KISSITO HEALTHCARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KISSITO HEALTHCARE INC (EIN 36-3666533)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2018-06-15
- IRS object ID
- 201841669349300634
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-06-15T10:39:45-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 319 MCCLANAHAN STREET SW | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363666533 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMITY FELLOWSERVE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMIT | BusinessNameControlTxt |
| Phone | 5402650322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5228 VALLEYPOINTE PKWY BLDG B 1 | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24019 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS M CLARKE | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 5402650322 | PhoneNum |
| Signature | 2018-06-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | M C WINGFIELD | PreparerPersonNm |
| PTIN | P00005971 | PTIN |
| Phone | 5403450936 | PhoneNum |
| Preparation | 2018-06-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KISSITO HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS M CLARKE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5228 VALLEYPOINTE PKWY BLDG B 1 | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,656,751 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KISSITO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | KISSITO HEALTHCARE EXISTS FOR THE CARE OF HUMAN LIFE AND THE STEWARDSHIP OF NATURAL RESOURCES THROUGH CONSERVATION, EDUCATION AND RECREATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 25 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $10,148 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$77,305 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $45,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $61,657 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,542,024 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,573,301 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$104,822 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,793 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,482,202 | PYTotalRevenueAmt |
| CY Total Revenue | $3,656,751 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,226,912 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,717,387 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,225,158 | PYOtherExpensesAmt |
| CY Other Expenses | $1,241,759 | CYOtherExpensesAmt |
| PY Total Expenses | $3,452,070 | PYTotalExpensesAmt |
| CY Total Expenses | $2,959,146 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$969,868 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $697,605 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,965,453 | TotalAssetsBOYAmt |
| Total Assets EOY | $588,941 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,680,326 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,595,374 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,714,873 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,006,433 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | KISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE. WE SEEK TO PROVIDE THE WORLD'S MOST VURNERABLE POPULATIONS WITH LOW-COST, HIGH IMPACT HEALTHCARE SOLUTIONS THAT IMPROVE OUTCOMES AND SAVE LIVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,428,041 | ExpenseAmt |
| Revenue | $3,563,153 | RevenueAmt |
| Desc | CENTRAL 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 | $2,428,041 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 25 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOE ALESANTRINO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5402650322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5228 VALLEYPOINTE PARKWAY BLDG B | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24019 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| THOMAS M CLARKE | |||||||
| PRESIDENT | 30.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANA CLARKE | |||||||
| SECRETARY | 30.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| REVEREND DAVID ERICKSON | |||||||
| DIRECTOR | 4.00 | 1.00 | Yes (X) | $6,000 | $0 | $0 | |
| WAYNE FUQUAY | |||||||
| CHAIRMAN OF THE BOARD | 4.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH ALESANTRINO | |||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 10.00 | Yes (X) | $156,048 | $0 | $0 | |
| JENNIFER BELL | |||||||
| CHIEF INVESTMENT OFFICER | 10.00 | 30.00 | Yes (X) | $0 | $180,585 | $0 | |
| ROBERT MCCLINTIC | |||||||
| CHIEF EXECUTIVE OFFICER | 30.00 | 10.00 | Yes (X) | $218,394 | $0 | $0 | |
| KATHY SANDERS | |||||||
| CHIEF NURSING OFFICER | 10.00 | 30.00 | Yes (X) | $142,048 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $522,490 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $180,585 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VCPI | |||||
| 1555 N RIVERCENTER DRIVE STE 202 | MILWAUKEE | WI | 53212 | INFORMATION SYSTEMS PROVIDER | $134,231 |
| INPATIENT CONSULTANTS OF N CAROLINA PC | |||||
| PO BOX 844929 | LOS ANGELES | CA | 900844929 | PHYSICIAN SERVICES | $125,000 |
| ALVAREZ & MARSAL LLC | |||||
| 600 MADISON AVENUE | NEW YORK | NY | 10022 | CONSULTING SERVICES | $105,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $61,657 | RelatedOrganizationsAmt |
| Total Contributions | $61,657 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| SUBSIDARY MANAGEMENT F | 551112 | $2,463,305 | $2,463,305 | |
| INVESTMENT IN DISREGAR | 531390 | $1,042,629 | $1,042,629 | |
| INVESTMENT IN DISREGAR | 531390 | $10,148 | $10,148 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,219 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,219 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,573,301 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,793 | TotalRevenueColumnAmt |
| Exclusion | $21,793 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,656,751 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,563,153 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $10,148 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,793 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,490 | TotalAmt |
| Program Services | $522,490 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,634 | TotalAmt |
| Program Services | $864,634 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,994 | TotalAmt |
| Program Services | $30,994 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,299 | TotalAmt |
| Program Services | $176,299 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,970 | TotalAmt |
| Program Services | $122,970 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,421 | TotalAmt |
| Management And General | $34,421 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,722 | TotalAmt |
| Management And General | $80,722 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,157 | TotalAmt |
| Program Services | $153,157 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,998 | TotalAmt |
| Program Services | $4,998 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,392 | TotalAmt |
| Program Services | $207,392 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,909 | TotalAmt |
| Program Services | $71,909 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,752 | TotalAmt |
| Program Services | $95,752 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,888 | TotalAmt |
| Program Services | $56,888 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,804 | TotalAmt |
| Program Services | $11,804 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,509 | TotalAmt |
| Management And General | $328,509 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,248 | TotalAmt |
| Program Services | $29,248 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,885 | TotalAmt |
| Program Services | $5,885 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| STONEWALL LODGE & COTTA | $87,453 | $87,453 | |
| DISC OP HONDO | $25,135 | $25,135 | |
| LEASE EXPENSE VEHICLES | $14,769 | $14,769 | |
| EQUIPMENT RENTAL | $14,001 | $14,001 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,716 | TotalAmt |
| Program Services | $19,716 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,959,146 | TotalAmt |
| Program Services | $2,428,041 | ProgramServicesAmt |
| Management And General | $531,105 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,617 | BOYAmt |
| EOY | $276,937 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,077 | BOYAmt |
| EOY | $47,876 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,148,985 | BOYAmt |
| EOY | $298,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $273,282 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $165,166 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,666 | BOYAmt |
| EOY | $108,116 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $601,108 | BOYAmt |
| EOY | -$142,122 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,965,453 | BOYAmt |
| EOY | $588,941 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,757,019 | BOYAmt |
| EOY | $4,329,923 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448 | BOYAmt |
| EOY | $3,139 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $622,645 | BOYAmt |
| EOY | $260,085 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,214 | BOYAmt |
| EOY | $2,227 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,680,326 | BOYAmt |
| EOY | $4,595,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,714,873 | BOYAmt |
| EOY | -$4,006,433 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,714,873 | BOYAmt |
| EOY | -$4,006,433 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,965,453 | BOYAmt |
| EOY | $588,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $697,605 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$23,841 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$965,324 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $45,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,657 | CurrentTaxYearAmt |
| Total | $106,657 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,334,724 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,304,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,968,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,274,992 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,520,524 | CurrentTaxYearAmt |
| Total | $13,403,655 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,334,724 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,304,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,968,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,319,992 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,582,181 | CurrentTaxYearAmt |
| Total | $13,510,312 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $20,000 | CurrentTaxYearMinus1YearAmt |
| Total | $20,000 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $20,000 | CurrentTaxYearMinus1YearAmt |
| Total | $20,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $13,490,312 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,853 | CurrentTaxYearMinus3YearsAmt |
| Total | $212,454 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,853 | CurrentTaxYearMinus3YearsAmt |
| Total | $212,454 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,505,325 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,346,368 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,968,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,319,992 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,582,181 | CurrentTaxYearAmt |
| Total | $13,722,766 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98310 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97140 | PublicSupportPY509Pct |
| Investment Income CY | 0.01550 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02860 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Public Use | Yes (X) | PreservationPublicUseInd |
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| Historic Land Area | Yes (X) | HistoricLandAreaInd |
| Total Easements | 1 | TotalEasementsCnt |
| Total Acreage | 84.87 | TotalAcreageCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Staff Hours Spent Enforcement | 364.00 | StaffHoursSpentEnforcementCnt |
| Expenses Incurred Enforcement | $4,077 | ExpensesIncurredEnforcementAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,159 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,307 | DepreciationAmt |
| Book Value | $2,852 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $239,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $133,859 | DepreciationAmt |
| Book Value | $105,264 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $108,116 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE | Desc |
| Amt | $2,227 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,227 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 9: | FormAndLineReferenceDesc |
| Explanation | THE CONSERVATION EASEMENT REVENUE FOR CAVERANS AT NATURAL BRIDGE IS REPORTED ON PART VIII, LINE 2B. ALL BALANCE SHEET ACTIVITY FOR THE CAVERNS AT NATURAL BRIDGE IS EXCLUDED ON THE BALANCE SHEET, HOWEVER, TOTAL ASSETS FOR THIS ENTITY IS REPORTED ON SCHEDULE R, PART I. SINCE THERE ARE NO AUDITED FINANCIAL STATEMENTS, THERE IS NO FOOTNOTE DESCRIBING THE ORGANIZATION'S ACCOUNTING FOR CONSERVATION EASEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH ALESANTRINO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $156,048 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $156,048 | $0 | $0 | $0 |
| JENNIFER BELL | ||||||||||||||
| CHIEF INVESTMENT OFFICER | $0 | $180,585 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $180,585 | $0 | $0 |
| ROBERT MCCLINTIC | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $218,394 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $218,394 | $0 | $0 | $0 |
| KATHY SANDERS | ||||||||||||||
| CHIEF NURSING OFFICER | $142,048 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $142,048 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| THOMAS M CLARKE | |||||||
| PRESIDENT & CEO | BUSINESS | Yes (X) | $656,215 | $93,880 | 0 | Yes (1) | Yes (1) |
| DANNY HOLBROOK | |||||||
| CFO | PERSONAL | Yes (X) | $6,000 | $4,000 | Yes (1) | Yes (1) | Yes (1) |
| THOMAS M CLARKE | |||||||
| PERSONAL | Yes (X) | $170,341 | $200,254 | 0 | Yes (1) | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $298,134 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SUPPLEMENTAL INFORMATION: | NURSING & REHABILITATION SERVICES - 6 FACILITIES: KISSITO OPERATES SIX SKILLED NURSING AND REHABILITATION FACILITIES THAT DELIVER EXCEPTIONAL SERVICES LIKE VENTILATOR DEPENDENT CARE, COMPLEX WOUND CARE, ALZHEIMER/DEMENTIA CARE, POST-ACUTE REHABILITATION, ASSISTED LIVING, AND CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. TWO-THIRDS OF THE PATIENTS 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 TRANSFORMED TWO TRADITIONAL NURSING HOMES 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 CENTERS OF EXCELLENCE ARE IN HIGH DEMAND AND RECEIVES PATIENTS FROM THROUGHOUT THE UITEDN STATES. MODEL OF CARE CP2 (COLLABORATE PATIENT CARE PATHWAY): OVER 22 PERCENT OF MEDICARE PATIENTS RELEASED FROM THE HOSPITAL RETURN WITHIN 30 DAYS, AND THE LEADING CAUSE IS THEIR INABILITY TO MANAGE THEIR CONDITION. KISSITO RECOGNIZED THAT PATIENTS AND THEIR FAMILIES COULD BE EMPOWERED TO MAINTAIN THEIR HEALTH AND BREAK THE HOSPITALIZATION CYCLE. WORKING WITH DR. STEVEN R. HAHN OF THE ALBERT EINSTEIN COLLEGE OF MEDICINE, KISSITO DEVELOPED THE COLLABORATIVE PATIENT CARE PATHWAY OR CP2. THIS EVIDENCE-BASED MODEL OF CARE HAS ALREADY BEEN IMPLEMENTED IN MULTIPLE PROVIDER SETTINGS ACROSS THE COUNTRY AND EARLY RESULTS SHOW DRAMATICALLY REDUCED READMISSION RATES WITH PATIENTS ENJOYING LONGER, HEALTHIER, AND HAPPIER LIVES. KISSITO IS COMMITTED TO MAKING CP2 THE STANDARD MODEL OF CARE ACROSS MULTIPLE PROVIDER SETTINGS. HOME AND COMMUNITY BASED SERVICES - PACE AND MFP: KISSITO BELIEVES OUR ELDERLY POPULATION WILL ONCE AGAIN BE CARED FOR AT HOME WITH BETTER OUTCOMES AND AT LOWER COSTS. FEDERALLY FUNDED PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) AND MFP (MONEY FOLLOWS THE PERSON) ARE TWO PROGRAMS KISSITO HAS IMPLEMENTED TO KEEP OR BRING OUR ELDERS HOME TO LIVE AMONGST FAMILY AND FRIENDS. KISSITO BELIEVES HIGH-QUALITY, HOME-CENTERED CARE IS THE WAY OF THE FUTURE AND WE INTEND TO BE AT THE FOREFRONT OF IT. KISSITO AT HOME (MFP): RESEARCH SHOWS THERE ARE FAR TOO MANY ELDERS INSTITUTIONALIZED IN NURSING HOMES, MANY OF WHOM COULD LIVE INDEPENDENTLY IN THE COMMUNITY WITH THE RIGHT HOME AND COMMUNITY BASED SERVICES AVAILABLE TO THEM. KISSITO AT HOME IS A MONEY FOLLOWS THE PERSON PROGRAM DESIGNED TO ALLOW A PERSON LIVING IN A NURSING HOME TO TRANSITION BACK INTO THE COMMUNITY AND HAVE THEIR HOME AND COMMUNITY BASED SERVICES COORDINATED FOR THEM UNTIL THE TRANSITION IS COMPLETE. KISSITO PACE: STAYING INDEPENDENT AND REMAINING AT HOME IS IMPORTANT FOR OUR COMMUNITY'S SENIORS. HOWEVER, SAFETY AND PROPER CARE ARE SERIOUS CONCERNS. KISSITO PACE UNDERSTANDS THIS AND HELPS SENIORS TO STAY HEALTHY AND LIVING AT HOME. SENIORS IN THE KISSITO PACE PROGRAM BENEFIT FROM A WIDE RANGE OF HEALTHCARE SERVICES PROVIDED IN OUR PACE CENTER AND AT HOME, 24 HOURS A DAY, 7 DAYS A WEEK, AND 365 DAYS A YEAR. KISSITO PACE RELIEVES THE BURDEN ON FAMILY CAREGIVERS BY PROVIDING WHEELCHAIR ACCESSIBLE TRANSPORTATION, CARE COORDINATION, AND COMPLETE ACCESS TO HEALTHCARE SERVICES FOR THEIR PARTICIPANTS. ELDER HOUSING: AFFORDABLE HOUSING FOR THE FRAIL AND ELDERLY: KISSITO HAS TAKEN STEPS TO CREATE PARTNERSHIPS AND PROGRAMS THAT ADDRESS THE LACK OF AFFORDABLE ELDER HOUSING AND THE ACCESS OF HOME AND COMMUNITY BASED SERVICES IN OUR COMMUNITIES. |
| FORM 990, PART III, LINE 1 | SOUTH SUDAN: KISSITO'S PROJECT WAS ACCEPTED INTO THE CONSOLIDATED APPEAL OF THE UNITED NATIONS OFFICE OF COORDINATED HUMANITARIAN AFFAIRS (UNCHA) TO PROVIDE LIFESAVING EMERGENCY NUTRITION SERVICES AND LOCAL HEALTHCARE CAPACITY STRENGTHENING FOR MALNOURISHED MOTHERS AND CHILDREN IN THE STATE OF JONGLEI OF SOUTH SUDAN. THE PROJECT IS BEING FUNDED JOINTLY BY UNOCHA AND PLAN INTERNATIONAL. THIS PROGRAM ENDED IN DECEMBER 31, 2016. 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/CEO 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: | ELIMINATION OF DISREGARD ENTITY ACTIVITY 77,305. ELIMINATION OF DISREGARD ENTITY ACTIVITY -1,042,629. |
| FORM 990, PART XII, LINE 2C | NO CHANGES IN METHOD SINCE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CAVERNS AT NATURAL BRIDGE LLC | |||||||||
| 15 APPLEDORE LANE | NATURAL BRIDGE | VA | 24578 | 464576529 | MANAGEMENT OF NATURAL BRIDGE CAVERNS | VA | $1,042,629 | $1,220,502 | AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INC |
| STONEWALL LODGE & COTTAGES LLC | |||||||||
| 15 APPLEDORE LANE | NATURAL BRIDGE | VA | 24578 | 464577251 | MANAGEMENT OF STONEWALL LODGE & COTTAGES | VA | $10,148 | $2,457,178 | AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (1) |
| KISSITO HEALTHCARE INTERNATIONAL INC | ||||||||||
| 15 APPLEDORE LANE | NATURAL BRIDGE | VA | 24578 | 270900763 | PROMOTION OF INTERNATIONAL HEALTHCARE & EDUCATION | DE | 501(C)(3) | LINE 10 | AMITY FELLOWSERVE INC | Yes (1) |
| KISSITO PACE OF ROANOKE INC | ||||||||||
| 5228 VALLEYPOINTE PARKWAY BLDG B ST | ROANOKE | VA | 24019 | 272972573 | ELDER HOME CARE | VA | 501(C)(3) | LINE 10 | AMITY FELLOWSERVE INC | Yes (1) |
| KISSITO 1884 HOUSE INC | ||||||||||
| 5228 VALLEYPOINTE PARKWAY BLDG B ST | ROANOKE | VA | 24019 | 461553054 | ELDER HOME CARE | VA | 501(C)(3) | LINE 10 | AMITY FELLOWSERVE INC | Yes (1) |
| KISSITO VILLAGE OF ROANOKE INC | ||||||||||
| 5228 VALLEYPOINTE PARKWAY BLDG B ST | ROANOKE | VA | 24019 | 461870152 | SUBSIDIZED HOUSING | VA | 501(C)(3) | LINE 10 | AMITY FELLOWSERVE INC | Yes (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 | Yes (1) |
| AFS OF LEBANON INC | ||||||||||
| 5228 VALLEYPOINTE PARKWAY BLDG B ST | ROANOKE | VA | 24019 | 820556614 | NURSING CARE | NV | 501(C)(3) | LINE 10 | AMITY FELLOWSERVE INC | Yes (1) |
| KISSITO PACE OF HARRIS COUNTY INC | ||||||||||
| 5228 VALLEYPOINTE PARKWAY BLDG B ST | ROANOKE | VA | 24019 | 472325330 | ELDER HOME CARE | TX | 501(C)(3) | LINE 10 | AMITY FELLOWSERVE INC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KISSITO COLLABORATIVE CARE SOLUTIONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5228 VALLEYPOINTE PKWY BLDG B STE 1 | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462226860 | EIN |
| Primary Activities | CONSULTATION | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$3,246 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $11,938 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CONSERVATION AND EDUCATION CENTERS INC | |||||||||
| PO BOX 87 | NATURAL BRIDGE | VA | 24578 | 474397336 | ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICES | VA | N/A | C | 0 |
| VCLF LAND TRUST INC & SUBSIDIARIES | |||||||||
| PO BOX 87 | NATURAL BRIDGE | VA | 24578 | 474399798 | ENVIRONMENTAL CONSULATING AND MANAGEMENT SERVICES | VA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AFS OF LOW MOOR INC | ||
| L | $358,453 | FLAT % OF TOTAL REVENUES |
| AFS OF FINCASTLE INC | ||
| L | $436,541 | FLAT % OF TOTAL REVENUES |
| AFS OF BASTIAN INC | ||
| L | $270,882 | FLAT % OF TOTAL REVENUES |
| AFS OF HOT SPRINGS INC | ||
| L | $206,541 | FLAT % OF TOTAL REVENUES |
| AFS OF LEBANON INC | ||
| L | $272,963 | FLAT % OF TOTAL REVENUES |
| AFS OF YUMA INC | ||
| L | $535,551 | FLAT % OF TOTAL REVENUES |
| KISSITO PACE OF ROANOKE INC | ||
| L | $394,114 | FLAT % OF TOTAL REVENUES |
| AFS OF LOW MOOR INC | ||
| S | $245,058 | DUE TO SUB |
| AFS OF FINCASTLE INC | ||
| S | $574,522 | DUE TO SUB |
| AFS OF BASTIAN INC | ||
| R | $368,181 | DUE FROM SUB |
| AFS OF HOT SPRINGS INC | ||
| S | $134,313 | DUE TO SUB |
| AFS OF LEBANON INC | ||
| R | $172,667 | DUE FROM SUB |
| AFS OF YUMA INC | ||
| S | $661,189 | DUE TO SUB |
| KISSITO VILLAGE OF ROANOKE INC | ||
| R | $781,872 | DUE FROM SUB |
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