Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
EIN 61-0849776 • 501(c)3 • Prestonsburg, KY
Profile
Charitable mission: big sandy health care (bshc) is organized as a nonprofit corporation and an exempt entity under irc section 501(c)(3).bshc operates exclusivly for the charitable purpose of providing primary health care services to a large number of low-income and uninsured persons through its five primary care centers in rural, southeastern kentucky. Bshc's primary service area is comprised on floyd, johnson, magoffin, martin and pike counties. The area is rural and economically distressed. A disproptionate number of people have no health insurnace and the region's medicaid eligibility is high compared to state and national averages. In this context, bshc offers charitable health care to low-income and uninsured persons. As part of its commitment to its charitable mission, bshc has instituted a charity program for uninsured patients who receive services at its facilities. This program provides financial relief to persons who qualify based on a comparison of their financial resource
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
Liabilities / Revenue
26th percentile
Higher debt load relative to revenue than 26% of similar nonprofits.
Net Margin
44th percentile
Higher net margin than 44% of similar nonprofits.
Top Officer Pay
91st percentile
Higher top officer pay than 91% of similar nonprofits.
Top officer pay equals 1.7% of source-year revenue.
Asset Growth
43rd percentile
Faster asset growth than 43% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Up$41,244,713
Up $1,263,501 (+3.2%) from 2024
Liabilities
Up$4,939,751
Up $180,971 (+3.8%) from 2024
Net Assets
Up$36,304,962
Up $1,082,530 (+3.1%) from 2024
Revenue
Down$47,242,199
Down $4,484,688 (-8.7%) from 2024
Expenses
Up$46,159,669
Up $3,175,444 (+7.4%) from 2024
Net Income
Down$1,082,530
Down $7,660,132 (-88%) from 2024
Most recent year
2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Big sandy health care (bshc) is organized as a nonprofit corporation and an exempt entity under irc section 501(c)(3). Bshc operates exclusively for the charitable purpose of providing primary health care services to a large number of low-income and uninsured persons through its seven primary care centers in rural, southeastern kentucky. Bshc's primary service area is comprised in floyd, johnson, magoffin, martin, and pike counties. The area is rural and economically distressed. A disproportionate number of people have no health insurance, and the region's medicaid eligibility is high compared to state and national averages. In this context, bshc offers charitable health care to low-income and uninsured persons as part of its commitment to its charitable mission, bshc has instituted a charity program for uninsured patients who receive services at its facilities. This program provides financial relief to persons who qualify based on a comparison of their financial resources and/or incom
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $20,774,468 | $22,077,352 | ▲ $1,302,884 |
| Land, Buildings, and Equipment, Net | $11,579,268 | $12,866,506 | ▲ $1,287,238 |
| Accounts Receivable | $4,168,420 | $2,449,330 | ▼ $1,719,090 |
| Inventories for Sale or Use | $1,008,617 | $1,023,615 | ▲ $14,998 |
| Pledges and Grants Receivable | $446,550 | $683,688 | ▲ $237,138 |
| Prepaid Expenses and Deferred Charges | $621,656 | $605,702 | ▼ $15,954 |
| Total Assets | $39,981,212 | $41,244,713 | ▲ $1,263,501 |
| Other Assets Total | $1,382,233 | $1,538,520 | ▲ $156,287 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,906,114 | $2,948,025 | ▲ $41,911 |
| Other Liabilities | $1,407,865 | $1,588,628 | ▲ $180,763 |
| Mortgage Notes Payable Secured by Investment Property | $444,801 | $403,098 | ▼ $41,703 |
| Total Liabilities | $4,758,780 | $4,939,751 | ▲ $180,971 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $34,757,089 | $35,594,565 | ▲ $837,476 |
| Net Assets With Donor Restrictions | $465,343 | $710,397 | ▲ $245,054 |
| Total Net Assets Fund Balance | $35,222,432 | $36,304,962 | ▲ $1,082,530 |
| Total Liabilities and Net Assets / Fund Balance | $39,981,212 | $41,244,713 | ▲ $1,263,501 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $6,001,027 | $3,829,943 | $9,830,970 |
| Buildings | $4,232,394 | $2,287,891 | $6,520,285 |
| Land | $958,453 | - | $958,453 |
| Name | Title | Base | Other | Total |
|---|---|---|---|---|
| Dr Sammie Gibson | Doctor | $810,113 | $3,000 | $813,113 |
| Dr Jeremy Parsons | Doctor | $473,730 | $3,000 | $476,730 |
| Dr Jack Kendrick | Doctor | $460,289 | $3,000 | $460,289 |
| Dr Lesley Dotson | Doctor | $444,951 | $3,000 | $447,951 |
| Dr Tiffany Mills | Doctor | $324,360 | $3,000 | $327,360 |
| Boyce Dean Shofner | Former CEO | $317,200 | $3,000 | $320,200 |
| James Herald | CEO | $186,314 | - | $186,314 |
| Justin Crace | COO | $167,296 | $3,000 | $170,296 |
| Name | Title |
|---|---|
| Amy Smith | President |
| Bobby Hale | Director |
| Gregory Napier | Director |
| JAMES O'BRIEN | Director |
| Joann Arnett | Director |
| Kathy Hembree | Director |
| Kimberly Daniels | Director |
| Leslie Bailey | Director |
| Linda Martin | Director |
| Martha Ellis | Director |
| Melissa Turner | Director |
| Mike Prater | Director |
| Mike Shoemaker | Director |
| Roy Conley | Director |
| Surekha Maddiwar | Director |
| Thomas Callahan | Director |
| Tina Terry | Director |
| Will Lindsey Jr | Director |
| Vickie Deskins | Secretary |
| Kathy Trimble | Treasurer |
| Mary Mcmasters | Vice Preside |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Rising Sun Developing Company | Construction | 2555 PALUMBO DRIVE STE 110, Lexington, KY 40509 | $1,306,345 |
| Dr Randy Forehand | Medical Service | 312 POND ST, Pounding Mill, VA 24637 | $400,748 |
| - | Medical Service | 668 CEDAR CREEK, Pikeville, KY 41501 | $329,882 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $30,864,888 |
| Other Expenses | $15,294,781 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $20,378,862 | $4,321,613 | - | $24,700,475 |
| Other Employee Benefits | $2,622,414 | $616,644 | - | $3,239,058 |
| Fees for Services Other | $1,725,500 | $123,081 | - | $1,848,581 |
| Payroll Taxes | $1,409,320 | $396,239 | - | $1,805,559 |
| Office Expenses | $360,745 | $595,527 | - | $956,272 |
| Depreciation Depletion | $594,172 | $147,935 | - | $742,107 |
| Current Officers, Directors, Trustees, and Key Employees | - | $670,810 | - | $670,810 |
| Other Expenses | $352,627 | $178,841 | - | $531,468 |
| Pension Plan Contributions | $347,330 | $101,656 | - | $448,986 |
| Occupancy | $245,995 | $116,818 | - | $362,813 |
| Insurance | $131 | $241,267 | - | $241,398 |
| Travel | $117,371 | $105,056 | - | $222,427 |
| Advertising | $61,610 | $75,444 | - | $137,054 |
| All Other Expenses | $29,274 | $28,736 | - | $58,010 |
| Interest | $19,141 | - | - | $19,141 |
| Total Functional Expenses | $37,929,060 | $8,230,609 | $0 | $46,159,669 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $46,159,669 |
| Total Expenses per Audited Statements | $46,159,669 |
| Total Expenses per Form 990 | $46,159,669 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Capital Leases | $1,588,628 |
“Upon its receipt from the accounting firm, bshc sent its form 990 electronically to all members of its board of directors for review. During its regular meeting on june 26, 2023, the finance committee of the bshc board of directors reviewed and approved the organization's form 990 for fiscal year ended january 31, 2023.”
“During a regular meeting of the bshc board of directors on may 24, 2021 james herald, esq. Bshc's general counsel, reviewed the organization's conflict of interest policy. Subsequently, each director and key employee completed a statement designed to reveal any conflicts of interest.”
“During the tax year, bshc's governing documents, conflict of interest policy and financial statemetns were available to the public upon request at the organization's administrative office.”
“During the tax year, bshc's governing documents, conflict of interest policy and financial statements were available to the public upon request at the organization's administrative office.”
“Charitable mission: big sandy health care (bshc) is organized as a nonprofit corporation and an exempt entity under irc section 501(c)(3).bshc operates exclusivly for the charitable purpose of providing primary health care services to a large number of low-income and uninsured persons through its seven primary care centers in rural, southeastern kentucky. Bshc's primary service area is comprised in floyd, johnson, magoffin, martin and pike counties. The area is rural and economically distressed. A disproportionate number of people have no health insurance and the region's medicaid eligibility is high compared to state and national averages. In this context, bshc offers charitable health care to low-income and uninsured persons. As part of its commitment to its charitable mission, bshc has instituted a charity discount program for patients whose household incomes fall below 200 percent of the federal poverty guidelines. During fiscal year ended january 31, 2025, bshc provided charity discounts of approximately 531,931 to approximately 10% of its over 28,000 patients. Bshc management believes that charity discounts for services is the most important indicator of its fulfillment of its charitable purpose and, therefore, fully discloses this information in addition to its charitable mission. Bshc is committed to strict adherence to all of the requirements 501(c)(3) organizations. Pursuant to these requirements, bshc ensures that none of its earnings inure to any private director or other individual. Bshc makes no attempt to influence legislation in any substantial way. Furthermore, bshc does not participate in campaign activity for or against any political office.”
“Primary health care services big sandy health care, inc. (bshc) operates ten community health care sites in eastern kentucky. Through these sites, bshc provides a wide array of primary health care services, including medical, dental, vision, behavioral health, pharmacy, diagnostic x-ray, medical laboratory, podiatry, and optometry services. In addition to services provided in its health center sites, bshc provides services in hospitals, nursing homes and schools. During the fiscal year ended january 31, 2025, bshc provided services to over 28,000 unduplicated individuals. Bshc provides services to any resident in the region it serves, but especially attracts low-income and uninsured persons. Bshc provides significant amounts of charity services for these persons.”
“Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. Management has analyzed the tax positions taken and has concluded that as of january 31, 2025, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Management believes it is no longer subject to income tax examinations for years prior to 2022.”
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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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2906114 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2948025 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 4168420 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2449330 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | BIG SANDY HEALTH CARE (BSHC) IS ORGANIZED AS A NONPROFIT CORPORATION AND AN EXEMPT ENTITY UNDER IRC SECTION 501(C)(3). BSHC OPERATES EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF PROVIDING PRIMARY HEALTH CARE SERVICES TO A LARGE NUMBER OF LOW-INCOME AND UNINSURED PERSONS THROUGH ITS SEVEN PRIMARY CARE CENTERS IN RURAL, SOUTHEASTERN KENTUCKY. BSHC'S PRIMARY SERVICE AREA IS COMPRISED IN FLOYD, JOHNSON, MAGOFFIN, MARTIN, AND PIKE COUNTIES. THE AREA IS RURAL AND ECONOMICALLY DISTRESSED. A DISPROPORTIONATE NUMBER OF PEOPLE HAVE NO HEALTH INSURANCE, AND THE REGION'S MEDICAID ELIGIBILITY IS HIGH COMPARED TO STATE AND NATIONAL AVERAGES. IN THIS CONTEXT, BSHC OFFERS CHARITABLE HEALTH CARE TO LOW-INCOME AND UNINSURED PERSONS AS PART OF ITS COMMITMENT TO ITS CHARITABLE MISSION, BSHC HAS INSTITUTED A CHARITY PROGRAM FOR UNINSURED PATIENTS WHO RECEIVE SERVICES AT ITS FACILITIES. THIS PROGRAM PROVIDES FINANCIAL RELIEF TO PERSONS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOM |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 75444 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 61610 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 137054 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 28736 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 29274 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 58010 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | SUMMER MORRIS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6068868546 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1709 KY ROUTE 321 SUITE 3 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PRESTONSBURG |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 41653 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 20774468 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 22077352 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 670810 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 670810 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1306345 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 400748 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 329882 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2555 PALUMBO DRIVE STE 110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 312 POND ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 668 CEDAR CREEK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LEXINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | POUNDING MILL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PIKEVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 40509 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 24637 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 41501 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | RISING SUN DEVELOPING COMPANY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | DR RANDY FOREHAND |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | SRINIVASU AMMISETTY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL SERVICE |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 6946087 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 838314 |
| IRS990/CYOtherExpensesAmt | 0 | 15294781 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 39457798 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1082530 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 30864888 |
| IRS990/CYTotalExpensesAmt | 0 | 46159669 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 47242199 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 147935 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 594172 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 742107 |
| IRS990/Desc | 0 | PRIMARY HEALTH CARE SERVICES BIG SANDY HEALTH CARE, INC. (BSHC) OPERATES TEN COMMUNITY HEALTH CARE SITES IN EASTERN KENTUCKY. THROUGH THESE SITES, BSHC PROVIDES A WIDE ARRAY OF PRIMARY HEALTH CARE SERVICES, INCLUDING MEDICAL, DENTAL, VISION, BEHAVIORAL HEALTH, PHARMACY, DIAGNOSTIC X-RAY, MEDICAL LABORATORY, PODIATRY, AND OPTOMETRY SERVICES. IN ADDITION TO SERVICES PROVIDED IN ITS HEALTH CENTER SITES, BSHC PROVIDES SERVICES IN HOSPITALS, NURSING HOMES AND SCHOOLS. DURING THE FISCAL YEAR ENDED JANUARY 31, 2025, BSHC PROVIDED SERVICES TO OVER 28,000 UNDUPLICATED INDIVIDUALS. BSHC PROVIDES SERVICES TO ANY RESIDENT IN THE REGION IT SERVES, BUT ESPECIALLY ATTRACTS LOW-INCOME AND UNINSURED PERSONS. BSHC PROVIDES SIGNIFICANT AMOUNTS OF CHARITY SERVICES FOR THESE PERSONS. |
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| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 710397 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 412 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 37929060 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 123081 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1725500 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1848581 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DR SAMMIE GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DR JEREMY PARSONS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DR JACK KENDRICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR LESLEY DOTSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DR TIFFANY MILLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BOYCE DEAN SHOFNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JAMES HERALD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JUSTIN CRACE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOANN ARNETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LESLIE BAILEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ROY CONLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | THOMAS CALLAHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KIMBERLY DANIELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | VICKIE DESKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MARTHA ELLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BOBBY HALE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KATHY HEMBREE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | WILL LINDSEY JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | SUREKHA MADDIWAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MARY MCMASTERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | LINDA MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | GREGORY NAPIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JAMES O'BRIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MIKE PRATER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | MIKE SHOEMAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | AMY SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | TINA TERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | KATHY TRIMBLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | MELISSA TURNER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 810113 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 473730 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 460289 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 444951 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 324360 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 317200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 186314 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 167296 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 0 |
| 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/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | FORMER CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1974 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 20 |
| IRS990/GovernmentGrantsAmt | 0 | 6946087 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 47242199 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 20 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 57 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 241267 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 131 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 241398 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 19141 |
| IRS990/InterestGrp/TotalAmt | 0 | 19141 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1008617 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1023615 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 838314 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 838314 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 30 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6117834 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 11579268 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 12866506 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 18984340 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | CHARITABLE MISSION: BIG SANDY HEALTH CARE (BSHC) IS ORGANIZED AS A NONPROFIT CORPORATION AND AN EXEMPT ENTITY UNDER IRC SECTION 501(C)(3).BSHC OPERATES EXCLUSIVLY FOR THE CHARITABLE PURPOSE OF PROVIDING PRIMARY HEALTH CARE SERVICES TO A LARGE NUMBER OF LOW-INCOME AND UNINSURED PERSONS THROUGH ITS SEVEN PRIMARY CARE CENTERS IN RURAL, SOUTHEASTERN KENTUCKY. BSHC'S PRIMARY SERVICE AREA IS COMPRISED IN FLOYD, JOHNSON, MAGOFFIN, MARTIN AND PIKE COUNTIES. THE AREA IS RURAL AND ECONOMICALLY DISTRESSED. A DISPROPORTIONATE NUMBER OF PEOPLE HAVE NO HEALTH INSURANCE AND THE REGION'S MEDICAID ELIGIBILITY IS HIGH COMPARED TO STATE AND NATIONAL AVERAGES. IN THIS CONTEXT, BSHC OFFERS CHARITABLE HEALTH CARE TO LOW-INCOME AND UNINSURED PERSONS. AS PART OF ITS COMMITMENT TO ITS CHARITABLE MISSION, BSHC HAS INSTITUTED A CHARITY DISCOUNT PROGRAM FOR PATIENTS WHOSE HOUSEHOLD INCOMES FALL BELOW 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES. DURING FISCAL YEAR ENDED JANUARY 31, 2025, BSHC PROVIDED CHARITY DI |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 444801 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 403098 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 35222432 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 36304962 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 34757089 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 35594565 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 116818 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 245995 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 362813 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 595527 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 360745 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 956272 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1382233 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1538520 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 616644 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2622414 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3239058 |
| IRS990/OtherExpensesGrp/Desc | 0 | PHARMACY SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | OTHER EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | TELEPHONE AND UTILITIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 510942 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 178841 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 7371641 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1947416 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 345511 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 352627 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 7371641 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1947416 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 856453 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 531468 |
| IRS990/OtherInd | 0 | X |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1407865 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1588628 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4321613 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 20378862 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 24700475 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 396239 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1409320 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1805559 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 101656 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 347330 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 448986 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 446550 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 683688 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 621656 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 605702 |
| IRS990/PrincipalOfficerNm | 0 | JAMES HERALD |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT CARE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 39457798 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 39457798 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 12338515 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 709514 |
| IRS990/PYOtherExpensesAmt | 0 | 13771917 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 38678858 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 8742662 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 29212308 |
| IRS990/PYTotalExpensesAmt | 0 | 42984225 |
| IRS990/PYTotalRevenueAmt | 0 | 51726887 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1082530 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
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