STRATEGY STUDIO / PUBLIC DATA EXPLORER

NIAGARA FALLS MEMORIAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NIAGARA FALLS MEMORIAL MEDICAL CENTER (EIN 16-0743094)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201433229349300633
Schema version
2013v3.0
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)
Return2014-11-17T10:33:12-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454051133PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREED MAXICK CPAS PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1424 MAIN STREET SUITE 800AddressLine1
CityBUFFALOCity
StateNYState
ZIP Code142023508ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743094EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NIAGARA FALLS MEMORIAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNIAGBusinessNameControlTxt
Phone7162784399PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 708AddressLine1
CityNIAGARA FALLSCity
StateNYState
ZIP Code14302ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAJESH MEHTAPersonNm
Person TitleCFOPersonTitleTxt
Phone7162784399PhoneNum
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY MADONIAPreparerPersonNm
PTINP00405803PTIN
Phone7168472651PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH RUFFOLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 708AddressLine1
CityNIAGARA FALLSCity
StateNYState
ZIP Code14302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$93,835,438GrossReceiptsAmt
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 HEALTHCAREActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee1075TotalEmployeeCnt
Total Volunteers281TotalVolunteersCnt
Total Gross UBI-$2,882TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$3,132NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,458,670PYContributionsGrantsAmt
CY Contributions Grants$3,943,202CYContributionsGrantsAmt
PY Program Service Revenue$85,663,351PYProgramServiceRevenueAmt
CY Program Service Revenue$78,413,775CYProgramServiceRevenueAmt
PY Investment Income$139,975PYInvestmentIncomeAmt
CY Investment Income-$28,256CYInvestmentIncomeAmt
PY Other Revenue$5,333,295PYOtherRevenueAmt
CY Other Revenue$11,461,512CYOtherRevenueAmt
PY Total Revenue$94,595,291PYTotalRevenueAmt
CY Total Revenue$93,790,233CYTotalRevenueAmt
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$53,827,763PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,841,542CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,512,982PYOtherExpensesAmt
CY Other Expenses$33,017,795CYOtherExpensesAmt
PY Total Expenses$86,340,745PYTotalExpensesAmt
CY Total Expenses$88,859,337CYTotalExpensesAmt
PY Revenues Less Expenses$8,254,546PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,930,896CYRevenuesLessExpensesAmt
Total Assets BOY$70,457,325TotalAssetsBOYAmt
Total Assets EOY$79,394,990TotalAssetsEOYAmt
Total Liabilities BOY$44,710,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,187,013TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,746,933NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,207,977NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTH CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$66,187,583ExpenseAmt
Revenue$89,258,602RevenueAmt
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$66,187,583TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document94IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1075EmployeeCnt
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 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 MEHTABusinessNameLine1
FieldValueIRS element (for citing)
Phone7162784339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 TENTH STREETAddressLine1
CityNIAGARA FALLSCity
StateNYState
ZIP Code14302ZIPCode

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 CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES C ROSCETTI
CHAIRMAN2.006.00Yes (X)Yes (X)$0$0$0
CYNTHIA A BIANCO
VICE CHAIRMAN2.006.00Yes (X)Yes (X)$0$0$0
CHARLES G RADER PHD
TREASURER2.006.00Yes (X)Yes (X)$0$0$0
MARGARET M TOOHEY
SECRETARY2.006.00Yes (X)Yes (X)$0$0$0
ROBERT L BRADLEY JR
DIRECTOR2.006.00Yes (X)$0$0$0
RONALD R CAMPBELL
DIRECTOR2.006.00Yes (X)$0$0$0
STEPHANIE W COWART
DIRECTOR2.006.00Yes (X)$0$0$0
ALAN K BARLOW
DIRECTOR2.006.00Yes (X)$0$0$0
NARESH JAIN MD
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
JAYANTA CHAUDHURI MD
DIRECTOR2.006.00Yes (X)$0$0$0
JOSEPH A RUFFOLO
PRESIDENT/CEO31.506.00Yes (X)Yes (X)$424,397$0$23,304
MATTHEW FELDMAN
DIRECTOR2.006.00Yes (X)$0$0$0
SALVATORE SANTAROSA
DIRECTOR2.006.00Yes (X)$0$0$0
ASHOK SINGH MD
DIRECTOR2.006.00Yes (X)$0$0$0
SHEILA KEE
CHIEF OPERATING OFFICER40.00Yes (X)$193,145$0$1,599
RAJESH MEHTA
CFO31.506.00Yes (X)$134,650$0$19,539
VIJAY K BOJEDLA MD
VP AND CHIEF MEDICAL OFFIC40.00Yes (X)$113,333$0$22,288
NYATHAPPA ANAND
PHYSICIAN40.00$332,551$0$8,645Yes (X)
BALA GANGADHAR THATIGOLA
PHYSICIAN40.00$342,695$0$20,586Yes (X)
NITIN ARORA
PHYSICIAN40.00$287,204$0$20,447Yes (X)
NIELS GOTHGEN
PHYSICIAN40.00$228,960$0$1,302Yes (X)
ZUBAIR SHAIKH
PHYSICIAN40.00$230,123$0$20,447Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,287,058TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$138,157TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
NIAGARA PATHOLOGY PC
175 FOREST CREEK LANEGRAND ISLANDNY14072CONTRACTED PHYSICIAN$620,559
KEYSTONE MEDICAL SERVICES OF NIAGARA FAL
6075 POPLAR AVENUE SUITE 401MEMPHISTN38119CONTRACTED PHYSICIAN$332,791
BUFFALO HEART GROUP LLP
3435 BAILEY AVEBUFFALONY14215CONTRACTED PHYSICIAN$285,320
DR HAK KO
5687 MAIN STREETWILLIAMSVILLENY14221CONTRACTED PHYSICIAN$147,308
DR RAJENDRAN KALAISELVI
600 PINE AVENIAGARA FALLSNY14301CONTRACTED PHYSICIAN$101,346
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$66,395RelatedOrganizationsAmt
Government Grants$2,564,433GovernmentGrantsAmt
All Other Contributions$1,312,374AllOtherContributionsAmt
Total Contributions$3,943,202TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$78,413,775TotalRevenueColumnAmt
Related Or Exempt Func Income$78,413,775RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$78,413,775TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,949TotalRevenueColumnAmt
Exclusion$16,949ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$619,567RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$619,567RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$619,567TotalRevenueColumnAmt
Exclusion$619,567ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$45,205OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$45,205OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$45,205TotalRevenueColumnAmt
Exclusion-$45,205ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER MISCELLANEOUS621400$3,630,232$3,633,114-$2,882
PHARMACY446110$2,707,135$2,707,135
SHARED SERVICES900099$2,385,024$2,385,024

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,119,554TotalRevenueColumnAmt
Related Or Exempt Func Income$2,119,554RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,841,945OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,790,233TotalRevenueColumnAmt
Related Or Exempt Func Income$89,258,602RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,882UnrelatedBusinessRevenueAmt
Exclusion$591,311ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$865,525TotalAmt
Program Services$640,489ProgramServicesAmt
Management And General$225,036ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,760,458TotalAmt
Program Services$30,899,120ProgramServicesAmt
Management And General$10,861,338ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,316,031TotalAmt
Program Services$973,751ProgramServicesAmt
Management And General$342,280ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,836,600TotalAmt
Program Services$6,538,334ProgramServicesAmt
Management And General$2,298,266ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,062,928TotalAmt
Program Services$2,266,307ProgramServicesAmt
Management And General$796,621ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$227,127TotalAmt
Program Services$113,122ProgramServicesAmt
Management And General$114,005ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$124,849TotalAmt
Program Services$2,075ProgramServicesAmt
Management And General$122,774ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$130,867TotalAmt
Management And General$130,867ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,662,594TotalAmt
Program Services$1,662,594ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$381,629TotalAmt
Program Services$30,383ProgramServicesAmt
Management And General$351,246ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$170,851TotalAmt
Program Services$115,140ProgramServicesAmt
Management And General$55,711ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$126,815TotalAmt
Program Services$107,629ProgramServicesAmt
Management And General$19,186ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$896,945TotalAmt
Management And General$896,945ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,606,246TotalAmt
Program Services$3,120,737ProgramServicesAmt
Management And General$1,485,509ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$887,145TotalAmt
Management And General$887,145ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$12,338,109$11,718,723$619,386
PURCHASED SERVICES$4,287,569$1,783,665$2,503,904
MEDICAL SPECIALIST FEE$2,646,053$2,395,681$250,372
SHARED SERVICES WITH SC$2,404,975$2,404,975

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,126,021TotalAmt
Program Services$1,414,858ProgramServicesAmt
Management And General$711,163ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,859,337TotalAmt
Program Services$66,187,583ProgramServicesAmt
Management And General$22,671,754ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,362,680BOYAmt
EOY$8,000,703EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$296,114BOYAmt
EOY$101,935EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,198,556BOYAmt
EOY$11,738,592EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$963,831BOYAmt
EOY$1,527,154EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,485,108BOYAmt
EOY$1,548,965EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$465,521BOYAmt
EOY$295,369EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$132,565,785LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$86,682,569LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$41,611,434BOYAmt
EOY$45,883,216EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,074,081BOYAmt
EOY$10,299,056EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$70,457,325BOYAmt
EOY$79,394,990EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,451,873BOYAmt
EOY$16,236,498EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,922,345BOYAmt
EOY$2,846,493EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,695,000BOYAmt
EOY$17,145,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,835,530BOYAmt
EOY$3,216,623EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$228,055BOYAmt
EOY$228,055EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,577,589BOYAmt
EOY$9,514,344EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,710,392BOYAmt
EOY$49,187,013EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,529,312BOYAmt
EOY$28,586,966EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$583,446BOYAmt
EOY$986,836EOYAmt

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$25,746,933BOYAmt
EOY$30,207,977EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,457,325BOYAmt
EOY$79,394,990EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,930,896ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$469,852OtherChangesInNetAssetsAmt
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$52,810,851OtherCostOrOtherBasisAmt
Depreciation$24,515,846DepreciationAmt
Book Value$28,295,005BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,994,112OtherCostOrOtherBasisAmt
Depreciation$2,405,499DepreciationAmt
Book Value$1,588,613BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,156,055OtherCostOrOtherBasisAmt
Depreciation$59,716,330DepreciationAmt
Book Value$15,439,725BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$312,753OtherCostOrOtherBasisAmt
Depreciation$44,894DepreciationAmt
Book Value$267,859BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$45,883,216TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED TO USE$3,870,580
BENEFICAL INTEREST IN NFMMC FOUNDATION$1,321,011
DEFERRED FINANCING COSTS$540,180
DUE FROM RELATED PARTIES$474,016
OTHER ASSETS$164,425
OTHER LONG TERM RECEIVABLES$3,395,440
INTEREST RATE SWAP$533,404
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,299,056TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$5,463,753
DUE TO RELATED PARTIES$21,796
MISCELLANEOUS$4,028,795
FieldValueIRS element (for citing)
Total Liability$9,514,344TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MEDICAL CENTER IS A 501(C)(3) ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THE MEDICAL CENTER IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR YEARS PRIOR TO 2010.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other109.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other299.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
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$3,054,651TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,061,240DirectOffsettingRevenueAmt
Net Community Benefit Expns$993,411NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,945,520TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,901,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,044,058NetCommunityBenefitExpnsAmt
Total Expense0.05830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,000,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,962,702DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,037,469NetCommunityBenefitExpnsAmt
Total Expense0.06980TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,284,726TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,177,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,364NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,047,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$383,938DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,664,014NetCommunityBenefitExpnsAmt
Total Expense0.01920TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,470,616TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,285,798DirectOffsettingRevenueAmt
Net Community Benefit Expns$184,818NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,803,294TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,847,098DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,956,196NetCommunityBenefitExpnsAmt
Total Expense0.02250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,803,465TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,809,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,993,665NetCommunityBenefitExpnsAmt
Total Expense0.09230TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$905,414BadDebtExpenseAmt
Bad Debt Expense Attributable$467,840BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,692,620ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,778,906CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,086,286MedicareSurplusOrShortfallAmt

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 CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 TENTH STREETAddressLine1
CityNIAGARA FALLSCity
StateNYState
ZIP Code14302ZIPCode
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 CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 3: FOCUS GROUPS AND P-2 COLLABORATIVE
NIAGARA FALLS MEMORIAL MEDICAL CENTERPART V, SECTION B, LINE 20D: IHA COMMERCIAL RATES USED

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:PATIENTS 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 EXISITNG 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 MULITPLIED 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 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).
SCHEDULE H - PART VIPART VI, QUESTION 1, PART I- LINE 3C - N/A PART I- LINE 6A - N/A PART 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 COST REPORT. PART I- LINE 7G - THE SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I- LINE 7F - BAD DEBT EXPENSE OF $905,414 WAS REMOVED FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSE.QUESTION 2THE MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN PART, BY COMPLETING A COMMUNITY SERVICE PLAN. NIAGARA FALLS MEMORIAL MEDICAL CENTER'S 2012-2013 COMMUNITY SERVICE PLAN INCLUDES AN ASSESSMENT OF PUBLIC HEALTH 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.QUESTION 3THE MEDICAL CENTER MAKES AVAILABLE PRINTED AND VERBAL INFORMATION REGARDING ITS CHARITY CARE POLICIES. FINANCIAL COUNSELORS ASSIST PATIENTS WITH FINANCIAL AID AND MEDICAID PROGRAM APPLICATIONS. QUESTION 4THE 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.QUESTION 5COMMUNITY 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.QUESTION 6THE MEDICAL CENTER IS NOT PART OF A HEALTH CARE SYSTEM.QUESTION 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 (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$424,397$0$0$0$0$0$0$0$23,304$0$447,701$0$0$0
SHEILA KEE
CHIEF OPERATING OFFICER$193,145$0$0$0$0$0$0$0$1,599$0$194,744$0$0$0
RAJESH MEHTA
CFO$134,650$0$0$0$0$0$0$0$19,539$0$154,189$0$0$0
NYATHAPPA ANAND
PHYSICIAN$332,551$0$0$0$0$0$0$0$8,645$0$341,196$0$0$0
BALA GANGADHAR THATIGOLA
PHYSICIAN$342,695$0$0$0$0$0$0$0$20,586$0$363,281$0$0$0
NITIN ARORA
PHYSICIAN$287,204$0$0$0$0$0$0$0$20,447$0$307,651$0$0$0
NIELS GOTHGEN
PHYSICIAN$228,960$0$0$0$0$0$0$0$1,302$0$230,262$0$0$0
ZUBAIR SHAIKH
PHYSICIAN$230,123$0$0$0$0$0$0$0$20,447$0$250,570$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$5,487,642201000Yes (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 (8 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 OFFICE.
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 19COPIES OF FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. GOVERNING DOCUMENTS CAN BE REVIEWED AT THE NIAGRA FALLS MEMORIAL MEDICAL CENTER'S OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN BENEFICIAL INTEREST IN NET ASSTS OF NFMMC FOUNDATION 403,390. CHANGE IN UNREALIZED LOSS ON INTEREST RATE SWAP 629,490. CHANGE IN ACCOUNTING ESTIMATE - ASSET RETIREMENT OBLIGATION -1,502,732.
FORM 990, PART XII, LINE 2CTHE POLICY AND PROCEDURES THAT THE ORGANIZATION HAS IN PLACE FOR SELECTION OF AN 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled 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 11C, III-FI0N/A
SCHOELLKOPF HEALTH CENTER
621 TENTH STREETNIAGARA FALLSNY14302160978820NURSING HOMENY501(C)(3)LINE 9NIAGARA 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 INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 TENTH STREETAddressLine1
CityNIAGARA FALLSCity
StateNYState
ZIP Code14302ZIPCode
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 OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd