Civic Intelligence

Niagara Falls Memorial Medical Center

EIN 16-0743094 • 501(c)3 • Niagara Falls, NY

View Organization Page

Profile

To provide high quality, compassionate, and accessible healthcare

621 Tenth StreetNiagara Falls, NY 14302

www.nfmmc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.74x

Higher debt load relative to assets than 68% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

60th percentile

0.50x

Higher debt load relative to revenue than 60% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Net Margin

66th percentile

6.1%

Higher net margin than 66% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

27th percentile

$675,633

Higher top officer pay than 27% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

NTEE E • $100M-$250M nonprofits • Source year 2024

Asset Growth

90th percentile

32%

Faster asset growth than 90% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

65th percentile

14%

Faster revenue growth than 65% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets68th percentile

Assets

Up

$99,487,234

Up $23,940,639 (+32%) from 2023

Liabilities

Up

$73,625,554

Up $15,234,106 (+26%) from 2023

Net Assets

Up

$25,861,680

Up $8,706,533 (+51%) from 2023

Operations
Liabilities / Revenue60th percentileNet Margin66th percentile

Revenue

Up

$146,711,325

Up $18,310,183 (+14%) from 2023

Expenses

Up

$137,797,021

Up $10,372,376 (+8.1%) from 2023

Net Income

Up

$8,914,304

Up $7,937,807 (+813%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth90th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $57,200,568Liabilities 2010: $44,345,527Net Assets 2010: $12,855,0412010Assets 2011: $64,633,216Liabilities 2011: $47,026,107Net Assets 2011: $17,607,1092011Assets 2012: $70,457,325Liabilities 2012: $44,710,392Net Assets 2012: $25,746,9332012Assets 2013: $79,394,990Liabilities 2013: $49,187,013Net Assets 2013: $30,207,9772013Assets 2014: $79,270,974Liabilities 2014: $45,565,451Net Assets 2014: $33,705,5232014Assets 2015: $83,232,827Liabilities 2015: $43,338,005Net Assets 2015: $39,894,8222015Assets 2016: $89,656,259Liabilities 2016: $45,243,865Net Assets 2016: $44,412,3942016Assets 2017: $87,623,188Liabilities 2017: $41,199,119Net Assets 2017: $46,424,0692017Assets 2018: $82,440,835Liabilities 2018: $39,569,687Net Assets 2018: $42,871,1482018Assets 2019: $90,737,951Liabilities 2019: $42,443,895Net Assets 2019: $48,294,0562019Assets 2020: $106,847,073Liabilities 2020: $57,212,223Net Assets 2020: $49,634,8502020Assets 2021: $89,216,615Liabilities 2021: $48,351,791Net Assets 2021: $40,864,8242021Assets 2022: $74,311,803Liabilities 2022: $57,804,126Net Assets 2022: $16,507,6772022Assets 2023: $75,546,595Liabilities 2023: $58,391,448Net Assets 2023: $17,155,1472023Assets 2024: $99,487,234Liabilities 2024: $73,625,554Net Assets 2024: $25,861,6802024

Highlighted filing

2024

Assets$99,487,234
Liabilities$73,625,554
Net Assets$25,861,680
Open 2024 Filing

Operations Trend

Revenue Growth65th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $83,643,9912010Expenses 2011: $84,685,6522011Expenses 2012: $86,340,7452012Revenue 2013: $93,790,233Expenses 2013: $88,859,337Net Income 2013: $4,930,8962013Revenue 2014: $97,338,115Expenses 2014: $93,758,316Net Income 2014: $3,579,7992014Revenue 2015: $105,022,446Expenses 2015: $99,540,737Net Income 2015: $5,481,7092015Revenue 2016: $110,718,070Expenses 2016: $106,817,599Net Income 2016: $3,900,4712016Revenue 2017: $113,915,189Expenses 2017: $111,016,766Net Income 2017: $2,898,4232017Revenue 2018: $109,878,126Expenses 2018: $112,676,248Net Income 2018: -$2,798,1222018Revenue 2019: $122,358,327Expenses 2019: $118,263,655Net Income 2019: $4,094,6722019Revenue 2020: $129,058,800Expenses 2020: $126,421,034Net Income 2020: $2,637,7662020Revenue 2021: $117,812,522Expenses 2021: $127,015,748Net Income 2021: -$9,203,2262021Revenue 2022: $113,093,504Expenses 2022: $129,755,353Net Income 2022: -$16,661,8492022Revenue 2023: $128,401,142Expenses 2023: $127,424,645Net Income 2023: $976,4972023Revenue 2024: $146,711,325Expenses 2024: $137,797,021Net Income 2024: $8,914,3042024

Highlighted filing

2024

Revenue$146,711,325
Expenses$137,797,021
Net Income$8,914,304
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$99,487,234
Liabilities
$73,625,554
Net assets
$25,861,680
Revenue
$146,711,325
Expenses
$137,797,021
Net income
$8,914,304
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$99.5$73.6$25.9$147$138$8.91
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$75.5$58.4$17.2$128$127$0.98
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$74.3$57.8$16.5$113$130$16.7
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$89.2$48.4$40.9$118$127$9.20
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$107$57.2$49.6$129$126$2.64
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$90.7$42.4$48.3$122$118$4.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$82.4$39.6$42.9$110$113$2.80
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$87.6$41.2$46.4$114$111$2.90
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$89.7$45.2$44.4$111$107$3.90
2015Detailed filing. Detailed filing data is available for this year.$83.2$43.3$39.9$105$99.5$5.48
2014Detailed filing. Detailed filing data is available for this year.$79.3$45.6$33.7$97.3$93.8$3.58
2013Detailed filing. Detailed filing data is available for this year.$79.4$49.2$30.2$93.8$88.9$4.93
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$70.5$44.7$25.7$86.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$64.6$47.0$17.6$84.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$57.2$44.3$12.9$83.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$146,711,325
Mission and Program Overview

Mission

To provide high quality, compassionate, accessible health care.

To provide high quality, compassionate, and accessible healthcare

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$39,240,046$37,510,134▼ $1,729,912
Cash and Non-Interest-Bearing Accounts$2,165,053$17,337,604▲ $15,172,551
Accounts Receivable$14,259,667$15,068,231▲ $808,564
Pledges and Grants Receivable$428,281$7,533,131▲ $7,104,850
Inventories for Sale or Use$2,810,556$2,540,336▼ $270,220
Prepaid Expenses and Deferred Charges$385,732$495,374▲ $109,642
Total Assets$75,546,595$99,487,234▲ $23,940,639
Other Assets Total$16,257,260$19,002,424▲ $2,745,164
Liabilities
Other Liabilities$9,674,768$34,719,645▲ $25,044,877
Accounts Payable and Accrued Expenses$32,342,023$26,693,950▼ $5,648,073
Tax Exempt Bond Liabilities$10,020,000$9,480,000▼ $540,000
Mortgage Notes Payable Secured by Investment Property$2,396,146$1,492,324▼ $903,822
Deferred Revenue$3,958,511$1,239,635▼ $2,718,876
Total Liabilities$58,391,448$73,625,554▲ $15,234,106
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,128,998$24,043,302▲ $8,914,304
Net Assets With Donor Restrictions$2,026,149$1,818,378▼ $207,771
Total Net Assets Fund Balance$17,155,147$25,861,680▲ $8,706,533
Total Liabilities and Net Assets / Fund Balance$75,546,595$99,487,234▲ $23,940,639

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,118,404$97,632,500$99,750,904
Buildings$33,986,327$43,972,616$77,958,943
Other Land Buildings$1,068,044$1,510,975$2,579,019
Land$337,359-$337,359
Other Assets Org$3,665,000--
Compensation and Service Providers
Top Officer Pay27th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph a RuffoloPresident and CEOFT$627,786$47,847$675,633
Kalaiselvi RajendranPhysicianFT$457,691$6,900$464,591
Peter Muscarella Ii MdDirector and PhysicianFT$423,111$36,327$459,438
Rajinder Pal Singh Bajwa MdDirector and PhysicianFT$410,578$33,635$444,213
Zubair ShaikhPhysicianFT$400,786$33,873$434,659
Hannah BaileyPhysicianFT$400,291$33,599$433,890
Shaan AlamPhysicianFT$332,099$10,645$342,744
Milind ChaudhairPhysicianFT$300,044$34,705$334,749
Richard BraunExecutive VP & COO Eff. Oct. 2024FT$259,072$10,922$269,994
Sheila KeeExecutive VP & COO Through Oct. 2024FT$245,768$7,802$253,570
Pam LeveringVP of NursingFT$130,669$25,792$156,461
Vijay Bojedla MdVP & CMOFT$129,628$25,894$155,522
Matthew DuboisCFOFT$118,930$27,968$146,898

Board Members and Trustees

NameTitle
James C RoscettiChairman
Cynthia a BiancoVice Chairman
Carmen a GrantoDirector
Don J KingDirector
Gerald Gorman MdDirector
John L GrecoDirector
Judith a Nolan PowellDirector
Marion B Lavigne PhdDirector
Mark D Perry MdDirector
Matthew FeldmanDirector
Rev Craig D PridgenDirector
Robert L Bradley JrDirector
Ronald R CampbellDirector
Tina AbramsDirector
Michael Stoffman MdMedical Director
Margaret M TooheySecretary
Charles G Rader PhdTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
North American Partners In Anesthesia LMedical ServicesPO BOX 936947, Atlanta, GA 31193$2,985,112
Trusted Management Services LLCManagement Services500 SENECA STREET SUITE 501, Buffalo, NY 14204$2,160,174
Alurora Spine INCMedical Services1930 PALOMAR POINT WAY SUITE 103, Carlsbad, CA 92008$1,146,745
Intuitive Surgical INCMedical ServicesPO BOX 883629, Los Angeles, CA 90088$489,167
General Physician PCMedical Services726 EXCHANGE STREET SUITE 710, Buffalo, NY 14210$411,729
Revenue and Support

Revenue Composition

Contributions and Grants
$14,053,407
Program Service Revenue
$121,176,289
Investment Income
$4,296
Other Revenue
$11,477,333
All Other Contributions
$10,437,485
Change in Net Assets
$8,914,304
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$81,696,964
Other Expenses$56,100,057
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$53,856,886$11,316,801-$65,173,687
Fees for Services Other$18,317,403$635,912-$18,953,315
Other Employee Benefits$5,549,676$1,171,961-$6,721,637
Payroll Taxes$3,924,457$920,551-$4,845,008
Depreciation Depletion$3,707,236$926,809-$4,634,045
All Other Expenses$2,738,545$631,740-$3,370,285
Comp Disqual Persons$903,651$1,658,078-$2,561,729
Pension Plan Contributions$1,939,871$455,032-$2,394,903
Insurance$1,912,089$459,857-$2,371,946
Other Expenses$2,178,851$125,006-$2,303,857
Occupancy$869,959$49,911-$919,870
Interest$330,409$211,245-$541,654
Fees for Services Accounting-$334,352-$334,352
Fees for Services Legal$193,693$17,500-$211,193
Total Functional Expenses$116,648,232$21,148,789$0$137,797,021
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Payor Settlements$25,751,068
Lease Liabilities$5,303,577
Other Liabilities$3,665,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
ANiagara Area Development Corporation2011-11-01$14,310,000Refinance prior debt and renovation

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$14,310,000$12,690,000-$286,200

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The form 990 is prepared internally by senior finance staff. It is then made available in the administrative office, where members of the board of directors can review a copy upon request.”

Form 990, Part VI, Section B, Line 12C

“Completion of the conflict of interest disclosure forms is required annually by niagara area management corporation (the parent company) for all related entities. It is sent out annually and any conflicts of itnerest are investigated by the corporate compliance officer.”

Form 990, Part VI, Section B, Line 15A

“Executive compensation committee reviews market rate compensation in light of annual employee evaluations.”

Form 990, Part VI, Section C, Line 18

“Copies of form 1023 and 990 are provided upon request.”

Form 990, Part VI, Section C, Line 19

“Copies of finacnial statements are provided upon request. Governing documents can be reviewed at the niagara falls memorial medical center's offices upon request.”

Filing and Contact Details

Filer

Filer Name
Niagara Falls Memorial Medical Center
EIN
16-0743094
Phone
7162784399
Address
621 TENTH STREET, NIAGARA FALLS, NY 14302

Signing Officer

Name
Joseph Ruffolo
Title
President and CEO
Phone
7162784399
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joseph Ruffolo
Formed
1895
Legal Domicile
Ny
Voting Board Members
19
Independent Board Members
16
Employees
1,371
Volunteers
150

Preparer

Firm
Lumsden & Mccormick Llp
Address
369 FRANKLIN STREET, BUFFALO, NY 14202
Preparer
Jill M Johnson CPA
Phone
7168563300
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Physician fees: program service expenses 6,844,981. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,844,981. Ambulance service: program service expenses 30,270. Management and general expenses 0. Fundraising expenses 0. Total expenses 30,270. Collection fees: program service expenses 167,205. Management and general expenses 9,593. Fundraising expenses 0. Total expenses 176,798. Medical purchased services: program service expenses 358,178. Management and general expenses 0. Fundraising expenses 0. Total expenses 358,178. Other purchased services: program service expenses 1,170,623. Management and general expenses 67,161. Fundraising expenses 0. Total expenses 1,237,784. Other fees: program service expenses 9,746,146. Management and general expenses 559,158. Fundraising expenses 0. Total expenses 10,305,304.”

FORM 990, PART XI, LINE 9:

“Change in beneficial interest in foundation -207,771.”

Raw XML AppendixShowing 400 of 1,139 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/Desc0NIAGARA 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.
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