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Nonprofiteer
← KEYSTONE RURAL HEALTH CONSORTIA INC

Form 990 for tax year 2023

Filed by KEYSTONE RURAL HEALTH CONSORTIA INC.

Totals

Total revenue
$10,362,070
Total expenses
$9,281,775
Contributions and grants received
$2,808,231
Grants paid
$0
Program service revenue
$7,184,193
Investment income
$59
Other revenue
$369,587
Total assets, end of year
$6,484,614
Total liabilities, end of year
$2,600,578
Net assets or fund balances, end of year
$3,884,036
Program services expenses (Part IX)
$8,683,179
Management and general expenses
$598,596
Fundraising expenses
$0
Program service expenses (Part III)
$8,683,179

Program services were 93.6% 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)

    $2,129,556

  • 1f · All other contributions, gifts and grants

    $678,675

  • 1g · Noncash contributions included above

    $121,760

  • 2a · Program service revenue: PATIENT SERVICE REV.

    total $5,788,485 · related or exempt $5,788,485

  • 2b · Program service revenue: CONTRACT PHARMACY REV.

    total $1,394,995 · related or exempt $1,394,995

  • 2c · Program service revenue: CAPITATION INCOME

    total $713 · related or exempt $713

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $59 · excluded $59

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: gross income

    $5,806

  • 8b · Fundraising events: direct expenses

    $7,917

  • 8c · Net income from fundraising events

    total -$2,111 · excluded -$2,111

  • 11a · Other revenue: INSURANCE INCENTIVES

    total $371,505 · excluded $371,505

  • 11b · Other revenue: MEDICAL RECORDS REVENUE

    total $138 · excluded $138

  • 11c · Other revenue: EHR INCENTIVE

    total $55 · excluded $55

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $371,698

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $743,168 · program services $692,768 · management and general $50,400

  • 7 · Other salaries and wages

    total $4,109,618 · program services $3,868,694 · management and general $240,924

  • 8 · Pension plan contributions

    total $29,476 · program services $27,381 · management and general $2,095

  • 9 · Other employee benefits

    total $322,773 · program services $282,363 · management and general $40,410

  • 10 · Payroll taxes

    total $395,150 · program services $365,351 · management and general $29,799

  • 11b · Fees: legal

    total $4,910 · management and general $4,910

  • 11c · Fees: accounting

    total $160,756 · management and general $160,756

  • 11d · Fees: lobbying

    total $1,250 · management and general $1,250

  • 11g · Fees: other

    total $145,780 · program services $143,498 · management and general $2,282 · fundraising $0

  • 12 · Advertising and promotion

    total $141,087 · program services $141,087

  • 13 · Office expenses

    total $351,639 · program services $299,963 · management and general $51,676

  • 14 · Information technology

    total $525,795 · program services $525,795

  • 16 · Occupancy

    total $267,571 · program services $267,571

  • 17 · Travel

    total $24,705 · program services $24,705

  • 19 · Conferences, conventions and meetings

    total $37,578 · program services $37,578

  • 20 · Interest

    total $14,501 · program services $10,998 · management and general $3,503

  • 22 · Depreciation, depletion and amortization

    total $211,812 · program services $201,221 · management and general $10,591

  • 23 · Insurance

    total $21,614 · program services $21,614

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $1,532,501 · program services $1,532,501

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $109,744 · program services $109,744

  • 24c · Other expenses: RECRUITMENT & OUTREACH

    total $85,117 · program services $85,117

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $25,547 · program services $25,547

  • 24e · All other expenses

    total $19,683 · program services $19,683 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $18,201 · end of year $10,801

  • 2 · Savings and temporary cash investments

    beginning of year $739,863 · end of year $797,607

  • 3 · Pledges and grants receivable

    beginning of year $69,880 · end of year $12,515

  • 4 · Accounts receivable

    beginning of year $549,361 · end of year $588,743

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $226,925 · end of year $156,713

  • 9 · Prepaid expenses and deferred charges

    beginning of year $434,429 · end of year $434,089

  • 10a · Land, buildings and equipment: cost or other basis

    $4,219,879

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,534,374

  • 10c · Land, buildings and equipment, net

    beginning of year $1,950,911 · end of year $2,685,505

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $1,437,495 · end of year $1,798,641

  • 17 · Accounts payable and accrued expenses

    beginning of year $428,869 · end of year $366,012

  • 19 · Deferred revenue

    beginning of year $191,027 · end of year $139,092

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $599,671 · end of year $587,902

  • 25 · Other liabilities

    beginning of year $1,403,755 · end of year $1,507,572

  • 27 · Net assets without donor restrictions

    beginning of year $2,693,448 · end of year $3,316,784

  • 28 · Net assets with donor restrictions

    beginning of year $110,295 · end of year $567,254

Mission and programs · 2023

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 3,750 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.

    Expenses $6,244,274 · Revenue $5,012,907

  • 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.

    Expenses $2,438,905 · Revenue $2,171,286

As filed on the 2023 return.

Listed in Part VII

  • Derrick Goode

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • James Chorney

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • John Sidelinger

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Linda Slyder

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Alan Benson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Angela Cunningham

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Brandon Mitchell

    BOARD MEMBER (UNTIL 4/23)

    Total calculated
    $0
    Hours/week
    1

  • Dennis Neal

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Greg Johnson

    BOARD MEMBER (UNTIL 8/23)

    Total calculated
    $0
    Hours/week
    1

  • Katie Rupprecht

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lee Neureiter

    BOARD MEMBER (UNTIL 8/23)

    Total calculated
    $0
    Hours/week
    1

  • Tonia Hartzell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Kristie M Lenze

    CEO/CFO

    Total calculated
    $284,604
    From this org
    $252,594
    From related orgs
    $0
    Other
    $32,010
    Hours/week
    37.5

    Schedule J breakdown matched by us

    Base
    $231,711
    Bonus
    $19,705
    Other
    $1,178
    Deferred
    $2,000
    Nontaxable benefits
    $30,010
    Filer's total
    $284,604

  • Tyler Vonberge

    DENTAL DIR./DENTIST (until 7/23)

    Total calculated
    $123,443
    From this org
    $116,281
    From related orgs
    $0
    Other
    $7,162
    Hours/week
    37.5

  • Victor Lahnovych

    MEDICAL DIRECTOR/PHYSICIAN

    Total calculated
    $348,004
    From this org
    $304,194
    From related orgs
    $0
    Other
    $43,810
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $282,130
    Bonus
    $22,064
    Other
    $0
    Deferred
    $2,000
    Nontaxable benefits
    $41,810
    Filer's total
    $348,004

  • Danielle Reed

    FINANCIAL CONTROLLER/DIRECTOR OF OPERATIONS

    Total calculated
    $170,628
    From this org
    $129,581
    From related orgs
    $0
    Other
    $41,047
    Hours/week
    37.5

    Schedule J breakdown matched by us

    Base
    $118,170
    Bonus
    $10,469
    Other
    $942
    Deferred
    $2,000
    Nontaxable benefits
    $39,047
    Filer's total
    $170,628

  • Kelly Myers

    CRNP/QUALITY DIRECTOR

    Total calculated
    $173,017
    From this org
    $142,427
    From related orgs
    $0
    Other
    $30,590
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,440
    Bonus
    $10,987
    Other
    $0
    Deferred
    $2,000
    Nontaxable benefits
    $28,590
    Filer's total
    $173,017

  • Kenneth Lenze

    FACILITIES MANAGER

    Total calculated
    $120,634
    From this org
    $119,721
    From related orgs
    $0
    Other
    $913
    Hours/week
    37.5

  • Lauren Shaver

    PHYSICIAN ASSISTANT

    Total calculated
    $154,757
    From this org
    $132,175
    From related orgs
    $0
    Other
    $22,582
    Hours/week
    37.5

    Schedule J breakdown matched by us

    Base
    $122,134
    Bonus
    $10,041
    Other
    $0
    Deferred
    $2,000
    Nontaxable benefits
    $20,582
    Filer's total
    $154,757

  • Mary Jones

    DENTIST

    Total calculated
    $224,808
    From this org
    $204,712
    From related orgs
    $0
    Other
    $20,096
    Hours/week
    37.5

    Schedule J breakdown matched by us

    Base
    $190,071
    Bonus
    $14,641
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $20,096
    Filer's total
    $224,808

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)

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.

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
2023
Filed
23 September 2024
IRS schema version
2023v5.1
Source object
202442679349300934

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