2018-08-16T12:19:49-04:00 2017-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2017-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097906 22 ST PAUL DRIVE SUITE 200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2018-08-06 true GREGORY P HALL CPA P00156653 7172439104 2018-08-06 2017 2022-09-23 18:48:47Z JOANNE COCHRAN 22 ST PAUL DRIVE SUITE 200 CHAMBERSBURG PA 17201 48644498 false X WWW.KEYSTONEHEALTH.ORG X 1987 PA PROVIDER 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 AN 17 17 524 17 0 7696465 7189120 40208690 40927269 282686 407711 62783 53705 48250624 48577805 0 0 28376976 31496741 0 30196 11183892 11595455 39560868 43092196 8689756 5485609 42353376 50998703 5116927 6749172 37236449 44249531 X PROVIDER 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 AN false false 6664408 8549597 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 4327039 4222150 PROVIDE OF OBSTETRICAL AND GYNECOLOGICAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 4235084 3498414 PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 21984948 24657108 PROVIDER OF CARDIOLOGY, DENTAL, BEHAVIORAL HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, AND HIV SERVICES 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. 21984948 24657108 37211479 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false true true false false false true 31 0 true 524 true false false false false false false false false false false X 17 17 false false false false false false false true true false false true true true true true true true true false PA X X JOANNE COCHRAN CEO 7177097906 22 ST PAUL DRIVE SUITE 200 CHAMBERSBURG PA 17201 SAM KING CHAIR 1.00 X X 0 0 0 LUCILLE STENCE VICE CHAIR 1.00 X X 0 0 0 CHARLES S BENDER II TREASURER 1.00 X X 0 0 0 KAREN JOHNSTON SECRETARY 1.00 X X 0 0 0 SILA ALEGRET-BARTEL BOARD MEMBER 1.00 X 0 0 0 ELISEO AGULIAR BOARD MEMBER 1.00 X 0 0 0 DAVID KALIST BOARD MEMBER 1.00 X 0 0 0 MICHAEL E KUGLER BOARD MEMBER 1.00 X 0 0 0 WILLIAM MORGAN BOARD MEMBER 1.00 X 0 0 0 JONATHAN RABER BOARD MEMBER 1.00 X 0 0 0 MARY BETH SHANK BOARD MEMBER 1.00 X 0 0 0 SUE SMITH BOARD MEMBER 1.00 X 0 0 0 CATHERINE DUSMAN BOARD MEMBER 1.00 X 0 0 0 JEFF TRUHAN BOARD MEMBER 1.00 X 0 0 0 MATTHEW FOGAL BOARD MEMBER 1.00 X 0 0 0 CARRIE GRAY BOARD MEMBER 1.00 X 0 0 0 TIMOTHY G HENRY BOARD MEMBER 1.00 X 0 0 0 JOANNE COCHRAN PRESIDENT/CE 50.00 X 387475 0 18633 JOHN MCELWEE COO/CFO 50.00 X 297139 0 27423 THOMAS P ORNDORF PHYSICIAN 50.00 X 432050 0 33073 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 367187 0 34251 MICHAEL J COLLI PHYSICIAN 50.00 X 315417 0 38490 YVETTE BROWN PHYSICIAN 50.00 X 281803 0 25198 ERIN HANNAGAN PHYSICIAN 50.00 X 281625 0 14169 2362696 191237 49 false true false BRANDALE GENERAL CONTRACTORS 1181 FALLING SPRING ROAD CHAMBERSBURG PA 17202 BUILDING 670416 MEDIMPACT 10181 SCRIPPS GATEWAY COUNT SAN DIEGO CA 92131 PHARM MANAGER 636600 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 EMR & BILLING 389246 TIDY GLO COMMERCIAL CLEANING PO BOX 302 FORT LOUDON PA 17224 CLEANING 272924 COMPHEALTH PO BOX 972651 DALLAS TX 75397 HEALTHCARE 237494 7 20198 5324832 1844090 103000 7189120 PATIENT SERVICE FEES 621110 31706540 31706540 OTHER SERVICE REVENUE 621110 7719227 7719227 PREMIUM REVENUE 621110 883905 883905 MANAGEMENT FEE REVENUE 621110 379597 379597 ELECTRONIC HEALTH RECORDS 621110 238000 238000 40927269 397643 397643 60961 15800 51248 15445 9713 355 10068 10068 MISCELLANEOUS INCOME 621110 53705 53705 53705 48577805 40980974 407711 730671 730671 24901846 22097171 2787866 16809 755334 664628 90099 607 3353871 2730302 622311 1258 1755019 1528254 225408 1357 111839 44095 67744 61559 61559 1028235 891352 136883 339185 268808 62974 7403 176945 102940 72430 1575 475638 320282 155356 835415 536343 298922 150 101219 59373 41846 158330 136598 21732 968791 857477 110373 941 94020 14654 79366 SUPPLIES 6312384 6281217 31167 RENTAL AND MAINTENANCE 237962 72400 165562 GOODWILL IMPAIRMENT 199500 199500 RECRUITMENT EXPENSE 128133 126835 1298 366300 279250 86954 96 43092196 37211479 5850521 30196 5750 6200 6917751 10977573 489502 388999 3806423 3168811 506446 410218 250778 524905 25275427 8277142 13794401 16998285 16480291 18403969 102034 119743 42353376 50998703 3349225 3401764 25340 5250 1742362 3342158 5116927 6749172 X 37236449 44249531 37236449 44249531 42353376 50998703 5485609 1527473 X false true X true true true X 4209994 4991915 5847639 7696465 7189120 29935133 27542505 27773985 31621152 40208690 40927269 168073601 31752499 32765900 37468791 47905155 48116389 198008734 198008734 93999 200632 187897 277866 397643 1158037 93999 200632 187897 277866 397643 1158037 69220 104385 115253 62782 53705 405345 31915718 33070917 37771941 48245803 48567737 199572116 0.99220 0.99310 0.01000 0.00000 X PART III, LINE 12 MISCELLANEOUS INCOME 405,345 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3526066 3526066 14340930 3406546 10934384 7408431 4870596 2537835 16998285 ESTIMATED PAYABLE UNDER THIRD PARTY 3342158 3342158 50105278 1527473 1527473 48577805 48577805 43092196 43092196 43092196 X X X false false false false false false false false false JOANNE COCHRAN PRESIDENT/CEO 387475 10800 7833 406108 JOHN MCELWEE COO/CFO 279139 18000 10800 16623 324562 THOMAS P ORNDORF PHYSICIAN 364050 50000 18000 10800 22273 465123 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 298450 50737 18000 10800 23451 401438 MICHAEL J COLLI PHYSICIAN 300973 14444 14588 23902 353907 YVETTE BROWN PHYSICIAN 281803 10318 14880 307001 ERIN HANNAGAN PHYSICIAN 263625 18000 10437 3732 295794 X SALE OF BUSINES 1 103000 APPRAISED VALUE 1 false false false FORM 990 - ORGANIZATION'S MISSION PROVIDER 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 15 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 2017, KEYSTONE TREATED 50,692 INDIVIDUALS THROUGH 213,576 VISITS. THE KEYSTONE SYSTEM-WIDE PATIENT MIX WAS AS FOLLOWS: 44.1% MEDICAID PATIENTS, 39.5% PRIVATE INSURANCE PATIENTS, 9.0% MEDICARE PATIENTS, AND 7.4% 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. 2017 YEAR HIGHLIGHTS 2017 MARKED KEYSTONE'S 31ST YEAR OF SERVICE TO OUR COMMUNITY AND WAS ANOTHER YEAR OF OPPORTUNITY FOR PROGRESS, WHICH KEYSTONE MET HEAD-ON. A FEW EXAMPLES WERE: KEYSTONE EXPANDED OUR DENTAL PROGRAM BY ACQUIRING A PRACTICE IN MONT ALTO AND ADDED THREE NEW DENTISTS TO BETTER MEET THE NEEDS OF THE COMMUNITY. KEYSTONE BEGAN PROVIDING ANTIBIOTIC STEWARDSHIP TO SHOOK HOME THROUGH OUR INFECTIOUS DISEASES PROGRAM. KEYSTONE BEGAN A RELATIONSHIP WITH THE LOCAL POLICE DEPARTMENTS THROUGH A GRANT PROVIDED BY COUNTY GOVERNMENT FOR A CRISIS WORKER TO RESPOND WITH THE POLICE FOR ALL MOBILE CRISIS EVENTS. THIS PROGRAM, CALLED THE CO-RESPONDER PROGRAM, HAS BEEN EXTREMELY SUCCESSFUL IN GETTING INDIVIDUALS WITH MENTAL ILLNESS AND OTHER BEHAVIORAL DISORDERS INTO TREATMENT RATHER THAN SENDING THEM TO JAIL. KEYSTONE BEGAN PROVIDING MEDICATION ASSISTED TREATMENT (MAT) FOR DRUG USERS AND ABUSERS. THIS SERVICE IS PROVIDED BOTH IN OUR BEHAVIORAL HEALTH CENTER AND WOMEN'S CARE. WOMEN'S CARE IS PROVIDING TREATMENT TO THE INCARCERATED PREGNANT FEMALE POPULATION, AND BEHAVIORAL HEALTH IS PROVIDING SERVICES TO ALL OTHER COMMUNITY MEMBERS WHO HAVE DRUG SEEKING, DRUG USING AND DRUB ABUSING BEHAVIOR. KEYSTONE CONTINUES PROVIDING OUTREACH AND ENROLLMENT AND HAS DOUBLED THE MEDICAL ASSISTANCE ELIGIBLE RECIPIENTS OVER THE LAST THREE YEARS. IN 2017, OUR NAVIGATORS ENROLLED 1,536 FAMILIES INTO KEYSTONE'S REDUCED FEE PROGRAM AND HELPED AN ADDITIONAL 1,332 FAMILIES OBTAIN HEALTH INSURANCE THROUGH THE STATE RUN MARKETPLACE. KEYSTONE PLANS TO CONTINUE OUR PREVENTION OUTREACH PROGRAMS AND ITS SERVICE EXPANSION DURING 2018. THESE PROGRAMS ARE PROVIDING ACCESS FOR MANY RESIDENTS, ESPECIALLY ADOLESCENTS, TO FREE AND LOW-COST MEDICAL SERVICES INCLUDING OUR FAMILY PLANNING SERVICES AND TESTING AND TREATMENT FOR SEXUALLY TRANSMITTED DISEASES. KEYSTONE PLANS TO CONTINUE OUR EFFORTS IN BEHAVIORAL HEALTH AND DRUG AND ALCOHOL WHICH ARE DAILY IMPACTING OUR COMMUNITY IN SIGNIFICANT WAYS. KEYSTONE MADE CONSIDERABLE PROGRESS IN 2017 AND WE HAVE STAYED TRUE TO OUR MISSION. WE WILL CONTINUE TO DO WHAT WE HAVE DONE SINCE THE BEGINNING: DEAL WITH THE TASKS AT HAND, LOOK FOR OPPORTUNITIES FOR EXPANSION OF EXISTING SERVICES AND LOOK FOR OPPORTUNITIES FOR NEW SERVICES. WE ARE CONFIDENT THAT OUR OPERATIONAL AND FINANCIAL PERFORMANCE WILL IMPROVE FURTHER IN 2018, ENABLING US TO ACHIEVE OUR GOALS FOR THE YEAR. FORM 990, PAGE 2, PART III, LINE 4D PROVIDER OF CARDIOLOGY, DENTAL, BEHAVIORAL HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, AND HIV SERVICES 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 11B THE 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 12C CONFLICT 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 15A THE BOARD OF DIRECTORS MEETS IN A CLOSED SESSION TO DISCUSS THE COMPENSATION AND PERFORMANCE OF THE CEO. FORM 990, PAGE 6, PART VI, LINE 15B THE 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 19 THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO REVIEW UPON REQUEST. KEYSTONE PHYSICIAN SERVICES 22 ST PAUL DRIVE SUITE 200 CHAMBERSBURG PA 17201 200283725 CARDIOLOGY PA 501C 7 KEYSTONE R true false false false false false false false false false false false false false false false false false false false