FURP.ORG / PUBLIC DATA EXPLORER

KEYSTONE SERVICE SYSTEMS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KEYSTONE SERVICE SYSTEMS INC (EIN 23-1915567)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201311309349302611
Schema version
2011v1.5
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)
Timestamp2013-05-10T12:01:48-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE HUMAN SERVICESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1124 Pine StreetAddressLine1
CityHarrisburgCity
StatePAState
ZIP Code17101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231915567EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Keystone Service Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKEYSNameControl
Phone7172327509Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1124 Pine StreetAddressLine1
CityHarrisburgCity
StatePAState
ZIP Code17101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCharles S SweederName
TitleCFOTitle
Date Signed2013-05-10DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts95812436GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.keystonehumanservices.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionKeystone Service Systems, Inc. (KSS) provides services to people with intellectual disabilities, mental illness, autism, and children and families at risk. KSS aims to create opportunities so that all people can be valued, contributing members of their community. KSS' comprehensive systems of care provide a range of services from hourly supports to residential services provided 24 hours per day, seven days per week.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2538TotalNbrEmployees
Total Nbr Volunteers1379TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7016511ContributionsGrantsPriorYear
Contributions Grants Current Year9983583ContributionsGrantsCurrentYear
Program Service Revenue Prior Year81874170ProgramServiceRevenuePriorYear
Program Service Revenue CY85227034ProgramServiceRevenueCY
Investment Income Prior Year6502InvestmentIncomePriorYear
Investment Income Current Year60575InvestmentIncomeCurrentYear
Other Revenue Prior Year425725OtherRevenuePriorYear
Other Revenue Current Year183133OtherRevenueCurrentYear
Total Revenue Prior Year89322908TotalRevenuePriorYear
Total Revenue Current Year95454325TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year67398558SalariesEtcPriorYear
Salaries Etc Current Year68270464SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year44914TotalFundrsngExpCurrentYear
Other Expense Prior Year21079139OtherExpensePriorYear
Other Expenses Current Year27329553OtherExpensesCurrentYear
Total Expenses Prior Year88477697TotalExpensesPriorYear
Total Expenses Current Year95600017TotalExpensesCurrentYear
Revenues Less Expenses Prior Year845211RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-145692RevenuesLessExpensesCY
Total Assets BOY44556884TotalAssetsBOY
Total Assets EOY51057846TotalAssetsEOY
Total Liabilities BOY27833299TotalLiabilitiesBOY
Total Liabilities EOY35329231TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16723585NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15728615NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionKeystone Service Systems, Inc. (KSS) provides services to people with intellectual disabilities, mental illness, autism, and children and families at risk. KSS aims to create opportunities so that all people can be valued, contributing members of their community. KSS' comprehensive systems of care provide a range of services from hourly supports to residential services provided 24 hours per day, seven days per week.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense50730088Expense
DescriptionIntellectual Disability ServicesKSS's Intellectual Disability Services encourage long-term relationships and stress natural supports, individuality, respect, choice, and the dignity of human spirit. KSS offers support for individuals with intellectual disabilities through programs such as Residential Living Services, Life Sharing through Family Living, Home and Community-Based Services, Respite Care, Supported and Independent Living, Home and Community Based Habilitation Services, and Adult Day Services. Individuals receive services in a variety of settings ranging from their own homes to KSS owned homes, family-provider homes, community supports, and adult day centers. Notable accomplishments for fiscal year 2012 include:KSS successfully and seamlessly integrated individuals served by its sister organization, Impact Systems, Inc. (ISI), into KSS's intellectual disabilities services. Due to statewide funding cuts to these programs, KSS completely restructured the organizational structure of its intellectual disabilities services, integrating the individuals served by ISI as well as the ISI employees into the new structure, while maintaining KSS's high standard of service. After the integration of ISI programs, KSS served over 1,100 individuals through its intellectual disabilities services.Overall KSS's support services for individuals with intellectual disabilities are aimed at supporting people to experience life that is typical in the communities where they reside. The goal is to provide people with meaningful life experiences such as supporting formal education participation or assisting in seeking meaningful employment experiences to include starting their own business ventures.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17323436Expense
DescriptionChildren and Family ServicesKSS offers a fully integrated system of early education, early intervention and individualized behavioral health care services for children and families through its children and family services. Applying an innovative, multi-dimensional, and holistic perspective, KSS considers the child and their family within the entire context of home, family, school and community and work to help each succeed in these important realms. KSS strengthens children and families in their own communities as they strive to achieve immediate and long-term success.KSS provides Children and Family Services through a wide range of programs including: Behavioral Health Rehabilitation Services (BHRS), Therapeutic Foster Care and Host Home Services, Early Intervention (EI), Family Preservation and Reunification, Summer Therapeutic Activities Program, Family-Based Mental Health Services, Student Assistance Program, Susquehanna Service Dogs, and Capital Area Head Start (CAHS). Children and families receive services in a variety of settings ranging from home, school and community environments to traditional office settings or therapeutic residential homes. Approximately 2,565 individuals receive services through these programs.Notable accomplishments for fiscal year 2012 include:Fourth Grade Students scored higher on the Pennsylvania System of School Assessment (PSSA) in literacy and math than peers who had not participated in our preschool program. This is collaboration between Capital Area Head Start and the Harrisburg School District. The evaluation was completed by the Penn State Prevention Research Center. The Susquehanna Service Dogs (SSD) placed 11 service dogs, 1 companion dog, and 1 hearing dog during the 2012 fiscal year. SSD secured a 5 year grant from a private foundation to develop ongoing fundraising support for the long-term sustainability of SSD. The implementation of an internship program proved to be very successful both internally and externally. The purpose of the internship program is to address the evaluation process, to enhance clinical staff, and to infuse all the mental health programs with a higher level of clinical sophistication. The interns completed almost 300 evaluations during the year. Revision of the evaluation and treatment planning process were extremely beneficial. . The Interns provided additional support to Host Home and Capital Area Head Start programs during the time of transition. CBHNP Chief of Clinical Staff praised KSS as a preferred evaluator.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense13594956Expense
DescriptionMental Health ServicesKSS's Mental Health Adult Services directs, supports and empowers people who experience mental illness develop the means to live with dignity and respect in communities of their choice, with meaningful relationships and in valued social roles. KSS provides services in 12 counties in Pennsylvania, and 2 counties in Maryland through a network of services designed to meet the specific and unique needs of each person experiencing mental illness through programs Residential Homes Services, Community-Based Supports, and employment supports. Services are offered in a variety of settings ranging from the homes of the individuals served to KSS owned homes, the community, employment centers, psychiatric rehabilitation programs, and drop-in centers. Over 1,200 individuals receive services through these programs. Notable accomplishments for fiscal year 2012 include:KSS continues to be chosen by families to provide services due to the comprehensiveness of the services that are totally focused on meeting, with dignity, the needs of the individuals served. The Keystone Center in Chambersburg, PA transitioned successfully to a Medicaid Reimbursement Fee-for-Service program. This is the only "site based" licensed Psychiatric Rehabilitation Program in south central Pennsylvania.KSS continues developing the Mental Health Leadership Council, including 35 people at different stages of recovery. Leadership Council members presented at statewide and national conferences during the fiscal year. They have also been involved in assisting with the interviewing process for key staff at KCMHS along with assisting with training/education and producing a quarterly newsletter.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp6835927TotalOfOtherProgramServiceExp
Total Program Service Expense88484407TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096279NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2538NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCharles S SweederNamePerson
Telephone Number7172327509TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1124 Pine StreetAddressLine1
CityHarrisburgCity
StatePAState
ZIP Code171011208ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Charles J Hooker III
Sr VP, KHS63.00XX1564931311786527
Darryl Hamm
Director2.00X000
Dennis W Felty
President, KHS63.00XX28695984465137403
Charles DeHart III Esq
Corp Counsel2.00X000
Donald Witman
Chairman2.00X000
Mary Kratzer
Vice Chair2.00X000
Robert Colman PhD
Director2.00X000
Warren W Brubaker MD
Director2.00X000
Chy Stewart
Director2.00X000
Dr Robert Scott
Director2.00X000
Gayla Bush
Director2.00X000
Thomas H Flowers
Finance Chair2.00X000
Floyd Stokes
Quality Chair2.00X000
Robyn S Joppy
VP CorpComp-KHS50.00X13721925961404
Jennifer K Allison
VP of HR - KHS50.00X136035233981489
Beverly J Buford
VP-Info Sys-KHS50.00X140525364583429
Ann H Moffitt
VP-CommDev-KHS40.00X53095816641144
Janet K Kelley
VP-Quality-KHS50.00X177601190531713
Robert J Baker
President & CEO52.00X1074931315482087
Roger W Burns
Sr VP-Fin, KHS52.00X130243283041485
Charles S Sweeder
CFO52.00X146620152741493
Carol Dascani
VP of HR - KHS50.00X000
Patricia J Sipe
Ex Director38.0013769201384X
Gerald E Cassidy
Director of App38.0013596501364X
Michael L Powanda
Ex Director38.0013289901215X
Michael J Grier
Ex Director38.0011727001234X
James LaGraffe
Ex Director38.0011720001190X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2113309TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs553938TotalReportableCompFrmRltdOrgs
Total Other Compensation164561TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Total Home Care & Restoration
1024 Herr StreetHarrisburgPA17103Construction381287
PHH Vehicle Management Service
16388 Collections Centre DriveChicagoIL60693Monitor vehicle cost940757
Oracle Corporation
P O Box 71028ChicagoIL60694Computer Systems191620
KPMG LLP
P O Box 120001DallasTX75312Auditing services265000
Hogg Construction Inc
2351 Freedom WayYorikPA17402Construction465245
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants9485317GovernmentGrants
All Other Contributions498266AllOtherContributions
Total Contributions9983583TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRevenue from operationsDescription
Business Code621610BusinessCode
Total Revenue Column85227034TotalRevenueColumn
Related Or Exempt Function Income85227034RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue85227034TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3407TotalRevenueColumn
Exclusion$3,407ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other415279Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other358111Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other57168Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column57168TotalRevenueColumn
Related Or Exempt Function Income57168RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events120633GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column120633TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPayment from AffiliateDescription
Business Code561499BusinessCode
Total Revenue Column62500TotalRevenueColumn
Related Or Exempt Function Income62500RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue62500TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column95454325TotalRevenueColumn
Related Or Exempt Function Income85346702RelatedOrExemptFunctionIncome
Exclusion$3,407ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1193964Total
Management And General1193964ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total289828Total
Management And General289828ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54061700Total
Program Services54061700ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total257046Total
Program Services257046ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8541819Total
Program Services8541819ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3926107Total
Program Services3926107ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5586904Total
Management And General5586904ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total116827Total
Program Services116827ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total694Total
Program Services694ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4188031Total
Program Services4170804ProgramServices
Fundraising17227Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total188349Total
Program Services185762ProgramServices
Fundraising2587Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1650259Total
Program Services1648192ProgramServices
Fundraising2067Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15850Total
Program Services15850ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5861015Total
Program Services5854620ProgramServices
Fundraising6395Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1485197Total
Program Services1485027ProgramServices
Fundraising170Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total819304Total
Program Services819304ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total702529Total
Program Services699225ProgramServices
Fundraising3304Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total236394Total
Program Services236394ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1808337Total
Program Services1808337ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total457533Total
Program Services457468ProgramServices
Fundraising65Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraising
Miscellaneous Expense4314543043102
Bad Debt expense209645209645
Equipment & Vehicles13739061373906
Supplies253603325339882045

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total49601Total
Program Services38649ProgramServices
Fundraising10952Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total95600017Total
Program Services88484407ProgramServices
Management And General7070696ManagementAndGeneral
Fundraising44914Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY665189BOY
EOY548125EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12589117BOY
EOY15452975EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1798252BOY
EOY1315075EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49661886LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21302606LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23681282BOY
EOY28359280EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY977725BOY
EOY981132EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY3235544EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4845319BOY
EOY1165715EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44556884BOY
EOY51057846EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7872805BOY
EOY10785215EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13249018BOY
EOY16657353EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6711476BOY
EOY7886663EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27833299BOY
EOY35329231EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16031834BOY
EOY15124970EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY691751BOY
EOY603645EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16723585BOY
EOY15728615EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44556884BOY
EOY51057846EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-145692ReconcilationRevenueExpenses
Reconcilation Other Changes-849278ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7365596CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7079588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7207304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7016511CurrentTaxYearMinus1Year
Current Tax Year9983583CurrentTaxYear
Total38652582Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7365596CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7079588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7207304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7016511CurrentTaxYearMinus1Year
Current Tax Year9983583CurrentTaxYear
Total38652582Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17038652582PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8518CurrentTaxYearMinus1Year
Current Tax Year8988CurrentTaxYear
Total117384Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support38769966TotalSupport
Public Support Pertcentage1700.99700PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99590PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$101,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB101000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5531474OtherCostOrOtherBasis
Book Value5531474BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20103113OtherCostOrOtherBasis
Depreciation6937149Depreciation
Book Value13165964BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11892464OtherCostOrOtherBasis
Depreciation3596982Depreciation
Book Value8295482BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5224832OtherCostOrOtherBasis
Depreciation4231695Depreciation
Book Value993137BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6910003OtherCostOrOtherBasis
Depreciation6536780Depreciation
Book Value373223BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28359280TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Other long term liabilities$887,228
Other current liabilities$983,843
Line of credit$6,015,592
FieldValueIRS element (for citing)
Total Of Amounts7886663TotalOfAmounts
Total Revenue95454325TotalRevenue
Total Expenses95600017TotalExpenses
Excess Or Deficit For Year-145692ExcessOrDeficitForYear
Other-$849,278OtherAmount
Total Adjustments-849278TotalAdjustments
Excess Or Deficit Per FS-994970ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt96030540TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities634166DonatedSrvcAndUseOfFacilities
Other Revenues4549OtherRevenues
Revenue Not Rptd F990638715RevenueNotRptdF990
Revenue Subtotal95391825RevenueSubtotal
Other Revenues Not Included62500OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt62500RevenueNotRptdOnFinStmt
Total Revenue Per Form99095454325TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt96002338TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities634166DonatedServicesUseOfFacilities
Other Expenses Included4549OtherExpensesIncluded
Expenses Not Rptd F990638715ExpensesNotRptdF990
Expenses Subtotal95363623ExpensesSubtotal
Other Expenses Not Included236394OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt236394ExpensesNotRptdOnFinStmt
Total Expenses Per Form99095600017TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SPayment to affiliate $236394 Restructuring Reserve $0
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SProgram loss $4549
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SPayment from affiliate $62500
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Program loss $4549
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesRestructuring Reserve $ -849278

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising
Licensed StatesPALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1KCFS FundraisersNameOfEvent1
Gross Receipts Event1120633GrossReceiptsEvent1
Gross Revenue Event1120633GrossRevenueEvent1
Gross Receipts Total120633GrossReceiptsTotal
Gross Revenue Total Events120633GrossRevenueTotalEvents
Net Income Summary120633NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
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
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Roger W Burns
126563283043680148513172828304
Robert J Baker
79432131548280612087109580131548
Jennifer K Allison
13557623398459148913752423398
Janet K Kelley
170333190537268171317931419053
Dennis W Felty
255316844653164313740342436284465
Charles S Sweeder
14630115274319149314811315274
Charles J Hooker III
126680131178298136527163020131178
Beverly J Buford
132058364588467342914395436458

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationKeystone Human Services (KHS) serves as the parent organization to KHS subsidiary Organizations which include: Keystone Service Systems, Inc.(KSS), Key Human Services, Inc.(KEY), Keystone Partnership (KP), Impact Systems, Inc. (ISI), Keystone Autism Services (KAS) and Keystone Human Services International(KHSI). KHSI serves as the founder and parent corporation to Keystone Human Services International Moldova Association and Keystone Foundation for Children and Families (Russia). KHS provides general administrative services to all KHS entities. The salaries and benefits of officers and key employees are allocated among the KHS entities pursuant to a Cost Allocation Plan which is compliant with Federal and State regulations governing cost allocations. NOTE:Benefits include accrued expense pursuant to IRS 457b and 457f deferred compensation retirement plans.Executive compensation is allocated to specific program areas pursuant to regulatory and/or contract caps on participation in executive compensation. The deferred compensation is not allocable.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipSharing Of RevenuesSharingOfRevenuesAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransaction
Thomas Flowers - Centric Bank
Board memberfalse
Charles J HookerIII - Ian Hooker
Sr. Vice Presidentfalse33108employment
Charles J HookerIII - Kathy Hooker
Sr. Vice Presidentfalse17204employment
Dennis Felty and Adam Felty
Presidentfalse42625employment

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions13NumberOfContributions
Noncash Contribs Rptd F990623895NoncashContribsRptdF990
Method Of Determining RevenuesappraisalMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
DescriptionVarious itemsDescription
Noncash Contribs Rptd F99010271NoncashContribsRptdF990
Method Of Determining Revenuesfair valueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe company mission statement is widely publicized and readily available; however, other governing documents including the conflict of interest policy are not.The Internal Revenue Form 990 is available upon request and can also be obtained on Guidestar's web site.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThis policy establishes the intention of Keystone Human Services (KHS) to provide reasonable remuneration to the KHS President and designated Officers in their leadership roles for a large, comprehensive non-profit corporation providing human services.POLICY: It is the policy of KHS to use a compensation system for the KHS President and Officers that will determine the current market value of a position based on the skills, knowledge and behaviors required of a fully competent incumbent. The system used will be affordable, objective and non-discriminatory in theory, application and practice and be in compliance with Federal IRS "Intermediate Sanctions" regulations. PROCEDURES:KHS will use a professional compensation consultant and system recommended by executive management and approved by the Compensation Committee of the Board of Directors. The Committee, operating in their fiduciary capacity, will balance executive performance, market data, and affordability into any decision involving executive remuneration.Total Compensation Analysis:Competitiveness of the President and Officer's total remunerations (all elements of compensation and benefits) is compared to the market median for both base salary and total cash compensation when compared to similar executive roles. The analysis process includes position pricing by title match and job size.The above market approach results will be blended to develop a market reference that reflects components of both the complexity of the positions and the title/organizational size.Responsibilities:On a periodic basis the Compensation Committee of the Board of Directors will review and approve, as appropriate, recommended changes in remuneration based on market analysis, executive performance and organization affordability. As part of the process, the Compensation Committee of the Board of Directors will review and approve, as applicable, total compensation range, which would include base salary, total cash, deferred compensation, benefit plans and perquisites. The Board shall set the position level, salary and benefit components of the total compensation package for the President.The President shall set the position level, salary and benefit components of the total compensation package of officers designated by the Board of Directors.In the event funding is reduced, not available, contracts are lost or a compensation survey indicates the individual is receiving salary and benefits that exceed market level, the salary and benefits may be frozen or reduced.Executive salary and benefits will be allocated and charged to appropriate cost centers at a level that is consistent with all regulatory and contractual obligations and applicable cost allocation plans.OfficersOfficers are executive positions identified and approved by the KHS Board of Directors.Board Compensation Committee A committee consisting of Board members who are not employees of Keystone Human Services and not classified as disqualified persons pursuant to Internal Revenue Service regulations.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsConflict of InterestPOLICY:It is the policy of KHS and all of its subsidiaries that no Director or Officer shall profit financially or appear to profit financially (beyond approved compensation) as a result of their association with KHS. It is KHS's intent to engage in financial transactions with Directors and Officers only when it is clearly within the best interests of KHS to do so or when the transactions are both non-material and non-adverse to KHS. PROCEDURES:Service with Competing Organizations:In order to protect KHS from the risk of unfair competition or anti-trust liabilities, paid Directors and Officers shall not serve as Directors of competing organizations that do business or regularly submit competitive proposals in areas where KHS is active. If a volunteer Director or Officer serves as a Director of a competing organization, that role shall be disclosed to the Corporate Compliance Officer and the Board of Directors of each of the organizations and that Director or Officer shall abstain from discussions and voting on issues applicable to both organizations. Confidential Information:Directors and Officers may have access to confidential information about persons served and employees. Directors and Officers shall not divulge any such information to unauthorized persons and shall not publish, discuss or otherwise make public or disclose any such confidential information. Proprietary Information:Information not otherwise made public but disclosed to Directors and Officers about KHS's particular processes, services, proposals, operations, methodologies, plans, policies, and programs is proprietary, privileged and/or confidential. Except as required by their duties, and as authorized by the Corporate President and/or Chief Executive Officer, no current or past Directors or Officers may directly or indirectly use, disseminate, disclose, lecture upon, or publish information concerning any such privileged, proprietary and/or confidential information or knowledge. In the event a Director or Officer does not follow the procedures as outlined above there may be termination of the appointment to the Board or of employment. Disclosure:Directors and Officers shall timely disclose in writing to the Corporate Compliance Officer, all circumstances that constitute an actual, potential or perceived conflict of interest. In addition, the Compliance Department will circulate the Annual Disclosure Statement. All Board members, Directors and Officers must complete the Statement upon affiliation with the Organization and annually thereafter. Disclosure Statements shall be completed annually and forwarded to the Corporate Compliance Department.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessBoard Review of the Form 990The KHS Board has governance responsibility for the engagement of independent auditors and acceptance of the audit report for KHS and all subsidiaries. The Keystone Human Services Audit Committee is established to provide management of the audit process and the Organization's system of internal controls. Internal Control is comprised of all policies and procedures designed to assure the integrity of financial and operational accountability. Financial accountability is comprised of policies and procedures relating to the financial management functions designed to assure that financial transactions which flow from the services provided are executed and reported in compliance with all applicable regulations. This includes that accounting records and related financial reports are accurate representations of the executed transactions.In accordance with the foregoing responsibility of the KHS Audit Committee and in compliance with the new Form 990 governance implicit recommendation, the Form 990 of each KHS entities will be reviewed prior to filing.Salary note regarding President and Officers:Benefits include accrued expense pursuant to IRS 457b and 457f deferred compensation retirement plans.Executive compensation is allocated to specific program areas pursuant to regulatory and/or contract caps on participation in executive compensation. For example, the Pennsylvania Mental Health and Intellectual Disabilities Program's participation in the KHS President's salary is capped.In addition, the deferred compensation is not allocable.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderKeystone Human Services is a "member" for all entities.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Mental Health ServicesKSS's Mental Health Adult Services directs, supports and empowers people who experience mental illness develop the means to live with dignity and respect in communities of their choice, with meaningful relationships and in valued social roles. KSS provides services in 12 counties in Pennsylvania, and 2 counties in Maryland through a network of services designed to meet the specific and unique needs of each person experiencing mental illness through programs Residential Homes Services, Community-Based Supports, and employment supports. Services are offered in a variety of settings ranging from the homes of the individuals served to KSS owned homes, the community, employment centers, psychiatric rehabilitation programs, and drop-in centers. Over 1,200 individuals receive services through these programs. Notable accomplishments for fiscal year 2012 include:KSS continues to be chosen by families to provide services due to the comprehensiveness of the services that are totally focused on meeting, with dignity, the needs of the individuals served. The Keystone Center in Chambersburg, PA transitioned successfully to a Medicaid Reimbursement Fee-for-Service program. This is the only "site based" licensed Psychiatric Rehabilitation Program in south central Pennsylvania.KSS continues developing the Mental Health Leadership Council, including 35 people at different stages of recovery. Leadership Council members presented at statewide and national conferences during the fiscal year. They have also been involved in assisting with the interviewing process for key staff at KCMHS along with assisting with training/education and producing a quarterly newsletter. OTHER PROGRAM SERVICES 5: OtherThe Keystone Institute (KI), KHS's valued-based educational organization, provided 64 formal values and skills-based educational events to a total of 1,501 participants, which translates to a total of 19,155 participant training hours. The purpose of the KI is to advance the vision of the organization through education and support with the intent that services provided will enrich the lives of the people who are supported. To achieve this, KI provides a variety of educational workshops across all the KHS affiliates, provides consultation to KHS affiliates and individuals, and works to build leadership capacities and skills within organizations. In addition, KI provided extensive consulting to the various KHS affiliates regarding values-based approaches to support services.KSS received an unqualified opinion, the highest level of assurance available of its financial statements by independent international auditing firm. No significant corrections or internal control related matters were noted by the auditing firm.Continued to meet established financial objectives aimed at strengthening the financial base to assure long term commitments of service can be honored while at the same time maintained high quality of services provided.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
IMPACT SYSTEMS INC
4 Beryl RoadPaoliPA19301900395254Human services to adults with ID and MHPA501(c)(3)170(b)(1)(A)N/Afalse
Key Human Services
270 Farmington Ave Suite 220FarmingtonCT06032061259340Human servicesCT501(c)(3)509(a)(2)N/Afalse
Keystone Autism Services
124 Pine StreetHarrisburgPA17101261454616Providing services to adults with autismPA501(c)(3)170(b)(1)(A)(vi)N/Afalse
Keystone Human Services
124 Pine StreetHarrisburgPA17101251847902Human services managementPA501(c)(3)509(a)(3)N/Afalse
Keystone Human Services International
124 Pine StreetHarrisburgPA17101251813977International human servicesPA501(c)(3)509(a)(3)N/Afalse
Tri-County Society for Children & Adults
124 Pine StreetHarrisburgPA17101231405636FundraisingPA501(c)(3)509(a)(1)N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierItem h - Exchange of assets - GoodwillIdentifier
ExplanationGoodwill resulted from the acquisition of IMPACT SYSTEMS, INC by Keystone Human Services. Goodwill represents the excess of the purchase price over the fair value of the assets acquired.As part of the consolidation of IMPACT SYSTEMS, INC. operations into the KSS intellectual disabilities reporting unit, the liability to the Parent was forgiven as consideration and the goodwill transferred to Keystone Service Systems, Inc.Explanation