Big Sandy Health Care, Inc.
Big Sandy Health Care, Inc. is a federally qualified health center (FQHC) in Kentucky and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Inez, Salyersville, Auxier, Grethel, and Pikeville. In 2025 it served 27,787 patients, down 1.4% from 28,173 in 2024. 5.3% of its patients were uninsured, compared with 12.4% across Kentucky health centers and 17.2% nationally.
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27,787Patients served, 2025
5.3%of patients uninsured
38.8%of patients on Medicaid/CHIP
$1,670Total accrued cost per patient
$442Cost per visit
Big Sandy Health Care, Inc. compared with Kentucky and the nation, 2025
| Measure | Big Sandy Health Care, Inc. | Kentucky health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 24.5% | 31.6% | 28.6% |
| Adults 65 and older | 21.4% | 13.2% | 12.8% |
| At or below 200% of the federal poverty guideline | 70.0% | 83.9% | 90.0% |
| Insurance status | |||
| Uninsured | 5.3% | 12.4% | 17.2% |
| Medicaid / CHIP | 38.8% | 42.8% | 47.9% |
| Medicare | 26.7% | 13.8% | 11.6% |
| Private insurance | 29.2% | 31.0% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,670 | $1,379 | $1,672 |
| Cost per visit | $442 | $335 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 60.5% | 56.4% | 57.0% |
| Colorectal cancer screening | 55.6% | 50.5% | 44.9% |
| Breast cancer screening | 64.0% | 58.9% | 56.0% |
| Controlling high blood pressure | 70.2% | 71.9% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 17.6% | 22.8% | 26.3% |
| Depression screening and follow-up | 89.8% | 86.3% | 75.3% |
| Early entry into prenatal care | 92.0% | 81.8% | 73.4% |
| Childhood immunization status | 16.8% | 28.6% | 29.5% |
| Tobacco screening and cessation | 92.1% | 90.4% | 84.8% |
| Statin therapy for cardiovascular disease | 82.8% | 79.8% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 21,764 |
| Dental | 4,811 |
| Mental health | 1,330 |
| Total clinic visits | 104,987 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 27,787 | $1,670 | 5.3% | 38.8% |
| 2024 | 28,173 | $1,617 | 5.7% | 39.3% |
| 2023 | 28,140 | $1,510 | 5.0% | 40.7% |
| 2022 | 28,384 | $1,326 | 8.1% | 41.0% |
| 2021 | 29,294 | $1,154 | 5.3% | 40.6% |
| 2020 | 27,451 | – | 4.5% | 42.5% |
| 2019 | 30,115 | – | 9.7% | 41.0% |
| 2018 | 26,176 | – | 8.0% | 44.0% |
| 2017 | 24,068 | – | 8.4% | 49.0% |
| 2016 | 20,399 | – | 9.9% | 48.7% |
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