Big Springs Medical Association
Also known as Missouri Highlands Health CARE
Big Springs Medical Association reported $43.5 million in revenue and $41.7 million in expenses for the fiscal year ending May 31, 2025. Of every $100 it spent, $71.09 went to program services, $28.91 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 76.2% of the total. Government grants made up 22.6%. The highest compensation it reported for one person was $646,554 (MEDICAL DIRECTOR). 31 people received more than $100,000 in reportable compensation. Revenue rose 123% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending May 31, 2025 · Form 990, Part IX, line 25 · total expenses $42MFor context, the median across 2,433 covered unclassified charities: $88.27 programs, $11.68 management, $0.05 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending May 31, 2025 · Form 990, Part VIII · total revenue $43M- Contributions & grants (non-government)$1.69 $738K
- Government grants$22.44 $9.8M
- Program service revenue$75.63 $33M
- Other revenue$0.24 $105K
Investment income was negative: −$317K. The bar shows the positive sources only.
The 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 71.1% | 86.7% |
| Management & general Part IX 25(C) ÷ 25(A) | 28.9% | 11.5% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.01 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 24.3% | 29.9% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 22.6% | 3.8% |
| Program service revenue share Part VIII 2g ÷ 12 | 76.2% | 58.9% |
| Highest reported compensation Part VII-A, columns D–F | $646,554 | $301,601 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.55% | 1.38% |
| People paid over $100,000 Part VII, line 2 | 31 | 6 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 7.2 | 6.8 |
| Independent voting board members Part VI 1a–1b | 10 of 10 | 100.0% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseBig 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
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
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
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| MEDICAL DIRECTOR Key employee, 40.0 hrs/week | $599,529 | $0 | $47,025 | $646,554 |
| OB/GYN END 07/24 Highest compensated employee, 40.0 hrs/week | $358,696 | $0 | $20,790 | $379,486 |
| OB/GYN END 07/24 Highest compensated employee, 36.0 hrs/week | $369,671 | $0 | $1,500 | $371,171 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $328,923 | $0 | $6,141 | $335,064 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $289,077 | $0 | $16,512 | $305,589 |
| DENTIST Highest compensated employee, 40.0 hrs/week | $289,556 | $0 | $9,272 | $298,828 |
| CHIEF EXECUTIVE OFFICER Officer, 40.0 hrs/week | $240,827 | $0 | $21,102 | $261,929 |
| CHIEF FINANCIAL OFFICER Officer, 40.0 hrs/week | $147,067 | $0 | $27,590 | $174,657 |
31 people received more than $100,000 in reportable compensation from Big Springs Medical Association (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.1M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 10 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aNo
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5386
- Volunteers Part I, line 612
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| POPLAR BLUFF CHILDREN'S DENTISTRY LLC Contracted Dental | $727,643 |
| FORVIS MAZARS LLP Auditing/Accounting | $274,298 |
| CPI 340B Pharmacy Consultant | $240,900 |
Individuals listed as contractors are left out. 11 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Big Springs Medical Association's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Big Springs Medical Association, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Big Springs Medical Association spent in FY2025, $71.09 went to programs. The full breakdown, from its IRS Form 990:
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Questions people ask
How much of Big Springs Medical Association's spending goes to programs?
In the fiscal year ending May 31, 2025, Big Springs Medical Association reported that 71.1% of its $41.7 million in expenses went to program services, 28.9% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Big Springs Medical Association pay its top executive?
The largest total compensation Big Springs Medical Association reported for one person in the fiscal year ending May 31, 2025 was $646,554, for the role of MEDICAL DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Big Springs Medical Association get its money?
Of $43.5 million in revenue in the fiscal year ending May 31, 2025, 24.3% came from contributions and grants (including 22.6% from government grants) and 76.2% from program service revenue (Form 990, Part VIII).
Is Big Springs Medical Association a registered charity?
The IRS lists EIN 43-1068291 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending May 31, 2025, object 202641059349301484 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending May 31, 2024, object 202540999349300914 · read the filing
- FY2023: Form 990 for the fiscal year ending May 31, 2023, object 202411279349302976 · read the filing
- FY2022: Form 990 for the fiscal year ending May 31, 2022, object 202301079349300710 · read the filing
- FY2021: Form 990 for the fiscal year ending May 31, 2021, object 202211089349300046 · read the filing
- FY2020: Form 990 for the fiscal year ending May 31, 2020, object 202141049349301754 · read the filing
All filings for EIN 43-1068291: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.