Civic Intelligence

River Hospital Inc.

990 • Fiscal year 2015 • EIN 81-0600548

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 11, 2016

Organization ProfileWWW.RIVERHOSPITAL.ORG

View Organization Page

4 Fuller StreetAlexandria Bay, NY 13607

(315) 482-2511

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

66th percentile

0.68x

Higher debt load relative to assets than 66% of similar nonprofits.

2015 filings • NTEE E • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

64th percentile

0.47x

Higher debt load relative to revenue than 64% of similar nonprofits.

2015 filings • NTEE E • $10M-$25M nonprofits • Source year 2015

Net Margin

24th percentile

-5.3%

Higher net margin than 24% of similar nonprofits.

2015 filings • NTEE E • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

51st percentile

$317,738

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2015 filings • NTEE E • $10M-$25M nonprofits • Source year 2015

Asset Growth

13th percentile

-14%

Faster asset growth than 13% of similar nonprofits.

2015 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

53rd percentile

6.3%

Faster revenue growth than 53% of similar nonprofits.

2015 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets66th percentile

Assets

Down

$13,172,963

Down $2,105,727 (-14%) from 2014

Net Assets

Down

$4,203,660

Down $1,789,706 (-30%) from 2014

Liabilities

Down

$8,969,303

Down $316,021 (-3.4%) from 2014

Revenue And Expenses
Liabilities / Revenue64th percentileNet Margin24th percentile

Revenue

Up

$19,255,671

Up $1,146,363 (+6.3%) from 2014

Expenses

Up

$20,269,727

Up $181,415 (+0.9%) from 2014

Net Income

Up

-$1,014,056

Up $964,948 (+49%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth13th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2015

Assets$13,172,963
Liabilities$8,969,303
Net Assets$4,203,660
Open 2015 Filing

Operations Trend

Revenue Growth53rd percentile

Revenue, expenses, and net income across loaded years, with this 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

2015

Revenue$19,255,671
Expenses$20,269,727
Net Income-$1,014,056
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$20,118,200
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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,369,308$5,373,824▲ $4,516
Investments in Publicly Traded Securities$3,781,184$3,114,145▼ $667,039
Accounts Receivable$2,461,393$2,507,317▲ $45,924
Pledges and Grants Receivable$794,917$816,718▲ $21,801
Cash and Non-Interest-Bearing Accounts$516,309$713,115▲ $196,806
Investments Other Securities$503,301$0▼ $503,301
Inventories for Sale or Use$395,604$364,320▼ $31,284
Prepaid Expenses and Deferred Charges$150,946$98,535▼ $52,411
Total Assets$15,278,690$13,172,963▼ $2,105,727
Other Assets Total$1,305,728$184,989▼ $1,120,739
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,245,240$4,531,231▼ $714,009
Accounts Payable and Accrued Expenses$3,518,025$3,784,136▲ $266,111
Other Liabilities$522,059$653,936▲ $131,877
Total Liabilities$9,285,324$8,969,303▼ $316,021
Net Assets / Fund Balance
Temporarily Rstr Net Assets$2,875,231$2,265,670▼ $609,561
Unrestricted Net Assets$2,598,283$1,418,138▼ $1,180,145
Permanently Rstr Net Assets$519,852$519,852→ $0
Total Net Assets Fund Balance$5,993,366$4,203,660▼ $1,789,706
Total Liabilities and Net Assets / Fund Balance$15,278,690$13,172,963▼ $2,105,727

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,342,937$6,941,759$10,284,696
Buildings$1,588,867$2,190,194$3,779,061
Other Land Buildings$431,020-$431,020
Land$11,000-$11,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$3,395,083$1,166,489▲ $183,739$1,959,789$2,785,522
2014$4,461,698$884,070▲ $62,874$2,013,559$3,395,083
2013$4,023,761$3,207,476▼ $3,461$2,766,078$4,461,698
2012$4,430,770$424,661▼ $39,795$791,875$4,023,761
2011$3,733,112$1,722,592▼ $19,964$1,004,970$4,430,770
Compensation and Service Providers
Top Officer Pay51st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Alfredo TorresPhysicianFT$290,231$27,507$317,738
Robert KellerPsychiatristFT$285,526$22,406$307,932
John HuszonekPsychiatristFT$256,539$21,403$277,942
Aaron HuizengaPhysician - ClinicFT$235,889$29,544$265,433
Todd Jones PaPhysician Assistant - ErFT$221,130$29,432$250,562
Ben MooreCEOFT$186,389$53,462$239,851
James RedmoreCOOFT$156,104$15,941$172,045
Traci MintonyeCFOFT$104,379$10,027$114,406

Board Members and Trustees

NameTitle
Joseph RussellChairman
Norman SnyderVice Chairman
Chet TruskowksiTrustee
Craig GarlockTrustee
James DoneganTrustee
Kathy MorrisTrustee
Ken VanhattenTrustee
Lynn BrownTrustee
Ray SmithTrustee
Richard MacsherryTrustee
Ronald MillerTrustee
Ronald RandallTrustee
Ronald ThomsonTrustee
Stephanie WeissTrustee
Sue RapantTrustee
Robert TooleSecretary
Jeanne SnowTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Barton & Associates INCEmergency Room Physicians10 DEARBORN ROAD, Peabody, MA 01960$224,247
Anesthesia Affiliate PCAnesthesia Service63 WOOD RUN CIRCLE, Rochester, NY 14612$166,532
Upstate Emergency Medicine INCEmergency Room Physicians750 EAST ADAMS STREET, Syracuse, NY 13210$145,431
Bernier Carr & Associates PCArchitectual Services327 MULLIN STREET, Watertown, NY 13601$112,754
Fust Charles Chambers LLPAudit/consulting5784 WIDEWATER PARKWAY, Syracuse, NY 13214$111,890
Revenue and Support

Revenue Composition

Contributions and Grants
$1,896,778
Program Service Revenue
$16,337,464
Investment Income
$212,921
Other Revenue
$808,508
All Other Contributions
$297,101
Change in Net Assets
$-1,014,056

Audited Revenue Reconciliation

Revenue per Audited Statements
$19,332,193
Revenue Not Reported on Financial Statements
$-76,522
Revenue Not Reported on Form 990
$-727,637
Other Revenue Adjustments
$-76,522
Total Revenue per Audited Statements
$18,604,556
Total Revenue per Form 990
$19,255,671
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,666,913
Other Expenses$7,602,814
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,034,011$2,266,003-$10,300,014
Depreciation Depletion$1,034,471$291,774-$1,326,245
Other Employee Benefits$866,939$244,521-$1,111,460
All Other Expenses$575,134$183,800-$758,934
Payroll Taxes$568,727$160,410-$729,137
Current Officers, Directors, Trustees, and Key Employees$410,516$115,786-$526,302
Fees for Services Other$409,972--$409,972
Insurance$234,393$66,111-$300,504
Fees for Services Legal-$281,662-$281,662
Other Expenses$161,517$35,455-$196,972
Interest$176,108$19,568-$195,676
Advertising$2,762$82,051-$84,813
Conferences and Meetings$57,493$16,216-$73,709
Fees for Services Accounting-$68,000-$68,000
Travel$46,276$17,116-$63,392
Total Functional Expenses$15,769,748$4,499,979$0$20,269,727

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$20,346,249
Total Expenses per Audited Statements$20,346,249
Total Expenses per Form 990$20,269,727
Expenses Not Reported on Form 990$0
Expenses Not Reported on Financial Statements$-76,522
Other Expense Adjustments$-76,522
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
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Insurance Reserve$653,936
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 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 A, Line 7A

“The directors of the organization may elect one or more members of the governing body.”

Form 990, Part VI, Section B, Line 11

“The 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 ceo'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 ceo is monitored and evaluated by the board of directors on an annual basis. The executive director, and other top management officers are monitored and reviewed on an annual basis by the ceo.”

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 company's website. 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
CFO
Phone
3154822511
Signed
2016-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
2003
Legal Domicile
Ny
Voting Board Members
17
Independent Board Members
17
Employees
274
Volunteers
80

Preparer

Firm
Fust Charles Chambers Llp
Address
5784 WIDEWATERS PARKWAY, SYRACUSE, NY 13214
Preparer
Joseph J Schlegel
Phone
3154463600
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in interest in foundation 225,727. Net assets from foundation -727,637.”

FORM 990, PART XII, LINE 2C:

“The process has not changed from the prior year.”

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. Temporary endowment funds are to be used to purchase capital equipment for healthcare services, hospital operations and scholarships.”

PART X, LINE 2:

“The hospital is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code (code) and is exempt from federal income taxes pursuant to section 501(a) of the code. The standards for accounting for uncertainty in income taxes establish a recognition threshold and measurement for income tax positions recognized in a hospital's financial statements. These standards had no impact on the accompanying financial statements. The tax years open to examination by federal and state taxing authorities are 2012 through 2015.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Net assets from foundation -727,637.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“RENTAL EXPENSES -76,522.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“RENTAL EXPENSES -76,522.”

Raw XML AppendixShowing 400 of 943 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/ActivityOrMissionDesc0IT 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.
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IRS990/Desc0RIVER HOSPITAL, INC. PROVIDED GENERAL INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO RESIDENTS IN THE NORTHERN NEW YORK AREA. DURING 2015, THE HOSPITAL PROVIDED 2,130 SWING BED DAYS AND 340 DAYS OF CRITICAL ACCESS CARE TO THE SICK AND INJURED. IN THE OUTPATIENT SERVICE AREA RIVER HOSPITAL PROVIDED 7,290 EMERGENCY ROOM VISITS IN 2015.RIVER HOSPITAL STRIVES TO IDENTIFY AND UPDATE SERVICES BASED UPON THE COMMUNITY NEEDS. WE HAVE IMPLEMENTED ELECTRONIC HEALTH RECORDS AND ARE PARTICIPATING IN THE REGIONAL HEALTH INFORMATION EXCHANGE (RHIO). THE HOSPITAL SERVES A COMMUNITY PAYOR MIX OF 57% GOVERNMENT PAYORS, 40% COMMERCIAL PAYORS AND OTHER AND 3% UNINSURED.
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IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN ASSISTANT - ER
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IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24PSYCHIATRIST
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IRS990/MissionDesc0IT 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.
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IRS990/OtherExpensesGrp/ProgramServicesAmt2803301

Document Assets

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Filings

Displayed year

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

Open filing
Assets
$13,172,963
Liabilities
$8,969,303
Net assets
$4,203,660
Revenue
$19,255,671
Expenses
$20,269,727
Net income
-$1,014,056
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
Peer Organizations

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