Big Sandy Health CARE
Big Sandy Health CARE reported $51.2 million in revenue and $46.9 million in expenses for the fiscal year ending January 31, 2026. Of every $100 it spent, $82.94 went to program services, $17.06 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: 86.6% of the total. Government grants made up 11.9%. The highest compensation it reported for one person was $839,237 (DOCTOR). 59 people received more than $100,000 in reportable compensation. Revenue rose 76% between FY2020 and FY2026. Source: Form 990, FY2026.
Where $100 of spending went
The fiscal year ending January 31, 2026 · Form 990, Part IX, line 25 · total expenses $47MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending January 31, 2026 · Form 990, Part VIII · total revenue $51MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2026 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.9% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 17.1% | 13.7% |
| 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 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 11.9% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 11.9% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 86.6% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $839,237 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.79% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 59 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 10.4 | 6.6 |
| Independent voting board members Part VI 1a–1b | 20 of 20 | 88.9% |
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
FY2026 · Form 990, Part III · the three largest programs by expensePrimary 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…
Highest reported compensation
FY2026 · 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 |
|---|---|---|---|---|
| DOCTOR Highest compensated employee | $836,237 | $0 | $3,000 | $839,237 |
| DOCTOR Highest compensated employee | $549,023 | $0 | $1,192 | $550,215 |
| DOCTOR Highest compensated employee | $478,975 | $0 | $3,000 | $481,975 |
| DOCTOR Highest compensated employee | $475,197 | $0 | $3,000 | $478,197 |
| DOCTOR Highest compensated employee | $321,858 | $0 | $0 | $321,858 |
| CEO Key employee | $286,888 | $0 | $0 | $286,888 |
| COO Key employee | $189,800 | $0 | $3,000 | $192,800 |
59 people received more than $100,000 in reportable compensation from Big Sandy Health CARE (Part VII, line 2).
7 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2026 · 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–1b20 · 20 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 15aNo
- 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 4No
- 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 5408
Private foundation grants it received
1 private foundation reported grants to Big Sandy Health CARE totaling $2,500 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Big Sandy Health CARE'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 Sandy Health CARE, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Big Sandy Health CARE spent in FY2026, $82.94 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Covenant Hospital HobbsRenton, WA · revenue $51M · programs 96.3% · 2024
- Seattle Indian Health BoardSeattle, WA · revenue $51M · programs 68.1% · FY2025
- St Joseph's Health ServicesHillsboro, WI · revenue $51M · programs 88.9% · FY2025
- Grant Memorial HospitalPetersburg, WV · revenue $51M · programs 59.5% · FY2023
- Unity CARE NorthwestBellingham, WA · revenue $51M · programs 79.0% · 2024
Questions people ask
How much of Big Sandy Health CARE's spending goes to programs?
In the fiscal year ending January 31, 2026, Big Sandy Health CARE reported that 82.9% of its $46.9 million in expenses went to program services, 17.1% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Big Sandy Health CARE pay its top executive?
The largest total compensation Big Sandy Health CARE reported for one person in the fiscal year ending January 31, 2026 was $839,237, for the role of DOCTOR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Big Sandy Health CARE get its money?
Of $51.2 million in revenue in the fiscal year ending January 31, 2026, 11.9% came from contributions and grants (including 11.9% from government grants) and 86.6% from program service revenue (Form 990, Part VIII).
Is Big Sandy Health CARE a registered charity?
The IRS lists EIN 61-0849776 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024, 2025. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2026: Form 990 for the fiscal year ending January 31, 2026, object 202622099349301112 · read the filing
- FY2025: Form 990 for the fiscal year ending January 31, 2025, object 202511859349300006 · read the filing
- FY2024: Form 990 for the fiscal year ending January 31, 2024, object 202411779349301201 · read the filing
- FY2023: Form 990 for the fiscal year ending January 31, 2023, object 202341949349301024 · read the filing
- FY2022: Form 990 for the fiscal year ending January 31, 2022, object 202211809349300501 · read the filing
- FY2021: Form 990 for the fiscal year ending January 31, 2021, object 202122119349301202 · read the filing
- FY2020: Form 990 for the fiscal year ending January 31, 2020, object 202011699349300116 · read the filing
All filings for EIN 61-0849776: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.