Keystone Physician Services in Chambersburg, Pennsylvania (PA)

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Keystone Physician Services
Employer Identification Number (EIN)200283725
Name of OrganizationKeystone Physician Services
In Care of NameJoanne Cochran
Address755 Norland Avenue Suite 200, Chambersburg, PA 17201
SubsectionCharitable Organization, Educational Organization
Ruling Date01/2005
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period2013
Assets$0
Income$0
Filing Requirement990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount$682,544
Amount of Income$6,506,499
Form 990 Revenue Amount$6,506,499
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, Specialty


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Amount of income in 2013: $6,506,499
This organization: 

 $6,506,499
Other organizations performing similar types of work: 

 $7,466,253

Assets in 2013: $682,544
This organization: 

 $682,544
Other organizations performing similar types of work: 

 $4,489,770

Expenses in 2011: $0
This organization: 

 $0
Other organizations performing similar types of work: 

 $7,117,561

Expenses allocated to program services in 2007: 89.6%
This organization: 

 89.6%
Other organizations performing similar types of work: 

 88.6%

Number of employees in 2007: 37
Keystone Physician Services: 

 37
Other organizations performing similar types of work: 

 34

Employees paid over $50,000 in 2007: 35.1%
Keystone Physician Services: 

 35.1%
Other organizations performing similar types of work: 

 35.1%

Grants share in income in 2011: -,nan,(ind)%
Keystone Physician Services: 

 -,nan,(ind)%
Other organizations performing similar types of work: 

 0.1%

Financial snapshot ($)

Support schedule

Revenue, Expenses, and Changes in Net Assets or Fund Balances (for 2011)
Total revenue$0
Total expenses$0
Total net assets$0
Balance Sheets (for 2011)
Total assets$1
Total liabilities$0
Net assets or fund balances$0
Other Information (for 2011)
Did the organization have unrelated business gross income of $1,000 or more during the year from business activitiesNo
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
Reason for Public Charity Status (for 2011)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Support Schedule for Organizations Described in Section 509(a)(2) (for 2011)
2007 - 2011 Total
Total support$24,949,398
Gifts, grants, contributions, and membership fees received$2,542,018
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$21,851,811
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources and Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$221,705
Other$333,864
Revenue, Expenses, and Changes in Net Assets or Fund Balances
2004200520062007
Total revenue$3,569,012$4,742,670$5,804,069$6,506,499
Contributions, gifts, grants, and similar amounts received$0$35,000$25,000$486,845
Contributions to donor advised funds$0$0
Direct public support$0$0$0$486,845
Indirect public support$0$35,000$25,000$0
Government contributions (grants)$0$0$0$0
Program service revenue including government fees and contracts$3,566,877$4,683,841$5,764,458$6,002,902
Membership dues and assessments$0$0$0$0
Interest on savings and temporary cash investments$1,312$4,220$11,658$12,237
Dividends and interest from securities$0$0$0$0
Net rental income or (loss)$0$0$0$0
Gross rents$0$0$0$0
Less: rental expenses$0$0$0$0
Other investment income$0$0$0$0
Gain or (loss) from sales of assets other than inventory$0$0$-2,114$0
Gross amount from sales of assets other than inventory$0$0$0$0
Less: cost or other basis and sales expenses$0$0$2,114$0
Net income or (loss) from special events and activities$0$0$0$0
Gross revenue$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0
Less: cost of goods sold$0$0$0$0
Other revenue$823$19,609$5,067$4,515
Total expenses$3,410,471$4,678,962$5,384,531$6,395,617
Program services$3,084,018$4,166,815$4,823,946$5,728,468
Management and general$326,453$512,147$560,585$667,149
Fundraising$0$0$0$0
Payments to affiliates$0$0$0$0
Net assets or fund balances at end of year$88,416$152,124$571,662$682,544
Excess or (deficit) for the year$158,541$63,708$419,538$110,882
Net assets or fund balances at beginning of year$-70,125$88,416$152,124$571,662
Other changes in net assets or fund balances$0$0$0$0
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$6,395,617$5,728,468$667,149$0
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$0$0$0$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$3,697,708$3,697,708$0$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$173,389$173,389$0$0
Payroll taxes$164,319$164,319$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$13,054$0$13,054$0
Legal fees$25,597$0$25,597$0
Supplies$321,620$285,729$35,891$0
Telephone$17,513$0$17,513$0
Postage and shipping$4,996$0$4,996$0
Occupancy$186,674$128,909$57,765$0
Equipment rental and maintenance$96,934$0$96,934$0
Printing and publications$34,384$0$34,384$0
Travel$822$0$822$0
Conferences, conventions, and meetings$36,385$32,306$4,079$0
Interest$44,960$44,960$0$0
Depreciation, depletion, etc.$228,077$228,077$0$0
Other expenses not covered above$1,349,185$973,071$376,114$0
Balance Sheets
2004200520062007
Total assets$1,477,689$1,390,570$2,048,601$2,108,159
Cash - non-interest-bearing$72,083$101,181$148,156$350
Savings and temporary cash investments$102,142$87,665$7,798$71,040
Accounts receivable less allowance for doubtful accounts$679,587$686,190$949,530$1,179,531
Pledges receivable less allowance for doubtful accounts$0$11,667$8,333$0
Grants receivable$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0
Inventories for sale or use$1,109$5,466$9,157$0
Prepaid expenses and deferred charges$21,643$23,073$17,448$105,861
Investments - publicly-traded securities$0$0
Investments - other securities$0$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0
Investments - other$0$0$0$47,384
Land, buildings, and equipment less accumulated depreciation$601,125$475,328$908,179$703,993
Other assets, including program-related investments$0$0$0$0
Total liabilities$1,389,273$1,238,446$1,476,939$1,425,615
Accounts payable and accrued expenses$401,042$476,358$416,828$440,185
Grants payable$0$0$0$0
Deferred revenue$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0
Mortgages and other notes payable$988,231$762,088$1,060,111$985,430
Other liabilities$0$0$0$0
Total liabilities and net assets/fund balances$1,477,689$1,390,570$2,048,601$2,108,159
Total net assets or fund balances$88,416$152,124$571,662$682,544
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2004200520062007
Total revenue$3,569,012$4,742,670$5,804,069$6,506,499
Total revenue, gains, and other support per audited financial statements$3,569,012$4,742,670$5,806,183$6,506,499
Other expenses$0$0$0$0
Net unrealized gains on investments$0$0$0$0
Donated services and use of facilities$0$0$0$0
Recoveries of prior year grants$0$0$0$0
Other$0$0$0$0
Other revenue$0$0$-2,114$0
Investment expenses$0$0$0$0
Other$0$0$-2,114$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2004200520062007
Total expenses$3,410,471$4,678,962$5,384,531$6,395,617
Total expenses and losses per audited financial statements$3,410,471$4,678,962$5,386,645$6,395,617
Other revenue$0$0$2,114$0
Donated services and use of facilities$0$0$0$0
Prior year adjustments$0$0$0$0
Losses$0$0$0$0
Other$0$0$2,114$0
Other expenses$0$0$0$0
Investment expenses$0$0$0$0
Other$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings7
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 200637
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$12,237$6,007,417
Program service revenue
Program service revenue 1000000$000$0$5,834,454
Program service revenue 2000000$000$0$168,448
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$12,237$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$4,515
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$634,558$26,654$0
$567,177$28,211$0
$519,291$28,211$0
$378,558$30,253$0
$310,418$21,993$0
Total number of other employees paid over $50,0008
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
2003200420052006
Total$0$2,889,425$4,724,400$5,546,177
Gifts, grants, and contributions received$0$0$0$28,334
Membership fees received$0$0$23,333$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$2,887,290$4,677,238$5,501,118
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$1,312$4,220$11,658
Net income from unrelated business activities not included above$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0
Other income$0$823$19,609$5,067
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Number of organizations performing similar types of work
Alabama2
Arkansas3
Arizona1
California11
Connecticut3
Florida6
Georgia2
Iowa2
Illinois2
Indiana6
Kentucky2
Louisiana1
Massachusetts2
Maryland1
Michigan4
Minnesota1
Mississippi1
North Carolina1
Nebraska2
New Hampshire1
New Jersey1
New Mexico1
New York10
Ohio4
Oklahoma3
Pennsylvania14
South Carolina1
South Dakota1
Tennessee2
Texas10
Utah1
Virginia2
Washington2
Wisconsin6
International2
Total114

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