2026-08-06T12:00:38-04:00 2025-12-31 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2025-01-01 251546810 KEYSTONE RURAL HEALTH CENTER KEYS 7177097912 111 CHAMBERS HILL DR200 CHAMBERSBURG PA 17201 JOANNE COCHRAN PRESIDENT/CEO 7177097906 2026-08-06 true GREGORY P HALL CPA P00156653 7172439104 2026-08-06 2025 2025-03-06 01:10:19Z JOANNE COCHRAN 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 139594356 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. 14 14 816 15 0 10326223 10058329 91096245 99773517 4562958 4025285 61137 187594 106046563 114044725 0 0 60787412 69885110 0 22454 29635070 36605086 90422482 106490196 15624081 7554529 170830348 186443631 6843713 7233801 163986635 179209830 X PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. false false 14525135 14313263 PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. 11620627 10082338 PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 9061894 10633961 PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O. 56952132 64743955 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. 56952132 64743955 92159788 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false true false false false false true true false false false true 81 0 true 816 true false false 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 JOHN J MCELWEE JR VPCFO 7177097912 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 THOMAS P ORNDORF PHYSICIAN 50.00 X 698865 0 42911 YVETTE BROWN PHYSICIAN 50.00 X 700849 0 39643 JOANNE COCHRAN PRESIDENT/CE 50.00 X 613418 0 27788 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 50.00 X 538672 0 52000 IRAKLI MANIA PHYSICIAN 50.00 X 481773 0 51999 JOHN J MCELWEE JR VP/CFO 50.00 X 467050 0 27821 ZEESHAN FARUQUI PSYCHIATRIST 50.00 X 441583 0 45904 MICHAEL J COLLI MEDICAL DIRE 50.00 X 401186 0 51898 DAVID K GRANT COO 50.00 X 336723 0 43527 MONICA L DIEHL CHIEF NURSIN 50.00 X 157955 0 46660 JEFF S TRUHAN QA & RISK MG 50.00 X 154534 0 21727 SILA ALEGRET-BARTEL VICE CHAIR 1.00 X X 0 0 0 SCOTT BROWN BOARD MEMBER 1.00 X 0 0 0 AMER CHAUDHRY BOARD MEMBER 1.00 X 0 0 0 WANDA DIETRICH BOARD MEMBER 1.00 X 0 0 0 ED FRANCHI BOARD MEMBER 1.00 X 0 0 0 CARRIE GRAY CHAIR 1.00 X X 0 0 0 VIRGINIA HARRIGER BOARD MEMBER 1.00 X 0 0 0 BRITTANY HENDERSON BOARD MEMBER 1.00 X 0 0 0 TIMOTHY G HENRY BOARD MEMBER 1.00 X 0 0 0 KAREN JOHNSTON SECRETARY 1.00 X X 0 0 0 JENNA KACZMAREK TREASURER 1.00 X X 0 0 0 MICHAEL E KUGLER BOARD MEMBER 1.00 X 0 0 0 WILLIAM MORGAN BOARD MEMBER 1.00 X 0 0 0 MARK SMITH BOARD MEMBER 1.00 X 0 0 0 4992608 451878 121 false true false ECICONSTRUCTION 124 WEST CHURCH STREET DILLSBURG PA 17019 CONSTRUCTION 7737292 RELIANCE SEARCH AND SETTLEMENTS LLC 17 N 2ND ST 16TH FLOOR HARRISBURG PA 17101 TITLE SERVICES 5438962 TIDY GLO COMMERCIAL CLEANING 13217 MAIN ST FORT LOUDON PA 17224 CLEANING 644204 RODNEY B SMITH PLUMBING HEATING & COOLING 940 HOLLYWELL AVE CHAMBERBURG PA 17201 HEAT/COOL, PLUM 489710 LANGUAGE LINE SOLUTIONS 1 LOWER RAGSDALE DR BLDG 2 MONTEREY CA 93940 TRANSLATIONS 481177 17 7416802 2641527 1116968 10058329 PATIENT SERVICE FEES 621110 65879043 65879043 OTHER SERVICE REVENUE 621110 31155281 31155281 PREMIUM REVENUE 621110 2543807 2543807 MANAGEMENT FEE REVENUE 621110 195386 195386 99773517 3854061 3854061 25720855 25540011 9620 180844 -9620 171224 171224 MISCELLANEOUS INCOME 621110 187594 187594 187594 114044725 100132335 3854061 2350287 226542 2123745 53002588 47490868 5494060 17660 1641279 1433630 206924 725 9196003 7925785 1268992 1226 3694953 3196162 497368 1423 263818 263818 76290 76290 175707 175707 2705334 2242721 462613 217934 108115 109759 60 881199 625251 254854 1094 1503198 195536 1307662 1116129 934883 181156 90 52255 37860 14395 59049 24427 34622 2409312 1951351 457805 156 331478 69074 262404 SUPPLIES 23385300 23357844 27456 340B ADMIN FEES 1280170 1280170 REPAIRS AND MAINTENANCE 785644 276976 508668 STAFF EDUCATION 457244 258713 198531 905025 523880 381125 20 106490196 92159788 14307954 22454 7745 16746 45429215 35378504 850616 456940 5262968 6704400 892359 867041 1582887 1475062 80430297 16983792 48868992 63446505 67673409 77676570 262157 421863 170830348 186443631 5859163 6407862 265818 144955 718732 680984 6843713 7233801 X 163986635 179209830 163986635 179209830 170830348 186443631 X 7554529 7668666 X false true X true true true X 22560741 16246630 11355029 10326223 10058329 70546952 66367402 77491059 79967941 91096245 99961111 414883758 88928143 93737689 91322970 101422468 110019440 485430710 485430710 571659 970335 3010009 4002424 3854061 12408488 571659 970335 3010009 4002424 3854061 12408488 98757 77693 60872 61137 298459 89598559 94785717 94393851 105486029 113873501 498137657 0.97450 0.97930 0.02000 0.02000 X PART III, LINE 12 MISCELLANEOUS INCOME 298,459 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9650279 9650279 52561214 11332556 41228658 17558670 5651236 11907434 660134 660134 63446505 LEASE OBLIGATIONS 680984 680984 X 113869018 113869018 175707 175707 114044725 106314489 106314489 175707 175707 106490196 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 175,707 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT MANAGEMENT FEES 175,707 X X X false false false false false false false true false THOMAS P ORNDORF PHYSICIAN 669737 8628 20500 14000 28911 741776 YVETTE BROWN PHYSICIAN 654228 23121 23500 12638 27005 740492 JOANNE COCHRAN PRESIDENT/CEO 613418 14000 13788 641206 RAGHAVENDRA TIRUPATHI GOVINDARAJU PHYSICIAN 515172 23500 14000 38000 590672 IRAKLI MANIA PHYSICIAN 407956 68617 5200 14000 37999 533772 JOHN J MCELWEE JR VP/CFO 443550 23500 14000 13821 494871 ZEESHAN FARUQUI PSYCHIATRIST 389279 52304 7905 37999 487487 MICHAEL J COLLI MEDICAL DIRECTOR 383891 17295 14000 37898 453084 DAVID K GRANT COO 336723 12895 30632 380250 MONICA L DIEHL CHIEF NURSING OFFICE 157955 6439 40221 204615 JEFF S TRUHAN QA & RISK MGMT CHIEF 154534 6264 15463 176261 SCHEDULE J, PAGE 1, PART I, LINE 7 PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION BASED ON THE GENERATION OF RELATIVE VALUE UNITS (RVU'S) WHICH EXCEED RVU'S THRESHOLD. X 1 1116968 false false false FORM 990, PART III 2025 KEYSTONE RURAL HEALTH CENTER LIKE EVERY YEAR, 2025 HAS HAD ITS CHALLENGES AND BLESSINGS. TO REVIEW A FEW OF THE HAPPENINGS: IN 2025, KEYSTONE HEALTH NAVIGATED A DYNAMIC LANDSCAPE MARKED BY SIGNIFICANT BILLING AND COMPLIANCE OVERHAULS, THE EXPIRATION OF KEY FEDERAL FUNDING AND TELEHEALTH FLEXIBILITY, AND THE INTRODUCTION OF NEW PROGRAMS AND FINANCIAL CHALLENGES. THE FEDERAL BUDGET EXPIRED ON SEPTEMBER 30, 2025, LEADING TO A GOVERNMENT SHUTDOWN AND A HOLD ON MANY MEDICARE CLAIMS. THE COMMUNITY HEALTH CENTER FUND ALSO EXPIRED ON THIS DATE, CREATING SIGNIFICANT FINANCIAL UNCERTAINTY, THOUGH MANY EXPECTED FUNDING TO BE RENEWED AT A FLAT LEVEL. THE ONE BIG BEAUTIFUL BILL ACT WAS SIGNED INTO LAW IN JULY 2025 AND INTRODUCED CHANGES TO MEDICAID ELIGIBILITY, INCLUDING WORK REQUIREMENTS AND MORE FREQUENT REDETERMINATIONS, WHICH WILL AFFECT PATIENT VOLUMES. FQHC PATIENTS WERE NOTABLY EXEMPT FROM NEW POTENTIAL CO-PAYS FOR EXPANSION ENROLLEES. FQHCS FACED REAL CHALLENGES IN 2025, AND THEY WILL CONTINUE THROUGH 2026 BECAUSE OF ATTACKS ON OUR PATIENT VOLUMES AND THE POOR. MANY OF THE NEW POLICIES POSE SIGNIFICANT RISKS AND THREATEN PATIENT ACCESS. CHANGES TO THE 340B PROGRAM ADMINISTRATION COULD BE A MASSIVE BLOW TO THE SOLVENCY OF FQHCS. HOWEVER, MANY BLESSINGS WERE ALSO GIVEN TO KEYSTONE HEALTH: WE HIRED 38 PROVIDERS AND 186 EMPLOYEES; WE PARTICIPATED IN OUR FIRST RESIDENCY WITH WELLSPAN FAMILY MEDICINE AND ARE PROVIDING CLINICAL EXPERIENCE TO TWO FAMILY MEDICINE RESIDENTS; WE CONSTRUCTED AND MADE OPERATIONAL THE CATHERINE STREET FACILITY WHICH HOUSES URGENT CARE, A BEHAVIORAL HEALTH WALK-IN, CRISIS INTERVENTION, DENTAL, LAB, X-RAY, PHARMACY, COMMUNITY OUTREACH, FAMILY MEDICINE, AND A FAMILY MEDICINE RESIDENCY. AS NOTED PREVIOUSLY, KEYSTONE HAD BEEN IN DISCUSSIONS WITH THE ARMSTRONG FAMILY FOR 14.98 ACRES AT 620 N FIFTH STREET, CHAMBERSBURG. KEYSTONE SETTLED ON THAT PROPERTY IN NOVEMBER OF 2025. EVERY THREE YEARS, KEYSTONE IS MANDATED TO UNDERGO AN OPERATIONAL SITE VISIT AND REVIEW FROM HRSA (OPERATIONAL SITE VISIT), THE JOINT COMMISSION, AND THE HIV/AIDS RYAN WHITE FEDERAL REVIEW, AND ALL WERE DUE IN 2025. KEYSTONE HAD VERY FEW AREAS FOR CORRECTION AND RECEIVED FULL ACCREDITATION AND CERTIFICATION FOR ALL THREE EVALUATIONS. IN THE FALL OF 2024, MANAGEMENT BEGAN TRAINING FOR THE TRANSITION AND IMPLEMENTATION OF ENTERPRISE RESOURCE PLANNING TO WORKDAY, FOR 1.6 MILLION. THE IMPLEMENTATION WILL OCCUR ON JANUARY 1, 2026. KEYSTONE AND WELLSPAN DECIDED THAT WELLSPAN WILL MANAGE THE INPATIENT CHAMBERSBURG HOSPITAL CRISIS INTERVENTION PROGRAM, AND KEYSTONE WILL MANAGE THE OUTPATIENT WALK-IN BEHAVIORAL HEALTH STABILIZATION PROGRAM AT THE CATHERINE STREET FACILITY. THE MANAGEMENT TEAM AND THE BOARD DECIDED THAT, BECAUSE OF FTCA MALPRACTICE INSURANCE AND A SHORTAGE OF OB PHYSICIANS, KEYSTONE HEALTH WOULD DISCONTINUE PROVIDING INPATIENT LABOR AND DELIVERY SERVICES EFFECTIVE JULY 1, 2026. WELLSPAN AGREED TO PROVIDE THIS SERVICE TO KEYSTONE PATIENTS. WELLSPAN IS CONSIDERING USING THE LABORIST MODEL, WHICH WOULD PROVIDE FOR AN OB PHYSICIAN IN THE HOSPITAL 24/7. KEYSTONE HEALTH WILL CONTINUE TO PROVIDE PRENATAL, POST-PARTUM, AND GYNECOLOGY SERVICES. KEYSTONES CEO NEGOTIATED A 1.5 MILLION COMMUNITY BENEFIT GRANT TO CONTINUE FOR ANOTHER FIVE YEARS, FROM 2026 THROUGH 2030. THE KEYSTONE BOARD APPROVED A QUALITY INCENTIVE BONUS FOR 2025, INCLUDING FULL-TIME EMPLOYEES RECEIVING 1,750, PART-TIME EMPLOYEES RECEIVING 875, AND PRNS RECEIVING 437.50. ANOTHER YEAR HAS PASSED WITH ITS BLESSINGS AND CHALLENGES. LET US NOT FORGET TO BE THANKFUL FOR ALL THE WONDERFUL MEMBERS OF THE KEYSTONE FAMILY WHO COME TO WORK, LOVE, AND CARE FOR EACH OTHER, OUR PATIENTS, AND OUR COMMUNITY. LET US NOT FORGET OUR BOARD MEMBERS, WHO FREELY GIVE THEIR TIME AND TALENT SO THAT OTHERS MAY HAVE ACCESS TO THE WONDERFUL CARE KEYSTONE HEALTH PROVIDES. GOD HAS BLESSED KEYSTONE HEALTH, AND FOR THESE BLESSINGS, I WILL BE ETERNALLY GRATEFUL, NOTED JOANNE COCHRAN. 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 -175,707 INVESTMENT MANAGEMENT FEES 175,707 KEYSTONE PHYSICIAN SERVICES 111 CHAMBERS HILL DRIVE SUITE 200 CHAMBERSBURG PA 17201 200283725 CARDIOLOGY PA 501C 7 KEYSTONE R true false false false false false false false false false false false false false false false false false false false