River Hospital

Legal name: River Hospital Inc

Nonprofit profile at a glance

EIN
810600548
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Alexandria Bay, NY, US
Phone
315-482-2511
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$31,393,011
Expenses
$29,912,744
Assets
$46,999,859
Liabilities
$8,703,293

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

21 people listed

Executive titles in this filing

  • NORMAN SNYDER (PRESIDENT)
  • ROBERT TOOLE (VICE PRESIDENT)
  • AMANDA RYDBERG (TRUSTEE AND MED STAFF PRESIDENT)
  • EMILY MASTALER MA MBA (CHIEF EXECUTIVE OFFICER)
  • KELLEY TIERNAN (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • BRUCE S PORTNER (HOSPITALIST DIRECTOR): $610,700 total reported compensation
  • KELLEY TIERNAN (CHIEF EXECUTIVE OFFICER): $341,964 total reported compensation
  • EMILY MASTALER MA MBA (CHIEF EXECUTIVE OFFICER): $277,842 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To deliver vital patient centered healthcare, which ensures access to compassionate, comprehensive health and wellness for our Northern New York Community.

What it reported doing in 2024

River hospital, inc. Provided general inpatient, outpatient, and emergency services to residents in the northern New York area. During 2024, the hospital provided 1,823 swing bed days, 500 days of critical access care, and 78 observation visits to the sick and injured. In the outpatient service area, river hospital provided 7,720 emergency room visits in 2024. River hospital strives to identify and update services based upon the community needs. The hospital serves a community payor mix of 61% government payors, 37% commercial payors and other, and 2% uninsured.

Operating model

Revenue model
Earned-program. 89% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 68
  • Transparency & Controls: 79
  • Accountability: 85
  • Sustainability: 50
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75%; rating input score 75
  • Program expense ratio: 79.7%; rating input score 80
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 81.8%; rating input score 82; 16th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 4.7%; rating input score 53; 53rd percentile among comparable filings
  • Total-asset coverage ratio: 1.57; rating input score 53; 53rd percentile among comparable filings
  • Liabilities to assets ratio: 0.19; rating input score 61; 61st percentile among comparable filings
  • Officer compensation ratio: 10%; rating input score 20; 20th percentile among comparable filings

Growth

  • Program expense growth: 5.4% per year; rating input score 100; 45th percentile among comparable filings
  • Revenue growth: 6% per year; rating input score 100; 52nd percentile among comparable filings
  • Asset growth: 10.7% per year; rating input score 100; 68th percentile among comparable filings

Details

  • What they do: 13 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 75% of revenue deployed · 79.7% of spending went to programs
  • Governance: 9 of 11 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $23.9M in reported program spending
  • Leadership: top reported pay $611K · 21 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Sustainability: Operating margin scored 53/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 53/100.
  • High — Sustainability: Officer compensation ratio scored 20/100.