Kentucky · Nonprofit
BIG SANDY HEALTH CARE INC
BIG SANDY HEALTH CARE INC (Kentucky) receives grants from 7 organizations whose IRS filings report $5,607,591 to it, the largest being The Chicago Community Trust ($5,000,000). 1 of them have funded it in more than one year, and 89% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- Revenue FY2026
- $51M
- Funders on record
- 7
- Grants received
- $5.6M
- Net assets
- $41M
What Big Sandy Health Care Inc does
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 di
As stated on its FY2026 Form 990.
Program
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.
$38,918,245 spent$44,394,240 earned by the program100% of program spending
The program described on its FY2025 Form 990. Program spending in total: $38,918,245.
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.
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 $31M to $40M (+27%).
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 17% · 2018 18% · 2019 16% · 2020 17% · 2021 22% · 2022 17% · 2023 19% · 2024 14% · 2025 15% · 2026 12%. Grants only. Government contracts and fees sit inside program revenue.
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 10 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.
Chief executive
James Herald
CEO
As listed on its FY2026 Form 990.
The chief executive listed changed between the FY2024 and FY2025 filings.
Who funds it, year by year
2021 → 2023: the base held at 2 funders, grant income fell $56k → $34k.
1 of 7 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 89% 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 BIG SANDY HEALTH CARE INC’s funders (the co-funder graph). 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
BIG SANDY HEALTH CARE INC leans on a few funders — its largest provides 89% of grant income and the top three 99%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
99% 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 BIG SANDY HEALTH CARE INC.
Largest funder’s share by year: 2021 54% · 2023 93% — growing more concentrated.
“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.
Where its funders are
89% of BIG SANDY HEALTH CARE 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 $608k that is directly attributable, 89% of it comes from Kentucky funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $5.0M arriving through sponsors registered in 1 state 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.
Government funding BIG SANDY HEALTH CARE INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $56.6M on record.
- Department of Health and Human Services$56.2M
- Department of Agriculture$363k
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 BIG SANDY HEALTH CARE 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 Kentucky
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
83% of spending goes to programs.
Governance
Public support
94%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Screen this organization
A dated, signed PDF of the compliance screen for BIG SANDY HEALTH CARE 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 BIG SANDY HEALTH CARE INC?
- BIG SANDY HEALTH CARE INC (Kentucky) receives grants from 7 organizations whose IRS filings report $5,607,591 to it, the largest being The Chicago Community Trust ($5,000,000). 1 of them have funded it in more than one year, and 89% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- How many funders does BIG SANDY HEALTH CARE INC have?
- IRS filings report 7 organizations giving $5,607,591 in grants to BIG SANDY HEALTH CARE INC, 1 of which have funded it in more than one year.
- Who is the largest funder of BIG SANDY HEALTH CARE INC?
- The Chicago Community Trust is the largest funder on record, with $5,000,000 in grants. The full list of funders is on this page.
- How can an organization like BIG SANDY HEALTH CARE INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Kentucky. 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 Big Sandy Health Care →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2026 (financials across 2017–2026), and the filings of 7 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