2016-06-07T09:25:32-05:00 2015-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2015-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097906 755 NORLAND AVENUE CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2016-05-24 true GREGORY P HALL CPA P00156653 7172439104 2016-05-24 2015 2016-12-15 16:53:06Z JOANNE COCHRAN 755 NORLAND AVENUE SUITE 200 CHAMBERSBURG PA 17201 38875188 false X WWW.KEYSTONEHEALTH.ORG X 1987 PA PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. 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 NEW AFFORDABLE CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES THIRTEEN PRIMARY CARE PRACTICES IN CHAMBERSBURG, FRANKLIN COUNTY, PENNSYLVANIA. THE SERVICES PROVIDED ARE: FAMILY PRACTICE, AUDIOLOGY AND SPEECH, BEHAVIORAL HEALTH, CRISIS INTERVENTION, CARDIOLOGY, 14 14 436 40 0 4991915 5847639 27274350 31621152 205449 352791 499635 115253 32971349 37936835 0 0 22251199 23814651 0 19418 9989499 10415411 32240698 34230062 730651 3706773 29096003 32998067 4038075 4676267 25057928 28321800 X 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 NEW AFFORDABLE CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES THIRTEEN PRIMARY CARE PRACTICES IN CHAMBERSBURG, FRANKLIN COUNTY, PENNSYLVANIA. THE SERVICES PROVIDED ARE: FAMILY PRACTICE, AUDIOLOGY AND SPEECH, BEHAVIORAL HEALTH, CRISIS INTERVENTION, CARDIOLOGY, false false 5370049 7138256 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 4083265 4349594 PROVIDE OF OBSTETRICAL AND GYNECOLOGICAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 3488837 3245846 PROVIDER OF FAMILY MEDICINE SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 16089038 23203139 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. 16089038 23203139 29031189 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 36 0 true 436 true false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false PA X X JOANNE COCHRAN CEO 7177097906 755 NORLAND AVENUE SUITE 200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CE 50.00 X X 358990 0 19222 SAM KING CHAIR 1.00 X X 0 0 0 LUCILLE STENCE VICE CHAIR 1.00 X X 0 0 0 CHARLES S BENDER II TREASURER 1.00 X X 0 0 0 KAREN JOHNSTON SECRETARY 1.00 X X 0 0 0 SILA ALEGRET-BARTEL BOARD MEMBER 1.00 X 0 0 0 DOROTHY WINSLET-LUTES BOARD MEMBER 1.00 X 0 0 0 DAVID KALIST BOARD MEMBER 1.00 X 0 0 0 MICHAEL E KUGLER BOARD MEMBER 1.00 X 0 0 0 WILLIAM MORGAN BOARD MEMBER 1.00 X 0 0 0 MARY BETH SHANK BOARD MEMBER 1.00 X 0 0 0 SUE SMITH BOARD MEMBER 1.00 X 0 0 0 CATHERINE DUSMAN BOARD MEMBER 1.00 X 0 0 0 ELISEO AGULIAR BOARD MEMBER X 0 0 0 JONATHAN RABER BOARD MEMBER 1.00 X 0 0 0 JOHN MCELWEE COO/CFO 50.00 X 280355 0 13769 THOMAS P ORNDORF PHYSICIAN 50.00 X 439495 0 29730 RAJESH CHINTALA PHYSICIAN 50.00 X 346854 0 46506 MICHAEL J COLLI PHYSICIAN 50.00 X 285545 0 35606 YVETTE BROWN PHYSICIAN 50.00 X 267868 0 28586 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 248909 0 16201 2228016 189620 37 false true false RA HILL 1364 LINCOLN WAY EAST CHAMBERSBURG PA 17202 BUILDING CONTRA 460499 UNIFIED SOLUTION GROUP LLL 975 WAYNE AVENUE PMB 319 CHAMBERSBURG PA 17201 IT SUPPORT 364757 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 EMR & BILLING 341920 STEVENS & LEE PO BOX 679 READING PA 19603 LEGAL SUPPORT 332467 TIDY GLO COMMERCIAL CLEANING PO BOX 302 FORT LOUDON PA 17224 CLEANING 234278 5 23326 5051272 773041 5847639 PATIENT SERVICE FEES 621110 25310102 25310102 OTHER SERVICE REVENUE 621110 5731902 5731902 ELECTRONIC HEALTH RECORDS 621110 314500 314500 PREMIUM REVENUE 264648 264648 31621152 187897 187897 1103247 938353 164894 164894 164894 MISCELLANEOUS INCOME 621110 115253 115253 115253 37936835 31736405 352791 672335 672335 19028979 16990364 2024969 13646 583518 505938 77204 376 2164416 1804381 359690 345 1365403 1192097 172146 1160 269144 9245 259899 4600 4600 1310533 703283 607250 208574 172301 33574 2699 141722 80284 60494 944 430847 372592 58255 401665 90781 310727 157 89950 55598 34352 142134 125126 17008 79238 79103 135 1001388 856677 144711 83207 13051 70156 SUPPLIES 5611325 5564084 47241 RENTAL AND MAINTENANCE 156397 96810 59587 DUES 88735 53951 34693 91 BANK CHARGES 84046 38312 45734 311906 227211 84695 34230062 29031189 5179455 19418 4915 4765 3855705 6548970 232773 358333 2692753 3725335 472963 402481 215110 418770 19108553 6414992 12679557 12693561 8879292 8783955 62935 61897 29096003 32998067 2365350 2416388 8000 5209 1664725 1573055 681615 4038075 4676267 X 25057928 28321800 25057928 28321800 29096003 32998067 3706773 -442901 X false true X true true true X 13391023 4910111 4209994 4991915 5847639 33350682 25773976 23943305 27542505 27773985 31621152 136654923 39164999 28853416 31752499 32765900 37468791 170005605 170005605 26587 18083 93999 200632 187897 527198 26587 18083 93999 200632 187897 527198 363319 118659 69220 104385 115253 770836 39554905 28990158 31915718 33070917 37771941 171303639 0.99240 0.99170 0.00000 0.00000 X PART III, LINE 12 MISCELLANEOUS INCOME 770,836 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 557324 557324 12180389 2489970 9690419 6370840 3925022 2445818 12693561 ESTIMATED PAYABLE UNDER THIRD PARTY 681615 681615 37936835 37936835 37936835 34230062 34230062 34230062 X X X false false false false false false false false false JOANNE COCHRAN PRESIDENT/CEO 358990 10600 8622 378212 JOHN MCELWEE COO/CFO 262355 18000 9731 4038 294124 THOMAS P ORNDORF PHYSICIAN 371620 50000 17875 10600 19130 469225 RAJESH CHINTALA PHYSICIAN 346854 24278 22228 393360 MICHAEL J COLLI PHYSICIAN 277358 8187 14963 20643 321151 YVETTE BROWN PHYSICIAN 267868 10289 18297 296454 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 230909 18000 14378 1823 265110 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 NEW AFFORDABLE CARE ACT. AT PRESENT, KEYSTONE HEALTH OPERATES THIRTEEN PRIMARY CARE PRACTICES IN CHAMBERSBURG, FRANKLIN COUNTY, PENNSYLVANIA. THE SERVICES PROVIDED ARE: FAMILY PRACTICE, AUDIOLOGY AND SPEECH, BEHAVIORAL HEALTH, CRISIS INTERVENTION, CARDIOLOGY, DENTAL, URGENT CARE, PEDIATRICS, WOMEN'S CARE, INFECTIOUS DISEASE, INTERNAL MEDICINE, HIV/STD, AND STD AND FAMILY PLANNING CLINIC. KEYSTONE ALSO OPERATES ITS OWN PHARMACY AND CONTRACTS WITH NINE OTHER PHARMACIES THROUGHOUT FRANKLIN COUNTY FOR A SPECIAL DISCOUNTED PROGRAM (340B) FOR OUR NEEDY PATIENTS. KEYSTONE ALSO MANAGES THE STATE MIGRANT AND SEASONAL FARM WORKER PROGRAM WITH KEYSTONE OPERATED SITES IN ADAMS, BERKS, FRANKLIN AND COLUMBIA COUNTIES. KEYSTONE ALSO CONTRACTS WITH HEALTH CARE PROVIDERS OR PROGRAMS IN CARBON, ERIE, LANCASTER, LUZERNE, SCHUYLKILL, BEDFORD, LEBANON, MONTOUR, SNYDER, JUNIATA, LEHIGH, NORTHUMBERLAND, AND UNION COUNTIES TO PROVIDE SERVICES TO FARM WORKERS. 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 2015, KEYSTONE TREATED 47,541 INDIVIDUALS THROUGH 187,007 VISITS. THE LOW-INCOME AND MIGRANT FARMWORKERS OF FRANKLIN COUNTY ARE DECLARED A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND FANNETT AND METAL TOWNSHIPS ARE DECLARED A MEDICALLY UNDERSERVED AREA (MUA) AND THE LOW-INCOME AND MIGRANT FARMWORKERS ARE DECLARED A MEDICALLY UNDERSERVED POPULATION (MUP). FRANKLIN COUNTY HAS A MEDICAL, DENTAL AND MENTAL HEALTH HPSA (HEALTH PROFESSIONAL SHORTAGE AREA). THE PATIENT COMPOSITION BY REVENUE SOURCE WAS AS FOLLOWS FOR 2015: GROSS PATIENT NET PATIENT PATIENTS SERVICE REVENUE SERVICE REVENUE MEDICARE 11.1% 10.6% 13.1% MEDICAID 28.4% 39.0% 45.9% COMMERCIAL 46.5% 42.2% 34.9% SELF-PAY 14.0% 8.2% 6.1% 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. THE PATIENT COMPOSITION BY REVENUE SOURCE FOR KEYSTONE DENTAL FOR 2015 WAS AS FOLLOWS: MEDICARE N/A MEDICAID 58.4% COMMERCIAL 28.1% SELF-PAY 9.2% CHARITY CARE 4.3% 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 8 AM TO 8 PM COVERAGE DAILY AT OUR URGENT CARE CENTER. KEYSTONE OFFERS TIMELY SERVICES THROUGH OUR SAME DAY ACUTE APPOINTMENT SYSTEM AT ALL SITES. 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. 2014 - 2015 WERE VERY BUSY YEARS AT KEYSTONE HEALTH. IN MARCH OF 2014, KEYSTONE WALK IN CARE BECAME KEYSTONE URGENT CARE, AND EXPANDED ITS HOURS TO 12 HOURS DAILY TO BETTER SUIT THE NEEDS OF THE COMMUNITY. IN AUGUST, KEYSTONE OPENED ITS FIRST STD CLINIC AT KEYSTONE FAMILY MEDICINE. THE STD CLINIC IS FUNDED BY A GRANT FROM THE DEPARTMENT OF HEALTH AND CARE DELIVERED AT THIS SITE IS COVERED BY THE GRANT. ON FEBURARY 10 AND 11 OF 2015, KEYSTONE'S TRIAL AGAINST THE TAXING AUTHORITIES OF FRANKLIN COUNTY WAS HELD IN ORDER THAT KEYSTONE MIGHT RETAINS ITS REAL ESTATE TAX EXEMPTION STATUS. KEYSTONE OVERWHELMINGLY PROVED IT'S TAX EXEMPTION STATUS. IN JUNE 2015, KEYSTONE CONTRACTED WITH CHAMBERSBURG HOSPITAL AND BECAME THE IMPATIENT PEDIATRIC HOSPITALIST PROVIDER. DURING THIS TIME FRAME, KEYSTONE PEDIATRICS BEGAN ITS TELEMEDICINE PEDIATRIC NEUROLOGY AFFILIATION AGREEMENT WITH WELL-SPAN. IN JULY KEYSTONE BEGAN PROVIDING FAMILY PLANNING SERVICES FUNDED BY A GRANT FROM FAMILY HEALTH COUNCIL OF SOUTHCENTRAL PENNSYLVANIA. KEYSTONE WAS AWARDED 1 MILLION DOLLARS FROM HRSA TO EXPAND OUR DENTAL PROGRAM BY ADDING 10 OPERATORIES. IN NOVEMBER THE KEYSTONE BOARD APPROVED KEYSTONE CREATING A SATELLITE PEDIATRIC PRACTICE IN WAYNESBORO PROVIDING BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. IN LATE DECEMBER KEYSTONE BEGAN DISCUSSIONS WITH EDLANTIS, AN OCCUPATIONAL AND SPEECH THERAPY PROGRAM THAT IS UNDERGOING FINANCIAL DIFFICULITIES. KEYSTONE ALSO BEGAN DISCUSSIONS WITH THE CHAMBERSBURG AREA SCHOOL DISTRICT TO EVALUATE THE FEASIBILITY OF CREATING A SCHOOL BASED HEALTH CLINIC. 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. KEYSTONE PHYSICIAN SERVICES 755 NORLAND AVENUE CHAMBERSBURG PA 17201 200283725 CARDIOLOGY PA 501C 7 KEYSTONE R true false false false false false false false false false false false false false false false false false false false