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Missouri · Nonprofit

BIG SPRINGS MEDICAL ASSOCIATION INC

BIG SPRINGS MEDICAL ASSOCIATION INC (Missouri) receives grants from 6 organizations whose IRS filings report $429,560 to it, the largest being MISSOURI FAMILY HEALTH COUNCIL INC ($234,132). 3 of them have funded it in more than one year.

Revenue FY2025
$43M
Funders on record
6
Grants received
$430k
Net assets
$25M
3/6 repeat funderspeak grant-dependency 0%
01What it does

What Big Springs Medical Association Inc does

Mission

The organization endeavors to meet the primary and preventative health care needs of the medically under-served by providing high-quality, cost-effective care and services to its patients. See schedule o for additional detail.

As stated on its FY2025 Form 990.

Programs

  1. Big springs medical association provides medical services to residents of ellington, missouri, and the surrounding areas. Some specific medical services that big springs medical association offers include: telehealth, community health and education, and patient pharmaceuticals assistance program. See schedule o for further details on these program services. During fiscal year 2025 the organization had 75,459 medical care and mental health visits combined. Telehealth through an arrangement made possible by the university of missouri-columbia and the missouri primary care association. See schedule o for additional detail.

    $22,193,023 spentof which $5,597 as grants$22,277,888 earned by the program
    75% of program spending
  2. Big springs medical association provides dental services to residents of ellington, missouri, and poplar bluff, missouri as well as the surrounding areas. Dental services provided include: regular cleanings and check ups, emergency visits for acute pain or swelling, trauma associated with broken teeth, cleaning and medication for anug, and equilibration of teeth in traumatic occlusion. During 2025, the organization had 13,570 dental care visits.

    $6,027,196 spent$9,326,050 earned by the program
    20% of program spending
  3. Big springs medical association provides behavioral health services to residents of ellington, missouri, and the surrounding areas. Behavioral services include individual therapy and counseling for patients as well as brief intervention sessions for all patients.

    $1,393,861 spent$1,501,144 earned by the program
    5% of program spending

The 3 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $29,614,080.

02The organization over time

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.

100 = 20172017 Revenue 100 ($14M) Expenses 100 ($12M) Net assets 100 ($8.6M)2018 Revenue 108 ($15M) Expenses 120 ($15M) Net assets 104 ($8.9M)2019 Revenue 113 ($16M) Expenses 134 ($17M) Net assets 94 ($8.1M)2020 Revenue 138 ($20M) Expenses 156 ($19M) Net assets 94 ($8.1M)2021 Revenue 207 ($29M) Expenses 208 ($26M) Net assets 124 ($11M)2022 Revenue 256 ($36M) Expenses 241 ($30M) Net assets 212 ($18M)2023 Revenue 277 ($39M) Expenses 294 ($37M) Net assets 238 ($20M)2024 Revenue 312 ($44M) Expenses 333 ($41M) Net assets 269 ($23M)2025 Revenue 307 ($43M) Expenses 334 ($42M) Net assets 289 ($25M)
'17'18'19'20'21'22'23'24'25
Revenue (307)Expenses (334)Net assets (289)

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2021 to 2022, from $21M to $26M (+23%).

$10M
$12M
$12M
$16M
$21M
$26M
$29M
$29M
$30M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

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.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 34% · 2018 29% · 2019 27% · 2020 28% · 2021 25% · 2022 25% · 2023 21% · 2024 25% · 2025 23%. Grants only. Government contracts and fees sit inside program revenue.

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$1.7M
’17
$340k
’18
−$676k
’19
$128k
’20
$3.4M
’21
$6.3M
’22
$2.7M
’23
$2.7M
’24
$1.8M
’25
2.1
months of
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

Karen White

Chief executive officer

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed212020221918212222
Joined·+6+3+3+3+1+4+2+6
No longer listed·73162116
03Who funds it

Who funds it, year by year

2018 → 2023: the base held at 2 funders, grant income rose $8k → $107k.

Funder
'18
'19
'20
'21
'22
'23
'25*
total
$119k
Direct Reliefunclassified
$50k
QSourceunclassified
$16k
funders
2
2
4
2
3
2
1

1 of 6 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 2% 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 SPRINGS MEDICAL ASSOCIATION INC’s funders (the co-funder graph). Top 5 of 6 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

BIG SPRINGS MEDICAL ASSOCIATION INC leans on a few funders — its largest provides 55% of grant income and the top three 94%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% 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 SPRINGS MEDICAL ASSOCIATION INC.

55%
largest funder
94%
top three
~3
effective funders

Largest funder’s share by year: 2018 100% · 2019 100% · 2020 56% · 2021 100% · 2022 67% · 2023 63% — 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.

Where its funders are

84% of BIG SPRINGS MEDICAL ASSOCIATION INC's grant income comes from Missouri funders.

CA
MO
TN

In-state vs out-of-state, by year

’18
’20
’21
’22
’23
Missouri out of state home

Funder states come from each funder’s own filing. $10k 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.

04Its place in the field

Government funding BIG SPRINGS MEDICAL ASSOCIATION INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $78.4M on record.

Federal$78.4M
grants $78.4Mcontracts $0
17
18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Health and Human Services$69.7M
  • Department of Agriculture$8.5M
  • Delta Regional Authority$192k

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 SPRINGS MEDICAL ASSOCIATION 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 Missouri

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

71% of spending goes to programs.

Program 71%Management 29%Fundraising 0%

Governance

10
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention–Board reviewed the 990✓Audited financials

Screen this organization

A dated, signed PDF of the compliance screen for BIG SPRINGS MEDICAL ASSOCIATION 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.

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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 SPRINGS MEDICAL ASSOCIATION INC?
BIG SPRINGS MEDICAL ASSOCIATION INC (Missouri) receives grants from 6 organizations whose IRS filings report $429,560 to it, the largest being MISSOURI FAMILY HEALTH COUNCIL INC ($234,132). 3 of them have funded it in more than one year.
How many funders does BIG SPRINGS MEDICAL ASSOCIATION INC have?
IRS filings report 6 organizations giving $429,560 in grants to BIG SPRINGS MEDICAL ASSOCIATION INC, 3 of which have funded it in more than one year.
Who is the largest funder of BIG SPRINGS MEDICAL ASSOCIATION INC?
MISSOURI FAMILY HEALTH COUNCIL INC is the largest funder on record, with $234,132 in grants. The full list of funders is on this page.
How can an organization like BIG SPRINGS MEDICAL ASSOCIATION INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 6 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