KISSITO HEALTHCARE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
KISSITO HEALTHCARE INC (EIN 36-3666533)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202443209349309379
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T10:59:04-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13906 ELECTRIC ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24018ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363666533EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KISSITO HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKISSBusinessNameControlTxt
Phone5402650322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DRIVE SUITE DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS M CLARKEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5402650322PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD HEDLEYPreparerPersonNm
PTINP00936170PTIN
Phone5403450936PhoneNum
Preparation2024-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS M CLARKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DRIVE SUITE DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,680,753GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KISSITO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionKISSITO HEALTHCARE AND KISSITO HEALTHCARE INTERNATIONAL EXIST FOR THE BETTERMENT AND CARE OF HUMAN LIFE. THE ORGANIZATION SEEKS TO IMPROVE PATIENT OUTCOMES THROUGH A BALANCED ENGAGEMENT IN ACADEMICS, RESEARCH AND HEALTH CARE DELIVERY.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee61TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,470,074PYProgramServiceRevenueAmt
CY Program Service Revenue$3,471,839CYProgramServiceRevenueAmt
PY Investment Income$6,973PYInvestmentIncomeAmt
CY Investment Income-$10,153,812CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,477,047PYTotalRevenueAmt
CY Total Revenue-$6,681,973CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,684,551PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,457,366CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$770,138PYOtherExpensesAmt
CY Other Expenses$891,950CYOtherExpensesAmt
PY Total Expenses$3,454,689PYTotalExpensesAmt
CY Total Expenses$3,349,316CYTotalExpensesAmt
PY Revenues Less Expenses$22,358PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,031,289CYRevenuesLessExpensesAmt
Total Assets BOY$32,931,147TotalAssetsBOYAmt
Total Assets EOY$5,923,103TotalAssetsEOYAmt
Total Liabilities BOY$17,731,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,199,548NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,923,103NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$1,637,505ExpenseAmt
Revenue$3,471,839RevenueAmt
DescCENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG TERM CARE, SHORT TERM REHAB AND ASSISTED LIVING SERVICES FOR THE ELDERLY AND HANDICAP.Desc
Total Program Service Expenses$1,637,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee61EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATIE M PERRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402650322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DRIVE SUITE DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS M CLARKE
PRESIDENT3.002.00Yes (X)Yes (X)$230,000$0$0
ANA CLARKE
CHAIR OF THE BOARD3.002.00Yes (X)Yes (X)$8,765$0$0
TIMOTHY DIXON
SECRETARY4.001.00Yes (X)Yes (X)$121,063$0$11,308
ROBERT B MCCLINTIC III
CHIEF EXECUTIVE OFFICER10.0030.00Yes (X)$691,904$0$38,703
KATIE PERRY
CHIEF FINANCIAL OFFICER30.0010.00Yes (X)$257,833$0$14,580
MARY FERRELL
VICE PRESIDENT OF OPERATIONS10.0030.00Yes (X)$231,537$0$0
BETH DIVELBISS
DIRECTOR OF CLINICAL REIMB40.00$144,512$0$0Yes (X)
WENDY POAGUE
REGIONAL DIRECTOR OF CLINICAL SERVICES40.00$122,481$0$0Yes (X)
BRADLEY GOAD
MEDICAL DIRECTOR40.00$171,692$0$0Yes (X)
AMY PHILLIPS
REGIONAL DIRECTOR OF CLINICAL SERVICES40.00$147,194$0$0Yes (X)
MAUREEN SHANAHAN
REGIONAL DIRECTOR OF REHAB40.00$124,709$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,251,690TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$64,591TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WINDSTREAM
4001 N RODNEY PARHAM RDLITTLE ROCKAR72212TELEPHONE/INTEREST SERVICE$311,352
WILLIS TOWERS WATSON NORTHEAST INC
4951 LAKE BROOK DRIVEGLEN ALLENVA23060INSURANCE$274,377
BROWN EDWARDS & COMPANY
3906 ELECTRIC RDROANOKEVA24018ACCOUNTING FEES$106,765
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSUBSIDARY MANAGEMENT FEESDesc
Business551112BusinessCd
Total Revenue Column$3,424,980TotalRevenueColumnAmt
Related Or Exempt Func Income$3,424,980RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,859TotalRevenueColumnAmt
Related Or Exempt Func Income$46,859RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,471,839TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,311TotalRevenueColumnAmt
Exclusion$105,311ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$16,103,603OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$26,362,726OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$10,259,123OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,259,123TotalRevenueColumnAmt
Exclusion-$10,259,123ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,681,973TotalRevenueColumnAmt
Related Or Exempt Func Income$3,471,839RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$10,153,812ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,541,102TotalAmt
Management And General$1,541,102ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$534,494TotalAmt
Program Services$534,494ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$75,383TotalAmt
Program Services$75,383ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$124,364TotalAmt
Program Services$79,345ProgramServicesAmt
Management And General$45,019ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$182,023TotalAmt
Program Services$162,452ProgramServicesAmt
Management And General$19,571ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$86,550TotalAmt
Management And General$86,550ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,235TotalAmt
Management And General$15,235ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$69,320TotalAmt
Program Services$69,320ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,234TotalAmt
Program Services$25,234ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$164,245TotalAmt
Program Services$164,245ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$120,819TotalAmt
Program Services$120,819ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$123,084TotalAmt
Program Services$123,084ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,616TotalAmt
Program Services$33,616ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,973TotalAmt
Program Services$14,973ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,334TotalAmt
Management And General$4,334ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,334TotalAmt
Program Services$64,334ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$47,778TotalAmt
Program Services$47,778ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MAINTENANCE & SERVICE C$43,182$43,182
LEASE EXPENSE VEHICLES$38,423$38,423
TAXES & LICENSES$21,502$21,502
BANK CHARGES$8,374$8,374

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,947TotalAmt
Program Services$10,947ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,349,316TotalAmt
Program Services$1,637,505ProgramServicesAmt
Management And General$1,711,811ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,530,810BOYAmt
EOY$2,423,103EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$124,102BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$118,101BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$3,500,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$768,267BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,389,867BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,931,147BOYAmt
EOY$5,923,103EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$689,573BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,042,026BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,731,599BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,199,548BOYAmt
EOY$5,923,103EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,199,548BOYAmt
EOY$5,923,103EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,931,147BOYAmt
EOY$5,923,103EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,031,289ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$754,844OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,374,701CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,532,487CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,377,354CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,469,773CurrentTaxYearMinus1YearAmt
Current Tax Year$3,471,840CurrentTaxYearAmt
Total$17,226,155TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,374,701CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,532,487CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,377,354CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,469,773CurrentTaxYearMinus1YearAmt
Current Tax Year$3,471,840CurrentTaxYearAmt
Total$17,226,155TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,226,155PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$764CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,973CurrentTaxYearMinus1YearAmt
Current Tax Year$105,311CurrentTaxYearAmt
Total$113,060TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$764CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,973CurrentTaxYearMinus1YearAmt
Current Tax Year$105,311CurrentTaxYearAmt
Total$113,060TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$100,000CurrentTaxYearMinus4YearsAmt
Total$100,000TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,474,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,532,487CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,378,118CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,476,746CurrentTaxYearMinus1YearAmt
Current Tax Year$3,577,151CurrentTaxYearAmt
Total$17,439,215TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98780PublicSupportCY509Pct
Public Support PY5090.99330PublicSupportPY509Pct
Investment Income CY0.00650InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT B MCCLINTIC III
CHIEF EXECUTIVE OFFICER$691,904$0$0$0$0$0$26,907$0$11,796$0$730,607$0$0$0
KATIE PERRY
CHIEF FINANCIAL OFFICER$257,833$0$0$0$0$0$6,805$0$7,775$0$272,413$0$0$0
MARY FERRELL
VICE PRESIDENT OF OPERATIONS$231,537$0$0$0$0$0$0$0$0$0$231,537$0$0$0
THOMAS M CLARKE
PRESIDENT$230,000$0$0$0$0$0$0$0$0$0$230,000$0$0$0
BRADLEY GOAD
MEDICAL DIRECTOR$171,692$0$0$0$0$0$0$0$0$0$171,692$0$0$0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonTHOMAS M CLARKEPersonNm
Relationship With OrgPRESIDENTRelationshipWithOrgTxt
Loan PurposePERSONALLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$118,101OriginalPrincipalAmt
Balance Due$0BalanceDueAmt
Default0DefaultInd
Board Or Committee Approval0BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonROBERT MCCLINTICPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionCHIEF EXECUTIVE OFFICERRelationshipDescriptionTxt
Transaction$16,103,603TransactionAmt
TransactionSALE TO 100% OWNED ENTITY OF ROBERT MCCLINTICTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidMEMBERSHIP INTERESTS OF LIMITED LIABILITY COMPANIESAssetsDistriOrExpnssPaidDesc
Distribution2023-11-30DistributionDt
Fair Market Value Of Asset$16,103,603FairMarketValueOfAssetAmt
Method Of FMV DeterminationSALES PRICE (8594)MethodOfFMVDeterminationTxt
EIN934479178EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCCLINTIC OPERATIONS HOLDCO II LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DR STE DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd
FieldValueIRS element (for citing)
Director Of Successor2Yes (1)DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor2Yes (1)OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 2E:PERSON(S) INVOLVED: ROBERT MCCLINTIC
PART II, LINE 2E:EXPLANATION OF INVOLVEMENT: SOLE OWNER OF MCCLINTIC HOLDCO I & II. ALL SUBORDINATE ENTITIES WERE CONVERTED TO LLCS. AFTER CONVERSION OF THE LLCS, THE PARENT, KISSITO HEALTHCARE, INC SOLD ALL OF THE MEMBERSHIP INTERESTS IN THE NEWLY CONVERTED LIMITED LIABILITY COMPANIES. THIS WAS DEEMED AN ASSET SALE AND RECOGNIZED ON THE KISSITO HEALTCARE INC. SEPARATE RETURN. ROBERT MCCLINTIC IS THE CEO OF KISSITO AND IS A BENEFICIAL OWNER IN THE NEW ENTITIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION:NURSING & REHABILITATION SERVICES - 8 AWARD WINNING FACILITIES: KISSITO OPERATES EIGHT FACILITIES THAT DELIVER EXCEPTIONAL SPECIAL NEEDS SERVICES LIKE VENTILATOR DEPENDENT CARE, COMPLEX WOUND CARE, ALZHEIMER/DEMENTIA CARE, POST-ACUTE REHABILITATION, ASSISTED LIVING, AND CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. PATIENTS ARE GETTING OLDER; THEY'RE WAITING LONGER TO SEEK HELP; AND DISEASES CONTINUE TO EVOLVE. AS A FORWARD-LOOKING NURSING HOME OPERATOR, WE STRIVE TO MEET THE NEEDS OF TODAY WHILE EVOLVING WITH THE CHANGES SHAPING TOMORROW. HIGH ACUITY SKILLED NURSING - RESPIRATORY CARE CENTER OF EXCELLENCE: AS MORE AND MORE SENIORS AGE IN PLACE, THE ROLE OF THE NURSING HOME IS CHANGING. KISSITO BELIEVES THAT THE ROLE OF A NURSING HOME WILL BE TO CARE FOR THOSE SENIORS WHO NEED EXTENSIVE HIGH-ACUITY SERVICES BOTH SHORT-TERM AND LONG-TERM. IN VIRGINIA, KISSITO HAS TRANSFORMED TWO TRADITIONAL NURSING HOME INTO HIGH-ACUITY RESPIRATORY CENTERS OF EXCELLENCE. THE CENTERS ARE DESIGNED TO CARE FOR VENTILATOR AND TRACHEOTOMY DEPENDENT PATIENTS. AT THESE FACILITIES WE BOTH WEAN PATIENTS OFF OF THE VENTILATOR SO THEY MAY RETURN TO THEIR COMMUNITY AND WE CARE FOR THOSE ON A VENTILATOR LONG TERM AND PROVIDE A HIGH QUALITY OF LIFE WHILE DOING SO. KISSITO'S RESPIRATORY CENTER OF EXCELLENCE IS IN HIGH DEMAND AND RECEIVES PATIENTS FROM THROUGHOUT THE UNITED STATES.
FORM 990, PART III, LINE 3KISSITO HEALTHCARE, INC. SOLD IT'S ASSETS IN THE LONG-TERM HEALTHCARE SPACE TO ANOTHER FOR-PROFIT ENTITY ON NOVEMBER 30, 2023 (SEE FORM 8594). KISSITO HEALTHCARE, INC. WILL USE THE PROCEEDS OF THE SALE TO CONTINUE AS A 501(C)(3) NOT-FOR-PROFIT TO SERVE OTHERS IN NEED.
FORM 990, PART VI, SECTION A, LINE 2THOMAS M CLARKE, PRESIDENT AND DIRECTOR IS RELATED BY MARRIAGE TO ANA CLARKE, DIRECTOR AND CHAIRMAN OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY REFERENCE TO COMPARABILITY DATA AND IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD, AND TOP MANAGEMENT OF THE COMPANY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY EARNINGS IN SUBSIDIARIES 7,797,260. DISCONTINUATION OF YUMA FACILITY -2,986,865. LEASE ADJUSTMENT - TRANSFERRED TO BUYER -89,356. TRANSFER OF CAPITAL (KHC) -3,966,197. ROUNDING 2.
FORM 990, PART XII, LINE 2CNO CHANGES IN METHOD SINCE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AFS OF YUMA INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019043541452NURSING CARENV501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF LOW MOOR INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019202200224NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF FINCASTLE INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019202200518NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF BASTIAN INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019202200573NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF HOTSPRINGS INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019202200654NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF LEBANON INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019820556614NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF MARTINSVILLE INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019834697614NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS MARTINSVILLE ALF INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019834690750NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS WARSAW INC
7500 SHADWELL DRIVE SUITE DROANOKEVA24019841744612NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AFS OF LOW MOOR INC
L$496,754FLAT % OF TOTAL REVENUES
AFS OF FINCASTLE INC
L$650,700FLAT % OF TOTAL REVENUES
AFS OF BASTIAN INC
L$431,383FLAT % OF TOTAL REVENUES
AFS OF HOT SPRINGS INC
L$272,967FLAT % OF TOTAL REVENUES
AFS OF LEBANON INC
L$302,152FLAT % OF TOTAL REVENUES
AFS WARSAW
L$449,719FLAT % OF TOTAL REVENUES
AFS MARTINSVILLE ALF
L$62,126FLAT % OF TOTAL REVENUES
AFS MARTINSVILLE
L$759,180FLAT % OF TOTAL REVENUES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIFormAndLineReferenceDesc
ExplanationTHE RELATED TAX-EXEMPT ORGANIZATIONS HAVE BEEN CONVERTED TO LIMITED LIABILITY COMPANIES EFFECTIVE 11/30/2023. SUBSEQUENTLY, THE ORGANIZATIONS WERE INCLUDED IN THE SALE REPORTED ON THE 8594 & SCHEDULE N. THE ENTITIES WILL NO LONGER BE RELATED TO KISSITO HEALTHCARE GOING FORWARD.ExplanationTxt

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