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Big Sandy Health Care Inc

EIN 61-0849776 · Prestonsburg, KY

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

LegitimacyPassesRegistration and standingFinancial healthStrong93 out of 100GovernanceGood85 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

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, 2026, BSHC PROVIDED CHARITY DI

Income
$51.2 million
Spending
$46.9 million
Spent on programs
83%
Reserves
6.5 months of spending
Largest source of income
fees for its services, 87%
Employees
408
Highest pay
$839,237, doctor

Source: Form 990 for the year ending January 31, 2026, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Strong: 93 out of 100.

  • Reserves

    28 of 35

    Spendable reserves would cover 6.5 months of spending.

  • Debt

    20 of 20

    It owes 10% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 8% of income.

  • Income trend

    15 of 15

    Income rose 8% on the year before.

  • Spending floor

    15 of 15

    83% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending January 31, 2026, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Good: 85 out of 100.

  • Independent board

    25 of 25

    20 of 20 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

    0 of 10

    Did not give the board a copy of this return before filing it.

  • Pay set independently

    0 of 5

    Reports no independent review process for its chief executive's pay.

  • 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 January 31, 2026, 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. $38.9 million spent. 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. 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.

Source: Form 990 for the year ending January 31, 2026, 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 October 13, 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 November 6, 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 October 13, 2026.

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

    Most recent return on file covers the year ending January 2026.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

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

    Recognized by the IRS since January 1975.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 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 November 4, 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.