Form 990 for tax year 2022
Filed by KEYSTONE RURAL HEALTH CONSORTIA INC.
Totals
- Total revenue
- $9,884,716
- Total expenses
- $9,767,104
- Contributions and grants received
- $2,781,535
- Grants paid
- $0
- Program service revenue
- $6,775,228
- Investment income
- $57
- Other revenue
- $327,896
- Total assets, end of year
- $5,427,065
- Total liabilities, end of year
- $2,623,322
- Net assets or fund balances, end of year
- $2,803,743
- Program services expenses (Part IX)
- $9,113,618
- Management and general expenses
- $653,486
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $9,113,618
Program services were 93.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$2,580,121
-
1f · All other contributions, gifts and grants
$201,414
-
1g · Noncash contributions included above
$97,032
-
2a · Program service revenue: PATIENT SERVICE REV.
total $5,702,494 · related or exempt $5,702,494
-
2b · Program service revenue: CONTRACT PHARMACY REV.
total $1,066,599 · related or exempt $1,066,599
-
2c · Program service revenue: CAPITATION INCOME
total $6,135 · related or exempt $6,135
-
3 · Investment income
total $57 · excluded $57
-
11a · Other revenue: INSURANCE INCENTIVES
total $320,867 · excluded $320,867
-
11b · Other revenue: REFUNDS
total $2,570 · excluded $2,570
-
11c · Other revenue: MEDICAL RECORDS REV.
total $149 · excluded $149
-
11d · All other revenue
total $4,310 · excluded $4,310
-
11e · Other revenue, total
$327,896
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $815,157 · program services $753,898 · management and general $61,259
-
7 · Other salaries and wages
total $4,533,388 · program services $4,191,521 · management and general $341,867
-
8 · Pension plan contributions
total $28,585 · program services $26,553 · management and general $2,032
-
9 · Other employee benefits
total $413,674 · program services $384,269 · management and general $29,405
-
10 · Payroll taxes
total $413,610 · program services $382,419 · management and general $31,191
-
11b · Fees: legal
total $3,950 · management and general $3,950
-
11c · Fees: accounting
total $167,547 · program services $14,983 · management and general $152,564
-
11d · Fees: lobbying
total $1,250 · management and general $1,250
-
11g · Fees: other
total $184,672 · program services $184,672
-
12 · Advertising and promotion
total $89,223 · program services $89,223
-
13 · Office expenses
total $76,846 · program services $76,846
-
14 · Information technology
total $291,649 · program services $291,649
-
16 · Occupancy
total $433,358 · program services $433,358
-
17 · Travel
total $25,372 · program services $25,372
-
19 · Conferences, conventions and meetings
total $73,363 · program services $73,363
-
20 · Interest
total $15,574 · program services $1,092 · management and general $14,482
-
22 · Depreciation, depletion and amortization
total $221,235 · program services $205,749 · management and general $15,486
-
23 · Insurance
total $21,952 · program services $21,952
-
24a · Other expenses: MEDICAL SUPPLIES & DRUG
total $1,494,568 · program services $1,494,568
-
24b · Other expenses: DUES & SUBSCRIPTIONS
total $180,343 · program services $180,343
-
24c · Other expenses: BAD DEBT EXPENSE
total $152,530 · program services $152,530
-
24d · Other expenses: RECRUITMENT & OUTREACH
total $110,983 · program services $110,983
-
24e · All other expenses
total $18,275 · program services $18,275
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $6,704 · end of year $18,201
-
2 · Savings and temporary cash investments
beginning of year $866,571 · end of year $739,863
-
3 · Pledges and grants receivable
beginning of year $24,195 · end of year $69,880
-
4 · Accounts receivable
beginning of year $553,254 · end of year $549,361
-
8 · Inventories for sale or use
beginning of year $213,124 · end of year $226,925
-
9 · Prepaid expenses and deferred charges
beginning of year $388,811 · end of year $434,429
-
10a · Land, buildings and equipment: cost or other basis
$3,273,471
-
10b · Land, buildings and equipment: accumulated depreciation
$1,322,560
-
10c · Land, buildings and equipment, net
beginning of year $1,976,180 · end of year $1,950,911
-
15 · Other assets
beginning of year $50,000 · end of year $1,437,495
-
17 · Accounts payable and accrued expenses
beginning of year $448,974 · end of year $428,869
-
19 · Deferred revenue
beginning of year $241,978 · end of year $191,027
-
23 · Secured mortgages and notes payable
beginning of year $611,165 · end of year $599,671
-
25 · Other liabilities
beginning of year $120,000 · end of year $1,403,755
-
27 · Net assets without donor restrictions
beginning of year $2,643,205 · end of year $2,693,448
-
28 · Net assets with donor restrictions
beginning of year $13,517 · end of year $110,295
Mission and programs · 2022
Mission
TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE, AND COMPREHENSIVE HEALTH SERVICES TO THE COUNTIES WE SERVE.
Activities or mission (Part I)
TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE & COMPREHENSIVE HEALTH SERVICES TO THE COUNTIES WE SERVE.
-
OUR MEDICAL FACILITIES SEE APPROXIMATELY 3,677 UNDUPLICATED PATIENTS ANNUALLY, RESULTING IN 12,186 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.
Expenses $5,776,538 · Revenue $4,528,935
-
OUR DENTAL FACILITIES SEE APPROXIMATELY 6,928 UNDUPLICATED PATIENTS ANNUALLY, RESULTING IN 12,845 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.
Expenses $3,337,080 · Revenue $2,246,293
As filed on the 2022 return.
Listed in Part VII
-
John SidelingerJOHN SIDELINGER
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Derrick GoodeDERRICK GOODE
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Dennis NealDENNIS NEAL
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Alan BensonALAN BENSON
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Tonia HartzellTONIA HARTZELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Linda SlyderLINDA SLYDER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Lee NeureiterLEE NEUREITER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Angela CunninghamANGELA CUNNINGHAM
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Greg JohnsonGREG JOHNSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Brandon MitchellBRANDON MITCHELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Kristie M BennardiKRISTIE M BENNARDI
CEO/CFO
- Total calculated
- $250,122
- From this org
- $231,450
- From related orgs
- $0
- Other
- $18,672
- Hours/week
- 37.5
Schedule J breakdown matched by us
- Base
- $187,910
- Bonus
- $40,862
- Other
- $2,678
- Deferred
- $2,000
- Nontaxable benefits
- $16,672
- Filer's total
- $250,122
-
Victor LahnovychVICTOR LAHNOVYCH
MEDICAL DIRECTOR/PHYSICIAN
- Total calculated
- $336,589
- From this org
- $315,000
- From related orgs
- $0
- Other
- $21,589
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $278,633
- Bonus
- $36,367
- Other
- $0
- Deferred
- $2,000
- Nontaxable benefits
- $19,589
- Filer's total
- $336,589
-
Tyler VonbergeTYLER VONBERGE
DENTAL DIRECTOR/DENTIST
- Total calculated
- $195,069
- From this org
- $187,059
- From related orgs
- $0
- Other
- $8,010
- Hours/week
- 37.5
Schedule J breakdown matched by us
- Base
- $177,054
- Bonus
- $10,005
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $8,010
- Filer's total
- $195,069
-
Tanya GayleyTANYA GAYLEY
DENTAL DIRECTOR (UNTIL 10/01/22)
- Total calculated
- $23,060
- From this org
- $23,060
- From related orgs
- $0
- Other
- $0
- Hours/week
- 30
-
Mary JonesMARY JONES
DENTIST
- Total calculated
- $250,769
- From this org
- $242,279
- From related orgs
- $0
- Other
- $8,490
- Hours/week
- 37.5
Schedule J breakdown matched by us
- Base
- $211,479
- Bonus
- $30,800
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $8,490
- Filer's total
- $250,769
-
Kalyana PonangiKALYANA PONANGI
DENTIST
- Total calculated
- $225,646
- From this org
- $206,565
- From related orgs
- $0
- Other
- $19,081
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $196,163
- Bonus
- $10,402
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $19,081
- Filer's total
- $225,646
-
Nathaniel GreenNATHANIEL GREEN
PHYSICIAN
- Total calculated
- $208,648
- From this org
- $200,199
- From related orgs
- $0
- Other
- $8,449
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $193,125
- Bonus
- $7,074
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $8,449
- Filer's total
- $208,648
-
Siddhant GaidhaneSIDDHANT GAIDHANE
DENTIST
- Total calculated
- $205,121
- From this org
- $196,826
- From related orgs
- $0
- Other
- $8,295
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $188,629
- Bonus
- $8,197
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $8,295
- Filer's total
- $205,121
-
Jacki DepanfillisJACKI DEPANFILLIS
PHYSICIAN ASSISTANT
- Total calculated
- $182,006
- From this org
- $179,567
- From related orgs
- $0
- Other
- $2,439
- Hours/week
- 37.5
Schedule J breakdown matched by us
- Base
- $142,614
- Bonus
- $35,579
- Other
- $1,374
- Deferred
- $2,000
- Nontaxable benefits
- $439
- Filer's total
- $182,006
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 7
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 23 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202312989349300121
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