KEYSTONE RURAL HEALTH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- KEYSTONE RURAL HEALTH CENTER (EIN 25-1546810)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-08-07
- IRS object ID
- 202312199349300776
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-07T10:28:44-04:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 520783935 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH ELLIOTT KEARNS & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 BROOKWOOD AVE STE 101 | AddressLine1Txt |
| City | CARLISLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251546810 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEYSTONE RURAL HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KEYS | BusinessNameControlTxt |
| Phone | 7177097906 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CHAMBERS HILL DR200 | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOANNE COCHRAN | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7177097906 | PhoneNum |
| Signature | 2023-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOANNE | PersonFirstNm |
| Person Last | COCHRAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY P HALL CPA | PreparerPersonNm |
| PTIN | P00156653 | PTIN |
| Phone | 7172439104 | PhoneNum |
| Preparation | 2023-08-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOANNE COCHRAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CHAMBERS HILL DRIVE SUITE 200 | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,856,087 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KEYSTONEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 664 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $22,560,741 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,246,630 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,367,402 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $77,491,059 | CYProgramServiceRevenueAmt |
| PY Investment Income | $838,866 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,422,883 | CYInvestmentIncomeAmt |
| PY Other Revenue | $98,759 | PYOtherRevenueAmt |
| CY Other Revenue | $77,693 | CYOtherRevenueAmt |
| PY Total Revenue | $89,865,768 | PYTotalRevenueAmt |
| CY Total Revenue | $95,238,265 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $10,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $44,310,850 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $46,592,959 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $24,926 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,550,280 | PYOtherExpensesAmt |
| CY Other Expenses | $20,125,578 | CYOtherExpensesAmt |
| PY Total Expenses | $60,861,130 | PYTotalExpensesAmt |
| CY Total Expenses | $66,728,537 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,004,638 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $28,509,728 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $105,417,846 | TotalAssetsBOYAmt |
| Total Assets EOY | $130,747,337 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,215,875 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,404,773 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $100,201,971 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $121,342,564 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,434,796 | ExpenseAmt |
| Revenue | $12,388,646 | RevenueAmt |
| Desc | PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,178,777 | ExpenseAmt |
| Revenue | $6,966,264 | RevenueAmt |
| Desc | PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,799,439 | ExpenseAmt |
| Revenue | $7,364,211 | RevenueAmt |
| Desc | PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $35,034,193 | ExpenseAmt |
| Grant | $10,000 | GrantAmt |
| Revenue | $50,771,938 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $35,034,193 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $10,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $50,771,938 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $57,447,205 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 664 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN J MCELWEE JR VPCFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7177097912 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CHAMBERS HILL DRIVE SUITE 200 | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| JOANNE COCHRAN | ||||||||
| PRESIDENT/CE | 50.00 | Yes (X) | $509,670 | $0 | $22,643 | |||
| THOMAS P ORNDORF | ||||||||
| PHYSICIAN | 50.00 | $447,439 | $0 | $39,732 | Yes (X) | |||
| RAGHAVENDRA TIRUPATHI GOVINDARAJU | ||||||||
| PHYSICIAN | 50.00 | $441,729 | $0 | $41,817 | Yes (X) | |||
| YVETTE BROWN | ||||||||
| PHYSICIAN | 50.00 | $403,160 | $0 | $31,282 | Yes (X) | |||
| MICHAEL J COLLI | ||||||||
| MEDICAL DIRE | 50.00 | $374,787 | $0 | $40,304 | Yes (X) | |||
| JOHN J MCELWEE JR | ||||||||
| VP/CFO | 50.00 | Yes (X) | $390,648 | $0 | $22,533 | |||
| IRAKLI MANIA | ||||||||
| PHYSICIAN | 50.00 | $317,463 | $0 | $40,803 | Yes (X) | |||
| CALEB NWOSU | ||||||||
| PHYSICIAN | 50.00 | $308,081 | $0 | $30,765 | Yes (X) | |||
| DAVID K GRANT | ||||||||
| COO | 50.00 | $296,895 | $0 | $34,187 | Yes (X) | |||
| SILA ALEGRET-BARTEL | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SCOTT BROWN | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MATTHEW FOGAL | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CARRIE GRAY | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| REV KIBREAB GUDETA | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| VIRGINIA HARRIGER | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BRITTANY HENDERSON | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| TIMOTHY G HENRY | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| LISSETT JONES | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KAREN JOHNSTON | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL E KUGLER | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM MORGAN | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JEFF TRUHAN | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,489,872 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $304,066 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 80 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOCUMTENENSCOM LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2575 NORTHWINDS PARKWAY | AddressLine1Txt |
| City | ALPHARETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30009 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PHYSICIANS | ServicesDesc |
| Compensation | $103,468 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,484,184 | GovernmentGrantsAmt |
| All Other Contributions | $3,762,446 | AllOtherContributionsAmt |
| Noncash Contributions | $2,236,374 | NoncashContributionsAmt |
| Total Contributions | $16,246,630 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE FEES | 621110 | $60,679,435 | $60,679,435 |
| OTHER SERVICE REVENUE | 621110 | $15,111,780 | $15,111,780 |
| PREMIUM REVENUE | 621110 | $1,254,479 | $1,254,479 |
| MANAGEMENT FEE REVENUE | 621110 | $445,365 | $445,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $77,491,059 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $970,335 | TotalRevenueColumnAmt |
| Exclusion | $970,335 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,065,120 | SecuritiesAmt |
| Other | $5,250 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $614,427 | SecuritiesAmt |
| Other | $3,395 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $450,693 | SecuritiesAmt |
| Other | $1,855 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $452,548 | TotalRevenueColumnAmt |
| Exclusion | $452,548 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $77,693 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,693 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $77,693 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,238,265 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,568,752 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,422,883 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,691,668 | TotalAmt |
| Program Services | $415,091 | ProgramServicesAmt |
| Management And General | $1,276,577 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,598,044 | TotalAmt |
| Program Services | $31,733,388 | ProgramServicesAmt |
| Management And General | $3,849,330 | ManagementAndGeneralAmt |
| Fundraising | $15,326 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,132,201 | TotalAmt |
| Program Services | $998,695 | ProgramServicesAmt |
| Management And General | $132,901 | ManagementAndGeneralAmt |
| Fundraising | $605 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,558,335 | TotalAmt |
| Program Services | $4,625,437 | ProgramServicesAmt |
| Management And General | $931,746 | ManagementAndGeneralAmt |
| Fundraising | $1,152 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,612,711 | TotalAmt |
| Program Services | $2,262,798 | ProgramServicesAmt |
| Management And General | $348,703 | ManagementAndGeneralAmt |
| Fundraising | $1,210 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,799 | TotalAmt |
| Management And General | $131,799 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,630 | TotalAmt |
| Management And General | $57,630 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,682 | TotalAmt |
| Management And General | $93,682 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,890,070 | TotalAmt |
| Program Services | $1,483,485 | ProgramServicesAmt |
| Management And General | $406,413 | ManagementAndGeneralAmt |
| Fundraising | $172 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,538 | TotalAmt |
| Program Services | $66,648 | ProgramServicesAmt |
| Management And General | $31,745 | ManagementAndGeneralAmt |
| Fundraising | $4,145 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,275 | TotalAmt |
| Program Services | $207,729 | ProgramServicesAmt |
| Management And General | $208,902 | ManagementAndGeneralAmt |
| Fundraising | $1,644 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,381 | TotalAmt |
| Program Services | $77,941 | ProgramServicesAmt |
| Management And General | $570,440 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,279 | TotalAmt |
| Program Services | $717,089 | ProgramServicesAmt |
| Management And General | $136,100 | ManagementAndGeneralAmt |
| Fundraising | $90 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,159 | TotalAmt |
| Program Services | $62,731 | ProgramServicesAmt |
| Management And General | $9,428 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,999 | TotalAmt |
| Program Services | $11,017 | ProgramServicesAmt |
| Management And General | $23,982 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232 | TotalAmt |
| Program Services | $232 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,685,015 | TotalAmt |
| Program Services | $1,305,906 | ProgramServicesAmt |
| Management And General | $378,527 | ManagementAndGeneralAmt |
| Fundraising | $582 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,558 | TotalAmt |
| Program Services | $45,112 | ProgramServicesAmt |
| Management And General | $161,446 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $11,339,615 | $11,318,981 | $20,634 |
| 340B ADMIN FEES | $793,951 | $793,951 | |
| COVID-19 EXPENSES | $533,897 | $520,641 | $13,256 |
| REPAIRS AND MAINTENANCE | $448,813 | $191,158 | $257,655 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,685 | TotalAmt |
| Program Services | $599,175 | ProgramServicesAmt |
| Management And General | $215,510 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,728,537 | TotalAmt |
| Program Services | $57,447,205 | ProgramServicesAmt |
| Management And General | $9,256,406 | ManagementAndGeneralAmt |
| Fundraising | $24,926 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,600 | BOYAmt |
| EOY | $7,700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,928,411 | BOYAmt |
| EOY | $32,121,695 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,608,655 | BOYAmt |
| EOY | $2,394,317 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,938,725 | BOYAmt |
| EOY | $4,585,991 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,084 | BOYAmt |
| EOY | $591,953 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $674,310 | BOYAmt |
| EOY | $694,624 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,924,346 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,671,688 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,429,264 | BOYAmt |
| EOY | $35,252,658 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,878,585 | BOYAmt |
| EOY | $54,760,662 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,212 | BOYAmt |
| EOY | $337,737 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,417,846 | BOYAmt |
| EOY | $130,747,337 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,182,670 | BOYAmt |
| EOY | $6,125,257 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,140 | BOYAmt |
| EOY | $8,806 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,028,065 | BOYAmt |
| EOY | $3,270,710 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,215,875 | BOYAmt |
| EOY | $9,404,773 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,201,971 | BOYAmt |
| EOY | $121,342,564 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,201,971 | BOYAmt |
| EOY | $121,342,564 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,417,846 | BOYAmt |
| EOY | $130,747,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $28,509,728 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,369,135 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,082,771 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,799,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,831,145 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,560,741 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,246,630 | CurrentTaxYearAmt |
| Total | $67,520,992 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,870,361 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $53,584,573 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,109,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,367,402 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $77,491,059 | CurrentTaxYearAmt |
| Total | $296,423,086 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $53,953,132 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,384,278 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,940,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,928,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $93,737,689 | CurrentTaxYearAmt |
| Total | $363,944,078 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $363,944,078 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $456,138 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $524,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $401,607 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $571,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $970,335 | CurrentTaxYearAmt |
| Total | $2,923,894 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $456,138 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $524,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $401,607 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $571,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $970,335 | CurrentTaxYearAmt |
| Total | $2,923,894 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,458 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,823 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,757 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $77,693 | CurrentTaxYearAmt |
| Total | $378,698 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,455,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,972,891 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,434,266 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $89,598,559 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $94,785,717 | CurrentTaxYearAmt |
| Total | $367,246,670 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99100 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99160 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME 378,698 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,034,671 | OtherCostOrOtherBasisAmt |
| Book Value | $4,034,671 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,530,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,619,291 | DepreciationAmt |
| Book Value | $22,911,706 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,125,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,052,397 | DepreciationAmt |
| Book Value | $7,073,304 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,232,977 | OtherCostOrOtherBasisAmt |
| Book Value | $1,232,977 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,252,658 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED PAYABLE UNDER THIRD PARTY | $2,028,065 |
| LEASE OBLIGATIONS | $1,242,645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,270,710 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $95,144,583 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $95,144,583 | RevenueSubtotalAmt |
| Other Revenues Not Included | $93,682 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $93,682 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $95,238,265 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $66,634,855 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $66,634,855 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $93,682 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $93,682 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $66,728,537 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAMBERSBURG POLICE DEPARTMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 SOUTH SECOND STREET | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | GOV | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Purpose Of Grant | PURCHASE OF VEHICLE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|
| JOANNE COCHRAN | ||||||
| PRESIDENT/CEO | $509,670 | $12,200 | $10,443 | $532,313 | ||
| THOMAS P ORNDORF | ||||||
| PHYSICIAN | $426,939 | $12,200 | $27,532 | $487,171 | $20,500 | |
| RAGHAVENDRA TIRUPATHI GOVINDARAJU | ||||||
| PHYSICIAN | $421,229 | $12,200 | $29,617 | $483,546 | $20,500 | |
| YVETTE BROWN | ||||||
| PHYSICIAN | $399,182 | $11,130 | $20,152 | $434,442 | $3,978 | |
| MICHAEL J COLLI | ||||||
| MEDICAL DIRECTOR | $369,525 | $10,302 | $30,002 | $415,091 | $5,262 | |
| JOHN J MCELWEE JR | ||||||
| VP/CFO | $371,648 | $12,058 | $10,475 | $413,181 | $19,000 | |
| IRAKLI MANIA | ||||||
| PHYSICIAN | $310,171 | $12,200 | $28,603 | $358,266 | $5,200 | $2,092 |
| CALEB NWOSU | ||||||
| PHYSICIAN | $287,581 | $10,206 | $20,559 | $338,846 | $20,500 | |
| DAVID K GRANT | ||||||
| COO | $296,895 | $11,400 | $22,787 | $331,082 | ||
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,236,374 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEYSTONE PHYSICIAN SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CHAMBERS HILL DRIVE SUITE 200 | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200283725 | EIN |
| Primary Activities | CARDIOLOGY | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501C | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEYSTONE R | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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