BIG SPRINGS MEDICAL ASSOCIATION INC (EIN 431068291) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1975

Legal Domicile

Phone

5736632313

Tax Period

2024-06-01 to 2025-05-31

BIG SPRINGS MEDICAL ASSOCIATION INC, founded in 1975, is a mid-sized nonprofit that reported $43.5M in total revenue in fiscal year 2024. Expenses of $41.7M left a modest 4% surplus.

Mission

THE ORGANIZATION PROVIDES MEDICAL, DENTAL, WOMEN'S AND BEHAVIORAL HEALTH SERVICES TO UNDER-SERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $10,559,175

Program Service Revenue $33,105,082

Investment Income $-316,610

Other Revenue $104,787

TOTAL REVENUE $43,452,434

Expense Breakdown

Grants Paid $5,597

Salaries & Benefits $23,450,532

Fundraising Expenses $0

Program Expenses $29,614,080

Other Expenses $18,202,549

TOTAL EXPENSES $41,658,678

Year-over-Year Comparison

	2024	2023	Change
Revenue	$43,452,434	$44,162,351	0.0%
Expenses	$41,658,678	$41,448,807	+0.0%
Net Income	$1,793,756	$2,713,544	-0.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

386

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$436,586

Total Directors

Key Employees

$646,554

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CURT MAJORS	VICE-PRESIDENT	1.0	Officer Director	$0	$0	$0
KATHERINE HART	TREASURER END 6/24	1.0	Officer Director	$0	$0	$0
LANCE MAYFIELD	SECRETARY	1.0	Officer Director	$0	$0	$0
MICHAEL MORTON	PRESIDENT	1.0	Officer Director	$0	$0	$0
REBECA PACHECO	TREASURER beg 07/24	1.0	Officer Director	$0	$0	$0
LARISSA BROWN	DIRECTOR END 12/24	1.0	Director	$0	$0	$0
Levi McNeal	Director beg 01/25	1.0	Director	$0	$0	$0
LINDA LUNSFORD	DIRECTOR	1.0	Director	$0	$0	$0
MARGIE CLEARY	DIRECTOR	1.0	Director	$0	$0	$0
MICHELLE WALKER	DIRECTOR END 11/24	1.0	Director	$0	$0	$0
ROBERT CAMPBELL	DIRECTOR BEG 10/24	1.0	Director	$0	$0	$0
SCOTT OATMAN	DIRECTOR	1.0	Director	$0	$0	$0
STEVEN LYNXWILER	DIRECTOR END 01/25	1.0	Director	$0	$0	$0
Teryl Harrison	Director beg 02/25	1.0	Director	$0	$0	$0
JULIE O'NEAL	CHIEF FINANCIAL OFFICER	40.0	Officer	$147,067	$27,590	$174,657
KAREN WHITE	CHIEF EXECUTIVE OFFICER	40.0	Officer	$240,827	$21,102	$261,929
JOSH GAST	MEDICAL DIRECTOR	40.0	Key Emp	$599,529	$47,025	$646,554
BIJAN BASTANINEJAD	PHYSICIAN	40.0	Highest	$328,923	$6,141	$335,064
FARRAH MCSPADDEN	OB/GYN END 07/24	36.0	Highest	$369,671	$1,500	$371,171
IAN PELLETIER	PHYSICIAN	40.0	Highest	$289,077	$16,512	$305,589
LATASHUA JOSEPH	DENTIST	40.0	Highest	$289,556	$9,272	$298,828
VANESSA GIVENS	OB/GYN END 07/24	40.0	Highest	$358,696	$20,790	$379,486

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$43,452,434	$41,658,678	$30,464,594	$1,793,756
2024	$44,162,351	$41,448,807	$29,190,728	$2,713,544
2023	$39,288,610	$36,605,870	$29,352,828	$2,682,740
2022	$36,272,127	$29,998,401	$26,111,106	$6,273,726
2021	$29,358,997	$25,980,904	$21,212,476	$3,378,093
2020	$19,514,553	$19,386,582	$16,418,546	$127,971
2019	$16,045,069	$16,721,322	$11,831,211	$-676,253
2018	$15,326,891	$14,987,013	$12,382,560	$339,878

BIG SPRINGS MEDICAL ASSOCIATION INC