Civic Intelligence

River Hospital Inc.

990 • Fiscal year 2016 • EIN 81-0600548

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 13, 2017

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

45th percentile

0.38x

Higher debt load relative to assets than 45% of similar nonprofits.

2016 filings • NTEE E • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

36th percentile

0.22x

Higher debt load relative to revenue than 36% of similar nonprofits.

2016 filings • NTEE E • $25M-$50M nonprofits • Source year 2016

Net Margin

93rd percentile

19%

Higher net margin than 93% of similar nonprofits.

2016 filings • NTEE E • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

50th percentile

$461,429

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 1.8% of source-year revenue.

2016 filings • NTEE E • $25M-$50M nonprofits • Source year 2016

Asset Growth

75th percentile

11%

Faster asset growth than 75% of similar nonprofits.

2016 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

89th percentile

30%

Faster revenue growth than 89% of similar nonprofits.

2016 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets45th percentile

Assets

Up

$14,641,538

Up $1,468,575 (+11%) from 2015

Net Assets

Up

$9,063,772

Up $4,860,112 (+116%) from 2015

Liabilities

Down

$5,577,766

Down $3,391,537 (-38%) from 2015

Revenue And Expenses
Liabilities / Revenue36th percentileNet Margin93rd percentile

Revenue

Up

$25,044,617

Up $5,788,946 (+30%) from 2015

Expenses

Up

$20,355,160

Up $85,433 (+0.4%) from 2015

Net Income

Up

$4,689,457

Up $5,703,513 (+562%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth75th 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

2016

Assets$14,641,538
Liabilities$5,577,766
Net Assets$9,063,772
Open 2016 Filing

Operations Trend

Revenue Growth89th 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

2016

Revenue$25,044,617
Expenses$20,355,160
Net Income$4,689,457
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 13, 2017
Return Version
2016v3.0
Gross Receipts
$25,554,092
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$5,373,824$5,374,503▲ $679
Investments in Publicly Traded Securities$3,114,145$2,996,680▼ $117,465
Accounts Receivable$2,507,317$1,994,977▼ $512,340
Pledges and Grants Receivable$816,718$1,932,404▲ $1,115,686
Cash and Non-Interest-Bearing Accounts$713,115$1,610,150▲ $897,035
Inventories for Sale or Use$364,320$437,755▲ $73,435
Prepaid Expenses and Deferred Charges$98,535$108,470▲ $9,935
Total Assets$13,172,963$14,641,538▲ $1,468,575
Other Assets Total$184,989$186,599▲ $1,610
Liabilities
Accounts Payable and Accrued Expenses$3,784,136$2,659,524▼ $1,124,612
Mortgage Notes Payable Secured by Investment Property$4,531,231$2,490,184▼ $2,041,047
Other Liabilities$653,936$235,942▼ $417,994
Deferred Revenue$0$192,116▲ $192,116
Total Liabilities$8,969,303$5,577,766▼ $3,391,537
Net Assets / Fund Balance
Unrestricted Net Assets$1,418,138$4,957,268▲ $3,539,130
Temporarily Rstr Net Assets$2,265,670$3,581,996▲ $1,316,326
Permanently Rstr Net Assets$519,852$524,508▲ $4,656
Total Net Assets Fund Balance$4,203,660$9,063,772▲ $4,860,112
Total Liabilities and Net Assets / Fund Balance$13,172,963$14,641,538▲ $1,468,575

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,852,841$7,850,893$10,703,734
Buildings$1,968,187$2,403,862$4,372,049
Other Land Buildings$542,475-$542,475
Land$11,000-$11,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$2,785,522$1,790,422▲ $4,656$474,096$4,106,504
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
Compensation and Service Providers
Top Officer Pay50th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
John ElliePhysicianFT$429,632$31,797$461,429
Robert WerblinEr Medical DirectorFT$355,610$12,503$368,113
Alfredo TorresPhysicianFT$290,462$29,801$320,263
Ben MooreCEOFT$200,000$50,827$250,827
Andrew OgdenMedical DirectorFT$201,850$48,725$250,575
John HuszonekPsychiatristFT$218,116$10,851$228,967
Bradley FreyMedical Staff PresidentFT$149,338$19,657$168,995

Board Members and Trustees

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

Highest Paid Contractors

ContractorServicesLocationCompensation
Claxton Hepburn Medical CenterCollaborative Services214 KING STREET, Peabody, MA 13669$451,052
Samaritan Medical CenterPharmaceutical And It Services104 PADDOCK STREET SUITE 104, Watertown, NY 13601$389,525
Cardinal Health 110 INCPharmaceutical Services6012 MOLLOY ROAD, Syracuse, NY 13211$266,182
Bernier Carr & Associates PCArchitectual Services327 MULLIN STREET, Watertown, NY 13601$252,963
Centolella Lynn Delia And Temes LLCLegal/consulting100 MADISON STREET TOWER 1 STE 190, Syracuse, NY 13202$231,928
Revenue and Support

Revenue Composition

Contributions and Grants
$3,800,427
Program Service Revenue
$19,606,701
Investment Income
$128,153
Other Revenue
$1,509,336
All Other Contributions
$1,937,967
Change in Net Assets
$4,689,457

Audited Revenue Reconciliation

Revenue per Audited Statements
$25,114,567
Revenue Not Reported on Financial Statements
$-69,950
Revenue Not Reported on Form 990
$170,655
Other Revenue Adjustments
$-69,950
Total Revenue per Audited Statements
$25,285,222
Total Revenue per Form 990
$25,044,617
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,299,497
Other Expenses$7,055,663
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,497,556$2,396,747-$10,894,303
Other Employee Benefits$952,541$268,665-$1,221,206
Depreciation Depletion$948,531$267,535-$1,216,066
Fees for Services Other$428,941$703,098-$1,132,039
Payroll Taxes$630,232$133,934-$764,166
All Other Expenses$553,181$156,026-$709,207
Current Officers, Directors, Trustees, and Key Employees$327,461$92,361-$419,822
Insurance$203,968$57,530-$261,498
Other Expenses$202,341$44,416-$246,757
Fees for Services Legal-$182,454-$182,454
Interest$146,776$16,308-$163,084
Advertising$2,762$86,776-$89,538
Travel$61,555$16,928-$78,483
Fees for Services Accounting-$71,000-$71,000
Conferences and Meetings$39,655$23,887-$63,542
Total Functional Expenses$15,305,514$5,049,646$0$20,355,160

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$20,425,110
Total Expenses per Audited Statements$20,425,110
Total Expenses per Form 990$20,355,160
Expenses Not Reported on Form 990$0
Expenses Not Reported on Financial Statements$-69,950
Other Expense Adjustments$-69,950
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$235,942
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“North star health alliance,inc. A not-for-profit holding company, is the sole corporate member of the hospital.”

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

“North star health alliance, inc. Elects the members of the governing body.”

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

“Decisions of the governing body are subject to the approval of north star health alliance, inc.”

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

“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
2017-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
2003
Legal Domicile
Ny
Voting Board Members
16
Independent Board Members
16
Employees
272
Volunteers
80

Preparer

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

Additional Explanations

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. As of december 31, 2016 and 2015, the hospital did not have any unrecognized tax benefits or any accrued interest or penalties. The tax years open to examination by federal and state taxing authorities are 2013 through 2016.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“RENTAL EXPENSES -69,950.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“RENTAL EXPENSES -69,950.”

Raw XML AppendixShowing 400 of 937 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/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt16CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17MEDICAL STAFF PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PSYCHIATRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt20ER MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
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IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt242863

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$14,641,538
Liabilities
$5,577,766
Net assets
$9,063,772
Revenue
$25,044,617
Expenses
$20,355,160
Net income
$4,689,457
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
2016Detailed filing. Detailed filing data is available for this year.$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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