In September 2012, St. Louis Small Business Monthly, a paper dedicated to covering news and information for small business owners, honored Keystone with a Top 20 Under 20 award. Businesses receiving this award were recognized for their excellence in vision, stability, and reputation.

Jim Bowlin explains the business practices that landed the company a spot on the Top 20 List for 2012 – “We’re always re-evaluating our business plan and strategies to make us the No. 1 choice for physicians – and a good example is how we’ve increased our benefits that we offer, i.e. Keystone Capital, our member retirement savings program that no other Missouri company has.”