KISSITO HEALTHCARE INC AND AFFILIATES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KISSITO HEALTHCARE INC AND AFFILIATES (EIN 90-0345214)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202223149349302897
Schema version
2021v4.2
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)
Return2022-11-10T10:55:19-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMASPersonFirstNm
Person LastCLARKEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK PITTMANPreparerPersonNm
PTINP00587461PTIN
Phone5403450936PhoneNum
Preparation2022-11-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
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$69,527,581GrossReceiptsAmt
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
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee1301TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,509,800PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$66,393,063PYProgramServiceRevenueAmt
CY Program Service Revenue$66,426,420CYProgramServiceRevenueAmt
PY Investment Income$13,169PYInvestmentIncomeAmt
CY Investment Income$16,844CYInvestmentIncomeAmt
PY Other Revenue$5,881,770PYOtherRevenueAmt
CY Other Revenue$3,084,317CYOtherRevenueAmt
PY Total Revenue$78,797,802PYTotalRevenueAmt
CY Total Revenue$69,527,581CYTotalRevenueAmt
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$32,018,753PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,594,121CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,566,189PYOtherExpensesAmt
CY Other Expenses$32,983,886CYOtherExpensesAmt
PY Total Expenses$66,584,942PYTotalExpensesAmt
CY Total Expenses$65,578,007CYTotalExpensesAmt
PY Revenues Less Expenses$12,212,860PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,949,574CYRevenuesLessExpensesAmt
Total Assets BOY$37,128,641TotalAssetsBOYAmt
Total Assets EOY$34,272,416TotalAssetsEOYAmt
Total Liabilities BOY$26,846,560TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,399,468TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,282,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,872,948NetAssetsOrFundBalancesEOYAmt
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 Change0SignificantChangeInd
Expense$62,201,095ExpenseAmt
Revenue$69,510,737RevenueAmt
DescPROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF MEDICAL SERVICES.Desc
Total Program Service Expenses$62,201,095TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
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 Document100IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1301EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
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 (13 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)$270,250$0$0
ANA VELASQUEZ CLARKE
CHAIRMAN OF THE BOARD2.003.00Yes (X)Yes (X)$7,500$0$0
REVEREND DAVID ERICKSON
DIRECTOR1.004.00Yes (X)$13,500$0$0
TIMOTHY DIXON
SECRETARY2.003.00Yes (X)Yes (X)$135,832$0$0
ROBERT MCCLINTIC
CHIEF EXECUTIVE OFFICER10.0030.00Yes (X)$671,357$0$26,396
KATIE PERRY
CHIEF FINANCIAL OFFICER10.0030.00Yes (X)$237,837$0$14,060
KATHY SANDERS
CHIEF NURSING OFFICER30.0010.00Yes (X)$230,164$0$12,645
SHELIA COX
CHIEF NURSING OFFICER30.0010.00Yes (X)$35,158$0$1,299
ROBERT NELSON
ADMINISTRATOR40.000.00$208,916$0$0Yes (X)
BLANCHE HAIRSTON
LPN40.000.00$134,204$0$0Yes (X)
JULIE MEADOWS
RESPIRATORY THERAPIST40.000.00$118,903$0$0Yes (X)
RAKISHA SPENCER
REGISTERED NURSE40.000.00$114,329$0$0Yes (X)
AMY PHILLIPS
ADMINISTRATOR40.000.00$111,206$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,289,156TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$54,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
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
GALE HEALTHCARE SOLUTIONS
3101 W DR MARTIN LUTHER KING JR BLVTAMPAFL33607STAFFING$1,813,480
MCKESSON MEDICAL SURGICAL MN SUPPLY INC
9954 MARYLAND DRRICHMONDVA23233SUPPLIES$1,582,933
OMNICARE INC
PO BOX 9482CINCINNATIOH45202SUPPLIES$1,160,957
COMMONWEALTH HOME HEALTHCARE INC
1900 APPERSON DRSALEMVA24153STAFFING$957,888
SYSCO FOOD SERVICE OF VA
5081 S VALLEY PIKEHARRISONBURGVA22801SUPPLIES$813,709
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING CARE623000$66,270,326$66,270,326
OTHER RESERVE623000$158,433$158,433
COST REPORT SETTLE UP623000-$2,339-$2,339
FieldValueIRS element (for citing)
Total Program Service Revenue$66,426,420TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,844TotalRevenueColumnAmt
Exclusion$16,844ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROVIDER RELIEF FUNDS623000$2,083,817$2,083,817
GAIN ON SETTLEMENT OF DEBT623000$1,000,000$1,000,000
OTHER REVENUE531390$500$500
FieldValueIRS element (for citing)
Other Revenue Total$3,084,317OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,527,581TotalRevenueColumnAmt
Related Or Exempt Func Income$69,510,737RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,844ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,383,264TotalAmt
Program Services$30,383,264ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$396,473TotalAmt
Program Services$396,473ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,814,384TotalAmt
Program Services$1,814,384ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,376,912TotalAmt
Management And General$3,376,912ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,072,615TotalAmt
Program Services$11,072,615ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,312,995TotalAmt
Program Services$10,312,995ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$250,580TotalAmt
Program Services$250,580ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$516,737TotalAmt
Program Services$516,737ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DIETARY & NUTRITION EXP$3,867,752$3,867,752
PURCHASED SERVICES$1,860,472$1,860,472
ACTIVITES & SOCIAL SERV$895,655$895,655
LAUNDRY & LINEN$500,587$500,587

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$329,581TotalAmt
Program Services$329,581ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,578,007TotalAmt
Program Services$62,201,095ProgramServicesAmt
Management And General$3,376,912ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,771,026BOYAmt
EOY$4,269,320EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,575,876BOYAmt
EOY$6,691,359EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$223,254BOYAmt
EOY$103,889EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,583,200LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,775,742LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,728,158BOYAmt
EOY$6,807,458EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,830,327BOYAmt
EOY$16,400,390EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,128,641BOYAmt
EOY$34,272,416EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,154,735BOYAmt
EOY$9,043,883EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$733,684BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,518,919BOYAmt
EOY$1,912,483EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,439,222BOYAmt
EOY$11,443,102EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,846,560BOYAmt
EOY$22,399,468EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,282,081BOYAmt
EOY$11,872,948EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,282,081BOYAmt
EOY$11,872,948EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,128,641BOYAmt
EOY$34,272,416EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,949,574ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,358,707OtherChangesInNetAssetsAmt
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$538,953CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$895,819CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$587,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,509,800CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$8,532,355TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,878,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$68,725,678CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,310,574CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,393,063CurrentTaxYearMinus1YearAmt
Current Tax Year$66,426,420CurrentTaxYearAmt
Total$298,734,062TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,417,280CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,621,497CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,898,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,902,863CurrentTaxYearMinus1YearAmt
Current Tax Year$66,426,420CurrentTaxYearAmt
Total$307,266,417TotalAmt

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$307,266,417PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,841CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$354,406CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,590CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,169CurrentTaxYearMinus1YearAmt
Current Tax Year$16,844CurrentTaxYearAmt
Total$444,850TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,841CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$354,406CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,590CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,169CurrentTaxYearMinus1YearAmt
Current Tax Year$16,844CurrentTaxYearAmt
Total$444,850TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$193,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$968,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$295,373CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,881,770CurrentTaxYearMinus1YearAmt
Current Tax Year$3,084,317CurrentTaxYearAmt
Total$8,099,578TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,231,954CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,007,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,246,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,797,802CurrentTaxYearMinus1YearAmt
Current Tax Year$69,527,581CurrentTaxYearAmt
Total$315,810,845TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97290PublicSupportCY509Pct
Public Support PY5090.98150PublicSupportPY509Pct
Investment Income CY0.00140InvestmentIncomeCYPct
Investment Income PY0.00150InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$637,366OtherCostOrOtherBasisAmt
Depreciation$128,979DepreciationAmt
Book Value$508,387BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,902,681OtherCostOrOtherBasisAmt
Depreciation$1,284,640DepreciationAmt
Book Value$4,618,041BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,609,543OtherCostOrOtherBasisAmt
Depreciation$2,011,818DepreciationAmt
Book Value$1,597,725BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$433,610OtherCostOrOtherBasisAmt
Depreciation$350,305DepreciationAmt
Book Value$83,305BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,807,458TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DEPOSITS & OTHER ASSETS$2,083,323
DUE FROM RELATED ENTITIES$14,317,067
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,400,390TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
RESIDENT TRUST LIABILITY$740,181
DEFERRED RENT AND LEASE INCENTIVES$5,608,783
OTHER RELATED PARTY PAYABLES$5,094,138
FieldValueIRS element (for citing)
Total Liability$11,443,102TotalLiabilityAmt

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 (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
THOMAS M CLARKE
PRESIDENT$270,250$0$0$0$0$0$0$0$0$0$270,250$0$0$0
ROBERT MCCLINTIC
CHIEF EXECUTIVE OFFICER$671,357$0$0$0$0$0$14,600$0$11,796$0$697,753$0$0$0
KATIE PERRY
CHIEF FINANCIAL OFFICER$237,837$0$0$0$0$0$6,285$0$7,775$0$251,897$0$0$0
KATHY SANDERS
CHIEF NURSING OFFICER$230,164$0$0$0$0$0$6,170$0$6,475$0$242,809$0$0$0
ROBERT NELSON
ADMINISTRATOR$208,916$0$0$0$0$0$0$0$0$0$208,916$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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 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:DECONSOLIDATION OF FORMER SUBORDINATE ORGANIZATION -2,358,707.
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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