 2016 MEDICARE COST REPORT. PART I - LINE 7G - THE SUBSIDIZED HEALTH SERVICES DO NO INCLUDE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I - LINE 7F - BAD DEBT EXPENSES OF $309,719 WAS REMOVED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE.DESRIPTION 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 2012-2013 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:THE MEDICAL CENTER MAKES AVAILABLE PRINTED AND VERBAL INFORMATION REGARDING ITS CHARITY CARE POLICIES. FINANCIAL COUNSELORS ASSIST PATIENTS WITH FINANCIAL AID AND MEDICAID PROGRAM APPLICATIONS.
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.

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 (8 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$517,936$0$0$0$0$0$19,422$0$29,915$0$567,273$0$0$0
RAJESH MEHTA
CFO$145,278$0$0$0$0$0$2,905$0$16,881$0$165,064$0$0$0
SHEILA KEE
VICE PRESIDENT & COO$215,591$0$0$0$0$0$8,084$0$1,635$0$225,310$0$0$0
VENKATESWARA R KOLLI MD
CHIEF OF SURGERY$457,555$0$0$0$0$0$9,151$0$17,230$0$483,936$0$0$0
NEIL DASHKOFF
PHYSICIAN$424,815$0$0$0$0$0$15,930$0$1,298$0$442,043$0$0$0
VIKRAM VATTIPALLY MD
PHYSICIAN$344,437$0$0$0$0$0$6,889$0$1,236$0$352,562$0$0$0
BALA GANGADHAR REDDY THATIGOLAMD
PHYSICIAN$338,089$0$0$0$0$0$8,750$0$1,231$0$348,070$0$0$0
KOMAL CHANDAN
PHYSICIAN$313,399$0$0$0$0$0$0$0$1,212$0$314,611$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NIAGARA AREA DEVELOPMENT CORPORATION
A223169112653541AA02011-11-01$14,310,000REFINANCE PRIOR DEBT AND RENOVATIONS000
NIAGARA COUNTY INDUSTRIAL DEVELOPMENT AGENGY
B161039343653353BW12008-09-24$5,565,000RENOVATIONS FOR INPATIENT BEHAVIORAL CLINICS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$14,310,000$286,200$1,333,800$12,690,0002011Yes (1)0Yes (1)Yes (1)
B$5,565,000$5,487,642$77,358201000Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000Yes (1)0Yes (1)
B0000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0000Yes (1)0000
B000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6NIAGARA FALLS MEMORIAL MEDICAL CENTER IS A WHOLLY OWNED SUBSIDIARY OF NIAGARA AREA MANAGEMENT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ANIAGARA FALLS MEMORIAL MEDICAL CENTER SHARES THE SAME BOARD OF DIRECTORS AS ITS PARENT CORPORATION, NIAGARA AREA MANAGEMENT CORPORATION.
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 120,826. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF NFMMC FOUNDATION -1,007,574.
FORM 990, PART XII, LINE 2C.THE ORGANIZATION HAS NOT CHANGED THEIR 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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION
C$1,558,272FAIR VALUE
SCHOELLKOPF HEALTH CENTER
Q$2,497,204FAIR VALUE