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Nonprofiteer
← BLACK RIVER HEALTH INC

Form 990 for tax year 2022

Filed by BLACK RIVER HEALTH INC.

Totals

Total revenue
$63,728,834
Total expenses
$65,378,612
Contributions and grants received
$16,291
Grants paid
$4,000
Program service revenue
$62,950,055
Investment income
$726,789
Other revenue
$35,699
Total assets, end of year
$89,753,789
Total liabilities, end of year
$29,743,779
Net assets or fund balances, end of year
$60,010,010
Program services expenses (Part IX)
$49,589,132
Management and general expenses
$15,789,480
Fundraising expenses
$0
Program service expenses (Part III)
$49,589,132

Program services were 75.8% 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.

  • 1f · All other contributions, gifts and grants

    $16,291

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

    total $54,645,431 · related or exempt $54,645,431

  • 2b · Program service revenue: CLINIC REVENUE

    total $2,956,529 · related or exempt $2,956,529

  • 2c · Program service revenue: HOSPICE PATIENT REVENUE

    total $1,161,790 · related or exempt $1,161,790

  • 2d · Program service revenue: HOMECARE PATIENT REVENUE

    total $1,104,111 · related or exempt $1,104,111

  • 2f · All other program service revenue

    total $3,082,194 · related or exempt $1,935,611 · unrelated business $12,635 · excluded $1,133,948

  • 3 · Investment income

    total $645,872 · excluded $645,872

  • 6a · Gross rents

    real property $30,972

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $30,972

  • 6d · Net rental income or loss

    total $30,972 · excluded $30,972

  • 7a · Gross sales of assets other than inventory

    securities $154,766 · other assets $246,486

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

    securities $102,788 · other assets $217,547

  • 7c · Gain or loss

    securities $51,978 · other assets $28,939

  • 7d · Net gain or loss

    total $80,917 · excluded $80,917

  • 10a · Gross sales of inventory

    $21,821

  • 10b · Cost of goods sold

    $9,327

  • 10c · Net income from sales of inventory

    total $12,494 · excluded $12,494

  • 11d · All other revenue

    total -$7,767 · unrelated business -$7,767

  • 11e · Other revenue, total

    -$7,767

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $4,000 · program services $4,000

  • 5 · Compensation of officers, directors and key employees

    total $1,519,830 · management and general $1,519,830

  • 7 · Other salaries and wages

    total $24,469,245 · program services $20,502,876 · management and general $3,966,369

  • 8 · Pension plan contributions

    total $1,287,247 · program services $1,070,222 · management and general $217,025

  • 9 · Other employee benefits

    total $7,914,076 · program services $6,373,549 · management and general $1,540,527

  • 10 · Payroll taxes

    total $1,757,522 · program services $1,389,079 · management and general $368,443

  • 11c · Fees: accounting

    total $148,189 · management and general $148,189

  • 11f · Fees: investment management

    total $116,533 · management and general $116,533

  • 11g · Fees: other

    total $10,406,819 · program services $6,691,163 · management and general $3,715,656

  • 12 · Advertising and promotion

    total $457,427 · management and general $457,427

  • 13 · Office expenses

    total $766,526 · program services $210,084 · management and general $556,442

  • 14 · Information technology

    total $1,627,394 · program services $4,734 · management and general $1,622,660

  • 16 · Occupancy

    total $667,314 · program services $652,323 · management and general $14,991

  • 17 · Travel

    total $148,995 · program services $127,500 · management and general $21,495

  • 19 · Conferences, conventions and meetings

    total $718,970 · program services $534,176 · management and general $184,794

  • 22 · Depreciation, depletion and amortization

    total $3,420,428 · program services $2,541,287 · management and general $879,141

  • 23 · Insurance

    total $227,131 · management and general $227,131

  • 24a · Other expenses: MEDICAL SUPPLIES AND PH

    total $5,256,577 · program services $5,216,686 · management and general $39,891

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $2,789,300 · program services $2,789,300

  • 24c · Other expenses: EQUIPMENT RENTAL & MAIN

    total $515,142 · program services $514,002 · management and general $1,140

  • 24d · Other expenses: FOOD EXPENSE

    total $378,266 · program services $378,266

  • 24e · All other expenses

    total $781,681 · program services $589,885 · management and general $191,796

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $31,826 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $20,433,914 · end of year $20,508,911

  • 4 · Accounts receivable

    beginning of year $11,613,975 · end of year $10,785,924

  • 8 · Inventories for sale or use

    beginning of year $734,223 · end of year $856,802

  • 9 · Prepaid expenses and deferred charges

    beginning of year $514,905 · end of year $461,382

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

    $71,323,429

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

    $42,461,564

  • 10c · Land, buildings and equipment, net

    beginning of year $31,349,193 · end of year $28,861,865

  • 11 · Investments: publicly traded securities

    beginning of year $28,191,990 · end of year $24,880,040

  • 15 · Other assets

    beginning of year $3,335,614 · end of year $3,398,865

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,951,141 · end of year $5,596,089

  • 19 · Deferred revenue

    beginning of year $1,046,261 · end of year $223,909

  • 20 · Tax-exempt bond liabilities

    beginning of year $21,354,401 · end of year $20,422,740

  • 23 · Secured mortgages and notes payable

    beginning of year $140,239 · end of year $0

  • 25 · Other liabilities

    beginning of year $3,216,599 · end of year $3,501,041

  • 27 · Net assets without donor restrictions

    beginning of year $65,466,335 · end of year $59,989,247

  • 28 · Net assets with donor restrictions

    beginning of year $30,664 · end of year $20,763

Mission and programs · 2022

Mission

IN THE SPIRIT OF "EXCELLENCE ALWAYS," 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)

IN THE SPIRIT OF "EXCELLENCE ALWAYS," BLACK RIVER MEMORIAL HOSPITAL, INC.'S MISSION IS TO: PROVIDE HIGH QUALITY, ACCESSIBLE, PROGRESSIVE HEALTH CARE; CONNECT PATIENTS WITH VALUED HEALTH CARE PROVIDERS AND SERVICES; ENHANCE THE HEALTH AND WELLBEING OF ALL PEOPLE WE SERVE; REMAIN FISCALLY VIABLE TO REINVEST IN THE COMMUNITY'S FUTURE HEALTH CARE NEEDS.THE VISION OF BLACK RIVER MEMORIAL HOSPITAL IS TO BE THE HEALTH CARE PROVIDER AND EMPLOYER OF CHOICE IN JACKSON COUNTY AND THE SURROUNDING COUNTIES.

  • 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, CARDIAC MONITORED CARE, LAB SERVICES, PHARMACY SERVICES, 24-HOUR EMERGENCY ROOM, POISON CONTROL, AND MANY OTHERS. IN 2022, THE HOSPITAL PROVIDED 3,717 INPATIENT DAYS OF CARE TO ADULTS, PEDIATRICS, SWING BED, AND NURSERY INPATIENTS AS WELL AS 9,849 EMERGENCY ROOM/URGENT CARE 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 $974,798 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 $9,934,674BLACK 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 (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 CHILD BIRTH EDUCATIONAL CLASSES, THE SUMMER ATHLETIC ENHANCEMENT PROGRAM DESIGNED TO EDUCATE ATHLETICS ON PROPER TRAINING AND PREPARATION FOR SPORTS.-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, JACKSON IN ACTION, AND WELLNESS PROGRAMMING FOR AREA BUSINESSES. BLACK RIVER MEMORIAL HOSPITAL'S WOUND CARE CENTER BEGAN PROVIDING SERVICES TO THE COMMUNITY MAY 2021 AND PERFORMED 4,731 OUTPATIENT PROCEDURES IN 2022.

    Expenses $45,399,598 · Grants $4,000 · Revenue $53,511,483

  • 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 2022, BEHAVIORAL HEALTH VISITS WERE 2,354 AND PRIMARY CARE VISITS WERE 5,841.

    Expenses $1,894,725 · Revenue $2,956,529

  • 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. IN 2022, THERE WERE 2,505 TOTAL HOMECARE VISITS PROVIDED TO PATIENTS CONSISTING OF SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, HOME HEALTH AIDE, AND MEDICAL SOCIAL SERVICE HEALTHCARE SERVICES PROVIDED TO PATIENTS IN THEIR HOMES.

    Expenses $1,536,561 · Revenue $1,161,790

  • 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. TOTAL HOSPICE DAYS OF SERVICE PROVIDED TO PATIENTS IN 2022 WERE 5,465.

    Expenses $494,293 · Revenue $1,104,111

  • 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.

    Expenses $263,947 · Revenue $1,123,274

  • OTHER PROGRAMS

    Expenses $8 · Revenue $1,946,285

As filed on the 2022 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
    $467,327
    From this org
    $402,941
    From related orgs
    $0
    Other
    $64,386
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $401,393
    Bonus
    $0
    Other
    $1,548
    Deferred
    $18,300
    Nontaxable benefits
    $46,086
    Filer's total
    $467,327

  • ESTEBAN MILLER MD

    CMO

    Total calculated
    $446,026
    From this org
    $382,758
    From related orgs
    $0
    Other
    $63,268
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $382,218
    Bonus
    $0
    Other
    $540
    Deferred
    $16,000
    Nontaxable benefits
    $47,268
    Filer's total
    $446,026

  • SMITA RAJASEKARAN MD

    PHYSICIAN

    Total calculated
    $426,958
    From this org
    $364,655
    From related orgs
    $0
    Other
    $62,303
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $363,827
    Bonus
    $0
    Other
    $828
    Deferred
    $17,500
    Nontaxable benefits
    $44,803
    Filer's total
    $426,958

  • JOSEPH AHN DR

    PHYSICIAN

    Total calculated
    $392,808
    From this org
    $335,276
    From related orgs
    $0
    Other
    $57,532
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $334,916
    Bonus
    $0
    Other
    $360
    Deferred
    $18,300
    Nontaxable benefits
    $39,232
    Filer's total
    $392,808

  • DR BRAXTON FRITZ

    PHYSICIAN

    Total calculated
    $364,697
    From this org
    $303,366
    From related orgs
    $0
    Other
    $61,331
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,042
    Bonus
    $0
    Other
    $324
    Deferred
    $18,300
    Nontaxable benefits
    $43,031
    Filer's total
    $364,697

  • RICHARD MINNIHAN MD

    PHYSICIAN

    Total calculated
    $361,763
    From this org
    $299,260
    From related orgs
    $0
    Other
    $62,503
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $298,719
    Bonus
    $0
    Other
    $541
    Deferred
    $18,300
    Nontaxable benefits
    $44,203
    Filer's total
    $361,763

  • HOLLY WINN

    CFO

    Total calculated
    $340,793
    From this org
    $283,985
    From related orgs
    $0
    Other
    $56,808
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $277,272
    Bonus
    $0
    Other
    $6,713
    Deferred
    $17,326
    Nontaxable benefits
    $39,482
    Filer's total
    $340,793

  • MARY BETH WHITE-JACOBS

    CEO (SECRETARY) (THRU JULY)

    Total calculated
    $264,293
    From this org
    $228,339
    From related orgs
    $0
    Other
    $35,954
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,302
    Bonus
    $0
    Other
    $51,037
    Deferred
    $12,923
    Nontaxable benefits
    $23,031
    Filer's total
    $264,293

  • KYLE KOVACEVICH

    CFO

    Total calculated
    $261,086
    From this org
    $213,975
    From related orgs
    $0
    Other
    $47,111
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,732
    Bonus
    $0
    Other
    $34,243
    Deferred
    $8,027
    Nontaxable benefits
    $39,084
    Filer's total
    $261,086

  • CARL SELVICK

    CEO

    Total calculated
    $186,331
    From this org
    $173,737
    From related orgs
    $0
    Other
    $12,594
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,799
    Bonus
    $0
    Other
    $9,938
    Deferred
    $10,267
    Nontaxable benefits
    $2,327
    Filer's total
    $186,331

  • ALEX BRADLEY CHOWN

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    5

  • JOHN DRACE

    VICE CHAIRPERSON (THRU JUNE)

    Total calculated
    $0
    Hours/week
    4

  • MICHELE SEVERSON

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    4

  • MICHELLE GREENDEER-RAVE

    TREASURER

    Total calculated
    $0
    Hours/week
    4

  • CHRISTINE HOVELL

    DIRECTOR

    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

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
2022
Filed
5 November 2023
IRS schema version
2022v5.0
Source object
202313119349301401

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