Civic Intelligence

River Hospital Foundation Inc

EIN 42-1585479 • 501(c)3 • Alexandria Bay, NY

Profile

Established foundation to support ongoing capital needs of river hospital, inc. The corporation was created to provide a conduit to receive gifts, restricted and unrestricted, memorials and gifts in-kind to be made available to river hospital, inc. $727,637 was contributed to river hospital in 2015 and the foundation was dissolved as of december 22, 2015.

PO Box 567Alexandria Bay, NY 13607

www.riverhospitalfoundation.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

8th percentile

-116%

Higher net margin than 8% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2015

Revenue Growth

69th percentile

16%

Faster revenue growth than 69% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2015

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $409,315 (-100%) from 2013

Liabilities

Down

$0

Down $1,282 (-100%) from 2013

Net Assets

Down

$0

Down $408,033 (-100%) from 2013

Operations
Liabilities / Revenue61st percentileNet Margin8th percentile

Revenue

Up

$433,292

Up $111,127 (+34%) from 2013

Expenses

Up

$936,593

Up $660,162 (+239%) from 2013

Net Income

Down

-$503,301

Down $549,035 (-1200%) from 2013

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

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

$600K$400K$200K$0Assets 2010: $565,406Liabilities 2010: $18,613Net Assets 2010: $546,7932010Assets 2011: $494,168Liabilities 2011: $3,011Net Assets 2011: $491,1572011Assets 2012: $366,270Liabilities 2012: $6,507Net Assets 2012: $359,7632012Assets 2013: $409,315Liabilities 2013: $1,282Net Assets 2013: $408,0332013Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0
Open 2015 Filing

Operations Trend

Revenue Growth69th percentile

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

$1.0M$500K$0-$500K-$1.0MRevenue 2010: $233,069Expenses 2010: $201,728Net Income 2010: $31,3412010Revenue 2011: $295,704Expenses 2011: $351,416Net Income 2011: -$55,7122011Revenue 2012: $238,033Expenses 2012: $370,237Net Income 2012: -$132,2042012Revenue 2013: $322,165Expenses 2013: $276,431Net Income 2013: $45,7342013Revenue 2015: $433,292Expenses 2015: $936,593Net Income 2015: -$503,3012015

Highlighted filing

2015

Revenue$433,292
Expenses$936,593
Net Income-$503,301
Open 2015 Filing

Filings

Most recent year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$433,292
Expenses
$936,593
Net income
-$503,301
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$4.33$9.37$5.03
2013Summary only. Only limited summary data is available for this year.$4.09$0.01$4.08$3.22$2.76$0.46
2012Summary only. Only limited summary data is available for this year.$3.66$0.07$3.60$2.38$3.70$1.32
2011Summary only. Only limited summary data is available for this year.$4.94$0.03$4.91$2.96$3.51$0.56
2010Summary only. Only limited summary data is available for this year.$5.65$0.19$5.47$2.33$2.02$0.31
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$466,991
Mission and Program Overview

Mission

Established foundation to support ongoing capital needs of river hospital, inc. The corporation was created to provide a conduit to receive gifts, restricted and unrestricted, memorials and gifts in-kind to be made available to river hospital, inc. $727,637 was contributed to river hospital in 2015 and the foundation was dissolved as of december 22, 2015.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$332,262$0▼ $332,262
Other Notes and Loans Receivable, Net$102,431$0▼ $102,431
Savings and Temporary Cash Investments$66,201$0▼ $66,201
Land, Buildings, and Equipment, Net$11,500$0▼ $11,500
Accounts Receivable-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$512,394$0▼ $512,394
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$9,093$0▼ $9,093
Total Liabilities$9,093$0▼ $9,093
Net Assets / Fund Balance
Unrestricted Net Assets$375,828$0▼ $375,828
Temporarily Rstr Net Assets$122,108$0▼ $122,108
Permanently Rstr Net Assets$5,365$0▼ $5,365
Total Net Assets Fund Balance$503,301$0▼ $503,301
Total Liabilities and Net Assets / Fund Balance$512,394$0▼ $512,394

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$127,473----
2014$64,599$129,479--$127,473
2013$68,060$125,519--$64,599
2012$107,855$74,579--$68,060
2011$142,306$69,120--$107,855
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeOtherTotal
Traci MintonyeCFOPT$114,406$114,406

Board Members and Trustees

NameTitle
Raymond SmithChairman
Kathleen Morris-kortz1st Vice Chair
Susan RapantVice Chair
Jay StewartTrustee
Patricia WagonerTrustee
Steve YelleTrustee
Ben MooreCEO
Lynn BrownSecretary
Kenneth VanhattenTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$270,445
Program Service Revenue
$0
Investment Income
$235
Other Revenue
$162,612
All Other Contributions
$270,445
Change in Net Assets
$-503,301
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$802,170
Other Expenses$97,388
Salaries, Compensation, and Employee Benefits$37,035
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$802,170--$802,170
Fees for Services Legal-$19,932-$19,932
Current Officers, Directors, Trustees, and Key Employees$18,970--$18,970
Other Salaries and Wages$16,618--$16,618
All Other Expenses$9,426$3,575-$13,001
Fees for Services Accounting-$9,709-$9,709
Occupancy-$7,867-$7,867
Advertising$7,590--$7,590
Other Expenses$0$2,406-$2,406
Office Expenses$1,615--$1,615
Payroll Taxes$1,447--$1,447
Total Functional Expenses$886,416$50,177$0$936,593
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
River Hospital IncAlexandria Bay, NY501(c)(3)To Support Healthcare$802,170
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$191,608
Fundraising Direct Expenses$33,699
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Festive Evening$106,067$106,067$27,958$78,109
Polar Bear Dip$64,700$64,700$2,000$62,700
Total Events$191,608$191,608$33,699$157,909
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“An electronic format of the 990 is provided to each board member for review and comment.”

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

“Annually, each board member must comment on any conflicts of interest on a signed statement.”

Form 990, Part VI, Section B, Line 15

“The executive committee recommends compensation of the development director and office and events manager to the foundation board of directors for approval. Compensation is compared against regional payroll statistics provided by the hospital human resources department.”

Form 990, Part VI, Section C, Line 19

“The financial statements, governing documents and conflict of interest policies are available upon request.”

Filing and Contact Details

Filer

Filer Name
River Hospital Foundation Inc
EIN
42-1585479
Phone
3154824976
Address
PO BOX 567, ALEXANDRIA BAY, NY 13607

Signing Officer

Name
Kelley Tiernan
Title
CFO
Phone
3154824976
Signed
2016-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
2003
Legal Domicile
Ny
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

Firm
Fust Charles Chambers Llp
Address
5784 WIDEWATERS PARKWAY, SYRACUSE, NY 13214
Preparer
Joseph J Schlegel
Phone
3154463600
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IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0KELLEY TIERNAN
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0143574
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt093605
IRS990/PYInvestmentIncomeAmt05052
IRS990/PYOtherExpensesAmt073140
IRS990/PYOtherRevenueAmt0142517
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt094355
IRS990/PYSalariesCompEmpBnftPaidAmt030043
IRS990/PYTotalExpensesAmt0196788
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0291143
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-503301
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt04703
IRS990/SavingsAndTempCashInvstGrp/BOYAmt066201
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0153250
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0143574
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0232837
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0162699
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0196962
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0889322
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0235
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt05052
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt01674
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt07096
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt07591
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt021648
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt0155138
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0155138
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.83420
IRS990ScheduleA/PublicSupportPY170Pct00.97100
IRS990ScheduleA/PublicSupportTotal170Amt0889322
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0153250
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0143574
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0232837
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0162699
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0196962
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0889322
IRS990ScheduleA/TotalSupportAmt01066108
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/CYEndwmtFundGrp/AdministrativeExpensesAmt0127473
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0127473
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/AdministrativeExpensesAmt066605
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt064599
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt0129479
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0127473
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/AdministrativeExpensesAmt0128980
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt068060
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt0125519
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt064599
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/AdministrativeExpensesAmt0114374
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0107855
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt074579
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt068060
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/AdministrativeExpensesAmt0103571
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0142306
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt069120
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0107855
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
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IRS990ScheduleD/TermEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt033699
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0FESTIVE EVENING
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0POLAR BEAR DIP
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0106067
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt064700
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt020841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0191608
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt0106067
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt064700
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt020841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0191608
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0157909
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt03741
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt033699
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt027958
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt02000
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt04
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0802170
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO SUPPORT HEALTHCARE
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0RIVER HOSPITAL INC
IRS990ScheduleI/RecipientTable/RecipientEIN0810600548
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt04 FULLER STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0ALEXANDRIA BAY
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IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt040000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0186389
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt013462
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0BEN MOORE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0239851
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990ScheduleN/AssetsDistributedInd01

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