Threatened with closure of the hospital in 2000, a group of concerned citizens formed a task force to appeal to the New York State Department of Health to become an independent institution. Through their efforts, the hospital is 'reborn' as an independent facility and named "River Hospital" on April 15, 2003. In the years that followed the opening of River Hospital in April 2003, until the conclusion of the 2006 fiscal year in December 2006, River Hospital was confronted with many challenges as a start-up operation. There were many obstacles to overcome in establishing services in the area such as attracting staff, and physicians, and assuring the community that River Hospital was a viable entity. Fortunately, there was tremendous community support for River Hospital including significant philanthropy which was of great assistance to River Hospital in navigating the difficulties in establishing financial viability.