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RIVER HOSPITAL INC

ALEXANDRIA BAY, NY · EIN 810600548 · Form 990 · FY2024 · NTEE E20 · Health Care · Large ($10M-$50M) · riverhospital.org
revenue
$31.4M
expenses
$29.9M
net assets
$38.3M
employees
327
volunteers
45
program ratio
80%
mission · from form 990

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.

profile · synthesized from sources

River Hospital is a community hospital in Alexandria Bay, NY, providing patient-centered healthcare to Northern New York. It offers comprehensive medical, behavioral health, and specialty services, with a focus on trauma treatment for military personnel and first responders. The hospital emphasizes compassionate, accessible care through modernized facilities and community-based wellness programs.

named programs · 5 · from sources

What they call their work

Convenient Care
Walk-in clinic for acute, non-emergency medical needs, located within the hospital’s Medical Office Building.
Physical Therapy
Rehabilitative therapy services offered on-site as part of the hospital’s expanded outpatient offerings.
River Community Wellness Program
Child and adolescent outpatient mental health services providing assessment, therapy, and medication management for youth aged 5–17 experiencing behavioral or emotional difficulties.
River Family Health Center
Primary care clinic offering general medical services, now housed in a modern Medical Office Building as part of the hospital’s expanded facilities.
River Post-Traumatic Stress Services (RPTSS)
Outpatient behavioral health program offering Partial Hospitalization Program (PHP) and specialized therapy for active duty military and first responders with PTSD and trauma-related disorders, using Cognitive Processing Therapy (CPT) and Critical Incident Stress Debriefing (CISD).
activities · 8 groups

What they do

  • Diagnostic Testing and Imaging Services 1 activity
    • Cardiopulmonary diagnostics and therapy
      Delivers cardiopulmonary therapies and diagnostic procedures for heart and lung conditions, including electrocardiograms, Holter monitoring, cardiac event monitoring, methacholine challenge testing, arterial blood gas analysis, and patient education for asthma and other pulmonary diseases. Services are provided by NYS-licensed respiratory therapists to pediatric and adult patients in inpatient and outpatient settings.
  • Community Health Equity Initiatives 1 activity
    • Community health planning and disease reporting
      Filed a joint Community Service Plan and Community Health Improvement Plan (2025–2030) aligned with the New York State Prevention Agenda to address health disparities. Reports cases of contagious diseases like measles to public health agencies to support disease prevention and control.
  • Healthcare Compliance and Ethics Programs 1 activity
    • Healthcare operations and compliance
      Operates a Corporate Compliance Program to ensure adherence to healthcare regulations, deliver compliance training, and maintain confidential reporting channels. Complies with HIPAA by protecting patient privacy, sharing health information with providers for care coordination, using protected data for billing and oversight, and disclosing limited information to regulatory agencies for audits and disease control.
  • Direct Clinical Care Services 1 activity
    • Inpatient and emergency medical care
      Operates a 51-bed hospital with a 24/7 emergency department, providing inpatient care, emergency services, and short-term observation care for up to 24 hours. Stabilizes patients with serious conditions and arranges transfers to higher-level facilities when needed.
  • Outpatient Mental Health Clinic Services 1 activity
    • Mental and behavioral health services
      Provides outpatient mental health services for children, adolescents, and active duty military personnel, including diagnosis and treatment of depression, anxiety, attention deficits, and PTSD. Offers evidence-based therapies such as Cognitive Processing Therapy (CPT), telemental health for established patients, and Critical Incident Stress Debriefing (CISD). Operates a Partial Hospitalization Program at Fort Drum for military personnel to prevent inpatient admissions.
  • Comprehensive Primary and Specialty Care Networks 1 activity
    • Outpatient primary and specialty care
      Provides outpatient services including routine and diagnostic testing, primary care for all family members, and specialty care in cardiology, orthopedics, urology, colorectal, general surgery, vascular, nephrology, women's health, dermatology, pulmonology, ENT, and interventional pain management. Offers same-day non-emergency appointments through Convenient Care and operates Monday through Saturday with extended hours.
  • Advanced Surgical and Cardiac Care 1 activity
    • Outpatient surgical services
      Provides outpatient surgical services across multiple specialties, including same-day procedures for general and specialty surgeries.
  • Uncategorized 2 activities
    • Hospital infrastructure development
      Undertaking construction and renovation projects to expand healthcare services, including upgrading the Inpatient Unit and basement floor, creating a new dining space with 24/7 vending access, and renovating clinical, imaging, and patient areas to improve comfort, accessibility, and patient experience. Completed a two-story Medical Office Building to house expanded primary and specialty care services.
    • Research with de-identified health data
      Shares limited or de-identified patient health information with researchers whose studies meet federal privacy standards and have Institutional Review Board (IRB) approval.
financials · form 990 · fy2024
revenue
Total revenue$31.39M
Contributions & grants$1.37M4%
Program service revenue$27.87M89%
Investment income$630K2%
Other revenue$1.53M
expenses
Total expenses$29.91M
Program expenses80%
Admin / overhead20%
Fundraising0%
Salaries & benefits$17.46M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$47.00M
Cash$7.48M
Investments$12.75M
Liabilities$8.70M
Net assets$38.30M
Liquid reserves8.1 mo
4 years on record · 2020–2024 · YoY revenue +2.3%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 12
NameTitleHours/wkCompensation
BRUCE S PORTNER HOSPITALIST DIRECTOR 40 $611K
KELLEY TIERNAN CHIEF EXECUTIVE OFFICER 40 $342K
EMILY MASTALER MA MBA CHIEF EXECUTIVE OFFICER 40 $278K
CHRISTOPHER SYMENOW ED DIRECTOR 40 $248K
ANDREW OGDEN CHIEF MEDICAL OFFICER 40 $243K
MURSEL MOMAND PHYSICIAN 40 $238K
ANDREW IMPAGLIA CHIEF FINANCIAL OFFICER 40 $194K
AMANDA RYDBERG TRUSTEE AND MED STAFF PRESIDENT 40 $186K
BRADLEY FREY TRUSTEE AND MED STAFF VP 40 $184K
LISA TRICKEY PHYSICIAN ASSISTANT 40 $162K
CHRIS JEWETT NURSE PRACTITIONER 40 $154K
ARMINDA HUNTER CHIEF NURSING OFFICER 40 $148K
board members · 9
  • CHRISTOPHER CLAPPER — TRUSTEE
  • CINDY PENN — TRUSTEE
  • GREGORY TOPPING — TRUSTEE
  • NORMAN SNYDER — PRESIDENT
  • PATRICK MURPHY — TRUSTEE
  • PAUL RULISON — TRUSTEE
  • PETER ECKSTEIN — TRUSTEE
  • ROBERT TOOLE — VICE PRESIDENT
  • SUE RAPANT — SECRETARY
relationships · 9

Who they work with

  • Department of Defense Government — Cognitive Processing Therapy (CPT) used in treatment is an evidence-based protocol approved by the Department of Defense.
  • E.J. Noble Foundation Partner — Purchased the property for the original hospital and supported its development through philanthropy and funding.
  • Kimberly Leonard Partner — Corporate Compliance & Privacy Officer responsible for overseeing compliance and privacy matters at River Hospital
  • Local Health Department Partner — Collaborates on identifying and addressing public health priorities in the community.
  • New York State Department of Health Government — Aligns Community Service Plan with the state's Prevention Agenda and public health requirements.
  • New York State Department of Health Government — Received approval from the New York State Department of Health to operate as an independent institution and has been awarded major grants for facility improvements.
  • Samaritan Medical Center Partner — Entered into a partnership with Samaritan Medical Center during financial restructuring in the 1990s.
  • U.S. Department of Health and Human Services Government — Receives complaints regarding privacy violations and oversees HIPAA compliance.
  • Upstate Medical University Partner — Provides telepsychiatry services in partnership with River Community Wellness Program.
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Collaborative Public Health Planning
    methodology: collaborative public health planning
    By coordinating with hospitals, health departments, and community organizations, the organization identifies and addresses public health priorities more effectively, because systemic challenges require multi-sector solutions grounded in local insight.
  • Geographic Accessibility for Isolated Populations
    methodology: geographic_accessibility
    By providing healthcare access via both boat and car, the organization ensures that geographically isolated communities can receive timely medical services, because physical access is a primary barrier to care in remote regions.
  • Holistic Trauma Recovery Approach
    methodology: holistic trauma care
    By integrating cultural identity, social context, and overall health into treatment, the organization supports more effective trauma recovery, because trauma manifests within a broader life context that must be addressed for healing to occur.
  • Local Delivery of Specialty Care
    methodology: local-access specialty care
    By bringing specialists into the community, the organization improves access to specialty care and reduces patient burden, because requiring travel to urban centers creates inequitable barriers for rural populations.
  • Patient-Centered Care Model
    methodology: patient-centered care
    By organizing services around the needs and preferences of patients, the organization improves access to compassionate and comprehensive care, because engagement and health outcomes are enhanced when care is personalized and respectful of individual circumstances.