KEYSTONECARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KEYSTONECARE (EIN 27-3126595)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349300900
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T05:51:54-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BECK VILLATA & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line128 W GRAND AVE STE 11AddressLine1
CityMONTVALECity
StateNJState
ZIP Code07645ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273126595EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KEYSTONECAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKEYSNameControl
Phone2152444495Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18765 STENTON AVENUEAddressLine1
CityWYNDMOORCity
StatePAState
ZIP Code190388317ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGAIL INDERWIESName
TitleEXECUTIVE DIRECTORTitle
Phone2152444495Phone
Date Signed2013-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameVINCENT P VILLATA JRName
Phone2013916644Phone
Date Prepared2013-11-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGAIL INDERWIESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18765 STENTON AVENUEAddressLine1
CityWYNDMOORCity
StatePAState
ZIP Code190388317ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4419021GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KEYSTONECARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDING ADMINISTRATIVE SERVICES TO ITS TWO SUBSIDIARIES, KEYSTONE HOSPICE AND KEYSTONE HOME HEALTH, LLC. PROVIDING SOCIAL SERVICES TO MEDICALLY FRAGILE POPULATIONS IN SOUTHEASTERN PENNSYLVANIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees188TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year45856ContributionsGrantsPriorYear
Contributions Grants Current Year24184ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3086697ProgramServiceRevenuePriorYear
Program Service Revenue CY3045726ProgramServiceRevenueCY
Investment Income Prior Year104InvestmentIncomePriorYear
Investment Income Current Year-157129InvestmentIncomeCurrentYear
Other Revenue Prior Year1318952OtherRevenuePriorYear
Other Revenue Current Year1349052OtherRevenueCurrentYear
Total Revenue Prior Year4451609TotalRevenuePriorYear
Total Revenue Current Year4261833TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4434267SalariesEtcPriorYear
Salaries Etc Current Year4292473SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year15253TotalFundrsngExpCurrentYear
Other Expense Prior Year468124OtherExpensePriorYear
Other Expenses Current Year711223OtherExpensesCurrentYear
Total Expenses Prior Year4902391TotalExpensesPriorYear
Total Expenses Current Year5003696TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-450782RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-741863RevenuesLessExpensesCY
Total Assets BOY723065TotalAssetsBOY
Total Assets EOY502613TotalAssetsEOY
Total Liabilities BOY1763120TotalLiabilitiesBOY
Total Liabilities EOY2284531TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1040055NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1781918NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING ADMINISTRATIVE SERVICES TO ITS TWO SUBSIDIARIES, KEYSTONE HOSPICE AND KEYSTONE HOME HEALTH, LLC. PROVIDING SOCIAL SERVICES TO MEDICALLY FRAGILE POPULATIONS IN SOUTHEASTERN PENNSYLVANIA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2033227Expense
Revenue3045726Revenue
DescriptionKEYSTONE HOME HEALTH, LLC IS A PENNSYLVANIA NON-PROFIT LIMITED LIABILITY COMPANY AND PROVIDES HOMECARE SERVICES TO RESIDENTS OF SOUTHEASTERN PENNSYLVANIA. IN ADDITION TO THEIR CLINICAL SERVICES, KEYSTONE HOME HEALTH, LLC REGULARLY MAKE EDUCATIONAL PRESENTATIONS TO PROFESSIONAL AND COMMUNITY GROUPS REGARDING HOSPICE CARE, BEREAVEMENT, LIVING WITH A SERIOUS ILLNESS, AND OTHER TOPICS RELATING TO END OF LIFE CARE.Description
Total Program Service Expense2033227TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees188NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGAIL INDERWIESNamePerson
Telephone Number2152444495TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18765 STENTON AVENUEAddressLine1
CityWYNDMOORCity
StatePAState
ZIP Code19038ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CONNIE M BOLIG
VICE CHAIR1.00X000
DAVID CHU CFA
DIRECTOR1.00X000
MARC PERRY ESQ
DIRECTOR1.00X000
PETER AMUSO ESQ
SECRETARY1.00X000
ERIC ROLIN
DIRECTOR1.00X000
SERENA W TENANT
CHAIR1.00X000
GAIL INDERWIES
EXECUTIVE DI40.0019919600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org199196TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events24184FundraisingEvents
Total Contributions24184TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionREVENUEDescription
Total Revenue Column3045726TotalRevenueColumn
Related Or Exempt Function Income3045726RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3045726TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59TotalRevenueColumn
Exclusion$59ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other157188Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-157188Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-157188TotalRevenueColumn
Related Or Exempt Function Income-157188RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events24184CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEE INCOMEDescription
Total Revenue Column1349052TotalRevenueColumn
Exclusion$1,349,052ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1349052TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4261833TotalRevenueColumn
Related Or Exempt Function Income2888538RelatedOrExemptFunctionIncome
Exclusion$1,349,111ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total192408Total
Management And General192408ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3717324Total
Program Services1445547ProgramServices
Management And General2271777ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total66457Total
Program Services88ProgramServices
Management And General51116ManagementAndGeneral
Fundraising15253Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total316284Total
Program Services124695ProgramServices
Management And General191589ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total850Total
Management And General850ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18405Total
Management And General18405ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56866Total
Management And General56866ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total57329Total
Program Services57288ProgramServices
Management And General41ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total12776Total
Management And General12776ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total708Total
Management And General708ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total160084Total
Program Services52884ProgramServices
Management And General107200ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PROFESSIONAL FEES30867726939739280
MISCELLANEOUS EXPENSES7217072170
DUES & SUBSCRIPTIONS1220012200
DRUGS, SUPPLIES & RELATED1115811158

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5003696Total
Program Services2033227ProgramServices
Management And General2955216ManagementAndGeneral
Fundraising15253Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27183BOY
EOY23215EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY521909BOY
EOY440486EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11506BOY
EOY34341EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6707LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2136LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5279BOY
EOY4571EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY157188BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY723065BOY
EOY502613EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY272583BOY
EOY335931EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY91793BOY
EOY88770EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY300000BOY
EOY300000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1098744BOY
EOY1559830EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1763120BOY
EOY2284531EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-450782BOY
EOY-1781918EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-589273BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1040055BOY
EOY-1781918EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY723065BOY
EOY502613EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-741863ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6707InvestmentCostOrOtherBasis
Depreciation2136Depreciation
Book Value4571BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4571TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE FROM KEYSTONE HOSPICEDescription
Amount$1,559,830Amount
FieldValueIRS element (for citing)
Total Of Amounts1559830TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt4261833TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4261833RevenueSubtotal
Total Revenue Per Form9904261833TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5003696TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5003696ExpensesSubtotal
Total Expenses Per Form9905003696TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF FUNDRAISERNameOfEvent1
Gross Receipts Event124184GrossReceiptsEvent1
Charitable Contributions Event124184CharitableContributionsEvent1
Gross Receipts Total24184GrossReceiptsTotal
Charitable Contributions Total24184CharitableContributionsTotal

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonGAIL INDERWIESNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org199196BaseCompensationFilingOrg
Total Compensation Filing Org199196TotalCompensationFilingOrg
Comp Report Prior990 Filing Org150000CompReportPrior990FilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY INDIVIDUAL BOARD MEMBERS FOR ACCURACY.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CDISCLOSURE AND REVIEW AT REGULAR BOARD MEETINGS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ADISCLOSURE AND REVIEW AT REGULAR BOARD MEETINGS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BDISCLOSURE AND REVIEW AT REGULAR BOARD MEETINGS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE HOME HEALTH LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18765 STENTON AVENUEAddressLine1
CityWYNDMOORCity
StatePAState
ZIP Code19038ZIPCode
FieldValueIRS element (for citing)
EIN232703588EIN
Primary ActivitiesHOME HLTHPrimaryActivities
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE HOSPICEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18765 STENTON AVENUEAddressLine1
CityWYNDMOORCity
StatePAState
ZIP Code19038ZIPCode
FieldValueIRS element (for citing)
EIN232757697EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status3PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved1349052AmountInvolved
Method Of Amt DeterminationMANAGEMENT FEEMethodOfAmtDetermination

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