KEYSTONE RURAL HEALTH CENTER

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1987

Legal Domicile

Principal Officer

JOANNE COCHRAN

Phone

7177097912

Tax Period

2024-01-01 to 2024-12-31

KEYSTONE RURAL HEALTH CENTER, founded in 1987, is a major nonprofit in the Health Care sector that reported $106.0M in total revenue in fiscal year 2024. Revenue grew 12% year-over-year, indicating healthy expansion. Expenses of $90.4M left a modest 15% surplus.

Mission

PROVIDER OF HEALTH CARE SERVICES TO THE GENERAL POPULATION TARGETING UNINSURED, LOW-INCOME AND MEDICAL ASSISTANCE INDIVIDUALS.

Program Service Accomplishments

Program 1

Expenses: $14,177,990 Revenue: $13,500,292

PROVIDER OF PEDIATRIC SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME MEDICARE AND MEDICAL ASSISTANCE INDIVIDUALS. SEE SCHEDULE O.

Program 2

Expenses: $9,019,740 Revenue: $8,875,366

PROVIDER OF DENTAL SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O.

Program 3

Expenses: $8,465,850 Revenue: $9,712,309

PROVIDER OF BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION TARGETING LOW INCOME INDIVIDUALS. SEE SCHEDULE O.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $10,326,223

Program Service Revenue $91,096,245

Investment Income $4,562,958

Other Revenue $61,137

TOTAL REVENUE $106,046,563

Expense Breakdown

Grants Paid $0

Salaries & Benefits $60,787,412

Fundraising Expenses $22,383

Program Expenses $77,804,582

Other Expenses $29,635,070

TOTAL EXPENSES $90,422,482

Year-over-Year Comparison

	2024	2023	Change
Revenue	$106,046,563	$94,319,007	+0.1%
Expenses	$90,422,482	$75,659,859	+0.2%
Net Income	$15,624,081	$18,659,148	-0.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

703

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,088,231

Total Directors

Key Employees

$983,441

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
YVETTE BROWN	PHYSICIAN	50.00	Highest	$585,675	$36,132	$621,807
THOMAS P ORNDORF	PHYSICIAN	50.00	Highest	$583,377	$37,837	$621,214
JOANNE COCHRAN	PRESIDENT/CE	50.00	Officer	$589,922	$24,502	$614,424
RAGHAVENDRA TIRUPATHI GOVINDARAJU	PHYSICIAN	50.00	Highest	$472,326	$45,976	$518,302
IRAKLI MANIA	PHYSICIAN	50.00	Highest	$451,835	$45,976	$497,811
JOHN J MCELWEE JR	VP/CFO	50.00	Officer	$449,274	$24,533	$473,807
ZEESHAN FARUQUI	PSYCHIATRIST	50.00	Highest	$422,831	$41,526	$464,357
MICHAEL J COLLI	MEDICAL DIRE	50.00	Key Emp	$381,115	$45,875	$426,990
DAVID K GRANT	COO	50.00	Key Emp	$323,382	$39,060	$362,442
MONICA L DIEHL	CHIEF NURSIN	50.00	Key Emp	$152,322	$41,687	$194,009
SILA ALEGRET-BARTEL	VICE CHAIR	1.00	Officer Director	$0	$0	$0
SCOTT BROWN	BOARD MEMBER	1.00	Director	$0	$0	$0
AMER CHAUDHRY	BOARD MEMBER	1.00	Director	$0	$0	$0
WANDA DIETRICH	BOARD MEMBER	1.00	Director	$0	$0	$0
CARRIE GRAY	CHAIR	1.00	Officer Director	$0	$0	$0
VIRGINIA HARRIGER	BOARD MEMBER	1.00	Director	$0	$0	$0
BRITTANY HENDERSON	BOARD MEMBER	1.00	Director	$0	$0	$0
TIMOTHY G HENRY	BOARD MEMBER	1.00	Director	$0	$0	$0
KAREN JOHNSTON	SECRETARY	1.00	Officer Director	$0	$0	$0
JENNA KACZMAREK	TREASURER	1.00	Officer Director	$0	$0	$0
MICHAEL E KUGLER	BOARD MEMBER	1.00	Director	$0	$0	$0
WILLIAM MORGAN	BOARD MEMBER	1.00	Director	$0	$0	$0
MARK SMITH	BOARD MEMBER	1.00	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$106,046,563	$90,422,482	$170,830,348	$15,624,081
2023	$94,319,007	$75,659,859	$153,283,452	$18,659,148
2022	$95,238,265	$66,728,537	$130,747,337	$28,509,728
2021	$89,865,768	$60,861,130	$105,417,846	$29,004,638
2020	$66,899,536	$60,484,354	$74,257,896	$6,415,182
2019	$62,011,399	$53,093,289	$67,250,076	$8,918,110
2018	$54,878,512	$47,765,986	$58,078,758	$7,112,526