2021-08-16T12:50:18-05:00 2020-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2020-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097906 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2021-08-06 true JOANNE COCHRAN 999009999 GREGORY P HALL CPA P00156653 7172439104 2021-08-06 2020 2022-09-23 18:48:47Z JOANNE COCHRAN 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 69780432 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. 13 13 650 26 0 7799705 13831145 53584573 52109691 562663 866877 64458 91823 62011399 66899536 0 0 38874298 43437135 0 20312 14218991 17047219 53093289 60484354 8918110 6415182 67250076 74257896 6555976 4965689 60694100 69292207 X PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. false false 8874844 8934526 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 5848522 6575381 PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 5604765 3174002 PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 31581809 33425782 PROVIDER OF WOMEN'S HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, HIV SERVICES, URGENT CARE, FAMILY MEDICINE, AUDIOLOGY AND SPEECH, INFECTIOUS DISEASE, PEDIATRIC THERAPIES, CHIROPRACTIC, FOOT AND ANKLE, 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. 31581809 33425782 51909940 true true false false false false false false false false true false false false true true 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 40 0 true 650 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false PA X X JOHN J MCELWEE JR CFO 7177097912 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 491797 0 40884 JOANNE COCHRAN PRESIDENT/CE 50.00 X 439840 0 21822 THOMAS P ORNDORF PHYSICIAN 50.00 X 392737 0 39363 EKEZIE MC FRANCIS PHYSICIAN 50.00 X 374970 0 41419 MICHAEL J COLLI PHYSICIAN 50.00 X 342845 0 40482 YVETTE BROWN PHYSICIAN 50.00 X 337351 0 30646 JOHN J MCELWEE JR VP/CFO 50.00 X 338629 0 21901 DAVID K GRANT COO 50.00 X 272624 0 33510 THEODORE J GUARRIELLO DIRECTOR OF 50.00 X 218123 0 21512 SILA ALEGRET-BARTEL BOARD MEMBER 1.00 X 0 0 0 JOSE DIEUDONNE BOARD MEMBER 1.00 X 0 0 0 CATHERINE DUSMAN BOARD MEMBER 1.00 X 0 0 0 MATTHEW FOGAL BOARD MEMBER 1.00 X 0 0 0 CARRIE GRAY VICE CHAIR 1.00 X X 0 0 0 REV KIBREAB GUDETA BOARD MEMBER 1.00 X 0 0 0 TIMOTHY G HENRY BOARD MEMBER 1.00 X 0 0 0 KAREN JOHNSTON SECRETARY 1.00 X X 0 0 0 SAM KING CHAIR 1.00 X 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 JEFF TRUHAN TREASURER 1.00 X X 0 0 0 3208916 291539 80 false true false 5260 10295195 3530690 1897669 13831145 PATIENT SERVICE FEES 621110 37415280 37415280 OTHER SERVICE REVENUE 621110 13046793 13046793 PREMIUM REVENUE 621110 1255560 1255560 MANAGEMENT FEE REVENUE 621110 392058 392058 52109691 401607 401607 3346141 25 2880896 465245 25 465270 465270 MISCELLANEOUS INCOME 621110 91823 91823 91823 66899536 52201514 866877 1367962 1367962 33259962 29970073 3278064 11825 1035071 924240 110361 470 5373441 4514403 858131 907 2400699 2042702 357061 936 63065 63065 52595 52595 1236643 978178 258465 101375 54264 42315 4796 297227 158771 137738 718 2049832 969960 1079872 747042 607871 139081 90 40317 32607 7710 22282 8546 13736 1545485 1335544 209371 570 125308 16929 108379 SUPPLIES 7895668 7885259 10409 COVID-19 EXPENSES 834103 824608 9495 340B ADMIN FEES 687240 687240 REPAIRS AND MAINTENANCE 345905 122471 223434 1003132 776274 226858 60484354 51909940 8554102 20312 7900 7800 8663178 11789960 284254 597060 4264989 4668014 496244 579126 1112199 575197 42908923 10431699 31864378 32477224 20146629 23176918 410305 386597 67250076 74257896 4519973 2937624 7938 2028065 2028065 6555976 4965689 X 60694100 69292207 60694100 69292207 67250076 74257896 6415182 2182925 X false true X true true true X 7696465 7189120 7082771 7799705 13831145 43599206 40208690 40927269 46870361 53584573 52109691 233700584 47905155 48116389 53953132 61384278 65940836 277299790 277299790 277866 397643 456138 524155 401607 2057409 277866 397643 456138 524155 401607 2057409 62782 53705 45967 64458 91823 318735 48245803 48567737 54455237 61972891 66434266 279675934 0.99150 0.99130 0.01000 0.01000 X PART III, LINE 12 MISCELLANEOUS INCOME 318,735 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4034671 4034671 30023099 5655401 24367698 8851153 4776298 4074855 32477224 ESTIMATED PAYABLE UNDER THIRD PARTY 2028065 2028065 X 66899536 66899536 66899536 60484354 60484354 60484354 SCHEDULE D, PAGE 3, PART X THE CENTER IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE PROVISIONS OF THE NON?PROFIT 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. X X X false false false false false false false false false RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 414484 57813 19500 11400 29484 532681 JOANNE COCHRAN PRESIDENT/CEO 439840 11400 10422 461662 THOMAS P ORNDORF PHYSICIAN 372083 1154 19500 11400 27963 432100 EKEZIE MC FRANCIS PHYSICIAN 260574 94896 19500 9936 31483 416389 MICHAEL J COLLI PHYSICIAN 335308 7537 9850 30632 383327 YVETTE BROWN PHYSICIAN 333220 4131 10431 20215 367997 JOHN J MCELWEE JR VP/CFO 319129 19500 11400 10501 360530 DAVID K GRANT COO 272624 10475 23035 306134 THEODORE J GUARRIELLO DIRECTOR OF IT 218123 8694 12818 239635 X 1 7782 X SOFTWARE 1 1889887 false false false FORM 990, PART III 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. THE YEAR 2020 BEGAN LIKE MOST OTHER YEARS WITH KEYSTONE POISED FOR A YEAR OF GROWTH AND EXPANSION TO MEET THE COMMUNITY'S NEEDS. JANUARY BROUGHT A NEW PARTNER INTO KEYSTONE'S SERVICE PROVIDER NETWORK. KEYSTONE BEGAN DISCUSSIONS WITH SHIPPENSBURG UNIVERSITY ABOUT PROVIDING HEALTH CARE SERVICES TO THE STUDENTS AND FACULTY AT THE UNIVERSITY. OUR NAVIGATORS WERE ALSO INTRODUCED TO THE MARKETPLACE MEDICARE INSURANCE PLAN AS A SERVICE TO OFFER OUR COMMUNITY IN ADDITION TO MEDICAID AND CHIP. THIS PROVIDED OPPORTUNITIES FOR A NEW PATIENT MARKET FOR KEYSTONE....MEDICARE. AT PRESENT ONLY 13% OF KEYSTONE PATIENTS ARE COVERED BY MEDICARE; SO, THIS WAS A REAL OPPORTUNITY TO GROW OUR MEDICARE POPULATION. IN FEBRUARY OF 2020, HRSA REVEALED THAT THEY WERE DEVELOPING AND UPDATING THE WAY HEALTH PROFESSIONAL SERVICE AREA (HPSA) SCORES WERE DECIDED. THIS NEW METHODOLOGY APPEARED INADEQUATE AND DID NOT CONSIDER THE REALITY OF WHAT PROVIDERS PROVIDE SERVICES TO THE UNINSURED AND MEDICAID POPULATION. IT WAS A SELF-DISCLOSURE METHODOLOGY. CONSEQUENTLY, KEYSTONE'S HPSA SCORES WENT FROM: DENTAL 19 TO 15; MEDICAL 17 TO 10; AND MENTAL HEALTH 14 TO 7. HPSA SCORES ARE VERY IMPORTANT TO KEYSTONE SINCE THE HIGHER THE SCORE THE GREATER OPPORTUNITY FOR THE ORGANIZATION TO HIRE NATIONAL HEALTH CORP LOAN REPAYMENT AND SCHOLAR PHYSICIANS THROUGH THE PUBLIC HEALTH SERVICE ACT. HIGH HPSA SCORES ALSO OPENS DOORS TO J1VISA AND HB2 VISA PHYSICIANS. MARCH BEGAN TO SEE THE BEGINNINGS OF COVID-19 IN OUR COUNTRY, OUR COMMUNITY, AND OUR HEALTH CENTER. IT BEGAN WITH A SLOW BURN BUT QUICKLY TOOK OVER OUR THOUGHTS AND LIVES AND THAT OF THE COMMUNITY AS WELL. PATIENT VISITS DECLINED AND KEYSTONE SET UP TESTING SITES FOR OUR PATIENTS AND COMMUNITY RESIDENTS. WE BEGAN OUR TESTING AND TREATMENT AT OUR URGENT CARE AND THEN AT OUR PEDIATRIC WALK IN. WE WERE SCRAMBLING TO DEVELOP NEW WAYS OF TREATING OUR REGULAR PATIENTS AS WELL AS OTHERS FROM THE COMMUNITY WANTING TESTING. KEYSTONE RECEIVED IT'S FIRST COVID-19 GRANT OF 94,500. WE ALSO STARTED TALKING ABOUT OUR EMPLOYEES WORKING FROM HOME AND KEYSTONE'S SETTING UP TELEHEALTH FOR OUR PATIENTS. KEYSTONE MADE THE COMMITMENT TO TRANSITION TO EPIC THROUGH WELLSPAN ON OCTOBER 23, 2020 SO WORK BEGAN ON DEVELOPING INTERFACES AND REGULAR WEEKLY MEETINGS WITH WELLSPAN LEADERSHIP AND KEYSTONE LEADERSHIP BEGAN ALONG-SIDE THE TRI-WEEKLY MEETINGS OF OUR KEYSTONE LEADERSHIP RELATED TO COVID-19. BECAUSE OF THE SURGE OF COVID-19 DISEASE BURDEN IN DOWNTOWN CHAMBERSBURG, KEYSTONE BEGAN TESTING AND TREATING COVID-19 PATIENTS IN OUR 51 SOUTH MAIN STREET OFFICE. THIS OFFICE IS IN THE HEART OF THE COMMUNITY WHERE MOST OF THE POOR AND IMMIGRANT POPULATIONS LIVE BOTH BLACK AND HISPANIC. IN MAY JOINT COMMISSION ACCEPTED KEYSTONE HEALTH'S SENTINEL EVENT ROOT CAUSE ANALYSIS AND APPROVED OUR DISMISSAL OF THIS JOINT COMMISSION FINDING PROVIDING TOTAL APPROVAL OF OUR HANDLING OF OUR DENTAL SENTINEL EVENT. KEYSTONE IS PROVIDING COVID-19 TESTING AND TREATMENT AT THREE LOCATIONS AT PRESENT: URGENT CARE, PEDS WALK IN AND DOWNTOWN 51 S. MAIN STREET SITES. KEYSTONE NOW HAS ACCESS TO THE ABBOTT ID NOW TESTING KITS, SO RESULTS ARE OBTAINED IN 15 MINUTES. KEYSTONE IS CONTINUING TO RECEIVE FEDERAL GRANT FOR COVID-19 OF 1,509,000 AND 309,759. KEYSTONE CONTINUES TO WORK WITH SHIPPENSBURG UNIVERSITY TO PROVIDE HEALTH CARE AT THEIR UNIVERSITY CLINIC. JUNE BROUGHT CONGRESSMAN JOHN JOYCE, MD TO KEYSTONE. CONGRESSMAN JOYCE IS ENCOURAGING KEYSTONE HEALTH TO WORK WITH LAKE ERIE OSTEOPATHIC MEDICAL SCHOOL (LECOM) FOR THE PLACEMENT OF THEIR RESIDENTS LOOKING FOR PEDIATRIC AND OBSTETRIC AND GYNECOLOGY RESIDENCIES. KEYSTONE HAS CONTINUED TO RECEIVE FEDERAL LEGISLATIVE PACKAGES RELATED TO COVID-19 AND HAS RECEIVED SO FAR: 94,667; 1,509,260; 173,868.36; 570,214.58; 51,000; 10,300.28; 5, 260; 309,759.69; AND 951,439 IN TOTAL GRANTS. KEYSTONE HEALTH MEDICAL AND DENTAL SITES ARE SEEING GREATLY REDUCED NUMBERS OF PATIENTS; BEHAVIORAL HEALTH IS MAINTAINING ITS PRE-COVID NUMBERS BUT THAT IS THANKS TO TELEHEALTH. OUR SITES ARE DOWN AT LEAST 50% IN VISIT NUMBERS. IN JULY KEYSTONE PRECEPTORED TWO HERSHEY MEDICAL RESIDENTS IN PEDIATRICS AND OBSTETRICS/GYNECOLOGY. KEYSTONE BEHAVIORAL HEALTH PRECEPTORED ONE FELLOW AS WELL FROM HERSHEY MEDICAL CENTER. AUGUST REVEALED THAT KEYSTONE WAS UNABLE TO PROVIDE HEALTH SERVICES TO SHIPPENSBURG UNIVERSITY BECAUSE OF OUR FEDERAL STATUS THIS CONTRACT WOULD VIOLATE SHIPPENSBURG UNIVERSITY'S ABILITY TO BE PART OF THE STATE UNIVERSITY PROGRAM APPROVED BY THE STATE LEGISLATURE. JOANNE INTERVENED AND AS A RESULT OF THIS INTERVENTION, ROXANNA GAPSTUR HAS AGREED THAT WELLSPAN WILL PROVIDE THE HEALTH CARE SERVICES FOR THE UNIVERSITY. ALSO, THIS MONTH THE STATE LEGISLATURE IDENTIFIED THE MCO'S APPROVED BY DHS TO PROVIDE SERVICES TO THE COMMONWEALTH OF PENNSYLVANIA'S MEDICAID POPULATION. FRANKLIN COUNTY REGION WAS ASSIGNED THE FOLLOWING MCO'S: GATEWAY, GEISINGER PLAN, HEALTH PARTNERS, UPMC AND YOU AND VISTA HEALTH (AMERIAHEALTH CARITAS). NEGOTIATIONS BEGAN WITH WELLSPAN FOR THE 2021 COMMUNITY BENEFIT GRANT. OUR PREVIOUS GRANT WAS WITH SUMMIT HEALTH AND WAS FOR 1,600,000. WELLSPAN COMMITTED 1,500,000 FOR THE NEXT FIVE YEARS FROM 2021 THROUGH 2025. SEPTEMBER BROUGHT THE CLOSING OF SOME SCHOOLS AND THE HYBRID TEACHING OF 50% IN PERSON AND 50% ON-LINE. KEYSTONE DID NOT OPEN OUR SCHOOL BASED HEALTH CENTER AT CASHS. DURING THIS MONTH, THE CEO OF KEYSTONE HEALTH CHALLENGED KEYSTONE'S DENTAL HPSA SCORE DISCUSSED IN PREVIOUS MONTH OF FEBRUARY. THE SCORE HAS BEEN REDUCED FROM 19 TO 15; HOWEVER, WITH THE CEO'S CHALLENGE A NEW SCORING OCCURRED THAT RETURNED THE HPSA SCORE BACK TO 19. THIS CHANGE WAS NECESSARY TO ASSIGN OUR NEW PEDIATRIC DENTIST TO THE NEWLY CONSTRUCTED FACILITY AT OUR KEYSTONE PEDIATRIC DENTAL OFFICE AT 111 CHAMBERS HILL DRIVE. ALSO, DURING THIS MONTH, THE EDUCATING AND NOMINATING COMMITTEE OF KEYSTONE REVISED THE BOARD SELF-ASSESSMENT FORM. COVID TESTING REMAINS BUSY. KEYSTONE PEDIATRICS CEASED TO PROVIDE PEDIATRIC COVERAGE TO WAYNESBORO HOSPITAL IN OCTOBER, WHEN WELLSPAN ANNOUNCED THAT THEY WERE CLOSING THE PEDIATRIC INPATIENT UNIT AND THE INPATIENT OBSTETRIC UNIT AT WAYNESBORO HOSPITAL. WELLSPAN IS ALSO CLOSING THE OUTPATIENT OB PRACTICE IN WAYNESBORO. THE BIG NEWS OF OCTOBER 2020 WAS THAT ON 10/23/2020 KEYSTONE TRANSITIONED OUR ELECTRONIC MEDICAL RECORD SYSTEM FROM NEXTGEN TO EPIC. AT THE SAME TIME THE COMMONWEALTH OF PA TOOK OVER THE STATE MARKET PLACE THAT HAD BEEN RUN BY THE FEDERAL GOVERNMENT TO A NEW MARKETPLACE CALLED PENNIE (PENNSYLVANIA INSURANCE EXCHANGE) WHICH IS NOW OPERATED BY PENNSYLVANIA. NOVEMBER BROUGHT A NEW HOME FOR KEYSTONE'S AGRICULTURAL WORKER PROGRAM. THE PREVIOUS SITE WHICH WAS LOCATED ON FAIRFIELD ROAD WAS TOO SMALL TO ACCOMMODATE TREATING PATIENTS. THE NEW LOCATION FOR THE SPACE WE ARE LEASING IS LOCATED AT 3375 CARLISLE ROAD IN GARDNERS, PA. THIS MONTH KEYSTONE RECEIVED PATIENT MEDICAL HOME STATUS (PCMH) FOR ANOTHER THREE YEARS FOR FAMILY MEDICINE, PEDIATRIC, INTERNAL MEDICINE AND HIV/AIDS. UNFORTUNATELY, THIS MONTH HAS BROUGHT A SURGE NATIONALLY AND LOCALLY IN COVID-19. TO MEET THE DEMAND KEYSTONE OPENED A FOURTH SITE ON THE SECOND FLOOR OF THE 111 CHAMBERSBURG HILL SITE. DEMAND BECAME SO GREAT (TESTING OVER 300 PATIENTS DAILY) THE CEO REQUESTED MANPOWER ASSISTANCE FROM THE DEPARTMENT OF HEALTH. IN REPLY, THE D OF H SENT VOLUNTEERS FROM THE DHS D OF H AND THE SOUTH-CENTRAL EMERGENCY MEDICAL CORPS. DECEMBER BROUGHT GOOD NEWS. THE BOARD APPROVED FOR ALL FULL- TIME STAFF A 2000 BONUS (FOR DEDICATION TO EPIC TRANSITION AND COVID-19 PANDEMIC AND QUALITY SERVICE TO OUR COMMUNITY). PART TIME STAFF RECEIVED PRO- RATED BONUS DEPENDENT UPON HOURS WORKED). ADDITIONALLY, MOST OF NON-SALARIED EMPLOYEES WILL RECEIVE A 10% INCREASE IN ORDER TO MAINTAIN A COMPETITIVE SALARY PROGRAM. AT PRESENT, KEYSTONE HEALTH OPERATES TWENTY (20) PRIMARY CARE PRACTICES IN FRANKLIN COUNTY. SERVICES PROVIDED IN CHAMBERSBURG AT THE 820 FIFTH AVENUE SITE INCLUDE: FAMILY PRACTICE, AND BEHAVIORAL HEALTH MEDICATION ASSISTED THERAPY; SERVICES PROVIDED AT THE 767 FIFTH AVENUE LOCATION ARE: KEYSTONE GENERAL DENTAL AND KEYSTONE FOOT AND ANKLE (KEYSTONE BEGAN OFFERING PODIATRIC SERVICES I FORM 990, PAGE 2, PART III, LINE 4D PROVIDER OF WOMEN'S HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, HIV SERVICES, URGENT CARE, FAMILY MEDICINE, AUDIOLOGY AND SPEECH, INFECTIOUS DISEASE, PEDIATRIC THERAPIES, CHIROPRACTIC, FOOT AND ANKLE, 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 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. 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