Critical access hospital · Alexandria Bay, New York · 25 beds · CMS certification number 331309
River Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 24, 2026. 23 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $4.2M in its first year on file (2003) to $26.7M in 2025.
- Its result from patient care: −$2.7M (2023), −$2.0M (2024), −$4.2M (2025).
- 1 of the 5 critical access hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
- Medicaid paid for 0.3% of its inpatient days and Medicare for 30.2%.
Every statement is drawn from figures on this page; nothing is estimated.
23 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in New York with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| River Hospital | 25 | $26,686,575 | $30,861,263 | −15.6% |
| Delaware Valley Hospital, Walton | 25 | $45,030,896 | $35,835,324 | 20.4% |
| Elizabethtown Community Hospital, Elizabethtown | 25 | $75,346,366 | $72,091,502 | 4.3% |
| Ellenville Regional Hospital, Ellenville | 25 | $28,619,399 | $31,718,688 | −10.8% |
| Little Falls Hospital, Little Falls | 25 | $53,603,873 | $46,186,732 | 13.8% |
| Xtensys, Montour Falls | 25 | $80,645,338 | $59,055,024 | 26.8% |
Patients and payers
- Discharges
- 138S-3 line 14, col 15
- Inpatient days
- 2,157S-3 line 14, col 8
- Beds in use, on an average day
- 5.9days ÷ days in year
- Occupancy
- 23.6%days ÷ bed days
- Medicare share of days
- 30.2%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.3%S-3 cols 7 ÷ 8
Who owns it
Type of control on its cost report: voluntary nonprofit, other.
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.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 331309. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 24, 2026.