2024-09-23T15:29:13+00:00 2024-03-31 390859910 Baker Tilly Advisory Group LP 1570 Fruitville Pike Suite 400 Lancaster PA 17601 990 2023-04-01 251299837 Keystone Rural Health Consortia Inc KEYS 8144861115 90 EAST SECOND STREET EMPORIUM PA 15834 KRISTIE M LENZE CEO/CFO 8144861115 2024-09-23 true true Kerri N Bogda CPA P00760402 7177404863 2024-09-23 2023 2024-08-08 14:25:15Z KRISTIE M LENZE 90 EAST SECOND STREET EMPORIUM PA 15834 10369987 false X WWW.KEYSTONERURALHEALTH.COM X 1976 PA To provide quality, affordable, accessible & comprehensive health services to the counties we serve. 9 9 114 9 0 0 2781535 2808231 6775228 7184193 57 59 327896 369587 9884716 10362070 0 0 0 0 6204414 5600185 0 0 0 3562690 3681590 9767104 9281775 117612 1080295 5427065 6484614 2623322 2600578 2803743 3884036 To provide quality, affordable, accessible, and comprehensive health services to the counties we serve. false false 6244274 0 5012907 OUR MEDICAL FACILITIES SEE APPROXIMATELY 3,750 UNDUPLICATED PATIENTS ANNUALLY, RESULTING IN 13,167 VISITS. WE SEE ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO ACCEPTING MOST INSURANCES, WE HAVE HARDSHIP APPLICATIONS, SLIDING FEE APPLICATIONS, AND PAYMENT PLANS AVAILABLE FOR ALL PATIENTS. OUR GOAL IS TO CONTINUALLY MEET THE NEEDS OF OUR PATIENTS. 2438905 0 2171286 OUR DENTAL FACILITIES SEE APPROXIMATELY 6,267 UNDUPLICATED PATIENTS ANNUALLY, RESULTING IN 10,860 VISITS. IN ADDITION TO ACCEPTING MOST INSURANCES, WE HAVE HARDSHIP APPLICATIONS, SLIDING FEE APPLICATIONS, AND PAYMENT PLANS AVAILABLE FOR ALL PATIENTS. OUR GOAL IS TO CONTINUALLY MEET THE NEEDS OF OUR PATIENTS. 8683179 true true false true false false false false false true false false true true false 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 false false false false true 7 0 114 true false false false false false false false false false false false false X 9 9 true false false false false false false true true false true true true true true true true true true false false PA X KRISTIE M LENZE CEOCFO 8144861115 90 EAST SECOND STREET EMPORIUM PA 15834 DERRICK GOODE VICE PRESIDENT 1.0 0.0 X X 0 0 0 JAMES CHORNEY TREASURER 1.0 0.0 X X 0 0 0 JOHN SIDELINGER PRESIDENT 1.0 0.0 X X 0 0 0 LINDA SLYDER SECRETARY 1.0 0.0 X X 0 0 0 ALAN BENSON BOARD MEMBER 1.0 0.0 X 0 0 0 ANGELA CUNNINGHAM BOARD MEMBER 1.0 0.0 X 0 0 0 BRANDON MITCHELL BOARD MEMBER (UNTIL 4/23) 1.0 0.0 X 0 0 0 DENNIS NEAL BOARD MEMBER 1.0 0.0 X 0 0 0 GREG JOHNSON BOARD MEMBER (UNTIL 8/23) 1.0 0.0 X 0 0 0 KATIE RUPPRECHT BOARD MEMBER 1.0 0.0 X 0 0 0 LEE NEUREITER BOARD MEMBER (UNTIL 8/23) 1.0 0.0 X 0 0 0 TONIA HARTZELL BOARD MEMBER 1.0 0.0 X 0 0 0 KRISTIE M LENZE CEO/CFO 37.5 0.0 X 252594 0 32010 TYLER VONBERGE DENTAL DIR./DENTIST (until 7/23) 37.5 0.0 X 116281 0 7162 VICTOR LAHNOVYCH MEDICAL DIRECTOR/PHYSICIAN 40.0 0.0 X 304194 0 43810 DANIELLE REED FINANCIAL CONTROLLER/DIRECTOR OF OPERATIONS 37.5 0.0 X 129581 0 41047 KELLY MYERS CRNP/QUALITY DIRECTOR 40.0 0.0 X 142427 0 30590 KENNETH LENZE FACILITIES MANAGER 37.5 0.0 X 119721 0 913 LAUREN SHAVER PHYSICIAN ASSISTANT 37.5 0.0 X 132175 0 22582 MARY JONES DENTIST 37.5 0.0 X 204712 0 20096 1401685 0 198210 13 false true false FRED L BURNS INC 269 MCCLAIN WATSON ROAD SHIPPENVILLE PA 16254 CONTRACTOR 469955 1 2129556 678675 121760 2808231 PATIENT SERVICE REV. 621400 5788485 5788485 CONTRACT PHARMACY REV. 621400 1394995 1394995 CAPITATION INCOME 621110 713 713 0 0 0 0 7184193 59 59 0 0 0 0 5806 7917 -2111 -2111 INSURANCE INCENTIVES 900099 371505 371505 MEDICAL RECORDS REVENUE 900099 138 138 EHR INCENTIVE 900099 55 55 0 0 0 0 371698 10362070 7184193 0 369646 743168 692768 50400 4109618 3868694 240924 29476 27381 2095 322773 282363 40410 395150 365351 29799 4910 4910 160756 160756 1250 1250 145780 143498 2282 0 141087 141087 351639 299963 51676 525795 525795 267571 267571 24705 24705 37578 37578 14501 10998 3503 211812 201221 10591 21614 21614 MEDICAL SUPPLIES & DRUGS 1532501 1532501 DUES & SUBSCRIPTIONS 109744 109744 RECRUITMENT & OUTREACH 85117 85117 REPAIRS & MAINTENANCE 25547 25547 19683 19683 0 0 9281775 8683179 598596 0 18201 10801 739863 797607 69880 12515 549361 588743 0 0 226925 156713 434429 434089 4219879 1534374 1950911 2685505 0 0 1437495 1798641 5427065 6484614 428869 366012 191027 139092 0 599671 587902 1403755 1507572 2623322 2600578 X 2693448 3316784 110295 567254 2803743 3884038 5427065 6484616 1080295 0 X false true X true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1250 1250 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION IS A MEMBER OF PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS, AN ASSOCIATION DEDICATED TO ADVOCACY ON BEHALF OF HEALTHCARE PROVIDERS. A PORTION OF THE ORGANIZATION'S DUES IS ATTRIBUTABLE TO LOBBYING EXPENSES. 59389 59389 2277228 922387 1354841 915379 611987 303392 967883 967883 2685505 DUE FROM THIRD PARTY PAYORS 300000 OPERATING LEASE ASSET 1498641 1798641 OPERATING LEASE LIABILITY 1507572 1507572 10351504 -18483 -18483 10369987 -7917 -7917 10362070 9271209 7917 7917 9263292 18483 18483 9281775 Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS - -18483 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements FUNDRAISING EXPENSES - -7917 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 FUNDRAISING EXPENSES - 7917 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS - 18483 X X false false false false false false false true false KRISTIE M LENZE CEO/CFO 231711 0 19705 0 1178 0 2000 0 30010 0 284604 0 0 0 VICTOR LAHNOVYCH MEDICAL DIRECTOR/PHYSICIAN 282130 0 22064 0 0 0 2000 0 41810 0 348004 0 0 0 MARY JONES DENTIST 190071 0 14641 0 0 0 0 0 20096 0 224808 0 0 0 KELLY MYERS CRNP/QUALITY DIRECTOR 131440 0 10987 0 0 0 2000 0 28590 0 173017 0 0 0 LAUREN SHAVER PHYSICIAN ASSISTANT 122134 0 10041 0 0 0 2000 0 20582 0 154757 0 0 0 DANIELLE REED FINANCIAL CONTROLLER/DIRECTOR OF OPERATIONS 118170 0 10469 0 942 0 2000 0 39047 0 170628 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments THE CEO/CFO AND OTHER EMPLOYEES RECEIVED A BONUS DURING THE YEAR. BONUSES ARE AWARDED UPON MEETING INTERNAL QUALITY STANDARDS AND RECOGNITION FROM FEDERAL OVERSIGHT AGENCIES. THE BOARD OF DIRECTORS APPROVES ALL BONUSES. X 1 121760 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - THE NUMBER REPORTED IN COLUMN B OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTORS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Kristie Lenze and Kenneth Lenze - Family relationship Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The form is reviewed by the CEO and is made available to the board prior to filing with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy A conflict of interest exists when a board member is involved in other activities, of either a personal or business nature, which may be detrimental to the best interest of the organization or provide for the conflicted individual's personal financial gain. Such member(s) shall abstain from voting on the issue concerned. Conflicts of interest are evaluated annually at the employee and board level. Board members and employees are to list any and all relationships that may be a conflict. The policy is monitored and enforced by the CEO and the board. Form 990, Part VI, Line 15a Process to establish compensation of top management official During the budget process, the board of directors reviews all the employees' wages and salaries. The NACHC salary and benefit guideline is used to assist the board in establishing the CEO's salary. Statistical values are used to ensure executive compensation is within fair market value for the industry. These are approved by the board through the approval of the organization's budget and documented in the executive session minutes. Form 990, Part VI, Line 19 Required documents available to the public The governing documents, conflict of interest policy, and financial statements are available upon request.