3 locations registered under this record — data as of November 6, 2026
Critical access hospital · Alexandria Bay, NY
River Hospital, Inc.
Taking partYesLast certifiedAugust 27, 2026
- 3Registered locations
- 1Associated locations
- 4Contract pharmacies
- 3With no end date
- April 1, 2014In 340B since
Where this record sits: among the 19 Critical access hospitals in New York, the median open contract-pharmacy count is 9; this record’s open count ranks 16.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $49,970,399 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $23,283,824 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,686,575 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,861,263 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$4,174,688 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $53,225 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $44,744 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $621,196 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $336,683 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $381,427 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.5597 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 331309 for January 1, 2025 to December 31, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by RIVER HOSPITAL INC (employer identification number 810600548) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,904,337 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $17,194 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $2,887,143 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $2,904,337 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0971 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202443199349300729. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by RIVER HOSPITAL INC (employer identification number 810600548) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| AMANDA RYDBERG | TRUSTEE AND ASSOCIATE MEDICAL | Trustee/director, Officer | $172,059 | $0 | $11,364 |
| ANDREW OGDEN | CLINIC GYN PHYSICIAN | Highest-compensated employee | $238,496 | $0 | $15,562 |
| ARMINDA HUNTER | CHIEF NURSING OFFICER | Officer | $113,986 | $0 | $20,744 |
| BRADLEY FREY | TRUSTEE AND MEDICAL STAFF | Trustee/director, Officer | $176,267 | $0 | $2,351 |
| BRUCE S PORTNER | PHYSICIAN | Highest-compensated employee | $461,712 | $0 | $2,294 |
| CHRIS JEWETT | NURSE PRACTITIONER | Highest-compensated employee | $150,075 | $0 | $2,351 |
| CHRISTOPHER CLAPPER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| CHRISTOPHER SYMENOW | PHYSICIAN ASSISTANT ED | Highest-compensated employee | $207,851 | $0 | $2,000 |
| CINDY PENN | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| EMILY MASTALER MA MBA | CHIEF EXECUTIVE OFFICER | Officer | $315,006 | $0 | $13,913 |
| GREGORY TOPPING | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| KELLEY TIERNAN | CHIEF FINANCIAL OFFICER | Officer | $258,256 | $0 | $20,744 |
| LISA TRICKEY | PHYSICIAN ASSISTANT | Highest-compensated employee | $146,355 | $0 | $11,364 |
| LYNN BROWN | VICE PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| NORMAN SNYDER | PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| PETER ECKSTEIN | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| ROBERT TOOLE | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| SUE RAPANT | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
E-file object id 202443199349300729. The IRS archive it was read from.
The full report for River Hospital, Inc.
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 11thpercentile of 18 hospitals in NY, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 11thpercentile of 18 hospitals in NY, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 13thpercentile of 15 hospitals in NY, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 13thpercentile of 15 hospitals in NY, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 18 hospitals in NY, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 94thpercentile of 17 hospitals in NY, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in New York beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- April 1, 2014
- Certification date
- August 27, 2026
- Record last edited
- August 27, 2026
Identifiers
- 340B ID
- CAH331309-00
- Entity type as filed
- CAH
- CMS certification number
- 331309
- Rural
- Yes
4 Fuller Street, Alexandria Bay NY 13607
Locations registered under this record
Browse all of them as a list →
| CAH331309-01 | RHC - Primary Care | CAH | Alexandria Bay, NY | Yes |
| CAH331309-02 | Mental Health Clinic - Mental Health | CAH | Alexandria Bay, NY | Yes |
| CAH331309-03 | Clinic - Specialty | CAH | Alexandria Bay, NY | Yes |
Associated locations
| River Hospital, Inc. | 4 Fuller Street | Alexandria Bay NY 13607 |
Pharmacy contracts
No end date filed3
| KPH HEALTHCARE SERVICES, INC. | GOUVERNEUR, NY | July 1, 2025 | no end date filed |
| KPH HEALTHCARE SERVICES, INC. | ALEXANDRIA BAY, NY | April 1, 2014 | no end date filed |
| KPH HEALTHCARE SERVICES, INC. | CLAYTON, NY | April 1, 2014 | no end date filed |
An end date is filed1
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| KPH HEALTHCARE SERVICES, INC. | GOUVERNEUR, NY | January 1, 2025 | January 1, 2025 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 6, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.