2026-07-28T10:34:16-04:00 2026-01-31 611129886 KELLEY GALLOWAY SMITH GOOLSBY PSC 1200 CORPORATE COURT PO BOX 990 ASHLAND KY 411050990 990 2025-02-01 610849776 BIG SANDY HEALTH CARE INC BIGS 6068868546 1709 KY ROUTE 321 3 PRESTONSBURG KY 41653 JAMES HERALD CEO 6068868546 2026-06-22 true LORI F DEARFIELD CPA P00846508 6063291811 2026-07-28 2025 2025-03-06 01:10:19Z JAMES HERALD 1709 KY ROUTE 321 SUITE 3 PRESTONSBURG KY 41653 51197747 false X WWW.BSHC.ORG X 1974 KY 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 20 20 408 0 6946087 6097873 39457798 44362001 838314 737873 0 47242199 51197747 0 0 30864888 30920051 0 0 15294781 16003529 46159669 46923580 1082530 4274167 41244713 45038749 4939751 4459620 36304962 40579129 X 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 false false 38918245 44394240 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. 38918245 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 34 0 408 true false false false false false false false false X 20 20 false false false false false false false true true false false false true true true true true false false false X X SUMMER MORRIS 6068868546 1709 KY ROUTE 321 SUITE 3 PRESTONSBURG KY 41653 X DR SAMMIE GIBSON DOCTOR X 836237 0 3000 DR JACK KENDRICK DOCTOR X 549023 0 1192 DR JEREMY PARSONS DOCTOR X 478975 0 3000 DR LESLEY DOTSON DOCTOR X 475197 0 3000 DR TARA NEWSOME DOCTOR X 321858 0 0 JAMES HERALD CEO X 286888 0 0 JUSTIN CRACE COO X 189800 0 3000 JOANN ARNETT DIRECTOR X 0 0 0 LESLIE BAILEY DIRECTOR X 0 0 0 ROY CONLEY DIRECTOR X 0 0 0 THOMAS CALLAHAN DIRECTOR X 0 0 0 KIMBERLY DANIELS DIRECTOR X 0 0 0 VICKIE DESKINS SECRETARY X X 0 0 0 MARTHA ELLIS DIRECTOR X 0 0 0 BOBBY HALE DIRECTOR X 0 0 0 KATHY HEMBREE DIRECTOR X 0 0 0 WILL LINDSEY JR DIRECTOR X 0 0 0 SUREKHA MADDIWAR DIRECTOR X 0 0 0 MARY MCMASTERS VICE PRESIDE X X 0 0 0 LINDA MARTIN DIRECTOR X 0 0 0 GREGORY NAPIER DIRECTOR X 0 0 0 JAMES O'BRIEN DIRECTOR X 0 0 0 MIKE PRATER DIRECTOR X 0 0 0 MIKE SHOEMAKER DIRECTOR X 0 0 0 AMY SMITH PRESIDENT X X 0 0 0 TINA TERRY DIRECTOR X 0 0 0 KATHY TRIMBLE TREASURER X X 0 0 0 MELISSA TURNER DIRECTOR X 0 0 0 3137978 13192 59 false true false SRINIVASU AMMISETTY 668 CEDAR CREEK PIKEVILLE KY 41501 MEDICAL SERVICE 582006 DR RANDY FOREHAND 312 POND ST POUNDING MILL VA 24637 MEDICAL SERVICE 563696 WILLIAM WITT 3248 LANCASTER ROAD RICHMOND KY 40475 X-RAY SERVICES 106865 3 6097873 6097873 PATIENT CARE 44362001 44362001 44362001 737873 737873 51197747 45099874 25484583 20620895 4863688 424759 335873 88886 3205609 2642367 563242 1805100 1416826 388274 1650092 1510357 139735 88047 38325 49722 980065 417324 562741 372681 256096 116585 215213 110252 104961 17225 17225 756379 657602 98777 286933 286933 PHARMACY SUPPLIES 8545188 8545188 MEDICAL SUPPLIES 1661995 1661995 OTHER EXPENSE 898615 297516 601099 TELEPHONE AND UTILITIES 469292 369978 99314 61804 20426 41378 46923580 38918245 8005335 0 22077352 24561212 683688 280915 2449330 2451848 1023615 875578 605702 722721 21791214 6874214 12866506 14917000 1538520 1229475 41244713 45038749 2948025 2796441 403098 359479 1588628 1303700 4939751 4459620 X 35594565 40266574 710397 312555 36304962 40579129 41244713 45038749 4274167 X false true X true true true X 6944561 8065059 12336340 6945098 6097873 40388931 6944561 8065059 12336340 6945098 6097873 40388931 40388931 21886 245154 709514 838314 737873 2552741 42941672 189545093 0.94060 0.95690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 958453 958453 9863103 2752396 7110707 6748880 4121818 2627062 10696222 CAPITAL LEASES 1303700 1303700 X 51197747 51197747 51197747 46923580 46923580 46923580 SCHEDULE D, PAGE 3, PART X 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, 2026, 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 2023. X X false false false false false false false false false DR SAMMIE GIBSON DOCTOR 836237 3000 839237 DR JACK KENDRICK DOCTOR 549023 1192 550215 DR JEREMY PARSONS DOCTOR 478975 3000 481975 DR LESLEY DOTSON DOCTOR 475197 3000 478197 DR TARA NEWSOME DOCTOR 321858 321858 JAMES HERALD CEO 286888 286888 JUSTIN CRACE COO 189800 3000 192800 FORM 990 - ORGANIZATION'S MISSION 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 DISCOUNTS OF APPROXIMATELY 460,454 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. FORM 990, PAGE 2, PART III, LINE 4A 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. FORM 990, PAGE 6, PART VI, LINE 11B 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. FORM 990, PAGE 6, PART VI, LINE 12C 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. FORM 990, PAGE 6, PART VI, LINE 18 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. FORM 990, PAGE 6, PART VI, LINE 19 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.