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Nonprofit · EIN 46-4249555

GOUVERNEUR HOSPITAL

Tax-exempt · POTSDAM, NY 13676

Financials

$30.4M$29.6M2022$38M$30.6M2023$36M$34.7M2024
Revenue Expenses · by fiscal year end
Financials of GOUVERNEUR HOSPITAL by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
December 31, 2024990$36,021,916$34,666,503$1,355,413$31,323,692$8,292,612$23,031,080
December 31, 2023990$37,980,965$30,631,278$7,349,687$32,251,939$10,645,337$21,606,602
December 31, 2022990 (amended)$30,436,096$29,588,845$847,251$41,545,414$27,314,511$14,230,903
Financial details: 990 for the year ended December 31, 2024

Revenue

Contributions, gifts and grants
$2,169,028
of which government grants
$2,028,057
Program service revenue
$33,514,521
Investment income
$76,164
Net rental income
$173,700
Net gain from sales of assets
$26,376
Other revenue
$262,203

Expenses

Grants and similar amounts paid
$3,277
Compensation of officers, directors and key employees
$162,609
Other salaries and wages
$19,727,792
Salaries, compensation and benefits (total)
$24,731,086
Professional fundraising fees
$0
Legal fees
$30,040
Occupancy
$696,570
Travel
$33,346
Depreciation
$946,732
Program services (functional)
$29,210,258
Management and general (functional)
$5,456,245

Balance sheet and other

Total assets, start of year
$32,251,939
Total assets, end of year
$31,323,692
Total liabilities, end of year
$8,292,612
Net assets, end of year
$23,031,080
Land, buildings and equipment
$6,705,217
Net assets without donor restrictions
$21,503,697
Net assets with donor restrictions
$1,527,383
Gross receipts
$36,199,659
Employees
206
Volunteers
0
Year formed
2013
State of legal domicile
NY

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended December 31, 2024, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
RICHARD DAVIS PHDCEO
Trustee or director, Officer
1$71,822$3,878,411$62,775
THOMAS CRILLYCFO
Officer
1$29,664$1,601,845$84,625
JENNIFER ESLINGERCOO
Officer
1$27,416$1,480,448$40,526
HUGH THOMASFORMER CAO
Former
0$19,683$1,062,877$0
DONNA MCGREGORPRESIDENT, SLH
Officer
0$0$795,230$11,811
CHARLES WHIPPLEGENERAL COUNSEL
Officer
1$10,498$566,897$6,011
CHRISTIAN CASINIASSISTANT SECRETARY
Officer
0$0$385,121$34,369
KELLY CICCHINELLIASSISTANT TREASURER
Trustee or director, Officer
0$0$328,974$8,581
ANDREW WILLIAMS MDDIRECTOR
Trustee or director
1$0$198,449$0
CHRISTOPHER BRADLEYSUPERVISOR, PHARMACY OPERATIONS
Highest-paid employee
40$166,073$0$14,111
DOROTHY MAUNDANURSE PRACTITIONER
Highest-paid employee
40$163,747$0$0
KATHERINE SCHLEIDERFORMER PRESIDENT, GH (INTERIM)
Former
0$0$155,789$94
NICOLE COATESNURSE PRACTITIONER
Highest-paid employee
40$143,659$0$11,775
CORTNEY ROBINSONCLINICAL PHARMACIST
Highest-paid employee
40$141,028$0$9,231
JASON WHITERN
Highest-paid employee
40$141,528$0$5,000
9 more people on this return
NameTitleHours / weekCompensationFrom related orgs
ANGELA RODRIGUEZASSISTANT SECRETARY
Trustee or director, Officer
0$0$65,724
ANDREW LEONARDCHAIR OF THE BOARD
Trustee or director, Officer
1$0$0
CHRISTINE BETRUSVICE CHAIR
Trustee or director, Officer
1$0$0
MARK BRACKETTTREASURER/SECRETARY
Trustee or director, Officer
1$0$0
ROGER COOKVICE CHAIR
Trustee or director, Officer
1$0$0
RYAN SCHERMERHORNDIRECTOR
Trustee or director
1$0$0
THEODORE TOTTENDIRECTOR
Trustee or director
1$0$0
PATRICK MCMANUSDIRECTOR
Trustee or director
1$0$0
COURTNEY BATTISTA BISHDIRECTOR
Trustee or director
1$0$0
990 for the year ended December 31, 2023: 25 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
RICHARD DAVIS PHDCEO
Trustee or director, Officer
0$0$3,082,209$54,881
HUGH THOMASCAO
Officer
0$0$1,730,390$9,101
THOMAS CRILLYCFO
Officer
0$0$1,424,419$154,601
JENNIFER ESLINGERCOO
Officer
0$0$1,294,014$11,368
DONNA MCGREGORPRESIDENT, SLH
Officer
0$0$689,457$10,525
DAVID LAYERPHYSICIAN
Highest-paid employee
40$650,746$0$9,615
BRUCE GRATTANPHYSICIAN
Highest-paid employee
40$583,245$0$0
LORRAINE NORRISPHYSICIAN
Highest-paid employee
40$529,027$0$8,526
MATTHEW SKEAPHYSICIAN
Highest-paid employee
40$534,636$0$2,349
JAHANGIR HOSSENPHYSICIAN
Highest-paid employee
40$519,973$0$3,365
KATHERINE SCHLEIDERPRESIDENT, GH (INTERIM)
Trustee or director
1$0$471,303$9,526
CHRISTIAN CASINIASSISTANT SECRETARY
Officer
0$0$337,568$34,153
KELLY CICCHINELLIASSISTANT TREASURER
Trustee or director, Officer
1$0$262,325$7,785
ANDREW WILLIAMS MDDIRECTOR
Trustee or director
1$0$162,010$0
ANGELA RODRIGUEZASSISTANT SECRETARY
Trustee or director, Officer
1$0$63,166$0
KURT HALLIDAY PHDDIRECTOR
Trustee or director
1$0$51,003$0
ANDREW LEONARDCHAIR OF THE BOARD
Trustee or director, Officer
1$0$0$0
CHRISTINE BETRUSVICE CHAIR
Trustee or director, Officer
1$0$0$0
MARK BRACKETTTREASURER/SECRETARY
Trustee or director, Officer
1$0$0$0
ROGER COOKDIRECTOR
Trustee or director
1$0$0$0
CAROLYN PISTOLESIDIRECTOR
Trustee or director
1$0$0$0
RYAN SCHERMERHORNDIRECTOR
Trustee or director
1$0$0$0
THEODORE TOTTENDIRECTOR
Trustee or director
1$0$0$0
KIMBERLY SMITHDIRECTOR
Trustee or director
1$0$0$0
PATRICK MCMANUSDIRECTOR
Trustee or director
1$0$0$0
990 for the year ended December 31, 2022: 23 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
RICHARD DAVIS PHDCEO
Trustee or director, Officer
0$0$1,294,014$11,212
HUGH THOMASCAO
Officer
0$0$1,464,024-$194,485
THOMAS CRILLYCFO
Officer
0$0$1,333,009-$231,918
PEARL HERSHPHYSICIAN
Highest-paid employee
40$479,229$0$2,316
PAYAM HADIAN MDPHYSICIAN
Highest-paid employee
40$347,313$0$8,289
JEREMY J SLAGAPRESIDENT, GH, FORMER
Former
0$0$318,882$2,916
JOSEPH LAMBPHYSICIAN ASSISTANT
Highest-paid employee
40$226,918$0$2,349
KELLY CICCHINELLIASSISTANT TREASURER
Trustee or director, Officer
1$0$212,726$7,265
JOHN WELBORNNURSE PRACTITIONER
Highest-paid employee
40$178,611$0$6,715
REBECCA GILSONPHYSICIAN
Highest-paid employee
40$170,028$0$0
ERIC BURCHFORMER CEO, GOUVERNEUR HOSPITAL
Former
0$0$167,841$0
ANDREW WILLIAMS MDDIRECTOR
Trustee or director
1$0$162,030$0
KURT HALLIDAY PHDDIRECTOR
Trustee or director
1$0$50,312$0
ERIC BIEBERFORMER CEO
Former
0$0$47,360$294
ANDREW LEONARDCHAIR OF THE BOARD
Trustee or director, Officer
1$0$0$0
CHRISTINE BETRUSVICE CHAIR
Trustee or director, Officer
1$0$0$0
MARK BRACKETTTREASURER/SECRETARY
Trustee or director, Officer
1$0$0$0
KIMBERLY SMITHASSISTANT SECRETARY
Trustee or director, Officer
1$0$0$0
ROGER COOKDIRECTOR
Trustee or director
1$0$0$0
CAROLYN PISTOLESIDIRECTOR
Trustee or director
1$0$0$0
RYAN SCHERMERHORNDIRECTOR
Trustee or director
1$0$0$0
THEODORE TOTTENDIRECTOR
Trustee or director
1$0$0$0
KATHY SCHLEIDERPRESIDENT, GH (INTERIM)
Trustee or director
1$0$0$0

Address and contacts

Address (IRS master file)
50 LEROY ST, POTSDAM, NY 13676-1786
In care of
% RICHARD D JACOBS
Principal officer (990 for 2024)
DR RICHARD DAVIS, 100 KINGS HIGHWAY S, ROCHESTER, NY 14617
Signed the 990
THOMAS R CRILLY, CFO
Phone
(585) 922-1595
Return prepared by
BONADIO & CO LLP

Mission

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

990 for the year ended December 31, 2024

Program accomplishments

  • 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

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025December 31, 2025May 15, 2026Not on file
2024December 31, 2024May 15, 2025990 on file
2023December 31, 2023May 15, 2024990 on file

IRS record

EIN
46-4249555
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2014
Accounting year ends
December
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E20)
Assets (IRS master file)
$31,323,692
Income (IRS master file)
$36,199,659

Filing history

FormYear endedRevenueExpensesAssetsReturn
990December 2024$36,021,916$34,666,503$31,323,692XML
990December 2023$37,980,965$30,631,278$32,251,939XML
990December 2022$30,436,096$29,588,845$41,545,414XML
990December 2021–––IRS
990December 2020–––IRS
990December 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 46-4249555).

Questions about GOUVERNEUR HOSPITAL

What is the EIN of GOUVERNEUR HOSPITAL?
The employer identification number (EIN) of GOUVERNEUR HOSPITAL is 46-4249555.
Is GOUVERNEUR HOSPITAL tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2014.
Are donations to GOUVERNEUR HOSPITAL tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does GOUVERNEUR HOSPITAL file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of GOUVERNEUR HOSPITAL due?
The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did GOUVERNEUR HOSPITAL last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended December 2024.
Who is the principal officer of GOUVERNEUR HOSPITAL?
The 990 for the year ended December 31, 2024 names DR RICHARD DAVIS.
Who are the officers and directors of GOUVERNEUR HOSPITAL?
The 990 for the year ended December 31, 2024 lists 24 people; 10 received compensation from the organization, the highest $71,822 (RICHARD DAVIS PHD, CEO).
How much revenue does GOUVERNEUR HOSPITAL have?
On its 990 for the year ended December 31, 2024 it reported revenue of $36,021,916, expenses of $34,666,503 and total assets of $31,323,692 at year end.

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