STRATEGY STUDIO / PUBLIC DATA EXPLORER

NIAGARA FALLS MEMORIAL MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NIAGARA FALLS MEMORIAL MEDICAL CENTER (EIN 16-0743094)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-15
IRS object ID
201642289349303164
Schema version
2015v2.1
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)
Return2016-08-15T11:03:18-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Line1100 CORPORATE PKWY STE 200AddressLine1Txt
CityAMHERSTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14226ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

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 CFOPersonTitleTxt
Phone7162784399PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH PEPLINPreparerPersonNm
PTINP01311564PTIN
Phone7162506600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

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$105,022,446GrossReceiptsAmt
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 Body20VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee1150TotalEmployeeCnt
Total Volunteers282TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,609,966PYContributionsGrantsAmt
CY Contributions Grants$11,125,522CYContributionsGrantsAmt
PY Program Service Revenue$83,052,029PYProgramServiceRevenueAmt
CY Program Service Revenue$88,054,232CYProgramServiceRevenueAmt
PY Investment Income$19,695PYInvestmentIncomeAmt
CY Investment Income$28,287CYInvestmentIncomeAmt
PY Other Revenue$11,656,425PYOtherRevenueAmt
CY Other Revenue$5,814,405CYOtherRevenueAmt
PY Total Revenue$97,338,115PYTotalRevenueAmt
CY Total Revenue$105,022,446CYTotalRevenueAmt
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$54,361,573PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$61,771,389CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,396,743PYOtherExpensesAmt
CY Other Expenses$37,769,348CYOtherExpensesAmt
PY Total Expenses$93,758,316PYTotalExpensesAmt
CY Total Expenses$99,540,737CYTotalExpensesAmt
PY Revenues Less Expenses$3,579,799PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,481,709CYRevenuesLessExpensesAmt
Total Assets BOY$79,270,974TotalAssetsBOYAmt
Total Assets EOY$83,232,827TotalAssetsEOYAmt
Total Liabilities BOY$45,565,451TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,338,005TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,705,523NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$39,894,822NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$76,357,813ExpenseAmt
Revenue$93,868,637RevenueAmt
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$76,357,813TotalProgramServiceExpensesAmt
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 Document107IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1150EmployeeCnt
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 Members20GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest 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
KOMAL CHANDAN MD
DIRECTOR2.006.00Yes (X)$0$0$0
STEPHANIE W COWART
DIRECTOR2.006.00Yes (X)$0$0$0
DANIAL DIPOFI
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
REV HARVEY L KELLEY
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
JUDITH A NOLAN-POWELL
DIRECTOR2.006.00Yes (X)$0$0$0
MARK D PERRY MD
DIRECTOR2.006.00Yes (X)$0$0$0
CHRISTOPHER A ROBINS
DIRECTOR2.006.00Yes (X)$0$0$0
SALVATORE SANTAROSA
DIRECTOR2.006.00Yes (X)$0$0$0
TIMOTHY J WATERMAN
DIRECTOR2.006.00Yes (X)$0$0$0
JOSEPH A RUFFOLO
PRESIDENT/CEO2.006.00Yes (X)Yes (X)$451,355$0$25,511
SHEILA KEE
VICE PRESIDENT/COO40.000.00Yes (X)$207,153$0$1,623
RAJESH MEHTA
CFO31.506.00Yes (X)$136,810$0$17,923
JOANNE KROLEWSKI
VP AND CHIEF NURSING OFFICER40.000.00$151,615$0$7,765Yes (X)
KOLLI VENKATESWARA R
PHYSICIAN40.000.00$448,622$0$16,131Yes (X)
THATIGOLA BALA GANGADHAR REDDY
PHYSICIAN40.000.00$415,004$0$16,131Yes (X)
VATTIPALLY VIKRAM
PHYSICIAN40.000.00$330,018$0$16,131Yes (X)
ANAND NYATHAPPA G
PHYSICIAN40.000.00$327,554$0$16,131Yes (X)
GOTHGEN NIELS U
PHYSICIAN40.000.00$279,565$0$16,131Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,747,696TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$133,477TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K47IndivRcvdGreaterThan100KCnt
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
NIAGARA PATHOLOGY PC
175 FOREST CREEK LANEGRAND ISLANDNY14072CONTRACTED PHYSICIANS$645,629
KEYSTONE MEDICAL SERVICES OF NIAGARA FAL
6075 POPLAR AVENUE SUITE 401MEMPHISTN38119CONTRACTED PHYSICIANS$368,789
BUFFALO HEART GROUP LLP
3435 BAILEY AVEBUFFALONY14215CONTRACTED PHYSICIANS$216,544
HEALTHCARE SOLUTIONS WNY LLC
2875 UNION ROAD SUITE 8CHEEKTOWAGANY14227CONTRACTED PHYSICIANS$197,737
DR HAK KO
5687 MAIN STREETWILLIAMSVILLENY14221CONTRACTED PHYSICIANS$173,552
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$157,137RelatedOrganizationsAmt
Government Grants$3,700,646GovernmentGrantsAmt
All Other Contributions$7,267,739AllOtherContributionsAmt
Total Contributions$11,125,522TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$88,054,232TotalRevenueColumnAmt
Related Or Exempt Func Income$88,054,232RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$88,054,232TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,287TotalRevenueColumnAmt
Exclusion$28,287ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$462,066RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$462,066RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$462,066TotalRevenueColumnAmt
Related Or Exempt Func Income$462,066RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED SERVICES900099$2,400,624$2,400,624
PHARMACY446110$1,572,136$1,572,136
MISCELLANEOUS621400$1,379,579$1,379,579
FieldValueIRS element (for citing)
Other Revenue Total$5,352,339OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,022,446TotalRevenueColumnAmt
Related Or Exempt Func Income$93,868,637RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$28,287ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$999,755TotalAmt
Program Services$747,217ProgramServicesAmt
Management And General$252,538ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,672,792TotalAmt
Program Services$36,240,993ProgramServicesAmt
Management And General$10,431,799ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,406,701TotalAmt
Program Services$1,070,570ProgramServicesAmt
Management And General$336,131ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,242,223TotalAmt
Program Services$7,073,994ProgramServicesAmt
Management And General$2,168,229ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,449,918TotalAmt
Program Services$2,625,560ProgramServicesAmt
Management And General$824,358ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$108,989TotalAmt
Program Services$60,715ProgramServicesAmt
Management And General$48,274ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$164,784TotalAmt
Management And General$164,784ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$158,576TotalAmt
Management And General$158,576ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,594,023TotalAmt
Program Services$1,504,084ProgramServicesAmt
Management And General$89,939ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$350,186TotalAmt
Program Services$88,597ProgramServicesAmt
Management And General$261,589ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$216,213TotalAmt
Program Services$163,104ProgramServicesAmt
Management And General$53,109ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$192,603TotalAmt
Program Services$147,181ProgramServicesAmt
Management And General$45,422ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$865,005TotalAmt
Management And General$865,005ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,236,418TotalAmt
Program Services$3,136,117ProgramServicesAmt
Management And General$2,100,301ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$898,647TotalAmt
Management And General$898,647ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$13,947,587$13,180,517$767,070
PURCHASED SERVICES$6,228,145$3,841,247$2,386,898
MEDICAL SPECIALIST FEES$2,949,112$2,733,769$215,343
SHARED SERVICES$2,400,624$2,400,624

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,458,436TotalAmt
Program Services$1,343,524ProgramServicesAmt
Management And General$1,114,912ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$99,540,737TotalAmt
Program Services$76,357,813ProgramServicesAmt
Management And General$23,182,924ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,992,670BOYAmt
EOY$4,797,113EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$275,403BOYAmt
EOY$209,698EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,594,170BOYAmt
EOY$9,982,002EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,453,534BOYAmt
EOY$5,632,656EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,780,441BOYAmt
EOY$2,014,468EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$414,120BOYAmt
EOY$657,153EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$141,890,245LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$97,039,038LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$42,941,117BOYAmt
EOY$44,851,207EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,819,519BOYAmt
EOY$15,088,530EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$79,270,974BOYAmt
EOY$83,232,827EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,961,197BOYAmt
EOY$16,297,851EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,234,270BOYAmt
EOY$1,708,755EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,265,000BOYAmt
EOY$15,330,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,935,928BOYAmt
EOY$3,238,700EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$599,703BOYAmt
EOY$997,720EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,569,353BOYAmt
EOY$5,764,979EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,565,451BOYAmt
EOY$43,338,005EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,529,142BOYAmt
EOY$36,501,271EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,542,206BOYAmt
EOY$2,759,376EOYAmt

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$33,705,523BOYAmt
EOY$39,894,822EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,270,974BOYAmt
EOY$83,232,827EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,481,709ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$707,590OtherChangesInNetAssetsAmt
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$54,213,234OtherCostOrOtherBasisAmt
Depreciation$34,128,836DepreciationAmt
Book Value$20,084,398BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,173,085OtherCostOrOtherBasisAmt
Depreciation$2,751,665DepreciationAmt
Book Value$1,421,420BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,276,028OtherCostOrOtherBasisAmt
Depreciation$60,158,537DepreciationAmt
Book Value$18,117,491BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,935,884OtherCostOrOtherBasisAmt
Book Value$4,935,884BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$44,851,207TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED TO USE$6,218,741
BENEFICIAL INTEREST IN NFMMC FOUNDATION$2,359,177
DEFERRED FINANCING COSTS$437,576
DUE FROM RELATED PARTIES$626,619
OTHER ASSETS$164,425
OTHER LONG TERM RECEIVABLES$5,281,992
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,088,530TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ESTIMATED AMOUNTS DUE TO (FROM) THIRD-PARTY PAYORS-$27,398
DUE TO RELATED PARTIES$18,524
MISCELLANEOUS$5,691,391
INTEREST RATE SWAP$82,462
FieldValueIRS element (for citing)
Total Liability$5,764,979TotalLiabilityAmt

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
Unable To Provide CareYes (1)UnableToProvideCareInd
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$2,544,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,500,478DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,698NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,231,369TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,807,037DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,424,332NetCommunityBenefitExpnsAmt
Total Expense0.03440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,775,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,307,515DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,468,030NetCommunityBenefitExpnsAmt
Total Expense0.03480TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,630,867TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,535,775DirectOffsettingRevenueAmt
Net Community Benefit Expns$95,092NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,887,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$499,834DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,387,487NetCommunityBenefitExpnsAmt
Total Expense0.01390TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,074,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,200,832DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,874,009NetCommunityBenefitExpnsAmt
Total Expense0.03890TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,593,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,236,441DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,356,588NetCommunityBenefitExpnsAmt
Total Expense0.05380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,368,574TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,543,956DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,824,618NetCommunityBenefitExpnsAmt
Total Expense0.08860TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$325,894BadDebtExpenseAmt
Bad Debt Expense Attributable$169,813BadDebtExpenseAttributableAmt
Reimbursed By Medicare$18,242,749ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,242,749CostOfCareReimbursedByMedcrAmt

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 Conducted13CHNAConductedYr
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 URLWWW.NFMMC.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy Attached0StrategyAttachedInd
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 Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 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 2014.
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 13B: IHA COMMERCIAL RATES USED.
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 22D: 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 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. 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 2010 MEDICARE COAST 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 $325,893 WAS REMOVED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE.
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 YOUR 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.
PART VI, LINE 7THE MEDICAL CENTER FILES A COMMUNITY BENEFIT REPORT IN NEW YORK STATE ONLY.

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$451,355$0$0$0$0$0$0$0$25,511$0$476,866$0$0$0
SHEILA KEE
VICE PRESIDENT/COO$207,153$0$0$0$0$0$0$0$1,623$0$208,776$0$0$0
RAJESH MEHTA
CFO$136,810$0$0$0$0$0$0$0$17,923$0$154,733$0$0$0
JOANNE KROLEWSKI
VP AND CHIEF NURSING OFFICER$151,615$0$0$0$0$0$0$0$7,765$0$159,380$0$0$0
KOLLI VENKATESWARA R
PHYSICIAN$448,622$0$0$0$0$0$0$0$16,131$0$464,753$0$0$0
THATIGOLA BALA GANGADHAR REDDY
PHYSICIAN$415,004$0$0$0$0$0$0$0$16,131$0$431,135$0$0$0
VATTIPALLY VIKRAM
PHYSICIAN$330,018$0$0$0$0$0$0$0$16,131$0$346,149$0$0$0
ANAND NYATHAPPA G
PHYSICIAN$327,554$0$0$0$0$0$0$0$16,131$0$343,685$0$0$0
GOTHGEN NIELS U
PHYSICIAN$279,565$0$0$0$0$0$0$0$16,131$0$295,696$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 AREA DEVELOPMENT CORPORATION
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 MEDICAL MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
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 224,794. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF NFMMC FOUNDATION 482,796.
FORM 990, PART XII, LINE 2CTHE POLICY AND PROCEDURES THAT THE ORGANZIATION HAS IN PLACE FOR SELECTION OF INDEPENDENT AUDITOR AND THE OVERSIGHT OF THE AUDIT HAVE NOT CHANGED 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 7NIAGARA AREA MANAGEMENT CORPORATION0
NIAGARA AREA MANAGEMENT CORPORATION
621 TENTH STREETNIAGARA FALLSNY14302222551332MANAGEMENT SERVICESNY501(C)(3)LINE 11B, II0N/A
SCHOELLKOPF HEALTH CENTER
621 TENTH STREETNIAGARA FALLSNY14302160978820NIAGARA AREA MANAGEMENT CORPORATIONNY501(C)(3)LINE 9NIAGARA AREA MANAGEMENT CORPORATION0
NIAGARA FLLS 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