KISSITO HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
KISSITO HEALTHCARE INC (EIN 36-3666533)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201923179349307417
Schema version
2018v3.1
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)
Return2019-11-13T15:23:24-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363666533EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMITY FELLOWSERVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAMITBusinessNameControlTxt
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
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM C WINGFIELDPreparerPersonNm
PTINP00005971PTIN
Phone5403450936PhoneNum
Preparation2019-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.248.228.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-13IPDt
IP Tm10:27:01IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF75A4857B52D28EE9D0B6B28B386CC6B9346B41EAtSubmissionCreationDeviceId
At Submission Filing Device IdD0156BD46B4B1FE921C9503B1D7FFBF99E37DBABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KISSITO HEALTHCARE INCBusinessNameLine1Txt
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$2,229,824GrossReceiptsAmt
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 Employee23TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$52,199PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,261,326PYProgramServiceRevenueAmt
CY Program Service Revenue$2,229,737CYProgramServiceRevenueAmt
PY Investment Income$20,323PYInvestmentIncomeAmt
CY Investment Income$87CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,333,848PYTotalRevenueAmt
CY Total Revenue$2,229,824CYTotalRevenueAmt
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$2,029,770PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,080,095CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,007,858PYOtherExpensesAmt
CY Other Expenses$1,980,633CYOtherExpensesAmt
PY Total Expenses$3,037,628PYTotalExpensesAmt
CY Total Expenses$4,060,728CYTotalExpensesAmt
PY Revenues Less Expenses-$703,780PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,830,904CYRevenuesLessExpensesAmt
Total Assets BOY$1,776,244TotalAssetsBOYAmt
Total Assets EOY$2,787,010TotalAssetsEOYAmt
Total Liabilities BOY$8,594,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,402,465TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$6,818,036NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,615,455NetAssetsOrFundBalancesEOYAmt
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$3,846,081ExpenseAmt
Revenue$2,229,737RevenueAmt
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$3,846,081TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee23EmployeeCnt
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 (9 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
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)$0$0$0
WAYNE FUQUAY
CHAIRMAN OF THE BOARD4.001.00Yes (X)$0$0$0
JOSEPH ALESANTRINO
CHIEF FINANCIAL OFFICER30.0010.00Yes (X)$182,269$0$0
ROBERT B MCCLINTIC III
CHIEF EXECUTIVE OFFICER10.0030.00Yes (X)$347,115$0$0
KATHY L SANDERS
CHIEF NURSING OFFICER10.0030.00Yes (X)$186,778$0$0
MELISSA J BARTLETT
EMPLOYEE40.00$118,423$0$0Yes (X)
MAUREEN A SHANAHAN
EMPLOYEE40.00$112,822$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$947,407TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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
SYSCO FOOD SERVICE OF VA
PO BOX 220020 RT 11HARRISONBURGVA22801FOOD SERVICES & SUPPLIES$589,785
NATIONAL STAFFING SOLUTIONS INC
603 6TH ST NWWINTER HAVENFL33881STAFFING$371,188
360 HEALTHCARE STAFFING LLC
PO BOX 310737DES MOINESIA50331STAFFING$347,009
AERIS CONSULTING & MANAGEMENT LLC
304 PARKVILLE STATION ROAD STE 252MANTUANJ80511THERAPY STAFFING/SUPPLIES$341,171
SYSCO FOOD SERVICE OF KNOXVILLE LLC
900 TENNESSEE AVEKNOXVILLETN37921FOOD SERVICES & SUPPLIES$329,970
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSUBSIDARY MANAGEMENT FDesc
Business551112BusinessCd
Total Revenue Column$2,217,112TotalRevenueColumnAmt
Related Or Exempt Func Income$2,217,112RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,625TotalRevenueColumnAmt
Related Or Exempt Func Income$12,625RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,229,737TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$87TotalRevenueColumnAmt
Exclusion$87ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,229,824TotalRevenueColumnAmt
Related Or Exempt Func Income$2,229,737RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$87ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,772,315TotalAmt
Program Services$1,772,315ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$43,684TotalAmt
Program Services$43,684ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$130,344TotalAmt
Program Services$130,344ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$133,752TotalAmt
Program Services$133,752ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$77,694TotalAmt
Management And General$77,694ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,791TotalAmt
Management And General$29,791ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$76,427TotalAmt
Program Services$76,427ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,663TotalAmt
Program Services$4,663ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$202,937TotalAmt
Program Services$202,937ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$98,845TotalAmt
Program Services$98,845ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$101,629TotalAmt
Program Services$101,629ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,482TotalAmt
Program Services$24,482ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,512TotalAmt
Program Services$11,512ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$107,162TotalAmt
Management And General$107,162ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$44,081TotalAmt
Program Services$44,081ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,153TotalAmt
Program Services$15,153ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DISCONTINUED OPERATIONS$906,261$906,261
BAD DEBTS$230,814$230,814
TAXES & LICENSES$16,407$16,407
LEASE EXPENSE VEHICLES$14,322$14,322

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,453TotalAmt
Program Services$18,453ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,060,728TotalAmt
Program Services$3,846,081ProgramServicesAmt
Management And General$214,647ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,095BOYAmt
EOY$24,477EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$240,288BOYAmt
EOY$173,155EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$239,208BOYAmt
EOY$29,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$420,991LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$242,320LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$86,187BOYAmt
EOY$178,671EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,170,466BOYAmt
EOY$2,381,707EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,776,244BOYAmt
EOY$2,787,010EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,243,871BOYAmt
EOY$3,255,781EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,462BOYAmt
EOY$5,578EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,919,585BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,425,362BOYAmt
EOY$8,141,106EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,594,280BOYAmt
EOY$11,402,465EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$6,818,036BOYAmt
EOY-$8,615,455EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$6,818,036BOYAmt
EOY-$8,615,455EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,776,244BOYAmt
EOY$2,787,010EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,830,904ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$18,325PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$51,810OtherChangesInNetAssetsAmt
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 Minus3 Years$45,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,657CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,299CurrentTaxYearMinus1YearAmt
Total$157,956TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,968,900CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,274,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,520,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,261,326CurrentTaxYearMinus1YearAmt
Current Tax Year$2,229,737CurrentTaxYearAmt
Total$13,255,479TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,968,900CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,319,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,582,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,312,625CurrentTaxYearMinus1YearAmt
Current Tax Year$2,229,737CurrentTaxYearAmt
Total$13,413,435TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$20,000CurrentTaxYearMinus3YearsAmt
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 Minus3 Years$20,000CurrentTaxYearMinus3YearsAmt
Total$20,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$13,393,435PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,973CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,431CurrentTaxYearMinus1YearAmt
Current Tax Year$87CurrentTaxYearAmt
Total$102,915TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,973CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,431CurrentTaxYearMinus1YearAmt
Current Tax Year$87CurrentTaxYearAmt
Total$102,915TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,001,280CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,360,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,604,154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,321,056CurrentTaxYearMinus1YearAmt
Current Tax Year$2,229,824CurrentTaxYearAmt
Total$13,516,350TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99090PublicSupportCY509Pct
Public Support PY5090.98790PublicSupportPY509Pct
Investment Income CY0.00760InvestmentIncomeCYPct
Investment Income PY0.01060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,588OtherCostOrOtherBasisAmt
Depreciation$33,293DepreciationAmt
Book Value$16,295BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$371,403OtherCostOrOtherBasisAmt
Depreciation$209,027DepreciationAmt
Book Value$162,376BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$178,671TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM SUBSIDIARIES$2,322,734
OTHER CURRENT ASSETS$58,973
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,381,707TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CAPITAL LEASE$51,632
INVESTMENT IN SUBSIDIARIES$4,306,848
DUE TO RELATED PARTIES$3,782,626
FieldValueIRS element (for citing)
Total Liability$8,141,106TotalLiabilityAmt

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 (3 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
JOSEPH ALESANTRINO
CHIEF FINANCIAL OFFICER$182,269$0$0$0$0$0$0$0$0$0$182,269$0$0$0
ROBERT B MCCLINTIC III
CHIEF EXECUTIVE OFFICER$347,115$0$0$0$0$0$0$0$0$0$347,115$0$0$0
KATHY L SANDERS
CHIEF NURSING OFFICER$186,778$0$0$0$0$0$0$0$0$0$186,778$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$29,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$29,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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.
FORM 990, PART III, LINE 1VIRGINIA 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 XI, LINE 9:WRITE OFF OF ACTIVITY IN CLOSED SUB 51,810.
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
Total Income-$263,333TotalIncomeAmt
End Of Year Assets$5,030EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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 10AMITY FELLOWSERVE INCYes (1)
AFS OF LOW MOOR INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200224NURSING CAREVA501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
AFS OF FINCASTLE INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200518NURSING CAREVA501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
AFS OF BASTIAN INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200573NURSING CAREVA501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
AFS OF HOTSPRINGS INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019202200654NURSING CAREVA501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
AFS OF LEBANON INC
5228 VALLEYPOINTE PARKWAY BLDG B STROANOKEVA24019820556614NURSING CAREVA501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
AMERICAN CONSERVATION AND EDUCATION CENTERS INC
PO BOX 87NATURAL BRIDGEVA24578474397336ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICESVA501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
ERP ENVIRONMENTAL FUND INC
15 APPLEDORE LANENATURAL BRIDGEVA24578475325263ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICESWV501(C)(3)LINE 10AMITY FELLOWSERVE INCYes (1)
VIRGINIA CONSERVATION LEGACY FUND
15 APPLEDORE LANENATURAL BRIDGEVA24578464462650CONSERVATION & PRESERVATION OF A REAL PROPERTY - NATURAL BRIDGE OF VAVA501(C)(3)LINE 10AMITY FELLOWSERVE 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 (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AFS OF LOW MOOR INC
L$425,595FLAT % OF TOTAL REVENUES
AFS OF FINCASTLE INC
L$500,784FLAT % OF TOTAL REVENUES
AFS OF BASTIAN INC
L$320,317FLAT % OF TOTAL REVENUES
AFS OF HOT SPRINGS INC
L$244,916FLAT % OF TOTAL REVENUES
AFS OF LEBANON INC
L$294,104FLAT % OF TOTAL REVENUES
AFS OF YUMA INC
L$431,395FLAT % OF TOTAL REVENUES
AFS OF LOW MOOR INC
S$1,539,093DUE TO SUB
AFS OF FINCASTLE INC
S$1,285,225DUE TO SUB
AFS OF BASTIAN INC
S$384,346DUE TO SUB
AFS OF HOT SPRINGS INC
R$221,729DUE FROM SUB
AFS OF LEBANON INC
S$348,607DUE TO SUB
AFS OF YUMA INC
R$1,288,841DUE FROM SUB
VA CONSERVATION LEGACY FUND
R$191,404DUE FROM SUB
AMERICAN CONSERVATION & EDUCATION CENTERS INC
R$395,263DUE FROM SUB

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