2023-11-14T07:33:53-07:00 2022-12-31 990 2022-01-01 160743094 NIAGARA FALLS MEMORIAL MEDICAL CENTER NIAG 7162784399 621 Tenth Street Niagara Falls NY 14302 Richard Braun EVP, CFO 7162784399 2023-11-13 1 0 11 0 AAL2 2022 2023-04-26 12:10:37Z Joseph Ruffolo 621 Tenth Street Niagara Falls NY 14302 113093504 0 X www.NFMMC.org X 1895 NY TO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE HEALTHCARE 18 14 1335 154 0 0 7214228 18453627 103638838 89175611 32520 1075 6926936 5463191 117812522 113093504 0 0 75765993 77452823 0 0 51249755 52302530 127015748 129755353 -9203226 -16661849 89216615 74311803 48351791 57804126 40864824 16507677 TO PROVIDE HIGH QUALITY, COMPASSIONATE AND ACCESSIBLE HEALTHCARE 0 0 103455375 89175611 NIAGARA FALLS MEMORIAL MEDICAL CENTER PROVIDES QUALITY HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, HEALTH FAIRS AND PROGRAMS FOR THOSE WITH SPECIAL NEEDS, IN ADDITION TO GENERAL HOSPITAL SERVICES. 0 0 0 103455375 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 226 0 1 1335 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X RICHARD BRAUN 7162784399 621 Tenth Street Niagara Falls NY 14302 JOSEPH RUFFOLO PRESIDENT AND CEO 34 6 X 547202 0 32356 RAJINDER P BAJWA MD PHYSICIAN 40 X 405627 0 28394 SHEILA KEE EVP COO 34 6 X 199821 0 13573 RICHARD BRAUN EVP CFO 34 6 X 131567 0 13157 VIJAY BOJEDLA MD VP AND CMO 34 6 X 128250 0 13573 MARK WRIGHT CFO 34 6 X X 89583 0 11377 GERALD GORMAN MD PHYSICIAN 2 6 X 0 0 0 JAMES ROSCETTI CHAIRMAN 2 6 X X 0 0 0 CYNTHIA BIANCO VICE CHAIRMAN 2 6 X X 0 0 0 CHARLES G RADER PHD TREASURER 2 6 X X 0 0 0 MARGARET TOOHEY SECRETARY 2 6 X X 0 0 0 ROBERT L BRADLEY JR DIRECTOR 2 6 X 0 0 0 RONALD R CAMPBELL DIRECTOR 2 6 X 0 0 0 MATTHEW FELDMAN DIRECTOR 2 6 X 0 0 0 TINA ABRAMS DIRECTOR 2 6 X 0 0 0 DON KING DIRECTOR 2 6 X 0 0 0 MARION LAVIGNE PHD DIRECTOR 2 6 X 0 0 0 MARK PERRY MD PHYSICIAN 2 6 X 0 0 0 REV CRAIG D PRIDGEN DIRECTOR 2 6 X 0 0 0 JACK L GRECO DIRECTOR 2 6 X 0 0 0 JUDITH NOLAN POWELL DIRECTOR 2 6 X 0 0 0 1502050 0 112430 98 1 1 0 Kaleida Health PO Box 1392 Buffalo NY 142401392 Laboratory Medicine Service 1326969 Great Lakes Anesthesiology 1001 Min Street Buffalo NY 14203 Surgical Anesthesia 1076614 Roswell Park Cancer Institute PO Box 8000 Buffalo NY 14267 Staff for Infusion Center 923064 Keystone Medical Services of Niagara Falls 6075 Poplar Ave Suite 401 Memphis TN 38119 Emergency Room Professionals 881497 Johnson Controls Dept CH 10320 Palatine IL 600550320 Fire Alarm System Install 369381 33 0 0 0 0 18453627 0 0 18453627 HOSPITAL OPERATIONS 622000 81104160 81104160 0 0 AUXILIARY REVENUE 622000 8071451 8071451 0 0 0 0 0 0 89175611 1075 1075 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SHARED SERVICES 622000 2582520 2582520 0 0 PHARMACY 622000 2224852 2224852 0 0 OTHER 622000 655819 655819 0 0 0 0 0 0 5463191 113093504 94639877 0 0 X 0 1502050 1502050 0 59640634 48352435 11288199 1938832 1672491 266341 9974306 7821530 2152776 4397001 3404250 992751 350770 342369 8401 54192 13537 40655 176689 176689 6256078 6204273 51805 52075 52075 143675 97267 46408 64709 57115 7594 456394 278401 177993 5184662 4147730 1036932 2296681 1550166 746515 37266605 29513811 7752794 129755353 103455375 26299978 0 2097294 825301 83608 18918645 13466973 5861065 3111290 2870668 2535560 419295 455924 175726794 133776307 44110226 41950487 14855814 11966268 89216615 74311803 18298517 30855899 792839 861200 11005000 11891162 4226897 4554733 2021665 999977 12006873 8641155 48351791 57804126 X 38469384 14152501 2395440 2355176 40864824 16507677 89216615 74311803 X -16661849 0 0 0 -7762466 67168 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 337359 0 337359 71916571 0 51501161 20415410 4770520 0 4037342 733178 97263699 0 78237804 19025895 1438645 0 0 1438645 41950487 INSURANCE 3815000 OPERATING LEASE RIGHT OF USE 5174342 INTEREST IN FOUNDATION 2055176 OTHER 921750 11966268 Leases 2311536 Related Patty 684424 Insurance 3815000 OTHER 1830195 8641155 1 1 1 X 1 X 1 1 0 0 1667328 628512 1038816 0.008 34357767 26437888 7919879 0.061 0 0 36025095 27066400 8958695 0.069 1703469 1647037 56432 0 1931938 740804 1191134 0.0092 9499848 8639330 860518 0.0066 0 0 13135255 11027171 2108084 0.0158 0 0 49160350 38093571 11066779 0.0848 1 758808 0 12636053 14606372 -1970319 X 1 1 1 1 NIAGARA FALLS MEMORIAL MEDICAL CENTER 621 TENTH ST NIAGARA FALLS NY 14302 WWW.NFMMC.ORG 3102000h X X X X NIAGARA FALLS MEMORIAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X www.nfmmc.org X 1 22 1 www.nfmmc.org 0 0 1 X 100 200 X 1 1 X X X X 1 X www.nfmmc.org X www.nfmmc.org X www.nfmmc.org X X X X X 1 X 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-NIAGARA FALLS MEMORIAL MEDICAL CENTER FOCUS GROUPS AND P-2 COLLABORATIVE Schedule H, Part V, Section B, Line 6a-NIAGARA FALLS MEMORIAL MEDICAL CENTER All three other Niagara County Hospitals participated: DeGraff Medical Park, Eastern Niagara Hospital and Mt St Marys Hospital. Schedule H, Part V, Section B, Line 11-NIAGARA FALLS MEMORIAL MEDICAL CENTER THE MEDICAL CENTER HAS PREPARED A COMMUNITY HEALTH PROGRAM FOR NIAGARA COUNTY WITH 28 STRATEGIES TO IMPROVE HEALTH CARE. THIS PLAN WAS AIRED AT PUBLIC HEARINGS IN NOVEMBER 2022. Schedule H, Part V, Section B, Line 13b-NIAGARA FALLS MEMORIAL MEDICAL CENTER IHA COMMERCIAL RATES USED Schedule H, Part V, Section B, Line 16a-NIAGARA FALLS MEMORIAL MEDICAL CENTER FAP WEBSITE: HTTPS://NFMMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.PHP Schedule H, Part V, Section B, Line 16b-NIAGARA FALLS MEMORIAL MEDICAL CENTER FAP APPLICATION WEBSITE: HTTPS//NFMMC.ORG/CHARITY%20CARE%20APPLICATION%20NFMMC%20MAIN.PDF Schedule H, Part V, Section B, Line 16c-NIAGARA FALLS MEMORIAL MEDICAL CENTER FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://NFMMC.ORG/FINANCIAL%20ASSISTANCE%20PROGRAM%20PLAIN%20LANGUAGE%20052 Schedule H, Part I, Line 7 Charges incurred on accounts in bad debt and charity care are accumulated. They are reduced to cost through a Medicare Cost Report methodology know as a Cost to Charge Ratio. An overall cost to charge ratio is developed in the cost report and applied to the foregone charges to determine the costs of those services. Schedule H, Part III, Section A, Line 2 THE MEDICAL CENTER UTILIZED THE RESERVE METHOD OF ACCOUNTING TO RECORD BAD DEBT EXPENSE. AT THE END OF EACH MONTHA SELF PAY AGING IS SUMMARIZED BY DAYS OUTSTANDING. PATIENT BALANCES ARE THEN RESERVED BASED ON AGING CATEGORY. ACCOUNTS THAT ARE AGED OVER 60 DAYS AND BEYOND ARE RESERVED AGAINST. THE OLDER THE ACCOUNTS THE LARGER THE RESERVE UP TO 90% CAN BE RESERVED. THE RESERVE IS SUMMARIZED AND COMPARED TO WHAT IS ON THE GENERAL LEDGER EVERY MONTH. ADJUSTMENTS TO THE RESERVES ARE MADE MONTHLY BASED ON THE RESULTS. THE RESERVE IS THEN COMPARED TO ACTUAL ACCOUNTS WRITTEN OFF TO BAD DEBTS AND CHARITY CARE BY PATIENT ACCOUNTING STAFF. ONLY PATIENT ACCOUNTING STAFF CAN WRITE AN INDIVIDUAL ACCOUNT TO BAD DEBT AND CHARITY CARE ONLY AFTER IT HAS GONE THROUGH THE FORMAL COLLECTION PROCESS. IN ADDITION, SELF-PAY BALANCES ARE REVIEWED FOR CHARITY CARE AND DISCOUNTED CHARGES. Schedule H, Part III, Section A, Line 3 THE MEDICAL CENTER UTILIZED THE RESERVE METHOD OF ACCOUNTING TO RECORD BAD DEBT EXPENSE. AT THE END OF EACH MONTH A SELF PAY AGING IS SUMMARIZED BY DAYS OUTSTANDING. PATIENT BALANCES ARE THRN RESERVED BASED ON AGING CATEGORY. ACCOUNTS THAT ARE AGED OVER 60 DAYS AND BEYOND ARE RESERVED AGAINST. THE OLDER THE ACCOUNTS THE LARGER THE RESERVE UP TO 90% CAN BE RESERVED. CHARITY CARE IS CONSIDERED A PART OF THE COMMUNITY BENEFIT. THE MEDICAL CENTER USES THE FIRM SEARCH AMERICA TO CONDUCT PRESUMPTIVE ELIGIBILITY APPROVAL OF SELF-PAY ACCOUNTS. ACCOUNTS WITH SELF-PAY BALANCES ARE SENT TO SEARCH AMERICA AND THE FIRM USES VARIOUS INCOME VERIFICATION TOOLS TO SEE IF THE PATIENT IS ELIGIBLE FOR A DISCOUNT BASED ON THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. THE SLIDING FEE SCALE IS PART OF THE FINANCIAL ASSISTANCE POLICY AND THE PATIENTS ACCOUNTS ARE ADJUSTED ACCORDINGLY. THE CHARITY CARE CHARGES ARE REDUCED TO COST BASED ON RATIO OF COST TO CHARGES WHEN REPORTED ON THE ANNUAL FINANCIAL STATEMENTS. Schedule H, Part III, Section A, Line 4 PATIENT ACCOUNTS RECEIVABLE ARE PRESENTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD PARTY PAYERS. Schedule H, Part III, Section B, Line 8 THE MEDICAL EXPERIENCES A SHORTFALL IN MEDICARE REVENUE OVER COSTS. DESPITE THIS SHORTFALL, THE MEDICAL CENTER CONTINUES TO PROVIDE QUALITY CARE TO THE NIAGARA COUNTY COMMUNITY.THIS ILLUSTRATES ONE OF THE WAYS THAT WE SUPPORT OUR MISSION- TO PROVIDE QUALITY CARE, REGARDLESS OF ABILITY TO PAY. THE TOTAL MEDICARE CHARGES (LESS MEDICARE CHARGES FOR SUBSIDIZED HEALTH SERVICES) AS REPORTED ON THE COST REPORT WERE MULTIPLIED BY THE RATIO OF COSTS TO CHARGES TO DETERMINE THE MEDICARE COST. THE TOTAL COST FROM DIRECT GME ALLOWABLE COSTS WERE SUBTRACTED FROM THE MEDICARE COST TO CALCULATE THE TOTAL MEDICARE ALLOWABLE COST. Schedule H, Part III, Section C, 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. PSTIENTS 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 PUBLICALLY SPONSORED INSURANCE PROGRAM (E.G. MEDICAID, FAMILY HEALTH PLUS, CHILD HEALTH PLUS0. 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 VI, Line 2 DESCRIPTION OF NEEDS ASSESSMENT: IN DEVELOPING A PLAN TPO MEET THE HEALTH CARE NEEDS OF THE NIAGARA COUNTY COMMUNITY, NIAGARA FALLS MEMORIAL MEDICAL CENTER (NFMMC) REQUESTS COMMUNITY MEMBERS AT LARGE AND NFMMC STAFF TO COMPLETE A CONFIDENTIAL SURVEY. THE COMMUNITY CAN EITHER FILL OUT A HARD COPY OF THE SURVEY OR COMPLETE AN ON-LINE SURVEY THROUGH ON-LINE TOOLS SUCH AS SURVEY MONKEY. THIS SURVEY IS DONE COLLABORATIVELY WITH ALL FOUR HOSPITALS LOCATED IN NIAGARA COUNTY ALONG WITH THE NIAGARA COUNTY HEALTH DEPARTMENT. THIS SURVEY GATHERS THE COMMUNITY INPUT REGARDING THEIR HEALTH CARE NEEDS AND IDENTIFIES VOIDS IN SERVICES IN NIAGARA COUNTY. Schedule H, Part VI, Line 3 THE MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN PART, BY COMPLETING A COMMUNITY SERVICES PLAN. NIAGARA FALLS MEMORIAL MEDICAL CENTER'S 2022 COMMUNITY SERVICE PLAN INCLUDES AN ASSESSMENT OF PUBLIC PRIORITIES AND MEMORIAL'S STRATEGIES FOR ADDRESSING SEVERAL PRIORITIES IDENTIFIED IN CONJUNCTION WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S PREVENTION AGENDA. THE MEDICAL CENTER'S PRIORITIES WERE CHOSEN AS PART OF A COLLABORATIVE PROCESS INVOLVING THE NIAGARA COUNTY HEALTH DEPARTMENT AND THE OTHER HOSPITALS IN THE COUNTY. Schedule H, Part VI, Line 4 NIAGARA FALLS MEMORIAL MEDICAL CENTER DEFINES THE COMMUNITY IT SERVES GEOGRAPHICALLY. EACH YEAR, MEMORIAL PROVIDES HEALTHCARE SERVICES TO 45,600 UNIQUE PATIENTS (UNDUPLICAYTED PATIENTS). ITS PRIMARY SERVICE AREA ENCOMPASSES ZIP CODES IN WHICH NEARLY 80% OF ITS UNIQUE PATIENTS RESIDE. MEMORIAL'S PRIMARY SERVICE AREA INCLUDES ALL OF THE CITY OF NIAGARA FALLS (14301, 14302, 14303, 14304 AND 14305), LEWISTON (14902), NIAGARA UNIVERSITY (14109), NORTH TONAWANDA (14120), OLCOTT (14126), RANSOMVILLE (14131), SANBORN (14132), WILSON (14172) AND YOUNGSTOWN (14174). THE REMAINING ZIP CODES IN NIAGARA COUNTY COMPRISE MEMORIAL'S SECONDARY SERVICE AREA. THEY INCLUDE ZIP CODES 14008, 14012, 14028, 14067, 14094, 14105 AND 14108. WHICH ARE SITUATED ON THE EASTERN END OF NIAGARA COUNTY. Schedule H, Part VI, Line 5 COMMUNITY BUILDING ACTIVITIES ALL FOCUS AROUND PROVIDING ACCESS TO QUALITY CARE TO THE MEDICALLY UNDERSERVED IN OUR SERVICE AREA. THE MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY THE ELECTION OF A COMMUNITY BASED BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS REPRESENTED BY A DEDICATED AND DIVERSE GROUP OF COMMUNITY LEADERS WHOSE PURPOSE IS TO REMAIN FAITHFUL TO THE MISSION OF THE MEDICAL CENTER- TO PROVIDE HIGH QUALITY, COMPASSIONATE, ACCESSIBLE CARE. Schedule H, Part VI, Line 6 THE MEDICAL CENTER IS NOT PART OF A HEALTH CARE SYSTEM. Schedule H, Part VI, Line 7 NYS X X X X 0 0 0 0 0 0 0 0 0 JOSEPH RUFFOLO PRESIDENT AND CEO 547202 0 0 0 0 0 7223 0 25133 0 579558 0 567024 0 RAJINDER P BAJWA MD PHYSICIAN 405627 0 0 0 0 0 0 0 28394 0 434021 0 415694 0 MARK WRIGHT CFO 89583 0 0 0 0 0 1783 0 9594 0 100960 0 215007 0 RICHARD BRAUN EVP CFO 131567 0 0 0 0 0 2631 0 10526 0 144724 0 0 0 SHEILA KEE EVP COO 199821 0 0 0 0 0 4000 0 4486 0 208307 0 225011 0 VIJAY BOJEDLA MD VP AND CMO 128250 0 0 0 0 0 2166 0 11407 0 141823 0 150797 0 A NIAGARA AREA DEVELOPMENT CORPORATION 223169112 653541AA0 2011-11-01 14310000 REFINANCE PRIOR DEBT AND RENOVATION 0 0 0 A 14310000 286200 1333800 12690000 2011 1 0 1 1 A A 0 0 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section B, Line 11b THE FORM 990 IS PREPARED INTERNALLY BY SENIOR FINANCE STAFF. IT IS THEN MADE AVAILABLE IN THE ADMINISTRATIVE OFFICE, WHERE MEMBERS OF THE BOARD OF DIRECTORS CAN REVIEW A COPY UPON REQUEST. Form 990, Part VI, Section B, Line 12c COMPLETION OF THE CONFLICT-OF-INTEREST DISCLOSURE FORM IS REQUIRED ANNUALLY BY NIAGARA AREA MANAGEMENT CORPORATION (THE PARENT COMPANY) FOR ALL RELATED ENTITIES. IT IS SENT OUT ANNUALLY AND ANY CONFLICTS OF INTEREST ARE INVESTIGATED BY THE CORPORATE COMPLIANCE OFFICER. Form 990, Part VI, Section B, Line 15 EXECUTIVE COMPENSATION COMMITTEE REVIEWS MARKET RATE COMPENSATION IN LIGHT OF ANNUAL EMPLOYEE EVALUATIONS. Form 990, Part VI, Section C, Line 18 COPIES OF THE FORM 1023 AND 990 ARE PROVIDED UPON REQUEST. Form 990, Part VI, Section C, Line 19 COPIES OF FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. GOVERNING DOCUMENTS CAN BE REVIEWED AT THE NIAGARA FALLS MEMORIAL MEDICAL CENTER'S OFFICES UPION REQUEST. Form 990, Part IX, Line 24e SUPPLIES $19,466,617 PURCHASED SERVICES $11,887,416 SHARED SERVICES $2,224,852 Form 990, Part XI, Line 9 GAIN ON INTEREST RATE SWAP $107,432 OTHER - CHANGE IN FOUNDATION NA ($40,264) Form 990, Part XII, Line 3b The single sudit is still in process at Nov 10 2023 NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION 621 TENTH STREET NIAGARA FALLS NY 14302 222877349 FUNDRAISING NY 501(C)(3) LINE 10 NIAGARA AREA MANAGEMENT CORPORATION 0 NIAGARA AREA MANAGEMENT CORPORATION 621 TENTH STREET NIAGARA FALLS NY 14302 222551332 MANAGEMENT ACTIVITY NY 501(C)(3) LINE 12B,II N/A 0 SCHOELLKOPF HEALTH CENTER 621 TENTH STREET NIAGARA FALLS NY 14302 160978820 SKILLED NURSING HOME NY 501(C)(3) LINE 10 NIAGARA AREA MANAGEMENT CORPOTATION 0 NIAGARA FALLS PROPERTIES INC 621 TENTH STREET NIAGARA FALLS NY 14302 223236735 TITLE HOLDING COMPANY NY 501(C)(2) NIAGARA AREA MANAGEMENT CORPORATION 0 NIAGARA SERVICES INC 621 TENTH STREET NIAGARA FALLS NY 14302 222551329 DORMANT NY N/A C 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Staff turnover has caused a delay in completing single audit