2025-08-07T09:32:27-04:00 2024-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2024-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097912 111 CHAMBERS HILL DR200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2025-07-30 true false GREGORY P HALL CPA P00156653 7172439104 2025-07-30 2024 2025-03-06 01:10:19Z JOANNE COCHRAN 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 124703483 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 13 703 15 0 11355029 10326223 79967941 91096245 2935165 4562958 60872 61137 94319007 106046563 0 0 50863275 60787412 0 22383 24796584 29635070 75659859 90422482 18659148 15624081 153283452 170830348 8401941 6843713 144881511 163986635 X PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. false false 14177990 13500292 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 9019740 8875366 PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 8465850 9712309 PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 46141002 59008278 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. 46141002 59008278 77804582 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 83 0 true 703 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 YVETTE BROWN PHYSICIAN 50.00 X 585675 0 36132 THOMAS P ORNDORF PHYSICIAN 50.00 X 583377 0 37837 JOANNE COCHRAN PRESIDENT/CE 50.00 X 589922 0 24502 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 472326 0 45976 IRAKLI MANIA PHYSICIAN 50.00 X 451835 0 45976 JOHN J MCELWEE JR VP/CFO 50.00 X 449274 0 24533 ZEESHAN FARUQUI PSYCHIATRIST 50.00 X 422831 0 41526 MICHAEL J COLLI MEDICAL DIRE 50.00 X 381115 0 45875 DAVID K GRANT COO 50.00 X 323382 0 39060 MONICA L DIEHL CHIEF NURSIN 50.00 X 152322 0 41687 SILA ALEGRET-BARTEL VICE CHAIR 1.00 X X 0 0 0 SCOTT BROWN BOARD MEMBER 1.00 X 0 0 0 AMER CHAUDHRY BOARD MEMBER 1.00 X 0 0 0 WANDA DIETRICH BOARD MEMBER 1.00 X 0 0 0 CARRIE GRAY CHAIR 1.00 X 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 KAREN JOHNSTON SECRETARY 1.00 X X 0 0 0 JENNA KACZMAREK TREASURER 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 MARK SMITH BOARD MEMBER 1.00 X 0 0 0 4412059 383104 107 false true false LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 PHYSICIANS 131771 UPMC PO BOX 223270 PITTSBURGH PA 152512270 PHYSICIANS 124425 2 7617966 2708257 1191876 10326223 PATIENT SERVICE FEES 621110 63449778 63449778 OTHER SERVICE REVENUE 621110 25856012 25856012 PREMIUM REVENUE 621110 1701355 1701355 MANAGEMENT FEE REVENUE 621110 89100 89100 91096245 4002424 4002424 19216674 780 18627919 29001 588755 -28221 560534 560534 MISCELLANEOUS INCOME 621110 61137 61137 61137 106046563 91157382 4562958 2071672 620999 1450673 46835441 41513417 5304939 17085 1414687 1237872 176127 688 7161503 6206902 953295 1306 3304109 2854835 447907 1367 196134 196134 69047 69047 166787 166787 2682599 2178157 504442 194528 89864 104222 442 807584 314587 492247 750 842218 76141 766039 38 912812 747042 165680 90 76473 62203 14270 48802 23001 25801 21 21 2089985 1634481 454922 582 298707 59958 238749 SUPPLIES 17623759 17596810 26949 340B ADMIN FEES 1403345 1403345 REPAIRS AND MAINTENANCE 690899 210396 480503 COVID-19 EXPENSES 342728 336787 5941 1188642 637764 550843 35 90422482 77804582 12595517 22383 7425 7745 40801173 45429215 719241 850616 6529550 5262968 822436 892359 1001886 1582887 63817008 14948016 41586151 48868992 61529486 67673409 286104 262157 153283452 170830348 4616463 5859163 781116 265818 3004362 718732 8401941 6843713 X 144881511 163986635 144881511 163986635 153283452 170830348 X 15624081 3481043 X false true X true true true X 13831145 22560741 16246630 11355029 10326223 74319768 52109691 66367402 77491059 79967941 91096245 367032338 65940836 88928143 93737689 91322970 101422468 441352106 441352106 401607 571659 970335 3010009 4002424 8956034 401607 571659 970335 3010009 4002424 8956034 91823 98757 77693 60872 61137 390282 66434266 89598559 94785717 94393851 105486029 450698422 0.97930 0.98560 0.02000 0.01000 X PART III, LINE 12 MISCELLANEOUS INCOME 390,282 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4702318 4702318 41676197 9918310 31757887 16739634 5029706 11709928 698859 698859 48868992 LEASE OBLIGATIONS 718732 718732 X 105879776 105879776 166787 166787 106046563 90255695 90255695 166787 166787 90422482 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 166,787 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT MANAGEMENT FEES 166,787 X X X false false false false false false false false false YVETTE BROWN PHYSICIAN 540778 21897 23000 12200 23932 621807 THOMAS P ORNDORF PHYSICIAN 562877 20500 12200 25637 621214 JOANNE COCHRAN PRESIDENT/CEO 589922 12200 12302 614424 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 449326 23000 12200 33776 518302 IRAKLI MANIA PHYSICIAN 414777 31858 5200 12200 33776 497811 JOHN J MCELWEE JR VP/CFO 430274 19000 12200 12333 473807 ZEESHAN FARUQUI PSYCHIATRIST 395559 27272 7750 33776 464357 MICHAEL J COLLI MEDICAL DIRECTOR 373219 7896 12200 33675 426990 DAVID K GRANT COO 323382 12200 26860 362442 MONICA L DIEHL CHIEF NURSING OFFICE 152322 6194 35493 194009 X 1 1191876 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. 2024 KEYSTONE RURAL HEALTH CENTER 2024 WAS A YEAR OF MANY CHALLENGES AND CONSIDERABLE PROGRESS, WITH A STRONG FOCUS ON PATIENT SAFETY AND QUALITY, BUILDING A STRONG, CARING WORKFORCE, AND PERFORMANCE IMPROVEMENT. THE CHALLENGES OF A WORLD IN TURMOIL AMPLIFY THE SENSE OF URGENCY TO MAKE SURE KEYSTONE HEALTH DELIVERS ON ITS PURPOSE AND BECOMES AN EVEN STRONGER FORCE FOR GOOD, WHERE PEOPLE EVERYWHERE CAN LOOK AFTER THEIR HEALTH AND WELL-BEING AND ACCESS THE CARE THEY NEED, WITH US FOCUSING ON WHERE WE CAN HELP, FROM THE HEALTH CENTER TO THE HOME TO THE COMMUNITY. WE WANT TO DELIVER BETTER CARE TO MORE PEOPLE. IN 2024, KEYSTONE HEALTH ANNOUNCED SEVERAL EXPANSION OPPORTUNITIES THAT WOULD COME TO FRUITION IN 2025 AND 2026. THESE EXPANSIONS INCLUDED CONSTRUCTING THE CATHERINE STREET FACILITY AND HOUSING A FAMILY MEDICINE RESIDENCY PROGRAM IN DOWNTOWN CHAMBERSBURG, WHERE MANY NEEDY POPULATIONS LIVE. WE FURTHER ANNOUNCED THAT KEYSTONE HEALTH WILL DEVELOP PLANS TO CONSTRUCT ANOTHER FACILITY AT WELTY ROAD IN WAYNESBORO. TO ENSURE WE COULD PROVIDE QUALITY CARE TO BOTH THE CHAMBERSBURG AND WAYNESBORO COMMUNITIES, KEYSTONE SIGNIFICANTLY INTENSIFIED ITS RECRUITING EFFORTS AND HIRED MANY NEW PROVIDERS AND STAFF, INCLUDING TWO INTERNAL MEDICINE PHYSICIANS WHO HAD BEEN LONG-TIME INDEPENDENT PHYSICIANS WITH ESTABLISHED PRACTICES IN WAYNESBORO: DR. ROBERT TERNES AND DR. JEHANZEB QURESHI. DURING 2024, WITH 625 EMPLOYEES, KEYSTONE HEALTH TREATED 63,393 PATIENTS THROUGH 267,932 IN-PERSON VISITS AND 24,333 VIRTUAL VISITS, FOR A TOTAL OF 292,265 VISITS. FOR COMPARISON, IN 2023, WITH 570 EMPLOYEES, KEYSTONE HEALTH TREATED 60,587 PATIENTS THROUGH 250,917 IN-PERSON VISITS AND 21,860 VIRTUAL VISITS, FOR A TOTAL OF 272,777 VISITS. PATIENT SAFETY AND QUALITY KEYSTONE HEALTH HAS DEVELOPED A NEW SENIOR MANAGEMENT POSITION: CHIEF QUALITY, RISK MANAGEMENT, AND SAFETY OFFICER, TO REINFORCE OUR COMMITMENT TO QUALITY AND SAFETY. WE ALSO HIRED THE NATIONAL TRAINING AND CONSULTING GROUP TO PERFORM PHYSICAL SECURITY RISK ASSESSMENTS FOR ALL THE KEYSTONE FACILITIES IN CHAMBERSBURG, WAYNESBORO, AND GARDNERS, PA. KEYSTONE ALSO REQUESTED THAT ALL EMPLOYEES BE TRAINED IN SITUATIONAL AWARENESS, PERSONAL SAFETY, DE-ESCALATION, AND ACTIVE SHOOTER RESPONSE. KEYSTONE DEVELOPED A MEDICAL-LEGAL PARTNERSHIP WITH FRANKLIN COUNTY LEGAL SERVICES TO ASSIST OUR PATIENTS WITH LEGAL ISSUES SUCH AS GUARDIANSHIP, EVICTION, AND ABUSE. DRIVING PROGRESS ON PRIORITIES WITH PATIENT SAFETY AND QUALITY AS THE NUMBER ONE PRIORITY, OVERSIGHT NOW RESIDES AT THE EXECUTIVE SENIOR MANAGEMENT LEVEL. WE HAVE A NEW DEPARTMENT WITH MORE SUBSTANTIAL PROCESSES AND EFFECTIVE EARLY WARNING SYSTEMS. OVER THE LAST SEVERAL YEARS, OUR SENIOR MANAGEMENT HAS BEEN STRENGTHENED. WE ARE PROACTIVELY ADDRESSING QUALITY IMPROVEMENTS AND THE CHANGING CULTURE OF PEOPLE-AND PATIENT-CENTRICITY, ACCOUNTABILITY, AND IMPACT. WE ARE FOCUSING ON OUR WORKFORCE AND ENSURING THAT WE PROVIDE ADEQUATE ONBOARDING, EDUCATION, AND TRAINING. WE ARE UTILIZING AI IN A RESPONSIBLE MANNER TO OPTIMIZE WORKFLOWS AND IMPROVE EFFICIENCY SO THAT CLINICAL STAFF GET THE TIME AND SPACE TO FOCUS ON WHAT MATTERS AND WHAT THEY DO BEST: CARING FOR OUR PATIENTS. 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 -166,787 INVESTMENT MANAGEMENT FEES 166,787 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