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Nonprofiteer
← GOUVERNEUR HOSPITAL

Form 990 for tax year 2024

Filed by GOUVERNEUR HOSPITAL.

Totals

Total revenue
$36,021,916
Total expenses
$34,666,503
Contributions and grants received
$2,169,028
Grants paid
$3,277
Program service revenue
$33,514,521
Investment income
$76,164
Other revenue
$262,203
Total assets, end of year
$31,323,692
Total liabilities, end of year
$8,292,612
Net assets or fund balances, end of year
$23,031,080
Program services expenses (Part IX)
$29,210,258
Management and general expenses
$5,456,245
Fundraising expenses
$0
Program service expenses (Part III)
$29,210,258

Program services were 84.3% 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)

    $2,028,057

  • 1f · All other contributions, gifts and grants

    $140,971

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $33,514,521 · related or exempt $33,514,521

  • 3 · Investment income

    total $49,788 · excluded $49,788

  • 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 $204,119

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

    securities $177,743

  • 7c · Gain or loss

    securities $26,376

  • 7d · Net gain or loss

    total $26,376 · excluded $26,376

  • 11d · All other revenue

    total $88,503 · related or exempt $88,503

  • 11e · Other revenue, total

    $88,503

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,277 · program services $3,277

  • 5 · Compensation of officers, directors and key employees

    total $162,609 · program services $135,336 · management and general $27,273

  • 7 · Other salaries and wages

    total $19,727,792 · program services $18,248,718 · management and general $1,479,074

  • 8 · Pension plan contributions

    total $616,632 · program services $579,611 · management and general $37,021

  • 9 · Other employee benefits

    total $3,177,433 · program services $2,986,667 · management and general $190,766

  • 10 · Payroll taxes

    total $1,046,620 · program services $983,783 · management and general $62,837

  • 11b · Fees: legal

    total $30,040 · program services $15,782 · management and general $14,258

  • 11d · Fees: lobbying

    total $3,628 · management and general $3,628

  • 11g · Fees: other

    total $3,800,541 · program services $1,994,907 · management and general $1,805,634

  • 12 · Advertising and promotion

    total $63,479 · program services $33,349 · management and general $30,130

  • 13 · Office expenses

    total $276,899 · program services $217,703 · management and general $59,196

  • 16 · Occupancy

    total $696,570 · program services $365,946 · management and general $330,624

  • 17 · Travel

    total $33,346 · program services $26,217 · management and general $7,129

  • 19 · Conferences, conventions and meetings

    total $12,688 · program services $9,976 · management and general $2,712

  • 20 · Interest

    total $91,298 · program services $35,686 · management and general $55,612

  • 22 · Depreciation, depletion and amortization

    total $946,732 · program services $370,052 · management and general $576,680

  • 23 · Insurance

    total $156,140 · program services $122,760 · management and general $33,380

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,748,149 · program services $2,160,646 · management and general $587,503

  • 24b · Other expenses: BAD DEBT

    total $479,965 · program services $479,965

  • 24c · Other expenses: TAXES AND ASSESSMENTS

    total $124,162 · program services $97,618 · management and general $26,544

  • 24d · Other expenses: SHARED SERVICES

    total $100,000 · program services $52,535 · management and general $47,465

  • 24e · All other expenses

    total $368,503 · program services $289,724 · management and general $78,779

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $9,116,275 · end of year $9,536,343

  • 2 · Savings and temporary cash investments

    beginning of year $4,310,300 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $1,334,129 · end of year $2,750,260

  • 4 · Accounts receivable

    beginning of year $5,561,353 · end of year $2,748,614

  • 8 · Inventories for sale or use

    beginning of year $407,585 · end of year $329,921

  • 9 · Prepaid expenses and deferred charges

    beginning of year $318,288 · end of year $247,848

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

    $13,743,716

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

    $7,038,499

  • 10c · Land, buildings and equipment, net

    beginning of year $7,253,846 · end of year $6,705,217

  • 12 · Investments: other securities

    beginning of year $882,160 · end of year $3,396,998

  • 15 · Other assets

    beginning of year $3,068,003 · end of year $5,608,491

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,490,000 · end of year $3,419,384

  • 19 · Deferred revenue

    beginning of year $33,135 · end of year $80,533

  • 24 · Unsecured notes and loans payable

    beginning of year $60,131 · end of year $30,201

  • 25 · Other liabilities

    beginning of year $7,062,071 · end of year $4,762,494

  • 27 · Net assets without donor restrictions

    beginning of year $20,079,219 · end of year $21,503,697

  • 28 · Net assets with donor restrictions

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

Mission and programs · 2024

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 DETAX, SUBSTANCE USE DISORDER, REHABILITATION, EMERGENCY CARE, IMAGING AND EKG'S, PHYSICAL THERAPY AND RESPIRATORY THERAPY. IN 2024, GOUVERNEUR HOSPIAL HAD 5,717 PATIENT DAYS AND 232 OBSERVATION CASES AND OUR EMERGENCY DEPARTMENT HAD 9,698 TREATED & RELEASED. OUR PRIMARY CLINICS HAD 4,292 VISITS AND OUR SURGICAL ASC VISITS WERE 594.

    Expenses $29,210,258 · Grants $3,277 · Revenue $33,603,024

As filed on the 2024 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
    $65,724
    From this org
    $0
    From related orgs
    $65,724
    Other
    $0
    Hours/week
    0 + 40 related

  • Kelly Cicchinelli

    ASSISTANT TREASURER

    Total calculated
    $337,555
    From this org
    $0
    From related orgs
    $328,974
    Other
    $8,581
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,907 related
    Bonus
    $0 + $73,067 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,581 related
    Filer's total
    $0 + $337,555 related

  • Richard Davis PhD

    CEO

    Total calculated
    $4,013,008
    From this org
    $71,822
    From related orgs
    $3,878,411
    Other
    $62,775
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $32,777 + $1,769,984 related
    Bonus
    $39,045 + $2,108,427 related
    Other
    $0
    Deferred
    $973 + $52,521 related
    Nontaxable benefits
    $169 + $9,112 related
    Filer's total
    $72,964 + $3,940,044 related

  • Roger Cook

    VICE CHAIR

    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
    $198,449
    From this org
    $0
    From related orgs
    $198,449
    Other
    $0
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $179,757 related
    Bonus
    $0 + $18,692 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $198,449 related

  • Patrick McManus

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Courtney Battista Bish

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Thomas Crilly

    CFO

    Total calculated
    $1,716,134
    From this org
    $29,664
    From related orgs
    $1,601,845
    Other
    $84,625
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $14,425 + $778,970 related
    Bonus
    $15,208 + $821,211 related
    Other
    $31 + $1,664 related
    Deferred
    $1,367 + $73,811 related
    Nontaxable benefits
    $172 + $9,275 related
    Filer's total
    $31,203 + $1,684,931 related

  • Christian Casini

    ASSISTANT SECRETARY

    Total calculated
    $419,490
    From this org
    $0
    From related orgs
    $385,121
    Other
    $34,369
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $341,091 related
    Bonus
    $0 + $44,030 related
    Other
    $0
    Deferred
    $0 + $30,105 related
    Nontaxable benefits
    $0 + $4,264 related
    Filer's total
    $0 + $419,490 related

  • Jennifer Eslinger

    COO

    Total calculated
    $1,548,390
    From this org
    $27,416
    From related orgs
    $1,480,448
    Other
    $40,526
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $14,797 + $799,032 related
    Bonus
    $12,619 + $681,416 related
    Other
    $0
    Deferred
    $527 + $28,460 related
    Nontaxable benefits
    $210 + $11,329 related
    Filer's total
    $28,153 + $1,520,237 related

  • Donna McGregor

    PRESIDENT, SLH

    Total calculated
    $807,041
    From this org
    $0
    From related orgs
    $795,230
    Other
    $11,811
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,746 related
    Bonus
    $0 + $257,484 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,811 related
    Filer's total
    $0 + $807,041 related

  • Charles Whipple

    GENERAL COUNSEL

    Total calculated
    $583,406
    From this org
    $10,498
    From related orgs
    $566,897
    Other
    $6,011
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $7,771 + $419,624 related
    Bonus
    $2,727 + $147,273 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $109 + $5,902 related
    Filer's total
    $10,607 + $572,799 related

  • Dorothy Maunda

    NURSE PRACTITIONER

    Total calculated
    $163,747
    From this org
    $163,747
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $120,862
    Bonus
    $42,885
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $163,747

  • Nicole Coates

    NURSE PRACTITIONER

    Total calculated
    $155,434
    From this org
    $143,659
    From related orgs
    $0
    Other
    $11,775
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,659
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11,775
    Filer's total
    $155,434

  • Cortney Robinson

    CLINICAL PHARMACIST

    Total calculated
    $150,259
    From this org
    $141,028
    From related orgs
    $0
    Other
    $9,231
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,028
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,231
    Filer's total
    $150,259

  • Jason White

    RN

    Total calculated
    $146,528
    From this org
    $141,528
    From related orgs
    $0
    Other
    $5,000
    Hours/week
    40

  • Christopher Bradley

    SUPERVISOR, PHARMACY OPERATIONS

    Total calculated
    $180,184
    From this org
    $166,073
    From related orgs
    $0
    Other
    $14,111
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,073
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,111
    Filer's total
    $180,184

  • Katherine Schleider

    FORMER PRESIDENT, GH (INTERIM)

    Total calculated
    $155,883
    From this org
    $0
    From related orgs
    $155,789
    Other
    $94
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $45,927 related
    Bonus
    $0 + $109,862 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $94 related
    Filer's total
    $0 + $155,883 related

  • Hugh Thomas

    FORMER CAO

    Total calculated
    $1,082,560
    From this org
    $19,683
    From related orgs
    $1,062,877
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $19,683 + $1,062,877 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $19,683 + $1,062,877 related

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
COMPENSATION TO THE FORMER CHIEF ADMINISTRATIVE OFFICER INCLUDES PAYMENTS AGREED TO UPON SEPARATION FROM THE ORGANIZATION. SEVERANCE PAYMENTS CONTINUE TO BE MADE THROUGH EARLY 2025. THESE PAYMENTS HAVE NOT BEEN ACCRUED OR REPORTED AS OF DECEMBER 31, 2024. 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 2024.
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.

  • NW ASSOCIATES LP

    RELATED · R/E LEASING · NY · 73.61% owned

  • PARMA SENIOR HOUSING

    HILTON PROJ · NY

  • UNITY SENIOR HOUSING

    NY

Related corporations and trusts

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

  • ACM MEDICAL LABORATORY INC

    C · CLINICAL LAB · NY

    Directly controlled by PRH INC

  • GRACO RISK RETENTION GROUP INC

    C · INSURANCE · SC · 100% owned

    Directly controlled by RGH

  • GREATER ROCHESTER ASSURANCE COMPANY LTD

    C · INSURANCE · CJ · 100% owned

  • GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC

    C · INDEPENDENT PRACTICE ASSOCIATION · NY · 100% owned

    Directly controlled by ROCHESTER REGIONAL HEALTH

  • NWA INC

    C · R/E LEASING · NY · 100% owned

    Directly controlled by NWCH

  • PARMA SENIOR HOUSING LLC

    C · SENIOR HOUSING · NY

    Directly controlled by ROCHESTER REGIONAL HEALTH

  • PRH INC

    C · MEDICAL LAB · NY

    Directly controlled by ROCHESTER REGIONAL HEALTH

  • ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC

    C · DIALYSIS · NY · 100% owned

    Directly controlled by RGHS

  • UNITY HEALTH SYSTEM PURCHASING GROUP LLC

    C · SENIOR HOUSING · NY

    Directly controlled by ROCHESTER REGIONAL HEALTH

  • UNITY SENIOR HOUSING CORP

    C · SENIOR HOUSING · NY

    Directly controlled by ROCHESTER REGIONAL HEALTH

  • ENHANCED STAFFING SOLUTIONS LLC

    C · TEMPORARY STAFFING · NY · 100% owned

    Directly controlled by PRH INC

Provenance

Return type
form_990
Tax year
2024
Filed
11 November 2025
IRS schema version
2024v5.2
Source object
202513169349301971

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