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Big Springs Medical Association DBA Missouri Highland Health Care

Big Springs Medical Association DBA Missouri Highland Health Care is a federally qualified community health center based in Ellington, MO, with 17 clinic locations in 9 cities. It served 24,729 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.

24,729patients in 2025
9%uninsured patients
58%at or below the poverty line
260full-time-equivalent staff

Care offered: primary care, dental care, mental health care, substance use treatment, eye exams, children’s checkups, women’s health, and telehealth.

Who Big Springs Medical Association DBA Missouri Highland Health Care serves

58% of patients live at or below the poverty line and 91% are at or below twice that level. 9% have no insurance, 46% have Medicaid or CHIP, 17% have Medicare and 28% have private insurance. 538 patients were experiencing homelessness. 324 were veterans.

Measure	This center	MO median	U.S. median	vs MO
Patients at or below the poverty line	58%	61%	65%	−3 pts
Patients at or below 200% of the poverty line	91%	92%	92%	−2 pts

Measure	This center	MO median	U.S. median	vs MO
Uninsured patients	9%	14%	14%	−5 pts
Medicaid or CHIP patients	46%	48%	42%	−2 pts
Medicare patients	17%	9%	11%	+8 pts
Privately insured patients	28%	26%	24%	+2 pts

Care and screenings

Service	Patients	What it counts
Dental care	6,139	patients had dental exams
Mental health care	6,536	patients treated for depression or anxiety
Substance use treatment	608	patients in treatment
Eye exams	626	patients had eye exams
Well-child visits	1,796	children had checkups
Flu shots	702	patients vaccinated
Cervical cancer screening	1,219	patients tested
Breast cancer screening	1,351	patients screened
Family planning	1,394	patients served
Diabetes care	2,293	patients with diabetes
Blood pressure care	5,110	patients with hypertension
Asthma care	826	patients with asthma
HIV testing	866	patients tested
Hepatitis C testing	1,378	patients tested
Childhood lead tests	277	children tested

Quality of care

Big Springs Medical Association DBA Missouri Highland Health Care is at or above the Missouri median on 4 of 7 preventive-care measures. Higher is better on every line.

Measure	This center	MO median	U.S. median	vs MO
Adults with high blood pressure under control	70%	69%	68%	+1 pts
Women 52–74 screened for breast cancer	43%	45%	54%	−2 pts
Women 24–64 screened for cervical cancer	40%	49%	54%	−9 pts
Adults 46–75 screened for colorectal cancer	38%	40%	44%	−2 pts
Patients 12+ screened for depression	91%	85%	77%	+6 pts
Adults assessed for tobacco use	87%	85%	86%	+2 pts
High-risk adults on statin therapy	79%	79%	79%	In line

Staffing

260 full-time-equivalent staff work at Big Springs Medical Association DBA Missouri Highland Health Care, including 29 physicians, nurse practitioners, physician assistants and midwives. That is 867 patients per clinical provider, against the Missouri median of 1,167 and the U.S. median of 930.

Where Big Springs Medical Association DBA Missouri Highland Health Care patients live

ZIP code	Patients	Uninsured
63901	4,604	6%
63935	4,497	7%
63638	1,498	7%
63957	1,434	7%
63965	1,328	7%
65466	871	12%
63937	755	7%
65588	583	12%