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KEYSTONE RURAL HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
KEYSTONE RURAL HEALTH CENTER (EIN 25-1546810)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-08-13
IRS object ID
201902259349301295
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-13T15:23:44-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN520783935PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line119 BROOKWOOD AVE STE 101AddressLine1Txt
CityCARLISLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17015ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251546810EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE RURAL HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKEYSBusinessNameControlTxt
Phone7177097906PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122 ST PAUL DRIVE SUITE 200AddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOANNE COCHRANPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7177097906PhoneNum
Signature2019-08-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY P HALL CPAPreparerPersonNm
PTINP00156653PTIN
Phone7172439104PhoneNum
Preparation2019-08-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.192.7.141IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-13IPDt
IP Tm15:23:44IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6CBB79C053B248571C9CF37C921E5AD012119690AtSubmissionCreationDeviceId
At Submission Filing Device IdD5D70B8B0EFB409D4D4AE5283BD76078BF919D50AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOANNE COCHRANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line122 ST PAUL DRIVE SUITE 200AddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$55,245,332GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KEYSTONEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. KEYSTONE HEALTH, FOUNDED IN 1986, IS A PUBLIC NOT-FOR-PROFIT ORGANIZATION THAT OFFERS HEALTH CARE AND, WHEN NEEDED, SOCIAL SERVICES TO UNDERSERVED AND VULNERABLE POPULATIONS AS WELL AS TO THE ENTIRE COMMUNITY OF FRANKLIN COUNTY, PENNSYLVANIA. KEYSTONE IS DESIGNATED BY THE FEDERAL GOVERNMENT AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). BECAUSE OF THIS DESIGNATION, KEYSTONE RECEIVES FEDERAL GRANTS AND A PROSPECTIVE PAYMENT RATE REIMBURSEMENT FROM MEDICAID AND MEDICARE FOR PROVIDING SERVICES TO ELIGIBLE PATIENTS AND TO UNDERSERVED POPULATIONS. KEYSTONE HEALTH IS IDENTIFIED AS AN ESSENTIAL COMMUNITY PROVIDER BY THE AFFORDABLE CARE ACT AS WELL AS THE AMERICAN HEALTH CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES SEVENTEEN PRIMARY CARE PRACTICES IN FRANKLIN COUNTY. SERVICES PROVIDED IN CHAMBERSBURG AT THE 820 FIFTH AVENUE SITE INCLUDE: FAMILY PRACTICE, AUDIOLOGY ANActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee550TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$7,189,120PYContributionsGrantsAmt
CY Contributions Grants$7,082,771CYContributionsGrantsAmt
PY Program Service Revenue$40,927,269PYProgramServiceRevenueAmt
CY Program Service Revenue$46,870,361CYProgramServiceRevenueAmt
PY Investment Income$407,711PYInvestmentIncomeAmt
CY Investment Income$879,413CYInvestmentIncomeAmt
PY Other Revenue$53,705PYOtherRevenueAmt
CY Other Revenue$45,967CYOtherRevenueAmt
PY Total Revenue$48,577,805PYTotalRevenueAmt
CY Total Revenue$54,878,512CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$31,496,741PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,549,827CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,212CYTotalFundraisingExpenseAmt
PY Other Expenses$11,595,455PYOtherExpensesAmt
CY Other Expenses$12,216,159CYOtherExpensesAmt
PY Total Expenses$43,092,196PYTotalExpensesAmt
CY Total Expenses$47,765,986CYTotalExpensesAmt
PY Revenues Less Expenses$5,485,609PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,112,526CYRevenuesLessExpensesAmt
Total Assets BOY$50,998,703TotalAssetsBOYAmt
Total Assets EOY$58,078,758TotalAssetsEOYAmt
Total Liabilities BOY$6,749,172TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,954,387TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,249,531NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$50,124,371NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. KEYSTONE HEALTH, FOUNDED IN 1986, IS A PUBLIC NOT-FOR-PROFIT ORGANIZATION THAT OFFERS HEALTH CARE AND, WHEN NEEDED, SOCIAL SERVICES TO UNDERSERVED AND VULNERABLE POPULATIONS AS WELL AS TO THE ENTIRE COMMUNITY OF FRANKLIN COUNTY, PENNSYLVANIA. KEYSTONE IS DESIGNATED BY THE FEDERAL GOVERNMENT AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). BECAUSE OF THIS DESIGNATION, KEYSTONE RECEIVES FEDERAL GRANTS AND A PROSPECTIVE PAYMENT RATE REIMBURSEMENT FROM MEDICAID AND MEDICARE FOR PROVIDING SERVICES TO ELIGIBLE PATIENTS AND TO UNDERSERVED POPULATIONS. KEYSTONE HEALTH IS IDENTIFIED AS AN ESSENTIAL COMMUNITY PROVIDER BY THE AFFORDABLE CARE ACT AS WELL AS THE AMERICAN HEALTH CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES SEVENTEEN PRIMARY CARE PRACTICES IN FRANKLIN COUNTY. SERVICES PROVIDED IN CHAMBERSBURG AT THE 820 FIFTH AVENUE SITE INCLUDE: FAMILY PRACTICE, AUDIOLOGY ANMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$8,214,155ExpenseAmt
Revenue$10,103,251RevenueAmt
DescPROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,094,034ExpenseAmt
Revenue$4,177,563RevenueAmt
DescPROVIDE OF OBSTETRICAL AND GYNECOLOGICAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,122,507ExpenseAmt
Revenue$5,168,867RevenueAmt
DescPROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$23,038,613ExpenseAmt
Revenue$27,420,680RevenueAmt
DescPROVIDER OF BEHAVIORAL HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, HIV SERVICES, URGENT CARE, FAMILY MEDICINE, AUDIOLOGY AND SPEECH, INFECTIOUS DISEASE, PEDIATRIC THERAPIES, CRISIS, COMMUNITY OUTREACH, AGRICULTURE WORKER PROGRAM AND SCHOOL BASED CLINIC TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. IN ADDITION, WE ARE A PROVIDER OF HEALTH CARE SERVICES TO THE MIGRANT WORKER POPULATION OF THE COMMONWEALTH OF PENNSYLVANIA.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$23,038,613TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$27,420,680TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$41,469,309TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee550EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOANNE COCHRAN CEOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7177097906PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122 ST PAUL DRIVE SUITE 200AddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SAM KING
CHAIR1.00Yes (X)Yes (X)$0$0$0
LUCILLE STENCE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JEFF TRUHAN
TREASURER1.00Yes (X)Yes (X)$0$0$0
KAREN JOHNSTON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
SILA ALEGRET-BARTEL
BOARD MEMBER1.00Yes (X)$0$0$0
JOSE DIEUDONNE
BOARD MEMBER1.00Yes (X)$0$0$0
CATHERINE DUSMAN
BOARD MEMBER1.00Yes (X)$0$0$0
MATTHEW FOGAL
BOARD MEMBER1.00Yes (X)$0$0$0
CARRIE GRAY
BOARD MEMBER1.00Yes (X)$0$0$0
TIMOTHY G HENRY
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL E KUGLER
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM MORGAN
BOARD MEMBER1.00Yes (X)$0$0$0
JONATHAN RABER
BOARD MEMBER1.00Yes (X)$0$0$0
MARY BETH SHANK
BOARD MEMBER1.00Yes (X)$0$0$0
SUE SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
JOANNE COCHRAN
PRESIDENT/CE50.00Yes (X)$399,037$0$20,055
JOHN J MCELWEE JR
VP/CFO50.00Yes (X)$305,955$0$31,368
DAVID K GRANT
COO50.00$253,520$0$30,049Yes (X)
THEODORE J GUARRIELLO
DIRECTOR OF50.00$197,851$0$16,365Yes (X)
THOMAS P ORNDORF
PHYSICIAN50.00$409,571$0$35,238Yes (X)
RAGHAVENDRA TIRUPATHI GOVINDARAJU
PHYSICIAN50.00$374,354$0$106,692Yes (X)
EKEZIE MC FRANCIS
PHYSICIAN50.00$359,162$0$57,986Yes (X)
MICHAEL J COLLI
PHYSICIAN50.00$322,544$0$42,903Yes (X)
YVETTE BROWN
PHYSICIAN50.00$316,735$0$28,435Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,938,729TotalReportableCompFromOrgAmt
Total Other Compensation$369,091TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K62IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BRANDALE GENERAL CONTRACTORS
1181 FALLING SPRING ROADCHAMBERSBURGPA17202BUILDING$1,590,111
R&S MOWERY & SONS
1000 BENT CREEK BLVD 100MECHANICSBURGPA17050CONTRACTOR$1,145,745
COMPHEALTH
PO BOX 972651DALLASTX75397HEALTHCARE$890,176
MEDIMPACT
10181 SCRIPPS GATEWAY COUNTSAN DIEGOCA92131PHARM MANAGER$766,507
QUALITY SYSTEMS INC
PO BOX 809390CHICAGOIL60680MEDICAL SOFTWAR$477,200
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$368FederatedCampaignsAmt
Government Grants$5,424,093GovernmentGrantsAmt
All Other Contributions$1,658,310AllOtherContributionsAmt
Total Contributions$7,082,771TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE FEES621110$36,716,961$36,716,961
OTHER SERVICE REVENUE621110$8,534,989$8,534,989
PREMIUM REVENUE621110$1,072,055$1,072,055
MANAGEMENT FEE REVENUE621110$401,856$401,856
ELECTRONIC HEALTH RECORDS621110$144,500$144,500
FieldValueIRS element (for citing)
Total Program Service Revenue$46,870,361TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$456,138TotalRevenueColumnAmt
Exclusion$456,138ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$790,095SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$366,820SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$423,275SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$423,275TotalRevenueColumnAmt
Exclusion$423,275ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business621110BusinessCd
Total Revenue Column$45,967TotalRevenueColumnAmt
Related Or Exempt Func Income$45,967RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$45,967OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,878,512TotalRevenueColumnAmt
Related Or Exempt Func Income$46,916,328RelatedOrExemptFuncIncomeAmt
Exclusion$879,413ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,254,201TotalAmt
Management And General$1,254,201ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,566,676TotalAmt
Program Services$24,994,368ProgramServicesAmt
Management And General$2,561,542ManagementAndGeneralAmt
Fundraising$10,766FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$805,087TotalAmt
Program Services$724,690ProgramServicesAmt
Management And General$80,011ManagementAndGeneralAmt
Fundraising$386FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,011,105TotalAmt
Program Services$3,408,192ProgramServicesAmt
Management And General$602,066ManagementAndGeneralAmt
Fundraising$847FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,912,758TotalAmt
Program Services$1,672,468ProgramServicesAmt
Management And General$239,437ManagementAndGeneralAmt
Fundraising$853FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$104,712TotalAmt
Program Services$3,330ProgramServicesAmt
Management And General$101,382ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,715TotalAmt
Management And General$52,715ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,092,065TotalAmt
Program Services$951,634ProgramServicesAmt
Management And General$140,431ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$99,024TotalAmt
Program Services$62,393ProgramServicesAmt
Management And General$33,237ManagementAndGeneralAmt
Fundraising$3,394FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$298,706TotalAmt
Program Services$185,730ProgramServicesAmt
Management And General$112,040ManagementAndGeneralAmt
Fundraising$936FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$536,114TotalAmt
Program Services$356,631ProgramServicesAmt
Management And General$179,444ManagementAndGeneralAmt
Fundraising$39FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$898,290TotalAmt
Program Services$558,806ProgramServicesAmt
Management And General$339,394ManagementAndGeneralAmt
Fundraising$90FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$129,740TotalAmt
Program Services$91,721ProgramServicesAmt
Management And General$38,019ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$174,466TotalAmt
Program Services$148,961ProgramServicesAmt
Management And General$25,482ManagementAndGeneralAmt
Fundraising$23FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$963,593TotalAmt
Program Services$891,580ProgramServicesAmt
Management And General$71,448ManagementAndGeneralAmt
Fundraising$565FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$96,676TotalAmt
Program Services$18,853ProgramServicesAmt
Management And General$77,823ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$6,944,777$6,911,442$33,335
RENTAL AND MAINTENANCE$271,133$86,002$185,131
RECRUITMENT EXPENSE$130,847$130,847
DUES$104,636$66,553$37,794$289

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$318,665TotalAmt
Program Services$205,108ProgramServicesAmt
Management And General$113,533ManagementAndGeneralAmt
Fundraising$24FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,765,986TotalAmt
Program Services$41,469,309ProgramServicesAmt
Management And General$6,278,465ManagementAndGeneralAmt
Fundraising$18,212FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,200BOYAmt
EOY$6,150EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,977,573BOYAmt
EOY$13,236,271EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$388,999BOYAmt
EOY$287,159EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,168,811BOYAmt
EOY$3,460,438EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$410,218BOYAmt
EOY$390,758EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$524,905BOYAmt
EOY$252,471EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$30,763,242LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,477,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,998,285BOYAmt
EOY$22,286,112EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,403,969BOYAmt
EOY$18,007,130EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$119,743BOYAmt
EOY$152,269EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$50,998,703BOYAmt
EOY$58,078,758EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,401,764BOYAmt
EOY$5,798,798EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,250BOYAmt
EOY$127,524EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,342,158BOYAmt
EOY$2,028,065EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,749,172BOYAmt
EOY$7,954,387EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,249,531BOYAmt
EOY$50,124,371EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,249,531BOYAmt
EOY$50,124,371EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,998,703BOYAmt
EOY$58,078,758EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,112,526ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,237,686NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,991,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,847,639CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,696,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,189,120CurrentTaxYearMinus1YearAmt
Current Tax Year$7,082,771CurrentTaxYearAmt
Total$32,807,910TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,773,985CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,621,152CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,208,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,927,269CurrentTaxYearMinus1YearAmt
Current Tax Year$46,870,361CurrentTaxYearAmt
Total$187,401,457TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,765,900CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,468,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,905,155CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,116,389CurrentTaxYearMinus1YearAmt
Current Tax Year$53,953,132CurrentTaxYearAmt
Total$220,209,367TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$220,209,367PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$200,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$187,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$277,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$397,643CurrentTaxYearMinus1YearAmt
Current Tax Year$456,138CurrentTaxYearAmt
Total$1,520,176TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$200,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$187,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$277,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$397,643CurrentTaxYearMinus1YearAmt
Current Tax Year$456,138CurrentTaxYearAmt
Total$1,520,176TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,782CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,705CurrentTaxYearMinus1YearAmt
Current Tax Year$45,967CurrentTaxYearAmt
Total$382,092TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,070,917CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,771,941CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,245,803CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,567,737CurrentTaxYearMinus1YearAmt
Current Tax Year$54,455,237CurrentTaxYearAmt
Total$222,111,635TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99140PublicSupportCY509Pct
Public Support PY5090.99220PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME 382,092ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,526,066OtherCostOrOtherBasisAmt
Book Value$3,526,066BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,371,189OtherCostOrOtherBasisAmt
Depreciation$3,978,405DepreciationAmt
Book Value$13,392,784BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,865,987OtherCostOrOtherBasisAmt
Depreciation$4,498,725DepreciationAmt
Book Value$5,367,262BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,286,112TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED PAYABLE UNDER THIRD PARTYDesc
Amt$2,028,065Amt
FieldValueIRS element (for citing)
Total Liability$2,028,065TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$54,878,512TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$54,878,512RevenueSubtotalAmt
Total Revenue Per Form990$54,878,512TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$47,765,986TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$47,765,986ExpensesSubtotalAmt
Total Expenses Per Form990$47,765,986TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE CENTER IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE PROVISIONS OF THE NONPROFIT LAWS OF THE COMMONWEALTH OF PENNSYLVANIA. THE CENTER HAS RECEIVED A RULING FROM THE INTERNAL REVENUE SERVICE THAT IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FILES A FORM 990, "RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX". THE FORM 990 IS GENERALLY SUBJECT TO EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED. THE CENTER IS CLASSIFIED AS A PUBLIC CHARITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
JOANNE COCHRAN
PRESIDENT/CEO$399,037$11,000$9,055$419,092
JOHN J MCELWEE JR
VP/CFO$287,455$11,000$20,368$337,323$18,500
DAVID K GRANT
COO$253,520$9,696$20,353$283,569
THEODORE J GUARRIELLO
DIRECTOR OF IT$197,851$7,900$8,465$214,216
THOMAS P ORNDORF
PHYSICIAN$341,071$11,000$24,238$444,809$18,500$50,000
RAGHAVENDRA TIRUPATHI GOVINDARAJU
PHYSICIAN$355,854$81,008$25,684$481,046$18,500
EKEZIE MC FRANCIS
PHYSICIAN$341,662$30,469$27,517$417,148$10,000$7,500
MICHAEL J COLLI
PHYSICIAN$312,646$16,077$26,826$365,447$9,898
YVETTE BROWN
PHYSICIAN$310,777$11,000$17,435$345,170$5,958

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONPROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. KEYSTONE HEALTH, FOUNDED IN 1986, IS A PUBLIC NOT-FOR-PROFIT ORGANIZATION THAT OFFERS HEALTH CARE AND, WHEN NEEDED, SOCIAL SERVICES TO UNDERSERVED AND VULNERABLE POPULATIONS AS WELL AS TO THE ENTIRE COMMUNITY OF FRANKLIN COUNTY, PENNSYLVANIA. KEYSTONE IS DESIGNATED BY THE FEDERAL GOVERNMENT AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). BECAUSE OF THIS DESIGNATION, KEYSTONE RECEIVES FEDERAL GRANTS AND A PROSPECTIVE PAYMENT RATE REIMBURSEMENT FROM MEDICAID AND MEDICARE FOR PROVIDING SERVICES TO ELIGIBLE PATIENTS AND TO UNDERSERVED POPULATIONS. KEYSTONE HEALTH IS IDENTIFIED AS AN ESSENTIAL COMMUNITY PROVIDER BY THE AFFORDABLE CARE ACT AS WELL AS THE AMERICAN HEALTH CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES SEVENTEEN PRIMARY CARE PRACTICES IN FRANKLIN COUNTY. SERVICES PROVIDED IN CHAMBERSBURG AT THE 820 FIFTH AVENUE SITE INCLUDE: FAMILY PRACTICE, AUDIOLOGY AND SPEECH. CRISIS INTERVENTION IS PROVIDED AT THE CHAMBERSBURG HOSPITAL; DENTAL IS PROVIDED AT 767 FIFTH AVENUE AND ALSO IN MONT ALTO. SERVICES PROVIDED AT THE 830 FIFTH AVENUE COCHRAN PROFESSIONAL CENTER INCLUDE: URGENT CARE; PEDIATRICS CHAMBERSBURG, WOMEN'S CARE; INFECTIOUS DISEASES; INTERNAL MEDICINE HIV/STD AND KEYSTONE PHARMACY. KEYSTONE CONTRACTS WITH 17 OTHER PHARMACIES THROUGHOUT FRANKLIN COUNTY FOR A SPECIAL DISCOUNTED PROGRAM (340B) FOR OUR DISADVANTAGED PATIENTS. KEYSTONE ALSO OPERATES PEDIATRIC PRACTICES IN WAYNESBORO AND A SCHOOL BASED HEALTH CENTER AT CHAMBERSBURG AREA SENIOR HIGH SCHOOL. KEYSTONE PROVIDES STD AND FAMILY PLANNING OUTREACH SERVICES AT 51 SOUTH MAIN STREET AND 455 LINCOLN WAY EAST. KEYSTONE ALSO OPERATES AN OCCUPATIONAL THERAPY AND SPEECH THERAPY PRACTICE AT THE FORMER SCHOOL FOR VETERAN CHILDREN IN SCOTLAND. KEYSTONE HAS JUST CONSTRUCTED AND MADE OPERATIONAL IN MAY OF 2018 A STAND-ALONE BEHAVIORAL HEALTH AND DRUG AND ALCOHOL CENTER AT 110 CHAMBERS HILL DRIVE IN CHAMBERSBURG. KEYSTONE ALSO MANAGES THE STATE MIGRANT AND SEASONAL FARMWORKER PROGRAM WITH KEYSTONE- OPERATED SITES IN ERIE, MERCER, CRAWFORD, WARREN, SOMERSET, FULTON, NORTHUMBERLAND, SNYDER, UNION, COLUMBIA, CARBON, MONTOUR, LUZERNE, LANCASTER, BERKS, SCHUYLKILL, LEHIGH, CHESTER, CUMBERLAND, FRANKLIN AND ADAMS COUNTIES. THE STRENGTH OF THE KEYSTONE NETWORK IS THAT ALL SERVICES ARE PROVIDED IN A MISSION-DRIVEN ENVIRONMENT FOCUSING ON ACCESSIBLE, AFFORDABLE, CULTURALLY APPROPRIATE, HIGH-QUALITY AND COMPASSIONATE CARE OFFERED TO ANYONE AND EVERYONE REGARDLESS OF ABILITY TO PAY, ETHNIC BACKGROUND OR DISEASE. DURING 2018, KEYSTONE TREATED 52,883 INDIVIDUALS THROUGH 226,360 VISITS. THE KEYSTONE SYSTEM-WIDE PATIENT MIX WAS AS FOLLOWS: 43.7% MEDICAID PATIENTS, 41.8% PRIVATE INSURANCE PATIENTS, 9.4% MEDICARE PATIENTS, AND 5.1% UNINSURED PATIENTS. THE LOW-INCOME POPULATION AND THE MIGRANT FARMWORKER POPULATION OF FRANKLIN COUNTY ARE DECLARED HEALTH PROFESSIONAL SHORTAGE POPULATIONS (HPSP). IN ADDITION, THE BOROUGH OF CHAMBERSBURG IS DECLARED A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND FANNETT AND METAL TOWNSHIPS ARE DECLARED A MEDICALLY UNDERSERVED AREA (MUA). FRANKLIN COUNTY ALSO HAS A MEDICAL, DENTAL AND MENTAL HEALTH HPSA DESIGNATION. KEYSTONE DENTAL IS THE ONLY DENTAL PRACTICE IN FOUR COUNTIES THAT ROUTINELY PROVIDES DENTAL CARE TO LOW-INCOME, MEDICAL ASSISTANCE CLIENTS AND UNINSURED CLIENTS. KEYSTONE PROVIDES A SLIDING FEE WITH DISCOUNTED RATES FOR THOSE WHO QUALIFY FOR THE PROGRAM. IF IT WERE NOT FOR KEYSTONE DENTAL, THESE POPULATIONS WOULD HAVE LITERALLY NO ACCESS TO DENTAL CARE. ONE OF THE GREATEST HEALTH CARE ACCESS BARRIERS FOR FRANKLIN COUNTY RESIDENTS IS FINANCIAL. LOW-INCOME AND UNINSURED INDIVIDUALS REQUIRE A SOURCE OF REGULAR, CONTINUOUS PRIMARY AND PREVENTIVE CARE IN ORDER TO YIELD BETTER HEALTH OUTCOMES AND MINIMIZE HEALTH DISPARITIES. IN ORDER TO ASSURE THE RESIDENTS OF OUR COMMUNITY THAT ARE POOR OR FINANCIALLY DISADVANTAGED RECEIVE CARE, KEYSTONE HAS A SYSTEM IN PLACE TO DETERMINE ELIGIBILITY FOR PATIENT DISCOUNTS ADJUSTED ON THE BASIS OF THE PATIENT'S ABILITY TO PAY. THIS SYSTEM PROVIDES FOR FULL DISCOUNTS TO INDIVIDUALS AND FAMILIES WITH ANNUAL INCOMES AT OR BELOW 100% OF THE POVERTY GUIDELINES (ONLY A NOMINAL FEE IS CHARGED) AND FOR THOSE WITH INCOMES BETWEEN 101% AND 200% OF POVERTY GUIDELINES, FEES ARE CHARGED IN ACCORDANCE WITH A SLIDING FEE DISCOUNT POLICY BASED ON FAMILY SIZE AND INCOME. MANY CLIENTS DO NOT QUALIFY FOR THE SLIDING FEE BUT STILL DO NOT EARN ENOUGH MONEY TO BE ABLE TO PAY FOR THEIR CARE IN A TIMELY WAY. THESE PATIENTS ARE PLACED ON A PAYMENT PLAN, WHICH MANY KEYSTONE CLIENTS UTILIZE. ANOTHER BARRIER TO HEALTH CARE ACCESS IS LANGUAGE AND CULTURE. ONE IN 18 CLIENTS DOES NOT HAVE ENGLISH AS A PRIMARY LANGUAGE. ALL SERVICES PROVIDED BY KEYSTONE ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE. THROUGH KEYSTONE PROVIDERS, TRANSLATORS AND ACCESS TO A LANGUAGE LINE, WE ARE FORTUNATE TO HAVE INDIVIDUALS WHO CAN PROVIDE SERVICES TO EVERY PATIENT THAT IS WITHIN THE KEYSTONE SYSTEM, INCLUDING THE DEAF. KEYSTONE OFFERS ACCESSIBLE HOURS OF SERVICE INCLUDING A WALK-IN PROGRAM FROM 8 AM TO 7 PM MONDAY THROUGH FRIDAY AT PEDIATRICS AND 7 AM TO 8 PM COVERAGE DAILY AT OUR URGENT CARE OFFICE. KEYSTONE OFFERS TIMELY SERVICES THROUGH OUR SAME-DAY ACUTE APPOINTMENT SYSTEM AT ALL SITES. KEYSTONE PARTICIPATES IN THE FEDERAL 340B DRUG DISCOUNT PROGRAM. THROUGH THIS PROGRAM, KEYSTONE CAN PURCHASE PHARMACEUTICALS AT REDUCED PRICES AND PASS THE SAVINGS ON TO ITS PATIENTS. THIS GIVES KEYSTONE'S UNINSURED PATIENTS ACCESS TO SIGNIFICANT DISCOUNTS ON THEIR PRESCRIPTION MEDICATIONS. WHILE THIS PROGRAM IS OPEN TO ANY KEYSTONE PATIENT, THOSE WHO BENEFIT THE MOST ARE THE UNINSURED WHO CAN APPLY THEIR SLIDING FEE DISCOUNT TO THE ALREADY REDUCED 340B PROGRAM DISCOUNTS. 2018 YEAR HIGHLIGHTS 2018 MARKED KEYSTONE'S 32ST YEAR OF SERVICE TO OUR COMMUNITY AND WAS ANOTHER YEAR OF OPPORTUNITY FOR PROGRESS, WHICH KEYSTONE MET HEAD-ON. A FEW EXAMPLES WERE: - KEYSTONE BEGAN CONSTRUCTION OF A 68,000 SQ. FT. BUILDING AT CHAMBERS HILL THAT WILL HOUSE THE RELOCATION OF URGENT CARE, INFECTIOUS DISEASE, HIV/AIDS/STD CLINICS AS WELL AS OUTREACH CLINICS, KEYSTONE PEDIATRIC THERAPIES, PEDIATRIC DENTAL, CENTRALIZED MEDICAL RECORDS AND ADMINISTRATION AND EXECUTIVE OFFICES. - KEYSTONE HELD A CERVICAL CANCER AWARENESS CAMPAIGN AND OFFERED FREE PAP TESTS TO UNINSURED WOMEN AT OUR COMMUNITY OUTREACH OFFICE. FORTY-FIVE WOMEN WERE SCREENED, AND FOUR WERE FOUND TO HAVE ABNORMAL RESULTS - A POTENTIALLY LIFE-SAVING FINDING. - KEYSTONE CREATED AN IT BOARD COMMITTEE TO ASSIST MANAGEMENT WITH THE DECISIONS RELATED TO OUR CHOICE FOR ELECTRONIC MEDICAL RECORDS AND IT SYSTEMS FOR THE COMPANY. - KEYSTONE COLLABORATED WITH FRANKLIN COUNTY HEAD START BY PERMITTING A HEAD START WORKER TO BE PLACED WITHIN OUR KEYSTONE WOMEN'S CARE OFFICE IN ORDER TO REGISTER PREGNANT MOTHERS INTO THE HEAD START PROGRAM FOR THE MANY ADVANTAGES OF EARLY CHILDHOOD INTERVENTION THROUGH HEAD START PROGRAMMING. - KEYSTONE EMPLOYEES UNDERWENT DIVERSITY TRAINING OFFERED BY SUMMIT HEALTH AND A LOCAL EDUCATOR TRAINED IN DIVERSITY AND INCLUSION EDUCATION. - A CAMPAIGN WAS HELD FOR COLORECTAL CANCER SCREENING THROUGHOUT THE ORGANIZATION, AND PROVIDED FREE TAKE-HOME TESTS TO MANY UNINSURED PATIENTS. ALSO THAT MONTH, SOUTH CENTRAL COMMUNITY ACTION PROGRAM (SCCAP) BEGAN MEETING WITH KEYSTONE PROVIDERS TO HELP THEM BETTER UNDERSTAND THE FINANCIAL AND ECONOMIC BARRIERS (SOCIAL DETERMINANTS OF HEALTH) MANY OF OUR PATIENTS FACE. - KEYSTONE DEVELOPED A PATIENT ORIGIN ANALYSIS ON ITS PATIENT POPULATION. WE ALSO BEGAN TO USE RISK STRATIFICATION FOR OUR PATIENT POPULATION. KEYSTONE UNDERWENT A NATIONAL HEALTH SERVICE CORPS REVIEW BY HRSA. KEYSTONE PERFORMED EXCEPTIONALLY WELL AND OUR OUTCOME WAS EXTREMELY POSITIVE. - ON MAY 7, KEYSTONE RELOCATED ITS BEHAVIORAL HEALTH PROGRAM INTO OUR NEWLY BUILT FACILITY AT 110 CHAMBERS HILL DRIVE. WE CELEBRATED OUR RIBBON CUTTING CEREMONY ON MAY 10, WITH MANY COMMUNITY AND STATE REPRESENTATIVES PRESENT. - FROM JUNE 5-7 KEYSTONE UNDERWENT ITS OPERATIONAL SITE REVIEW WITH HRSA. KEYSTONE WAS FOUND TO HAVE NO DEFICIENCIES, WHICH WAS AN OUTSTANDING OUTCOME. - KEYSTONE'S COMMUNITY RESPONDER PROGRAM OBTAINED NATIONAL RECOGNITION FOR ITS WORK WITH POLICE DEPARTMENTS IN DIVERTING INDIVIDUALS FROM JAIL TO TREATMENT CENTERS. - KEYSTONE BEGAN TO COLLECT SOCIAL DETERMINANTS OF HEATH DATA ON ITS PATIENTS AND ALSO BEGAN DISCUSSING UTILIZING THE PRAPARE TOOL, RECOMMENDED BY HRSA. - KEYSTONE BEGAN TO USE TMS, TRANSCRANIAL MAGNETIC STIMULATION, IN OUR BEHAVIORAL HEALTH OFFICE FOR PATIENTS SUFFERING FROM MAJOR DEPRESSIVE DISORDER. - THE PA DHS APPROVED LICENSED PROFESSIONAL COUNSELORS (LPCS) AND LICENSED MARRIAGE AND FAMILY THERAPISTS (LMFTS) AS ELIGIBLE BEHAVIORAL HEALTH PROVIDERS FOR FQHCS. THIS CHANGE WILL ASSIST KEYSTONE GREATLY IN HIRING NEW BEHAVIORAL HEALTH PROVIDERS. - KEYSTONE SIGNED WITH THE KEYSTONE HEALTH INFORMATION EX
FORM 990, PAGE 2, PART III, LINE 3THE ORGANIZATION CEASED PROVIDING CARDIOLOGY SERVICES EFFECTIVE JANUARY 1, 2018.
FORM 990, PAGE 2, PART III, LINE 4DPROVIDER OF BEHAVIORAL HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, HIV SERVICES, URGENT CARE, FAMILY MEDICINE, AUDIOLOGY AND SPEECH, INFECTIOUS DISEASE, PEDIATRIC THERAPIES, CRISIS, COMMUNITY OUTREACH, AGRICULTURE WORKER PROGRAM AND SCHOOL BASED CLINIC TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. IN ADDITION, WE ARE A PROVIDER OF HEALTH CARE SERVICES TO THE MIGRANT WORKER POPULATION OF THE COMMONWEALTH OF PENNSYLVANIA.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION PROVIDED A COPY OF THE FEDERAL FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990.
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST POLICY IS REVIEWED AT ANNUAL EMPLOYEE EVALUATIONS AND ANNUALLY WITH THE BOARD OF DIRECTORS' SELF-EVALUATIONS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS MEETS IN A CLOSED SESSION TO DISCUSS THE COMPENSATION AND PERFORMANCE OF THE CEO.
FORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES IS REVIEWED WITH THE CEO AS PART OF THE ANNUAL EVALUATION PROCESS. GUIDELINES CONCERNING SALARY ADJUSTMENTS ARE REVIEWED ANNUALLY AS PART OF THE BUDGETING PROCESS. THE BUDGET SUBMISSION IS SUBSEQUENTLY REVIEWED BY THE FINANCE COMMITTEE AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO REVIEW UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE PHYSICIAN SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line122 ST PAUL DRIVE SUITE 200AddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd
FieldValueIRS element (for citing)
EIN200283725EIN
Primary ActivitiesCARDIOLOGYPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Exempt Code Section501CExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE RBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd