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Nonprofiteer
← BLACK RIVER HEALTH INC

Form 990 for tax year 2023

Filed by BLACK RIVER HEALTH INC.

Totals

Total revenue
$74,614,346
Total expenses
$64,609,427
Contributions and grants received
$7,340,236
Grants paid
$5,000
Program service revenue
$65,639,252
Investment income
$1,618,356
Other revenue
$16,502
Total assets, end of year
$100,100,495
Total liabilities, end of year
$28,162,399
Net assets or fund balances, end of year
$71,938,096
Program services expenses (Part IX)
$45,923,188
Management and general expenses
$18,686,239
Fundraising expenses
$0
Program service expenses (Part III)
$45,923,188

Program services were 71.1% 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)

    $7,299,614

  • 1f · All other contributions, gifts and grants

    $40,622

  • 2a · Program service revenue: HOSPITAL PATIENT SERVICE REVENUE

    total $58,862,963 · related or exempt $58,862,963

  • 2b · Program service revenue: CLINIC REVENUE

    total $3,315,509 · related or exempt $3,315,509

  • 2c · Program service revenue: INFUSION REVENUE

    total $1,136,980 · related or exempt $1,136,980

  • 2d · Program service revenue: HOMECARE PATIENT REVENUE

    total $1,095,507 · related or exempt $1,095,507

  • 2e · Program service revenue: HOSPICE PATIENT REVENUE

    total $216,736 · related or exempt $216,736

  • 2f · All other program service revenue

    total $1,011,557 · related or exempt $844,992 · unrelated business $10,024 · excluded $156,541

  • 3 · Investment income

    total $1,827,849 · excluded $1,827,849

  • 6a · Gross rents

    real property $39,400

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $39,400

  • 6d · Net rental income or loss

    total $39,400 · excluded $39,400

  • 7a · Gross sales of assets other than inventory

    securities $948,231 · other assets $818,722

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

    securities $1,240,047 · other assets $736,399

  • 7c · Gain or loss

    securities -$291,816 · other assets $82,323

  • 7d · Net gain or loss

    total -$209,493 · excluded -$209,493

  • 11d · All other revenue

    total -$22,898 · excluded -$22,898

  • 11e · Other revenue, total

    -$22,898

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $5,000 · program services $5,000

  • 5 · Compensation of officers, directors and key employees

    total $1,214,239 · management and general $1,214,239

  • 7 · Other salaries and wages

    total $24,925,002 · program services $19,973,218 · management and general $4,951,784

  • 8 · Pension plan contributions

    total $786,467 · program services $647,058 · management and general $139,409

  • 9 · Other employee benefits

    total $5,970,771 · program services $4,648,982 · management and general $1,321,789

  • 10 · Payroll taxes

    total $1,789,727 · program services $1,371,090 · management and general $418,637

  • 11b · Fees: legal

    total $364,583 · management and general $364,583

  • 11d · Fees: lobbying

    total $7,168 · management and general $7,168

  • 11f · Fees: investment management

    total $56,242 · management and general $56,242

  • 11g · Fees: other

    total $11,329,823 · program services $5,314,139 · management and general $6,015,684

  • 12 · Advertising and promotion

    total $287,011 · management and general $287,011

  • 13 · Office expenses

    total $736,718 · program services $262,591 · management and general $474,127

  • 14 · Information technology

    total $1,785,140 · program services $78 · management and general $1,785,062

  • 16 · Occupancy

    total $556,064 · program services $534,553 · management and general $21,511

  • 17 · Travel

    total $128,601 · program services $85,286 · management and general $43,315

  • 20 · Interest

    total $685,902 · program services $509,607 · management and general $176,295

  • 22 · Depreciation, depletion and amortization

    total $3,147,969 · program services $2,338,857 · management and general $809,112

  • 23 · Insurance

    total $216,000 · management and general $216,000

  • 24a · Other expenses: MEDICAL SUPPLIES AND PH

    total $5,495,370 · program services $5,481,444 · management and general $13,926

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $3,243,553 · program services $3,243,553

  • 24c · Other expenses: EQUIPMENT RENTAL & MAIN

    total $646,680 · program services $610,152 · management and general $36,528

  • 24d · Other expenses: FOOD EXPENSE

    total $402,481 · program services $402,481

  • 24e · All other expenses

    total $828,916 · program services $495,099 · management and general $333,817

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $808,821

  • 2 · Savings and temporary cash investments

    beginning of year $20,508,911 · end of year $9,944,278

  • 4 · Accounts receivable

    beginning of year $10,785,924 · end of year $10,637,367

  • 8 · Inventories for sale or use

    beginning of year $856,802 · end of year $1,030,127

  • 9 · Prepaid expenses and deferred charges

    beginning of year $461,382 · end of year $403,628

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

    $71,296,893

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

    $44,961,170

  • 10c · Land, buildings and equipment, net

    beginning of year $28,861,865 · end of year $26,335,723

  • 11 · Investments: publicly traded securities

    beginning of year $24,880,040 · end of year $47,272,773

  • 15 · Other assets

    beginning of year $3,398,865 · end of year $3,667,778

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,596,089 · end of year $5,207,643

  • 19 · Deferred revenue

    beginning of year $223,909 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $20,422,740 · end of year $19,458,800

  • 25 · Other liabilities

    beginning of year $3,501,041 · end of year $3,495,956

  • 27 · Net assets without donor restrictions

    beginning of year $59,989,247 · end of year $71,938,096

  • 28 · Net assets with donor restrictions

    beginning of year $20,763 · end of year $0

Mission and programs · 2023

Mission

BLACK RIVER MEMORIAL HOSPITAL, INC.'S MISSION IS TO HELP PATIENT'S IMPROVE THEIR LIVES THROUGH COMPASSIONATE, COMMUNITY-BASED CARE.

Activities or mission (Part I)

TO HELP PATIENT'S IMPROVE THEIR LIVES THROUGH COMPASSIONATE, COMMUNITY-BASED CARE.

  • BLACK RIVER MEMORIAL HOSPITAL, INC. PROVIDES HIGH-QUALITY, COST-EFFECTIVE, PRIMARY, AND MENTAL HEALTH CARE TO ALL PEOPLE IN NEED OF CARE. AMONG THE INPATIENT AND OUTPATIENT SERVICES PROVIDED ARE DIAGNOSTIC IMAGING, REHABILITATION SERVICES, RESPIRATORY CARE, SURGICAL SERVICES, INFUSION THERAPY, LAB SERVICES, PHARMACY SERVICES, 24-HOUR EMERGENCY ROOM AND MANY OTHERS. IN 2023, THE HOSPITAL PROVIDED 3,594 INPATIENT DAYS OF CARE TO ADULTS, PEDIATRICS, SWING BED, AND NURSERY INPATIENTS AS WELL AS 10,254 EMERGENCY ROOM AND 32,175 OUTPATIENT SERVICES TO THOSE IN NEED OF CARE. THE HOSPITAL ALSO SERVES AS A VITAL LINK TO THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT MEET IDENTIFIED NEEDS IN AN EFFORT TO ENHANCE THE HEALTH AND WELFARE OF THE PEOPLE IN ITS AREA. IN ITS EFFORT TO ATTAIN THIS GOAL THE HOSPITAL PROVIDES:-FREE AND REDUCED-COST CARE TO THOSE WITH A DEMONSTRATED NEED-CARE TO THOSE COVERED UNDER GOVERNMENT ENTITLEMENT PROGRAMS WHICH MAY NOT COVER THE CHARGES OR COST OF SERVICES PROVIDED-HEALTH EDUCATION AND OUTREACH PROGRAMS TO ALL MEMBERS OF THE COMMUNITY AT LITTLE OR NO COST TO THE PARTICIPANTSCHARITY CARE GIVEN TO PERSONS UTILIZING OUR HOSPITAL AMOUNTED TO A TOTAL OF $471,715 IN TOTAL CHARGES. IN ADDITION, WE FURNISH CARE TO PERSONS COVERED UNDER GOVERNMENT ENTITLEMENT PROGRAMS WHICH PAY AT RATES LESS THAN CHARGES. DISCOUNTS TO THESE PROGRAMS FOR HOSPITAL SERVICES AMOUNTED TO $17,109,974.BLACK RIVER MEMORIAL HOSPITAL, INC. ALSO CONDUCTED NUMEROUS EDUCATIONAL AND SUPPORTIVE ACTIVITIES TO ENCOURAGE THE GOOD HEALTH AND WELFARE OF THE MEMBERS OF THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE:-FACILITIES FOR MEETINGS AND SUPPORT PERSONNEL, INCLUDING LEADERSHIP FOR A GRIEF SUPPORT GROUP AND THE PERS-DISCONTINUED 2023 (A PERSONAL EMERGENCY RESPONSE SYSTEM AVAILABLE AT NOMINAL COSTS TO AREA RESIDENTS), DIABETES EDUCATION GROUP AND A NEWLY FORMED CANCER SUPPORT GROUP.-PROVIDING ASSISTANCE TO HEALTH EDUCATORS BY SPONSORING INTERNSHIPS FOR STUDENT NURSES, RADIOLOGICAL, REHABILITATION, AND LABORATORY TECHNICIAN STUDENTS.-PROVIDING CHILDBIRTH EDUCATIONAL CLASSES-PROVIDING LEADERSHIP TO STATE AND REGION-WIDE HEALTH ORGANIZATIONS INCLUDING THE WISCONSIN HOSPITAL ASSOCIATION, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, NURSE EXECUTIVES, HEALTH EDUCATORS, PERINATAL CARE ASSOCIATION AND THE WISCONSIN HEALTHCARE PUBLIC RELATIONS AND MARKETING SOCIETY TO FURTHER HEALTHCARE GOALS OUTSIDE OF OUR DIRECT SERVICE AREA.OTHER SERVICES WE PROVIDE INCLUDE GRIEF SUPPORT GROUP. COALITIONS WE SUPPORT ARE: BREASTFEEDING COALITION, BLACK RIVER AREA SAFETY COUNCIL, TOGETHER FOR JACKSON COUNTY KIDS, AND JACKSON IN ACTION. BLACK RIVER MEMORIAL HOSPITAL'S WOUND CARE CENTER BEGAN PROVIDING SERVICES TO THE COMMUNITY MAY 2021 AND PERFORMED 5,941 OUTPATIENT PROCEDURES IN 2023.

    Expenses $43,516,388 · Grants $5,000 · Revenue $58,706,422

  • BLACK RIVER HEALTHCARE CLINIC OPENED TO BRMH EMPLOYEES IN JUNE AND THE GENERAL PUBLIC IN JULY 2020. BLACK RIVER HEALTHCARE CLINIC IS AN INTEGRATED CLINIC OFFERING BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES. IN 2023, BEHAVIORAL HEALTH VISITS WERE 2,354 AND PRIMARY CARE VISITS WERE 5,861.

    Expenses $1,735,579 · Revenue $3,315,509

  • OTHER HOME-BASED SERVICES OFFERED INCLUDE BLACK RIVER MEMORIAL HOSPITAL'S HOMECARE AND HOSPICE PROGRAMS THAT PROVIDE COMPREHENSIVE HEALTHCARE SERVICES IN THE MOST COMFORTABLE SETTING-THE PATIENT'S HOME. THESE SERVICES WERE DISCONTINUED IN MAY 2023.

    Expenses $362,528 · Revenue $216,736

  • BLACK RIVER MEMORIAL HOSPITAL'S INFUSION CENTER BEGAN PROVIDING SERVICES TO THE COMMUNITY IN AUGUST 2021 WHICH INCLUDE INTRODUCING CHEMOTHERAPY TO OUR SERVICE MIX FOR THE FIRST TIME. INFUSION VISITS IN 2023 WERE 1,410.

    Expenses $257,686 · Revenue $1,136,980

  • HOME-BASED SERVICES:BLACK RIVER MEMORIAL HOSPITAL'S HOME-BASED SERVICES GIVE PATIENTS WITH LIFE-LIMITING OR TERMINAL ILLNESSES THE OPPORTUNITY TO LIVE WITH DIGNITY DURING THE LAST STAGE OF THEIR LIFE. HOSPICE SERVICES WERE DISCONTINUED IN MAY 2023.

    Expenses $51,007 · Revenue $64,054

  • OTHER PROGRAMS.

    Revenue $2,032,986

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

Listed in Part VII

  • DR CAROL MARTIN

    CHIEF OF STAFF/DIRECTOR

    Total calculated
    $472,698
    From this org
    $402,550
    From related orgs
    $0
    Other
    $70,148
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $399,502
    Bonus
    $1,500
    Other
    $1,548
    Deferred
    $19,800
    Nontaxable benefits
    $50,348
    Filer's total
    $472,698

  • ALEX BRADLEY CHOWN

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    5

  • MICHELE SEVERSON

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    4

  • MICHELLE GREENDEER-RAVE

    TREASURER

    Total calculated
    $0
    Hours/week
    4

  • WALLACE APLAND III

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • CHRISTINE HOVELL

    DIRECTOR (THRU 10/2023)

    Total calculated
    $0
    Hours/week
    4

  • TIMOTHY KUNES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • KATHERINE POTTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • TIMOTHY TRANBERG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • DR THOMAS WALKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • HOLLY WINN

    CFO

    Total calculated
    $365,787
    From this org
    $304,702
    From related orgs
    $0
    Other
    $61,085
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,154
    Bonus
    $0
    Other
    $1,548
    Deferred
    $18,558
    Nontaxable benefits
    $42,527
    Filer's total
    $365,787

  • CARL SELVICK

    CEO

    Total calculated
    $375,754
    From this org
    $351,138
    From related orgs
    $0
    Other
    $24,616
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $347,617
    Bonus
    $0
    Other
    $3,521
    Deferred
    $19,800
    Nontaxable benefits
    $4,816
    Filer's total
    $375,754

  • ESTEBAN MILLER MD

    CMO

    Total calculated
    $460,364
    From this org
    $388,736
    From related orgs
    $0
    Other
    $71,628
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $386,408
    Bonus
    $1,500
    Other
    $828
    Deferred
    $19,800
    Nontaxable benefits
    $51,828
    Filer's total
    $460,364

  • SMITA RAJASEKARAN MD

    PHYSICIAN

    Total calculated
    $430,918
    From this org
    $364,255
    From related orgs
    $0
    Other
    $66,663
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $362,177
    Bonus
    $1,250
    Other
    $828
    Deferred
    $17,500
    Nontaxable benefits
    $49,163
    Filer's total
    $430,918

  • JOSEPH AHN DR

    PHYSICIAN

    Total calculated
    $434,334
    From this org
    $371,607
    From related orgs
    $0
    Other
    $62,727
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $371,247
    Bonus
    $0
    Other
    $360
    Deferred
    $19,800
    Nontaxable benefits
    $42,927
    Filer's total
    $434,334

  • CASEY TOTTEN MD

    PHYSICIAN

    Total calculated
    $409,161
    From this org
    $366,363
    From related orgs
    $0
    Other
    $42,798
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $366,039
    Bonus
    $0
    Other
    $324
    Deferred
    $19,800
    Nontaxable benefits
    $22,998
    Filer's total
    $409,161

  • RICHARD MINNIHAN MD

    PHYSICIAN

    Total calculated
    $352,521
    From this org
    $300,466
    From related orgs
    $0
    Other
    $52,055
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $299,926
    Bonus
    $0
    Other
    $540
    Deferred
    $0
    Nontaxable benefits
    $52,055
    Filer's total
    $352,521

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 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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

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.

Provenance

Return type
form_990
Tax year
2023
Filed
20 August 2024
IRS schema version
2023v5.1
Source object
202412399349300311

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