Keystone Health Information Exchange Inc

What it reported doing in 2024

Form 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

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 97%; rating input score 97
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 20%; rating input score 20; 6th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -6.9%; rating input score 17; 17th percentile among comparable filings
• Total-asset coverage ratio: 0.23; rating input score 7; 7th percentile among comparable filings
• Liabilities to assets ratio: 2.41; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 11.9%; rating input score 25; 25th percentile among comparable filings

Growth

• Program expense growth: 9.3% per year; rating input score 100; 61st percentile among comparable filings
• Revenue growth: 9.4% per year; rating input score 100; 66th percentile among comparable filings
• Asset growth: 22.3% per year; rating input score 100; 87th percentile among comparable filings