2023-08-07T10:28:44-04:00 2022-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2022-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097906 111 CHAMBERS HILL DR200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2023-08-03 true JOANNE COCHRAN 999009999 false GREGORY P HALL CPA P00156653 7172439104 2023-08-03 2022 2023-04-26 12:10:37Z JOANNE COCHRAN 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 95856087 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 13 664 16 0 22560741 16246630 66367402 77491059 838866 1422883 98759 77693 89865768 95238265 10000 0 44310850 46592959 0 24926 16550280 20125578 60861130 66728537 29004638 28509728 105417846 130747337 5215875 9404773 100201971 121342564 X PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. false false 10434796 12388646 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 6178777 6966264 PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 5799439 7364211 PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 35034193 10000 50771938 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. 35034193 10000 50771938 57447205 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 true false true false false false false false false false false true false false false false true true false false false true 56 0 true 664 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 VPCFO 7177097912 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CE 50.00 X 509670 0 22643 THOMAS P ORNDORF PHYSICIAN 50.00 X 447439 0 39732 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 441729 0 41817 YVETTE BROWN PHYSICIAN 50.00 X 403160 0 31282 MICHAEL J COLLI MEDICAL DIRE 50.00 X 374787 0 40304 JOHN J MCELWEE JR VP/CFO 50.00 X 390648 0 22533 IRAKLI MANIA PHYSICIAN 50.00 X 317463 0 40803 CALEB NWOSU PHYSICIAN 50.00 X 308081 0 30765 DAVID K GRANT COO 50.00 X 296895 0 34187 SILA ALEGRET-BARTEL BOARD MEMBER 1.00 X 0 0 0 SCOTT BROWN BOARD MEMBER 1.00 X 0 0 0 MATTHEW FOGAL BOARD MEMBER 1.00 X 0 0 0 CARRIE GRAY CHAIR 1.00 X X 0 0 0 REV KIBREAB GUDETA BOARD MEMBER 1.00 X 0 0 0 VIRGINIA HARRIGER BOARD MEMBER 1.00 X 0 0 0 BRITTANY HENDERSON BOARD MEMBER 1.00 X 0 0 0 TIMOTHY G HENRY BOARD MEMBER 1.00 X 0 0 0 LISSETT JONES BOARD MEMBER 1.00 X 0 0 0 KAREN JOHNSTON SECRETARY 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 JEFF TRUHAN TREASURER 1.00 X X 0 0 0 3489872 304066 80 false true false LOCUMTENENSCOM LLC 2575 NORTHWINDS PARKWAY ALPHARETTA GA 30009 PHYSICIANS 103468 1 12484184 3762446 2236374 16246630 PATIENT SERVICE FEES 621110 60679435 60679435 OTHER SERVICE REVENUE 621110 15111780 15111780 PREMIUM REVENUE 621110 1254479 1254479 MANAGEMENT FEE REVENUE 621110 445365 445365 77491059 970335 970335 1065120 5250 614427 3395 450693 1855 452548 452548 MISCELLANEOUS INCOME 621110 77693 77693 77693 95238265 77568752 1422883 10000 10000 1691668 415091 1276577 35598044 31733388 3849330 15326 1132201 998695 132901 605 5558335 4625437 931746 1152 2612711 2262798 348703 1210 131799 131799 57630 57630 93682 93682 1890070 1483485 406413 172 102538 66648 31745 4145 418275 207729 208902 1644 648381 77941 570440 853279 717089 136100 90 72159 62731 9428 34999 11017 23982 232 232 1685015 1305906 378527 582 206558 45112 161446 SUPPLIES 11339615 11318981 20634 340B ADMIN FEES 793951 793951 COVID-19 EXPENSES 533897 520641 13256 REPAIRS AND MAINTENANCE 448813 191158 257655 814685 599175 215510 66728537 57447205 9256406 24926 7600 7700 35928411 32121695 1608655 2394317 3938725 4585991 590084 591953 674310 694624 48924346 13671688 31429264 35252658 30878585 54760662 362212 337737 105417846 130747337 3182670 6125257 5140 8806 2028065 3270710 5215875 9404773 X 100201971 121342564 100201971 121342564 105417846 130747337 X 28509728 -7369135 X false true X true true true X 7082771 7799705 13831145 22560741 16246630 67520992 46870361 53584573 52109691 66367402 77491059 296423086 53953132 61384278 65940836 88928143 93737689 363944078 363944078 456138 524155 401607 571659 970335 2923894 456138 524155 401607 571659 970335 2923894 45967 64458 91823 98757 77693 378698 54455237 61972891 66434266 89598559 94785717 367246670 0.99100 0.99160 0.01000 0.01000 X PART III, LINE 12 MISCELLANEOUS INCOME 378,698 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4034671 4034671 30530997 7619291 22911706 13125701 6052397 7073304 1232977 1232977 35252658 ESTIMATED PAYABLE UNDER THIRD PARTY 2028065 LEASE OBLIGATIONS 1242645 3270710 X 95144583 95144583 93682 93682 95238265 66634855 66634855 93682 93682 66728537 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. SCHEDULE D, PAGE 4, PART XI, LINE 4B INVESTMENT MANAGEMENT FEES 93,682 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT MANAGEMENT FEES 93,682 true CHAMBERSBURG POLICE DEPARTMENT 116 SOUTH SECOND STREET CHAMBERSBURG PA 17201 GOV 10000 PURCHASE OF VEHICLE 1 X X X false false false false false false false false false JOANNE COCHRAN PRESIDENT/CEO 509670 12200 10443 532313 THOMAS P ORNDORF PHYSICIAN 426939 20500 12200 27532 487171 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 421229 20500 12200 29617 483546 YVETTE BROWN PHYSICIAN 399182 3978 11130 20152 434442 MICHAEL J COLLI MEDICAL DIRECTOR 369525 5262 10302 30002 415091 JOHN J MCELWEE JR VP/CFO 371648 19000 12058 10475 413181 IRAKLI MANIA PHYSICIAN 310171 2092 5200 12200 28603 358266 CALEB NWOSU PHYSICIAN 287581 20500 10206 20559 338846 DAVID K GRANT COO 296895 11400 22787 331082 X 1 2236374 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. 2022 KEYSTONE RURAL HEALTH CENTER 2022 WAS A WELCOME CHANGE FROM THE PREVIOUS TWO YEARS IN THE WORLD OF HEALTHCARE. WHILE COVID-19 WAS STILL PART OF OUR DAILY LIVES, VACCINATIONS AND BOOSTERS BEING WIDELY AVAILABLE MEANT FEWER POSITIVE CASES AND DEATHS, ESPECIALLY AS THE YEAR PROGRESSED. AT KEYSTONE, WE BEGAN TO RETURN TO SOME SENSE OF NORMALCY. OUR PRACTICES WERE NO LONGER AS OVERWHELMED DUE TO THE PANDEMIC AND WE COULD, FOR THE MOST PART, RETURN TO REGULAR OPERATIONS. THIS DOES NOT MEAN, HOWEVER, THAT IT WAS A QUIET YEAR FOR OUR ORGANIZATION. THE YEAR BEGAN WITH A SURGE OF THE OMICRON VARIANT OF COVID. KEYSTONE ONCE AGAIN DID OUR PART TO KEEP OUR COMMUNITY HEALTHY BY ADMINISTERING VACCINES AND BOOSTER DOSES, AND WE ALSO HOSTED A DRIVE-THRU DISTRIBUTION EVENT OF MASKS AND AT-HOME TESTS. BY SPRING, COVID NUMBERS WERE DECLINING, AND WE COULD BEGIN TO FOCUS ON OTHER EFFORTS. IN RESPONSE TO THE NEED FOR NURSES IN OUR COMMUNITY, KEYSTONE PROVIDED TUITION ASSISTANCE FOR SEVEN LPN STUDENTS ENROLLED IN THE FRANKLIN COUNTY PRACTICAL NURSING PROGRAM. STUDENTS WERE ELIGIBLE FOR UP TO 16,000 IN SCHOLARSHIP FUNDS IN EXCHANGE FOR WORKING AT KEYSTONE UPON GRADUATION. IN ANOTHER EFFORT TO MEET THE NEEDS OF OUR COMMUNITY, KEYSTONE BEGAN TO DEVELOP A PROGRAM TO TRAIN MEDICAL ASSISTANTS TO BECOME COMMUNITY HEALTH WORKERS. THESE EMPLOYEES WILL BE TRAINED TO DO HOME VISITS FOR OUR PATIENTS WHO HAVE DIFFICULTY GETTING TO OUR OFFICES, ESPECIALLY OUR ELDERLY PATIENTS. THEY WILL ASSIST WITH MEDICATION MANAGEMENT, FACILITATING TELEHEALTH VISITS WITH THE PATIENTS' MEDICAL PROVIDERS, OBTAINING VITALS, AND MORE. IN JULY, KEYSTONE REOPENED ITS PEDIATRIC DENTAL PRACTICE WHICH HAD BEEN CLOSED DUE TO COVID AS WELL AS A LACK OF PROVIDERS. FEEDBACK FROM PATIENTS WAS POSITIVE, AND KEYSTONE WAS GLAD TO ONCE AGAIN PROVIDE THIS SPECIALTY SERVICE. ALSO, THIS MONTH THE HEALTH RESOURCES & SERVICES ADMINISTRATION CONDUCTED KEYSTONE'S TRI-ANNUAL OPERATIONAL PERFORMANCE REVIEW. NO DEFICIENCIES WERE FOUND AND KEYSTONE WAS GIVEN HIGH MARKS IN ALL AREAS. WEEKS LATER, JOINT COMMISSION ARRIVED AT KEYSTONE HEALTH FOR ITS UNANNOUNCED TRI-ANNUAL SURVEY. KEYSTONE PERFORMED VERY WELL AND WAS GIVEN FULL ACCREDITATION. UNFORTUNATELY, KEYSTONE FACED A CHALLENGE WHEN A CYBERSECURITY INCIDENT OCCURRED IN AUGUST. THIS INCIDENT SHUT DOWN OUR COMPUTER SYSTEMS FOR A SHORT PERIOD, AND PATIENT INFORMATION WAS COMPROMISED. KEYSTONE'S IT TEAM WORKED AROUND THE CLOCK TO CONTAIN THE INCIDENT AND DID AN EXCELLENT JOB OF GETTING OUR SYSTEM UP AND RUNNING AGAIN. LAW ENFORCEMENT WAS NOTIFIED OF THE INCIDENT AND A THIRD-PARTY CYBERSECURITY FIRM ASSISTED WITH AN INVESTIGATION. KEYSTONE NOTIFIED ALL INDIVIDUALS WHOSE INFORMATION WAS AFFECTED AND OFFERED A FREE ONE-YEAR MEMBERSHIP OF CREDIT MONITORING. THESE CYBERSECURITY INCIDENTS ARE BECOMING ALL TOO COMMON IN HEALTHCARE ORGANIZATIONS, AND WE HAVE PUT MEASURES IN PLACE TO BETTER PROTECT OURSELVES FROM FUTURE THREATS. ON A POSITIVE NOTE, KEYSTONE'S LATEST EXPANSION TO MEET THE NEEDS OF OUR COMMUNITY WAS UNDERWAY. CONSTRUCTION BEGAN AT 100 CHAMBERS HILL DRIVE, A 35,000 SQUARE FEET, TWO-STORY FACILITY WHICH WILL HOUSE CHIROPRACTIC, FOOT AND ANKLE, A BEHAVIORAL HEALTH EXTENSION, AND A VACCINE AND EDUCATION CENTER. KEYSTONE ALSO HOSTED ITS ANNUAL DIABETES FAIR, WHICH HAD BEEN ON HIATUS SINCE 2019. THE FAIR WAS OPEN TO THE PUBLIC AND 80 COMMUNITY MEMBERS RECEIVED VITALS, BMI SCREENINGS, FOOT AND EYE EXAMS, EDUCATION, HEALTHY COOKING LESSONS, RESOURCES, AND MORE. THROUGH ALL OF THE CHALLENGES OF 2022, KEYSTONE EMERGED STRONGER. THANKS TO THE DEDICATION OF OUR HARD-WORKING TEAM, WE CONTINUE TO GROW AND EXPAND IN ORDER TO MEET OUR COMMUNITY'S NEEDS. I WISH TO EXPRESS MY DEEP GRATITUDE TO EACH OF KEYSTONE'S STAFF MEMBERS AND BOARD MEMBERS FOR THEIR COMMITMENT TO KEYSTONE AND TO OUR PATIENTS. WITHOUT YOUR DEDICATION, MANY IN OUR COMMUNITY WOULD NOT RECEIVE THE CARE THAT THEY NEED AND DESERVE. I WANT TO HUMBLY THANK YOU FOR GIVING ME THE OPPORTUNITY TO LEAD THIS OUTSTANDING COMMUNITY HEALTH CENTER FOR 37 YEARS. WE HAVE TOGETHER TOUCHED THOUSANDS OF LIVES AND HEALED MANY BODIES AND SOULS. IT TAKES ALL OF US TO MAKE THIS HAPPEN, FROM THE FRONT OFFICE TO THE BACK OFFICE AND EVERY SERVICE IN BETWEEN. IT IS BECAUSE OF EACH ONE OF YOU THAT THIS ORGANIZATION IS WHAT IT IS TODAY. AS I OFTEN TELL MY KEYSTONE FAMILY, I AM THE LUCKIEST CEO IN THE WORLD. 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. FORM 990, PART XI, LINE 9 INVESTMENT MANAGEMENT FEES -93,682 INVESTMENT MANAGEMENT FEES 93,682 KEYSTONE PHYSICIAN SERVICES 111 CHAMBERS HILL 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