Block Island Health Services Inc
Public records show a registered, tax-exempt organization in good standing.
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 35Spendable reserves would cover 19.2 months of spending.
Debt
20 of 20It owes 1% of what it owns.
Living within its means
15 of 15Income exceeded spending by 57% of income.
Income trend
0 of 15Income fell 32% on the year before.
Spending floor
8 of 1564% 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 2511 of 11 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports 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)
- $1.2 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
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.
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.
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.
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.
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.
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.
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