Rhode Island · Nonprofit
BLOCK ISLAND HEALTH SERVICES INC
BLOCK ISLAND HEALTH SERVICES INC (Rhode Island) receives grants from 35 organizations whose IRS filings report $5,646,158 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($1,648,900). 25 of them have funded it in more than one year, and 76% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- Revenue FY2024
- $6.7M
- Funders on record
- 35
- Grants received
- $5.6M
- Net assets
- $14M
What Block Island Health Services Inc does
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.
As stated on its FY2024 Form 990.
Program
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.
$1,236,475 spent$609,181 earned by the program100% of program spending
The program described on its FY2025 Form 990. Program spending in total: $1,236,475.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $11M to $15M (+38%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 20% · 2018 20% · 2019 9% · 2020 32% · 2021 12% · 2022 27% · 2023 21% · 2024 37%. Grants only. Government contracts and fees sit inside program revenue.
85% of BLOCK ISLAND HEALTH SERVICES INC’s revenue is contributions — more donation-reliant than the typical peer (51% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Board chair
Susan Stover
Chair
As listed on its FY2025 Form 990.
The chief executive listed changed between the FY2019 and FY2020 filings.
Who funds it, year by year
2017 → 2023: the base broadened from 6 funders to 14 funders, grant income rose $5k → $1.0M.
14 of 35 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 76% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of BLOCK ISLAND HEALTH SERVICES INC’s funders (the co-funder graph). Top 30 of 35 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
BLOCK ISLAND HEALTH SERVICES INC leans on a few funders — its largest provides 29% of grant income and the top three 67%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
80% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund BLOCK ISLAND HEALTH SERVICES INC.
Largest funder’s share by year: 2017 38% · 2018 81% · 2019 47% · 2020 57% · 2021 34% · 2022 46% · 2023 33% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
55% of BLOCK ISLAND HEALTH SERVICES INC's funders are still giving 3 years after their first grant; 71% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
76% of BLOCK ISLAND HEALTH SERVICES INC's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $1.4M that is directly attributable, 80% of it comes from funders outside Rhode Island, across 9 states.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $4.3M arriving through sponsors registered in 9 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
BLOCK ISLAND HEALTH SERVICES INC runs a healthier operating margin than three-quarters of the 8,121 health nonprofits its size.
this organization peer median middle 50% of peers· 8,121 health nonprofits $1M–$10M, FY2024
Government funding BLOCK ISLAND HEALTH SERVICES INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $2.0M on record.
- Department of Health and Human Services$2.0M
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like BLOCK ISLAND HEALTH SERVICES INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Rhode Island
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
67% of spending goes to programs.
Governance
Screen this organization
A dated, signed PDF of the compliance screen for BLOCK ISLAND HEALTH SERVICES INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds BLOCK ISLAND HEALTH SERVICES INC?
- BLOCK ISLAND HEALTH SERVICES INC (Rhode Island) receives grants from 35 organizations whose IRS filings report $5,646,158 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($1,648,900). 25 of them have funded it in more than one year, and 76% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- How many funders does BLOCK ISLAND HEALTH SERVICES INC have?
- IRS filings report 35 organizations giving $5,646,158 in grants to BLOCK ISLAND HEALTH SERVICES INC, 25 of which have funded it in more than one year.
- Who is the largest funder of BLOCK ISLAND HEALTH SERVICES INC?
- FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $1,648,900 in grants. The full list of funders is on this page.
- How can an organization like BLOCK ISLAND HEALTH SERVICES INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Rhode Island. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Block Island Health Services →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 35 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing