Big Sandy Health Care

What Big Sandy Health Care does

Big Sandy Health Care, Inc. (BSHC) is a private 501(c)(3) nonprofit and federally qualified Health Center Program grantee operating under 42 U.S.C. 254b, founded in 1973 when Eula Hall opened the Mud Creek Clinic in Grethel, Kentucky with a $1,400 donation and the support of two local physicians; the clinic merged into Big Sandy Health Care in 1977 to access federal funding and has since grown into a regional Appalachian healthcare platform headquartered at 1709 KY Route 321, Prestonsburg, Kentucky, with 251-500 employees serving patients across 11 Eastern Kentucky counties.

BSHC operates more than 15 fixed clinical sites across Floyd, Johnson, Martin, Pike, and Magoffin counties, including the Eula Hall Health Center (Grethel), Big Sandy Community Health Center (Harold), Freeburn Community Health Center, Hope Family Health Services (Salyersville), Johnson County Community Health Center (Paintsville), Martin County Community Health Center (Inez), Pikeville Community Health Center, Shelby Valley Clinic, and Physicians For Women & Families (Auxier). Service lines span primary care, women's health/OB-GYN, pediatrics, behavioral health, dental care (including a mobile dental unit), optometry, podiatry, in-house pharmacy, Black Lung services for coal miners, school-based health via the Healthy@School program embedded in 25+ schools across three counties, in-house laboratory, digital X-ray, telehealth video visits, and after-hours nurse on call. Supporting technology consists of an electronic medical records/information system, the My BSHC Chart patient portal, MSS Software for healthcare data management, HubSpot CRM, and standard third-party tools (Google Maps, PayPal, Google Analytics). Specialized programs layer on top, including the Patient-Centered Medical Home (PCMH) team-based care model, a Community Health Worker (CHW) program that conducts home visits and medication delivery, a Chronic Disease Management Program under a BSN/RN/SANE-A program director, Kentucky Women's Cancer Screening enrollment, and a Sliding Fee Discount Program tied to federal poverty guidelines.

Revenue is generated from three streams: (1) patient service revenue from medical, dental, vision, behavioral health, pharmacy, and ancillary services billed to insurance, Medicaid, Medicare, and patients directly, supplemented by a sliding fee scale for uninsured/underinsured patients; (2) a Federal Health Center Program grant providing operational support for serving underserved populations under 42 U.S.C. 254b, with associated Federal Tort Claims Act coverage under 42 U.S.C. 233(g)-(n); and (3) tax-deductible donations to a General Fund and Spirit of Eula Hall Fund. Distribution is community-led rather than commercial marketing: nine named kynectors enroll patients in Medicaid, KI-HIPP, and Qualified Health Plans across six counties; CHWs conduct home visits and medication delivery; the Healthy@School program delivers care in schools; and the patient portal plus online scheduling enable self-service access. A new ~14,000 square-foot Eula Hall Health Center facility was placed under architectural design in November 2021 to consolidate family practice, pediatrics, optometry, dental, behavioral health, and pharmacy under one roof, with construction anticipated to begin Summer 2022 and targeted for late-Summer 2024 completion.

Name

Big Sandy Health Care

Legal name

Big Sandy Health Care, Inc.

Website

https://bshc.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

251–500 employees

Short description

Big Sandy Health Care, Inc. is a federally qualified, nonprofit 501(c)(3) community health center operating 15-plus clinics across 11 counties of Eastern Kentucky, delivering comprehensive primary, dental, behavioral, women's, pediatric, pharmacy, and school health services to underserved Appalachian patients regardless of ability to pay.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Ambulatory Health Care Services (621), Other Outpatient Care Centers (62149)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

akta.pro secondary industry

Primary Care & General Medicine Virtual Care (HLALAAAA)

Keywords

• Community health services
• Primary care
• Rural healthcare
• Federally qualified health center
• School health program

Headquarters

HQ city

Prestonsburg

HQ country

United States

HQ region

North America

Offices14 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Patient Service Revenue: Revenue from providing medical, dental, vision, behavioral health, pharmacy, and other healthcare services to patients. Services are billed to insurance, Medicaid, Medicare, and patients directly. Sliding fee scale available for uninsured and underinsured patients.
2. Federal Health Center Program Grant: Federally-funded Health Center Program grantee under 42 U.S.C. 254b, providing operational support for serving underserved populations.
3. Donations and Philanthropy: Non-profit 501(c)(3) organization accepting tax-deductible donations to its General Fund and Spirit of Eula Hall Fund to expand patient services, improve community health programs, and respond to natural disasters.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Big Sandy Health Care is a federally qualified non-profit health center delivering comprehensive primary, women's health, pediatric, behavioral, dental, eye, foot, and pharmacy care across Eastern Kentucky. It operates 15+ clinic locations, a school health program, mobile dental unit, and telehealth, supported by an in-house pharmacy, laboratory, and digital X-ray, and is funded as a Health Center Program grantee under 42 U.S.C. 254b.

Product overview

Big Sandy Health Care, Inc. is a federally-funded nonprofit health center (Health Center Program grantee under 42 U.S.C. 254b) that has served Eastern Kentucky for over 50 years. The organization operates as a unified healthcare platform offering comprehensive primary care services through multiple clinic locations, including Primary Care, Women's Health, Pediatrics, Behavioral Health, Dental Care, Eye Care, Foot Care (Podiatry), Pharmacy, Black Lung Services, Laboratory, Telehealth, and X-Ray services. The portfolio includes specialized programs such as the Healthy@School school health initiative, Chronic Disease Management Program, Patient-Centered Medical Home model, Sliding Fee Discount Program, Insurance Assistance through Kynect, Kentucky Women's Cancer Screening Program, and Community Health Worker Program. Services are delivered at facilities including Eula Hall Health Center, Mud Creek Clinic, Big Sandy Community Health Center, and multiple other clinic locations across Floyd, Johnson, Martin, Pike, and Magoffin counties. The organization also provides a patient portal (My BSHC Chart) for digital access to health records.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Care
• Women's Health
• Pediatrics
• Behavioral Health
• Dental Care
• Eye Care
• Foot Care (Podiatry)
• Pharmacy
• Black Lung Services
• School Health (Healthy@School)
• Laboratory Services
• Telehealth
• X-Ray Services
• Sliding Fee Discount Program
• Insurance Assistance (Kynector Services)
• Kentucky Women's Cancer Screening Program
• My BSHC Chart (Patient Portal)

Quantifiable outcome

• Serving patients across 11 counties in Eastern Kentucky with comprehensive healthcare
• +2 more outcomes

Named customers1 record

Segments6 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature3 records

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Mountain Comprehensive Health Corporation: Federally Qualified Health Center serving Eastern Kentucky and Appalachian communities with primary care, dental, behavioral health, and pharmacy services across multiple clinic locations — directly comparable FQHC model serving a similar rural, underserved Appalachian population.
• Cumberland Family Medical Center: Kentucky FQHC operating a multi-county network of primary care, dental, behavioral, and pharmacy services — directly comparable FQHC structure and comprehensive service portfolio serving rural Kentucky communities.
• White House Clinics: Federally Qualified Health Center operating across multiple Kentucky counties with primary care, dental, behavioral health, and pharmacy services — directly comparable community health center model with sliding fee programs.
• Sterling Health: Kentucky FQHC providing primary medical, dental, behavioral health, and pharmacy services across multiple locations — directly comparable community health center serving rural Kentucky populations.
• Grace Health: Federally Qualified Health Center in Southeastern Kentucky delivering primary care, pediatrics, dental, behavioral health, and pharmacy services — comparable FQHC operating in adjacent Appalachian Kentucky region.
• HealthPoint Family Care: Kentucky FQHC providing primary care, dental, behavioral health, and pharmacy services across multiple locations in Central and Northern Kentucky — comparable FQHC model with sliding fee scale and comprehensive ambulatory services.

Broad incumbents

• Appalachian Regional Healthcare: Large regional health system operating hospitals and clinics across Eastern Kentucky and West Virginia — broader incumbent serving overlapping geographies with hospital-level care that complements BSHC's outpatient FQHC model.
• St. Claire HealthCare: Regional health system serving Northeastern Kentucky with hospital, primary care, and specialty services — broader incumbent operating in overlapping Eastern Kentucky geography with primary care extensions.

Regional players

• Kentucky River District Health Department: Public health department serving Eastern Kentucky counties with primary care, immunizations, and public health programs — adjacent regional player providing safety-net services in overlapping Appalachian geography.

Others

• Kentucky Primary Care Association: Statewide membership organization representing Kentucky's FQHCs and rural health clinics, providing training, advocacy, and grant funding (including the recent $1.3M award to BSHC) — ecosystem enabler and capital partner rather than direct competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/big-sandy-health-care-inc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Big Sandy Health Care