RIVER HOSPITAL INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2003

Legal Domicile

Principal Officer

KELLEY TIERNAN

Phone

3154822511

Tax Period

2023-01-01 to 2023-12-31

RIVER HOSPITAL INC, founded in 2003, is a mid-sized nonprofit in the Health Care sector that reported $30.7M in total revenue in fiscal year 2023. Revenue grew 11% year-over-year, indicating healthy expansion.

Mission

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.

Program Service Accomplishments

Program 1

Expenses: $24,633,899 Revenue: $27,273,186

RIVER HOSPITAL, INC. PROVIDED GENERAL INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO RESIDENTS IN THE NORTHERN NEW YORK AREA. DURING 2023, THE HOSPITAL PROVIDED 2,533 SWING BED DAYS, 400 DAYS OF...

RIVER HOSPITAL, INC. PROVIDED GENERAL INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO RESIDENTS IN THE NORTHERN NEW YORK AREA. DURING 2023, THE HOSPITAL PROVIDED 2,533 SWING BED DAYS, 400 DAYS OF CRITICAL ACCESS CARE, AND 85 OBSERVATION VISITS TO THE SICK AND INJURED. IN THE OUTPATIENT SERVICE AREA, RIVER HOSPITAL PROVIDED 8,047 EMERGENCY ROOM VISITS IN 2023. RIVER HOSPITAL STRIVES TO IDENTIFY AND UPDATE SERVICES BASED UPON THE COMMUNITY NEEDS. THE HOSPITAL SERVES A COMMUNITY PAYOR MIX OF 61% GOVERNMENT PAYORS, 36% COMMERCIAL PAYORS AND OTHER, AND 3% UNINSURED.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $1,630,596

Program Service Revenue $27,273,186

Investment Income $-61,433

Other Revenue $1,832,067

TOTAL REVENUE $30,674,416

Expense Breakdown

Grants Paid $0

Salaries & Benefits $16,506,682

Fundraising Expenses $0

Program Expenses $24,633,899

Other Expenses $13,418,193

TOTAL EXPENSES $29,924,875

Year-over-Year Comparison

	2023	2022	Change
Revenue	$30,674,416	$27,542,913	+0.1%
Expenses	$29,924,875	$27,274,123	+0.1%
Net Income	$749,541	$268,790	+1.8%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

313

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,104,690

Total Directors

$362,041

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
NORMAN SNYDER	PRESIDENT	2.00	Officer Director	$0	$0	$0
LYNN BROWN	VICE PRESIDENT	2.00	Officer Director	$0	$0	$0
SUE RAPANT	SECRETARY	2.00	Officer Director	$0	$0	$0
ROBERT TOOLE	TREASURER	2.00	Officer Director	$0	$0	$0
CHRISTOPHER CLAPPER	TRUSTEE	2.00	Director	$0	$0	$0
PETER ECKSTEIN	TRUSTEE	2.00	Director	$0	$0	$0
BRADLEY FREY	TRUSTEE AND MEDICAL STAFF	40.00	Officer Director	$176,267	$2,351	$178,618
CINDY PENN	TRUSTEE	2.00	Director	$0	$0	$0
AMANDA RYDBERG	TRUSTEE AND ASSOCIATE MEDICAL	40.00	Officer Director	$172,059	$11,364	$183,423
GREGORY TOPPING	TRUSTEE	2.00	Director	$0	$0	$0
EMILY MASTALER MA MBA	CHIEF EXECUTIVE OFFICER	40.00	Officer	$315,006	$13,913	$328,919
KELLEY TIERNAN	CHIEF FINANCIAL OFFICER	40.00	Officer	$258,256	$20,744	$279,000
ARMINDA HUNTER	CHIEF NURSING OFFICER	40.00	Officer	$113,986	$20,744	$134,730
BRUCE S PORTNER	PHYSICIAN	40.00	Highest	$461,712	$2,294	$464,006
ANDREW OGDEN	CLINIC GYN PHYSICIAN	40.00	Highest	$238,496	$15,562	$254,058
CHRISTOPHER SYMENOW	PHYSICIAN ASSISTANT ED	40.00	Highest	$207,851	$2,000	$209,851
CHRIS JEWETT	NURSE PRACTITIONER	40.00	Highest	$150,075	$2,351	$152,426
LISA TRICKEY	PHYSICIAN ASSISTANT	40.00	Highest	$146,355	$11,364	$157,719

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$30,674,416	$29,924,875	$41,090,574	$749,541
2022	$27,542,913	$27,274,123	$37,961,261	$268,790
2021	$28,562,293	$25,792,375	$39,728,336	$2,769,918
2020	$32,523,073	$23,521,402	$39,220,528	$9,001,671
2019	$28,941,252	$22,462,146	$29,505,803	$6,479,106
2018	$25,103,869	$22,256,245	$18,741,662	$2,847,624