2023-11-06T09:06:40-06:00 2022-12-31 540504608 BROWN EDWARDS & COMPANY LLP 3906 ELECTRIC ROAD ROANOKE VA 24018 990 2022-01-01 900345214 KISSITO HEALTHCARE INC AND AFFILIATES KISS 5402650322 7500 SHADWELL DRIVE NO D ROANOKE VA 24019 THOMAS E CLARKE PRESIDENT 5402650322 2023-10-31 1 THOMAS CLARKE 999009999 0 PATRICK PITTMAN P00587461 5403450936 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THOMAS E CLARKE 7500 SHADWELL DRIVE NO D ROANOKE VA 24019 69164307 1 1 9429 X WWW.KISSITO.ORG X 1988 IL KISSITO 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. 4 2 1558 0 0 0 0 0 66426420 69156085 16844 7522 3084317 700 69527581 69164307 0 0 0 0 32594121 34351028 0 0 0 32983886 30556309 65578007 64907337 3949574 4256970 34272416 61263756 22399468 45133838 11872948 16129918 KISSITO 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. 0 0 61438078 69156785 PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF MEDICAL SERVICES. 61438078 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 97 0 1 1558 1 0 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X KATIE M PERRY 5402650322 5228 VALLEYPOINT PARKWAY BLDG B STE ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 2.00 3.00 X X 270250 0 0 ANA VELASQUEZ CLARKE CHAIRMAN OF THE BOARD 2.00 3.00 X X 7500 0 0 REVEREND DAVID ERICKSON DIRECTOR 1.00 4.00 X 10500 0 0 TIMOTHY DIXON SECRETARY 2.00 3.00 X X 133436 0 13604 ROBERT MCCLINTIC CHIEF EXECUTIVE OFFICER 10.00 30.00 X 698842 0 23996 KATIE PERRY CHIEF FINANCIAL OFFICER 10.00 30.00 X 250734 0 13293 SHELDA COX CHIEF NURSING OFFICER 30.00 10.00 X 178760 0 1299 ROBERT NELSON ADMINISTRATOR 40.00 X 250500 0 0 BLANCHE HAIRSTON LPN 40.00 X 149270 0 0 WENDY POAGUE ADMINISTRATOR 40.00 X 139649 0 0 AMY PHILLIPS ADMINISTRATOR 40.00 X 133871 0 0 CHERYL A SMITH ADMINISTRATOR 40.00 X 127604 0 0 2350916 0 52192 34 0 1 0 DIRECT SUPPLY 7301 W CHAMPIONS WAY MILWAUKEE WI 53223 SUPPLIES 1864860 MCKESSON MEDICAL SURGICAL MN SUPPLY INC 9954 MARYLAND DR RICHMOND VA 23233 SUPPLIES 1826410 SYSCO FOOD SERVICE 5081 S VALLEY PIKE HARRISONBURG VA 22801 SUPPLIES 1303226 OMNICARE INC PO BOX 9482 CINCINNATI OH 45202 SUPPLIES 1229807 COMMONWEALTH HOME HEALTHCARE INC 1900 APPERSON DR SALEM VA 24153 STAFFING 1107268 5 NURSING CARE 623000 68351288 68351288 OTHER RESERVE 623000 647152 647152 COST REPORT SETTLE UP 623000 157645 157645 69156085 7522 7522 OTHER REVENUE 531390 700 700 700 69164307 69156785 0 7522 31784796 31784796 458552 458552 2107680 2107680 3469259 3469259 12135339 12135339 5841887 5841887 165142 165142 833351 833351 DIETARY & NUTRITION EXP 4465675 4465675 PURCHASED SERVICES 1638420 1638420 ACTIVITES & SOCIAL SERV 1104920 1104920 LAUNDRY & LINEN 617715 617715 284601 284601 64907337 61438078 3469259 0 4269320 1357102 6691359 6392625 103889 137954 39361888 4609092 6807458 34752796 16400390 18623279 34272416 61263756 9043883 7313151 1912483 1868102 11443102 35952585 22399468 45133838 X 11872948 16129918 11872948 16129918 34272416 61263756 4256970 0 X X 0 1 X 1 0 X 895819 587783 6509800 0 7993402 68725678 48310574 66393063 66426420 69156085 319011820 69621497 48898357 72902863 66426420 69156085 327005222 0 0 0 327005222 354406 52590 13169 16844 7522 444531 354406 52590 13169 16844 7522 444531 -968715 295373 5881770 3084317 700 8293445 69007188 49246320 78797802 69527581 69164307 335743198 0.97400 0.97290 0.00130 0.00140 X 637366 198453 438913 9181291 1506879 7674412 4398865 2526882 1871983 25144366 376878 24767488 34752796 DEPOSITS & OTHER ASSETS 2261039 DUE FROM RELATED ENTITIES 16362240 18623279 RESIDENT TRUST LIABILITY 919372 OTHER RELATED PARTY PAYABLES 8181366 RIGHT-OF-USE LIABILITIES 26851847 35952585 0 0 0 0 0 0 0 0 0 THOMAS M CLARKE PRESIDENT 270250 0 0 0 0 0 0 0 0 0 270250 0 0 0 ROBERT MCCLINTIC CHIEF EXECUTIVE OFFICER 698842 0 0 0 0 0 12200 0 11796 0 722838 0 0 0 KATIE PERRY CHIEF FINANCIAL OFFICER 250734 0 0 0 0 0 5518 0 7775 0 264027 0 0 0 SHELDA COX CHIEF NURSING OFFICER 178760 0 0 0 0 0 0 0 1299 0 180059 0 0 0 ROBERT NELSON ADMINISTRATOR 250500 0 0 0 0 0 0 0 0 0 250500 0 0 0 PART I, LINE 3 THE 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. 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 VI, SECTION A, LINE 2 THOMAS CLARKE, PRESIDENT AND DIRECTOR, IS RELATED BY MARRIGAGE TO ANA CLARKE, DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGES IN METHOD SINCE PRIOR YEAR. KISSITO HEALTHCARE INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 363666533 MANAGEMENT SERVICES IL 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1