Civic Intelligence

Keystone Health Information

EIN 46-4359893 • 501(c)3 • Danville, PA

Profile

NONE

100 N Academy Ave Mc 49-70Danville, PA 17822-9800

www.keyhie.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.41x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

77th percentile

0.58x

Higher debt load relative to revenue than 77% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

23rd percentile

-6.9%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

80th percentile

21%

Faster asset growth than 80% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2024

Revenue Growth

48th percentile

6.0%

Faster revenue growth than 48% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2024

Assets

Down

$1,409,710

Down $1,323,288 (-48%) from 2023

Liabilities

Up

$3,400,821

Up $2,077,859 (+157%) from 2023

Net Assets

Down

-$1,991,111

Down $3,401,147 (-241%) from 2023

Revenue

Down

$5,839,675

Down $275,017 (-4.5%) from 2023

Expenses

Down

$6,240,822

Down $279,406 (-4.3%) from 2023

Net Income

Up

-$401,147

Up $4,389 (+1.1%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$2.0M$0-$2.0MAssets 2015: $74,790Liabilities 2015: $198,956Net Assets 2015: -$124,1662015Assets 2016: $381,186Liabilities 2016: $137,855Net Assets 2016: $243,3312016Assets 2017: $495,835Liabilities 2017: $120,508Net Assets 2017: $375,3272017Assets 2018: $491,541Liabilities 2018: $200Net Assets 2018: $491,3412018Assets 2019: $65,865Liabilities 2019: $45,176Net Assets 2019: $20,6892019Assets 2020: $1,605,905Liabilities 2020: $2,698,127Net Assets 2020: -$1,092,2222020Assets 2021: $1,752,407Liabilities 2021: $177,891Net Assets 2021: $1,574,5162021Assets 2022: $957,839Liabilities 2022: $142,267Net Assets 2022: $815,5722022Assets 2023: $2,732,998Liabilities 2023: $1,322,962Net Assets 2023: $1,410,0362023Assets 2024: $1,409,710Liabilities 2024: $3,400,821Net Assets 2024: -$1,991,1112024

Highlighted filing

2024

Assets$1,409,710
Liabilities$3,400,821
Net Assets-$1,991,111

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2015: $2,083,088Expenses 2015: $2,207,254Net Income 2015: -$124,1662015Revenue 2016: $2,530,168Expenses 2016: $2,662,671Net Income 2016: -$132,5032016Revenue 2017: $2,659,390Expenses 2017: $2,727,394Net Income 2017: -$68,0042017Revenue 2018: $3,820,687Expenses 2018: $3,704,673Net Income 2018: $116,0142018Revenue 2019: $4,224,539Expenses 2019: $4,695,191Net Income 2019: -$470,6522019Revenue 2020: $3,599,592Expenses 2020: $3,057,993Net Income 2020: $541,5992020Revenue 2021: $6,255,680Expenses 2021: $6,588,942Net Income 2021: -$333,2622021Revenue 2022: $5,193,867Expenses 2022: $5,952,811Net Income 2022: -$758,9442022Revenue 2023: $6,114,692Expenses 2023: $6,520,228Net Income 2023: -$405,5362023Revenue 2024: $5,839,675Expenses 2024: $6,240,822Net Income 2024: -$401,1472024

Highlighted filing

2024

Revenue$5,839,675
Expenses$6,240,822
Net Income-$401,147

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.2
Gross Receipts
$5,839,675
Mission and Program Overview

Mission

Keystone health information exchange, inc., (dba keyhie), serves to enhance healthcare delivery through a collaborative platform that provides a timely and secure patient-focused exchange of meaningful health information.

Keystone health information exchange, inc (dba keyhie), serves to enhance healthcare delivery through a collaborative platform that provides a timely and secure patient- focused exchange of meaningful health information.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,029,828$0▼ $2,029,828
Pledges and Grants Receivable$350,000$0▼ $350,000
Accounts Receivable$275,425$229,205▼ $46,220
Prepaid Expenses and Deferred Charges$77,745$89,170▲ $11,425
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,732,998$1,409,710▼ $1,323,288
Other Assets Total$0$1,091,335▲ $1,091,335
Liabilities
Deferred Revenue$0$2,718,313▲ $2,718,313
Other Liabilities$443,931$408,537▼ $35,394
Accounts Payable and Accrued Expenses$879,031$273,971▼ $605,060
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,322,962$3,400,821▲ $2,077,859
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$1,410,036$-1,991,111▼ $3,401,147
Total Net Assets Fund Balance$1,410,036$-1,991,111▼ $3,401,147
Total Liabilities and Net Assets / Fund Balance$2,732,998$1,409,710▼ $1,323,288

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,091,335--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mike Angelakos Drph MbaPresident/chair, Director
Benjamin a Hohmuth MdVice Chair, Director
Jignesh Y Sheth Md MphDirector
John B Bulger DoDirector
Keith a Boell Do Ms-hqsm ChieDirector
Lori R Gramley EsquireAclo, Assistant Secretary
Kevin V Roberts MbaEvp, CFO, Treasurer
Steven B Bender EsquireEvp, CLO, Secretary
Edelyn MillerFormer Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Orion Health INCInfo TechnologyDEPT LA 23751, Pasadena, CA 91185$2,190,772
Citiustech INCConsulting2 RESEARCH WAY 2ND FL, Princeton, NJ 08540$608,000
Enablecare LLCConsulting6240 WEST 135TH ST, Overland Park, KS 66223$539,267
Aunt BerthaInfo Technology3616 FAR WEST BLVD STE 117-454, Austin, TX 78731$297,847
Commonwealth Of Pa State Board OfSoftware MaintenancePO BOX 2649, Harrisburg, PA 17105-2649$171,900
Revenue and Support

Revenue Composition

Contributions and Grants
$680,993
Program Service Revenue
$5,158,682
Investment Income
$0
Other Revenue
$0
All Other Contributions
$680,993
Change in Net Assets
$-401,147
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,240,822
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,578,434--$2,578,434
Information Technology$1,886,532--$1,886,532
Other Expenses$26,173$186,113-$26,173
Fees for Services Lobbying$1,375--$1,375
Office Expenses$3--$3
Total Functional Expenses$6,054,709$186,113$0$6,240,822
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$408,537
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 - Family And/or Business Relationships

John bulger, do, facoi, facp, keith a. Boell, do, ms-hqsm, chie, fhm, kevin v. Roberts, mba, cpa, lori r. Gramley, esquire, mike angelakos, esquire, and steven b. Bender, esquire all have a business relationship with one another because they serve as officers and/or directors on one or more for-profit affiliates of the entity. All of the affiliates are part of geisinger.

Form 990, Part VI, Line 6 - Classes of Members or Stockholders

The members of the corporation have the power and authority to elect and remove the directors; elect and remove the president and fill any vacancy in the office of the president of the corporation; and, may approve amendments to the corporate bylaws in lieu of such approval by the board of directors. The members also have the reserve powers as set forth in the pennsylvania nonprofit corporation law.

Form 990, Part VI, Line 7A - Election of Members and Their Rights

Election of members and their rights the board of directors of the corporation shall serve as the governing body of the corporation. The president of the corporation shall be a director by reason of holding such office. The remaining directors shall be elected by the members at the annual meeting of the members. The members of the corporation may serve as directors and directors may succeed themselves from term to term. Vacancies on the board of directors shall be filled by the members at their discretion at the annual meeting of the members or at a special meeting called for such purpose.

Form 990, Part VI, Line 7B - Decisions Subject to Approval of Members

Decisions subject to approval of members the members of the corporation have the power and authority to elect and remove the directors; elect and remove the president and fill any vacancy in the office of the president of the corporation; and, may approve amendments to the corporate bylaws in lieu of such approval by the board of directors. The members also have the reserve powers as set forth in pennsylvania nonprofit corporation law.

FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990

The form 990 is prepared by kaiser foundation health plan, inc.'s tax preparation and oversight department with information provided from geisinger finance, human resources, legal services and other relevant departments within geisinger. Prior to finalization, the return is reviewed by pwc us tax, llp. The chief financial officer of geisinger and the individual organizations senior financial managers review their respective form 990 prior to making the final return available to the board. All officers and directors were electronically provided a final copy of the form 990 prior to filing the return with the irs. An executive summary of the information reported on the return is provided to assist in the review. In accordance with the geisinger health board of director's finance committee charter, geisinger organizations' form 990 filings are reviewed annually.

Form 990, Part VI, Line 12C - Enforcement of Conflicts Policy

The officers and directors of the organization are subject to the geisinger conflict of interest policy for directors, officers and senior leaders. At least once each year directors, officers, key employees, senior leaders and others designated by the board of directors are required to disclose in writing the existence of any potential financial interests that may give rise to a conflict of interest with any affiliate within geisinger. The disclosures are reviewed by the office of the chief compliance officer and reported to the audit and compliance committee and/or board of directors. After review of the financial interest and all material facts, input from department of legal services and any discussion with the person desired by the board or committee, the committee/board decides if a conflict exists and takes appropriate action. The individual disclosing the financial interest is absent during the committee/board deliberations and decisions on the matter.

Form 990, Part VI, Line 15A - Compensation Process for Top Official

The process to review and approve the compensation of geisinger employed board directors, officers, and executive management is designed to satisfy the rebuttable presumption procedure available for intermediate sanction purposes. The process requires a review of compensation determinations by disinterested parties, use of appropriate comparability data and contemporaneous documentation of the process. On an annual basis an independent, nationally recognized compensation consultant completes a comparative assessment of compensation for the ceo and senior management within geisinger. The consultant's report is presented to the geisinger family committee prior to any compensation adjustment. The report supports the rigorous review completed by the geisinger family committee to ensure that the program is responsible to the geisinger charitable mission, reflects reasonable compensation within the nonprofit market and is compliant with the irs's intermediate sanction requirements. The survey data in the comparative analysis is captured for functionally comparable positions in multiple similar nonprofit organizations and reflects total remuneration provided in the market. All surveys are conducted by third party organizations and not conducted at the specific direction of geisinger. Any compensation adjustments are approved by the geisinger family committee prior to the effective date of the payment. The geisinger family committee at its sole discretion may positively or negatively adjust any recommended compensation.

Form 990, Part VI, Line 15B

Compensation process for officers see schedule o response to form 990, part vi section b, question 15a.

Form 990, Part VI, Line 19- Governing Documents Disclosure Explanation

Financial statements, form 990, form 990-t, the conflicts of interest policy, and other governing documents are available to the public upon request. Request.

Filing and Contact Details

Filer

Filer Name
Keystone Health Information
EIN
46-4359893
In Care Of
% ERIN FITZGERALD CPA
Phone
5702716624
Address
100 N ACADEMY AVE MC 49-70, DANVILLE, PA 17822-9800

Signing Officer

Name
Erin M Fitzgerald CPA
Title
Interim Co-CFO
Phone
5702716624
Signed
2025-11-11

Organization Details

Principal Officer
Mike Angelakos Drph Mba
Formed
2013
Legal Domicile
Pa
Voting Board Members
5
Independent Board Members
1
Employees
0
Volunteers
1

Preparer

Firm
PwC US Tax LLP
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Robert W Friz
Phone
2673303000
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A

Geisinger system services (gss), an affiliate of the organization, provides a centralized accounts payable function for all geisinger organizations. As the accounts payable processor, gss prepares and files form 1099 under its ein for reportable payments of the filing organization. The number of form 1099's filed by gss for the 2024 reporting period on behalf of itself and its affiliates was 1,166.

Form 990, Part XI, Line 9 - Other Changes in Net Assets Explanation

Transfer to parent, geisinger health $3,000,000

Form 990, Part XII, Line 3A

Federal awards are audited as a part of the geisinger's consolidated report on federal awards in accordance with uniform guidance, 2 c.f.r. Part 200, subpart f. Footnote: throughout this document, the terms "geisinger"geisinger health" shall refer to the entire health care system comprised of geisinger health foundation (the "foundation") as parent and all subsidiary corporate entities comprising the health care system. In addition, throughout this document, the term "system" shall refer to the entire health care system as previously defined plus its affiliates. Addition, throughout this document, the term "system" shall refer to the entire health care system as previously defined plus its affiliates.

Form 990 Part IX Line 11G

Description:collection agency fees total fees:416

Form 990 Part IX Line 11G

Description:consulting fees total fees:12291

Form 990 Part IX Line 11G

Description:contracted labor - other total fees:873023

Form 990 Part IX Line 11G

Description:outside purchased services total fees:1692704

Financial Statement Notes

Part XIII - Supplemental Financial Information

Effective july 1, 2007, geisinger adopted accounting standards codification 740 (fin 48), (formerly known as "statement 109: accounting for income taxes"fas 109"). Fin 48 clarifies the accounting and reporting for income taxes where interpretation of the tax law may be uncertain. Fin 48 prescribes a comprehensive model for the financial statement recognition, measurement, presentation and disclosure of income tax uncertainties with respect to positions taken or expected to be taken in income tax returns. The adoption of fin 48 had no impact on unrestricted net assets as of the end of the calendar year or any previous year since adoption. Accordingly, no fin 48 footnote disclosure was made in the geisinger consolidated financial statements.

Raw XML AppendixShowing 400 of 1,693 raw XML fields

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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IRS990/Desc0FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX-EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH ("GH"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT OF GEISINGER. KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY. HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE SUPPORTS EXCHANGE OF ELECTRONIC HEALTH INFORMATION FOR ALL PERMITTED PURPOSES UNDER HIPAA INCLUDING TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS. KEYHIE'S GOAL IS TO ENABLE THE SECURE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF MAY 2025, KEYHIE'S MEMBERSHIP INCLUDED 239 HEALTHCARE ORGANIZATIONS REPRESENTING 37 HOSPITALS, 404 PHYSICIAN PRACTICES, 63 LONG TERM CARE CENTERS, 20 HOME HEALTH AGENCY LOCATIONS, 8 PHARMACIES, 2 EMS LOCATIONS, 39 URGENT CARE FACILITIES, AND 8 INSURANCE PAYORS. GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: (I) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING EIGHT WHOLLY-CONTROLLED ACUTE-CARE HOSPITALS WITH MULTIPLE CAMPUSES, JOINT VENTURE FACILITIES AND A DRUG AND ALCOHOL TREATMENT FACILITY; (II) MULTISPECIALTY PHYSICIAN GROUP PRACTICES; (III) INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION AND A NON-LICENSED, RISK ASSUMING PREFERRED PROVIDER ORGANIZATION; AND (IV) A COMMUNITY-BASED MEDICAL COLLEGE AND DEGREE-GRANTING INSTITUTION. GEISINGER OPERATES ACROSS PENNSYLVANIA, WITH THE MOST CONCENTRATED PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. GEISINGER HEALTH SERVES AS THE CORPORATE PARENT AND EXERCISES CONTROL OVER GEISINGER ENTITIES SUBJECT TO CORPORATE, LEGAL, AND/OR REGULATORY LIMITATIONS. GEISINGER HEALTH AND SUBSIDIARY CORPORATE ENTITIES COMPRISING SUBSTANTIALLY ALL FINANCIAL AND OPERATIONAL ACTIVITY ARE TAX-EXEMPT PURSUANT TO SECTIONS 501(C)(2), 501(C)(3), OR 501(C)(4) OF THE INTERNAL REVENUE CODE. ON MARCH 31, 2024, RISANT HEALTH, INC. BECAME THE SOLE CORPORATE MEMBER OF GEISINGER HEALTH THROUGH A MEMBER SUBSTITUTION PURSUANT TO THE TERMS OF A HEALTH SYSTEM AGREEMENT DATED APRIL 26, 2023 BETWEEN KAISER FOUNDATION HOSPITALS ("KFH") , RISANT HEALTH, INC ("RISANT") AND GEISINGER HEALTH. RISANT IS A NONPROFIT ORGANIZATION, CREATED BY KFH, TO EXPAND AND ACCELERATE THE ADOPTION OF VALUE-BASED CARE IN DIVERSE, MULTI-PAYER, MULTI-PROVIDER, AND COMMUNITY-BASED HEALTH SYSTEM ENVIRONMENTS. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN P
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