Civic Intelligence

Black River Health Services Inc

EIN 23-7356223 • 501(c)3 • Burgaw, NC

View Organization Page

Profile

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.

PO Box 1488Burgaw, NC 28425

blackriverhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

50th percentile

0.13x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

47th percentile

0.14x

Higher debt load relative to revenue than 47% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

69th percentile

16%

Higher net margin than 69% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$140,987

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

82nd percentile

22%

Faster asset growth than 82% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

38th percentile

1.2%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets50th percentile

Assets

Up

$7,494,818

Up $4,310,497 (+135%) from 2021

Liabilities

Up

$945,698

Up $402,853 (+74%) from 2021

Net Assets

Up

$6,549,120

Up $3,907,644 (+148%) from 2021

Operations
Liabilities / Revenue47th percentileNet Margin69th percentile

Revenue

Up

$6,994,822

Up $1,263,358 (+22%) from 2021

Expenses

Up

$5,898,579

Up $1,709,956 (+41%) from 2021

Net Income

Down

$1,096,243

Down $446,598 (-29%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth82nd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$8.0M$6.0M$4.0M$2.0M$0Assets 2012: $2,052,826Liabilities 2012: $360,904Net Assets 2012: $1,691,9222012Assets 2014: $2,190,158Liabilities 2014: $330,462Net Assets 2014: $1,859,6962014Assets 2017: $1,741,674Liabilities 2017: $474,439Net Assets 2017: $1,267,2352017Assets 2018: $1,473,250Liabilities 2018: $661,981Net Assets 2018: $811,2692018Assets 2020: $3,013,202Liabilities 2020: $1,914,567Net Assets 2020: $1,098,6352020Assets 2021: $3,184,321Liabilities 2021: $542,845Net Assets 2021: $2,641,4762021Assets 2024: $7,494,818Liabilities 2024: $945,698Net Assets 2024: $6,549,1202024

Highlighted filing

2024

Assets$7,494,818
Liabilities$945,698
Net Assets$6,549,120
Open 2024 Filing

Operations Trend

Revenue Growth38th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2012: $3,999,1222012Revenue 2014: $4,240,489Expenses 2014: $4,288,047Net Income 2014: -$47,5582014Revenue 2017: $5,037,180Expenses 2017: $5,453,603Net Income 2017: -$416,4232017Revenue 2018: $4,992,938Expenses 2018: $5,448,904Net Income 2018: -$455,9662018Revenue 2020: $4,135,721Expenses 2020: $3,860,299Net Income 2020: $275,4222020Revenue 2021: $5,731,464Expenses 2021: $4,188,623Net Income 2021: $1,542,8412021Revenue 2024: $6,994,822Expenses 2024: $5,898,579Net Income 2024: $1,096,2432024

Highlighted filing

2024

Revenue$6,994,822
Expenses$5,898,579
Net Income$1,096,243
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$7,494,818
Liabilities
$945,698
Net assets
$6,549,120
Revenue
$6,994,822
Expenses
$5,898,579
Net income
$1,096,243
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.49$0.95$6.55$6.99$5.90$1.10
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.18$0.54$2.64$5.73$4.19$1.54
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.01$1.91$1.10$4.14$3.86$0.28
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.47$0.66$0.81$4.99$5.45$0.46
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.74$0.47$1.27$5.04$5.45$0.42
2014Detailed filing. Detailed filing data is available for this year.$2.19$0.33$1.86$4.24$4.29$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.05$0.36$1.69$4.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$9,209,261
Mission and Program Overview

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.

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 areas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,606,378$2,806,737▲ $1,200,359
Land, Buildings, and Equipment, Net$1,221,664$1,499,370▲ $277,706
Accounts Receivable$444,589$1,360,554▲ $915,965
Cash and Non-Interest-Bearing Accounts$1,087,382$995,042▼ $92,340
Inventories for Sale or Use$350,033$406,989▲ $56,956
Pledges and Grants Receivable$342,222$197,690▼ $144,532
Prepaid Expenses and Deferred Charges$58,584$90,999▲ $32,415
Investments Other Securities$965,243$58,914▼ $906,329
Intangible Assets$1,359$941▼ $418
Total Assets$6,144,127$7,494,818▲ $1,350,691
Other Assets Total$66,673$77,582▲ $10,909
Liabilities
Accounts Payable and Accrued Expenses$532,205$680,293▲ $148,088
Deferred Revenue$16,993$134,059▲ $117,066
Other Liabilities$66,673$77,582▲ $10,909
Mortgage Notes Payable Secured by Investment Property$75,379$53,764▼ $21,615
Total Liabilities$691,250$945,698▲ $254,448
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,452,877$6,549,120▲ $1,096,243
Total Net Assets Fund Balance$5,452,877$6,549,120▲ $1,096,243
Total Liabilities and Net Assets / Fund Balance$6,144,127$7,494,818▲ $1,350,691

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$805,522$1,507,786$2,313,308
Equipment$190,983$717,032$908,015
Other Land Buildings$331,371-$331,371
Land$171,494-$171,494
Compensation and Service Providers
Top Officer Pay55th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lee Ann AmannCEOFT$128,770$12,217$140,987
Linda GreenspanMedical DirectorFT$119,747$7,991$127,738

Board Members and Trustees

NameTitle
Martha HighsmithPresident
Kenneth KeithVice President
Caroleigh BurnsDirector
Connie Carr-costinDirector
Connie WootenDirector
Edith MezaDirector
Gordon McintyreDirector
Ivy SimpsonDirector
James RobbinsDirector
Roxanne MarshburnDirector
Sara S LanierDirector
Donna MeachamCFO
Gene JordanSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$1,153,044
Program Service Revenue
$2,705,392
Investment Income
$109,222
Other Revenue
$3,027,164
All Other Contributions
$339,210
Change in Net Assets
$1,096,243

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,994,822
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$6,994,822
Total Revenue per Form 990
$6,994,822
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,731,150
Other Expenses$2,167,429
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,706,705$202,403-$2,909,108
Fees for Services Other$955,649$161,330-$1,116,979
Occupancy$411,956$1,009-$412,965
Other Employee Benefits$328,493$24,564-$353,057
Current Officers, Directors, Trustees, and Key Employees$235,480$17,609-$253,089
Office Expenses$251,556--$251,556
Payroll Taxes$200,875$15,021-$215,896
Depreciation Depletion$145,255--$145,255
Insurance$64,238--$64,238
Other Expenses$17,128$15,790-$32,918
Interest$27,385--$27,385
Total Functional Expenses$5,460,853$437,726$0$5,898,579

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$5,898,579
Total Expenses per Audited Statements$5,898,579
Total Expenses per Form 990$5,898,579
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$77,582
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The organizations' board of directors was provided a copy of the form 990 at the regularly scheudled board meeting before it was filed.”

Form 990, Part VI, Section B, Line 12C

“All board members and key management personnel complete a conflict of interest disclosure annually.”

Form 990, Part VI, Section B, Line 15

“The organization consults with the north carolina office of rural health on compensation guidelines and comparisons.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy and financial statements available upon request.”

Filing and Contact Details

Filer

Filer Name
Black River Health Services Inc
EIN
23-7356223
Phone
9102595721
Address
PO BOX 1488, BURGAW, NC 28425

Signing Officer

Name
Martha Highsmith
Title
President
Phone
9102595721
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Martha Highsmith
Formed
1973
Legal Domicile
Nc
Voting Board Members
12
Independent Board Members
12
Employees
61
Volunteers
0

Preparer

Firm
Dmjps Pllc
Address
265 RACINE DRIVE SUITE 203, WILMINGTON, NC 28403
Preparer
Stacy M West CPA
Phone
9104525260
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contracted services: program service expenses 955,649. Management and general expenses 161,330. Fundraising expenses 0. Total expenses 1,116,979.”

Form 990, Part XII Line 2C

“The organization has not changed its process for oversight of the audit or selection of an independent accountant from the prior tax year.”

Financial Statement Notes

PART X, LINE 2:

“Brhs is exempt from income taxes under section 501(c)(3). Accordingly, no provision has been made for income taxes. Brhs accounts for uncertain income tax positions by prescribing a minimum probability threshold a tax position must meet before a financial statement income tax benefit is recognized. The minimum threshold is defined as a tax position, based solely on its technical merits, that would more likely than not be sustained upon examination by the relevant tax authority with knowledge of the same facts. The tax benefit to be recognized is measured as the largest amount of benefit that is greater than 50% likely of being realized upon ultimate resolution. Based on all known facts, circumstances, and current tax law, brhs believes the total amount of uncertain income tax position liabilities and related accrued interest are not material to its financial position. As of june 30, 2024, and including the previous three (3) years considering extensions, brhs's income tax returns are open and subject to examination by tax authorities with relevant jurisdiction. Should such an examination take place, management does not anticipate any significant issues related to the open years.”

Raw XML AppendixShowing 400 of 516 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0BLACK 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 AREAS.
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IRS990/Desc0BLACK 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 18,841 PATIENT ENCOUNTERS, INCLUDING 1,263 NEW PATIENT VISTS, AND FILLED MORE THAN 42,500 PRESCRIPTIONS DURING THE YEAR
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
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IRS990/MissionDesc0BLACK 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.
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