Civic Intelligence

River Hospital Inc.

990 • Fiscal year 2017 • EIN 81-0600548

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 07, 2018

Organization ProfileRIVERHOSPITAL.ORG

View Organization Page

4 Fuller StreetAlexandria Bay, NY 13607

(315) 713-5350

Siviq Scores

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

Liabilities / Assets

32nd percentile

0.19x

Higher debt load relative to assets than 32% of similar nonprofits.

2017 filings • NTEE E • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

29th percentile

0.13x

Higher debt load relative to revenue than 29% of similar nonprofits.

2017 filings • NTEE E • $25M-$50M nonprofits • Source year 2017

Net Margin

88th percentile

17%

Higher net margin than 88% of similar nonprofits.

2017 filings • NTEE E • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

50th percentile

$460,308

Higher top officer pay than 50% of similar nonprofits.

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

2017 filings • NTEE E • $25M-$50M nonprofits • Source year 2017

Asset Growth

84th percentile

17%

Faster asset growth than 84% of similar nonprofits.

2017 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

45th percentile

3.6%

Faster revenue growth than 45% of similar nonprofits.

2017 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets32nd percentile

Assets

Up

$17,105,750

Up $2,464,212 (+17%) from 2016

Net Assets

Up

$13,854,690

Up $4,790,918 (+53%) from 2016

Liabilities

Down

$3,251,060

Down $2,326,706 (-42%) from 2016

Revenue And Expenses
Liabilities / Revenue29th percentileNet Margin88th percentile

Revenue

Up

$25,946,358

Up $901,741 (+3.6%) from 2016

Expenses

Up

$21,426,334

Up $1,071,174 (+5.3%) from 2016

Net Income

Down

$4,520,024

Down $169,433 (-3.6%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth84th 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

2017

Assets$17,105,750
Liabilities$3,251,060
Net Assets$13,854,690
Open 2017 Filing

Operations Trend

Revenue Growth45th 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

2017

Revenue$25,946,358
Expenses$21,426,334
Net Income$4,520,024
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 7, 2018
Return Version
2017v2.3
Gross Receipts
$26,315,768
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$5,374,503$5,393,329▲ $18,826
Investments in Publicly Traded Securities$2,996,680$4,352,679▲ $1,355,999
Cash and Non-Interest-Bearing Accounts$1,610,150$2,811,834▲ $1,201,684
Accounts Receivable$1,994,977$2,049,619▲ $54,642
Pledges and Grants Receivable$1,932,404$1,841,667▼ $90,737
Inventories for Sale or Use$437,755$495,828▲ $58,073
Prepaid Expenses and Deferred Charges$108,470$148,794▲ $40,324
Total Assets$14,641,538$17,105,750▲ $2,464,212
Other Assets Total$186,599$12,000▼ $174,599
Liabilities
Accounts Payable and Accrued Expenses$2,659,524$2,239,652▼ $419,872
Other Liabilities$351,230$850,341▲ $499,111
Mortgage Notes Payable Secured by Investment Property$2,374,896$116,521▼ $2,258,375
Deferred Revenue$192,116$44,546▼ $147,570
Total Liabilities$5,577,766$3,251,060▼ $2,326,706
Net Assets / Fund Balance
Unrestricted Net Assets$4,957,268$10,038,383▲ $5,081,115
Temporarily Rstr Net Assets$3,581,996$3,290,585▼ $291,411
Permanently Rstr Net Assets$524,508$525,722▲ $1,214
Total Net Assets Fund Balance$9,063,772$13,854,690▲ $4,790,918
Total Liabilities and Net Assets / Fund Balance$14,641,538$17,105,750▲ $2,464,212

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,378,331$8,630,763$11,009,094
Buildings$1,825,872$2,664,941$4,490,813
Other Land Buildings$1,178,126-$1,178,126
Land$11,000-$11,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$4,106,504$1,214--$4,107,718
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
Compensation and Service Providers
Top Officer Pay50th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
John ElliePhysicianFT$432,263$28,045$460,308
Robert WerblinEr Medical DirectorFT$359,828$14,122$373,950
Teresa Dombeck-langPhysicianFT$263,637$20,782$284,419
Ben Moore IiiCEOFT$200,000$52,046$252,046
Andrew OgdenMedical DirectorFT$202,661$19,652$222,313
Bradely FreyMedical Staff PresidentFT$157,161$10,610$167,771
Kelley TiernanCFOPT$55,700$10,145$65,845

Board Members and Trustees

NameTitle
Joseph RussellChairman
Norm SnyderVice Chairman
Chet TruskowskiTrustee
Craig GarlockTrustee
James DoneganTrustee
Kathy MorrisTrustee
Ken VanhattenTrustee
Lynn BrownTrustee
Raymond SmithTrustee
Richard MacsherryTrustee
Robert TooleTrustee
Ron RandallTrustee
Ronald ThompsonTrustee
Stephen SarfatyTrustee
Sue RapantTrustee
Jeann SnowTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Claxton Hepburn Medical CenterShared Services214 KING STREET, Ogdensburg, NY 13669$688,887
Eclinicalworks LLCEhr Services2 TECHNOLOGY DRIVE, Westborough, MA 01581$187,796
Lawrence Littell Do Phd PCPhysician Services18564 US RT 11 SUITE 2, Watertown, NY 13601$144,195
Samaritan Medical CenterMedical Services104 PADDOCK STREET SUITE 104, Watertown, NY 13601$141,744
Centolella Green Law PCLegal Services6832 E GENESEE STREET, Fayetteville, NY 13066$137,871
Revenue and Support

Revenue Composition

Contributions and Grants
$3,236,158
Program Service Revenue
$18,901,211
Investment Income
$119,210
Other Revenue
$3,689,779
All Other Contributions
$1,891,014
Change in Net Assets
$4,520,024

Audited Revenue Reconciliation

Revenue per Audited Statements
$26,080,738
Revenue Not Reported on Financial Statements
$-134,380
Revenue Not Reported on Form 990
$-509,085
Other Revenue Adjustments
$-134,380
Total Revenue per Audited Statements
$25,571,653
Total Revenue per Form 990
$25,946,358
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,814,317
Other Expenses$7,612,017
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,873,441$2,502,766-$11,376,207
Fees for Services Other$501,956$822,782-$1,324,738
Other Employee Benefits$975,568$275,160-$1,250,728
Depreciation Depletion$811,940$229,009-$1,040,949
Payroll Taxes$651,721$138,500-$790,221
All Other Expenses$496,680$140,090-$636,770
Current Officers, Directors, Trustees, and Key Employees$309,786$87,375-$397,161
Insurance$235,027$66,291-$301,318
Fees for Services Legal-$201,226-$201,226
Advertising$2,981$93,649-$96,630
Conferences and Meetings$53,846$32,435-$86,281
Fees for Services Accounting-$76,000-$76,000
Travel$58,536$16,098-$74,634
Other Expenses$63,409$552,886-$63,409
Interest$41,288$4,587-$45,875
Total Functional Expenses$16,064,577$5,361,757$0$21,426,334

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$21,426,334
Total Expenses per Audited Statements$20,780,735
Expenses per Audited Statements$20,646,355
Expenses Not Reported on Financial Statements$779,979
Other Expense Adjustments$779,979
Expenses Not Reported on Form 990$134,380
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$110,205
Fundraising Direct Expenses$65,452
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Polar Bear Dip$76,298$76,298$7,616$68,682
Festive Evening$96,388$26,400$9,262$17,138
Total Events$196,395$107,178$47,191$59,987
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$804,059
Insurance Reserve$46,282
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
3157135350
Address
4 FULLER STREET, ALEXANDRIA BAY, NY 13607

Signing Officer

Name
Kelley Tiernan
Title
Chief Financial Officer
Phone
3157135350
Signed
2018-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
2003
Legal Domicile
Ny
Voting Board Members
14
Independent Board Members
14
Employees
289
Volunteers
80

Preparer

Firm
Lumsden & Mccormick Llp
Address
369 FRANKLIN STREET, BUFFALO, NY 14202
Preparer
Jill M Johnson
Phone
7168563300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

“Specialty services to meet individual and community needs through partnerships with our patients and communities we serve.”

Form 990, Part XIIII, Line 2C

“The process has not changed from prior year.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Provision for bad debts -779,979.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Rental expense -68,928. Special event expense -65,452.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Rental expense 68,928. Fundraising expense 65,452.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Provision for bad debts 779,979.”

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 969 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 2017, THE HOSPITAL PROVIDED 1,397 SWING BED DAYS AND 387 DAYS OF CRITICAL ACCESS CARE TO THE SICK AND INJURED. IN THE OUTPATIENT SERVICE AREA RIVER HOSPITAL PROVIDED 6,965 EMERGENCY ROOM VISITS IN 2017. 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 69% GOVERNMENT PAYORS, 29% COMMERCIAL PAYORS AND OTHER AND 2% UNINSURED.
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IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt16CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt18MEDICAL STAFF PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20ER MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22MEDICAL DIRECTOR
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IRS990/OtherRevenueMiscGrp/Desc0NYS OPERATING SUBSIDIES
IRS990/OtherRevenueMiscGrp/Desc1DSRIP FUNDING
IRS990/OtherRevenueMiscGrp/Desc2340B PROGRAM

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$17,105,750
Liabilities
$3,251,060
Net assets
$13,854,690
Revenue
$25,946,358
Expenses
$21,426,334
Net income
$4,520,024
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
2017Detailed filing. Detailed filing data is available for this year.$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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