KEYSTONE RURAL HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KEYSTONE RURAL HEALTH CENTER (EIN 25-1546810)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-10
- IRS object ID
- 201712229349301236
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-10T15:43:05-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | 22 ST PAUL DRIVE SUITE 200 | AddressLine1Txt |
| City | CHAMBERSUBURG | 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 | 2017-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY P HALL CPA | PreparerPersonNm |
| PTIN | P00156653 | PTIN |
| Phone | 7172439104 | PhoneNum |
| Preparation | 2017-08-03 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | F292BA449C1BF8BBA7F8F0BF46EB3EDD96736C0F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 081E2B4EA748E9805374A5A2B93D29B44116E905 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | 22 ST PAUL DRIVE SUITE 200 | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,299,381 | 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. KEYSTONE, 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 POPULATION OF FRANKLIN COUNTY. 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 THOSE ELIGIBLE PATIENTS AND TO UNDERSERVED POPULATIONS. KEYSTONE HEALTH IS IDENTIFIED AS AN ESSENTIAL COMMUNITY PROVIDER BY THE AFFORDABLE CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES SEVENTEEN PRIMARY CARE AND SUPPLEMENTAL PRACTICES IN CHAMBERSBURG, PENNSYLVANIA. KEYSTONE ALSO OPERATES A DENTAL PRACTICE IN MONT ALTO, A SPEECH AND OCCUPATIONAL THERAPY PRACTICE AT THE WINEBRENNER CAM | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 505 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,847,639 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,696,465 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $31,621,152 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,208,690 | CYProgramServiceRevenueAmt |
| PY Investment Income | $352,791 | PYInvestmentIncomeAmt |
| CY Investment Income | $282,686 | CYInvestmentIncomeAmt |
| PY Other Revenue | $115,253 | PYOtherRevenueAmt |
| CY Other Revenue | $62,783 | CYOtherRevenueAmt |
| PY Total Revenue | $37,936,835 | PYTotalRevenueAmt |
| CY Total Revenue | $48,250,624 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,814,651 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,376,976 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $25,467 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,415,411 | PYOtherExpensesAmt |
| CY Other Expenses | $11,183,892 | CYOtherExpensesAmt |
| PY Total Expenses | $34,230,062 | PYTotalExpensesAmt |
| CY Total Expenses | $39,560,868 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,706,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,689,756 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,998,067 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,353,376 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,676,267 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,116,927 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,321,800 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,236,449 | 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. KEYSTONE, 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 POPULATION OF FRANKLIN COUNTY. 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 THOSE ELIGIBLE PATIENTS AND TO UNDERSERVED POPULATIONS. KEYSTONE HEALTH IS IDENTIFIED AS AN ESSENTIAL COMMUNITY PROVIDER BY THE AFFORDABLE CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES SEVENTEEN PRIMARY CARE AND SUPPLEMENTAL PRACTICES IN CHAMBERSBURG, PENNSYLVANIA. KEYSTONE ALSO OPERATES A DENTAL PRACTICE IN MONT ALTO, A SPEECH AND OCCUPATIONAL THERAPY PRACTICE AT THE WINEBRENNER CAM | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,561,898 | ExpenseAmt |
| Revenue | $8,058,845 | 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 | $4,283,973 | ExpenseAmt |
| Revenue | $4,794,487 | RevenueAmt |
| Desc | PROVIDE OF OBSTETRICAL AND GYNECOLOGICAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,850,930 | ExpenseAmt |
| Revenue | $3,210,172 | RevenueAmt |
| Desc | PROVIDER OF FAMILY MEDICINE 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 | $19,589,954 | ExpenseAmt |
| Revenue | $24,145,186 | RevenueAmt |
| Desc | PROVIDER OF CARDIOLOGY, DENTAL, BEHAVIORAL HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, AND HIV SERVICES 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 | $19,589,954 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $24,145,186 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $34,286,755 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | 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 | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | 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 | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 505 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | JOANNE COCHRAN CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7177097906 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 ST PAUL DRIVE SUITE 200 | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SAM KING | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LUCILLE STENCE | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHARLES S BENDER II | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KAREN JOHNSTON | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SILA ALEGRET-BARTEL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELISEO AGULIAR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID KALIST | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL E KUGLER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM MORGAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN RABER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY BETH SHANK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUE SMITH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CATHERINE DUSMAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFF TRUHAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANNE COCHRAN | |||||||
| PRESIDENT/CE | 50.00 | Yes (X) | $376,626 | $0 | $18,259 | ||
| JOHN MCELWEE | |||||||
| COO/CFO | 50.00 | Yes (X) | $278,742 | $0 | $26,616 | ||
| THOMAS P ORNDORF | |||||||
| PHYSICIAN | 50.00 | $433,610 | $0 | $30,549 | Yes (X) | ||
| RAGHAVENDRA TIRUPATHI GOVINDARAJU | |||||||
| PHYSICIAN | 50.00 | $400,414 | $0 | $104,687 | Yes (X) | ||
| RAJESH CHINTALA | |||||||
| PHYSICIAN | 50.00 | $325,780 | $0 | $30,180 | Yes (X) | ||
| MICHAEL J COLLI | |||||||
| PHYSICIAN | 50.00 | $316,766 | $0 | $39,907 | Yes (X) | ||
| YVETTE BROWN | |||||||
| PHYSICIANN | 50.00 | $268,868 | $0 | $24,622 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,400,806 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $274,820 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 48 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GRC GEBERAL CONTRACTOR INC | |||||
| PO BOX 216 | ZULLINGER | PA | 172720216 | BUILDING CONTRA | $523,259 |
| QUALITY SYSTEMS INC | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | EMR & BILLING | $456,756 |
| UNIFIED SOLUTION GROUP LLL | |||||
| 975 WAYNE AVENUE PMB 319 | CHAMBERSBURG | PA | 17201 | IT SUPPORT | $373,888 |
| RA HILL | |||||
| 1364 LINCOLN WAY EAST | CHAMBERSBURG | PA | 17202 | BUILDING CONTRA | $314,204 |
| TIDY GLO COMMERCIAL CLEANING | |||||
| PO BOX 302 | FORT LOUDON | PA | 17224 | CLEANING | $248,787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $16,412 | FederatedCampaignsAmt |
| Government Grants | $6,252,953 | GovernmentGrantsAmt |
| All Other Contributions | $1,427,100 | AllOtherContributionsAmt |
| Total Contributions | $7,696,465 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE FEES | 621110 | $32,238,577 | $32,238,577 |
| OTHER SERVICE REVENUE | 621110 | $6,451,152 | $6,451,152 |
| PREMIUM REVENUE | 621110 | $747,951 | $747,951 |
| ELECTRONIC HEALTH RECORDS | 621110 | $416,500 | $416,500 |
| MANAGEMENT FEE REVENUE | 621110 | $354,510 | $354,510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,208,690 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $277,866 | TotalRevenueColumnAmt |
| Exclusion | $277,866 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,577 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $48,757 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,820 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,820 | TotalRevenueColumnAmt |
| Exclusion | $4,820 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $62,783 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,783 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $62,783 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,250,624 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,271,473 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $282,686 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,831 | TotalAmt |
| Management And General | $704,831 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,673,203 | TotalAmt |
| Program Services | $20,303,504 | ProgramServicesAmt |
| Management And General | $2,355,426 | ManagementAndGeneralAmt |
| Fundraising | $14,273 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,886 | TotalAmt |
| Program Services | $621,457 | ProgramServicesAmt |
| Management And General | $84,957 | ManagementAndGeneralAmt |
| Fundraising | $472 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,691,204 | TotalAmt |
| Program Services | $2,343,843 | ProgramServicesAmt |
| Management And General | $346,768 | ManagementAndGeneralAmt |
| Fundraising | $593 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600,852 | TotalAmt |
| Program Services | $1,409,065 | ProgramServicesAmt |
| Management And General | $190,603 | ManagementAndGeneralAmt |
| Fundraising | $1,184 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,566 | TotalAmt |
| Management And General | $26,566 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,100 | TotalAmt |
| Management And General | $3,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,711 | TotalAmt |
| Program Services | $865,967 | ProgramServicesAmt |
| Management And General | $522,744 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,690 | TotalAmt |
| Program Services | $207,365 | ProgramServicesAmt |
| Management And General | $37,804 | ManagementAndGeneralAmt |
| Fundraising | $5,521 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,641 | TotalAmt |
| Program Services | $87,045 | ProgramServicesAmt |
| Management And General | $68,015 | ManagementAndGeneralAmt |
| Fundraising | $1,581 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,899 | TotalAmt |
| Program Services | $366,751 | ProgramServicesAmt |
| Management And General | $116,148 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $843,864 | TotalAmt |
| Program Services | $543,403 | ProgramServicesAmt |
| Management And General | $300,311 | ManagementAndGeneralAmt |
| Fundraising | $150 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,445 | TotalAmt |
| Program Services | $52,688 | ProgramServicesAmt |
| Management And General | $27,757 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,762 | TotalAmt |
| Program Services | $135,410 | ProgramServicesAmt |
| Management And General | $18,352 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,831 | TotalAmt |
| Program Services | $30,831 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,339 | TotalAmt |
| Program Services | $815,827 | ProgramServicesAmt |
| Management And General | $93,571 | ManagementAndGeneralAmt |
| Fundraising | $941 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,884 | TotalAmt |
| Program Services | $16,373 | ProgramServicesAmt |
| Management And General | $72,511 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $5,967,801 | $5,918,187 | $49,605 | $9 |
| RENTAL AND MAINTENANCE | $162,034 | $109,441 | $52,593 | |
| PROGRAM AND OFFICE EQUIPM | $146,258 | $146,258 | ||
| RECRUITMENT EXPENSE | $105,402 | $105,165 | $237 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,665 | TotalAmt |
| Program Services | $208,175 | ProgramServicesAmt |
| Management And General | $176,747 | ManagementAndGeneralAmt |
| Fundraising | $743 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,560,868 | TotalAmt |
| Program Services | $34,286,755 | ProgramServicesAmt |
| Management And General | $5,248,646 | ManagementAndGeneralAmt |
| Fundraising | $25,467 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,765 | BOYAmt |
| EOY | $5,750 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,548,970 | BOYAmt |
| EOY | $6,917,751 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $358,333 | BOYAmt |
| EOY | $489,502 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,725,335 | BOYAmt |
| EOY | $3,806,423 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,481 | BOYAmt |
| EOY | $506,446 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,770 | BOYAmt |
| EOY | $250,778 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,111,216 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,316,815 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,693,561 | BOYAmt |
| EOY | $13,794,401 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,783,955 | BOYAmt |
| EOY | $16,480,291 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,897 | BOYAmt |
| EOY | $102,034 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,998,067 | BOYAmt |
| EOY | $42,353,376 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,416,388 | BOYAmt |
| EOY | $3,349,225 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,209 | BOYAmt |
| EOY | $25,340 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,573,055 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $681,615 | BOYAmt |
| EOY | $1,742,362 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,676,267 | BOYAmt |
| EOY | $5,116,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,321,800 | BOYAmt |
| EOY | $37,236,449 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,321,800 | BOYAmt |
| EOY | $37,236,449 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,998,067 | BOYAmt |
| EOY | $42,353,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,689,756 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $224,893 | 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 | $4,910,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,209,994 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,991,915 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,847,639 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,696,465 | CurrentTaxYearAmt |
| Total | $27,656,124 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,943,305 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,542,505 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,773,985 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,621,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,208,690 | CurrentTaxYearAmt |
| Total | $151,089,637 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,853,416 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,752,499 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,765,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,468,791 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,905,155 | CurrentTaxYearAmt |
| Total | $178,745,761 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $178,745,761 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $200,632 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $187,897 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $277,866 | CurrentTaxYearAmt |
| Total | $778,477 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $200,632 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $187,897 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $277,866 | CurrentTaxYearAmt |
| Total | $778,477 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $118,659 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69,220 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $104,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $115,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,782 | CurrentTaxYearAmt |
| Total | $470,299 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,990,158 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,915,718 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,070,917 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,771,941 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,245,803 | CurrentTaxYearAmt |
| Total | $179,994,537 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99310 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99240 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | 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 470,299 | 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 | $557,324 | OtherCostOrOtherBasisAmt |
| Book Value | $557,324 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,134,482 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,919,310 | DepreciationAmt |
| Book Value | $10,215,172 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,419,410 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,397,505 | DepreciationAmt |
| Book Value | $3,021,905 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,794,401 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED PAYABLE UNDER THIRD PARTY | Desc |
| Amt | $1,742,362 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,742,362 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $48,475,517 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $224,893 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $224,893 | RevenueNotReportedAmt |
| Revenue Subtotal | $48,250,624 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $48,250,624 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,560,868 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $39,560,868 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $39,560,868 | TotalExpensesPerForm990Amt |
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 (7 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 | $376,626 | $10,600 | $7,659 | $394,885 | ||
| JOHN MCELWEE | ||||||
| COO/CFO | $260,742 | $10,600 | $16,016 | $305,358 | $18,000 | |
| THOMAS P ORNDORF | ||||||
| PHYSICIAN | $365,610 | $10,600 | $19,949 | $464,159 | $18,000 | $50,000 |
| RAGHAVENDRA TIRUPATHI GOVINDARAJU | ||||||
| PHYSICIAN | $315,779 | $76,463 | $28,224 | $505,101 | $18,000 | $66,635 |
| RAJESH CHINTALA | ||||||
| PHYSICIAN | $299,302 | $10,600 | $19,580 | $355,960 | $26,478 | |
| MICHAEL J COLLI | ||||||
| PHYSICIAN | $299,662 | $16,791 | $23,116 | $356,673 | $17,104 | |
| YVETTE BROWN | ||||||
| PHYSICIANN | $268,868 | $10,289 | $14,333 | $293,490 | ||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. KEYSTONE, 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 POPULATION OF FRANKLIN COUNTY. 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 THOSE ELIGIBLE PATIENTS AND TO UNDERSERVED POPULATIONS. KEYSTONE HEALTH IS IDENTIFIED AS AN ESSENTIAL COMMUNITY PROVIDER BY THE AFFORDABLE CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES SEVENTEEN PRIMARY CARE AND SUPPLEMENTAL PRACTICES IN CHAMBERSBURG, PENNSYLVANIA. KEYSTONE ALSO OPERATES A DENTAL PRACTICE IN MONT ALTO, A SPEECH AND OCCUPATIONAL THERAPY PRACTICE AT THE WINEBRENNER CAMPUS IN SCOTLAND AND A PEDIATRIC PRACTICE IN WAYNESBORO. SERVICES ARE PROVIDED IN CHAMBERSBURG AT THE 820 FIFTH AVENUE SITE AND INCLUDE: FAMILY PRACTICE, AUDIOLOGY AND SPEECH, BEHAVIORAL HEALTH; CRISIS INTERVENTION IS PROVIDED AT THE CHAMBERSBURG HOSPITAL; CARDIOLOGY IS PROVIDED AT 22 ST. PAUL DRIVE, SUITE 201; DENTAL IS PROVIDED AT 761 FIFTH AVENUE CHAMBERSBURG AND 6155 ANTHONY HIGHWAY, SUITE C, WAYNESBORO, PA. SERVICES ARE PROVIDED AT THE 830 FIFTH AVENUE COCHRAN BUILDING AND INCLUDE: URGENT CARE, PEDIATRICS, WOMEN'S CARE, INFECTIOUS DISEASE, INTERNAL MEDICINE,AND HIV/STD. ALSO LOCATED IN THE COCHRAN BUILDING IS THE KEYSTONE PHARMACY WHICH CONTRACTS WITH 14 OTHER PHARMACIES THROUGHOUT FRANKLIN COUNTY FOR A SPECIAL DISCOUNTED PROGRAM (340B) FOR OUR NEEDY PATIENTS. KEYSTONE PROVIDES STD AND FAMILY PLANNING OUTREACH SERVICES AT 51 SOUTH MAIN STREET AND 455 LINCOLN WAY WEST. KEYSTONE ALSO MANAGES THE STATE MIGRANT AND SEASONAL FARM WORKER PROGRAM WITH KEYSTONE OPERATED SITES IN ERIE, MERCER, CRAWFORD, WARREN, SOMERSET, FULTON, NORTHUMBERLAND, SNYDER, UNION, COLUMBIA, CARBON, MONTOUR, LUZERNE, LANCASTER, BERKS, SCHUYLKILL, LEHIGH, CHESTER, CUMBERLAND, FRANKLIN AND ADAMS. THE STRENGTH OF THE KEYSTONE NETWORK IS THAT ALL SERVICES ARE PROVIDED IN A MISSION-DRIVEN ENVIRONMENT FOCUSING ON ACCESSIBLE, AFFORDABLE, CULTURALLY APPROPRIATE, QUALITY AND COMPASSIONATE CARE OFFERED TO ANYONE AND EVERYONE REGARDLESS OF ABILITY TO PAY, ETHNIC BACKGROUND OR DISEASE. DURING 2016, KEYSTONE TREATED 49,336 INDIVIDUALS THROUGH 210,083 VISITS. THE KEYSTONE SYSTEM WIDE PATIENT MIX WAS AS FOLLOWS: 42.7% MEDICAID PATIENTS, 9.8% MEDICARE PATIENTS, 7.6% UNINSURED PATIENTS AND 39.9% PRIVATE INSURANCE PATIENTS. THE LOW-INCOME POPULATION AND THE MIGRANT FARMWORKER POPULATION OF FRANKLIN COUNTY ARE DECLARED A HEALTH PROFESSIONAL SHORTAGE POPULATIONS (HPSP). IN ADDITION THE BOROUGH OF CHAMBERSBURG IS DECLARED A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND FANNETT AND METAL TOWNSHIPS ARE DECLARED A MEDICALLY UNDERSERVED AREA (MUA). FRANKLIN COUNTY ALSO HAS A MEDICAL, DENTAL AND MENTAL HEALTH HPSA (HEALTH PROFESSIONAL SHORTAGE AREA) DESIGNATION. KEYSTONE DENTAL IS THE ONLY DENTAL PRACTICE IN FOUR COUNTIES THAT ROUTINELY PROVIDES DENTAL CARE TO LOW-INCOME, MEDICAL ASSISTANCE CLIENTS, AND UNINSURED CLIENTS. KEYSTONE PROVIDES A SLIDING FEE WITH DISCOUNTED RATES FOR THOSE WHO QUALIFY FOR THE PROGRAM. IF IT WERE NOT FOR KEYSTONE DENTAL THESE POPULATIONS WOULD HAVE LITERALLY NO ACCESS TO DENTAL CARE. ONE OF THE GREATEST HEALTH CARE ACCESS BARRIERS FOR FRANKLIN COUNTY RESIDENTS IS FINANCIAL. LOW-INCOME AND UNINSURED INDIVIDUALS REQUIRE A SOURCE OF REGULAR, CONTINUOUS PRIMARY AND PREVENTIVE CARE IN ORDER TO YIELD BETTER HEALTH OUTCOMES AND MINIMIZE HEALTH DISPARITIES. IN ORDER TO ASSURE THAT THE RESIDENTS OF OUR COMMUNITY THAT ARE POOR OR FINANCIALLY NEEDY RECEIVE CARE, KEYSTONE HAS A SYSTEM IN PLACE TO DETERMINE ELIGIBILITY FOR PATIENT DISCOUNTS ADJUSTED ON THE BASIS OF THE PATIENT'S ABILITY TO PAY. THIS SYSTEM PROVIDES FOR FULL DISCOUNTS TO INDIVIDUALS AND FAMILIES WITH ANNUAL INCOMES AT OR BELOW THE POVERTY GUIDELINES (ONLY A NOMINAL FEE IS CHARGED) AND FOR THOSE WITH INCOMES BETWEEN 101% AND 200% OF POVERTY FEES ARE CHARGED IN ACCORDANCE WITH A SLIDING FEE DISCOUNT POLICY BASED ON FAMILY SIZE AND INCOME. MANY CLIENTS DO NOT QUALIFY FOR THE SLIDING FEE BUT STILL DO NOT EARN ENOUGH MONEY TO BE ABLE TO PAY FOR THEIR CARE IN A TIMELY WAY. THESE PATIENTS ARE PLACED ON A PAYMENT PLAN. MANY OF KEYSTONE'S CLIENTS ARE UTILIZING THE PAYMENT PLAN. ANOTHER BARRIER TO HEALTH CARE ACCESS IS LANGUAGE AND CULTURE. ONE IN 18 CLIENTS DOES NOT HAVE ENGLISH AS A PRIMARY LANGUAGE. ALL SERVICES PROVIDED BY KEYSTONE ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE. THROUGH KEYSTONE PROVIDERS AND TRANSLATORS AND ACCESS TO A LANGUAGE LINE, WE ARE FORTUNATE TO HAVE INDIVIDUALS WHO CAN PROVIDE SERVICES TO EVERY PATIENT THAT IS WITHIN THE KEYSTONE SYSTEM INCLUDING THE DEAF. KEYSTONE OFFERS ACCESSIBLE HOURS OF SERVICE INCLUDING A WALK IN PROGRAM FROM 8 AM TO 7 PM MONDAY THROUGH FRIDAY AT PEDIATRICS AND 7 AM TO 8 PM COVERAGE DAILY AT OUR URGENT CARE CENTER. KEYSTONE PARTICIPATES IN THE FEDERAL 340B DRUG DISCOUNT PROGRAM. THROUGH THIS PROGRAM, KEYSTONE CAN PURCHASE PHARMACEUTICALS AT REDUCED PRICES AND PASS THE SAVINGS ON TO ITS PATIENTS. THIS GIVES KEYSTONE'S UNINSURED PATIENTS ACCESS TO SIGNIFICANT DISCOUNTS ON THEIR PRESCRIPTION MEDICATIONS. WHILE THIS PROGRAM IS OPEN TO ANY KEYSTONE PATIENT, THOSE WHO BENEFIT THE MOST ARE THE UNINSURED WHO CAN APPLY THEIR SLIDING FEE DISCOUNT TO THE ALREADY REDUCED 340B PROGRAM DISCOUNTS. 2016 YEAR HIGHLIGHTS: KEYSTONE PEDIATRICS BEGAN PROVIDING EXCLUSIVE INPATIENT HOSPITALIST CARE TO ALL CHILDREN ADMITTED TO CHAMBERSBURG HOSPITAL. ADDITIONALLY, KEYSTONE PEDIATRICS BEGAN OPERATING A PEDIATRIC PRACTICE IN WAYNESBORO AND PROVIDING INPATIENT PEDIATRIC COVERAGE TO ALL CHILDREN ADMITTED TO THE WAYNESBORO HOSPITAL. KEYSTONE INFECTIOUS DISEASE IS NOW A SEPARATE PRACTICE FROM KEYSTONE INTERNAL MEDICINE. KEYSTONE INFECTIOUS DISEASE PROVIDES EXCLUSIVE INPATIENT CARE TO ALL INFECTIOUS DISEASE PATIENTS IN BOTH CHAMBERSBURG HOSPITAL AND WAYNESBORO HOSPITAL. KEYSTONE BEHAVIORAL HEALTH IS NOW PROVIDING SERVICES TO OVER THE RAINBOW CHILDREN AND FAMILIES AT THE REQUEST OF THE DISTRICT ATTORNEY. KEYSTONE ACQUIRED EDLANTIS AND IS NOW OPERATING AS THE KEYSTONE PEDIATRIC THERAPIES (KPT) SERVICE. THIS SERVICE INCLUDES SPEECH, OCCUPATIONAL AND AUDIOLOGY SERVICES. THE SITE FOR KPT IS THE FORMER SCOTLAND SCHOOL FOR VETERAN CHILDREN. KEYSTONE WAS GRANTED APPROVAL AND DOLLARS TO INITIATE AN S-BIRT (SCREENING, BRIEF INTERVENTION AND TREATMENT) BEHAVIORAL HEALTH PROGRAM. ALL PATIENTS ARE BEING SCREENED FOR DRUG AND ALCOHOL USAGE ISSUES. THROUGH A MILLION DOLLAR GRANT, KEYSTONE DENTAL EXPANDED AND RENOVATED ITS OFFICE TO ACCOMMODATE ADDITIONAL PROVIDERS, ONE OF WHICH IS A PEDIATRIC DENTIST. FRANKLIN COUNTY HAS HAD NO PUBLIC TRANSPORTATION SINCE THE CLOSING OF THE TRANSIT AUTHORITY YEARS AGO. TRANSPORTATION OR LACK THEREOF IS A HUGE BARRIER TO GOOD OUTCOMES IN HEALTH CARE. RABBIT TRANSIT CAME TO FRANKLIN COUNTY IN EARLY 2016. THE CEO OF KEYSTONE HAS BEEN INSTRUMENTAL IN BRINGING THIS SERVICE TO OUR COMMUNITY. SHE ASSISTED IN THE GRANT WRITING OF A GRANT THAT INITIATED THE FEASIBILITY STUDY AND OPENED THE DOOR FOR THIS SERVICE TO COME TO FRANKLIN COUNTY. KEYSTONE OPENED A NEW HIV/AIDS, STD, HEALTHY WOMEN, OUTREACH AND ENROLLMENT SITE AT 455 LINCOLN WAY WEST THIS YEAR. THE CLINIC OFFERS SERVICES MONDAY THROUGH FRIDAY AND A PROVIDER IS PRESENT AT THIS SITE DURING OPERATING HOURS. KEYSTONE UNDERWENT ITS TRIANNUAL JOINT COMMISSION SURVEY DURING THE SUMMER AND RECEIVED FULL ACCREDITATION FROM THE AMBULATORY CARE DIVISION. KEYSTONE OPENED ITS FIRST SCHOOL BASED HEALTH CLINIC AT CHAMBERSBURG AREA SENIOR HIGH SCHOOL WITH HOURS FROM 8 AM UNTIL NOON MONDAY THROUGH FRIDAY. KEYSTONE HEALTH HAS STAYED TRUE TO ITS MISSION FOR OVER 31 YEARS OF PROVIDING SERVICES TO ANYONE AND EVERYONE IN THE COMMUNITY WHILE TARGETING THE POOR AND LESS FORTUNATE, VULNERABLE POPULATIONS. RECOGNIZED BY BOTH THE FEDERAL GOVERNMENT AND THE PA. STATE GOVERNMENT AS AN ESSENTIAL COMMUNITY PROVIDER, KEYSTONE WILL CONTINUE TO PROVIDE HIGH QUALITY, LOW COST AND ACCESSIBLE, COMPASSIONATE HEALTH CARE TO OUR COMMUNITY. |
| FORM 990, PAGE 2, PART III, LINE 2 | KEYSTONE PEDIATRIC THERAPIES, KEYSTONE COMMUNITY OUTREACH, KEYSTONE INFECTIOUS DISEASE, KEYSTONE PEDIATRICS SCHOOL, AND KEYSTONE PEDIATRICS WAYNESBORO WERE SERVICES AND SITES ADDED DURING 2016. |
| FORM 990, PAGE 2, PART III, LINE 4D | PROVIDER OF CARDIOLOGY, DENTAL, BEHAVIORAL HEALTH, INTERNAL MEDICINE, PHARMACY SERVICES, AND HIV SERVICES 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. |
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 | 22 ST PAUL 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 |