Keystone Health Information Exchange Inc
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It owes more than it owns.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
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.
- Income
- $5.8 million
- Spending
- $6.2 million
- Spent on programs
- 97%
- Reserves
- -3.8 months of spending
- Largest source of income
- fees for its services, 88%
- Employees
- 0
- Volunteers
- 1
- Highest pay
- $2.8 million, evp, cfo, treasurer
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 29 out of 100. Higher than 5% of charities in its peer group (health care, $1m to $10m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 241% of what it owns.
Living within its means
4 of 15Spending exceeded income by 7% of income.
Income trend
10 of 15Income fell 4% on the year before.
Spending floor
15 of 1597% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 80 out of 100. Higher than 31% of charities in its peer group (health care, $1m to $10m).
Independent board
5 of 251 of 5 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $6.1 million spent. 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 PATIENTS TRANSITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATEHEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB- APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since October 2014.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.