Liabilities / Assets
18th percentile
Higher debt load relative to assets than 18% of similar nonprofits.
EIN 25-1546810 • 501(c)3 • Chambersburg, PA
Profile
Provider of health care services to the general population targeting uninsured, low-income and medical assistance individuals.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
18th percentile
Higher debt load relative to assets than 18% of similar nonprofits.
Liabilities / Revenue
13th percentile
Higher debt load relative to revenue than 13% of similar nonprofits.
Net Margin
71st percentile
Higher net margin than 71% of similar nonprofits.
Top Officer Pay
62nd percentile
Higher top officer pay than 62% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
71st percentile
Faster asset growth than 71% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Assets
Up$170,830,348
Up $40,083,011 (+31%) from 2022
Liabilities
Down$6,843,713
Down $2,561,060 (-27%) from 2022
Net Assets
Up$163,986,635
Up $42,644,071 (+35%) from 2022
Revenue
Up$106,046,563
Up $10,808,298 (+11%) from 2022
Expenses
Up$90,422,482
Up $23,693,945 (+36%) from 2022
Net Income
Down$15,624,081
Down $12,885,647 (-45%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Provider of health care services to the general population targeting uninsured, low-income and medical assistance individuals.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $61,529,486 | $67,673,409 | ▲ $6,143,923 |
| Land, Buildings, and Equipment, Net | $41,586,151 | $48,868,992 | ▲ $7,282,841 |
| Savings and Temporary Cash Investments | $40,801,173 | $45,429,215 | ▲ $4,628,042 |
| Accounts Receivable | $6,529,550 | $5,262,968 | ▼ $1,266,582 |
| Prepaid Expenses and Deferred Charges | $1,001,886 | $1,582,887 | ▲ $581,001 |
| Inventories for Sale or Use | $822,436 | $892,359 | ▲ $69,923 |
| Pledges and Grants Receivable | $719,241 | $850,616 | ▲ $131,375 |
| Cash and Non-Interest-Bearing Accounts | $7,425 | $7,745 | ▲ $320 |
| Total Assets | $153,283,452 | $170,830,348 | ▲ $17,546,896 |
| Other Assets Total | $286,104 | $262,157 | ▼ $23,947 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $4,616,463 | $5,859,163 | ▲ $1,242,700 |
| Other Liabilities | $3,004,362 | $718,732 | ▼ $2,285,630 |
| Deferred Revenue | $781,116 | $265,818 | ▼ $515,298 |
| Total Liabilities | $8,401,941 | $6,843,713 | ▼ $1,558,228 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $144,881,511 | $163,986,635 | ▲ $19,105,124 |
| Total Net Assets Fund Balance | $144,881,511 | $163,986,635 | ▲ $19,105,124 |
| Total Liabilities and Net Assets / Fund Balance | $153,283,452 | $170,830,348 | ▲ $17,546,896 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $31,757,887 | $9,918,310 | $41,676,197 |
| Equipment | $11,709,928 | $5,029,706 | $16,739,634 |
| Land | $4,702,318 | - | $4,702,318 |
| Other Land Buildings | $698,859 | - | $698,859 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Yvette Brown | Physician | FT | $540,778 | $81,029 | $621,807 |
| Thomas P Orndorf | Physician | FT | $562,877 | $90,195 | $621,214 |
| Joanne Cochran | President/ce | FT | $589,922 | $24,502 | $614,424 |
| Joanne Cochran | President/CEO | - | $589,922 | $74,774 | $614,424 |
| Raghavendra Tirupathi Govindaraju | Physician | FT | $449,326 | $59,072 | $518,302 |
| Irakli Mania | Physician | FT | $414,777 | $64,976 | $497,811 |
| John J Mcelwee Jr | VP/CFO | FT | $430,274 | $24,533 | $473,807 |
| Zeeshan Faruqui | Psychiatrist | FT | $395,559 | $41,526 | $464,357 |
| Michael J Colli | Medical Dire | FT | $381,115 | $45,875 | $426,990 |
| Michael J Colli | Medical Director | - | $373,219 | $45,875 | $426,990 |
| David K Grant | COO | FT | $323,382 | $39,060 | $362,442 |
| Monica L Diehl | Chief Nursin | FT | $152,322 | $41,687 | $194,009 |
| Monica L Diehl | Chief Nursing Office | - | $152,322 | $41,687 | $194,009 |
| Name | Title |
|---|---|
| Carrie Gray | Chair |
| Sila Alegret-bartel | Vice Chair |
| Amer Chaudhry | Board Member |
| Brittany Henderson | Board Member |
| Mark Smith | Board Member |
| Michael E Kugler | Board Member |
| Scott Brown | Board Member |
| Timothy G Henry | Board Member |
| Virginia Harriger | Board Member |
| Wanda Dietrich | Board Member |
| William Morgan | Board Member |
| Karen Johnston | Secretary |
| Jenna Kaczmarek | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Locumtenenscom LLC | Physicians | PO BOX 405547, Atlanta, GA 30384-5547 | $131,771 |
| Upmc | Physicians | PO BOX 223270, Pittsburgh, PA 15251-2270 | $124,425 |
| Contribution Type | Contribution Count | Reported Amount |
|---|---|---|
| Drugs and Medical Supplies | 1 | $1,191,876 |
| Total Noncash Contributions | 1 | $1,191,876 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $60,787,412 |
| Other Expenses | $29,635,070 |
| Total Fundraising Expense | $22,383 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $41,513,417 | $5,304,939 | $17,085 | $46,835,441 |
| Other Employee Benefits | $6,206,902 | $953,295 | $1,306 | $7,161,503 |
| Payroll Taxes | $2,854,835 | $447,907 | $1,367 | $3,304,109 |
| Fees for Services Other | $2,178,157 | $504,442 | - | $2,682,599 |
| Depreciation Depletion | $1,634,481 | $454,922 | $582 | $2,089,985 |
| Current Officers, Directors, Trustees, and Key Employees | $620,999 | $1,450,673 | - | $2,071,672 |
| Pension Plan Contributions | $1,237,872 | $176,127 | $688 | $1,414,687 |
| All Other Expenses | $637,764 | $550,843 | $35 | $1,188,642 |
| Occupancy | $747,042 | $165,680 | $90 | $912,812 |
| Information Technology | $76,141 | $766,039 | $38 | $842,218 |
| Office Expenses | $314,587 | $492,247 | $750 | $807,584 |
| Other Expenses | $336,787 | $5,941 | - | $342,728 |
| Insurance | $59,958 | $238,749 | - | $298,707 |
| Fees for Services Legal | - | $196,134 | - | $196,134 |
| Advertising | $89,864 | $104,222 | $442 | $194,528 |
| Fees for Service Investment Mgmnt Fees | - | $166,787 | - | $166,787 |
| Travel | $62,203 | $14,270 | - | $76,473 |
| Fees for Services Accounting | - | $69,047 | - | $69,047 |
| Conferences and Meetings | $23,001 | $25,801 | - | $48,802 |
| Interest | $21 | - | - | $21 |
| Total Functional Expenses | $77,804,582 | $12,595,517 | $22,383 | $90,422,482 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $90,422,482 |
| Expenses per Audited Statements | $90,255,695 |
| Total Expenses per Audited Statements | $90,255,695 |
| Expenses Not Reported on Financial Statements | $166,787 |
| Other Expense Adjustments | $166,787 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease Obligations | $718,732 |
“The organization provided a copy of the federal form 990 to the board of directors prior to the filing of the form 990.”
“Conflict of interest policy is reviewed at annual employee evaluations and annually with the board of directors' self-evaluations.”
“The board of directors meets in a closed session to discuss the compensation and performance of the ceo.”
“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.”
“The governing documents are made available to review upon request.”
“Provider of health care services to the general population targeting uninsured, low-income and medical assistance individuals. Keystone health, 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 of franklin county, pennsylvania. 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 eligible patients and to underserved populations. Keystone health is identified as an essential community provider by the affordable care act as well as the american health care act. 2024 keystone rural health center 2024 was a year of many challenges and considerable progress, with a strong focus on patient safety and quality, building a strong, caring workforce, and performance improvement. The challenges of a world in turmoil amplify the sense of urgency to make sure keystone health delivers on its purpose and becomes an even stronger force for good, where people everywhere can look after their health and well-being and access the care they need, with us focusing on where we can help, from the health center to the home to the community. We want to deliver better care to more people. In 2024, keystone health announced several expansion opportunities that would come to fruition in 2025 and 2026. These expansions included constructing the catherine street facility and housing a family medicine residency program in downtown chambersburg, where many needy populations live. We further announced that keystone health will develop plans to construct another facility at welty road in waynesboro. To ensure we could provide quality care to both the chambersburg and waynesboro communities, keystone significantly intensified its recruiting efforts and hired many new providers and staff, including two internal medicine physicians who had been long-time independent physicians with established practices in waynesboro: dr. Robert ternes and dr. Jehanzeb qureshi. During 2024, with 625 employees, keystone health treated 63,393 patients through 267,932 in-person visits and 24,333 virtual visits, for a total of 292,265 visits. For comparison, in 2023, with 570 employees, keystone health treated 60,587 patients through 250,917 in-person visits and 21,860 virtual visits, for a total of 272,777 visits. Patient safety and quality keystone health has developed a new senior management position: chief quality, risk management, and safety officer, to reinforce our commitment to quality and safety. We also hired the national training and consulting group to perform physical security risk assessments for all the keystone facilities in chambersburg, waynesboro, and gardners, pa. Keystone also requested that all employees be trained in situational awareness, personal safety, de-escalation, and active shooter response. Keystone developed a medical-legal partnership with franklin county legal services to assist our patients with legal issues such as guardianship, eviction, and abuse. Driving progress on priorities with patient safety and quality as the number one priority, oversight now resides at the executive senior management level. We have a new department with more substantial processes and effective early warning systems. Over the last several years, our senior management has been strengthened. We are proactively addressing quality improvements and the changing culture of people-and patient-centricity, accountability, and impact. We are focusing on our workforce and ensuring that we provide adequate onboarding, education, and training. We are utilizing ai in a responsible manner to optimize workflows and improve efficiency so that clinical staff get the time and space to focus on what matters and what they do best: caring for our patients.”
“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.”
“Investment management fees -166,787 investment management fees 166,787”
“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.”
“Investment management fees 166,787”
“Investment management fees 166,787”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4616463 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5859163 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6529550 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 5262968 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 442 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 104222 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 89864 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 194528 |
| IRS990/AllOtherContributionsAmt | 0 | 2708257 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 35 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 550843 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 637764 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1188642 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JOHN J MCELWEE JR VPCFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7177097912 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 111 CHAMBERS HILL DRIVE SUITE 200 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CHAMBERSBURG |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 17201 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
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| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7745 |
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| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
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| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2071672 |
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| IRS990/CompensationProcessOtherInd | 0 | true |
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| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 23001 |
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| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 131771 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 124425 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 223270 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PITTSBURGH |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 152512270 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | LOCUMTENENSCOM LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | UPMC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHYSICIANS |
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| IRS990/CYRevenuesLessExpensesAmt | 0 | 15624081 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 60787412 |
| IRS990/CYTotalExpensesAmt | 0 | 90422482 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 22383 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 106046563 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 781116 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 265818 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1634481 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2089985 |
| IRS990/Desc | 0 | PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 703 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 14177990 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 166787 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
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| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 37837 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 24502 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 45976 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 45976 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 24533 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 41526 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 45875 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 39060 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 41687 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | YVETTE BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | THOMAS P ORNDORF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOANNE COCHRAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RAGHAVENDRA TIRUPATHI GOVINDARAJU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | IRAKLI MANIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOHN J MCELWEE JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ZEESHAN FARUQUI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MICHAEL J COLLI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAVID K GRANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MONICA L DIEHL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SILA ALEGRET-BARTEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SCOTT BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | AMER CHAUDHRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | WANDA DIETRICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CARRIE GRAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | VIRGINIA HARRIGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | BRITTANY HENDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | TIMOTHY G HENRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KAREN JOHNSTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JENNA KACZMAREK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MICHAEL E KUGLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | WILLIAM MORGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MARK SMITH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 585675 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 583377 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 589922 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 472326 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 451835 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 449274 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 422831 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 381115 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 323382 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 152322 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PRESIDENT/CE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VP/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PSYCHIATRIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEDICAL DIRE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHIEF NURSIN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1987 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -28221 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 588755 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 7617966 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 780 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 19216674 |
| IRS990/GrossReceiptsAmt | 0 | 124703483 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 107 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 38 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 766039 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 76141 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 842218 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 238749 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 59958 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 298707 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 21 |
| IRS990/InterestGrp/TotalAmt | 0 | 21 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 822436 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 892359 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4002424 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4002424 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 61529486 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 67673409 |
| IRS990/IRPDocumentCnt | 0 | 83 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 14948016 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 41586151 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 48868992 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 63817008 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 29001 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 18627919 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 144881511 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 163986635 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 560534 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 560534 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 3481043 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 144881511 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 163986635 |
| IRS990/NoncashContributionsAmt | 0 | 1191876 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 90 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 165680 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 747042 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 912812 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 750 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 492247 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 314587 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 807584 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 286104 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 262157 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 1306 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 953295 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 6206902 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 7161503 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | 340B ADMIN FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | COVID-19 EXPENSES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 26949 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 480503 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 5941 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 17596810 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1403345 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 210396 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 336787 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 17623759 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1403345 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 690899 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 342728 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 3004362 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 718732 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 61137 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 61137 |
| IRS990/OtherRevenueTotalAmt | 0 | 61137 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 17085 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 5304939 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 41513417 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 46835441 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 1367 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 447907 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2854835 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 3304109 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 688 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 176127 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1237872 |
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