KeystoneOS Cost Plus
One annual fee buys your facility or company every item in Keystone's catalog at our landed cost plus 5 percent, shipped free, with a named representative who runs your account and a yearly cost review that measures your spend against the market. Built for hospitals, surgery centers, senior living, labs, schools, agencies and companies that buy medical, PPE, janitorial and industrial supply at volume and are done paying list.
Enroll now Read the program terms
Limited to the first 100 facilities and companies.
How the pricing works
- Cost plus 5 percent on every item. Your price is Keystone's landed cost plus a 5 percent markup, set per item, not a blanket discount off list. Landed cost means the supplier's invoice price before any discount or rebate Keystone may earn, plus inbound freight, duties, tariffs and supplier surcharges, fixed on the day your order is accepted.
- Free shipping on every order. Standard parcel or LTL freight on the carrier Keystone selects, to your listed commercial addresses in the contiguous United States. Expedited service you request, liftgate, inside delivery, residential, hazmat, temperature-controlled, truckload, manufacturer drop-ship and non-contiguous destinations are billed at carrier cost with no handling markup.
- Quote-only items follow the same formula. Rx-only devices, prescription drugs and other quote-only products are priced at cost plus 5 percent on the written quote once your purchaser attestation is on file.
- Prices move with cost, in both directions. When our landed cost drops, your price drops with it. Quotes on public bids are the exception and are held through the award.
- Pay the way you already pay. Card, ACH, wire or Net 30 on approved credit, with the same member price and free shipping on every order.
Membership tiers
Pick the tier that covers your annual purchasing. The fee is charged once a year and renews automatically.
| Annual purchasing limit | Annual membership fee |
|---|---|
| Up to $500,000 | $5,000 |
| Up to $1,000,000 | $10,000 |
| Up to $5,000,000 | $15,000 |
| Above $5,000,000 | Call (507) 237-6036 for limits and pricing |
The limit is a ceiling on purchases eligible for member pricing, not a purchase commitment. Reach it mid-year and your account moves up a tier; see the questions below. Fees exclude any applicable sales or use tax.
What members get
Everything below is included in the annual fee.
- Dedicated account representative. One named Keystone representative handles every quote, order, delivery question and reorder, answers inside one business day, checks in after each delivery and flags reorders before you run short.
- Annual full cost analysis. Once each membership year we review twelve months of your purchase history against current market pricing and availability and hand you a written report: what to switch, consolidate, stock or drop, and what each move saves.
- Net 30 on approved credit. One-page application, decision inside two business days, W-9 and tax-exempt certificate uploaded once.
- Front of the sourcing desk. Backordered, allocated, recalled and discontinued items worked first across 490+ distributors, suppliers and manufacturers, same SKU first, verified exact alternate second, with a same-day status call on critical items.
- Recall, allocation and restock alerts. A short email for the categories you buy, sent the day we confirm the change.
- Cross-reference file for your critical SKUs. Verified alternates and successor part numbers, including 3M to Solventum conversions, so a recall or brand change never stops a PO.
- Standing orders and par replenishment. Recurring items on a standing order with monthly releases and one invoice per site, adjusted by your representative before each release. Blanket POs and vendor-managed inventory on request.
- Every location on one membership. One price list, one PO, one delivery window and one invoice per listed location.
- Vendor documents on day one. W-9, certificate of insurance, ST3 and state tax forms, capability statement and your vendor packet in your format. SDS, IFU, certificate of conformance, country of origin, lot and expiration on request for any quote.
- Public-sector bid support. Bid-ready quotes on letterhead held through the award, with capability statement, past performance and vendor forms attached.
- Fast quotes, fast freight, photographed. Quotes inside one business day, stocked items out the door same or next day from Edina, Minnesota, and a photo of your packed shipment before it leaves our dock.
- Rx and IV attestation handled once. Facility license and purchaser attestation collected at enrollment, verified and kept on file, so IV fluids and Rx-only items move without a new form on every order.
- Healthcare Supply Study Guide 2026. Every member buyer receives the PDF on enrollment, the same text our own team trains on.
Available on request: continuity stocking of your critical SKUs in our Edina warehouse under a standing order sized to your usage, 3PL space with pick, pack and ship from our docks, and consulting beyond your annual review at our published rate of $500 to $750 per hour, scoped in writing first.
The annual cost analysis, alerts and account guidance are informational and are not a guarantee of savings, availability, lead time or price.
How enrollment works
- Choose your tier and pay the annual fee. Card online, or an ACH, wire or Net-terms invoice on request.
- Sign the program agreement. We send it the same business day with the Rx-Only Purchaser Attestation and a tax-exempt certificate request, so everything is on file before your first order.
- Your account is tagged and your representative is assigned within one business day of payment and signature. You get a name, a direct line and your member price list.
- Member pricing and free shipping apply for 12 months from that day.
- Your membership renews automatically at the then-current fee for your tier unless either party gives written notice at least 30 days before the renewal date. We send a renewal notice with the amount and date 45 days ahead. Cancel by email to Orders@KeystoneSupplyGroup.com.
Questions buyers ask
What counts as Keystone's cost?
Our landed cost: the supplier's invoice price before any cash, early-payment or volume discount, rebate or credit we may earn, plus inbound freight, duties, tariffs and supplier surcharges, fixed on the day we accept your order. It does not include our warehouse, handling or outbound freight.
What happens if we pass our purchasing limit?
We email you at 90 percent of the limit. When you reach it, your account moves to the next tier for the rest of the year and at renewal, and we invoice the full difference between the two fees. You can decline in writing and buy above the limit at standard pricing and standard freight instead. Above $5,000,000, member pricing pauses until a signed addendum is in place; call (507) 237-6036 and we will draft it.
Can we pay by purchase order?
Yes. Net 30 terms are available to business, government and institutional accounts on approved credit after a one-page application, with a decision inside two business days. Member pricing and free shipping apply however you pay. Accounts more than 15 days past due return to standard pricing until current.
Is the fee refundable?
No. The annual fee is non-refundable and non-transferable once your term begins, and a shortage or allocation does not pause the fee or extend the term. The exceptions: we refund in full if we decline your enrollment, and prorated if we end the program early. Cancel in writing at least 30 days before your renewal date and the membership ends at the close of the paid term; you keep member pricing until then.
Do GPO, contract or promotional discounts stack?
No. Member pricing is net pricing and does not combine with promotional codes, volume breaks, clearance pricing, the prompt-pay discount or any other free-freight offer. If you also buy under a government contract or GPO agreement Keystone holds, each order is priced under the program or the contract, whichever is lower, never both. If a website price is ever lower than cost plus 5 percent, you pay the website price.
How do you verify cost?
Your member price list shows your price on every item you buy, and each invoice line carries it. Once a quarter you may ask us to verify cost on up to ten items from your invoices; we show redacted supplier documentation within ten business days.
When does the clock start?
Your membership year starts the day we have both your fee and your signed program agreement. Your representative is assigned within one business day, and your renewal date is twelve months out. Orders placed before enrollment are not repriced.
Can multiple facilities share one membership?
One membership covers one legal entity and the ship-to locations listed on its program agreement, and your tier is set by the combined purchasing across those locations. Health systems and multi-site operators add locations by addendum. Affiliates with their own tax ID enroll separately. Products are for the member's own use; distributors, resellers, brokers and buying agents are not eligible. Call us about a separate distribution agreement.
The KeystoneOS Cost Plus Program Terms govern membership and control over the Terms of Sale on pricing, shipping, fees and term. Everything else on each order follows the Terms of Sale, Shipping Policy, Return Policy and Refund Policy.
Submit your enrollment
Send this form and we reply the same business day with your program agreement, a credit application if you want Net terms, and a payment link for your tier. Prefer to pay now? Enroll on the product page and we send the agreement from there. The program closes at 100 members.
