2019-11-13T15:23:24-06:00 2018-12-31 540504608 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN STREET SW ROANOKE VA 24014 990 2018-01-01 363666533 AMITY FELLOWSERVE INC AMIT 5402650322 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 5402650322 2019-11-13 1 M C WINGFIELD P00005971 5403450936 2019-11-13 206.248.228.130 2019-11-13 10:27:01 ES P F75A4857B52D28EE9D0B6B28B386CC6B9346B41E D0156BD46B4B1FE921C9503B1D7FFBF99E37DBAB 2018 2020-03-31 21:24:44Z KISSITO HEALTHCARE INC THOMAS M CLARKE 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 2229824 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 23 0 0 0 52199 0 2261326 2229737 20323 87 0 0 2333848 2229824 0 0 0 0 2029770 2080095 0 0 0 1007858 1980633 3037628 4060728 -703780 -1830904 1776244 2787010 8594280 11402465 -6818036 -8615455 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 3846081 2229737 CENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF HOUSING AND MEDICAL SERVICES. 3846081 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 20 0 1 23 1 0 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X KATIE M PERRY 5402650322 5228 VALLEYPOINTE PARKWAY BLDG B ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 3.00 2.00 X X 0 0 0 ANA CLARKE SECRETARY 3.00 2.00 X X 0 0 0 REVEREND DAVID ERICKSON DIRECTOR 4.00 1.00 X 0 0 0 WAYNE FUQUAY CHAIRMAN OF THE BOARD 4.00 1.00 X 0 0 0 JOSEPH ALESANTRINO CHIEF FINANCIAL OFFICER 30.00 10.00 X 182269 0 0 ROBERT B MCCLINTIC III CHIEF EXECUTIVE OFFICER 10.00 30.00 X 347115 0 0 KATHY L SANDERS CHIEF NURSING OFFICER 10.00 30.00 X 186778 0 0 MELISSA J BARTLETT EMPLOYEE 40.00 X 118423 0 0 MAUREEN A SHANAHAN EMPLOYEE 40.00 X 112822 0 0 947407 0 0 5 0 1 0 SYSCO FOOD SERVICE OF VA PO BOX 220020 RT 11 HARRISONBURG VA 22801 FOOD SERVICES & SUPPLIES 589785 NATIONAL STAFFING SOLUTIONS INC 603 6TH ST NW WINTER HAVEN FL 33881 STAFFING 371188 360 HEALTHCARE STAFFING LLC PO BOX 310737 DES MOINES IA 50331 STAFFING 347009 AERIS CONSULTING & MANAGEMENT LLC 304 PARKVILLE STATION ROAD STE 252 MANTUA NJ 80511 THERAPY STAFFING/SUPPLIES 341171 SYSCO FOOD SERVICE OF KNOXVILLE LLC 900 TENNESSEE AVE KNOXVILLE TN 37921 FOOD SERVICES & SUPPLIES 329970 16 SUBSIDARY MANAGEMENT F 551112 2217112 2217112 12625 12625 2229737 87 87 2229824 2229737 0 87 1772315 1772315 43684 43684 130344 130344 133752 133752 77694 77694 29791 29791 76427 76427 4663 4663 202937 202937 98845 98845 101629 101629 24482 24482 11512 11512 107162 107162 44081 44081 15153 15153 DISCONTINUED OPERATIONS 906261 906261 BAD DEBTS 230814 230814 TAXES & LICENSES 16407 16407 LEASE EXPENSE VEHICLES 14322 14322 18453 18453 4060728 3846081 214647 0 40095 24477 240288 173155 239208 29000 420991 242320 86187 178671 1170466 2381707 1776244 2787010 2243871 3255781 5462 5578 1919585 4425362 8141106 8594280 11402465 X -6818036 -8615455 -6818036 -8615455 1776244 2787010 X -1830904 -18325 51810 X X 0 0 0 X 45000 61657 51299 157956 2968900 3274992 2520524 2261326 2229737 13255479 2968900 3319992 2582181 2312625 2229737 13413435 20000 20000 0 20000 20000 13393435 32380 40044 21973 8431 87 102915 32380 40044 21973 8431 87 102915 3001280 3360036 2604154 2321056 2229824 13516350 0.99090 0.98790 0.00760 0.01060 X 49588 33293 16295 371403 209027 162376 178671 DUE FROM SUBSIDIARIES 2322734 OTHER CURRENT ASSETS 58973 2381707 CAPITAL LEASE 51632 INVESTMENT IN SUBSIDIARIES 4306848 DUE TO RELATED PARTIES 3782626 8141106 X 0 0 0 0 0 0 0 0 0 JOSEPH ALESANTRINO CHIEF FINANCIAL OFFICER 182269 0 0 0 0 0 0 0 0 0 182269 0 0 0 ROBERT B MCCLINTIC III CHIEF EXECUTIVE OFFICER 347115 0 0 0 0 0 0 0 0 0 347115 0 0 0 KATHY L SANDERS CHIEF NURSING OFFICER 186778 0 0 0 0 0 0 0 0 0 186778 0 0 0 THOMAS M CLARKE PRESIDENT PERSONAL X 29000 29000 0 1 0 29000 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 1 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: WRITE OFF OF ACTIVITY IN CLOSED SUB 51,810. 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 -263333 5030 AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INC AFS OF YUMA INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 043541452 NURSING CARE NV 501(C)(3) LINE 10 AMITY FELLOWSERVE INC 1 AFS OF LOW MOOR INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200224 NURSING CARE VA 501(C)(3) LINE 10 AMITY FELLOWSERVE INC 1 AFS OF FINCASTLE INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200518 NURSING CARE VA 501(C)(3) LINE 10 AMITY FELLOWSERVE INC 1 AFS OF BASTIAN INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200573 NURSING CARE VA 501(C)(3) LINE 10 AMITY FELLOWSERVE INC 1 AFS OF HOTSPRINGS INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200654 NURSING CARE VA 501(C)(3) LINE 10 AMITY FELLOWSERVE INC 1 AFS OF LEBANON INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 820556614 NURSING CARE VA 501(C)(3) LINE 10 AMITY FELLOWSERVE 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 AMITY FELLOWSERVE INC 1 ERP ENVIRONMENTAL FUND INC 15 APPLEDORE LANE NATURAL BRIDGE VA 24578 475325263 ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICES WV 501(C)(3) LINE 10 AMITY FELLOWSERVE INC 1 VIRGINIA CONSERVATION LEGACY FUND 15 APPLEDORE LANE NATURAL BRIDGE VA 24578 464462650 CONSERVATION & PRESERVATION OF A REAL PROPERTY - NATURAL BRIDGE OF VA VA 501(C)(3) LINE 10 AMITY FELLOWSERVE 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 425595 FLAT % OF TOTAL REVENUES AFS OF FINCASTLE INC L 500784 FLAT % OF TOTAL REVENUES AFS OF BASTIAN INC L 320317 FLAT % OF TOTAL REVENUES AFS OF HOT SPRINGS INC L 244916 FLAT % OF TOTAL REVENUES AFS OF LEBANON INC L 294104 FLAT % OF TOTAL REVENUES AFS OF YUMA INC L 431395 FLAT % OF TOTAL REVENUES AFS OF LOW MOOR INC S 1539093 DUE TO SUB AFS OF FINCASTLE INC S 1285225 DUE TO SUB AFS OF BASTIAN INC S 384346 DUE TO SUB AFS OF HOT SPRINGS INC R 221729 DUE FROM SUB AFS OF LEBANON INC S 348607 DUE TO SUB AFS OF YUMA INC R 1288841 DUE FROM SUB VA CONSERVATION LEGACY FUND R 191404 DUE FROM SUB AMERICAN CONSERVATION & EDUCATION CENTERS INC R 395263 DUE FROM SUB