KISSITO HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
KISSITO HEALTHCARE INC (EIN 36-3666533)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202013219349304866
Schema version
2019v5.1
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)
Return2020-11-16T09:44:35-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Line1319 MCCLANAHAN STREET SWAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24014ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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 Line15228 VALLEYPOINTE PKWY BLDG B 1AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS M CLARKEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5402650322PhoneNum
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM C WINGFIELDPreparerPersonNm
PTINP00005971PTIN
Phone5403450936PhoneNum
Preparation2020-11-16PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.248.228.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm09:12:38IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id82D9247CCEE5F00EA3E11E9DB0C17A3DAC9469A9AtSubmissionCreationDeviceId
At Submission Filing Device Id99D0D1F6CFEB3F355FC0DB60138D01BD9869373FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS M CLARKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15228 VALLEYPOINTE PKWY BLDG B 1AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,474,713GrossReceiptsAmt
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 IN OUR DOMESTIC AND GLOBAL SERVICES THROUGH A BALANCED ENGAGEMENT IN ACADEMICS, RESEARCH AND HEALTH CARE DELIVERY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee39TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,229,737PYProgramServiceRevenueAmt
CY Program Service Revenue$3,374,701CYProgramServiceRevenueAmt
PY Investment Income$87PYInvestmentIncomeAmt
CY Investment Income$12CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$100,000CYOtherRevenueAmt
PY Total Revenue$2,229,824PYTotalRevenueAmt
CY Total Revenue$3,474,713CYTotalRevenueAmt
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$2,080,095PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,055,821CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,980,633PYOtherExpensesAmt
CY Other Expenses$3,972CYOtherExpensesAmt
PY Total Expenses$4,060,728PYTotalExpensesAmt
CY Total Expenses$2,059,793CYTotalExpensesAmt
PY Revenues Less Expenses-$1,830,904PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,414,920CYRevenuesLessExpensesAmt
Total Assets BOY$2,787,010TotalAssetsBOYAmt
Total Assets EOY$4,947,388TotalAssetsEOYAmt
Total Liabilities BOY$11,402,465TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,147,923TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$8,615,455NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$7,200,535NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE AND THE STEWARDSHIP OF NATURAL RESOURCES THROUGH CONSERVATION, EDUCATION AND RECREATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,978,731ExpenseAmt
DescCENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF HOUSING AND MEDICAL SERVICES.Desc
Total Program Service Expenses$1,978,731TotalProgramServiceExpensesAmt
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 OutstandingYes (1)LoanOutstandingInd
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 EntityYes (1)DisregardedEntityInd
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 Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee39EmployeeCnt
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 Members4GoverningBodyVotingMembersCnt
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 VALLEYPOINTE PARKWAY BLDG BAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24019ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
THOMAS M CLARKE
PRESIDENT3.002.00Yes (X)Yes (X)$0$0$0
ANA CLARKE
SECRETARY3.002.00Yes (X)Yes (X)$0$0$0
REVEREND DAVID ERICKSON
DIRECTOR4.001.00Yes (X)$6,000$0$0
WAYNE FUQUAY
CHAIRMAN OF THE BOARD4.001.00Yes (X)$7,845$0$0
JOSEPH ALESANTRINO
CHIEF FINANCIAL OFFICER30.0010.00Yes (X)$102,627$0$0
ROBERT B MCCLINTIC III
CHIEF EXECUTIVE OFFICER10.0030.00Yes (X)$392,251$0$0
KATHY L SANDERS
CHIEF NURSING OFFICER10.0030.00Yes (X)$214,971$0$0
KATIE PERRY
CHIEF FINANCIAL OFFICER30.0010.00Yes (X)$88,109$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$811,803TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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
MCKESSON MEDICAL SURGICAL MN SUPPLY INC
9954 MARYLAND DRRICHMONDVA23233SUPPLIES$1,250,937
LINCARE INC
1807 MURRY RDROANOKEVA24018THERAPY STAFFING/SUPPLIES$1,019,676
OMNICARE INC
9482 MERIDIAN WAYWEST CHESTER TOWNSHIPOH45069SUPPLIES$768,067
SYSCO FOOD SERVICE OF VA
PO BOX 220020 RT 11HARRISONBURGVA22801FOOD SERVICES & SUPPLIES$554,628
NATIONAL STAFFING SOLUTIONS INC
603 6TH ST NWWINTER HAVENFL33881STAFFING$523,242
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSUBSIDARY MANAGEMENT FDesc
Business551112BusinessCd
Total Revenue Column$3,251,333TotalRevenueColumnAmt
Related Or Exempt Func Income$3,251,333RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$123,368TotalRevenueColumnAmt
Related Or Exempt Func Income$123,368RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,374,701TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12TotalRevenueColumnAmt
Exclusion$12ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDEBT FORGIVENESSDesc
Business900009BusinessCd
Total Revenue Column$100,000TotalRevenueColumnAmt
Related Or Exempt Func Income$100,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$100,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,474,713TotalRevenueColumnAmt
Related Or Exempt Func Income$3,474,701RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,698,343TotalAmt
Program Services$1,698,343ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$213,582TotalAmt
Program Services$213,582ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$143,896TotalAmt
Program Services$143,896ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$50,922TotalAmt
Management And General$50,922ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,855TotalAmt
Management And General$28,855ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$82,765TotalAmt
Program Services$82,765ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,529TotalAmt
Program Services$9,529ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$72,139TotalAmt
Program Services$72,139ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$81,829TotalAmt
Program Services$81,829ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$87,773TotalAmt
Program Services$87,773ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,567TotalAmt
Program Services$27,567ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,594TotalAmt
Program Services$14,594ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,285TotalAmt
Management And General$1,285ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$58,169TotalAmt
Program Services$58,169ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,311TotalAmt
Program Services$14,311ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
LEASE EXPENSE VEHICLES$136,965$136,965
MAINTENANCE & SERVICE C$13,363$13,363
TAXES & LICENSES$8,189$8,189
EQUIPMENT RENTAL$7,628$7,628

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$691,911TotalAmt
Program Services-$691,911ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,059,793TotalAmt
Program Services$1,978,731ProgramServicesAmt
Management And General$81,062ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,477BOYAmt
EOY$263,478EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$173,155BOYAmt
EOY$911,729EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$29,000BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$425,246LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$300,462LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$178,671BOYAmt
EOY$124,784EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,381,707BOYAmt
EOY$3,647,397EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,787,010BOYAmt
EOY$4,947,388EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,255,781BOYAmt
EOY$1,332,191EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,578BOYAmt
EOY$3,489EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$572,169EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,141,106BOYAmt
EOY$10,240,074EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,402,465BOYAmt
EOY$12,147,923EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,615,455BOYAmt
EOY-$7,200,535EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$8,615,455BOYAmt
EOY-$7,200,535EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,787,010BOYAmt
EOY$4,947,388EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,414,920ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$45,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,657CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,299CurrentTaxYearMinus2YearsAmt
Total$157,956TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,274,992CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,520,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,261,326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,229,737CurrentTaxYearMinus1YearAmt
Total$10,286,579TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,319,992CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,582,181CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,312,625CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,229,737CurrentTaxYearMinus1YearAmt
Total$10,444,535TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,000CurrentTaxYearMinus4YearsAmt
Total$20,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,000CurrentTaxYearMinus4YearsAmt
Total$20,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$10,424,535PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,044CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,431CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87CurrentTaxYearMinus1YearAmt
Total$70,535TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,044CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,431CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87CurrentTaxYearMinus1YearAmt
Total$70,535TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,360,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,604,154CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,321,056CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,229,824CurrentTaxYearMinus1YearAmt
Total$10,515,070TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99140PublicSupportCY509Pct
Public Support PY5090.99090PublicSupportPY509Pct
Investment Income CY0.00670InvestmentIncomeCYPct
Investment Income PY0.00760InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,558OtherCostOrOtherBasisAmt
Depreciation$35,157DepreciationAmt
Book Value$14,401BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$375,688OtherCostOrOtherBasisAmt
Depreciation$265,305DepreciationAmt
Book Value$110,383BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$124,784TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM SUBSIDIARIES$3,585,886
OTHER CURRENT ASSETS$61,511
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,647,397TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CAPITAL LEASE$18,965
INVESTMENT IN SUBSIDIARIES$3,109,346
DUE TO RELATED PARTIES$7,111,763
FieldValueIRS element (for citing)
Total Liability$10,240,074TotalLiabilityAmt

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 (6 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
REVEREND DAVID ERICKSON
DIRECTOR$6,000$0$0$0$0$0$0$0$0$0$6,000$0$0$0
WAYNE FUQUAY
CHAIRMAN OF THE BOARD$7,845$0$0$0$0$0$0$0$0$0$7,845$0$0$0
JOSEPH ALESANTRINO
CHIEF FINANCIAL OFFICER$102,627$0$0$0$0$0$0$0$0$0$102,627$0$0$0
ROBERT B MCCLINTIC III
CHIEF EXECUTIVE OFFICER$392,251$0$0$0$0$0$0$0$0$0$392,251$0$0$0
KATHY L SANDERS
CHIEF NURSING OFFICER$214,971$0$0$0$0$0$0$0$0$0$214,971$0$0$0
KATIE PERRY
CHIEF FINANCIAL OFFICER$88,109$0$0$0$0$0$0$0$0$0$88,109$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$29,000OriginalPrincipalAmt
Balance Due$0BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2THOMAS M CLARKE, PRESIDENT AND DIRECTOR IS RELATED BY MARRIAGE 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 XII, LINE 2CNO CHANGES IN METHOD SINCE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CAVERNS AT NATURAL BRIDGE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 APPLEDORE LANEAddressLine1Txt
CityNATURAL BRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24578ZIPCd
FieldValueIRS element (for citing)
EIN464576529EIN
Primary ActivitiesMANAGEMENT OF NATURAL BRIDGE CAVERNSPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KISSITO HEALTHCARE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AFS OF YUMA INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019043541452NURSING CARENV501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF LOW MOOR INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200224NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF FINCASTLE INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200518NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF BASTIAN INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200573NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF HOTSPRINGS INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200654NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS OF LEBANON INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019820556614NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AMERICAN CONSERVATION AND EDUCATION CENTERS INC
PO BOX 87NATURAL BRIDGEVA24578474397336ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICESVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
ERP ENVIRONMENTAL FUND INC
15 APPLEDORE LANENATURAL BRIDGEVA24578475325263ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICESWV501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
VIRGINIA CONSERVATION LEGACY FUND
15 APPLEDORE LANENATURAL BRIDGEVA24578464462650CONSERVATION & PRESERVATION OF A REAL PROPERTY - NATURAL BRIDGE OF VAVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS MASTER TENANT INC
5237 VALLEYPOINTE PARKWAYROANOKEVA24019834720460NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS MARTINSVILLE ALF
5238 VALLEYPOINTE PARKWAYROANOKEVA24019834690750NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)
AFS WARSAW
5239 VALLEYPOINTE PARKWAYROANOKEVA24019841744612NURSING CAREVA501(C)(3)LINE 10KISSITO HEALTHCARE INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VCLF LAND TRUST INC & SUBSIDIARIESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 87AddressLine1Txt
CityNATURAL BRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24578ZIPCd
FieldValueIRS element (for citing)
EIN474399798EIN
Primary ActivitiesENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
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 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 (16 entries)

Transaction TypeTransactionTypeTxtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtInvolvedInvolvedAmt
AFS OF LOW MOOR INC
LFLAT % OF TOTAL REVENUES
AFS OF FINCASTLE INC
LFLAT % OF TOTAL REVENUES
AFS OF BASTIAN INC
LFLAT % OF TOTAL REVENUES
AFS OF HOT SPRINGS INC
LFLAT % OF TOTAL REVENUES
AFS OF LEBANON INC
LFLAT % OF TOTAL REVENUES
AFS OF YUMA INC
LFLAT % OF TOTAL REVENUES
AFS OF LOW MOOR INC
SDUE TO SUB$4,702,263
AFS OF FINCASTLE INC
SDUE TO SUB$1,437,085
AFS OF BASTIAN INC
RDUE TO SUB$71,178
AFS OF HOT SPRINGS INC
RDUE FROM SUB$169,043
AFS OF LEBANON INC
SDUE TO SUB$751,350
AFS OF YUMA INC
RDUE FROM SUB$2,469,033
VA CONSERVATION LEGACY FUND
RDUE FROM SUB$196,864
AMERICAN CONSERVATION & EDUCATION CENTERS INC
RDUE FROM SUB$395,271
AFS MARTINSVILLE ALF
RDUE FROM SUB$78,293
AFS WARSAW
RDUE FROM SUB$312,187

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