KEYSTONE RURAL HEALTH CENTER D/B/A KEYSTONE HEALTH: Single Audit Reports and Findings
KEYSTONE RURAL HEALTH CENTER D/B/A KEYSTONE HEALTH's most recent single audit in the Federal Audit Clearinghouse covers fiscal year 2025, accepted April 28, 2026; the auditor observed on that filing is Smith Elliott Kearns & Company, LLC. It reported no findings. 10 filings from 2016 to 2025 are on record. Data as of 2026-11-06.
Data as of Nov 6, 2026 · Source: Federal Audit Clearinghouse (public data)
Single audits by year
One row per audit year as the Federal Audit Clearinghouse accepted it. The auditor named is the one observed on that filing; KEYSTONE RURAL HEALTH CENTER D/B/A KEYSTONE HEALTH is recorded in CHAMBERSBURG, Pennsylvania under EIN 251546810, and the Clearinghouse records it as a nonprofit. Each report opens on the Clearinghouse itself; how to search the Federal Audit Clearinghouse explains the rest of the reporting package.
| Audit year | Fiscal year end | Federal expended | Threshold applied | Auditor observed | Opinion | Findings | MW / SD | FAC report |
|---|---|---|---|---|---|---|---|---|
| 2025 | 2025-12-31 | $6,567,924 | $1,000,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2025-12-GSAFAC-0000415765 |
| 2024 | 2024-12-31 | $6,989,968 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2024-12-GSAFAC-0000366482 |
| 2023 | 2023-12-31 | $7,782,184 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2023-12-GSAFAC-0000029085 |
| 2022 | 2022-12-31 | $14,701,008 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2022-12-CENSUS-0000036922 |
| 2021 | 2021-12-31 | $11,967,275 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2021-12-CENSUS-0000036922 |
| 2020 | 2020-12-31 | $8,502,833 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2020-12-CENSUS-0000036922 |
| 2019 | 2019-12-31 | $5,591,308 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2019-12-CENSUS-0000036922 |
| 2018 | 2018-12-31 | $5,177,614 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2018-12-CENSUS-0000036922 |
| 2017 | 2017-12-31 | $5,148,328 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2017-12-CENSUS-0000036922 |
| 2016 | 2016-12-31 | $6,054,150 | $750,000 | Smith Elliott Kearns & Company, LLC | Unmodified | 0 | — | 2016-12-CENSUS-0000036922 |
When is the next single audit due?
If KEYSTONE RURAL HEALTH CENTER D/B/A KEYSTONE HEALTH is again required to have a single audit for the fiscal year ending Dec 31, 2026, the reporting package is due to the Federal Audit Clearinghouse by Sep 30, 2027 at the latest.
Whether an audit is required depends on federal awards expended in that year (the single audit threshold). The rule, 2 CFR 200.512(a): the reporting package is due within 30 calendar days after the auditee receives the auditor's report or nine months after the end of the audit period, whichever is earlier; the date above is the nine-month date, moved to Monday when it falls on a weekend. Last verified: 2026-11-15.
Which federal programs did this organization report?
From the most recent accepted report, as listed on its schedule of expenditures of federal awards (SEFA). "Major" is the designation the auditor made under 2 CFR 200.518, not ours.
| ALN | Program | Expended | Major |
|---|---|---|---|
| 93.224 | HEALTH CENTER PROGRAM | $4,999,031 | Yes |
| 93.224 | HEALTH CENTER PROGRAM | $430,153 | Yes |
| 93.918 | GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE | $306,504 | No |
| 93.243 | SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE | $246,752 | No |
| 93.268 | IMMUNIZATION COOPERATIVE AGREEMENTS | $178,460 | Yes |
| 93.224 | HEALTH CENTER PROGRAM | $142,401 | Yes |
| 93.958 | BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES | $95,650 | No |
| 93.044 | SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART B, GRANTS FOR SUPPORTIVE SERVICES AND SENIOR CENTERS | $59,560 | No |
| 93.898 | CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS | $46,342 | No |
| 93.217 | FAMILY PLANNING SERVICES | $43,927 | No |
| 93.667 | SOCIAL SERVICES BLOCK GRANT | $14,756 | No |
| 93.994 | MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES | $4,388 | No |
What findings did the auditor report?
The reference is the auditor’s; the requirement is the Compliance Supplement category the auditor selected. The finding text itself is not reproduced here; the FAC report linked above carries it in full. What the two severity levels mean: material weakness vs significant deficiency.
The most recent report lists no finding.
Form 990 and IRS registration
Form 990 "accounting fees" (Part IX line 11c) cover all accounting services reported by the organization and are not the price of an audit engagement.
Where to find the return itself, and what our Form 990 data covers: Form 990 lookup.
- Most recent return
- 990 for 2025-12
- Total revenue
- $114,044,725
- Total assets
- $186,443,631
- Accounting fees (Part IX line 11c)
- $76,290
- Paid preparer
- SMITH ELLIOTT KEARNS & COMPANY LLC
- IRS object id
- 202602189349300830
- NTEE code
- E39Z
- Exempt under
- 501(c)(3)
- Ruling year
- 1988
- BMF release
- 2026-10-20
Read next
- CPA firms that audit Pennsylvania nonprofits
- Pennsylvania single audit statistics
- Pennsylvania nonprofit audit requirements
How we computed this
Every row comes from the Federal Audit Clearinghouse record named beside it, one report per audit year, with a resubmission superseding the filing it replaces. The auditor is the one named on that filing — it is not a statement about who audits KEYSTONE RURAL HEALTH CENTER D/B/A KEYSTONE HEALTH now. Form 990 figures come from the IRS e-filed return named by its object id. This page exists because the organization filed at least two single audits, or one with a finding.
Cite this page
AuditRadar. “Keystone Rural Health Center D/B/A Single Audit FY2025 (PA).” https://getauditradar.com/single-audits/pa/keystone-rural-health-center-d-b-a-keystone-health-251546810/. Data as of 2026-11-06.