Charitable mission: big sandy health care (BSHC) is organized as a nonprofit corporation and an exempt entity under IRC section 501(c)(3).BSHC operates exclusivly 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 discount program for patients whose household incomes fall below 200 percent of the federal poverty guidelines. During fiscal year ended january 31, 2025, BSHC provided charity DI