KISSITO HEALTHCARE INC AND AFFILIATES: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
KISSITO HEALTHCARE INC AND AFFILIATES (EIN 90-0345214)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202443209349317789
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)
Return2024-11-15T14:26:10-06:00ReturnTs
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)
EIN900345214EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KISSITO HEALTHCARE INC AND AFFILIATESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKISSBusinessNameControlTxt
Phone5402650322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DRIVE NO DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS E 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
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerTHOMAS E CLARKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DRIVE NO DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$71,403,814GrossReceiptsAmt
Group Return For AffiliatesYes (1)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Group Exemption9429GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KISSITO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionKISSITO HEALTHCARE IS A NON-PROFIT ORGANIZATION THAT SEEKS TO SERVE THE WORLD'S MOST VERNERABLE POPULATIONS. KISSITO MANAGES AND COORDINATES THE OVERALL HEALTHCARE FOR THE FRAIL AND ELDERLY POPULATION IN SKILLED NURSING FACILITIES.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee1822TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$69,156,085PYProgramServiceRevenueAmt
CY Program Service Revenue$71,386,506CYProgramServiceRevenueAmt
PY Investment Income$7,522PYInvestmentIncomeAmt
CY Investment Income$17,308CYInvestmentIncomeAmt
PY Other Revenue$700PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$69,164,307PYTotalRevenueAmt
CY Total Revenue$71,403,814CYTotalRevenueAmt
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$34,351,028PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,964,358CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$30,556,309PYOtherExpensesAmt
CY Other Expenses$32,576,750CYOtherExpensesAmt
PY Total Expenses$64,907,337PYTotalExpensesAmt
CY Total Expenses$66,541,108CYTotalExpensesAmt
PY Revenues Less Expenses$4,256,970PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,862,706CYRevenuesLessExpensesAmt
Total Assets BOY$61,263,756TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$45,133,838TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,129,918NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE. WE SEEK TO PROVIDE VULNERABLE POPULATIONS WITH LOW-COST, HIGH IMPACT HEALTHCARE SOLUTIONS THAT IMPROVE OUTCOMES AND SAVE LIVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$63,116,128ExpenseAmt
Revenue$71,386,506RevenueAmt
DescPROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF MEDICAL SERVICES.Desc
Total Program Service Expenses$63,116,128TotalProgramServiceExpensesAmt
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 Outstanding0LoanOutstandingInd
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 OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document96IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1822EmployeeCnt
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 Line15228 VALLEYPOINT PARKWAY BLDG B STEAddressLine1Txt
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
PRESIDENT2.003.00Yes (X)Yes (X)$0$230,000$0
ANA VELASQUEZ CLARKE
CHAIRMAN OF THE BOARD2.003.00Yes (X)Yes (X)$0$8,765$0
TIMOTHY DIXON
SECRETARY2.003.00Yes (X)Yes (X)$0$121,063$11,308
ROBERT MCCLINTIC
CHIEF EXECUTIVE OFFICER10.0030.00Yes (X)$0$691,904$38,703
KATIE PERRY
CHIEF FINANCIAL OFFICER10.0030.00Yes (X)$0$257,833$14,580
MARY FERRELL
VICE PRESIDENT OF OPERATIONS30.0010.00Yes (X)$0$231,537$0
ROBERT NELSON
ADMINISTRATOR40.00$184,154$0$0Yes (X)
BLANCHE HAIRSTON
LPN40.00$171,430$0$0Yes (X)
CHERYL RAMEY
DIRECTOR OF NURSING40.00$155,974$0$0Yes (X)
CHARLES O'BRIANT FLYNN
ADMINISTRATOR40.00$148,511$0$0Yes (X)
RAKISHA SPENCER
LPN40.00$143,477$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$803,546TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,541,102TotReportableCompRltdOrgAmt
Total Other Compensation$64,591TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDLINE INDUSTRIES
THREE LAKES DRIVENORTHFIELDIL60093SUPPLIES$1,392,033
SYSCO FOOD SERVICE
5081 S VALLEY PIKEHARRISONBURGVA22801SUPPLIES$1,364,454
COMMONWEALTH HOME HEALTHCARE INC
1900 APPERSON DRSALEMVA24153STAFFING$1,113,911
OMNICARE INC
PO BOX 9482CINCINNATIOH45202SUPPLIES$954,731
GALE HEALTHCARE SOLUTIONS LLC
3101 W DR MLK JR BOULEVARD SUITETAMPAFL33607STAFFING$776,187
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING CARE623000$67,434,149$67,434,149
VALUE-BASED PURCHASING (VBP) PAYM623000$3,698,159$3,698,159
OTHER RESERVE623000$254,198$254,198
FieldValueIRS element (for citing)
Total Program Service Revenue$71,386,506TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,308TotalRevenueColumnAmt
Exclusion$17,308ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,403,814TotalRevenueColumnAmt
Related Or Exempt Func Income$71,386,506RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,308ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,457,419TotalAmt
Program Services$31,457,419ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$458,704TotalAmt
Program Services$458,704ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,048,235TotalAmt
Program Services$2,048,235ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,424,980TotalAmt
Management And General$3,424,980ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,225,751TotalAmt
Program Services$10,225,751ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,960,940TotalAmt
Program Services$9,960,940ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$57,516TotalAmt
Program Services$57,516ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,524TotalAmt
Program Services$31,524ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$828,649TotalAmt
Program Services$828,649ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DIETARY & NUTRITION EXP$4,374,241$4,374,241
PURCHASED SERVICES$1,721,294$1,721,294
ACTIVITES & SOCIAL SERV$1,104,059$1,104,059
LAUNDRY & LINEN$493,464$493,464

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$354,332TotalAmt
Program Services$354,332ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$66,541,108TotalAmt
Program Services$63,116,128ProgramServicesAmt
Management And General$3,424,980ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,357,102BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,392,625BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$137,954BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,752,796BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,623,279BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,263,756BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,313,151BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,868,102BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,952,585BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,133,838BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,129,918BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,129,918BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,263,756BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,862,706ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$20,992,624OtherChangesInNetAssetsAmt
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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$587,783CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,509,800CurrentTaxYearMinus3YearsAmt
Current Tax Year$0CurrentTaxYearAmt
Total$7,097,583TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,310,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,393,063CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,426,420CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,156,085CurrentTaxYearMinus1YearAmt
Current Tax Year$71,386,506CurrentTaxYearAmt
Total$321,672,648TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,898,357CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,902,863CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,426,420CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,156,085CurrentTaxYearMinus1YearAmt
Current Tax Year$71,386,506CurrentTaxYearAmt
Total$328,770,231TotalAmt

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$328,770,231PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,590CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,169CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,844CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,522CurrentTaxYearMinus1YearAmt
Current Tax Year$17,308CurrentTaxYearAmt
Total$107,433TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,590CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,169CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,844CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,522CurrentTaxYearMinus1YearAmt
Current Tax Year$17,308CurrentTaxYearAmt
Total$107,433TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,881,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,084,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$700CurrentTaxYearMinus1YearAmt
Total$9,262,160TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,246,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,797,802CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,527,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,164,307CurrentTaxYearMinus1YearAmt
Current Tax Year$71,403,814CurrentTaxYearAmt
Total$338,139,824TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97230PublicSupportCY509Pct
Public Support PY5090.97400PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00130InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (7 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 MCCLINTIC
CHIEF EXECUTIVE OFFICER$0$691,904$0$0$0$0$0$26,907$0$11,796$0$730,607$0$0
KATIE PERRY
CHIEF FINANCIAL OFFICER$0$257,833$0$0$0$0$0$6,805$0$7,775$0$272,413$0$0
MARY FERRELL
VICE PRESIDENT OF OPERATIONS$0$231,537$0$0$0$0$0$0$0$0$0$231,537$0$0
THOMAS M CLARKE
PRESIDENT$0$230,000$0$0$0$0$0$0$0$0$0$230,000$0$0
ROBERT NELSON
ADMINISTRATOR$184,154$0$0$0$0$0$0$0$0$0$184,154$0$0$0
BLANCHE HAIRSTON
LPN$171,430$0$0$0$0$0$0$0$0$0$171,430$0$0$0
CHERYL RAMEY
DIRECTOR OF NURSING$155,974$0$0$0$0$0$0$0$0$0$155,974$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE COMPENSATION FOR THE PRESIDENT AND CEO IS ESTABLISHED BY THE PARENT ORGANIZATION. THE PARENT ORGANIZATION DETERMINES THE PRESIDENT AND CEO'S COMPENSATION BY REFERENCE TO COMPARABILITY DATA THAT IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE PARENT'S BOARD AND TOP MANAGEMENT OF THE PARENT COMPANY.ExplanationTxt

Schedule L IRS990ScheduleL

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$26,309,526TransactionAmt
TransactionLIMITED LIABILITIES CONVERTED ULTIMATELY SOLD TO ENTITY THAT ROBERT MCCLINTIC OWNS 100%TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (9 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
RBM OF LOW MOOR LLC
AFS OF LOW MOOR, INC2023-11-30$9,214,501BOOK VALUE9325280227500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OF FINCASTLE LLC
AFS OF FINCASTLE, INC2023-11-30$5,394,004BOOK VALUE9324466057500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OF BASTIAN LLC
AFS OF BASTIAN, INC2023-11-30$3,366,531BOOK VALUE9324244837500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OF HOT SPRINGS LLC
AFS OF HOT SPRINGS, INC2023-11-30$2,058,862BOOK VALUE9324714637500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OF LEBANON LLC
AFS OF LEBANON, INC2023-11-30$4,195,109BOOK VALUE9324942597500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OPCO OF MARTINSVILLE LLC
AFS OF MARTINSVILLE, INC2023-11-30-$390,490BOOK VALUE8346976147500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OPCO OF MARTINSVILLE ALF LLC
AFS OF MARTINSVILLE ALF, INC2023-11-30-$1,224,845BOOK VALUE8346907507500 SHADWELL DRIVE SUITE DROANOKEVA24019
RBM OF WARSAW LLC
AFS OF WARSAW, INC2023-11-30$3,695,854BOOK VALUE8417446127500 SHADWELL DRIVE SUITE DROANOKEVA24019
KISSITO HEALTHCARE INC
AFS OF YUMA, INC - DISCONTINUED OPERATIONS2023-11-30$0BOOK VALUE3636665337500 SHADWELL DRIVE SUITE DROANOKEVA24019501(C)(3)
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of SuccessorYes (1)OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2E:PERSON(S) INVOLVED: ROBERT MCCLINTIC
PART I, 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 - 7 SKILLED NURSING FACILITIES, AND 1 ASSISTED LIVING FACILITY 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. KISSITO CARES FOR ARE SHORT-TERM REHABILITATION PATIENTS WITH A PLAN TO RETURN TO HOME. 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 DEVELOPED TWO 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.
FORM 990, PART III, LINE 3THE PARENT, KISSITO HEALTHCARE, INC. SOLD IT'S ASSETS, INCLUDING THE CONVERTED SUBORDINATES, IN THE LONG-TERM HEALTHCARE SPACE TO ANOTHER FOR-PROFIT ENTITY ON NOVEMBER 30, 2023. THE PARENT, KISSITO HEALTHCARE, INC. FILED THE APPROPRIATE FORM 8594 WITH ITS SEPARATE RETURN. THE PARENT 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 CLARKE, PRESIDENT AND DIRECTOR, IS RELATED BY MARRIGAGE TO ANA CLARKE, DIRECTOR.
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:CONVERSION TO LLC -20,992,624.
FORM 990, PART XII, LINE 2CNO CHANGES IN METHOD SINCE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1KISSITO HEALTHCARE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SHADWELL DRIVE SUITE DAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd
FieldValueIRS element (for citing)
EIN363666533EIN
Primary ActivitiesMANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 9PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
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

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