Keystone Rural Health Center
Keystone Rural Health Center reported $114.0 million in revenue and $106.5 million in expenses for calendar year 2025. Of every $100 it spent, $86.54 went to program services, $13.44 to management and general costs and $0.02 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 87.5% of the total. Government grants made up 6.5%. The highest compensation it reported for one person was $741,776 (PHYSICIAN). 121 people received more than $100,000 in reportable compensation. Revenue rose 84% between 2019 and 2025. Source: Form 990, 2025.
Where $100 of spending went
Calendar year 2025 · Form 990, Part IX, line 25 · total expenses $106MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
Calendar year 2025 · Form 990, Part VIII · total revenue $114MThe 990 scorecard · same measures for every charity, no grades
| Measure | 2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 86.5% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 13.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 8.8% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 6.5% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 87.5% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $741,776 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.70% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 121 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 20.2 | 6.6 |
| Independent voting board members Part VI 1a–1b | 14 of 14 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
2025 · Form 990, Part III · the three largest programs by expenseProvider of pediatric services to the general population targeting low income medicare and medical assistance individuals
Provider of dental services to the general population targeting low income individuals
Provider of behavioral health services to the general population targeting low income individuals
Highest reported compensation
2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $698,865 | $0 | $42,911 | $741,776 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $700,849 | $0 | $39,643 | $740,492 |
| PRESIDENT/CE Officer, 50.00 hrs/week | $613,418 | $0 | $27,788 | $641,206 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $538,672 | $0 | $52,000 | $590,672 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $481,773 | $0 | $51,999 | $533,772 |
| VP/CFO Officer, 50.00 hrs/week | $467,050 | $0 | $27,821 | $494,871 |
| PSYCHIATRIST Highest compensated employee, 50.00 hrs/week | $441,583 | $0 | $45,904 | $487,487 |
| MEDICAL DIRE Key employee, 50.00 hrs/week | $401,186 | $0 | $51,898 | $453,084 |
121 people received more than $100,000 in reportable compensation from Keystone Rural Health Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.4M (Part IX, line 5).
7 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b14 · 14 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5816
- Volunteers Part I, line 615
Largest outside contractors
2025 · Form 990, Part VII, Section B · businesses only| RODNEY B SMITH PLUMBING HEATING & COOLING Heat/cool, plum | $489,710 |
Individuals listed as contractors are left out. 17 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Keystone Rural Health Center totaling $1,669 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Keystone Rural Health Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Keystone Rural Health Center, you can publish a response that is linked from this page.
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Of every $100 Keystone Rural Health Center spent in 2025, $86.54 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- St Luke's Hospital at the VintagePhoenix, AZ · revenue $114M · programs 88.5% · FY2025
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- Covenant Health SystemRenton, WA · revenue $114M · programs 60.6% · 2024
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- Florida Hospital Dade CityDade City, FL · revenue $113M · programs 92.3% · 2024
All health care charities · Largest charities in Pennsylvania
Questions people ask
How much of Keystone Rural Health Center's spending goes to programs?
In calendar year 2025, Keystone Rural Health Center reported that 86.5% of its $106.5 million in expenses went to program services, 13.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Keystone Rural Health Center pay its top executive?
The largest total compensation Keystone Rural Health Center reported for one person in calendar year 2025 was $741,776, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Keystone Rural Health Center get its money?
Of $114.0 million in revenue in calendar year 2025, 8.8% came from contributions and grants (including 6.5% from government grants) and 87.5% from program service revenue (Form 990, Part VIII).
Is Keystone Rural Health Center a registered charity?
The IRS lists EIN 25-1546810 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024, 2025. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- 2025: Form 990 for calendar year 2025, object 202602189349300830 · read the filing
- 2024: Form 990 for calendar year 2024, object 202542199349300309 · read the filing
- 2023: Form 990 for calendar year 2023, object 202442299349301404 · read the filing
- 2022: Form 990 for calendar year 2022, object 202312199349300776 · read the filing
- 2021: Form 990 for calendar year 2021, object 202212209349301226 · read the filing
- 2020: Form 990 for calendar year 2020, object 202132289349302713 · read the filing
- 2019: Form 990 for calendar year 2019, object 202032909349301408 · read the filing
All filings for EIN 25-1546810: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.