Black River Health

Nonprofit profile at a glance

EIN
391027536
IRS 990 coverage
2011–2025
Official website data refreshed
Sep 2026
Forms available
Form 990 2025, Form 990-T 2025
Location
Black River Falls, WI, US
Phone
(715) 284-5361
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$95,968,875
Expenses
$91,540,793
Assets
$113,040,646
Liabilities
$30,794,071

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • CARL SELVICK (CEO)
  • MARY BETH WHITE-JACOBS (FORMER CEO)

Highest reported compensation

  • DR NICHOLAS KITOWSKI (DIRECTOR/PHYSICIAN): $659,009 total reported compensation
  • DR CAROL MARTIN (CHIEF OF STAFF/DIR.): $614,620 total reported compensation
  • DR DARIN ANTONELLI (PHYSICIAN): $571,259 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Outstanding and comprehensive healthcare for you and your family, delivered locally with compassion.

What it reported doing in 2025

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 2025, the hospital provided 3,065 inpatient days of care to adults, pediatrics, swing bed, and nursery inpatients as well as 9,662emergency room and 36,839 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 $964,914 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 $20,785,788.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:-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 6,283 outpatient procedures in 2025.

Operating model

Revenue model
Other-operating. 94% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 64
  • Transparency & Controls: 82
  • Accountability: 81
  • Sustainability: 44
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 71.2%; rating input score 71
  • Program expense ratio: 73.8%; rating input score 74
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 66th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 10th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 4.6%; rating input score 53; 53rd percentile among comparable filings
  • Total-asset coverage ratio: 1.23; rating input score 34; 34th percentile among comparable filings
  • Liabilities to assets ratio: 0.27; rating input score 60; 60th percentile among comparable filings
  • Officer compensation ratio: 6%; rating input score 15; 15th percentile among comparable filings

Growth

  • Program expense growth: 3.9% per year; rating input score 100; 28th percentile among comparable filings
  • Revenue growth: 5.4% per year; rating input score 100; 45th percentile among comparable filings
  • Asset growth: 7.3% per year; rating input score 100; 52nd percentile among comparable filings

Details

  • What they do: 2 operating locations identified
  • Where the money goes: 71.2% of revenue deployed · 73.8% of spending went to programs
  • Governance: 6 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $67.5M in reported program spending
  • Leadership: top reported pay $659K · 19 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.5M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 8 filed schedules · includes executive pay
  • Filing history: 14 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Sustainability: Operating margin scored 53/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 34/100.
  • High — Sustainability: Officer compensation ratio scored 15/100.