Form 990 for tax year 2022

Filed by BLACK RIVER HEALTH SERVICES INC.

Totals

Total revenue: $6,914,718
Total expenses: $5,234,438
Contributions and grants received: $2,164,886
Grants paid: $0
Program service revenue: $2,870,104
Investment income: $25,024
Other revenue: $1,854,704
Total assets, end of year: $6,144,127
Total liabilities, end of year: $691,250
Net assets or fund balances, end of year: $5,452,877
Program services expenses (Part IX): $4,919,433
Management and general expenses: $315,005
Fundraising expenses: $0
Program service expenses (Part III): $4,919,433

Program services were 94.0% 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)

$2,067,428
1f · All other contributions, gifts and grants

$97,458
2a · Program service revenue: PATIENT FEES

total $2,870,104 · related or exempt $2,870,104
3 · Investment income

total $21,308 · excluded $21,308
7a · Gross sales of assets other than inventory

securities $3,716
7b · Less cost or other basis and sales expenses

securities $0
7c · Gain or loss

securities $3,716
7d · Net gain or loss

total $3,716 · related or exempt $3,716
10a · Gross sales of inventory

$3,861,251
10b · Cost of goods sold

$2,006,949
10c · Net income from sales of inventory

total $1,854,302 · related or exempt $1,854,302
11a · Other revenue: MISCELLANEOUS INCOME

total $402 · related or exempt $402
11e · Other revenue, total

$402

Functional expenses

Part IX, the statement of functional expenses.

5 · Compensation of officers, directors and key employees

total $270,371 · program services $255,012 · management and general $15,359
7 · Other salaries and wages

total $2,795,739 · program services $2,636,925 · management and general $158,814
9 · Other employee benefits

total $383,374 · program services $361,596 · management and general $21,778
10 · Payroll taxes

total $219,849 · program services $207,360 · management and general $12,489
11g · Fees: other

total $694,351 · program services $587,786 · management and general $106,565
13 · Office expenses

total $155,645 · program services $155,645
16 · Occupancy

total $294,955 · program services $294,955
20 · Interest

total $25,598 · program services $25,598
22 · Depreciation, depletion and amortization

total $124,773 · program services $124,773
23 · Insurance

total $52,178 · program services $52,178
24a · Other expenses: MEDICAL & LAB SUPPLIES

total $186,868 · program services $186,868
24b · Other expenses: TRAINING

total $30,737 · program services $30,737

Balance sheet

Part X, book values.

1 · Cash, non-interest-bearing

beginning of year $2,086,164 · end of year $1,087,382
2 · Savings and temporary cash investments

beginning of year $420,075 · end of year $1,606,378
3 · Pledges and grants receivable

end of year $342,222
4 · Accounts receivable

beginning of year $567,916 · end of year $444,589
8 · Inventories for sale or use

beginning of year $135,631 · end of year $350,033
9 · Prepaid expenses and deferred charges

beginning of year $10,209 · end of year $58,584
10a · Land, buildings and equipment: cost or other basis

$3,305,437
10b · Land, buildings and equipment: accumulated depreciation

$2,083,773
10c · Land, buildings and equipment, net

beginning of year $1,100,123 · end of year $1,221,664
12 · Investments: other securities

end of year $965,243
14 · Intangible assets

beginning of year $1,777 · end of year $1,359
15 · Other assets

beginning of year $0 · end of year $66,673
17 · Accounts payable and accrued expenses

beginning of year $453,109 · end of year $532,205
18 · Grants payable

end of year $16,993
23 · Secured mortgages and notes payable

beginning of year $96,189 · end of year $75,379
25 · Other liabilities

beginning of year $0 · end of year $66,673
27 · Net assets without donor restrictions

beginning of year $3,772,597 · end of year $5,452,877

Mission and programs · 2022

Mission

BLACK RIVER HEALTH SERVICES, INC. IS A COMMUNITY-OWNED MEDICAL PRACTICE THAT EXISTS TO PROVIDE THE HIGHEST QUALITY OF ACCESSIBLE AND AFFORDABLE HEALTHCARE TO ALL PEOPLE OF PENDER COUNTY AND SURROUNDING COUNTIES.

Activities or mission (Part I)

BLACK RIVER OPERATES THREE RURAL HEALTH CLINICS AND TWO RURAL PHARMACIES OPEN TO THE GENERAL PUBLIC IN PENDER COUNTY, NC. THE ORGANIZATION SERVES PATIENTS IN PENDER, DUPLIN, ONSLOW, BLADEN, COLUMBUS, AND SAMPSON COUNTIES OF SOUTHEASTERN NORTH CAROLINA. BLACK RIVER ALSO OPERATES THE FARMWORKER PROGRAM. THE ORGANIZATION RECORDED 20,444 PATIENT ENCOUNTERS AND FILLED MORE THAN 41,000 PRESCRIPTIONS DURING THE YEAR

Expenses $4,919,433 · Revenue $4,728,524

As filed on the 2022 return.

Listed in Part VII

Connie WootenCONNIE WOOTEN

DIRECTOR/VICE PRESIDENT

Total calculated

$0

Hours/week

3
Bill MarshburnBILL MARSHBURN

DIRECTOR/PRESIDENT

Total calculated

$0

Hours/week

5
Gordon McIntyreGORDON MCINTYRE

DIRECTOR

Total calculated

$0

Hours/week

1
Gene JordanGENE JORDAN

DIRECTOR

Total calculated

$0

Hours/week

1
James RobbinsJAMES ROBBINS

DIRECTOR

Total calculated

$0

Hours/week

1
Martha HighsmithMARTHA HIGHSMITH

DIRECTOR

Total calculated

$0

Hours/week

1
Caroleigh BurnsCAROLEIGH BURNS

DIRECTOR

Total calculated

$0

Hours/week

1
Angela LivingoodANGELA LIVINGOOD

DIRECTOR

Total calculated

$0

Hours/week

1
Connie Carr-CostinCONNIE CARR-COSTIN

DIRECTOR

Total calculated

$0

Hours/week

1
Kenneth KeithKENNETH KEITH

DIRECTOR

Total calculated

$0

Hours/week

1
Donna MeachamDONNA MEACHAM

CFO

Total calculated

$0

Hours/week

4
Linda GreenspanLINDA GREENSPAN

MEDICAL DIRECTOR

Total calculated

$123,281

From this org

$123,281

From related orgs

$0

Other

$0

Hours/week

40
Lee Ann AmannLEE ANN AMANN

CEO

Total calculated

$123,265

From this org

$123,265

From related orgs

$0

Other

$0

Hours/week

40

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.

Schedule J

Answered yes

2 · Substantiation required before reimbursing expenses
3 · Compensation committee
3 · Written employment contract
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: 4 April 2024
IRS schema version: 2022v5.0
Source object: 202440959349300909

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