Civic Intelligence

Gouverneur Hospital

EIN 46-4249555 • 501(c)3 • Gouverneur, NY

Profile

Our mission is to provide skilled, compassionate, cost-effective care that promotes wellness and meets the community's healthcare needs.

77 West Barney StreetGouverneur, NY 13642

www.stlawrencehealthsystem.org

Siviq Scores

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

Liabilities / Assets

55th percentile

0.26x

Higher debt load relative to assets than 55% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

44th percentile

0.23x

Higher debt load relative to revenue than 44% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

48th percentile

3.8%

Higher net margin than 48% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

20th percentile

-2.9%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

23rd percentile

-5.2%

Faster revenue growth than 23% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$31,323,692

Down $928,247 (-2.9%) from 2023

Liabilities

Down

$8,292,612

Down $2,352,725 (-22%) from 2023

Net Assets

Up

$23,031,080

Up $1,424,478 (+6.6%) from 2023

Revenue

Down

$36,021,916

Down $1,959,049 (-5.2%) from 2023

Expenses

Up

$34,666,503

Up $4,035,225 (+13%) from 2023

Net Income

Down

$1,355,413

Down $5,994,274 (-82%) from 2023

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0-$20MAssets 2013: $6,880,748Liabilities 2013: $9,009,753Net Assets 2013: -$2,129,0052013Assets 2014: $9,074,063Liabilities 2014: $8,593,646Net Assets 2014: $480,4172014Assets 2015: $9,880,241Liabilities 2015: $8,662,398Net Assets 2015: $1,217,8432015Assets 2016: $11,697,963Liabilities 2016: $9,267,108Net Assets 2016: $2,430,8552016Assets 2017: $12,847,542Liabilities 2017: $8,795,533Net Assets 2017: $4,052,0092017Assets 2018: $14,515,079Liabilities 2018: $8,921,591Net Assets 2018: $5,593,4882018Assets 2019: $16,154,381Liabilities 2019: $8,777,531Net Assets 2019: $7,376,8502019Assets 2020: $21,451,302Liabilities 2020: $8,974,904Net Assets 2020: $12,476,3982020Assets 2021: $22,324,244Liabilities 2021: $8,777,528Net Assets 2021: $13,546,7162021Assets 2022: $41,545,414Liabilities 2022: $27,314,511Net Assets 2022: $14,230,9032022Assets 2023: $32,251,939Liabilities 2023: $10,645,337Net Assets 2023: $21,606,6022023Assets 2024: $31,323,692Liabilities 2024: $8,292,612Net Assets 2024: $23,031,0802024

Highlighted filing

2024

Assets$31,323,692
Liabilities$8,292,612
Net Assets$23,031,080

Operations Trend

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

$40M$30M$20M$10M$0-$10MRevenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $20,538,727Expenses 2014: $18,389,474Net Income 2014: $2,149,2532014Revenue 2015: $17,585,466Expenses 2015: $18,445,024Net Income 2015: -$859,5582015Revenue 2016: $19,182,104Expenses 2016: $18,726,338Net Income 2016: $455,7662016Revenue 2017: $20,417,624Expenses 2017: $20,573,267Net Income 2017: -$155,6432017Revenue 2018: $23,511,065Expenses 2018: $22,531,886Net Income 2018: $979,1792018Revenue 2019: $25,517,703Expenses 2019: $23,892,821Net Income 2019: $1,624,8822019Revenue 2020: $30,316,998Expenses 2020: $25,603,599Net Income 2020: $4,713,3992020Revenue 2021: $28,105,337Expenses 2021: $27,081,312Net Income 2021: $1,024,0252021Revenue 2022: $30,436,096Expenses 2022: $29,588,845Net Income 2022: $847,2512022Revenue 2023: $37,980,965Expenses 2023: $30,631,278Net Income 2023: $7,349,6872023Revenue 2024: $36,021,916Expenses 2024: $34,666,503Net Income 2024: $1,355,4132024

Highlighted filing

2024

Revenue$36,021,916
Expenses$34,666,503
Net Income$1,355,413

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.2
Gross Receipts
$36,199,659
Mission and Program Overview

Mission

Our mission is to provide skilled, compassionate, cost-effective care that promotes wellness and meets the community's healthcare needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$9,116,275$9,536,343▲ $420,068
Land, Buildings, and Equipment, Net$7,253,846$6,705,217▼ $548,629
Savings and Temporary Cash Investments$4,310,300$0▼ $4,310,300
Investments Other Securities$882,160$3,396,998▲ $2,514,838
Pledges and Grants Receivable$1,334,129$2,750,260▲ $1,416,131
Accounts Receivable$5,561,353$2,748,614▼ $2,812,739
Inventories for Sale or Use$407,585$329,921▼ $77,664
Prepaid Expenses and Deferred Charges$318,288$247,848▼ $70,440
Total Assets$32,251,939$31,323,692▼ $928,247
Other Assets Total$3,068,003$5,608,491▲ $2,540,488
Liabilities
Other Liabilities$7,062,071$4,762,494▼ $2,299,577
Accounts Payable and Accrued Expenses$3,490,000$3,419,384▼ $70,616
Deferred Revenue$33,135$80,533▲ $47,398
Unsecured Notes Loans Payable$60,131$30,201▼ $29,930
Total Liabilities$10,645,337$8,292,612▼ $2,352,725
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$20,079,219$21,503,697▲ $1,424,478
Net Assets With Donor Restrictions$1,527,383$1,527,383→ $0
Total Net Assets Fund Balance$21,606,602$23,031,080▲ $1,424,478
Total Liabilities and Net Assets / Fund Balance$32,251,939$31,323,692▼ $928,247

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,324,346$3,375,844$7,700,190
Equipment$1,176,299$3,179,005$4,355,304
Other Land Buildings$945,743$483,650$1,429,393
Land$230,000-$230,000
Leasehold Improvements$28,829-$28,829
Other Assets Org$3,841,213--
Other Securities$114,101--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$1,527,383---$1,527,383
2023$1,936,621-▼ $409,238-$1,527,383
2022$1,889,190-▲ $47,431-$1,936,621
2021$1,895,275-▼ $6,085-$1,889,190
2020$1,893,675-▲ $1,600-$1,895,275
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Christopher BradleySupervisor, Pharmacy OperationsFT$166,073$14,111$180,184
Dorothy MaundaNurse PractitionerFT$120,862$42,885$163,747
Nicole CoatesNurse PractitionerFT$143,659$11,775$155,434
Cortney RobinsonClinical PharmacistFT$141,028$9,231$150,259
Jason WhiteRnFT$141,528$5,000$146,528
Richard Davis PhdCEO-$32,777$40,187$72,964
Angela RodriguezAssistant Secretary--$65,724$65,724
Thomas CrillyCFO-$14,425$16,778$31,203
Jennifer EslingerCOO-$14,797$13,356$28,153
Hugh ThomasFormer CAO-$19,683$19,683$19,683
Charles WhippleGeneral Counsel-$7,771$2,836$10,607

Board Members and Trustees

NameTitle
Andrew LeonardChair of the Board
Katherine SchleiderFormer President, Gh (interim)
Donna McgregorPresident, Slh
Christine BetrusVice Chair
Roger CookVice Chair
Andrew Williams MdDirector
Courtney Battista BishDirector
Patrick McmanusDirector
Ryan SchermerhornDirector
Theodore TottenDirector
Christian CasiniAssistant Secretary
Kelly CicchinelliAssistant Treasurer
Mark BrackettTreasurer/secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Delphi Healthcare PllcHospitalist1160 CHILI AVE SUITE 200, Rochester, NY 14627$1,968,452
Management Health Systems LLC Dba MedproLab Tech1580 SAWGRASS CORPORATION PKWY SUI, Sunrise, FL 33323$139,384
Revenue and Support

Revenue Composition

Contributions and Grants
$2,169,028
Program Service Revenue
$33,514,521
Investment Income
$76,164
Other Revenue
$262,203
All Other Contributions
$140,971
Change in Net Assets
$1,355,413
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$24,731,086
Other Expenses$9,932,140
Grants and Similar Amounts Paid$3,277
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,248,718$1,479,074-$19,727,792
Fees for Services Other$1,994,907$1,805,634-$3,800,541
Other Employee Benefits$2,986,667$190,766-$3,177,433
Payroll Taxes$983,783$62,837-$1,046,620
Depreciation Depletion$370,052$576,680-$946,732
Occupancy$365,946$330,624-$696,570
Pension Plan Contributions$579,611$37,021-$616,632
All Other Expenses$289,724$78,779-$368,503
Office Expenses$217,703$59,196-$276,899
Current Officers, Directors, Trustees, and Key Employees$135,336$27,273-$162,609
Insurance$122,760$33,380-$156,140
Other Expenses$52,535$47,465-$100,000
Interest$35,686$55,612-$91,298
Advertising$33,349$30,130-$63,479
Travel$26,217$7,129-$33,346
Fees for Services Legal$15,782$14,258-$30,040
Conferences and Meetings$9,976$2,712-$12,688
Fees for Services Lobbying-$3,628-$3,628
Grants to Domestic Orgs$3,277--$3,277
Total Functional Expenses$29,210,258$5,456,245$0$34,666,503
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$2,673,344
Third Party Payables$1,678,120
Accrued Pension$403,693
Operating Lease Liabilities$7,337
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization is a membership (not a stock) corporation under new york state law. The organization's sole corporate member is st. Lawrence health system, inc. The sole corporate member of st. Lawrence health system, inc. Is rochester regional health, a related not-for-profit corporation.

Form 990, Part VI, Section A, Line 7A

St. Lawrence health system, inc. Is a sole member, and has the ability to appoint members of the board of directors.

Form 990, Part VI, Section A, Line 7B

The members shall have the following powers with regard to the corporation: - appoint the members of the board of directors. - appoint and remove the chief executive officer. - approve the annual operating and capital budgets. - approve strategic plans. - approve and initiate the filing of certificate of need applications. - review and approve the annual audit of the corporation and any subsidiary corporations. - approve the dissolution of the corporation. - approve the sale, lease, mortgage or encumbrance of any asset other than any sale, lease or mortgage which is part of an approved budget. - approve the sale or transfer of all or substantially all of the assets of the corporations. - approve any merger, business consolidation, acquisition or joint venture. - approve the purchase or sale of physician practices other than any purchase or sale which is part of an approved budget. - approve and may initiate the commencement and settlement of litigation. - approve any filing of bankruptcy petition. - approve the incurrence of any debt other than debt which is incurred in the ordinary course of business and which is not inconsistent with an approved budget. - approve new clinical programs or the termination of existing clinical programs other than any action which is part of an approved budget. - approve any of the following agreements: (i) management services agreements other than any agreement which is part of an approved budget. (ii) contracts with a physician or a physician group. (iii) agreements for the outsourcing of a gouverneur hospital service or function. (iv) collective bargaining agreements, and (v) any agreements to participate in a risk bearing arrangement such as an accountable care organization or a bundled payment arrangement. - initiate, negotiate, and approve managed care agreements with managed care organizations and other payors other than any agreement which is part of an approved budget. - develop integrated services and mandate participation in such services (e.g., financial management, legal, quality assurance, risk management, contracting, and recruitment). - require the guarantee of loans through an obliated group structure that will support access to capital and include debt services.

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

Prior to filing, a copy of the form 990 is provided to, and reviewed with, all members of the audit and compliance committee. This review is performed in consultation with the organization's tax advisors, and is based on the organization's audited financial statements and other relevant information for the appropriate time period.

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

On an annual basis, officers, directors, and key employees are required to complete a conflict of interest statement. Compliance with this requirement is monitored by the hospital administration.

Form 990, Part VI, Section B, Line 15

The chief executive officer is evaluated by the st. Lawrence health system ceo. Hospital senior leadership is evaluated by the hospital ceo. An outside consultant provides executive compensation data for critical access hospitals which is utilized by the st. Lawrence health system ceo to determine appropriate compensation for the hospital's ceo. The same data is utilized by the hospital's ceo to determine appropriate compensation for the hospital's senior leadership.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request at the administrative offices of the affiliated health system at 100 kings highway south, rochester, ny 14617. A nominal fee is charged if copies are requested.

FORM 990, PART VII, SECTION A, COLUMN (F):

Estimated amount of other compensation from the organization and related organizations - this column is reflective of (1) the actuarial change in defined benefit pension plan and post-retirement benefits for the tax year and (2) non-taxable benefits.

Filing and Contact Details

Filer

Filer Name
Gouverneur Hospital
EIN
46-4249555
Phone
5859221595
Address
77 WEST BARNEY STREET, GOUVERNEUR, NY 13642

Signing Officer

Name
Thomas R Crilly
Title
CFO
Phone
5859221595
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Richard Davis
Formed
2013
Legal Domicile
Ny
Voting Board Members
12
Independent Board Members
8
Employees
206
Volunteers
0

Preparer

Firm
Bonadio & Co Llp
Address
171 SULLYS TRAIL, PITTSFORD, NY 14534
Preparer
Chelsey Wyant
Phone
5853811000
Supplemental Narrative

Additional Explanations

FORM 990, PART III, LINE 4A:

Rochester regional health (rochester regional/rrh) (i.e. The parent organization and its related affiliates) is an integrated health system rooted in community, serving together to uplift humanity through compassionate care for the people of rochester, the finger lakes region, and new york state's north country. Through robust investments in people, facilities, and technology in each community we serve, rochester regional stands out for its ability to bring the highest quality care close to home. Across western new york, the finger lakes, st. Lawrence county and beyond, rrh proudly serves the community through its nine hospitals providing inpatient, advanced and critical care; hundreds of outpatient specialty, urgent care and primary care practices; behavioral health and chemical dependency treatment centers; innovative and comforting senior services; compassionate home care and hospice care programs; and laboratories, including specialized clinical trial and toxicology testing facilities. Rochester regional has a nationally recognized heart program and a nationally accredited cancer center, and offers patients many of the same leading edge treatment options found at the country's finest medical centers. From surgery to orthopedics, women's health to emergency care, people all across western ny and nys's north country turn to rochester regional for their experience, compassion and expertise in helping them get back to living their lives. Poverty trends, community health research and needs assessments are reviewed on a regular basis while planning community health programs. Rochester regional representatives are actively engaged in various community health collaborations with the local health departments, state health department, and local not-for-profit health and human service agencies, and actively work to respond to community priorities and develop programs and services that fill a gap or supplement an existing program. Most rochester regional community health outreach programs are offered in partnership with other community organizations or governmental agencies, in order to leverage resources to meet community needs. Information regarding the availability of community health programs, assistance with health insurance enrollment and financial assistance for medical care received at rochester regional hospitals, emergency departments, outpatient departments or long-term care facilities is disseminated to the public in electronic form on the organization's website. At rochester regional health, diversity, equity, inclusion and social justice are woven into the tapestry of our culture and health equity is our true north. Rrh is committed to fostering a diverse and inclusive environment where people from all backgrounds are included, valued, and respected. By establishing and maintaining community partnerships, rrh is leading efforts to cultivate an equitable and inclusive environment and deliver high-quality patient outcomes and experiences. We believe our workforce and patient care are directly connected and are committed to ensuring that our teams and each patient we care for enjoys better, healthier lives. Two of the keys to reducing health disparities and building health literacy are community outreach and education. To this end, rrh has developed targeted interventions, community outreach and education programs. Rrh is committed to providing a relaxed and welcoming environment to ask questions, and had medical experts that provided solid, relevant and timely information so that people could make informed healthcare decisions. The rrh community conversations are hosted in partnership with a wide range of leaders throughout the community. Rrh has partnered with various communities such as the latinx community, rural migrant farmers, faith communities, deaf and hard of hearing, lgbtq+, veterans, people living with disabilities, elders and their caregivers, adolescents and parents. With these partnerships rrh has been able t

FORM 990, PART III, LINE 4A (CONTINUED):

The ymca portion boasts a brand-new aquatic center, group exercise studios, a wellness center with top-of-the-line fitness equipment, an indoor track, a teaching kitchen, and an adventure room play area for children. There are also a variety of family-friendly, innovative, intergenerational spaces where seniors, teens, and families can connect and thrive through collaborative activities. 2024 saw the reopening of urgent care- penfield. Rochester regional health urgent care providers and staff are available to diagnose and treat most non-life-threatening injuries and illnesses, in addition to offering a full line of occupational health services. Conditions include: abdominal pain, allergies, cold and flu symptoms, ear infections, headaches, sore throats, and urinary tract infections (uti). Additionally, orthopaedic urgent care at the henrietta medical campus opened in 2024. Ortho urgent care provides same-day care for unplanned injuries or ailments directly related to the body's bone, joint, and soft tissue structures with the flexibility to walk in or call to schedule an appointment. Rrh providers specialize in care for orthopaedic injuries and musculoskeletal issues, including: sprains/ strains, fractures, sports injuries, acute joint pain, injuries to the back, shoulder, knee, foot/ankle, and/or hand/wrist. Services include: x-ray, bracing, and casting. Virtual urgent care continues to be available 7 days a week for minor injuries and common illnesses from the comfort of the patient's home, or wherever they may be. Rochester regional is forging ahead on all fronts of a strategic plan whose purpose is to uplift humanity through care for the community with a vision to become a national model of health and healing. The four pillars of the strategic plan are as follows: strengthen our communities community partnership will grow trust with those we serve solidify rrh's position as a cornerstone of community health. Relentless focus on quality and safety improved quality and safety will position us as the provider of choice for patients build and continually focus on a culture of quality and safety. Unleash the power of our people empowered people will allow us to take our organization to the next level engage people to commit, belong and grow at rrh. Growth an evolved health care delivery model will better serve patients become the most accessible and convenient system in the communities we serve and innovate to transform care delivery operations. 2024 continued to be a challenging year for the healthcare industry. In response to these challenges rrh responded by taking measures to ensure the safety of patients, team members and the broader community. The actions continued into 2024 and included: rochester regional continued to provide health and wellness education on multiple platforms including: social media, website, mycare patient portal, phone messaging, and e-newsletter. More specifically: o rrh's "health hive," an online portal of articles and helpful hints in dealing with a host of health related topics. During 2024, more than 115 articles were published. O rrh participated in over 300 news articles, special reports, and interviews over a variety of mediums including tv, radio and printed news articles. Additionally, rrh made over 2,500 social media posts across multiple platforms including facebook, instagram, twitter and linkedin. O the rochester regional health diversity, equity, inclusion and justice office hosted community conversations with various community and church groups. Attendees have joined from rochester and also throughout other parts of the us. Rrh established and continues to maintain collaborative partnerships to ensure those most vulnerable in the community are well served, including: o pharmacy patient assistance program is a partnership between rochester regional health and mckesson rxo to provide free medications, medical devices, and/or co-pay assistance to help our uninsured, underinsured, and low

FORM 990, PART III, LINE 4A (CONTINUED):

In honor of social work month, the rrh team is collecting the following items or similar to help our social workers support community members in need: diapers, formula, bed sheet sets, gift cards for pharmacies (rite aid, cvs, walgreens, etc.), gift cards for grocery stores (wegmans, walmart, tops, etc.), gift cards for transportation (uber, lyft), other non-perishable items, feminine hygiene products and baby monitors. Rrh celebrated women's history month and the "women who advocate for diversity, equity, and inclusion." events were held to recognize and celebrate both antonia novello, md, who was both the first woman and the first hispanic to serve as u.s. Surgeon general in 1990; and susie walking bear yellowtail's contributions to history and healthcare. Susie walking bear yellowtail, rn, was the first native american registered nurse. She was also the first native american nurse posthumously inducted into the american nursing association's hall of fame. The india heritage museum at the vinod and vinay luthra india heritage center proudly presents holistic harmony nurturing health and longevity. Two complementary exhibits will be showcased: plant-based living and the yoga of b.k.s. Iyengar. The event also includes a panel discussion featuring two rochester regional health physicians. Admission is free and open to the public. Participants learned about healthy plant-based eating and iyengar yoga through vibrant and informative displays, talks, demonstrations, and classes. In advance of the 2024 flower city challenge race, rrh's certified athletic trainer participated in a pre-race talk in conjunction with fleet feet rochester. This free event provided insights about how to train for a half marathon, understanding the ins and outs of nutrition as well as key points on mobility, stretching, hydration, and more. Various rrh providers participated in medicine minis from "the tiny trailblazer," a series of engaging brief interviews by a vibrant young interviewer passionate about our community and healthcare. These interviews shared insights into their provider roles, expertise, and exciting experiences. Sessions features included: a focus on the significance of maintaining a healthy heart; understanding urgent care and exploring the differences between urgent care, the hospital and more. Rochester regional health celebrated national minority health month under the theme of "be the source for better health: improving health outcomes through our cultures, communities, and connections," helps us understand how the unique environments, cultures, histories, and circumstances of social determinants of health (sdoh), racial, and ethnic minorities impact overall health. Throughout the month rrh leaned into our commitment to diversity, equity, inclusion, & justice by building awareness around health disparities that persist among racial and ethnic minority groups and encourage everyone to take action to end these inequities. Rochester regional health hosted middle and high school students from the university preparatory charter school for young men (uprep) for this year's men in healthcare event. The two-day event allowed students from uprep to get hands-on experience, including learning cpr. The event, organized by our diversity, equity, & inclusion team, allowed students to hear from industry professionals in nursing, research, and more and highlighted potential career opportunities in healthcare. Rrh was once again a key contributor and sponsor of the imagine rit: creativity & innovation festival. This event featured 350+ exhibits and 2,200+ exhibitors. Visitors of all ages experienced interactive presentations, hands-on demonstrations, exhibitions, performing arts, and research projects. The rrh exhibit included therapy dogs, led by rocdog; cpr instruction, and more in celebration of earth day 2024, rrh sponsored special activities across its locations, including tree sapling giveaways at each of the hospitals and an e-waste drop-off

FORM 990, PART III, LINE 4A (CONTINUED):

Rochester regional health was a proud sponsor of the potsdam snack pack program back-to-school fair held in august at the potsdam high school. Team members were on hand to pass out branded items and share health-related information with children and parents. September is deaf awareness month. During this month rrh hosted events to highlight the culture rich in history, customs, and language. This month allowed rrh to highlight how d/deaf communities worldwide come together to celebrate, and bring awareness of deaf-related issues, their culture, and language unique to d/deaf and hard-of-hearing people. Rochester regional health celebrated national hispanic heritage month by recognizing the heritage, history, traditions, and cultural diversity of hispanic and latinx americans whose heritage is rooted in so many countries. Events included a display case in the riedman training center; the sharing of hispanic/latinx (cultural) recipes; and by hosting a hispanic heritage month event in october. Rochester regional health was a proud presenting sponsor of the 2024 making strides of rochester walk in october. Rochester regional health behavioral health team sponsored the american foundation for suicide prevention out of the darkness walk in october. This event supports efforts in the fight against suicide. Rochester regional health was a proud elite sponsor of the 23rd annual gouverneur breast & ovarian cancer walk. St. Lawrence has been an integral sponsor of this highly attended and important regional event for several years. Rochester regional health was a proud sponsor of the seaway valley prevention council's river run in ogdensburg. September is national recovery month, and a representative of the sl behavioral health team was there to promote and support recovery in st. Lawrence county. Rochester regional health team members participated in a family health & wellness fair in september. This free community event provided health-related information and services including blood pressure screenings, career information, and more. Rrh was proud to honor the legacy of gary smith, the heart behind the pirate toy fund. In partnership with his family, rochester regional health's hospice team collected toys to continue gary's mission of spreading joy to children in the greater rochester community. As part of lung cancer awareness month in november, rochester regional health shed light on the importance of early detection. Our lung cancer screening program offers quick, non-invasive scans at no out-of-pocket cost to those eligible. In honor of native american heritage month, the center for diversity, health equity, inclusion, and justice hosted an in-person witness to injustice program in collaboration with neighbors of the onondaga nation in november. Healthy moms held their annual family resource fair. The fair is a free community event that provides an opportunity for families to connect with community resources, get school supplies, and enter raffles for free giveaways. Nearly 500 backpacks were filled with donations from the community and throughout the system. Rrh hosted "wellness wednesdays" in conjunction with a local community center. Topics during the 2024 sessions included the following: o integrative medicine, wellness & pain management o live to 100 : secrets of the blue zones o pelvic health o indian cuisine with lifestyle medicine provider o expert optometrist & diabetic retinopathy o expert optometrist & cataracts & pbwf pot-luck o knee pain & what you need to know o harmony within: exploring the wonders of our gut microbiome & monthly pbwf pot-luck o tmj & headaches o finding joy as we age o you are what you eat: a twin experiment o hospice and palliative care o experience with medical missions o using wellness guidelines to build strength and remain independent o physical activity and its role in preventing/managing chronic disease o an updated look at menopausal health and wellness & plant-based potluck o stroke awarenes

FORM 990, PART III, LINE 4A (CONTINUED):

O unity hospital received: get with the guidelines: gold plus achievement-stroke +10-year recognition, target: stroke honor roll elite, target: type 2 diabetes honor roll these designations highlight nwch, rgh, ummc, and unity's commitments to applying the most up-to-date evidence-based treatment guidelines and their dedication to providing high-quality care to stroke, diabetes, and heart disease and failure patients in our communities. Our geriatric surgery team was honored to present at the american college of surgeons quality and safety conference in july 2024. This put rochester regional health's geriatric surgery services front and center on this national stage. Several rochester regional health teams were winners of 2024 greater rochester quality council (grqc) showcase & performance excellence awards. The grqc's performance and excellence awards are upstate new york's premier event recognizing quality and performance excellence throughout our region. Congratulations to the following rochester regional health teams on this remarkable achievement: o platinum (team excellence award)- care mgmt/social work team - treat to target inpatient discharge planning o gold (team excellence award)-patient safety/pharmacy team- huddling together: a relentless focus on medication safety o gold (team excellence award)- ummc - a rural hospital's approach to addressing heart failure patient care gaps o silver (team excellence award) - unity hospital perioperative or cost containment o bronze (team excellence award)- long term care - using non-pharmacological interventions to decrease residents on antipsychotic medications icon honors award honorees - congratulations to thomas r. Crilly, chief financial officer, and david j. Riedman, rrh board chair, on being this year's icon honors awards honorees. The icon honors awards recognize greater rochester area business leaders over the age of 60 for their notable success and demonstration of strong leadership both within and outside of their chosen field. Becker's healthcare names rochester regional health in top 100 for cancer care rrh is proud to announce our inclusion in becker's hospital review's esteemed list of the nation's top 100 health systems with outstanding oncology programs. This recognition highlights the exceptional work of the lipson cancer institute and its dedication to providing top-tier, patient-centered cancer care. The list recognizes institutions, which have "garnered national acclaim for advancing cancer care via their cutting-edge clinical trials and life-changing research." this recognition by becker's comes on the heels of another recent accreditation as the lipson cancer institute received a three-year full accreditation as a network cancer program from the american college of surgeons commission on cancer. This accolade distinguishes rochester general and unity hospitals as the only network of cancer centers in upstate new york granted this honor. Congratulations to team members at lipson cancer institute on receiving this exceptional recognition! Rochester regional health also scored on becker's 100 hospitals and health systems with high-achieving orthopedic programs. Rrh's inclusion once again in the becker's hospital review list of the 100 hospitals and health systems with top-performing orthopedic programs, celebrating our leadership in advancing orthopedic care nationwide. Rrh is at the forefront of minimally invasive treatments, pioneering discoveries, and innovative clinical trials that significantly improve patient outcomes. Our commitment to enhancing the quality of life for orthopedic patients sets a national standard of excellence.

FORM 990, PART III, LINE 4A (CONTINUED):

St. Lawrence health system (slh), a north country health system including three hospitals (canton-potsdam hospital, gouverneur hospital and massena hospital) and a network of primary and specialty care practices joined rrh in 2021 allowing rrh to expand its regional reach while enabling st. Lawrence to elevate and grow its medical services. Both rrh and slh have traditions of providing high quality, compassionate careand together, in 2024 they continued to bring about important technological integration milestones. Accolades and activity of the st. Lawrence health region in 2024 included the following: the slh clinical and rural health research department held a free event open to the public that shone a spotlight on the transformative power of clinical research in rural healthcare. Clinical research initiatives are bridging the gap in healthcare access, enhancing treatment options, and improving outcomes for rural communities. Hydration, nutritious snacks, and prizes were provided. Slh participated in the month long cancer survivors' event in june 2024. Slh donated gift baskets and gift cards to the event. Slh invites regional community members to join them for various "walk with a doc" events. 2024 events included: o celebration of pride month. The event was held at clarkson university's munter trail with slh team members from infectious disease, potsdam primary care and members of the diversity, equity, and inclusion committee to learn about our commitment to providing quality and compassionate care to all community members. O an indoor walk with slh's clinical nutrition manager and other members of the st. Lawrence health nutrition department to learn about setting s.m.a.r.t. Goals to live a healthier life. Water, healthy snacks, and giveaways were provided. The event was free and open to people of all ages and abilities. O walk with a slh dermatologist and learn about skin health and cancer awareness. Providers will provide valuable insights on skin cancer during a brief talk while we enjoy a leisurely walk together. Open to all who are interested in promoting skin wellness and preventing skin cancer. Water, healthy snacks, and giveaways were provided. O hematology and medical oncology department for an invigorating walk to discuss steps to live a long life. This engaging session will focus on preventative health, offering practical advice to enhance longevity and well-being. Participants will enjoy a refreshing walk while learning the essential steps to maintaining a healthy lifestyle. Do not miss this unique opportunity to get active, informed, and inspired towards a healthier future. St. Lawrence region achieved their first pathway to excellence designation. This prestigious recognition from the american nurses credentialing center (ancc) is a testament to the unwavering dedication, commitment to excellence, and the supportive, empowering environment the st. Lawrence region has cultivated for both patients and colleagues. As a pathway-designated organization, our nurses and nursing support team members embody the pathway standards through the work they do every day using the foundation of shared decision-making, leadership supporting inter-professional collaboration, safety, quality, well-being, and professional development. Canton-potsdam hospital invited runners and joggers of all abilities to a performance screening event. The physical rehabilitation team will perform assessments of each participant's current running attire and equipment to provide feedback and recommendations to improve performance and minimize injuries. Canton-potsdam hospital and the cancer services program teamed up to offer free breast cancer screenings at mammos in may, where free clinical breast exams and mammograms will be available to all who attend. In addition to the free breast exams and mammograms, we also provided snacks, prize drawings, and free massages. St. Lawrence region team members attended the ready 4 school fair held at massen

Form 990, Part IX, Line 11G

Contracted services: program service expenses 1,818,206. Management and general expenses 1,645,988. Fundraising expenses 0. Total expenses 3,464,194. Special fees: program service expenses 4,117. Management and general expenses 3,719. Fundraising expenses 0. Total expenses 7,836. Repairs & maintenance: program service expenses 172,584. Management and general expenses 155,927. Fundraising expenses 0. Total expenses 328,511.

FORM 990, PART XI, LINE 9:

OTHER -1,342.

FORM 990, PART XII, LINE 2C:

The process has not changed from the prior year.

Financial Statement Notes

PART V, LINE 4:

The organization uses the income from endowment funds for general operating purposes and lawful purposes at the discretion of the board of directors.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIR OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER/SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4ASSISTANT TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt5CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt14COO
IRS990/Form990PartVIISectionAGrp/TitleTxt15PRESIDENT, SLH
IRS990/Form990PartVIISectionAGrp/TitleTxt16GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt17NURSE PRACTITIONER
IRS990/Form990PartVIISectionAGrp/TitleTxt18NURSE PRACTITIONER
IRS990/Form990PartVIISectionAGrp/TitleTxt19CLINICAL PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt20RN
IRS990/Form990PartVIISectionAGrp/TitleTxt21SUPERVISOR, PHARMACY OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt22FORMER PRESIDENT, GH (INTERIM)
IRS990/Form990PartVIISectionAGrp/TitleTxt23FORMER CAO
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