2024-08-16T10:28:16-04:00 2023-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2023-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097906 111 CHAMBERS HILL DR200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2024-08-12 true false GREGORY P HALL CPA P00156653 7172439104 2024-08-12 2023 2024-08-08 14:25:15Z JOANNE COCHRAN 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 94444474 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. 12 12 667 15 0 16246630 11355029 77491059 79967941 1422883 2935165 77693 60872 95238265 94319007 10000 0 0 46592959 50863275 0 38835 20125578 24796584 66728537 75659859 28509728 18659148 130747337 153283452 9404773 8401941 121342564 144881511 X PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. false false 12362390 12816602 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 7246971 7492235 PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 6334391 7617388 PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 38604536 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. 38604536 64548288 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 67 0 true 667 true false false false false false false false false false false false false X 12 12 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 533442 0 23735 YVETTE BROWN PHYSICIAN 50.00 X 474434 0 34361 THOMAS P ORNDORF PHYSICIAN 50.00 X 460207 0 41648 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 451719 0 45320 MICHAEL J COLLI MEDICAL DIRE 50.00 X 399442 0 43710 JOHN J MCELWEE JR VP/CFO 50.00 X 408351 0 23756 IRAKLI MANIA PHYSICIAN 50.00 X 381508 0 43813 ZEESHAN FARUQUI PSYCHIATRIST 50.00 X 352610 0 39285 DAVID K GRANT COO 50.00 X 301707 0 36682 SILA ALEGRET-BARTEL BOARD MEMBER 1.00 X 0 0 0 SCOTT BROWN 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 3763420 332310 85 false true false UPMC PO BOX 223270 PITTSBURGH PA 152512270 PHYSICIANS 344494 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 PHYSICIANS 215773 2 8680536 2674493 1161900 11355029 PATIENT SERVICE FEES 621110 56533902 56533902 OTHER SERVICE REVENUE 621110 21217860 21217860 PREMIUM REVENUE 621110 1750613 1750613 MANAGEMENT FEE REVENUE 621110 465566 465566 79967941 3010009 3010009 45623 5000 87031 38436 -41408 -33436 -74844 -74844 MISCELLANEOUS INCOME 621110 60872 60872 60872 94319007 80028813 2935165 1770836 443152 1327684 38533688 34222692 4294436 16560 1218678 1071815 146232 631 6509303 5218251 1289734 1318 2830770 2451945 377533 1292 351526 208 351318 66372 66372 153057 153057 2548279 2202465 343365 2449 257878 58842 184899 14137 624757 316293 306688 1776 705108 60445 644663 876173 733456 142627 90 70115 52895 17220 41795 16483 25312 712 123 589 1764225 1378295 385348 582 325796 57690 268106 SUPPLIES 13956260 13932603 23657 340B ADMIN FEES 926895 926895 COVID-19 EXPENSES 511429 511429 REPAIRS AND MAINTENANCE 461495 181550 279945 1154712 710761 443951 75659859 64548288 11072736 38835 7700 7425 32121695 40801173 2394317 719241 4585991 6529550 591953 822436 694624 1001886 55261869 13675718 35252658 41586151 54760662 61529486 337737 286104 130747337 153283452 6125257 4616463 8806 781116 3270710 3004362 9404773 8401941 X 121342564 144881511 121342564 144881511 130747337 153283452 X 18659148 4879799 X false true X true true true X 7799705 13831145 22560741 16246630 11355029 71793250 53584573 52109691 66367402 77491059 79967941 329520666 61384278 65940836 88928143 93737689 91322970 401313916 401313916 524155 401607 571659 970335 3010009 5477765 524155 401607 571659 970335 3010009 5477765 64458 91823 98757 77693 60872 393603 61972891 66434266 89598559 94785717 94393851 407185284 0.98560 0.99100 0.01000 0.01000 X PART III, LINE 12 MISCELLANEOUS INCOME 393,603 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4702318 4702318 40487543 8659283 31828260 9112010 5016435 4095575 959998 959998 41586151 ESTIMATED PAYABLE UNDER THIRD PARTY 2028065 LEASE OBLIGATIONS 976297 3004362 X 94165950 94165950 153057 153057 94319007 75506802 75506802 153057 153057 75659859 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 153,057 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT MANAGEMENT FEES 153,057 X X X false false false false false false false false false JOANNE COCHRAN PRESIDENT/CEO 533442 12200 11535 557177 YVETTE BROWN PHYSICIAN 417724 52732 3978 12006 22355 508795 THOMAS P ORNDORF PHYSICIAN 439707 20500 12200 29448 501855 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 429219 22500 12200 33120 497039 MICHAEL J COLLI MEDICAL DIRECTOR 388561 10881 12200 31510 443152 JOHN J MCELWEE JR VP/CFO 389351 19000 12200 11556 432107 IRAKLI MANIA PHYSICIAN 351001 25307 5200 12200 31613 425321 ZEESHAN FARUQUI PSYCHIATRIST 321813 30797 7672 31613 391895 DAVID K GRANT COO 301707 11547 25135 338389 X 1 1161900 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. 2023 KEYSTONE RURAL HEALTH CENTER THIS YEAR PRESENTED SOME EXCITING EXPANSION OPPORTUNITIES WITH NEWLY IDENTIFIED MANPOWER RELATIONSHIPS. LECOM OSTEOPATHIC MEDICAL SCHOOL, WELLSPAN FAMILY MEDICINE AND DENTAL RESIDENCY PROGRAMS, MERITUS MEDICAL SCHOOL, AND DUQUESNE UNIVERSITY EXPRESSED INTEREST IN PARTNERING WITH KEYSTONE FOR TRAINING AND CLINICAL EXPERIENCE FOR THEIR MEDICAL STUDENTS AND RESIDENTS. KEYSTONE RECEIVED 300,000 OF AMERICAN RESCUE PLAN ACT GRANT FUNDS FROM THE COUNTY COMMISSIONERS. THIS WAS USED FOR THE PURCHASE OF THE FORMER GOLD'S GYM BUILDING IN THE DOWNTOWN CATHERINE STREET AREA, PREVIOUSLY KNOWN AS SOUTHGATE MALL. IF ALL GOES AS PLANNED, KEYSTONE WILL CONSTRUCT A THREE- STORY FACILITY WHICH WILL HOUSE A MEDICAL URGENT CARE, A WALK-IN BEHAVIORAL HEALTH/CRISIS INTERVENTION PROGRAM, AN OUTREACH CENTER, CLINICAL SERVICES I.E. FAMILY MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY, DENTAL, AND A FAMILY MEDICINE RESIDENCY PROGRAM. IN FEBRUARY, KEYSTONE MET WITH CHAMBERSBURG SCHOOL DISTRICT ADMINISTRATION REGARDING A REORGANIZATION OF ALL KEYSTONE-PROVIDED SERVICES AT THE HIGH SCHOOL. KEYSTONE INTENDS TO EXPAND THE SERVICES PRESENTLY OFFERED TO INCLUDE SPORTS PHYSICALS, ROTC PHYSICALS, DRIVING PHYSICALS, AND VACCINATIONS. AS NOTED AS A STRATEGIC GOAL FOR KEYSTONE FOR THE YEAR, KEYSTONE HIRED A SAFETY/SECURITY CONSULTANT TO ADVISE US ON RECOMMENDATIONS TO MAKE KEYSTONE A SAFER FACILITY FOR PATIENTS AND STAFF. IN MARCH, KEYSTONE HEALTH NOTIFIED WELLSPAN THAT KEYSTONE PEDIATRICS WOULD NO LONGER PROVIDE INPATIENT ON-CALL SERVICES AND EMERGENCY DEPARTMENT ON- CALL SERVICES EFFECTIVE JANUARY 1, 2024. HOWEVER, KEYSTONE PEDIATRICS WOULD CONTINUE TO PROVIDE INPATIENT COVERAGE OF THE NEWBORN NURSERY FOR BOTH KEYSTONE PEDIATRICS AND KEYSTONE FAMILY MEDICINE. KEYSTONE SIGNED THE WELLSPAN ACADEMIC AFFILIATION AGREEMENT AND MEETINGS BEGAN RELATED TO THE RESIDENCY PROGRAM. THE RESIDENCY WILL BE LOCATED ON THE THIRD FLOOR OF THE NEW CATHERINE STREET FACILITY EXPECTED TO OPEN IN THE SUMMER OF 2025. KEYSTONE WILL RECEIVE 33.3% OF THE RESIDENTS, AND CLINICAL ROTATIONS WILL BE HELD AT THE FACILITY. THE CORE FACULTY FOR THE RESIDENCY PROGRAM ARE DR. MIKE COLLI, DR. RAGHAV TIRUPATHI, AND DR. JOSEPH MCDERMOTT. KEYSTONE WAS ALREADY PROVIDING CLINICAL OPPORTUNITIES FOR LECOM MEDICAL STUDENTS IN OBSTETRICS AND PEDIATRICS, AND WELLSPAN RESIDENTS IN DENTAL AND OBSTETRICS. KEYSTONE, IN ADDITION, SIGNED AN AGREEMENT WITH MERITUS TO BEGIN CLINICAL ROTATIONS FOR THEIR MEDICAL STUDENTS IN 2027, AND DUQUESNE HAS ALSO EXPRESSED INTEREST IN CLINICAL ROTATIONS FOR THEIR MEDICAL STUDENTS. AS A RESULT OF KEYSTONE'S WORKFORCE DEVELOPMENT EFFORTS, WE PARTNERED WITH THE NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT (NIMAA) TO BEGIN PROVIDING MEDICAL ASSISTANT TRAINING AND CERTIFICATION AT KEYSTONE. GRANT FUNDS COVERED THE COST OF THE LAB, AS WELL AS TUITION FOR FIVE STUDENTS WHO BEGAN THE PROGRAM. THE STUDENTS WERE SELECTED AFTER AN APPLICATION AND INTERVIEW PROCESS, AND SOME WERE ALREADY KEYSTONE EMPLOYEES WHO WERE INTERESTED IN ADVANCING THEIR CAREERS IN THE MEDICAL FIELD. KEYSTONE BEGAN SAFETY ENVIRONMENTAL ASSESSMENT AND DE-ESCALATION TRAINING FOR ALL ITS EMPLOYEES USING BILL WHITE AS THE PRESENTER. DR. HELENA CHOI, A MED-PEDS PHYSICIAN, BECAME CERTIFIED IN WEIGHT MANAGEMENT MEDICINE AND BEGAN PROVIDING WEIGHT MANAGEMENT SERVICES SEVERAL DAYS A WEEK. APRIL BROUGHT BOARD APPROVAL OF DATA NETWORK COSTS WITH THE PLAN TO MOVE ALL DATA TO THE CLOUD AND UPDATE AND SECURE OUR NETWORK. OUR DIVERSITY AND INCLUSION COMMITTEE TRANSITIONED TO THE ADVOCACY COMMITTEE. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) RECOMMENDED THE CHANGE AND SUPPLIED GOALS AND OBJECTIVES AND WILL GIVE BADGES FOR ACHIEVEMENT. MAY AND JUNE GAVE AN OPPORTUNITY FOR SENIOR MANAGEMENT TO PRESENT TO THE BOARD ITS STRATEGIC MAP AND EXECUTIVE SUMMARY FOR THE NEXT THREE YEARS. THE FOCUS IS ON PEOPLE (WORKFORCE), ACCESS AND GROWTH, QUALITY, AND FINANCE. IN JULY, KEYSTONE SIGNED A PARTNERSHIP AGREEMENT AND BEGAN PARTICIPATING IN A MEDICARE SHARED SAVINGS PROGRAM (MSSP) ACCOUNTABLE CARE ORGANIZATION (ACO). THIS PARTNERSHIP HAS MADE SIGNIFICANT PROGRESS IN KEYSTONE'S VALUE- BASED CARE JOURNEY AND HAS PROVIDED ADDITIONAL REVENUE TO KEYSTONE AND WELLSPAN. WELLSPAN ALLOCATES ALL THE SAVINGS PRODUCED FROM PARTICIPATING PRACTICES BACK TO THE PRACTICES IN THE ACO. KEYSTONE SUBMITTED A GRANT TO HRSA FOR FUNDING TO BE USED FOR OUR 100 CHAMBERS HILL DRIVE FACILITY WHICH WAS UNDER CONSTRUCTION. AUGUST WAS A BUSY MONTH AS CONSTRUCTION FOR THE NEW FACILITY NEARED COMPLETION. PLANNING WAS UNDERWAY FOR THE RENOVATION OF THE DENTAL SUITE AFTER FOOT AND ANKLE RELOCATED TO THE NEW BUILDING IN OCTOBER, CONVERTING THE SPACE INTO 10 ADDITIONAL DENTAL OPERATORIES. WITH SEPTEMBER CAME THE APPROVAL OF REMOTE WORK FOR THE PATIENT ACCESS CENTER. THE BOARD APPROVED DENTAL RENOVATIONS NOT TO EXCEED 1,178,633 AND CONTRACTOR RECOMMENDATIONS. THE BOARD ALSO APPROVED SUBMISSION OF KEYSTONE'S 330 GRANT APPLICATION FOR 2024 WHICH WAS A COMPETING GRANT, AS WELL AS KEYSTONE'S RECEIPT OF 50,000 FOR OUR SCHOOL BASED HEALTH CENTER AT CHAMBERSBURG AREA SENIOR HIGH SCHOOL. THIS IS ONE-TIME MONEY FOR THE 2023- 24 SCHOOL YEAR. ALL STUDENT VISITS TO OUR CENTER HAVE NO PATIENT RESPONSIBILITY FOR CO-PAYS AND DEDUCTIBLES. OCTOBER BROUGHT THE OPENING OF THE 100 CHAMBERS HILL DRIVE FACILITY, HOUSING BEHAVIORAL HEALTH, FOOT AND ANKLE, AND CHIROPRACTIC. KEYSTONE RECEIVED BRIDGE ACCESS FUNDING OF 70,734 FOR VACCINE EVENTS AND EDUCATORS. KEYSTONE ALSO RECEIVED 50,000 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION FUNDING TO HIRE ANOTHER CRISIS WORKER FOR OUR 988-CALL CENTER (SUICIDE AND CRISIS LIFELINE WITH SERVICES VIA PHONE, TEXT, OR FACE-TO-FACE). ALL FIVE MEDICAL ASSISTANT STUDENTS GRADUATED FROM THE NIMAA PROGRAM AND BEGAN WORKING AS MEDICAL ASSISTANTS AT VARIOUS KEYSTONE SITES. NOVEMBER BROUGHT FULL APPROVAL FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION FOR THE KEYSTONE/WELLSPAN RESIDENCY PROGRAM. KEYSTONE CONTINUED TO REAFFIRM ITS MISSION TO CREATE OUR FUTURE THROUGH STRATEGIC INNOVATIONS TO STABILIZE OUR WORKFORCE AND SUSTAIN HIGH-QUALITY, PERSONALIZED HEALTH CARE. KEYSTONE HELD ITS ANNUAL DIABETES FAIR WHICH WAS WELL-ATTENDED BY THE COMMUNITY. KEYSTONE ALSO HELD ITS RIBBON CUTTING CEREMONY FOR THE 100 CHAMBERS HILL DRIVE FACILITY WITH MANY IN ATTENDANCE. KEYSTONE CONDUCTED AN EMPLOYEE SATISFACTION SURVEY TO GATHER FEEDBACK AND RECOMMENDATIONS FOR FUTURE IMPROVEMENT. EVERY STAFF MEMBER WAS GIVEN THE OPPORTUNITY TO PARTICIPATE, AND THE RESULTS WERE PRESENTED TO KEYSTONE'S BOARD IN NOVEMBER. THE FINDINGS WERE CONSISTENT WITH RESULTS FROM OTHER FEDERALLY QUALIFIED HEALTH CENTERS THROUGHOUT THE NATION. THE BOARD FELT THE SURVEY RESULTS WERE VALUABLE AND REFLECTED KEYSTONE IS MOVING IN THE RIGHT DIRECTION. AREAS IDENTIFIED FOR IMPROVEMENT WERE ASSIGNED TO MANAGEMENT TEAMS WHO BEGAN TO INVESTIGATE ANY CONCERNS AND DEVELOP PLANS FOR FUTURE PROGRESS. BY DECEMBER WITH BOARD APPROVAL, THE DEMOLITION OF GOLD'S GYM AT THE SOUTHGATE SITE, PROJECT DEVELOPMENT PLANS AND THE ECI CONSTRUCTION CONTRACT WERE APPROVED. WE EXPECT TO BREAK GROUND ON THE CATHERINE STREET PROJECT IN EARLY SPRING OF 2024 WITH A COMPLETION DATE OF JUNE/JULY 2025. ALSO THIS MONTH, KEYSTONE BEGAN DEVELOPING SITE PLANS FOR THE 4 ACRES OF REAL ESTATE WE OWN IN WAYNESBORO. MORE INFORMATION ON THIS WILL BE AVAILABLE IN 2024. CLOSE TO THE END OF 2023, KEYSTONE WAS OFFERED 14.98 ACRES OF LAND OWNED BY SAM ARMSTRONG, LOCATED AT 610 FIFTH AVENUE, FOR AN APPRAISED PRICE OF 5.4 MILLION. THIS ISSUE WILL BE DISCUSSED IN GREATER DETAIL DURING 2024. AS WE LOOK BACK ON 2023, WE HAVE SIGNIFICANTLY FILLED OUR VACANCIES CAUSED BY COVID-19, WE HAVE PUT IN PLACE MANY OF THE ESSENTIALS NEEDED FOR OUR FAMILY MEDICINE RESIDENCY PROGRAM, WE HAVE EXPANDED OUR PATIENT SERVICES AND PATIENT POPULATION, WE HAVE TAKEN STEPS TO IMPROVE OUR CYBER SECURITY AND OUR PATIENT AND EMPLOYEE SAFETY, WE DEDICATED ANOTHER NEW FACILITY, AND WE HAVE STAYED TRUE TO OUR MISSION. GOD HAS BLESSED KEYSTONE HEALTH, AND FOR THIS, WE ARE ETERNALLY GRATEFUL. 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 -153,057 INVESTMENT MANAGEMENT FEES 153,057 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