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Nonprofiteer
← GOUVERNEUR HOSPITAL

Form 990 for tax year 2023

Filed by GOUVERNEUR HOSPITAL.

Totals

Total revenue
$37,980,965
Total expenses
$30,631,278
Contributions and grants received
$6,882,968
Grants paid
$2,884
Program service revenue
$30,733,081
Investment income
$100,261
Other revenue
$264,655
Total assets, end of year
$32,251,939
Total liabilities, end of year
$10,645,337
Net assets or fund balances, end of year
$21,606,602
Program services expenses (Part IX)
$26,126,060
Management and general expenses
$4,505,218
Fundraising expenses
$0
Program service expenses (Part III)
$26,126,060

Program services were 85.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $6,800,309

  • 1f · All other contributions, gifts and grants

    $82,659

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $30,733,081 · related or exempt $30,733,081

  • 3 · Investment income

    total $46,886 · excluded $46,886

  • 6a · Gross rents

    real property $173,700

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $173,700

  • 6d · Net rental income or loss

    total $173,700 · excluded $173,700

  • 7a · Gross sales of assets other than inventory

    securities $207,409

  • 7b · Less cost or other basis and sales expenses

    securities $154,034

  • 7c · Gain or loss

    securities $53,375

  • 7d · Net gain or loss

    total $53,375 · excluded $53,375

  • 11d · All other revenue

    total $90,955 · related or exempt $90,955

  • 11e · Other revenue, total

    $90,955

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,884 · program services $2,884

  • 7 · Other salaries and wages

    total $18,487,858 · program services $16,857,802 · management and general $1,630,056

  • 8 · Pension plan contributions

    total $549,628 · program services $501,168 · management and general $48,460

  • 9 · Other employee benefits

    total $2,068,131 · program services $1,938,803 · management and general $129,328

  • 10 · Payroll taxes

    total $841,276 · program services $774,801 · management and general $66,475

  • 11b · Fees: legal

    total $163,027 · program services $138,573 · management and general $24,454

  • 11d · Fees: lobbying

    total $8,857 · management and general $8,857

  • 11g · Fees: other

    total $2,841,814 · program services $1,477,743 · management and general $1,364,071

  • 12 · Advertising and promotion

    total $53,748 · program services $45,686 · management and general $8,062

  • 13 · Office expenses

    total $21,549 · program services $18,317 · management and general $3,232

  • 16 · Occupancy

    total $787,695 · program services $509,602 · management and general $278,093

  • 17 · Travel

    total $24,512 · program services $12,746 · management and general $11,766

  • 19 · Conferences, conventions and meetings

    total $1,071 · program services $910 · management and general $161

  • 20 · Interest

    total $99,250 · program services $51,610 · management and general $47,640

  • 22 · Depreciation, depletion and amortization

    total $986,546 · program services $466,636 · management and general $519,910

  • 23 · Insurance

    total $120,462 · program services $102,393 · management and general $18,069

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,287,620 · program services $1,995,039 · management and general $292,581

  • 24b · Other expenses: BAD DEBT

    total $920,532 · program services $920,532

  • 24c · Other expenses: TAXES AND ASSESSMENTS

    total $99,444 · program services $84,527 · management and general $14,917

  • 24e · All other expenses

    total $265,374 · program services $226,288 · management and general $39,086

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,301,311 · end of year $9,116,275

  • 2 · Savings and temporary cash investments

    end of year $4,310,300

  • 3 · Pledges and grants receivable

    beginning of year $2,245,504 · end of year $1,334,129

  • 4 · Accounts receivable

    beginning of year $7,357,325 · end of year $5,561,353

  • 8 · Inventories for sale or use

    beginning of year $434,370 · end of year $407,585

  • 9 · Prepaid expenses and deferred charges

    beginning of year $113,307 · end of year $318,288

  • 10a · Land, buildings and equipment: cost or other basis

    $13,352,895

  • 10b · Land, buildings and equipment: accumulated depreciation

    $6,099,049

  • 10c · Land, buildings and equipment, net

    beginning of year $7,273,464 · end of year $7,253,846

  • 12 · Investments: other securities

    beginning of year $880,578 · end of year $882,160

  • 15 · Other assets

    beginning of year $18,939,555 · end of year $3,068,003

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,544,503 · end of year $3,490,000

  • 19 · Deferred revenue

    beginning of year $231,073 · end of year $33,135

  • 24 · Unsecured notes and loans payable

    beginning of year $127,075 · end of year $60,131

  • 25 · Other liabilities

    beginning of year $23,411,860 · end of year $7,062,071

  • 27 · Net assets without donor restrictions

    beginning of year $12,703,520 · end of year $20,079,219

  • 28 · Net assets with donor restrictions

    beginning of year $1,527,383 · end of year $1,527,383

Mission and programs · 2023

Mission

OUR MISSION IS TO PROVIDE SKILLED, COMPASSIONATE, COST-EFFECTIVE CARE THAT PROMOTES WELLNESS AND MEETS THE COMMUNITY'S HEALTHCARE NEEDS.

  • GOUVERNEUR HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL FOUNDED IN 2013. WE ARE CERTIFIED FOR 25 BEDS AND OUR PRIMARY SERVICE AREAS INCLUDE THE FOLLOWING COMMUNITIES OF GOUVERNEUR, EDWARDS, RICHVILLE,HARRISVILLE, ANTWERP, DEKALB AND PARTS OF CANTON. OUR SERVICES INCLUDE INPATIENT DETOX, SUBSTANCE USE DISORDER, REHABILITATION, EMERGENCY CARE, IMAGING AND EKG'S, PHYSICAL THERAPY AND RESPIRATORY THERAPY. IN 2023, GOUVERNEUR HOSPITAL HAD 6,249 PATIENT DAYS AND 154 OBSERVATION CASES AND OUR EMERGENCY DEPARTMENT HAD 9,522 TREATED AND RELEASED. OUR PRIMARY CLINICS HAD 6,029 VISITS AND OUR SURGICAL ASC VISITS WERE 261.

    Expenses $26,126,060 · Grants $2,884 · Revenue $30,824,036

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • ANDREW LEONARD

    CHAIR OF THE BOARD

    Total calculated
    $0
    Hours/week
    1

  • CHRISTINE BETRUS

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MARK BRACKETT

    TREASURER/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ANGELA RODRIGUEZ

    ASSISTANT SECRETARY

    Total calculated
    $63,166
    From this org
    $0
    From related orgs
    $63,166
    Other
    $0
    Hours/week
    1 + 40 related

  • KELLY CICCHINELLI

    ASSISTANT TREASURER

    Total calculated
    $270,110
    From this org
    $0
    From related orgs
    $262,325
    Other
    $7,785
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $231,886 related
    Bonus
    $0 + $30,439 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,785 related
    Filer's total
    $0 + $270,110 related

  • RICHARD DAVIS PHD

    CEO

    Total calculated
    $3,137,090
    From this org
    $0
    From related orgs
    $3,082,209
    Other
    $54,881
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,672,483 related
    Bonus
    $0 + $1,409,726 related
    Other
    $0
    Deferred
    $0 + $46,168 related
    Nontaxable benefits
    $0 + $8,713 related
    Filer's total
    $0 + $3,137,090 related

  • ROGER COOK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KURT HALLIDAY PHD

    DIRECTOR

    Total calculated
    $51,003
    From this org
    $0
    From related orgs
    $51,003
    Other
    $0
    Hours/week
    1 + 40 related

  • CAROLYN PISTOLESI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RYAN SCHERMERHORN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • THEODORE TOTTEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ANDREW WILLIAMS MD

    DIRECTOR

    Total calculated
    $162,010
    From this org
    $0
    From related orgs
    $162,010
    Other
    $0
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $10 related
    Bonus
    $0 + $162,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $162,010 related

  • KATHERINE SCHLEIDER

    PRESIDENT, GH (INTERIM)

    Total calculated
    $480,829
    From this org
    $0
    From related orgs
    $471,303
    Other
    $9,526
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,802 related
    Bonus
    $0 + $115,501 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,526 related
    Filer's total
    $0 + $480,829 related

  • KIMBERLY SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PATRICK MCMANUS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • THOMAS CRILLY

    CFO

    Total calculated
    $1,579,020
    From this org
    $0
    From related orgs
    $1,424,419
    Other
    $154,601
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $696,555 related
    Bonus
    $0 + $726,450 related
    Other
    $0 + $1,414 related
    Deferred
    $0 + $145,610 related
    Nontaxable benefits
    $0 + $8,991 related
    Filer's total
    $0 + $1,579,020 related

  • HUGH THOMAS

    CAO

    Total calculated
    $1,739,491
    From this org
    $0
    From related orgs
    $1,730,390
    Other
    $9,101
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,323 related
    Bonus
    $0 + $474,557 related
    Other
    $0 + $788,510 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,101 related
    Filer's total
    $0 + $1,739,491 related

  • CHRISTIAN CASINI

    ASSISTANT SECRETARY

    Total calculated
    $371,721
    From this org
    $0
    From related orgs
    $337,568
    Other
    $34,153
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $321,343 related
    Bonus
    $0 + $16,225 related
    Other
    $0
    Deferred
    $0 + $30,027 related
    Nontaxable benefits
    $0 + $4,126 related
    Filer's total
    $0 + $371,721 related

  • JENNIFER ESLINGER

    COO

    Total calculated
    $1,305,382
    From this org
    $0
    From related orgs
    $1,294,014
    Other
    $11,368
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $748,219 related
    Bonus
    $0 + $545,795 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,368 related
    Filer's total
    $0 + $1,305,382 related

  • DONNA MCGREGOR

    PRESIDENT, SLH

    Total calculated
    $699,982
    From this org
    $0
    From related orgs
    $689,457
    Other
    $10,525
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $525,846 related
    Bonus
    $0 + $163,611 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,525 related
    Filer's total
    $0 + $699,982 related

  • DAVID LAYER

    PHYSICIAN

    Total calculated
    $660,361
    From this org
    $650,746
    From related orgs
    $0
    Other
    $9,615
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $585,967
    Bonus
    $64,779
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,615
    Filer's total
    $660,361

  • BRUCE GRATTAN

    PHYSICIAN

    Total calculated
    $583,245
    From this org
    $583,245
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $561,803
    Bonus
    $21,442
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $583,245

  • MATTHEW SKEA

    PHYSICIAN

    Total calculated
    $536,985
    From this org
    $534,636
    From related orgs
    $0
    Other
    $2,349
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $534,636
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $2,349
    Filer's total
    $536,985

  • LORRAINE NORRIS

    PHYSICIAN

    Total calculated
    $537,553
    From this org
    $529,027
    From related orgs
    $0
    Other
    $8,526
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $526,489
    Bonus
    $2,538
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $8,526
    Filer's total
    $537,553

  • JAHANGIR HOSSEN

    PHYSICIAN

    Total calculated
    $523,338
    From this org
    $519,973
    From related orgs
    $0
    Other
    $3,365
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $519,973
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $3,365
    Filer's total
    $523,338

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS SEEKS THE INPUT OF A CONSULTING FIRM WITH NATIONAL EXPERIENCE TO REVIEW THE COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AND THE REGULATORY COMPLIANCE ISSUES OF NOT-FOR-PROFITS. UPON THE FINDINGS OF THE CONSULTANT AND DELIBERATONS OF THE COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE.
PART I, LINES 4A-B
SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN 2023.
PART II, COLUMN C:
RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202403199349302695

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