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Block Island Health Services Inc

EIN 22-2570482 · Block Island, RI

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood78 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

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.

Income
$4.5 million
Spending
$1.9 million
Spent on programs
64%
Reserves
19.2 months of spending
Largest source of income
donations and private grants, 73%
Employees
19
Volunteers
39
Highest pay
$182,467, nurse practi

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 78 out of 100. Higher than 54% of charities in its peer group (health care, $1m to $10m).

  • Reserves

    35 of 35

    Spendable reserves would cover 19.2 months of spending.

  • Debt

    20 of 20

    It owes 1% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 57% of income.

  • Income trend

    0 of 15

    Income fell 32% on the year before.

  • Spending floor

    8 of 15

    64% of spending went to programs and raising each dollar of donations cost 5 cents.

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 67% of charities in its peer group (health care, $1m to $10m).

  • Independent board

    25 of 25

    11 of 11 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $1.2 million spent. 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. 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.

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since January 1985.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.