Black River Health Inc
Donations deductibleBlack River Health Inc's network
12 people6 organisationsi12 people and 6 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (12). Violet dotted lines (6) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.The board
12 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 9 voting members of its governing body on its latest Form 990 Part VI; we list 12 in Part VII (Part VII does not always name every voting member).| Name | Role as filed | Since | On the board |
|---|---|---|---|
| Alex Bradley Chown Chair | Chair (Thru 12/2024) | 2020 | 6 yrs |
| Timothy Tranberg Chair | Director, Chair (Beg. 12/2024) | 2022 | 4 yrs |
| Dr Carol Martin | Chief of Staff/Dir. (Thru 12/2024) | 2022 | 4 yrs |
| Dr Kirk Lane | Director (Beg. 12/2024) | 2024 | 2 yrs |
| Dr Michelle Clark-Forsting | Dir./Chief Phys. Exec. (Beg. 12/24) | 2024 | 2 yrs |
| Dr Nicholas Kitowski | Director (Beg. 12/2024) | 2024 | 2 yrs |
| Dr Thomas Walker | Director | 2022 | 4 yrs |
| Katherine Potter | Director | 2018 | 8 yrs |
| Michele Severson | Vice Chair (Thru 12/2024) | 2018 | 8 yrs |
| Michelle Greendeer-Rave | Treasurer (Thru 11/2024) | 2020 | 6 yrs |
| Timothy Kunes | Director | 2018 | 8 yrs |
| Wallace Apland III | Director | 2023 | 3 yrs |
Officers and senior leadership
22 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.| Name | Title as filed | On the filings |
|---|---|---|
| Ben Boardman MD | Physician | since 2019 |
| Braxton Fritz MD | Physician | 2018 |
| Carl Selvick | CEO | since 2022 |
| Carol Martin MD | Physician | since 2018 |
| Casey Totten MD | Physician | 2023 |
| Donald Hart | Crna | 2024 |
| Dr Braxton Fritz | Physician | 2022 |
| Dr Esteban Miller | Physician | 2024 |
| Dr Troy Sennholz | Physician | 2024 |
| Edward Zhovtis | Anesthesia Dept Director | 2024 |
| Estaban Miller MD | Physician | since 2018 |
| Esteban Miller MD | CMO | since 2020 |
| Gregory Eddy | Crna | 2024 |
| Holly Winn | CFO | since 2022 |
| Joseph AHN Dr | Physician | since 2022 |
| Joseph AHN MD | Physician | 2020 |
| Kyle Kovacevich | CFO | 2022 |
| Mary Beth White-Jacobs | CEO (Secretary) (Thru July) | since 2019 |
| Matthew Streeter | CFO | since 2018 |
| Richard Minnihan MD | Physician | since 2022 |
| Smita Rajasekaran MD | Physician | since 2018 |
| Terrance Donnal MD | Physician | since 2018 |
Pay and hours
year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.| Name | Title as filed | Hours a week | Pay from the organisation | Related organisations | Other |
|---|---|---|---|---|---|
| Dr Carol Martin | Chief of Staff/Dir. (Thru 12/2024) | 34 | $547k | $100k | |
| Carl Selvick | CEO | 40 | $477k | $46k | |
| Dr Esteban Miller | Physician | 42 | $474k | $97k | |
| Holly Winn | CFO | 40 | $398k | $87k | |
| Dr Troy Sennholz | Physician | 28 | $385k | $89k | |
| Edward Zhovtis | Anesthesia Dept Director | 27 | $302k | $39k | |
| Donald Hart | Crna | 27 | $267k | $79k | |
| Gregory Eddy | Crna | 27 | $252k | $77k | |
| Mary Beth White-Jacobs | Former CEO | 40 | $129k | ||
| Alex Bradley Chown | Chair (Thru 12/2024) | 5 | $0 | ||
| Timothy Tranberg | Director, Chair (Beg. 12/2024) | 4 | $0 | ||
| Michele Severson | Vice Chair (Thru 12/2024) | 4 | $0 | ||
| Michelle Greendeer-Rave | Treasurer (Thru 11/2024) | 4 | $0 | ||
| Wallace Apland III | Director | 4 | $0 | ||
| Dr Michelle Clark-Forsting | Dir./Chief Phys. Exec. (Beg. 12/24) | 4 | $0 | ||
| Dr Nicholas Kitowski | Director (Beg. 12/2024) | 4 | $0 | ||
| Timothy Kunes | Director | 4 | $0 | ||
| Dr Kirk Lane | Director (Beg. 12/2024) | 4 | $0 | ||
| Katherine Potter | Director | 4 | $0 | ||
| Dr Thomas Walker | Director | 4 | $0 |
About
- Legal name
- Black River Health Inc
- EIN
- 391027536
- Address
- 711 W Adams St, BLK River FLS, WI, 54615-2200
- State
- Wisconsin
- Mission
- Black river health, inc.'s mission is to help patient's improve their lives through compassionate, community-based care. (as filed on the Form 990)
- Activity (NTEE)
- E22Z Health care
- IRS classification
- 501(c)03 (tax-exempt under section 501(c)(3) where shown)
- Classified purpose
- Health Care
- Size band
- 9 (IRS master file code)
- Formed
- 1966
- Principal officer
- Carl Selvick (as named on the Form 990)
- IRS ruling date
- 1 August 1964
- Status
- Code 01 (unconditional exemption)
- Form 990 filings on record
- 6, latest 2024
- IRS Publication 78
- PC (contributions deductible)
Most connected
Longest observed on the filings
≥8years on the filingsKatherine Potter
≥8years on the filingsMichele Severson
≥8years on the filingsTimothy Kunes
≥6years on the filingsAlex Bradley Chown
Latest return
year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.- Total assets
- $107.6m
- Total liabilities
- $31.1m
- Net assets or fund balances
- $76.4m
- Contributions and grants received
- $58k
- Program service revenue
- $66.8m
- Grants and similar paid out
- $5k
- Employees
- 390
- Volunteers
- 42
Filed finances
1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.| Tax year | Total revenue | Total expenses | Surplus or deficit |
|---|---|---|---|
| 2024 | $70m | $65.6m | $4.4m |
As filed on the IRS Form 990. US dollars.