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      <Description>Intellectual Disabilities ServicesKSS's Intellectual Disabilities 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 agency owned homes, family-provider homes, community supports, and adult day centers. Approximately 700 individuals receive services through these programs.Notable accomplishments for fiscal year 2011 include:KSS continues to expand capacities of the Intellectual Disabilities Services, which includes new homes in Franklin, Cumberland, and Dauphin counties.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>
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        <Description>Children 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 3,200 individuals receive services through these programs.Notable accomplishments for fiscal year 2011 include:The Administration for Children and Families (ACF) conducted an on-site monitoring review of the Head Start (HS) and Early Head Start (EHS) programs operated by CAHS, concluding that our program is in compliance with all applicable HS and EHS performance standards, laws, regulations and policy requirements. ACF, Office of Head Start states, "The grantee demonstrated strength in community collaboration by partnering with community agencies and entities."To enhance BHRS Therapists knowledge of serving children under the age of five, with the goal of providing the most competent empirically based interventions to young children, EI and BHRS developed and implemented a pilot project surrounding this population of children. This included EI Therapists educating BHRS therapists in typical child development. Processes were put into place to ascertain frequent and systematic communication among team members so that services were provided by both programs in a consistent and coordinated fashion. There exists much interest in this service delivery model from a developmental pediatrician from Hershey Medical Center and the Early Intervention Pennsylvania Training Institute. Presently representatives of both organizations are joining with KSS administrators to develop an accountability and measurement system to evaluate the efficacy of the initiative in terms of practitioners' skills and children's outcomes.</Description>
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        <Description>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 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 agency-owned homes, the community, employment centers, psychiatric rehabilitation programs, and drop-in centers. 1,108 individuals receive services through these programs. Notable accomplishments for fiscal year 2011 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. KSS expanded MA services into York and Adams counties for the development of a new eight person personal care home.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>
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        <Depreciation>3115711</Depreciation>
        <BookValue>7428866</BookValue>
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        <Depreciation>3948223</Depreciation>
        <BookValue>1417169</BookValue>
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      <OtherLandBuildings>
        <OtherCostOrOtherBasis>7168744</OtherCostOrOtherBasis>
        <Depreciation>6420401</Depreciation>
        <BookValue>748343</BookValue>
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      <TotalOfBookValueLandBuildings>23681282</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Receivable from Parent</Description>
        <BookValue>3651301</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Assets</Description>
        <BookValue>515357</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Beneficial int in Keystone P-Ship</Description>
        <BookValue>678661</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>4845319</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Other long term liabilities</Description>
        <Amount>36523</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other current liabilities</Description>
        <Amount>1136043</Amount>
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      <OtherLiabilities>
        <Description>Line of credit</Description>
        <Amount>5538910</Amount>
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      <TotalOfAmounts>6711476</TotalOfAmounts>
      <TotalRevenue>89322908</TotalRevenue>
      <TotalExpenses>88477697</TotalExpenses>
      <ExcessOrDeficitForYear>845211</ExcessOrDeficitForYear>
      <OtherAmount>-5</OtherAmount>
      <TotalAdjustments>-5</TotalAdjustments>
      <ExcessOrDeficitPerFS>845206</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>89322908</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>89322908</RevenueSubtotal>
      <TotalRevenuePerForm990>89322908</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>88477697</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>88477697</ExpensesSubtotal>
      <TotalExpensesPerForm990>88477697</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>rounding $ -5</Explanation>
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      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
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        <GrossReceiptsEvent1>120159</GrossReceiptsEvent1>
        <GrossRevenueEvent1>120159</GrossRevenueEvent1>
        <GrossReceiptsTotal>120159</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>120159</GrossRevenueTotalEvents>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
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      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Roger W Burns</NamePerson>
        <BaseCompensationFilingOrg>155527</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>41691</CompBasedOnRelatedOrgs>
        <DeferredCompFilingOrg>1656</DeferredCompFilingOrg>
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        <NamePerson>Robert J Baker</NamePerson>
        <BaseCompensationFilingOrg>74794</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>114103</CompBasedOnRelatedOrgs>
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        <NamePerson>Dennis W Felty</NamePerson>
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        <CompBasedOnRelatedOrgs>82765</CompBasedOnRelatedOrgs>
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        <NamePerson>Charles J Hooker III</NamePerson>
        <BaseCompensationFilingOrg>146355</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>56611</CompBasedOnRelatedOrgs>
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        <NamePerson>Beverly J Buford</NamePerson>
        <BaseCompensationFilingOrg>118874</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part III, Additional Information</Identifier>
        <ReturnReference>Part III, Additional Information</ReturnReference>
        <Explanation>Keystone 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). KSS 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>
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          <NamePerson>Thomas Flowers - Centric Bank</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board member</Relationship>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Charles J HookerIII - Ian Hooker</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Sr. Vice President</Relationship>
        <AmountOfTransaction>32648</AmountOfTransaction>
        <DescriptionOfTransaction>employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Charles J HookerIII - Kathy Hooker</NamePerson>
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        <AmountOfTransaction>61298</AmountOfTransaction>
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        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NamePerson>Dennis Felty and Adam Felty</NamePerson>
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        <Relationship>President</Relationship>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>This 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Conflict 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Board 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Keystone Human Services is a "member" for all entities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER 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 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 agency-owned homes, the community, employment centers, psychiatric rehabilitation programs, and drop-in centers. 1,108 individuals receive services through these programs. Notable accomplishments for fiscal year 2011 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. KSS expanded MA services into York and Adams counties for the development of a new eight person personal care home.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: OtherKSS has developed an International Practical Training Program (IPTP). This program has attracted individuals from all geographic areas of the world. The motivation to participate is to gain practical and professional experience in human services through Keystone agency work experience and Keystone Institute training. It forges lasting friendships with human services professionals who share their goals and visions. Educational opportunities focus on: clinical skills, program management, voluntary action, leadership, governance and community capacity. In this initiative KSS partners with American Youth Work Center (AYWC) who sponsors the participants in the IPTP. The Keystone Institute (KI), KSS's educational division, provided 64 formal values and skills-based educational events to a total of 1,570 participants, which translates to a total of 17,227 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 agencies, provides consultation to agencies and individuals, and works to build leadership capacities and skills within organizations. In addition, KI provided over 260 hours of consulting to the various Keystone Agencies 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.</Explanation>
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