Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Block Island Health Services Inc
EIN 22-2570482 • 501(c)3 • Block Island, RI
Profile
To provide primary care and
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.05x
Liabilities / Revenue
32nd percentile
Higher debt load relative to revenue than 32% of similar nonprofits.
Net Margin
94th percentile
Higher net margin than 94% of similar nonprofits.
Top Officer Pay
78th percentile
Higher top officer pay than 78% of similar nonprofits.
Top officer pay equals 4.6% of source-year revenue.
Asset Growth
91st percentile
Faster asset growth than 91% of similar nonprofits.
Revenue Growth
94th percentile
Faster revenue growth than 94% of similar nonprofits.
Balance Sheet
Assets
Up$14,997,587
Up $4,122,350 (+38%) from 2023
Liabilities
Down$688,632
Down $489,112 (-42%) from 2023
Net Assets
Up$14,308,955
Up $4,611,462 (+48%) from 2023
Revenue
Up$6,656,174
Up $3,929,318 (+144%) from 2023
Expenses
Up$1,858,016
Up $29,360 (+1.6%) from 2023
Net Income
Up$4,798,158
Up $3,899,958 (+434%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $14,997,587
- Liabilities
- $688,632
- Net assets
- $14,308,955
- Revenue
- $6,656,174
- Expenses
- $1,858,016
- Net income
- $4,798,158
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Aug 6, 2025
- Return Version
- 2024v5.0
- Gross Receipts
- $6,656,174
Mission and Program Overview
Mission
To provide primary care and
Our mission is to promote the health, well being and safety of the residents and visitors of block island.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,275,278 | $11,845,414 | ▲ $8,570,136 |
| Investments in Publicly Traded Securities | $5,023,633 | $1,251,562 | ▼ $3,772,071 |
| Pledges and Grants Receivable | $1,081,764 | $825,063 | ▼ $256,701 |
| Cash and Non-Interest-Bearing Accounts | $1,179,338 | $752,160 | ▼ $427,178 |
| Accounts Receivable | $81,447 | $93,373 | ▲ $11,926 |
| Prepaid Expenses and Deferred Charges | $19,996 | $8,709 | ▼ $11,287 |
| Savings and Temporary Cash Investments | $1,681 | $324 | ▼ $1,357 |
| Total Assets | $10,875,237 | $14,997,587 | ▲ $4,122,350 |
| Other Assets Total | $212,100 | $220,982 | ▲ $8,882 |
| Liabilities | |||
| Unsecured Notes Loans Payable | $143,309 | $419,515 | ▲ $276,206 |
| Accounts Payable and Accrued Expenses | $1,031,880 | $268,261 | ▼ $763,619 |
| Other Liabilities | $2,555 | $856 | ▼ $1,699 |
| Total Liabilities | $1,177,744 | $688,632 | ▼ $489,112 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $5,344,121 | $12,786,554 | ▲ $7,442,433 |
| Net Assets With Donor Restrictions | $4,353,372 | $1,522,401 | ▼ $2,830,971 |
| Total Net Assets Fund Balance | $9,697,493 | $14,308,955 | ▲ $4,611,462 |
| Total Liabilities and Net Assets / Fund Balance | $10,875,237 | $14,997,587 | ▲ $4,122,350 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $11,499,020 | - | $11,499,020 |
| Equipment | $98,932 | $468,729 | $567,661 |
| Leasehold Improvements | $247,462 | $217,045 | $464,507 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $202,135 | - | ▲ $21,239 | - | $212,716 |
| 2023 | $5,738,714 | - | ▲ $25,494 | $5,551,839 | $202,135 |
| 2022 | $4,993,139 | $1,370,045 | ▼ $502,651 | - | $5,738,714 |
| 2021 | $2,526,518 | $2,271,139 | ▲ $232,346 | $5,938 | $4,993,139 |
| 2020 | $1,653,000 | $820,074 | ▲ $53,444 | - | $2,526,518 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Thomas Warcup Md | Medical Dire | FT | $262,884 | $41,813 | $304,697 |
| Thomas Warcup Md | Medical Director/CEO | - | $262,884 | $41,813 | $304,697 |
| Laurie Anderson | Nurse Practi | FT | $131,250 | $21,413 | $152,663 |
| Laurie Anderson | Nurse Practitioner | - | $131,250 | $21,413 | $152,663 |
| Alison Warfel | COO | FT | $36,975 | $1,300 | $38,275 |
Board Members and Trustees
| Name | Title |
|---|---|
| Susan Stover | Chair |
| Laura Parsons | Vice Chair |
| Bill Mills | Member |
| Jennifer Connolly | Member |
| Mark Costello | Member |
| Michael Leroy | Member |
| Pam Richter | Member |
| Robin Lewis Vila | Member |
| Sharon Weinberg | Member |
| Brian Ott | Secretary |
| Thomas Murphy | Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| True North Construction | Construction | 58 WILLOW STREET, Norwood, MA 02062 | $7,438,419 |
| North Atlantic Builders | Construction | PO BOX 218, Block Island, RI 02807 | $963,470 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $5,649,084
- Program Service Revenue
- $592,645
- Investment Income
- $414,445
- Other Revenue
- $0
- All Other Contributions
- $3,061,276
- Change in Net Assets
- $4,798,158
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $6,635,574
- Revenue Not Reported on Financial Statements
- $20,600
- Revenue Not Reported on Form 990
- $110,882
- Other Revenue Adjustments
- $20,600
- Total Revenue per Audited Statements
- $6,746,456
- Total Revenue per Form 990
- $6,656,174
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $1,172,478 |
| Other Expenses | $685,538 |
| Total Fundraising Expense | $179,678 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $451,671 | $74,061 | $96,178 | $621,910 |
| Current Officers, Directors, Trustees, and Key Employees | $243,758 | $64,918 | $34,298 | $342,974 |
| Fees for Services Other | $94,203 | $131,566 | $6,690 | $232,459 |
| Occupancy | $80,637 | $47,140 | $1,093 | $128,870 |
| Other Employee Benefits | $90,061 | $13,462 | $17,687 | $121,210 |
| Payroll Taxes | $62,749 | $12,340 | $11,295 | $86,384 |
| Insurance | $36,501 | $26,104 | $685 | $63,290 |
| Depreciation Depletion | $30,824 | $17,398 | - | $48,222 |
| All Other Expenses | $1,468 | $19,103 | $9,057 | $29,628 |
| Fees for Service Investment Mgmnt Fees | - | $20,600 | - | $20,600 |
| Other Expenses | $16,507 | $2,452 | $1,411 | $16,507 |
| Interest | $342 | $4,740 | - | $5,082 |
| Office Expenses | $553 | $1,182 | $1,142 | $2,877 |
| Advertising | $117 | - | $142 | $259 |
| Travel | $76 | - | - | $76 |
| Total Functional Expenses | $1,243,272 | $435,066 | $179,678 | $1,858,016 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $2,134,994 |
| Total Expenses per Form 990 | $1,858,016 |
| Expenses per Audited Statements | $1,837,416 |
| Expenses Not Reported on Form 990 | $297,578 |
| Expenses Not Reported on Financial Statements | $20,600 |
| Other Expense Adjustments | $20,600 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Virtual Fundrai | $136,960 | - | - | - |
| Total Events | $136,960 | - | - | - |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Operating Lease Liability | $856 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Page 6, Part VI, Line 6
“Members of the organization consists of all natural persons of voting age who have submitted a completed application for membership and have paid membership dues.”
Form 990, Page 6, Part VI, Line 7A
“The members have the power to elect members of the board of directors.”
Form 990, Page 6, Part VI, Line 11B
“The executive committee of the board of directors reviews the form 990 and a draft is sent to all the board members for review and feedback prior to filing.”
Form 990, Page 6, Part VI, Line 15A
“The organization contacts brown medical school, memorial hospital family practice, ri medical society, ri nursing assosciation and ri community health center association.”
Form 990, Page 6, Part VI, Line 15B
“The organization contacts brown medical school, memorial hospital family practice, ri medical society, ri nursing assosciation and ri community health center association.”
Form 990, Page 6, Part VI, Line 19
“Documents are available upon request after board of director approval.”
Filing and Contact Details
Filer
- Filer Name
- Block Island Health Services Inc
- EIN
- 22-2570482
- Phone
- 4014662125
- Address
- PO BOX 919, BLOCK ISLAND, RI 02807
Signing Officer
- Name
- Susan Stover
- Title
- Chair
- Phone
- 4014662125
- Signed
- 2025-08-06
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Susan Stover
- Formed
- 1984
- Legal Domicile
- Ri
- Voting Board Members
- 12
- Independent Board Members
- 11
- Employees
- 17
- Volunteers
- 39
Preparer
- Firm
- Cavanagh Cpas & Associates LLC
- Address
- 2346 POST RD SUITE 204, WARWICK, RI 02886
- Preparer
- Paul J Cavanagh
- Phone
- 4016163700
Supplemental Narrative
Additional Explanations
FORM 990 - ORGANIZATION'S 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.”
Form 990, Page 2, Part III, Line 4A
“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.”
Form 990, Part IX, Line 11G
“94,203 131,566 6,690”
Form 990, Part XI, Line 9
“Donated ppe (furniture) 26,160”
Financial Statement Notes
Schedule D, Page 2, Part V, Line 4
“The intended use of endowment funds are to provide income for the organization's operations.”
Schedule D, Page 3, Part X
“The organization qualifies as a not-for-profit organization under provisions of internal revenue code section 501(c)(3) and is not generally subject to federal or state income taxes. The organization accounts for the effect of any uncertain tax positions based on a "more likely than not" threshold to the recognition of the tax position being sustained based on the technical merits of the position under scrutiny by the applicable taxing authority. If a tax position or positions are deemed to result in uncertainties of those positions, the unrecognized tax benefit is estimated based on a "cumulative probability assessment" that aggregates the estimated tax liability for all uncertain tax positions. Interest and penalties assessed, if any, are accrued as income tax expense. The organization has identified its tax status as a tax-exempt entity as a tax position; however, the organization has determined that such a tax position does not result in an uncertainty requiring recognition.”
Schedule D, Page 4, Part XI, Line 2D
“DONATED FURNITURE 26,160”
Schedule D, Page 4, Part XI, Line 4B
“Investment expenses netted with income on fs 20,600”
Schedule D, Page 4, Part XII, Line 4B
“Investment expenses netted with income on fs 20,600”
Raw XML AppendixShowing 400 of 566 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 268261 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 81447 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 93373 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | OUR MISSION IS TO PROMOTE THE HEALTH, WELL BEING AND SAFETY OF THE RESIDENTS AND VISITORS OF BLOCK ISLAND. |
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| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 919 |
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| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | RI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 02807 |
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| IRS990/Desc | 0 | 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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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 41813 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 21413 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 1300 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SUSAN STOVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LAURA PARSONS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | THOMAS MURPHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BRIAN OTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | THOMAS WARCUP MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MARK COSTELLO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | BILL MILLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ROBIN LEWIS VILA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | PAM RICHTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | SHARON WEINBERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JENNIFER CONNOLLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MICHAEL LEROY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | LAURIE ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ALISON WARFEL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 262884 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 131250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 36975 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | MEDICAL DIRE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | NURSE PRACTI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | COO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1984 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | true |
| IRS990/FundraisingAmt | 0 | 136960 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 274987 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 2450848 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 274987 |
| IRS990/GrossReceiptsAmt | 0 | 6656174 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 685 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 26104 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 36501 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 63290 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 4740 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 342 |
| IRS990/InterestGrp/TotalAmt | 0 | 5082 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 139458 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 139458 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 5023633 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1251562 |
| IRS990/IRPDocumentCnt | 0 | 3 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 685774 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3275278 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 11845414 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 12531188 |
| IRS990/LegalDomicileStateCd | 0 | RI |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9697493 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 14308955 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 274987 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 274987 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -212856 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5344121 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 12786554 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 1093 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 47140 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 80637 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 128870 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 1142 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1182 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 553 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2877 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 212100 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 220982 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 26160 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 17687 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 13462 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 90061 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 121210 |
| IRS990/OtherExpensesGrp/Desc | 0 | BILLING SOFTWARE |
| IRS990/OtherExpensesGrp/Desc | 1 | ALL OTHER EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | PROGRAM EXPENSES |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 1411 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2452 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 49430 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 40911 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 43464 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 16507 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 49430 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 44774 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 43464 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 16507 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2555 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 856 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 96178 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 74061 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 451671 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 621910 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 11295 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 12340 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 62749 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 86384 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 1081764 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 825063 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 19996 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 8709 |
| IRS990/PrincipalOfficerNm | 0 | SUSAN STOVER |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | NON-PATIENT FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | CAPITATION |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 557420 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 31121 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 4104 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 557420 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 31121 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 4104 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 1735201 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 338602 |
| IRS990/PYOtherExpensesAmt | 0 | 598631 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 653053 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 898200 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 1230025 |
| IRS990/PYTotalExpensesAmt | 0 | 1828656 |
| IRS990/PYTotalRevenueAmt | 0 | 2726856 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 4798158 |
| IRS990/RegularMonitoringEnfrcInd | 0 | false |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 592645 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1681 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 324 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/CYEndwmtFundGrp/AdministrativeExpensesAmt | 0 | 1993 |
| IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 202135 |
| IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt | 0 | 212716 |
| IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 8665 |
| IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 21239 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/AdministrativeExpensesAmt | 0 | 1894 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 5738714 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 202135 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 8340 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 25494 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt | 0 | 5551839 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/AdministrativeExpensesAmt | 0 | 34566 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 4993139 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt | 0 | 1370045 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 5738714 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 87253 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | -502651 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/AdministrativeExpensesAmt | 0 | 23390 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 2526518 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt | 0 | 2271139 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 4993139 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 7536 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 232346 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt | 0 | 5938 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 1653000 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt | 0 | 820074 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 2526518 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 53444 |
| IRS990ScheduleD/DonatedServicesAndUseFcltsAmt | 0 | 297578 |
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