Civic Intelligence

Black River Memorial Hospital Inc

990 • Fiscal year 2016 • EIN 39-1027536

Jan 01, 2016 to Dec 31, 2016 • Filed on Oct 06, 2017

711 West Adams StreetBlack River Falls, WI 54615

(715) 284-5361

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

49th percentile

0.30x

Higher debt load relative to assets than 49% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

42nd percentile

0.33x

Higher debt load relative to revenue than 42% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Net Margin

65th percentile

6.8%

Higher net margin than 65% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

60th percentile

$412,358

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Asset Growth

72nd percentile

7.6%

Faster asset growth than 72% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

58th percentile

4.9%

Faster revenue growth than 58% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Assets

Up

$56,059,416

Up $3,955,447 (+7.6%) from 2015

Net Assets

Up

$39,181,810

Up $3,840,768 (+11%) from 2015

Liabilities

Up

$16,877,606

Up $114,679 (+0.7%) from 2015

Revenue

Up

$51,060,048

Up $2,378,193 (+4.9%) from 2015

Expenses

Up

$47,591,280

Up $1,239,471 (+2.7%) from 2015

Net Income

Up

$3,468,768

Up $1,138,722 (+49%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $39,030,198Liabilities 2010: $18,879,047Net Assets 2010: $20,151,1512010Assets 2011: $43,293,454Liabilities 2011: $19,209,697Net Assets 2011: $24,083,7572011Assets 2012: $46,776,456Liabilities 2012: $19,178,272Net Assets 2012: $27,598,1842012Assets 2013: $49,631,405Liabilities 2013: $18,055,369Net Assets 2013: $31,576,0362013Assets 2014: $50,551,146Liabilities 2014: $17,052,397Net Assets 2014: $33,498,7492014Assets 2015: $52,103,969Liabilities 2015: $16,762,927Net Assets 2015: $35,341,0422015Assets 2016: $56,059,416Liabilities 2016: $16,877,606Net Assets 2016: $39,181,8102016Assets 2017: $56,782,385Liabilities 2017: $15,402,202Net Assets 2017: $41,380,1832017Assets 2018: $64,488,133Liabilities 2018: $17,910,626Net Assets 2018: $46,577,5072018Assets 2019: $88,970,911Liabilities 2019: $34,416,786Net Assets 2019: $54,554,1252019Assets 2020: $96,587,959Liabilities 2020: $35,540,523Net Assets 2020: $61,047,4362020Assets 2021: $96,205,640Liabilities 2021: $30,708,641Net Assets 2021: $65,496,9992021Assets 2022: $89,753,789Liabilities 2022: $29,743,779Net Assets 2022: $60,010,0102022Assets 2023: $100,100,495Liabilities 2023: $28,162,399Net Assets 2023: $71,938,0962023Assets 2024: $107,569,105Liabilities 2024: $31,121,490Net Assets 2024: $76,447,6152024

Highlighted filing

2016

Assets$56,059,416
Liabilities$16,877,606
Net Assets$39,181,810

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $32,987,7062010Expenses 2011: $35,687,2692011Expenses 2012: $38,866,9212012Revenue 2013: $44,409,200Expenses 2013: $40,738,547Net Income 2013: $3,670,6532013Revenue 2014: $45,435,610Expenses 2014: $43,336,865Net Income 2014: $2,098,7452014Revenue 2015: $48,681,855Expenses 2015: $46,351,809Net Income 2015: $2,330,0462015Revenue 2016: $51,060,048Expenses 2016: $47,591,280Net Income 2016: $3,468,7682016Revenue 2017: $51,490,308Expenses 2017: $50,077,109Net Income 2017: $1,413,1992017Revenue 2018: $67,287,308Expenses 2018: $60,969,192Net Income 2018: $6,318,1162018Revenue 2019: $75,183,365Expenses 2019: $68,845,923Net Income 2019: $6,337,4422019Revenue 2020: $66,477,781Expenses 2020: $61,601,731Net Income 2020: $4,876,0502020Revenue 2021: $67,339,111Expenses 2021: $63,375,757Net Income 2021: $3,963,3542021Revenue 2022: $63,728,834Expenses 2022: $65,378,612Net Income 2022: -$1,649,7782022Revenue 2023: $74,614,346Expenses 2023: $64,609,427Net Income 2023: $10,004,9192023Revenue 2024: $70,012,921Expenses 2024: $65,570,032Net Income 2024: $4,442,8892024

Highlighted filing

2016

Revenue$51,060,048
Expenses$47,591,280
Net Income$3,468,768
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Oct 6, 2017
Return Version
2016v3.0
Gross Receipts
$52,597,893
Mission and Program Overview

Mission

In the spirit of "excellence always," black river memorial hospital, inc.'s mission is to serve patients with excellence, and the hospital's vision is to strive to be the best community hospital in the nation.

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 well being 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$16,690,505$21,130,325▲ $4,439,820
Land, Buildings, and Equipment, Net$20,267,373$19,839,498▼ $427,875
Accounts Receivable$6,973,232$7,007,087▲ $33,855
Savings and Temporary Cash Investments$5,753,246$5,842,767▲ $89,521
Inventories for Sale or Use$650,264$609,945▼ $40,319
Prepaid Expenses and Deferred Charges$659,561$329,613▼ $329,948
Other Notes and Loans Receivable, Net$92,680$90,820▼ $1,860
Cash and Non-Interest-Bearing Accounts$8,282$5,565▼ $2,717
Total Assets$52,103,969$56,059,416▲ $3,955,447
Other Assets Total$1,008,826$1,203,796▲ $194,970
Liabilities
Tax Exempt Bond Liabilities$11,447,342$10,907,407▼ $539,935
Accounts Payable and Accrued Expenses$4,425,732$4,720,538▲ $294,806
Other Liabilities$889,853$1,249,661▲ $359,808
Total Liabilities$16,762,927$16,877,606▲ $114,679
Net Assets / Fund Balance
Unrestricted Net Assets$35,202,528$39,079,791▲ $3,877,263
Temporarily Rstr Net Assets$138,514$102,019▼ $36,495
Total Net Assets Fund Balance$35,341,042$39,181,810▲ $3,840,768
Total Liabilities and Net Assets / Fund Balance$52,103,969$56,059,416▲ $3,955,447

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,487,476$12,092,553$26,580,029
Equipment$4,658,214$12,860,531$17,518,745
Other Land Buildings$426,477-$426,477
Land$267,331-$267,331
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Estaban Miller MdPhysicianFT$372,377$39,981$412,358
Smita Rajasekaran MdPhysicianFT$346,435$42,531$388,966
cAROL Martin MDPhysicianFT$314,758$42,347$357,105
Mary Beth White-JacobsCEOFT$304,544$45,622$350,166
Benjamin Boardman MDPhysicianFT$294,759$40,601$335,360
Terrance Donnal MDPhysicianPT$280,875$41,472$322,347
Robert DaleyCFO (thru 08/16)FT$239,494$1,051$240,545
Matthew StreeterCFO (effective 08/16)FT$89,924$6,680$96,604

Board Members and Trustees

NameTitle
DENNIS EbERHARDTChairperson
John DraceVice Chairperson
Michael Mahan MDChief of Staff/Director
Beth Smetana MSWDirector
Brad ChownDirector
Elliott GarvinDirector
Paul MillisDirector
Shelly SeversonDirector
Ellen Moldenhauer RnTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Black River Falls Anesthesia IncCRNA/anESTHESIA professional Services12132 Harrison Street, BLack River Falls, WI 54615$569,093
DWS Anesthesia Services Inccrna/Anesthesia Professional ServicesW5327 Southview Drive, Necedah, WI 54646$291,076
Dudley Anesthesia Sccrna/Anesthesia Professional Services607 L HAUSER ROAD, Onalaska, WI 54650$290,368
Revenue and Support

Revenue Composition

Contributions and Grants
$31,474
Program Service Revenue
$50,689,324
Investment Income
$402,570
Other Revenue
$-63,320
All Other Contributions
$22,065
Change in Net Assets
$3,468,768

Audited Revenue Reconciliation

Revenue per Audited Statements
$49,606,004
Revenue Not Reported on Financial Statements
$1,454,044
Revenue Not Reported on Form 990
$278,275
Other Revenue Adjustments
$1,454,044
Total Revenue per Audited Statements
$49,884,279
Total Revenue per Form 990
$51,060,048
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$29,182,304
Other Expenses$18,408,976
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,841,652$3,599,134-$20,440,786
Fees for Services Other$5,375,093$706,338-$6,081,431
Other Employee Benefits$4,533,442$968,816-$5,502,258
Depreciation Depletion$2,357,683--$2,357,683
Payroll Taxes$1,191,983$299,601-$1,491,584
Office Expenses$287,495$1,055,551-$1,343,046
Pension Plan Contributions$873,657$186,704-$1,060,361
All Other Expenses$824,717$225,899-$1,050,616
Current Officers, Directors, Trustees, and Key Employees-$687,315-$687,315
Other Expenses$588,856--$588,856
Interest$557,559--$557,559
Occupancy$535,322--$535,322
Advertising$6,589$426,618-$433,207
Information Technology-$274,286-$274,286
Travel$144,127$58,924-$203,051
Insurance$136,886--$136,886
Fees for Services Legal-$128,266-$128,266
Fees for Services Management-$114,743-$114,743
Total Functional Expenses$38,859,085$8,732,195$0$47,591,280

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$47,591,280
Total Expenses per Audited Statements$46,415,511
Expenses per Audited Statements$46,137,236
Expenses Not Reported on Financial Statements$1,454,044
Other Expense Adjustments$1,454,044
Expenses Not Reported on Form 990$278,275
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$27,745
Fundraising Direct Expenses$7,781
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Easter Bunny Brunch$9,233$9,233-$9,233
Holiday Tea$6,672$6,672-$6,672
Total Events$15,905$15,905$7,010$8,895
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Michael JacobsSon of Mary Beth White-Jacobs, CEOEmployment CompensationNo$90,086
Mary WrightWife of dR. ESTABAN MILLER, CMOEmployment CompensationNo$21,831
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
DEFERRED COMPENSATION Plan LIABILITY$1,059,661
Amounts payable to third-party reimbursement programs$190,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Black River Falls2005-10-31$8,430,000Hospital additions and renovations
BJackson County2005-12-21$6,570,000Hospital additions and renovations

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$8,430,000-$2,300,908$176,925
B$6,570,000-$1,791,685$134,831

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

Membership of Black River Memorial Hospital, Inc. consists of two classes, individual and group as follows: Individual membership-Any adult residing within the geographical area of Jackson County and adjoining counties who contributed the sum of twenty dollars or more to the 1965 campaign for construction of the hospital building shall be entitled to life membership as long as he or she resides within the geographical area of Jackson County and adjoining counties. A family contribution, or one by either spouse individually, entitles both husband and wife to individual membership in the corporation. Group membership-Any community group such as a church, religious association, fraternal organization, charitable organization, veterans organization, civic club, business organization, or corporation within the geographical area of Jackson County and adjoining counties which has contributed the sum of twenty dollars or more to the 1965 campaign for the construction of the hospital building shall be entitled to life membership as long as the organization is in existence. Such organizations shall designate annually, in writing, one person to act on its behalf at meetings of Members. Membership shall terminate if the Member relinquishes membership or if the Member ceases to exist. Any adult residing or organization existing within the geographical area of Jackson County and adjoining counties who did not contribute to the 1965 campaign for the hospital building may become a life member as provided above by contributing twenty dollars or more to the corporation. Except as of June 1, 2001, a family contribution, or one by either spouse individually, no longer entitles both husband and wife to individual memberships in Black River Memorial Hospital, Inc.

Form 990, Part VI, Section A, line 7A

The Members shall elect members of the Board of Directors. Each member is entitled to one vote, and each group member shall, before the start of the meeting, designate in writing to the Secretary of the corporation the person entitled to vote for the group member.

Form 990, Part VI, Section A, line 7B

The members of Black River Memorial Hospital, Inc. have the authority to vote on all matters presented by the Board of Directors.

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

The board of directors of black river memorial hospital, inc. received a copy of the 990 for review prior to the filing of their return. Members of the board were also allowed to have a comment period to communicate any requested changes to the Chief Financial Officer of the Hospital and, if any changes are made, the board reviews an updated final copy prior to filing the return with the IRS. The hospital's Chief Financial Officer also reviewed the return in detail prior to its submission to the Internal Revenue Service.

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

Conflicts of interest are reviewed annually by the board of directors. Any issues which may arise are discussed and handled appropriately. Any member of the board of directors with noted conflicts are asked to abstain from voting on any potential conflicted issues. A similar process is used by the board of directors for the review of conflicts of interest with the chief executive officer and Chief Financial Officer of the hospital.

Form 990, Part VI, Section B, line 15

The compensation of the chief executive officer is reviewed by the board of directors annually considering compensation levels at similar situated organizations (Typically not-for-profit health care organizations in the same revenue category). The compensation of administrative level employees is approved by the CEO and reviewed by the board of directors.

Form 990, Part VI, Section C, line 19

Black River Memorial Hospital, Inc.'s governing documents, conflict of interest policy, and financial statements are available upon request. Summarized financial statement data is also available through the Wisconsin Hospital Association's website and the hospital's annual report, which is published on the hospital's website.

Filing and Contact Details

Filer

Filer Name
Black River Memorial Hospital Inc
EIN
39-1027536
Phone
7152845361
Address
711 West Adams Street, Black River Falls, WI 54615

Signing Officer

Name
Matthew Streeter
Title
CFO
Phone
7152845361
Signed
2017-10-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary Beth White-jacobs
Formed
1966
Legal Domicile
Wi
Voting Board Members
9
Independent Board Members
9
Employees
392
Volunteers
175

Preparer

Firm
Wipfli LLP
Address
3703 Oakwood Hills Pkwy, Eau Claire, WI 54701
Preparer
Paul M Traczek CPA
Phone
7158323407
Supplemental Narrative

Additional Explanations

Form 990, Part III, line 2

Black river memorial hospital, inc. Opened b-home services and supplies retail store to help provide patients with needed medical supplies, equipment, and services locally.

Form 990, Part IX, line 11G

Anesthesiology Fees: Program service expenses 25,908. Management and general expenses 0. Fundraising expenses 0. Total expenses 25,908. Radiology Fees: Program service expenses 994,409. Management and general expenses 0. Fundraising expenses 0. Total expenses 994,409. Emergency Room Fees: Program service expenses 94,520. Management and general expenses 0. Fundraising expenses 0. Total expenses 94,520. Laboratory Services: Program service expenses 185,248. Management and general expenses 0. Fundraising expenses 0. Total expenses 185,248. MRI/CT/Nuclear Med Services: Program service expenses 575,084. Management and general expenses 0. Fundraising expenses 0. Total expenses 575,084. Other: Program service expenses 3,499,924. Management and general expenses 706,338. Fundraising expenses 0. Total expenses 4,206,262.

Part XII, Line 2C, Selection of Independent Accountant:

Black river memorial hospital, inc.'s board of directors assumes responsibility for the audit of its financial statements and the board of directors meets with independent accountant following the audit each year to review the financial statements. Members of the board of directors also have the contact information of the independent accountant and are encouraged to contact the accountants during the year when questions arise. There has been no change to these procedures during the past year.

Financial Statement Notes

Part XI, Line 2D - Other Adjustments:

Rental Expenses included with expenses on F/S 264,427. NUTRITION COUNSELING REVENUE NET AGAINST EXPENSES ON F/S 13,848.

Part XI, Line 4B - Other Adjustments:

Partners of BRMH revenues net against expenses on F/S 19,964. BAD DEBT EXPENSE NET AGAINST REVENUE 1,434,080.

Part XII, Line 2D - Other Adjustments:

NUTRITION COUNSELING REVENUE NET AGAINST EXPENSES ON F/S 13,848. Rental expenses included with expenses on F/S 264,427.

Part XII, Line 4B - Other Adjustments:

Partners of BRMH revenues net against expenses on F/S 19,964. BAD DEBT EXPENSE NET AGAINST REVENUE 1,434,080.

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IRS990/ActivityOrMissionDesc0IN 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 WELL BEING 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.
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IRS990/Desc0Black River Memorial Hospital, Inc. provides high quality, cost effective, primary 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. During 2016, the Hospital provided 2,593 inpatient days of care to adults, pediatrics, swing bed, and nursery inpatients as well as 11,356 emergency room/Urgent Care and 8,653 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 MISSION AND 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 $1,642,424 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 $8,838,519.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:-CPR INSTRUCTION AND TRAINING TO VARIOUS MEMBERS OF THE COMMUNITY AND ORGANIZATIONS INCLUDING ALL FIRST RESPONDER AND AMBULANCE RESCUE UNITS WITHIN JACKSON COUNTY-TRAINING TO YOUNG PERSONS WITHIN THE COMMUNITY TO EQUIP THESE INDIVIDUALS FOR BABYSITTING RESPONSIBILITIES-facilities for meetings and support personnel, including leadership for grief groups, Alzheimer support groups, Interfaith Caregivers (a non-denominational group of care givers within Jackson County), PERS (a personal emergency response system available at nominal costs to area residents), Diabetes Education Support Group-providing child birth educational classesThe summer Athletic enhancement Program designed to educate athletes on proper training and preparation for sports.-Providing leadership to state and region wide health organizations including the Wisconsin Hospital Association, Health Care Financial Management Association, Nurse Executives, heatlh educators, and Perinatal care Association to further healthcare goals outside of our direct service area.Other services we provide: Better Breathers Club (for patients suffering from respiratory disease), Grief Support Group, Car Seat Safety Checks, Tobacco Prevention. Coalitions we support are: Breastfeeding Coalition, Black River Area Safety Council, Obesity Prevention, and Wellness programming for area businesses.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Beth Smetana MSW
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IRS990/Form990PartVIISectionAGrp/PersonNm2ELLIOTT GARVIN
IRS990/Form990PartVIISectionAGrp/PersonNm3PAUL MILLIS
IRS990/Form990PartVIISectionAGrp/PersonNm4Michael Mahan MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Brad Chown
IRS990/Form990PartVIISectionAGrp/PersonNm6JOHN DRACE
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IRS990/Form990PartVIISectionAGrp/PersonNm8ELLEN MOLDENHAUER RN
IRS990/Form990PartVIISectionAGrp/PersonNm9ROBERT DALEY
IRS990/Form990PartVIISectionAGrp/PersonNm10Mary Beth White-Jacobs
IRS990/Form990PartVIISectionAGrp/PersonNm11Matthew Streeter
IRS990/Form990PartVIISectionAGrp/PersonNm12Benjamin Boardman MD
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IRS990/Form990PartVIISectionAGrp/PersonNm15SMITA RAJASEKARAN MD
IRS990/Form990PartVIISectionAGrp/PersonNm16cAROL Martin MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Chief of Staff/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Vice Chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt7Chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt8Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt9CFO (THRU 08/16)
IRS990/Form990PartVIISectionAGrp/TitleTxt10CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11CFO (EFFECTIVE 08/16)
IRS990/Form990PartVIISectionAGrp/TitleTxt12Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt13PHYSICIAN
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IRS990/FundraisingGrossIncomeAmt027745
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IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt024953084
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IRS990/LandBldgEquipBasisNetGrp/EOYAmt019839498
IRS990/LandBldgEquipCostOrOtherBssAmt044792582
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IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt0482
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IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0In the spirit of "Excellence Always," Black River Memorial Hospital, Inc.'s mission is to serve patients with excellence, and the hospital's vision is to strive to be the best community hospital in the nation.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt035341042
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IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0107962
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0107962
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt019964
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt019964
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt0-83284
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt0-83284
IRS990/NetUnrelatedBusTxblIncmAmt08701
IRS990/NetUnrlzdGainsLossesInvstAmt0372000
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0535322
IRS990/OccupancyGrp/TotalAmt0535322
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt01055551
IRS990/OfficeExpensesGrp/ProgramServicesAmt0287495
IRS990/OfficeExpensesGrp/TotalAmt01343046
IRS990/OfficerMailingAddressInd00
IRS990/OnBehalfOfIssuerInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
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IRS990/OtherAssetsTotalGrp/BOYAmt01008826
IRS990/OtherAssetsTotalGrp/EOYAmt01203796
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0968816
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt04533442
IRS990/OtherEmployeeBenefitsGrp/TotalAmt05502258
IRS990/OtherExpensesGrp/Desc0Unrelated Business Inco
IRS990/OtherExpensesGrp/Desc1Medical Supplies and ph
IRS990/OtherExpensesGrp/Desc2bad debt expense
IRS990/OtherExpensesGrp/Desc3Equipment Rental & Main
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IRS990/OtherExpensesGrp/TotalAmt21434080
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IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0873657
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IRS990/PrincipalOfficerNm0MARY BETH WHITE-JACOBS
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IRS990/ProgramServiceRevenueGrp/BusinessCd3621400
IRS990/ProgramServiceRevenueGrp/Desc0Hospital patient service revenue
IRS990/ProgramServiceRevenueGrp/Desc1other hospital services
IRS990/ProgramServiceRevenueGrp/Desc2Hospice patient Revenue
IRS990/ProgramServiceRevenueGrp/Desc3Homecare patient Revenue
IRS990/ProgramServiceRevenueGrp/ExclusionAmt0243550
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt048193255
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1768499
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2888272
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3569647
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt048219356
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11012049
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2888272
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3569647
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt026101
IRS990/ProgSrvcAccomActy2Grp/Desc0Black River Memorial's Hospice program gives those patients with life-limiting or terminal illnesses the opportunity to live pain-free and with dignity during the last stage of their life. Total hospice days of service provided to patients in 2016 were 5,551.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt01198337
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0888272
IRS990/ProgSrvcAccomActy3Grp/Desc0Black River Memorial Hospital's Homecare program provides comprehensive healthcare services in the most comfortable setting-the patient's home. In 2016, there were 5,015 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.
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IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0569647
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYOtherExpensesAmt019417009
IRS990/PYOtherRevenueAmt0-29024
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IRS990/PYSalariesCompEmpBnftPaidAmt026934800
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt048681855
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt03468768
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IRS990/RevenueAmt048961754

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$108$31.1$76.4$70.0$65.6$4.44
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$100$28.2$71.9$74.6$64.6$10.0
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$89.8$29.7$60.0$63.7$65.4$1.65
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$96.2$30.7$65.5$67.3$63.4$3.96
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$96.6$35.5$61.0$66.5$61.6$4.88
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$89.0$34.4$54.6$75.2$68.8$6.34
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$64.5$17.9$46.6$67.3$61.0$6.32
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.8$15.4$41.4$51.5$50.1$1.41
2016Detailed filing. Detailed filing data is available for this year.$56.1$16.9$39.2$51.1$47.6$3.47
2015Detailed filing. Detailed filing data is available for this year.$52.1$16.8$35.3$48.7$46.4$2.33
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$50.6$17.1$33.5$45.4$43.3$2.10
2013Detailed filing. Detailed filing data is available for this year.$49.6$18.1$31.6$44.4$40.7$3.67
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.8$19.2$27.6$38.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.3$19.2$24.1$35.7
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.0$18.9$20.2$33.0