Civic Intelligence

River Hospital Inc

EIN 81-0600548 • 501(c)3 • Alexandria Bay, NY

Profile

It is the mission of river hospital to provide compassionate, cost effective and accessible, primary health care to the year round and seasonal residents, and visitors of the river communities. The hospital prides itself on high quality outpatient, inpatient and specialty services to meet individual and community needs through partnerships with our patients and communities we serve.

4 Fuller StreetAlexandria Bay, NY 13607

www.riverhospital.org

Siviq Scores

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

Liabilities / Assets

47th percentile

0.19x

Higher debt load relative to assets than 47% of similar nonprofits.

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

Liabilities / Revenue

50th percentile

0.28x

Higher debt load relative to revenue than 50% of similar nonprofits.

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

Net Margin

51st percentile

4.7%

Higher net margin than 51% of similar nonprofits.

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

Top Officer Pay

86th percentile

$610,700

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

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

Asset Growth

74th percentile

14%

Faster asset growth than 74% of similar nonprofits.

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

Revenue Growth

37th percentile

2.3%

Faster revenue growth than 37% of similar nonprofits.

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

Assets

Up

$46,999,859

Up $5,909,285 (+14%) from 2023

Liabilities

Up

$8,703,293

Up $3,534,243 (+68%) from 2023

Net Assets

Up

$38,296,566

Up $2,375,042 (+6.6%) from 2023

Revenue

Up

$31,393,011

Up $718,595 (+2.3%) from 2023

Expenses

Down

$29,912,744

Down $12,131 (-0.0%) from 2023

Net Income

Up

$1,480,267

Up $730,726 (+97%) from 2023

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2010: $12,111,985Liabilities 2010: $6,149,584Net Assets 2010: $5,962,4012010Assets 2011: $12,793,530Liabilities 2011: $6,453,137Net Assets 2011: $6,340,3932011Assets 2012: $14,205,206Liabilities 2012: $7,654,057Net Assets 2012: $6,551,1492012Assets 2013: $17,473,954Liabilities 2013: $9,421,397Net Assets 2013: $8,052,5572013Assets 2014: $15,278,690Liabilities 2014: $9,285,324Net Assets 2014: $5,993,3662014Assets 2015: $13,172,963Liabilities 2015: $8,969,303Net Assets 2015: $4,203,6602015Assets 2016: $14,641,538Liabilities 2016: $5,577,766Net Assets 2016: $9,063,7722016Assets 2017: $17,105,750Liabilities 2017: $3,251,060Net Assets 2017: $13,854,6902017Assets 2018: $18,741,662Liabilities 2018: $2,319,784Net Assets 2018: $16,421,8782018Assets 2019: $29,505,803Liabilities 2019: $6,310,319Net Assets 2019: $23,195,4842019Assets 2020: $39,220,528Liabilities 2020: $6,840,138Net Assets 2020: $32,380,3902020Assets 2021: $39,728,336Liabilities 2021: $4,331,393Net Assets 2021: $35,396,9432021Assets 2022: $37,961,261Liabilities 2022: $3,964,056Net Assets 2022: $33,997,2052022Assets 2023: $41,090,574Liabilities 2023: $5,169,050Net Assets 2023: $35,921,5242023Assets 2024: $46,999,859Liabilities 2024: $8,703,293Net Assets 2024: $38,296,5662024

Highlighted filing

2024

Assets$46,999,859
Liabilities$8,703,293
Net Assets$38,296,566

Operations Trend

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

$40M$30M$20M$10M$0-$10MExpenses 2010: $13,668,5302010Expenses 2011: $13,115,0212011Expenses 2012: $13,938,3062012Revenue 2013: $19,247,644Expenses 2013: $18,040,512Net Income 2013: $1,207,1322013Revenue 2014: $18,109,308Expenses 2014: $20,088,312Net Income 2014: -$1,979,0042014Revenue 2015: $19,255,671Expenses 2015: $20,269,727Net Income 2015: -$1,014,0562015Revenue 2016: $25,044,617Expenses 2016: $20,355,160Net Income 2016: $4,689,4572016Revenue 2017: $25,946,358Expenses 2017: $21,426,334Net Income 2017: $4,520,0242017Revenue 2018: $25,103,869Expenses 2018: $22,256,245Net Income 2018: $2,847,6242018Revenue 2019: $28,941,252Expenses 2019: $22,462,146Net Income 2019: $6,479,1062019Revenue 2020: $32,523,073Expenses 2020: $23,521,402Net Income 2020: $9,001,6712020Revenue 2021: $28,562,293Expenses 2021: $25,792,375Net Income 2021: $2,769,9182021Revenue 2022: $27,542,913Expenses 2022: $27,274,123Net Income 2022: $268,7902022Revenue 2023: $30,674,416Expenses 2023: $29,924,875Net Income 2023: $749,5412023Revenue 2024: $31,393,011Expenses 2024: $29,912,744Net Income 2024: $1,480,2672024

Highlighted filing

2024

Revenue$31,393,011
Expenses$29,912,744
Net Income$1,480,267

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.0$8.70$38.3$31.4$29.9$1.48
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$41.1$5.17$35.9$30.7$29.9$0.75
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.0$3.96$34.0$27.5$27.3$0.27
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.7$4.33$35.4$28.6$25.8$2.77
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.2$6.84$32.4$32.5$23.5$9.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$29.5$6.31$23.2$28.9$22.5$6.48
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.7$2.32$16.4$25.1$22.3$2.85
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.1$3.25$13.9$25.9$21.4$4.52
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.6$5.58$9.06$25.0$20.4$4.69
2015Detailed filing. Detailed filing data is available for this year.$13.2$8.97$4.20$19.3$20.3$1.01
2014Detailed filing. Detailed filing data is available for this year.$15.3$9.29$5.99$18.1$20.1$1.98
2013Detailed filing. Detailed filing data is available for this year.$17.5$9.42$8.05$19.2$18.0$1.21
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.2$7.65$6.55$13.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$6.45$6.34$13.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$6.15$5.96$13.7
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
$32,959,719
Mission and Program Overview

Mission

The mission of river hospital, inc. To provide compassionate, cost effective and accessible primary health care to the year round and seasonal residents, and visitors of the river communities. The hospital prides itself on high quality outpatient, inpatient and specialty services to meet individual and community needs through partnerships with our patients and communities we serve.

The mission of river hospital, inc. Is to deliver vital patient centered healthcare, which ensures access to compassionate, comprehensive health and wellness for our northern new york community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$18,099,032$17,250,817▼ $848,215
Investments in Publicly Traded Securities$11,276,590$12,747,708▲ $1,471,118
Cash and Non-Interest-Bearing Accounts$3,314,189$7,477,554▲ $4,163,365
Accounts Receivable$3,424,296$4,810,767▲ $1,386,471
Pledges and Grants Receivable$1,823,768$1,550,915▼ $272,853
Prepaid Expenses and Deferred Charges$279,924$529,128▲ $249,204
Inventories for Sale or Use$487,819$465,191▼ $22,628
Total Assets$41,090,574$46,999,859▲ $5,909,285
Other Assets Total$2,384,956$2,167,779▼ $217,177
Liabilities
Other Liabilities$782,964$5,091,503▲ $4,308,539
Accounts Payable and Accrued Expenses$4,377,230$3,611,790▼ $765,440
Mortgage Notes Payable Secured by Investment Property$8,856--
Total Liabilities$5,169,050$8,703,293▲ $3,534,243
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$32,249,667$34,304,298▲ $2,054,631
Net Assets With Donor Restrictions$3,671,857$3,992,268▲ $320,411
Total Net Assets Fund Balance$35,921,524$38,296,566▲ $2,375,042
Total Liabilities and Net Assets / Fund Balance$41,090,574$46,999,859▲ $5,909,285

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,872,559$7,134,752$22,007,311
Equipment$1,725,919$12,793,360$14,519,279
Leasehold Improvements$341,566$561,095$902,661
Other Land Buildings$292,773-$292,773
Land$18,000-$18,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$1,466,411$156,886▲ $164,042-$1,787,339
2023$1,115,284$227,977▲ $123,150-$1,466,411
2022$905,023$310,910▼ $100,649-$1,115,284
2021$665,618$157,850▲ $81,555-$905,023
2020$611,816$31,000▲ $22,802-$665,618
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bruce S PortnerHospitalist DirectorFT$560,310$50,390$610,700
Kelley TiernanChief Executive OfficerFT$284,132$57,832$341,964
Emily Mastaler Ma MbaChief Executive OfficerFT$152,754$125,088$277,842
Christopher SymenowEd DirectorFT$235,864$12,390$248,254
Andrew OgdenChief Medical OfficerFT$218,138$25,230$243,368
Mursel MomandPhysicianFT$238,090-$238,090
Andrew ImpagliaChief Financial OfficerFT$178,772$15,394$194,166
Amanda RydbergTrustee and Med Staff PresidentFT$164,384$21,143$185,527
Bradley FreyTrustee and Med Staff VPFT$182,027$2,390$184,417
Lisa TrickeyPhysician AssistantFT$150,690$11,143$161,833
Chris JewettNurse PractitionerFT$151,181$2,390$153,571
Arminda HunterChief Nursing OfficerFT$127,168$20,332$147,500

Board Members and Trustees

NameTitle
Norman SnyderPresident
Robert TooleVice President
Christopher ClapperTrustee
Cindy PennTrustee
Gregory ToppingTrustee
Patrick MurphyTrustee
Paul RulisonTrustee
Peter EcksteinTrustee
Sue RapantSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Nes Medical Services Of New YorkMedical ServicesPO BOX 936451, Atlanta, GA 31193$1,810,380
Rj Anesthesia PllcMedical Services7536 EAST SOUTH STREET, Clinton, NY 13323$561,168
Psychiatry Faculty Practice INCMedical Services719 HARRISON STREET, Syracuse, NY 13210$237,188
CerecoreIt ServicesMSC 30225 PO BOX 41500, Nashville, TN 37241$205,230
Eclinicalworks LLCIt Services2 TECHNOLOGY DRIVE, Westborough, MA 01581-1727$200,127
Revenue and Support

Revenue Composition

Contributions and Grants
$1,369,013
Program Service Revenue
$27,866,816
Investment Income
$629,683
Other Revenue
$1,527,499
All Other Contributions
$297,066
Change in Net Assets
$1,480,267

Audited Revenue Reconciliation

Revenue per Audited Statements
$31,393,011
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$894,775
Total Revenue per Audited Statements
$32,287,786
Total Revenue per Form 990
$31,393,011
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,458,584
Other Expenses$12,454,160
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,774,135$2,756,807-$12,530,942
Fees for Services Other$3,477,817$8,176-$3,485,993
Current Officers, Directors, Trustees, and Key Employees$2,001,769$555,436-$2,557,205
Depreciation Depletion$1,212,692$342,041-$1,554,733
Other Employee Benefits$1,140,193$299,887-$1,440,080
Payroll Taxes$767,907$162,450-$930,357
Insurance$392,441$110,689-$503,130
Fees for Services Legal-$280,523-$280,523
Occupancy$244,449$13,517-$257,966
Advertising$2,834$89,066-$91,900
Other Expenses$89,548$61,421-$89,548
Conferences and Meetings$11,635$7,009-$18,644
Travel$7,765$2,135-$9,900
Interest$283$31-$314
Total Functional Expenses$23,852,303$6,060,441$0$29,912,744

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$29,912,744
Total Expenses per Audited Statements$29,912,744
Total Expenses per Form 990$29,912,744
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$164,969
Fundraising Direct Expenses$72,426
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Festive Evening$156,701$153,801$57,462$96,339
Polar Bear Dip$106,642-$10,592-
Total Events$277,324$164,969$72,426$92,543
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$5,091,503
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

Form 990 is made available to the board members prior to its filing.

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

Each member of the board is required to complete and sign a conflict of interest policy annually. If a conflict arises in between annual review of the policy, the board member is required to and responsible for reporting the conflict of interest.

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

The chief executive officer's wages are reviewed and approved by the board of trustees and comparable regional wage data provided by payscale and the iroquois healthcare association survey of wage data are used to determine competitive wages. The chief executive officer is monitored and evaluated by the board of trustees on an annual basis. Other top management officers are monitored and reviewed on an annual basis by the chief executive officer.

Form 990, Part VI, Section C, Line 19

The governing documents and the conflict of interest policy are made available to the public through the hospital's website or are available upon request. The financial statements are made available to the public through the public charity website.

Filing and Contact Details

Filer

Filer Name
River Hospital Inc
EIN
81-0600548
Phone
3154822511
Address
4 FULLER STREET, ALEXANDRIA BAY, NY 13607

Signing Officer

Name
Kelley Tiernan
Title
Chief Executive Officer
Phone
3154822511
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
2003
Legal Domicile
Ny
Voting Board Members
11
Independent Board Members
9
Employees
327
Volunteers
45

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

Other: program service expenses 199,894. Management and general expenses 8,176. Fundraising expenses 0. Total expenses 208,070. Physician: program service expenses 3,277,923. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,277,923.

Financial Statement Notes

PART V, LINE 4:

Permanent endowment funds are to be held in perpetuity with the income to be used to support healthcare services. Temporarily restricted endowment funds are to be used to purchase capital equipment for healthcare services, hospital operations and scholarships.

Raw XML AppendixShowing 400 of 942 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.

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IRS990/ActivityOrMissionDesc0THE MISSION OF RIVER HOSPITAL, INC. IS TO DELIVER VITAL PATIENT CENTERED HEALTHCARE, WHICH ENSURES ACCESS TO COMPASSIONATE, COMPREHENSIVE HEALTH AND WELLNESS FOR OUR NORTHERN NEW YORK COMMUNITY.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE AND MED STAFF PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16HOSPITALIST DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17ED DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18NURSE PRACTITIONER
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IRS990/MissionDesc0THE MISSION OF RIVER HOSPITAL, INC. IS TO DELIVER VITAL PATIENT CENTERED HEALTHCARE, WHICH ENSURES ACCESS TO COMPASSIONATE, COMPREHENSIVE HEALTH AND WELLNESS FOR OUR NORTHERN NEW YORK COMMUNITY.
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IRS990/OtherExpensesGrp/Desc2OTHER
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IRS990/OtherRevenueMiscGrp/BusinessCd1621990
IRS990/OtherRevenueMiscGrp/BusinessCd2900099
IRS990/OtherRevenueMiscGrp/Desc0OTHER OPERATING INCOME
IRS990/OtherRevenueMiscGrp/Desc1NYS OPERATING SUBSIDIES
IRS990/OtherRevenueMiscGrp/Desc2340B PROGRAM
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IRS990/PayrollTaxesGrp/ProgramServicesAmt0767907

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