2025-11-17T08:06:40-06:00 2024-12-31 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2024-01-01 160743094 NIAGARA FALLS MEMORIAL MEDICAL CENTER NIAG 7162784399 621 TENTH STREET NIAGARA FALLS NY 14302 JOSEPH RUFFOLO PRESIDENT AND CEO 7162784399 2025-11-13 1 0 JILL M JOHNSON CPA P01701478 7168563300 2025-11-13 2024 2025-03-06 01:10:19Z JOSEPH RUFFOLO 621 TENTH STREET NIAGARA FALLS NY 14302 146711325 0 X WWW.NFMMC.ORG X 1895 NY TO PROVIDE HIGH QUALITY, COMPASSIONATE, AND ACCESSIBLE HEALTHCARE 19 16 1371 150 776755 778137 4402322 14053407 105259568 121176289 6225 4296 18733027 11477333 128401142 146711325 0 0 0 0 79807107 81696964 0 0 0 47617538 56100057 127424645 137797021 976497 8914304 75546595 99487234 58391448 73625554 17155147 25861680 TO PROVIDE HIGH QUALITY, COMPASSIONATE, AND ACCESSIBLE HEALTHCARE 0 0 116648232 128407603 NIAGARA 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, IN ADDITION TO GENERAL HOSPITAL SERVICES. 116648232 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 251 0 1 1371 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X RICHARD BRAUN 7162784399 621 TENTH STREET NIAGARA FALLS NY 14302 JOSEPH A RUFFOLO PRESIDENT AND CEO 36.00 4.00 X X 627786 0 47847 JAMES C ROSCETTI CHAIRMAN 2.00 6.00 X X 0 0 0 CYNTHIA A BIANCO VICE CHAIRMAN 2.00 6.00 X X 0 0 0 CHARLES G RADER PHD TREASURER 2.00 6.00 X X 0 0 0 MARGARET M TOOHEY SECRETARY 2.00 6.00 X X 0 0 0 TINA ABRAMS DIRECTOR 2.00 6.00 X 0 0 0 RAJINDER PAL SINGH BAJWA MD DIRECTOR AND PHYSICIAN 36.00 4.00 X 410578 0 33635 ROBERT L BRADLEY JR DIRECTOR 2.00 6.00 X 0 0 0 RONALD R CAMPBELL DIRECTOR 2.00 6.00 X 0 0 0 MATTHEW FELDMAN DIRECTOR 2.00 6.00 X 0 0 0 GERALD GORMAN MD DIRECTOR 2.00 6.00 X 0 0 0 CARMEN A GRANTO DIRECTOR 2.00 6.00 X 0 0 0 JOHN L GRECO DIRECTOR 2.00 6.00 X 0 0 0 DON J KING DIRECTOR 2.00 6.00 X 0 0 0 MARION B LAVIGNE PHD DIRECTOR 2.00 6.00 X 0 0 0 PETER MUSCARELLA II MD DIRECTOR AND PHYSICIAN 36.00 4.00 X 423111 0 36327 JUDITH A NOLAN POWELL DIRECTOR 2.00 6.00 X 0 0 0 MARK D PERRY MD DIRECTOR 2.00 6.00 X 0 0 0 REV CRAIG D PRIDGEN DIRECTOR 2.00 6.00 X 0 0 0 RICHARD BRAUN EXECUTIVE VP & COO EFF. OCT. 2024 36.00 4.00 X 259072 0 10922 SHEILA KEE EXECUTIVE VP & COO THROUGH OCT. 2024 36.00 4.00 X 245768 0 7802 VIJAY BOJEDLA MD VP & CMO 36.00 4.00 X 129628 0 25894 PAM LEVERING VP OF NURSING 40.00 X 130669 0 25792 MICHAEL STOFFMAN MD MEDICAL DIRECTOR 40.00 X 0 0 0 MATTHEW DUBOIS CFO 36.00 4.00 X 118930 0 27968 KALAISELVI RAJENDRAN PHYSICIAN 40.00 X 457691 0 6900 ZUBAIR SHAIKH PHYSICIAN 40.00 X 400786 0 33873 HANNAH BAILEY PHYSICIAN 40.00 X 400291 0 33599 SHAAN ALAM PHYSICIAN 40.00 X 332099 0 10645 MILIND CHAUDHAIR PHYSICIAN 40.00 X 300044 0 34705 4236453 0 335909 139 0 1 0 NORTH AMERICAN PARTNERS IN ANESTHESIA L PO BOX 936947 ATLANTA GA 31193 MEDICAL SERVICES 2985112 TRUSTED MANAGEMENT SERVICES LLC 500 SENECA STREET SUITE 501 BUFFALO NY 14204 MANAGEMENT SERVICES 2160174 ALURORA SPINE INC 1930 PALOMAR POINT WAY SUITE 103 CARLSBAD CA 92008 MEDICAL SERVICES 1146745 INTUITIVE SURGICAL INC PO BOX 883629 LOS ANGELES CA 90088 MEDICAL SERVICES 489167 GENERAL PHYSICIAN PC 726 EXCHANGE STREET SUITE 710 BUFFALO NY 14210 MEDICAL SERVICES 411729 28 854159 2761763 10437485 14053407 NET PATIENT SERVICE REVENUE 622110 121176289 121176289 121176289 4296 4296 511450 0 511450 511450 511450 NYS VAPAP 622110 4648794 4648794 SHARED SERVICES 621990 2582520 2582520 OTHER 900099 1726887 1726887 2007682 776755 1230927 10965883 146711325 128407603 776755 3473560 X 2561729 903651 1658078 65173687 53856886 11316801 2394903 1939871 455032 6721637 5549676 1171961 4845008 3924457 920551 211193 193693 17500 334352 334352 18953315 18317403 635912 919870 869959 49911 541654 330409 211245 4634045 3707236 926809 2371946 1912089 459857 UBIT 74624 74624 SUPPLIES 20003748 19515017 488731 REPAIRS AND MAINTENANCE 2381168 710489 1670679 RENTAL EQUIPMENT 2303857 2178851 125006 3370285 2738545 631740 137797021 116648232 21148789 0 2165053 17337604 428281 7533131 14259667 15068231 2810556 2540336 385732 495374 180626225 143116091 39240046 37510134 16257260 19002424 75546595 99487234 32342023 26693950 3958511 1239635 10020000 9480000 2396146 1492324 9674768 34719645 58391448 73625554 X 15128998 24043302 2026149 1818378 17155147 25861680 75546595 99487234 X 8914304 -207771 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 337359 337359 77958943 43972616 33986327 99750904 97632500 2118404 2579019 1510975 1068044 37510134 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1102465 DUE FROM RELATED ENTITIES 4184756 NET ASSETS OF THE FOUNDATION 1518378 RIGHT OF USE ASSETS - LEASES 5303577 INVESTMENTS FOR LONG-TERM PURPOSES 3228248 OTHER LONG TERM RECEIVABLES 3665000 19002424 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 25751068 LEASE LIABILITIES 5303577 OTHER LIABILITIES 3665000 34719645 1 1 1 X 1 X 1 1 0 0 2024108 780000 1244108 0.00900 32401932 19986786 12415146 0.09010 34426040 20766786 13659254 0.09910 2240681 2240681 1980869 622386 1358483 0.00990 18188494 11836752 6351742 0.04610 22410044 14699819 7710225 0.05600 56836084 35466605 21369479 0.15510 0 1082967 12000533 14072684 -2072151 X 1 1 1 1 NIAGARA FALLS MEMORIAL MEDICAL CENTER 621 TENTH STREET NIAGARA FALLS NY 14302 WWW.NFMMC.ORG 3102000H X X X X NIAGARA FALLS MEMORIAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X WWW.NFMMC.ORG X 1 22 1 WWW.NFMMC.ORG 0 1 X 100.000000000000 200.000000000000 1 1 X X X X 1 X WWW.NFMMC.ORG X WWW.NFMMC.ORG X WWW.NFMMC.ORG X X X X X 1 X 0 X X X X 1 X 0 0 NIAGARA FALLS MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5: FOCUS GROUPS AND P-2 COLLABORATIVE NIAGARA FALLS MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 6A: ALL THREE OTHER NIAGARA COUNTY HOSPITALS PARTICIPATED: DEGRAFF MEDICAL PARK, EASTERN NIAGARA HOSPITAL AND MT. ST. MARY'S HOSPITAL. NIAGARA FALLS MEMORIAL MEDICAL CENTER PART 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 HEARINGS IN NOVEMBER 2022. NIAGARA FALLS MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 13B: IHA COMMERCIAL RATES USED PART I, LN 7 COL(F): PATIENT ACCOUNTS RECEIVABLE ARE PRESETED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXITING 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 PAYERS. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ALL FOCUS AROUND PROVIDING ACCESS TO QUALITY CARE TO THE MEDICALLY UNDERSERVED IN OUR SERVICE AREA. 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 CARE. 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. ADJUSTMENTS TO THE RESERVES ARE MADE MONTHLY BASED ON THE RESULTS. THE RESERVE IS THEN COMPARED TO ACTUAL ACCOUNTS WRITTEN OFF TO BAD DEBTS AND CHARITY CARE BY PATIENT ACCOUNTING STAFF. ONLY PATIENT ACCOUNITNG STAFF CAN WRITE AN INDIVIDUAL ACCOUNT TO BAD DEBT AND CHARITY CARE ONLY AFTER IT HAS GONE THROUGH THE FORMAL COLLECTION PROCESS. IN ADDITION, SELF-PAY BALANCES ARE 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 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. 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 AMERCIA 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 PATIENT'S 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 8: CHARGES INCURRED ON ACCOUNTS IN BAD DEBT AND CHARITY CARE ARE ACCUMULATED. THEY ARE REDUCED TO COST THROUGH A MEDICARE COST REPORT METHODOLOGY KNOWN AS A COST TO CHARGE RATIO. AN OVERALL COST TO CHARGE RATIO IS DEVELOPED IN THE COST REPORT AND APPLIED TO THE FOREGONE CHARGES TO DETERMINE THE COSTS OF THOSE SERVICES.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 COUNTY COMMUNITY. THIS ILLUSTRATES ONE OF THE WAYS 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 COSTS TO CHARGES TO DETERMINE THE MEDICARE COST. THE TOTAL COST FROM DIRECT DME 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 FINACNIAL AID, OR TO ASSIST IN ENROLLING IN A PUBLICALLY SPONSORED INSURANCE PROGRAM (E.G. MEDICAID, FAMILY HEALTH 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: 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 COMMMUNITY CAN EITHER FILL OUT A HARD COPY OF THE SURVEY OR COMPLETE AN ONLINE SURVEY THROUGH ONLINE 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 AND IDENTIFIES VOIDS IN SERVICES IN NIAGARA COUNTY.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 2022 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 DEPARTMENT OF HEALTH AND THE OTHER HOSPITALS IN THE COUNTY. PART VI, LINE 4: NIAGARA FALLS MEMORIAL MEDICAL CENTER DEFINED THE COMMUNITY IT SERVES GEOGRAPHICALLY. EACH YEAR, MEMORIAL PROVIDES HEALTHCARE SERVICES TO 45,600 UNIQUE, UNDUPLICATED PATIENTS. ITS PRIMARY SERVICE ARE ENCOMPASSES ZIP CODES IN WHICH NEARLY 80% OF ITS UNIQUE PATIENTS RESIDE. MEMORIAL'S PRIMARY SERVICE AREA INCLUDES ALL OF THE CITY OF NIAGARA FALLS (14301, 14302, 14303, 14304 AND 14305), LEWISTON (14902), NIAGARA UNIVERSITY (14109), NORTH TONAWANDA (14120), OLCOTT (14126), RANSOMVILLE (14131), SANBORN (14132), WILSON (14172) AND YOUNGSTOWN (14174). THE REMAINING ZIP CODES IN NIAGARA COUNTY COMPRISE MEMORIAL'S SECONDARY SERVICE AREA AND INCLUDE ZIP CODES 14008, 14012, 14067, 14094, 14105, AND 14108, WHICH ARE SITUATED ON THE EASTERN END OF NIAGARA COUNTY. PART VI, LINE 6: THE MEDICAL CENTER IS NOT APRT OF A HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X 0 0 0 0 0 0 0 0 0 JOSEPH A RUFFOLO PRESIDENT AND CEO 627786 0 0 0 0 0 13406 0 34441 0 675633 0 0 0 KALAISELVI RAJENDRAN PHYSICIAN 457691 0 0 0 0 0 6900 0 0 0 464591 0 0 0 PETER MUSCARELLA II MD DIRECTOR AND PHYSICIAN 423111 0 0 0 0 0 13005 0 23322 0 459438 0 0 0 RAJINDER PAL SINGH BAJWA MD DIRECTOR AND PHYSICIAN 410578 0 0 0 0 0 10313 0 23322 0 444213 0 0 0 ZUBAIR SHAIKH PHYSICIAN 400786 0 0 0 0 0 10551 0 23322 0 434659 0 0 0 HANNAH BAILEY PHYSICIAN 400291 0 0 0 0 0 10277 0 23322 0 433890 0 0 0 SHAAN ALAM PHYSICIAN 332099 0 0 0 0 0 1846 0 8799 0 342744 0 0 0 MILIND CHAUDHAIR PHYSICIAN 300044 0 0 0 0 0 11383 0 23322 0 334749 0 0 0 RICHARD BRAUN EXECUTIVE VP & COO EFF. OCT. 2024 259072 0 0 0 0 0 9787 0 1135 0 269994 0 0 0 SHEILA KEE EXECUTIVE VP & COO THROUGH OCT. 2024 245768 0 0 0 0 0 7802 0 0 0 253570 0 0 0 PAM LEVERING VP OF NURSING 130669 0 0 0 0 0 2470 0 23322 0 156461 0 0 0 VIJAY BOJEDLA MD VP & CMO 129628 0 0 0 0 0 2572 0 23322 0 155522 0 0 0 A NIAGARA AREA DEVELOPMENT CORPORATION 223169112 653541AA0 2011-11-01 14310000 REFINANCE PRIOR DEBT AND RENOVATION 0 0 0 A 14310000 286200 1333800 12690000 2011 1 0 1 1 A 0 0 0 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY SENIOR FINANCE STAFF. 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 12C COMPLETION OF THE CONFLICT OF INTEREST DISCLOSURE FORMS IS REQUIRED ANNUALLY BY NIAGARA AREA MANAGEMENT CORPORATION (THE PARENT COMPANY) FOR ALL RELATED ENTITIES. IT IS SENT OUT ANNUALLY AND ANY CONFLICTS OF ITNEREST ARE INVESTIGATED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMPENSATION COMMITTEE REVIEWS MARKET RATE COMPENSATION IN LIGHT OF ANNUAL EMPLOYEE EVALUATIONS. FORM 990, PART VI, SECTION C, LINE 18 COPIES OF FORM 1023 AND 990 ARE PROVIDED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF FINACNIAL STATEMENTS ARE PROVIDED UPON REQUEST. GOVERNING DOCUMENTS CAN BE REVIEWED AT THE NIAGARA FALLS MEMORIAL MEDICAL CENTER'S OFFICES UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 6,844,981. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,844,981. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 30,270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,270. COLLECTION FEES: PROGRAM SERVICE EXPENSES 167,205. MANAGEMENT AND GENERAL EXPENSES 9,593. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,798. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 358,178. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 358,178. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,170,623. MANAGEMENT AND GENERAL EXPENSES 67,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,237,784. OTHER FEES: PROGRAM SERVICE EXPENSES 9,746,146. MANAGEMENT AND GENERAL EXPENSES 559,158. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,305,304. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN FOUNDATION -207,771. SCHOELLKOPF HEALTH CENTER INC 621 TENTH STREET NIAGARA FALLS NY 14302 160978820 SKILLED NURSING CARE NY 501(C)(3) LINE 10 NIAGARA AREA MANAGEMENT CORPORATION 0 NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION 621 TENTH STREET NIAGARA FALLS NY 14302 222877349 FUNDRAISING NY 501(C)(3) LINE 10 NIAGARA AREA MANAGEMENT CORPORATION 0 NIAGARA AREA MANAGEMENT CORPORATION 621 TENTH STREET NIAGARA FALLS NY 14302 222551332 MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II N/A 0 NIAGARA FALLS PROPERTIES INC 621 TENTH STREET NIAGARA FALLS NY 14302 223236735 TITLE HOLDING COMPANY NY 501(C)(2) NIAGARA AREA MANAGEMENT CORPORATION 0 NIAGARA SERVICES INC 621 TENTH STREET NIAGARA FALLS NY 14302 222551329 DORMANT COMPANY NY C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 ALTUS MANAGMENT LLC 840 AERO DRIVE SUITE 150 CHEEKTOWAGA NY 14225 900149133 GROUP PURCHASING AND RADIOPHARMACEUTICAL SALES NY 1 0 0 0.33330