NIAGARA FALLS MEMORIAL MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NIAGARA FALLS MEMORIAL MEDICAL CENTER (EIN 16-0743094)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349307557
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:12:55-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454051133 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 LIBERTY BLDG 420 MAIN ST | AddressLine1 |
| City | BUFFALO | City |
| State | NY | State |
| ZIP Code | 142023508 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743094 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIAGARA FALLS MEMORIAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NIAG | NameControl |
| Phone | 7162784399 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 708 | AddressLine1 |
| City | NIAGARA FALLS | City |
| State | NY | State |
| ZIP Code | 14302 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RAJESH MEHTA | Name |
| Title | CFO | Title |
| Phone | 7162784399 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY MADONIA | Name |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOSEPH RUFFOLO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 708 | AddressLine1 |
| City | NIAGARA FALLS | City |
| State | NY | State |
| ZIP Code | 14302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 94595291 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NFMMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1895 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HIGH QUALITY COMPASSIONATE, ACCESSIBLE HEALTHCARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1099 | TotalNbrEmployees |
| Total Nbr Volunteers | 296 | TotalNbrVolunteers |
| Total Gross UBI | -1992 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -2242 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5181224 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3458670 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 78433807 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 85663351 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1190294 | InvestmentIncomePriorYear |
| Investment Income Current Year | 139975 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4814503 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5333295 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 89619828 | TotalRevenuePriorYear |
| Total Revenue Current Year | 94595291 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 52326408 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 53827763 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 32359244 | OtherExpensePriorYear |
| Other Expenses Current Year | 32512982 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 84685652 | TotalExpensesPriorYear |
| Total Expenses Current Year | 86340745 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4934176 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8254546 | RevenuesLessExpensesCY |
| Total Assets BOY | 64633216 | TotalAssetsBOY |
| Total Assets EOY | 70457325 | TotalAssetsEOY |
| Total Liabilities BOY | 47026107 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 44710392 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17607109 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25746933 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTH CARE | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 63959443 | Expense |
| Revenue | 90283181 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 63959443 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 79 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1099 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAJESH MEHTA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7162784339 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 TENTH STREET | AddressLine1 |
| City | NIAGARA FALLS | City |
| State | NY | State |
| ZIP Code | 14302 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 | ||
| STEPHANIE W COWART | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| NANCY GARA | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| NARESH JAIN MD | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| REV HARVEY L KELLEY | ||||||||
| 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 | ||
| 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 | ||
| CHRISTOPHER A ROBINS | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| JAYANTA CHAUDHURI MD | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| JOSEPH A RUFFOLO | ||||||||
| PRESIDENT/CEO | 31.50 | 6.00 | X | X | 403065 | 0 | 21893 | |
| MATTHEW FELDMAN | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| SALVATORE SANTAROSA | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| ASHOK SINGH MD | ||||||||
| DIRECTOR | 2.00 | 6.00 | X | 0 | 0 | 0 | ||
| SHEILA KEE | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | X | 181779 | 0 | 1583 | ||
| JOANNE KROLEWSKI | ||||||||
| VICE PRESIDENT OF NURSING | 40.00 | 0.00 | X | 141206 | 0 | 18555 | ||
| PEGGY GRANDINETTI | ||||||||
| DIRECTOR OF INFORMATION TE | 40.00 | 0.00 | X | 110574 | 0 | 7899 | ||
| RAJESH MEHTA | ||||||||
| CFO | 31.50 | 6.00 | X | 128381 | 0 | 18332 | ||
| VIJAY K BOJEDLA MD | ||||||||
| VP AND CHIEF MEDICAL OFFIC | 40.00 | 0.00 | X | 109317 | 0 | 18504 | ||
| NYATHAPPA ANAND | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 326961 | 0 | 7964 | X | ||
| BALA GANGADHARTHATIGOLA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 308310 | 0 | 18788 | X | ||
| NITIN ARORA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 245853 | 0 | 17598 | X | ||
| NIELS GOTHGEN | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 231600 | 0 | 200 | X | ||
| MAHMOUD ISMAIL | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 215098 | 0 | 17598 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2402144 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 148914 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NIAGARA PATHOLOGY PC | |||||
| 175 FOREST CREEK LANE | GRAND ISLAND | NY | 14072 | CONTRACTED PHYSICIAN | 608391 |
| BUFFALO HEART GROUP LLP | |||||
| 3435 BAILEY AVE | BUFFALO | NY | 14215 | CONTRACTED PHYSICIAN | 343417 |
| DR HAK KO | |||||
| 5687 MAIN STREET | WILLIAMSVILLE | NY | 14221 | CONTRACTED PHYSICIAN | 164873 |
| DR KALAISELVI RAJENDRAN | |||||
| 600 PINE AVE | NIAGARA FALLS | NY | 14301 | CONTRACTED PHYSICIAN | 110000 |
| DR RAMESH KONAKANCHI | |||||
| 2 ROCK DOVE LANE | ORCHARD PARK | NY | 14127 | CONTRACTED PHYSICIAN | 110000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 436087 | RelatedOrganizations |
| Government Grants | 2344633 | GovernmentGrants |
| All Other Contributions | 677950 | AllOtherContributions |
| Total Contributions | 3458670 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 85663351 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85663351 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 85663351 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 139975 | TotalRevenueColumn |
| Exclusion | $139,975 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 715457 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 715457 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 715457 | TotalRevenueColumn |
| Exclusion | $715,457 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PHARMACY | 446110 | 2558923 | 2558923 | |
| OTHER MISCELLANEOUS | 621400 | 943535 | 945527 | -1992 |
| PHYSICAL THERAPY | 621400 | 429869 | 429869 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 685511 | TotalRevenueColumn |
| Related Or Exempt Function Income | 685511 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4617838 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 94595291 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90283181 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -1992 | UnrelatedBusinessRevenue |
| Exclusion | $855,432 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1074322 | Total |
| Program Services | 789627 | ProgramServices |
| Management And General | 284695 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41037528 | Total |
| Program Services | 30181149 | ProgramServices |
| Management And General | 10856379 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1235395 | Total |
| Program Services | 908560 | ProgramServices |
| Management And General | 326835 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7477402 | Total |
| Program Services | 5499187 | ProgramServices |
| Management And General | 1978215 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3003116 | Total |
| Program Services | 2208614 | ProgramServices |
| Management And General | 794502 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267837 | Total |
| Program Services | 153916 | ProgramServices |
| Management And General | 113921 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149843 | Total |
| Management And General | 149843 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162567 | Total |
| Management And General | 162567 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2082107 | Total |
| Program Services | 1818083 | ProgramServices |
| Management And General | 264024 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313943 | Total |
| Program Services | 33939 | ProgramServices |
| Management And General | 280004 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193097 | Total |
| Program Services | 135422 | ProgramServices |
| Management And General | 57675 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107317 | Total |
| Program Services | 90944 | ProgramServices |
| Management And General | 16373 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 953276 | Total |
| Management And General | 953276 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3692205 | Total |
| Program Services | 2766099 | ProgramServices |
| Management And General | 926106 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941401 | Total |
| Program Services | 7605 | ProgramServices |
| Management And General | 933796 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 12216439 | 11595349 | 621090 |
| PURCHASED SERVICES | 4224623 | 1589959 | 2634664 |
| MEDICAL SPECIALIST FEE | 2587112 | 2286196 | 300916 |
| SHARED SERVICES WITH SC | 2372761 | 2372761 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2248454 | Total |
| Program Services | 1522033 | ProgramServices |
| Management And General | 726421 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86340745 | Total |
| Program Services | 63959443 | ProgramServices |
| Management And General | 22381302 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7045767 | BOY |
| EOY | 4362680 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105145 | BOY |
| EOY | 296114 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10230801 | BOY |
| EOY | 9198556 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2923111 | BOY |
| EOY | 963831 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395475 | BOY |
| EOY | 1485108 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417881 | BOY |
| EOY | 465521 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 123703626 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 82092192 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37420647 | BOY |
| EOY | 41611434 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5094389 | BOY |
| EOY | 12074081 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64633216 | BOY |
| EOY | 70457325 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14286269 | BOY |
| EOY | 12451873 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4755586 | BOY |
| EOY | 2922345 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18510000 | BOY |
| EOY | 17695000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2236507 | BOY |
| EOY | 3835530 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 713955 | BOY |
| EOY | 228055 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6523790 | BOY |
| EOY | 7577589 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47026107 | BOY |
| EOY | 44710392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16494241 | BOY |
| EOY | 24529312 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478693 | BOY |
| EOY | 583446 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 634175 | BOY |
| EOY | 634175 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17607109 | BOY |
| EOY | 25746933 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64633216 | BOY |
| EOY | 70457325 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8254546 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2240 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -116962 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 288514 | OtherCostOrOtherBasis |
| Book Value | 288514 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48986277 | OtherCostOrOtherBasis |
| Depreciation | 23098292 | Depreciation |
| Book Value | 25887985 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3994112 | OtherCostOrOtherBasis |
| Depreciation | 2238881 | Depreciation |
| Book Value | 1755231 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 67117985 | OtherCostOrOtherBasis |
| Depreciation | 56731377 | Depreciation |
| Book Value | 10386608 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3316738 | OtherCostOrOtherBasis |
| Depreciation | 23642 | Depreciation |
| Book Value | 3293096 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 41611434 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS LIMITED TO USE | 4874272 |
| BENEFICAL INTEREST IN NFMMC FOUNDATION | 917621 |
| DEFERRED FINANCING COSTS | 547783 |
| DUE FROM RELATED PARTIES | 419237 |
| OTHER ASSETS | 132168 |
| OTHER LONG TERM RECEIVABLES | 5183000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 12074081 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $4,589,307 |
| DUE TO RELATED PARTIES | $149,639 |
| MISCELLANEOUS | $2,578,224 |
| INTEREST RATE SWAP | $260,419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7577589 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE 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 2009. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 109.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 299.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3154010 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1272822 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1881188 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22739280 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22152603 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 586677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25893290 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23425425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2467865 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1265065 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1095280 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 169785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1605337 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 386226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1219111 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11366861 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10202993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1163868 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01370 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14237263 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11684499 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2552764 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40130553 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35109924 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5020629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05920 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $925,256 | BadDebtExpenseAmount |
| Amount Attributable To | 467840 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18183460 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17067794 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1115666 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIAGARA FALLS MEMORIAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 TENTH STREET | AddressLine1 |
| City | NIAGARA FALLS | City |
| State | NY | State |
| ZIP Code | 14302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIAGARA FALLS MEMORIAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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). | |
| PART V, SECTION B, LINE 20D: IHA COMMERCIAL RATES USED | NIAGARA FALLS MEMORIAL MEDICAL CENTER |
| PART 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 $925,256 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH A RUFFOLO | ||||||||||||||
| PRESIDENT/CEO | 387716 | 0 | 0 | 0 | 15349 | 0 | 0 | 0 | 21893 | 0 | 424958 | 0 | 0 | 0 |
| SHEILA KEE | ||||||||||||||
| CHIEF OPERATING OFFICER | 181779 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1583 | 0 | 183362 | 0 | 0 | 0 |
| JOANNE KROLEWSKI | ||||||||||||||
| VICE PRESIDENT OF NURSING | 141206 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18555 | 0 | 159761 | 0 | 0 | 0 |
| NYATHAPPA ANAND | ||||||||||||||
| PHYSICIAN | 326961 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7964 | 0 | 334925 | 0 | 0 | 0 |
| BALA GANGADHARTHATIGOLA | ||||||||||||||
| PHYSICIAN | 308310 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18788 | 0 | 327098 | 0 | 0 | 0 |
| NITIN ARORA | ||||||||||||||
| PHYSICIAN | 245853 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17598 | 0 | 263451 | 0 | 0 | 0 |
| NIELS GOTHGEN | ||||||||||||||
| PHYSICIAN | 231600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 200 | 0 | 231800 | 0 | 0 | 0 |
| MAHMOUD ISMAIL | ||||||||||||||
| PHYSICIAN | 215098 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17598 | 0 | 232696 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| NIAGARA AREA DEVELOPMENT CORPORATION | ||||||||
| A | 223169112 | 653541AA0 | 2011-11-01 | 14310000 | REFINANCE PRIOR DEBT AND RENOVATIONS | 0 | 0 | 0 |
| NIAGARA AREA DEVELOPMENT CORPORATION | ||||||||
| B | 161039343 | 653353BW1 | 2008-09-24 | 5565000 | RENOVATIONS FOR INPATIENT BEHAVIORAL CLINICS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 14310000 | 286200 | 1333800 | 12690000 | 2011 | 1 | 0 | 1 | 1 |
| B | 5565000 | 5487642 | 2010 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | NIAGARA FALLS MEMORIAL MEDICAL CENTER OPENED A PRIMARY CARE CENTER IN NORTH TONAWANDA. NFMMC ALSO STARTED A BARIATRIC PROGRAM. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 12C | COMPLETION OF THE CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED ANNUALLY BY NIAGARA AREA MANAGEMENT CORPORATION 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 15 | EXECUTIVE COMPENSATION COMMITTEE REVIEWS MARKET RATE COMPENSATION IN LIGHT OF ANNUAL EMPLOYEE EVALUATIONS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. GOVERNING DOCUMENTS CAN BE REVIEWED AT THE NIAGRA FALLS MEMORIAL MEDICAL CENTER'S OFFICE UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN NET ASSTS OF NFMMC FOUNDATION 104,753. CHANGE IN UNREALIZED LOSS ON INTEREST RATE SWAP -221,715. |
| FORM 990, PART XII, LINE 2C | THE 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. | |
| FORM 990, PART VI, SECTION A LINE 6 AND 7 | NIAGARA FALLS MEMORIAL MEDICAL CENTER IS THE WHOLLY-OWNED SUBSIDIARY OF NIAGARA AREA MANAGEMENT CORPORATION. | |
| FORM 990, SCHEDULE K, PART III, LINE 11 | BOND A - PURPOSE IS TO REFINANCE PRIOR DEBT AND RENOVATIONS. $12,690,000 OF OTHER SPENT PROCEEDS WENT TOWARD RENOVATIONS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION | |||||||||||
| 621 TENTH STREET | NIAGARA FALLS | NY | 14302 | 222877349 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | NIAGARA AREA MANAGEMENT CORPORATION | 0 | |
| NIAGARA AREA MANAGEMENT CORPORATION | |||||||||||
| 621 TENTH STREET | NIAGARA FALLS | NY | 14302 | 222551332 | MANAGEMENT SERVICES | NY | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| SCHOELLKOPF HEALTH CENTER | |||||||||||
| 621 TENTH STREET | NIAGARA FALLS | NY | 14302 | 160978820 | NURSING HOME | NY | 501(C)(3) | LINE 9 | NIAGARA AREA MANAGEMENT CORPORATION | 0 | |
| NIAGARA FALLS PROPERTIES INC | |||||||||||
| 621 TENTH STREET | NIAGARA FALLS | NY | 14302 | 223236735 | TITLE HOLDING COMPANY | NY | 501(C)(2) | N/A | NIAGARA AREA MANAGEMENT CORPORATION | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIAGARA SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 TENTH STREET | AddressLine1 |
| City | NIAGARA FALLS | City |
| State | NY | State |
| ZIP Code | 14302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222551329 | EIN |
| Primary Activity | DORMANT | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |