2026-06-29T14:18:43-04:00 2025-12-31 933523116 CAVANAGH CPAS & ASSOCIATES LLC 2346 POST RD SUITE 204 WARWICK RI 02886 990 2025-01-01 222570482 BLOCK ISLAND HEALTH SERVICES INC BLOC 4014662125 PO BOX 919 BLOCK ISLAND RI 02807 NETTIE COOLEY CEO 4014662125 2026-06-15 true PAUL J CAVANAGH P01340236 4016163700 2026-06-29 2025 2025-03-06 01:10:19Z SUSAN STOVER 4510116 false X WWWW.BIHEALTHSERVICES.COM X 1984 RI OUR MISSION IS TO PROMOTE THE HEALTH, WELL BEING AND SAFETY OF THE RESIDENTS AND VISITORS OF BLOCK ISLAND. 11 11 19 39 0 5649084 3801737 592645 609181 414445 99198 0 6656174 4510116 0 0 1172478 1150417 0 185428 685538 770226 1858016 1920643 4798158 2589473 14997587 17164439 688632 201874 14308955 16962565 X 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. false false 1236475 609181 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. 1236475 true true false false false false false false false true true false false false false true true false false false false false false true true false false false false true false false false false false false false false false false false false false false false false false true 3 0 true 19 true false false false false false false false false false false false false false X 11 11 false false false false true true false true true false false true true true false true true true true false X THE ORGANIZATION 4014662125 PO BOX 919 BLOCK ISLAND RI 02807 SUSAN STOVER CHAIR 1.00 X X 0 0 0 LAURA PARSONS VICE CHAIR 1.00 X X 0 0 0 BILL MILLS VICE CHAIR 1.00 X X 0 0 0 THOMAS MURPHY TREASURER 1.00 X X 0 0 0 PAM RICHTER SECRETARY 1.00 X X 0 0 0 JENNIFER CONNOLLY MEMBER 1.00 X 0 0 0 MARK COSTELLO MEMBER 1.00 X 0 0 0 KYRA ERNST MEMBER 1.00 X 0 0 0 MICHAEL LEROY MEMBER 1.00 X X 0 0 0 ROBIN LEWIS VILA MEMBER 1.00 X 0 0 0 SHARON WEINBERG MEMBER 1.00 X 0 0 0 LAURIE ANDERSON NURSE PRACTI 40.00 X 158910 0 23557 SARAH MANUPPELLI NURSE PRACTI 40.00 X 158324 0 10529 ALISON WARFEL COO 40.00 X 37225 0 670 THOMAS WARCUP CEO 40.00 X 159738 0 11175 NETTIE COOLEY CEO 40.00 X 92946 0 16052 607143 61983 3 true true false LOTUS LANDSCAPE INC PO BOX 248 NORTH KINGSTON RI 02852 LANDSCAPING 708978 TRUE NORTH CONSTRUCTION 58 WILLOW STREET NORWOOD MA 02062 CONSTRUCTION 689507 GREENWORX ENERGY 10 WILSON ST SOUTH PORTLAND ME 04106 CONSTRUCTION 264384 3 150795 513925 3137017 3801737 PATIENT FEES 621400 571943 571943 NON-PATIENT FEES 621400 32505 32505 CAPITATION 621400 4733 4733 609181 91251 91251 7947 7947 7947 7947 150795 4510116 617128 91251 X 146893 115855 31038 170913 136731 17091 17091 623499 541682 2522 79295 124925 92820 13874 18231 84187 61153 12026 11008 14542 14542 261820 106102 148183 7535 1985 894 1091 3314 638 1360 1316 160171 87930 70596 1645 2142 2142 16071 1082 14989 151749 97001 54748 35243 20325 14536 382 BILLING SOFTWARE 53037 53037 MEDICAL SUPPLIES 42096 42096 DUES AND FEES 24274 2513 6514 15247 PROGRAM EXPENSES 16384 16384 -12602 -26055 11904 1549 1920643 1236475 498740 185428 752160 763612 324 76681 825063 536212 93373 97457 8709 27911 14231300 837523 11845414 13393777 1251562 2027568 220982 241221 14997587 17164439 268261 66259 419515 135615 856 688632 201874 X 12786554 16460733 1522401 501832 14308955 16962565 14997587 17164439 X 2589473 64137 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 212716 206100 34210 9170 2063 441793 202135 21239 8665 1993 212716 5738714 25494 8340 5551839 1894 202135 4993139 1370045 -502651 87253 34566 5738714 2526518 2271139 232346 7536 5938 23390 4993139 true false 13025553 97431 12928122 471587 234005 237582 734160 506087 228073 13393777 X 4898709 64137 338998 403135 4495574 14542 14542 4510116 2245099 338998 338998 1906101 14542 14542 1920643 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 0 SCHEDULE D, PAGE 4, PART XI, LINE 4B INVESTMENT EXPENSES NETTED WITH INCOME ON FS 14,542 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT EXPENSES NETTED WITH INCOME ON FS 14,542 false VIRTUAL FUNDRAI 150795 150795 150795 150795 X X false false false false false false false false false LAURIE ANDERSON NURSE PRACTITIONER 158910 23557 182467 SARAH MANUPPELLI NURSE PRACTITIONER 158324 10529 168853 THOMAS WARCUP CEO 159738 11175 170913 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, 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. FORM 990, PART IX, LINE 11G 106,102 148,183 7,535 FORM 990, PART XI, LINE 9 DONATED FURNITURE 0 INVESTMENT EXPENSES NETTED WITH INCOME ON FS -14,542 INVESTMENT EXPENSES NETTED WITH INCOME ON FS 14,542 DONATED PPE (FURNITURE) 0