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Niagara Hospice Inc

EIN 22-2524016 · Lockport, NY

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood75 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

TO PROVIDE SPECIALIZED SERVICES TO PERSONS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES.

Income
$20.8 million
Spending
$20.5 million
Spent on programs
88%
Reserves
5.6 months of spending
Largest source of income
fees for its services, 93%
Employees
157
Volunteers
96
Highest pay
$321,211, hospice physician

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 75 out of 100. Higher than 66% of charities in its peer group (human services, $10m to $100m).

  • Reserves

    20 of 35

    Spendable reserves would cover 5.6 months of spending.

  • Debt

    20 of 20

    It owes 11% of what it owns.

  • Living within its means

    12 of 15

    Income exceeded spending by 1% of income.

  • Income trend

    15 of 15

    Income rose 7% on the year before.

  • Spending floor

    8 of 15

    88% of spending went to programs and raising each dollar of donations cost 50 cents.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 35% of charities in its peer group (human services, $10m to $100m).

  • Independent board

    25 of 25

    8 of 8 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (2)
  1. $18.1 million spent. 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.
  2. ALTHOUGH HOSPICE CARE WILL ALWAYS BE PRIMARILY PROVIDED IN A PATIENT'S OR CAREGIVER'S HOME, THERE ARE SOME INDIVIDUALS WHO DO NOT HAVE A HOME ENVIRONMENT APPROPRIATE FOR HOSPICE CARE, OR LACK THE FAMILY OR FRIENDS NECESSARY TO PROVIDE 24/7 CARE IN A HOME ENVIRONMENT. ADDITIONALLY, SOME HOSPICE PATIENTS NEED AROUND-THE-CLOCK MEDICAL ATTENTION DURING MEDICATION ADJUSTMENTS OR FOR SYMPTOM MANAGEMENT. IN RESPONSE TO THESE NEEDS, NIAGARA HOSPICE HOUSE WAS BUILT.NIAGARA HOSPICE HOUSE IS NIAGARA COUNTY'S ONLY RESIDENTIAL HOSPICE HOUSE, PROVIDING SERVICES TO PATIENTS AND THEIR FAMILIES WHO ARE NOT ABLE TO RECEIVE HOME HOSPICE CARE. THE RESIDENTIAL WING CONSISTS OF EIGHT SUITES SPECIFICALLY DESIGNED FOR LONGER STAYS WHEN THE HOME CAREGIVING STRUCTURE IS COMPROMISED. THE IN-PATIENT WING HAS TEN SUITES DESIGNED FOR PATIENTS NEEDING SHORT-TERM MEDICAL MONITORING AND SYMPTOM MANAGEMENT.EACH SUITE IS DESIGNED WITH PATIENT AND FAMILY IN MIND WITH A SITTING AREA AND EASY-CHAIR SLEEPER. EACH FAMILY ALSO HAS ACCESS TO GATHERING ROOMS, FIREPLACES, A CHAPEL, KITCHEN AND THE HOSPICE MEMORIAL GARDENS.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending June 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since January 1987.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.