2024-11-14T07:55:21-06:00 2023-12-31 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2023-01-01 810600548 RIVER HOSPITAL INC RIVE 3154822511 4 FULLER STREET ALEXANDRIA BAY NY 13607 KELLEY TIERNAN CHIEF EXECUTIVE OFFICER 3154822511 2024-11-13 1 0 JILL M JOHNSON CPA P01701478 7168563300 2024-11-13 2023 2024-10-15 13:58:12Z KELLEY TIERNAN 4 FULLER STREET ALEXANDRIA BAY NY 13607 34174588 0 X RIVERHOSPITAL.ORG X 2003 NY 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. 10 8 313 25 0 0 1842604 1630596 23153327 27273186 262343 -61433 2284639 1832067 27542913 30674416 0 0 0 0 15891644 16506682 0 0 0 11382479 13418193 27274123 29924875 268790 749541 37961261 41090574 3964056 5169050 33997205 35921524 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. 0 0 24633899 27273186 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. 24633899 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 108 0 1 313 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X KELLEY TIERNAN 3154822511 4 FULLER STREET ALEXANDRIA BAY NY 13607 NORMAN SNYDER PRESIDENT 2.00 X X 0 0 0 LYNN BROWN VICE PRESIDENT 2.00 X X 0 0 0 SUE RAPANT SECRETARY 2.00 X X 0 0 0 ROBERT TOOLE TREASURER 2.00 X X 0 0 0 CHRISTOPHER CLAPPER TRUSTEE 2.00 X 0 0 0 PETER ECKSTEIN TRUSTEE 2.00 X 0 0 0 BRADLEY FREY TRUSTEE AND MEDICAL STAFF 40.00 X X 176267 0 2351 CINDY PENN TRUSTEE 2.00 X 0 0 0 AMANDA RYDBERG TRUSTEE AND ASSOCIATE MEDICAL 40.00 X X 172059 0 11364 GREGORY TOPPING TRUSTEE 2.00 X 0 0 0 EMILY MASTALER MA MBA CHIEF EXECUTIVE OFFICER 40.00 X 315006 0 13913 KELLEY TIERNAN CHIEF FINANCIAL OFFICER 40.00 X 258256 0 20744 ARMINDA HUNTER CHIEF NURSING OFFICER 40.00 X 113986 0 20744 BRUCE S PORTNER PHYSICIAN 40.00 X 461712 0 2294 ANDREW OGDEN CLINIC GYN PHYSICIAN 40.00 X 238496 0 15562 CHRISTOPHER SYMENOW PHYSICIAN ASSISTANT ED 40.00 X 207851 0 2000 CHRIS JEWETT NURSE PRACTITIONER 40.00 X 150075 0 2351 LISA TRICKEY PHYSICIAN ASSISTANT 40.00 X 146355 0 11364 2240063 0 102687 21 0 1 0 NES MEDICAL SERVICES OF NEW YORK PO BOX 936451 ATLANTA GA 31193 MEDICAL SERVICES 1817847 EXCELLUS HEALTH PLAN-GROUP PO BOX 5266 BINGHAMTON NY 13902 MEDICAL SERVICES 1535499 RJ ANESTHESIA PLLC 7536 EAST SOUTH STREET CLINTON NY 13323 MEDICAL SERVICES 572847 CENTOLELLA LAW PC 5793 WIDEWATERS PARKWAY SUITE 210 DEWITT NY 13214 LEGAL SERVICES 385295 MEDICAL LIABILITY MUTUAL INSURANCE CO PO BOX 7247-7232 PHILADELPHIA PA 19170 LIABILITY INSURANCE 347175 15 249134 1066058 315404 1630596 PATIENT SERVICE REVENUE 621990 27273186 27273186 27273186 199157 199157 5657 0 5657 5657 5657 3181594 3442184 -260590 -260590 -260590 17277 249134 57988 -40711 -40711 NYS OPERATING SUBSIDIES 621990 804203 804203 340B PROGRAM 900099 616022 616022 OTHER OPERATING INCOME 900099 446896 446896 1867121 30674416 27273186 0 1770634 X 1104691 861659 243032 12834055 10044415 2789640 1649487 1313591 335896 918449 723132 195317 313123 313123 3936769 3779298 157471 123997 3824 120173 28342 22229 6113 22631 14123 8508 1822 1640 182 1638138 1277748 360390 465940 363433 102507 OUTSIDE SERVICES AND OT 3875970 3426182 449788 PROGRAM SUPPLIES 2110608 1944313 166295 OTHER 811842 769301 42541 NYS ASSESSMENT 89011 89011 29924875 24633899 5290976 0 2513212 3314189 1509348 4196724 3144418 3424296 489145 487819 333298 279924 37033939 18934907 19715647 18099032 10244193 11276590 12000 12000 37961261 41090574 3296590 4377230 232142 8856 435324 782964 3964056 5169050 X 30296791 32249667 3700414 3671857 33997205 35921524 37961261 41090574 749541 1174778 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1115284 227977 123154 1466415 905023 310910 -100649 1115284 665618 157850 81555 905023 611816 31000 22802 665618 541389 70427 611816 0.85480 0.14520 0 0 18000 18000 21995397 6175171 15820226 844237 493135 351102 14156484 12266601 1889883 19821 19821 18099032 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 782964 782964 31849194 1174778 1174778 30674416 0 30674416 29924875 0 29924875 0 29924875 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. POLAR BEAR DIP 103625 103625 10162 FESTIVE EVENING 149586 134794 14792 39738 1 13199 10715 2484 8088 266410 249134 17276 57988 57988 -40712 1 1 1 X 1 X 1 1 1 0 1 1 17194 17194 0.00060 5907402 3020259 2887143 0.09650 5924596 3020259 2904337 0.09710 5924596 3020259 2904337 0.09710 0 824148 76982 3639823 2870875 768948 X 1 1 1 1 RIVER HOSPITAL 4 FULLER STREET ALEXANDRIA BAY NY 13607 X X X X RIVER HOSPITAL INC 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X WWW.RIVERHOSPITAL.ORG X WWW.FDRHPO.ORG X 1 23 1 WWW.RIVERHOSPITAL.ORG 0 1 X 100.000000000000 300.000000000000 1 1 X X X X 1 X WWW.RIVERHOSPITAL.ORG X WWW.RIVERHOSPITAL.ORG X WWW.RIVERHOSPITAL.ORG X X X X X 1 X 1 X X X X 1 X 0 0 RIVER HOSPITAL, INC. PART V, SECTION B, LINE 5: RIVER HOSPITAL TOOK INTO ACCOUNT THE BROAD INTERESTS OF THE COMMUNITY AND THE TRI COUNTY REGION THROUGH COLLABORATIVE EFFORTS OF THE NORTH COUNTRY HEALTH COMPASS PARTNERSHIP, IN THE DEVELOPMENT OF THE 2023 COMMUNITY HEALTH ASSESSMENT. THE NORTH COUNTRY HEALTH COMPASS PARTNERSHIP IS COMPRISED OF REGIONAL REPRESENTATION FROM PUBLIC HEALTH AGENCIES, HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS FROM JEFFERSON, LEWIS AND ST. LAWRENCE COUNTIES, WHO MEET ON A MONTHLY BASIS. THE REGIONAL PRIORITIES WERE SELECTED AFTER CAREFULLY EVALUATING COMMUNITY HEALTH NEEDS, POPULATION HEALTH DATA, REGIONAL ASSETS, AND REGIONAL BARRIERS. RIVER HOSPITAL SELECTED PRIORITIES FOR THE COMMUNITY SERVICE PLAN WHICH ARE IN ALIGNMENT WITH THE PREVENTION AGENDA AND THE EFFORTS OF THE NORTH COUNTRY HEALTH COMPASS PARTNERSHIP AS WELL AS THE INDIVIDUAL HOSPITAL'S EFFORT. RIVER HOSPITAL, INC. PART V, SECTION B, LINE 6A: CARTHAGE AREA HOSPITAL, CLAXTON-HEPBURN MEDICAL CENTER, LEWIS COUNTY GENERAL HOSPITAL, RIVER HOSPITAL AND SAMARITAN MEDICAL CENTER. RIVER HOSPITAL, INC. PART V, SECTION B, LINE 6B: COMMUNITY PARTNERS IN JEFFERSON, LEWIS, AND ST. LAWRENCE COUNTY PUBLIC HEALTH DEPARTMENTS AND AGENCIES WHO INTERFACE WITH LOW INCOME TARGET POPULATION. RIVER HOSPITAL, INC. PART V, SECTION B, LINE 11: IN ALIGNMENT WITH THE NY STATE 2022-2024 PREVENTION AGENDA, THE COMMUNITY HEALTH IMPROVEMENT PLAN WAS UPDATED AND CONTINUES TO BE DEVELOPED. RIVER HOSPITAL, SAMARITAN MEDICAL CENTER, CARTHAGE AREA HOSPITAL AND JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT SELECTED DISPARITIES IN COLLABORATION WITH PARTNERING HEALTH CARE FACILITIES OF THE NORTH COUNTRY. FOR THE 2022-2024 CYCLE, THE JEFFERSON COUNTY HOSPITALS AND PUBLIC HEALTH DEPARTMENT FOCUSED ON THE FOLLOWING PREVENTION AGENDA PRIORITIES: (1) PREVENT CHRONIC DISEASES, AND (2) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDER. DISPARITIES WILL BE ADDRESSED WITHIN EACH PRIORITY AREA.RIVER HOSPITAL CONTINUES TO FOCUS ON INITIATIVES TO IMPROVE OUTCOMES WITH CHRONIC DISEASE AND MENTAL HEALTH & SUBSTANCE ABUSE PREVENTION AGENDA PRIORITIES AND THE LOW SOCIOECONOMIC HEALTH DISPARITIES. RIVER HOSPITAL IS ENGAGING THE COMMUNITY AND PATIENT BASE IN THEIR OWN HEALTH CARE DECISIONS THROUGH PROVIDER-TO-PATIENT EDUCATION METHODS AS A PATIENT CENTERED MEDICAL HOME. IN ADDITION TO PATIENT ENGAGEMENT IN THE HEALTH CARE SETTING, RIVER HOSPITAL SEEKS OPPORTUNITIES TO EDUCATE THE COMMUNITY WHEN THERE ARE OPPORTUNITIES FOR COMMUNITY OUTREACH AND EMPLOYER-BASED HEALTH FAIR TYPE EVENTS, IF APPLICABLE. PART I, LINE 7: WORKSHEETS 1, 2 AND 3 WERE USED TO COMPLETE LINES 7A AND 7B. PART III, LINE 3: THE METHODOLOGY USED TO CALCULATE THE PORTION OF BAD DEBT ATTRIBUTABLE TO THE PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS TO SUM THE BAD DEBT WRITE OFFS FOR PATIENTS CURRENTLY RECEIVING THE CHARITY CARE DISCOUNTS FROM THE DETAILED BAD DEBT WRITE OFF REPORTS FROM THE BILLING SYSTEM. PART III, LINE 4: NET PATIENT SERVICE REVENUE RELATES TO CONTRACTS WITH PATIENTS AND IN MOST CASES INVOLVE A THIRD-PARTY PAYOR (MEDICARE, MEDICAID, COMMERCIAL AND OTHER MANAGED CARE INSURANCE COMPANIES) IN WHICH THE HOSPITAL'S PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES. NET PATIENT SERVICE REVENUES ARE RECORDED AT EXPECTED COLLECTIBLE AMOUNTS OVER THE TIME IN WHICH OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. REVENUE IS ACCRUED TO ESTIMATE THE AMOUNT OF REVENUE EARNED TO DATE FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AND WHOSE CARE SERVICES ARE NOT COMPLETE AS OF THE REPORTING PERIOD. SUBSTANTIALLY ALL THE HOSPITAL'S PERFORMANCE OBLIGATIONS ARE SATISFIED IN ONE YEAR.THE TRANSACTION PRICE IS DETERMINED BASED ON GROSS CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S CHARITY CARE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO UNINSURED PATIENTS. PATIENTS WHO HAVE HEALTH CARE INSURANCE MAY ALSO HAVE DISCOUNTS APPLIED RELATED TO THEIR COPAYMENT OR DEDUCTIBLE. IMPLICIT PRICE CONCESSIONS ARE RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE DETERMINED BY MAJOR PAYOR CLASSES FOR INPATIENT AND OUTPATIENT REVENUES BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. MANAGEMENT CONTINUALLY REVIEWS THE CONTRACTUAL ESTIMATION PROCESS TO CONSIDER AND INCORPORATE UPDATES TO LAWS AND REGULATIONS AND FREQUENT CHANGES IN COMMERCIAL AND MANAGED CARE CONTRACTUAL TERMS RESULTING FROM CONTRACT RENEGOTIATIONS AND RENEWALS. PART III, LINE 9B: UNDER OUR CHARITY CARE PROGRAM, PATIENTS MAY APPLY FOR ASSISTANCE WITHIN 90 DAYS OF DISCHARGE OR DATE OF SERVICE. ONCE THE APPLICATION IS REQUESTED AND RECEIVED BY THE APPLICANT, THE APPLICATION MUST BE RETURNED TO RIVER HOSPITAL WITHIN 30 DAYS FROM THE DATE OF SERVICE. RIVER HOSPITAL DOES NOT PURSUE FURTHER COLLECTION ACTION WHILE THIS APPLICATION IS IN PROCESS PROVIDING THAT THE APPLICATION IS COMPLETED IN A TIMELY FASHION. RIVER HOSPITAL PROCESSES THIS APPLICATION WITHIN 30 DAYS OF RECEIPT. APPLICANTS ARE NOTIFIED IN WRITING OF OUR DECISION. AN INSTALLMENT AGREEMENT IS THEN SENT TO THE APPLICANT, AN INTEREST FREE AGREEMENT, TO BE SIGNED AND RETURNED. PART VI, LINE 2 RIVER HOSPITAL CONTINUES TO COLLABORATE WITH THE TRI-COUNTY "NORTH COUNTRY HEALTH COMPASS" PARTNERS. THE MISSION OF THE PARTNERSHIP IS TO DEVELOP, IMPLEMENT AND EVALUATE A REGIONAL HEALTH IMPROVEMENT INITIATIVE THROUGH RESEARCH, DATA ANALYSIS, COMMUNITY ENGAGEMENT AND COLLABORATION AMONG PUBLIC HEALTH DEPARTMENTS, HOSPITALS, COMMUNITY BASED ORGANIZATIONS, GENERAL PUBLIC AND HEALTHCARE PROVIDERS. THROUGH THE EFFORTS OF THIS PARTNERSHIP, IT WAS POSSIBLE TO DO A COMMUNITY HEALTH ASSESSMENT (CHA), IN ORDER TO AID THE DEVELOPMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN AND THE HOSPITAL'S COMMUNITY SERVICE PLAN IN 2023.THE 2023 COMMUNITY HEALTH SURVEY IS THE EIGHTH ANNUAL SURVEY ON HEALTH AND HEALTH RELATED ISSUES CONDUCTED BY THE FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION IN JEFFERSON, LEWIS, AND ST. LAWRENCE COUNTIES.THE PURPOSE OF THIS SURVEY IS TO COLLECT INFORMATION ON LOCAL RESIDENTS' EXPERIENCES WITH HEALTHCARE, THEIR HEALTH STATUS, AND THEIR HEALTH-RELATED ACTIVITIES. THE RESULTS OF THE ANNUAL SURVEY ARE USED TO TRACK THE HEALTH STATUS OF PEOPLE IN THE REGION AND INFORM THE COMMUNITY HEALTH WORK OF HOSPITALS, COUNTY PUBLIC HEALTH DEPARTMENTS, AND THEIR PARTNERS. PART VI, LINE 3 PATIENTS ARE PROVIDED INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND THE ELIGIBILITY GUIDELINES AT THE TIME OF SERVICE. WE ALSO HAVE THE INFORMATION AVAILABLE ON OUR WEBSITE. PART VI, LINE 4 RIVER HOSPITAL IS LOCATED WITHIN THE VILLAGE OF ALEXANDRIA BAY, NY, 'THE HEART OF THE THOUSAND ISLAND REGION, AND INCLUDES SERVICE AREAS OF BOTH JEFFERSON AND ST. LAWRENCE COUNTIES. RIVER HOSPITAL IS SITUATED DIRECTLY ON THE SHORE OF THE ST. LAWRENCE SEAWAY, A VERY RURAL AREA, YET, ONE OF THE MAJOR COMMERCIAL WATERWAYS, CONNECTING THE GREAT LAKES TO THE WATER WAYS OF THE WORLD. RIVER HOSPITAL'S IMMEDIATE SERVICE AREA REACHES A RADIUS OF APPROXIMATELY 25 MILES. THE FACILITY PROVIDES HEALTH CARE SERVICES TO SEVERAL SURROUNDING COMMUNITIES. WITHIN THE RANGE OF THE RIVER HOSPITAL SERVICE AREA IS THE EXPANSIVE UNITED STATES ARMY'S 10TH MOUNTAIN LIGHT INFANTRY DIVISION AT FORT DRUM AND THE INFLUX OF FAMILY MEMBERS AND ASSOCIATED POPULATION. DIRECTLY TO THE NORTH, ON THE OPPOSITE SHORE OF THE ST. LAWRENCE RIVER IS THE PROVINCE OF ONTARIO, CANADA, CONFINING AVAILABILITY OF UNITED STATES HEALTH CARE SYSTEM TO 180 DEGREE RADIUS. THE LARGEST NEARBY UNITED STATES POPULATION CENTER IS SYRACUSE, NEW YORK, LOCATED 100 MILES TO THE SOUTH.IN ADDITION TO THE FULL TIME RESIDENTS OF THESE COMMUNITIES, RIVER HOSPITAL SERVES A LARGE POPULATION OF SEASONAL RESIDENTS AND VISITORS FROM THE UNITED STATES AND OTHER COUNTRIES OF THE WORLD, DUE IN PART TO THE SEASONAL TOURISM INDUSTRY. THIS ENTIRE REGION IS A MEDICALLY UNDERSERVED AREA (MUA) AND FEDERALLY DESIGNATED HEALTH PROVIDER SHORTAGE AREA (HPSA) WITH POVERTY. PART VI, LINE 5 RIVER HOSPITAL CONTINUES TO BE VERY INVOLVED WITH OTHER PARTNERS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THIS REGION OF NORTHERN NEW YORK STATE, INCLUDING RELATIONSHIPS WITH JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT, OTHER NORTH COUNTY HOSPITALS, AGENCIES/ORGANIZATIONS, AND LOCAL SCHOOL DISTRICTS TO SHARE INFORMATION AND WORK TOGETHER TO EDUCATE THE PUBLIC ON THE AVAILABILITY OF SERVICES IN THIS REGION. RIVER HOSPITAL WORKS CLOSELY WITH FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION (FDRHPO), WHICH WAS ESTABLISHED TO LINK MILITARY FAMILIES ASSIGNED TO FORT DRUM MILITARY BASE TO QUALITY HEALTHCARE SERVICES AND RESOURCES IN THE REGION, AS THERE IS NO ON-BASE HOSPITAL.OUTREACH ACTIVITIES SUCH AS A BACK-TO-SCHOOL HEALTH FAIR AT ALEXANDRIA CENTRAL SCHOOL OCCURED IN LATE AUGUST. ON JUNE 28TH, RIVER HOSPITAL HOSTED A SOLDIER ART SHOW FOR THE COMMUNITY. THIS ART SHOW EXHIBITS THE ART THAT IS CREATED BY SOLDIERS AS PART OF THEIR THERAPY. ON JULY 26TH, RIVER HOSPITAL PARTICIPATED IN THE FORT DRUM EMERGENCY SERVICES YEARLY DRILL. THROUGH THE FDRHPO, RIVER HOSPITAL HOSTED MASH (MEDICAL APPLICATIONS OF SCIENCE FOR HEALTH) CAMP IN FEBRUARY AND JULY. SEPTEMBER 24TH, RIVER HOSPITAL HAD A TEAM WALK IN THE JEFFERSON COUNTY SUICIDE PREVENTION WALK AND WELLNESS HAD A TABLE PROVIDING INFORMATION ON OUR BH PROGRAMS AVAILABLE. ON OCTOBER 7TH RIVER HOSPITAL HAD A TEAM WALK IN THE 22ND ANNUAL GOUVERNEUR BREAST AND OVARIAN CANCER FUND WALK AND HAD A TABLE PROVIDING INFORMATION.IN OCTOBER, RIVER HOSPITAL HELD A SHOP FOR A CAUSE EVENT. THIS EVENT WAS FOR BREAST CANCER AWARENESS.IN OCTOBER AND DECEMBER, RIVER HOSPITAL PARTICIPATED IN BRIDEGES OUT OF POVERTY AT CANTON COLLEGE (OCTOBER) AND THE WATERTOWN LIBRARY CENTER (DECEMBER).IN NOVEMBER, THE WOMAN'S HEALTH AND THE RADIOLOGY DEPARTMENT HELD A MAMMOS AND MANICURES EVENT FOR WOMEN WHICH PROVIDED SCREENINGS TO WOMEN WHO LACKED INSURANCE COVERAGE. THROUGHOUT THE YEAR RIVER HOSPITAL PROVIDED LIFE SUPPORT COURSES AT ALEXANDRIA CENTRAL SCHOOL, THE YOUTH COMMISSION, THE ANTIQUE BOAT MUSEUM AND US BOAT TOURS.RIVER HOSPITAL ALSO PARTICIPATED IN THE HEALTH CAREER ARMY PATHWAY PROGRAM- HCAPP (THROUGH FDRHPO). THIS PROGRAM ASSISTS WITH TRANSITIONING SOLDIERS LEAVING MILITARY AND MILITARY SPOUSES WITH JOB SHADOW AND INTERNSHIPS TO EXPLORE CIVILIAN HEALTHCARE OPTIONS.IN CONJUNCTION WITH THE RED CROSS RIVER HOSPITAL HELD NUMEROUS BLOOD DRIVES THROUGHOUT THE YEAR.IN ADDITION, RIVER HOSPITAL HELD NUMEROUS LOCAL HIGH SCHOOL INTERACTIONS SUCH AS ANNUAL MOCK INTERVIEWS AND RESUME REVIEWS FOR HIGH SCHOOL STUDENTS FOR ALL JEFFERSON - LEWIS COUNTY SCHOOLS IN NOVEMBER, ANNUAL MOCK INTERVIEWS AND RESUME REVIEWS FOR JEFFERSON-LEWIS BOCES JUNIORS AND SENIORS IN THE NEW VISIONS PROGRAMS IN MARCH, AND HIGH SCHOOL SENIOR INTERNSHIPS THROUGHOUT THE FACILITY FOR HIGH SCHOOL GRADUATION REQUIREMENTS RIVER HOSPITAL CONTINUED TO WORK WITH OTHER REGIONAL HOSPITALS ON A COLLABORATION TO DEVELOP A STRATEGY TO ADDRESS THE DELIVERY OF AFFORDABLE HEALTH CARE SOLUTIONS TO RESIDENTS IN THE TRI-COUNTY AREA. THE REGIONAL NCI HOSPITAL COLLABORATION INCLUDES RIVER HOSPITAL, ALEXANDRIA BAY; CLAXTON-HEPBURN MEDICAL CENTER, OGDENSBURG; CLIFTON-FINE HOSPITAL, STAR LAKE; SAMARITAN MEDICAL CENTER, WATERTOWN AND CARTHAGE AREA HOSPITAL, CARTHAGE. IN MARCH OF 2020, RIVER HOSPITAL ENTERED INTO A CLINICAL AFFILIATION WITH UPSTATE UNIVERSITY HOSPITAL. THE AFFILIATION DOES NOT REPRESENT A MERGER OR ACQUISITION, BUT INSTEAD WILL ALLOW EACH INSTITUTION TO STRENGTHEN PATIENT SERVICES AND SHARE BEST PRACTICES AND EXPERTISE, YET EACH INSITUTION WILL CONTINUE TO OPERATE AS AN INDEPENDENT HOSPITAL. RIVER HOSPITAL ACTIVELY PARTICIPATES WITH THE NEW YORK STATE CRITICAL ACCESS HOSPITALS WHO WORK TOGETHER ON QUALITY IMPROVEMENT PROCESSES AND PATIENT SATISFACTION OUTCOMES. PART VI, LINE 7 NY X X X 0 0 0 0 0 0 0 0 0 BRADLEY FREY TRUSTEE AND MEDICAL STAFF 176267 0 0 0 0 0 2000 0 351 0 178618 0 0 0 AMANDA RYDBERG TRUSTEE AND ASSOCIATE MEDICAL 162059 0 0 0 10000 0 2000 0 9364 0 183423 0 0 0 EMILY MASTALER MA MBA CHIEF EXECUTIVE OFFICER 275006 0 40000 0 0 0 0 0 13913 0 328919 0 0 0 KELLEY TIERNAN CHIEF FINANCIAL OFFICER 208256 0 0 0 50000 0 2000 0 18744 0 279000 0 0 0 BRUCE S PORTNER PHYSICIAN 415558 0 0 0 46154 0 2000 0 294 0 464006 0 0 0 ANDREW OGDEN CLINIC GYN PHYSICIAN 225996 0 0 0 12500 0 2000 0 13562 0 254058 0 0 0 CHRISTOPHER SYMENOW PHYSICIAN ASSISTANT ED 207851 0 0 0 0 0 2000 0 0 0 209851 0 0 0 CHRIS JEWETT NURSE PRACTITIONER 150075 0 0 0 0 0 2000 0 351 0 152426 0 0 0 LISA TRICKEY PHYSICIAN ASSISTANT 146355 0 0 0 0 0 2000 0 9364 0 157719 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B 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 CHIEF EXECUTIVE OFFICER'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 CHIEF EXECUTIVE OFFICER IS MONITORED AND EVALUATED BY THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. OTHER TOP MANAGEMENT OFFICERS ARE MONITORED AND REVIEWED ON AN ANNUAL BASIS BY THE CHIEF EXECUTIVE OFFICER. 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 HOSPITAL'S WEBSITE OR ARE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE PUBLIC CHARITY WEBSITE. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 3,779,298. MANAGEMENT AND GENERAL EXPENSES 157,471. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,936,769.