BIG SANDY HEALTH CARE INC (EIN 610849776) - 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

1974

Legal Domicile

Principal Officer

JAMES HERALD

Phone

6068868546

Tax Period

2024-02-01 to 2025-01-31

BIG SANDY HEALTH CARE INC, founded in 1974, is a mid-sized nonprofit that reported $47.2M in total revenue in fiscal year 2024. Revenue decreased 9% compared to the prior year.

Mission

BIG SANDY HEALTH CARE (BSHC) IS ORGANIZED AS A NONPROFIT CORPORATION AND AN EXEMPT ENTITY UNDER IRC SECTION 501(C)(3). BSHC OPERATES EXCLUSIVELY 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 PROGRAM FOR UNINSURED PATIENTS WHO RECEIVE SERVICES AT ITS FACILITIES. THIS PROGRAM PROVIDES FINANCIAL RELIEF TO PERSONS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOM

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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 $6,946,087

Program Service Revenue $39,457,798

Investment Income $838,314

Other Revenue $0

TOTAL REVENUE $47,242,199

Expense Breakdown

Grants Paid $0

Salaries & Benefits $30,864,888

Fundraising Expenses $0

Program Expenses $37,929,060

Other Expenses $15,294,781

TOTAL EXPENSES $46,159,669

Year-over-Year Comparison

	2024	2023	Change
Revenue	$47,242,199	$51,726,887	-0.1%
Expenses	$46,159,669	$42,984,225	+0.1%
Net Income	$1,082,530	$8,742,662	-0.9%

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

412

Volunteers

N/A

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

Total Directors

Key Employees

$676,810

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DR SAMMIE GIBSON	DOCTOR	N/A	Highest	$810,113	$3,000	$813,113
DR JEREMY PARSONS	DOCTOR	N/A	Highest	$473,730	$3,000	$476,730
DR JACK KENDRICK	DOCTOR	N/A	Highest	$460,289	$0	$460,289
DR LESLEY DOTSON	DOCTOR	N/A	Highest	$444,951	$3,000	$447,951
DR TIFFANY MILLS	DOCTOR	N/A	Highest	$324,360	$3,000	$327,360
BOYCE DEAN SHOFNER	FORMER CEO	N/A	Key Emp	$317,200	$3,000	$320,200
JAMES HERALD	CEO	N/A	Key Emp	$186,314	$0	$186,314
JUSTIN CRACE	COO	N/A	Key Emp	$167,296	$3,000	$170,296
JOANN ARNETT	DIRECTOR	N/A	Director	$0	$0	$0
LESLIE BAILEY	DIRECTOR	N/A	Director	$0	$0	$0
ROY CONLEY	DIRECTOR	N/A	Director	$0	$0	$0
THOMAS CALLAHAN	DIRECTOR	N/A	Director	$0	$0	$0
KIMBERLY DANIELS	DIRECTOR	N/A	Director	$0	$0	$0
VICKIE DESKINS	SECRETARY	N/A	Officer Director	$0	$0	$0
MARTHA ELLIS	DIRECTOR	N/A	Director	$0	$0	$0
BOBBY HALE	DIRECTOR	N/A	Director	$0	$0	$0
KATHY HEMBREE	DIRECTOR	N/A	Director	$0	$0	$0
WILL LINDSEY JR	DIRECTOR	N/A	Director	$0	$0	$0
SUREKHA MADDIWAR	DIRECTOR	N/A	Director	$0	$0	$0
MARY MCMASTERS	VICE PRESIDE	N/A	Officer Director	$0	$0	$0
LINDA MARTIN	DIRECTOR	N/A	Director	$0	$0	$0
GREGORY NAPIER	DIRECTOR	N/A	Director	$0	$0	$0
JAMES O'BRIEN	DIRECTOR	N/A	Director	$0	$0	$0
MIKE PRATER	DIRECTOR	N/A	Director	$0	$0	$0
MIKE SHOEMAKER	DIRECTOR	N/A	Director	$0	$0	$0
AMY SMITH	PRESIDENT	N/A	Officer Director	$0	$0	$0
TINA TERRY	DIRECTOR	N/A	Director	$0	$0	$0
KATHY TRIMBLE	TREASURER	N/A	Officer Director	$0	$0	$0
MELISSA TURNER	DIRECTOR	N/A	Director	$0	$0	$0

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	$47,242,199	$46,159,669	$41,244,713	$1,082,530
2024	$51,726,887	$42,984,225	$39,981,212	$8,742,662
2023	$41,871,427	$38,408,693	$31,401,490	$3,462,734
2022	$40,449,494	$34,517,098	$26,374,341	$5,932,396
2021	$31,641,983	$28,858,792	$23,648,267	$2,783,191
2020	$29,072,377	$26,972,542	$17,612,666	$2,099,835
2019	$24,973,263	$22,995,045	$15,895,032	$1,978,218

BIG SANDY HEALTH CARE INC