FISH RIVER RURAL HEALTH (EIN 010452749) - Form 990 Financial Analysis & Trantor Score

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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

1990

Legal Domicile

Principal Officer

JOHN MARTIN

Phone

2074445973

Tax Period

2024-07-01 to 2025-06-30

FISH RIVER RURAL HEALTH, founded in 1990, is a mid-sized nonprofit in the Health Care sector that reported $15.6M in total revenue in fiscal year 2024. Revenue grew 13% year-over-year, indicating healthy expansion. The organization ran a surplus of $3.9M, a strong 25% operating margin.

Mission

THE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY.

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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 $4,444,553

Program Service Revenue $10,396,320

Investment Income $700,061

Other Revenue $13,425

TOTAL REVENUE $15,554,359

Expense Breakdown

Grants Paid $0

Salaries & Benefits $9,082,580

Fundraising Expenses $0

Program Expenses $9,088,168

Other Expenses $2,543,191

TOTAL EXPENSES $11,625,771

Year-over-Year Comparison

	2024	2023	Change
Revenue	$15,554,359	$13,814,542	+0.1%
Expenses	$11,625,771	$11,258,885	+0.0%
Net Income	$3,928,588	$2,555,657	+0.5%

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

112

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

$421,888

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DR CAMERON GRANGE	DOCTOR	50.00	Highest	$248,602	$36,117	$284,719
HEATHER PELLETIER	EXECUTIVE DI	50.00	Officer	$234,342	$36,117	$270,459
DR ALEX BOUCHER	DENTIST	40.00	Highest	$224,631	$23,301	$247,932
DR JEFFREY ARBELAEZ	DOCTOR	40.00	Highest	$207,764	$23,301	$231,065
DR PAUL PELLETIER	DOCTOR	40.00	Highest	$195,716	$11,651	$207,367
JANE DUBOIS	DIRECTOR OF	40.00	Officer	$128,128	$23,301	$151,429
RACHEL ALBERT	DIRECTOR	1.00	Director	$0	$0	$0
TERRY BEAULIEU	DIRECTOR	1.00	Director	$0	$0	$0
SANDRA BERNSTEIN	DIRECTOR	1.00	Director	$0	$0	$0
JUDY DOUSTOU	SECRETARY	1.00	Officer Director	$0	$0	$0
NORMAN FOURNIER	VICE PRESIDE	1.00	Officer Director	$0	$0	$0
PAULA GARDNER	TREASURER	1.00	Officer Director	$0	$0	$0
TROY JACKSON	DIRECTOR	1.00	Director	$0	$0	$0
AMY L'ITALIEN	DIRECTOR	1.00	Director	$0	$0	$0
KEVIN LAVOIE	DIRECTOR	1.00	Director	$0	$0	$0
JOHN MARTIN	PRESIDENT	1.00	Officer Director	$0	$0	$0
BETTY PELLETIER	DIRECTOR	1.00	Director	$0	$0	$0
RENO RIOUX	DIRECTOR	1.00	Director	$0	$0	$0

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	$15,554,359	$11,625,771	$31,772,231	$3,928,588
2024	$13,814,542	$11,258,885	$27,264,952	$2,555,657
2023	$12,548,589	$11,746,536	$9,730,257	$802,053
2022	$9,834,700	$9,384,223	$8,902,258	$450,477
2021	$10,365,129	$8,294,128	$9,170,141	$2,071,001
2020	$8,219,917	$7,884,376	$8,090,758	$335,541
2019	$6,840,370	$6,786,959	$6,740,522	$53,411

FISH RIVER RURAL HEALTH