BLOCK ISLAND 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

1984

Legal Domicile

Principal Officer

SUSAN STOVER

Phone

4014662125

Tax Period

2024-01-01 to 2024-12-31

BLOCK ISLAND HEALTH SERVICES INC, founded in 1984, is a community nonprofit in the Health Care sector that reported $6.7M in total revenue in fiscal year 2024. Revenue surged 144% from the prior year, signaling strong growth momentum. The organization ran a surplus of $4.8M, a strong 72% operating margin.

Mission

OUR MISSION IS TO PROMOTE THE HEALTH, WELL BEING AND SAFETY OF THE RESIDENTS AND VISITORS OF BLOCK ISLAND. WE ARE COMMITTED TO PROVIDING EXPERT PRIMARY, URGENT AND EMERGENCY MEDICAL CARE FOR THE ADULTS AND CHILDREN OF BLOCK ISLAND, 24 HOURS EACH DAY, EVERY DAY OF THE YEAR. WE SERVE AS A SOURCE OF EDUCATION AND PUBLIC OUTREACH. THIS MISSION REQUIRES BIHS TO BE AN INTEGRAL AND RESPONSIVE PART OF THE BLOCK ISLAND COMMUNITY AND OUR SUCCESS DEPENDS ON THE GENEROSITY AND SUPPORT OUR DONORS AND VOLUNTEERS.

Program Service Accomplishments

Program 1

Expenses: $1,243,272 Revenue: $592,645

BLOCK ISLAND HEALTH SERVICES IS THE SOLE PROVIDER SOURCE OF MEDICAL SERVICES ON THE ISLAND. THE STAFF INCLUDES A PHYSICIAN, A NURSE PRACTITIONER, A REGISTERED NURSE, A RECEPTIONIST BILLING CLERK, AND A FINANCE DIRECTOR. URGENT CARE SERVICES ARE AVIALABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE PHYSICIAN AND NURSE PRACTITIONER ROTATE SHIFTS TO ASSURE URGENT CARE IS ALWAYS AVAILABLE. THE MEDICAL CENTER WORKS CLOSELY WITH THE RESCUE SQUAD. THERE ARE ABOUT 5,000 VISITS YEARLY AND VARY SUBSTANTIALLY DEPENDING ON THE SEASON. THERE ARE ABOUT 1,000 FULL TIME RESIDENTS, BUT THERE CAN BE 20,000 IN THE SUMMER. THE ISLAND IS 13 MILES OFF THE COAST OF RHODE ISLAND AND DEPENDS UPON BOATS AND PLANES TO REACH THE MAINLAND. THE SEASONALITY AND REMOTENESS ADDS TO THE COMPLEXITY OF THE CARE AND OPERATIONS AND BUDGETING. PATIENT FEES ARE NOT SUFFICIENT TO COVER COSTS. TO SUPPLEMENT, A VARIETY OF FUND-RAISING CAMPAIGNS AND EVENTS ARE HELD. GRANTS ARE OBTAINED AND THE TOWN OF NEW SHOREHAM PROVIDES FUNDING.

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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 $5,649,084

Program Service Revenue $592,645

Investment Income $414,445

Other Revenue $0

TOTAL REVENUE $6,656,174

Expense Breakdown

Grants Paid $0

Salaries & Benefits $1,172,478

Fundraising Expenses $179,678

Program Expenses $1,243,272

Other Expenses $685,538

TOTAL EXPENSES $1,858,016

Year-over-Year Comparison

	2024	2023	Change
Revenue	$6,656,174	$2,726,856	+1.4%
Expenses	$1,858,016	$1,828,656	+0.0%
Net Income	$4,798,158	$898,200	+4.3%

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

$342,972

Total Directors

$304,697

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
SUSAN STOVER	CHAIR	1.00	Officer Director	$0	$0	$0
LAURA PARSONS	VICE CHAIR	1.00	Officer Director	$0	$0	$0
THOMAS MURPHY	TREASURER	1.00	Officer Director	$0	$0	$0
BRIAN OTT	SECRETARY	1.00	Officer Director	$0	$0	$0
THOMAS WARCUP MD	MEDICAL DIRE	40.00	Officer Director	$262,884	$41,813	$304,697
MARK COSTELLO	MEMBER	1.00	Director	$0	$0	$0
BILL MILLS	MEMBER	1.00	Director	$0	$0	$0
ROBIN LEWIS VILA	MEMBER	1.00	Director	$0	$0	$0
PAM RICHTER	MEMBER	1.00	Director	$0	$0	$0
SHARON WEINBERG	MEMBER	1.00	Director	$0	$0	$0
JENNIFER CONNOLLY	MEMBER	1.00	Director	$0	$0	$0
MICHAEL LEROY	MEMBER	1.00	Officer Director	$0	$0	$0
LAURIE ANDERSON	NURSE PRACTI	40.00	Highest	$131,250	$21,413	$152,663
ALISON WARFEL	COO	40.00	Officer	$36,975	$1,300	$38,275

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	No data	No data	No data	No data
2024	$6,656,174	$1,858,016	$14,997,587	$4,798,158
2023	$2,726,856	$1,828,656	$10,875,237	$898,200
2022	$1,841,671	$1,693,407	$8,914,790	$148,264
2021	$5,595,094	$1,719,671	$9,436,310	$3,875,423
2020	$1,558,746	$1,588,863	$5,715,089	$-30,117
2019	$4,250,389	$1,597,805	$5,489,838	$2,652,584
2018	$1,309,382	$1,436,359	$2,691,542	$-126,977