2021-11-12T16:08:08-06:00 2020-12-31 540504608 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN STREET SW ROANOKE VA 24014 990 2020-01-01 363666533 KISSITO HEALTHCARE INC KISS 5402650322 7500 SHADWELL DRIVE NO D ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 5402650322 2021-11-12 1 THOMAS CLARKE 999009999 PATRICK PITTMAN P00587461 5403450936 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X THOMAS M CLARKE 7500 SHADWELL DRIVE NO D ROANOKE VA 24019 3532486 0 X WWW.KISSITO.ORG X 1988 IL KISSITO HEALTHCARE AND KISSITO HEALTHCARE INTERNATIONAL EXIST FOR THE BETTERMENT AND CARE OF HUMAN LIFE. THE ORGANIZATION SEEKS TO IMPROVE PATIENT OUTCOMES IN OUR DOMESTIC AND GLOBAL SERVICES THROUGH A BALANCED ENGAGEMENT IN ACADEMICS, RESEARCH AND HEALTH CARE DELIVERY. 4 2 42 0 0 0 0 0 3374701 3532486 12 0 100000 0 3474713 3532486 0 0 0 0 2055821 2424374 0 0 0 3972 587971 2059793 3012345 1414920 520141 4947388 17037259 12147923 12684933 -7200535 4352326 X KISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE AND THE STEWARDSHIP OF NATURAL RESOURCES THROUGH CONSERVATION, EDUCATION AND RECREATION. 0 0 2728892 3532486 CENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF HOUSING AND MEDICAL SERVICES. 2728892 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 14 0 1 42 1 0 0 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 VALLEYPOINTE PARKWAY BLDG B ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT / DIRECTOR 3.00 2.00 X X 240000 0 0 ANA VELASQUEZ CLARKE CHAIRMAN OF THE BOARD 3.00 2.00 X X 0 0 0 REVEREND DAVID ERICKSON DIRECTOR 4.00 1.00 X 16000 0 0 TIMOTHY DIXON SECRETARY / DIRECTOR 4.00 1.00 X X 161245 0 6968 ROBERT B MCCLINTIC III CHIEF EXECUTIVE OFFICER 10.00 30.00 X 551720 0 23196 KATHY L SANDERS CHIEF NURSING OFFICER 10.00 30.00 X 252120 0 13529 KATIE PERRY CHIEF FINANCIAL OFFICER 30.00 10.00 X 196892 0 10114 MELISSA J BARTLETT CLINICAL REIMBURSEMENT COORD 40.00 X 153190 0 16979 EVAN L GLOVER AREA MANAGER 40.00 X 101006 0 8863 AMBER REESE DIR OF REVENUE CYCLE 40.00 X 105346 0 3494 1777519 0 83143 8 0 1 0 WINDSTREAM 4001 N RODNEY PARHAM RD LITTLE ROCK AR 72212 TELEPHONE/INTERNET SERVICE 328208 VIKOR SCIENTIFIC LLC 22 WESTEDGE ST 8TH FLOOR CHARLESTON SC 29403 MEDICAL LABS 280675 THOMAS M CLARKE 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 DIRECTOR FEES 240000 WILLIS TOWERS WATSON NORTHEAST INC 4951 LAKE BROOK DRIVE INNSBROOK COR GLEN ALLEN VA 23060 INSURANCE 137749 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN ST SW ROANOKE VA 24014 ACCOUNTING FEES 131028 5 SUBSIDARY MANAGEMENT F 551112 3517700 3517700 14786 14786 3532486 3532486 3532486 0 0 256000 256000 1828868 1828868 50781 50781 143959 143959 144766 144766 1645 1645 24293 24293 34286 34286 10178 10178 79164 79164 73713 73713 58860 58860 14823 14823 4073 4073 1515 1515 42778 42778 34224 34224 LEASE EXPENSE 139491 139491 MAINTENANCE & SERVICE C 24631 24631 DISCONTINUED OPERATIONS 16319 16319 BANK CHARGES 13221 13221 14757 14757 3012345 2728892 283453 0 263478 4253890 911729 20903 118101 455119 343147 124784 111972 3647397 12532393 4947388 17037259 1332191 959995 3489 572169 698704 10240074 11026234 12147923 12684933 X -7200535 4352326 -7200535 4352326 4947388 17037259 X 520141 11032720 X X 0 1 X 1 0 X 61657 51299 112956 2520524 2261326 2229737 3374701 3532487 13918775 2582181 2312625 2229737 3374701 3532487 14031731 0 0 0 14031731 21973 8431 87 12 30503 21973 8431 87 12 30503 100000 100000 2604154 2321056 2229824 3474713 3532487 14162234 0.99080 0.99140 0.00220 0.00670 X 49588 36533 13055 405531 306614 98917 111972 DUE FROM SUBSIDIARIES 4526004 PREPAIDS, DEPOSITS, AND OTHER 83015 INVESTMENT IN SUBSIDIARIES 7923374 12532393 CAPITAL LEASE 175487 DUE TO RELATED PARTIES 10842746 CASH OVERDRAFT LIABILITY 8001 11026234 X 0 0 0 0 0 0 0 0 0 ROBERT B MCCLINTIC III CHIEF EXECUTIVE OFFICER 551720 0 0 0 0 0 11400 0 11796 0 574916 0 0 0 KATHY L SANDERS CHIEF NURSING OFFICER 252120 0 0 0 0 0 7838 0 5691 0 265649 0 0 0 THOMAS M CLARKE PRESIDENT / DIRECTOR 240000 0 0 0 0 0 0 0 0 0 240000 0 0 0 KATIE PERRY CHIEF FINANCIAL OFFICER 196892 0 0 0 0 0 4423 0 5691 0 207006 0 0 0 MELISSA J BARTLETT CLINICAL REIMBURSEMENT COORD 153190 0 0 0 0 0 5183 0 11796 0 170169 0 0 0 TIMOTHY DIXON SECRETARY / DIRECTOR 161245 0 0 0 0 0 0 0 6968 0 168213 0 0 0 THOMAS AND ANA CLARKE (CLARKE INVESTMENTS) PRESIDENT AND CHARIMAN PAYROLL FOR A CLARKE INVESTMENTS EMPLOYEE X 115820 118101 0 0 0 118101 SUPPLEMENTAL INFORMATION: NURSING & REHABILITATION SERVICES - 6 AWARD WINNING FACILITIES: KISSITO OPERATES SIX AWARD WINNING SKILLED NURSING AND REHABILITATION 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. MISSION STATEMENT 2: VIRGINIA CONSERVATION LEGACY FUND, INC. ("VCLF"): VIRGINIA CONSERVATION LEGACY FUND, INC. ("VCLF") WAS CREATED TO PROMOTE NATURAL RESOURCES STEWARDSHIP THROUGH CONSERVATION, EDUCATION, AND OUTDOOR RECREATION. VCLF PURCHASED THE NATURAL BRIDGE PARK WITH INTENT TO DONATE IT TO THE COMMONWEALTH OF VIRGINIA FOR THE CREATION OF NATURAL BRIDGE STATE PARK. THE PARK, ONCE OWNED BY THOMAS JEFFERSON, OFFERS INTERPRETIVE EDUCATION EXHIBITS, HIKING TRAILS, PICNIC AREAS, AND MANY SPECIAL FAMILY-FRIENDLY EVENTS. FORM 990, PART VI, SECTION A, LINE 2 THOMAS M CLARKE, PRESIDENT AND DIRECTOR IS RELATED BY MARRIAGE 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 XI, LINE 9: EQUITY EARNINGS IN SUBSIDIARIES 11,032,720. FORM 990, PART XII, LINE 2C NO CHANGES IN METHOD SINCE PRIOR YEAR. CAVERNS AT NATURAL BRIDGE LLC 15 APPLEDORE LANE NATURAL BRIDGE VA 24578 464576529 MANAGEMENT OF NATURAL BRIDGE CAVERNS VA KISSITO HEALTHCARE INC AFS OF YUMA INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 043541452 NURSING CARE NV 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF LOW MOOR INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200224 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF FINCASTLE INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200518 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF BASTIAN INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200573 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF HOTSPRINGS INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200654 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF LEBANON INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 820556614 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AMERICAN CONSERVATION AND EDUCATION CENTERS INC PO BOX 87 NATURAL BRIDGE VA 24578 474397336 ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICES VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 ERP ENVIRONMENTAL FUND INC 192 SUMMERFIELD COURT NATURAL BRIDGE VA 24578 475325263 ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICES WV 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 VIRGINIA CONSERVATION LEGACY FUND 192 SUMMERFIELD COURT NATURAL BRIDGE VA 24578 464462650 CONSERVATION & PRESERVATION OF A REAL PROPERTY - NATURAL BRIDGE OF VA VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS MASTER TENANT INC 5237 VALLEYPOINTE PARKWAY ROANOKE VA 24019 834720460 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS MARTINSVILLE ALF 5238 VALLEYPOINTE PARKWAY ROANOKE VA 24019 834690750 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS WARSAW 5239 VALLEYPOINTE PARKWAY ROANOKE VA 24019 841744612 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 VCLF LAND TRUST INC & SUBSIDIARIES PO BOX 87 NATURAL BRIDGE VA 24578 474399798 ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICES VA N/A C 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 AFS OF LOW MOOR INC L 509278 FLAT % OF TOTAL REVENUES AFS OF FINCASTLE INC L 573181 FLAT % OF TOTAL REVENUES AFS OF BASTIAN INC L 386241 FLAT % OF TOTAL REVENUES AFS OF HOT SPRINGS INC L 275798 FLAT % OF TOTAL REVENUES AFS OF LEBANON INC L 277577 FLAT % OF TOTAL REVENUES AFS OF YUMA INC L 77292 FLAT % OF TOTAL REVENUES AFS OF LOW MOOR INC S 3077536 DUE TO SUB AFS OF FINCASTLE INC S 2235631 DUE TO SUB AFS OF BASTIAN INC S 953896 DUE TO SUB AFS OF HOT SPRINGS INC S 1389791 DUE TO SUB AFS OF LEBANON INC S 2342664 DUE TO SUB AFS OF YUMA INC R 2459343 DUE FROM SUB VA CONSERVATION LEGACY FUND R 196864 DUE FROM SUB AFS MARTINSVILLE ALF S 156000 DUE TO SUB AFS WARSAW S 461870 DUE TO SUB AFS WARSAW L 454317 FLAT % OF TOTAL REVENUES AFS MARTINSVILLE ALF L 99586 FLAT % OF TOTAL REVENUES AFS MARTINSVILLE L 821480 FLAT % OF TOTAL REVENUES AFS MARTINSVILLE R 1704609 DUE FROM SUB VCLF LAND TRUST R 142584 DUE FROM RELATED