BLACK RIVER HEALTH SERVICES INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1973

Legal Domicile

Principal Officer

MARTHA HIGHSMITH

Phone

9102595721

Tax Period

2024-07-01 to 2025-06-30

BLACK RIVER HEALTH SERVICES INC, founded in 1973, is a community nonprofit that reported $7.3M in total revenue in fiscal year 2024. The organization ran a surplus of $1.2M, a strong 16% operating margin.

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.

Program Service Accomplishments

Program 1

Expenses: $5,751,821 Revenue: $5,307,405

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 17,784, INCLUDING 1,223 NEW PATIENT ENCOUNTERS AND FILLED 41,929 PRESCRIPTIONS DURING THE YEAR

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $1,894,174

Program Service Revenue $2,824,876

Investment Income $133,694

Other Revenue $2,482,529

TOTAL REVENUE $7,335,273

Expense Breakdown

Grants Paid $0

Salaries & Benefits $4,125,028

Fundraising Expenses $0

Program Expenses $5,751,821

Other Expenses $2,009,763

TOTAL EXPENSES $6,134,791

Year-over-Year Comparison

	2024	2023	Change
Revenue	$7,335,273	$6,994,822	+0.0%
Expenses	$6,134,791	$5,898,579	+0.0%
Net Income	$1,200,482	$1,096,243	+0.1%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$278,368

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CONNIE WOOTEN	DIRECTOR	1.00	Director	$0	$0	$0
MARTHA HIGHSMITH	DIRECTOR/PRESIDENT	5.00	Officer Director	$0	$0	$0
GORDON MCINTYRE	DIRECTOR	1.00	Director	$0	$0	$0
GENE JORDAN	DIRECTOR/SECRETARY	1.00	Officer Director	$0	$0	$0
SARA S LANIER	DIRECTOR	1.00	Director	$0	$0	$0
ROXANNE MARSHBURN	DIRECTOR	1.00	Director	$0	$0	$0
CAROLEIGH BURNS	DIRECTOR	1.00	Director	$0	$0	$0
EDITH MEZA	DIRECTOR	1.00	Director	$0	$0	$0
CONNIE CARR-COSTIN	DIRECTOR	1.00	Director	$0	$0	$0
KENNETH KEITH	DIRECTOR/VICE PRESIDENT	1.00	Officer Director	$0	$0	$0
IVY SIMPSON	DIRECTOR	1.00	Director	$0	$0	$0
LINDA GREENSPAN	MEDICAL DIRECTOR	40.00	Officer	$125,122	$8,049	$133,171
LEE ANN AMANN	CEO	40.00	Officer	$136,994	$8,203	$145,197
WILLIAM FOSSETT	PROVIDER	40.00	Highest	$180,942	$11,456	$192,398
YORONDA FORDE	PHARMACIST	40.00	Highest	$130,088	$14,284	$144,372
SARA SUTTON-MEYER	PROVIDER	40.00	Highest	$138,219	$6,072	$144,291
JANICE MCDERMOTT	PHARMACIST	40.00	Highest	$133,500	$14,899	$148,399
ALAN ANCILLOTTI	PROVIDER	40.00	Highest	$114,444	$5,996	$120,440

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$7,335,273	$6,134,791	$8,609,353	$1,200,482
2024	No data	No data	No data	No data
2023	$6,914,718	$5,234,438	$6,144,127	$1,680,280
2022	$6,176,122	$5,045,001	$4,321,895	$1,131,121
2021	$5,731,464	$4,188,623	$3,184,321	$1,542,841
2020	$4,135,721	$3,860,299	$3,013,202	$275,422
2019	$3,344,857	$3,332,913	$1,419,683	$11,944
2018	$4,992,938	$5,448,904	$1,473,250	$-455,966