Niagara Hospice
Legal name: Niagara Hospice Inc
Nonprofit profile at a glance
- EIN
- 222524016
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Lockport, NY, USA
- Phone
- 7164394417
- Rating
- 88
- Verdict
- STRONG
- Rating confidence
- Standard
- Sector
- Hospices
Reported finances
- Revenue
- $20,797,648
- Expenses
- $20,541,238
- Assets
- $17,767,504
- Liabilities
- $1,987,817
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
17 people listed
Executive titles in this filing
- DANIELLE M BURNGASSER (VICE PRESIDENT OF OPERATIONS)
Highest reported compensation
- JAY NEWMAN (HOSPICE PHYSICIAN): $321,211 total reported compensation
- RICHARD CASTALDO (MEDICAL DIRECTOR): $300,552 total reported compensation
- EDWARD O'BRIEN (HOSPICE PHYSICIAN): $242,668 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Mission:** Niagara Hospice is dedicated to providing the right care, in the right place, at the right time. Vision:** Niagara Hospice will evaluate each life-limiting diagnosis for hospice eligibility, an important benefit that ensures comfort, dignity and specialized care for terminally ill patients. When Niagara County residents, their families and caregivers enter our program, we will provide expert symptom management, caregiver relief and comprehensive end-of-life guidance to the entire family to help everyone maximize quality of life and cherish precious time together for as long as possible. [](.
What it reported doing in 2024
Patient revenue for niagara hospice (nh) is earned based on patients services provided and then reimbursed by insurances. There are a few types of patient service fees, which are explained below. Patients receive various types of services, in which the largest revenue types include homecare routine, nursing home reimbursement and in-patient general. Homecare routine consists of the basic in-home visists to the patients own home at least once a week to do various care-taking services (ie. Baths, laundry, visiting). The nursing home reimbursement revenue is from the hospice patients that are in nursing homes, in which the nursing homes bill niagara hospice and nh, in turn, bills the insurances for reimbursement. Inpatient general consists of patients in the various hospitals, in which the hospitals bill nh and nh seeks reimbursement from the insurances. The continuous care program provides "extended care" versus the regular home health aides. This extended care is billed at a higher rate due to the increased amount of time the lpns. This service requires at least 12 hours of time with a registered nurse.
Operating model
- Revenue model
- Earned-program. 93% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 78
- Transparency & Controls: 100
- Accountability: 100
- Sustainability: 43
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 85.8%; rating input score 86
- Program expense ratio: 88.2%; rating input score 88
- Fundraising efficiency: $2.02 raised per $1 spent on fundraising; rating input score 6; 6th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 6 of 6 controls in place; rating input score 100
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 1.2%; rating input score 39; 39th percentile among comparable filings
- Total-asset coverage ratio: 0.86; rating input score 31; 31st percentile among comparable filings
- Liabilities to assets ratio: 0.11; rating input score 72; 72nd percentile among comparable filings
- Officer compensation ratio: 4%; rating input score 60; 60th percentile among comparable filings
Growth
- Program expense growth: 5.6% per year; rating input score 100; 46th percentile among comparable filings
- Revenue growth: 3.9% per year; rating input score 100; 33rd percentile among comparable filings
- Asset growth: 4.4% per year; rating input score 100; 32nd percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 85.8% of revenue deployed · 88.2% of spending went to programs
- Governance: 8 of 8 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $18.1M in reported program spending
- Leadership: top reported pay $321K · 17 people listed · 6 of 6 pay-setting controls reported
- Highest-paid contractors: 2 contractors listed · $4.7M reported
- Consistency: 34 of 34 current checks pass
- Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Fundraising efficiency scored 6/100.
- Moderate — Sustainability: Operating margin scored 39/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 31/100.