KISSITO HEALTHCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: KISSITO HEALTHCARE INC (EIN 36-3666533)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2017-02-07
IRS object ID: 201720389349300707
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-02-07T07:46:04-06:00	ReturnTs
Tax Period End	2015-12-31	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	2015-01-01	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	2017-02-02	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	2017-02-02	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$2,627,068	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 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 Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	22	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	-$732,968	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$883,624	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$45,000	CYContributionsGrantsAmt
PY Program Service Revenue	$2,001,960	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,542,024	CYProgramServiceRevenueAmt
PY Investment Income	-$42,160	PYInvestmentIncomeAmt
CY Investment Income	-$104,822	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$1,959,800	PYTotalRevenueAmt
CY Total Revenue	$2,482,202	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	$2,007,240	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,226,912	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,002,070	PYOtherExpensesAmt
CY Other Expenses	$1,225,158	CYOtherExpensesAmt
PY Total Expenses	$3,009,310	PYTotalExpensesAmt
CY Total Expenses	$3,452,070	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,049,510	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$969,868	CYRevenuesLessExpensesAmt
Total Assets BOY	$16,448,357	TotalAssetsBOYAmt
Total Assets EOY	$1,965,453	TotalAssetsEOYAmt
Total Liabilities BOY	$5,497,330	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,680,326	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$10,951,027	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$3,714,873	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	$2,861,012	ExpenseAmt
Revenue	$3,130,126	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	$2,861,012	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	0	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	Yes (1)	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	89	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	22	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 (11 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS M CLARKE
PRESIDENT	30.00	10.00	Yes (X)	Yes (X)	$119,882	$0	$0
ANA CLARKE
SECRETARY	30.00	10.00	Yes (X)	Yes (X)	$184,963	$0	$0
REVEREND DAVID ERICKSON
DIRECTOR	4.00	1.00	Yes (X)		$0	$0	$0
WAYNE FUQUAY
VICE PRESIDENT	4.00	1.00	Yes (X)		$682	$0	$0
SEAN PRESSMAN
ADMINISTRATIVE STAFF	30.00	10.00		Yes (X)	$142,308	$0	$0
CHERIE HICKS
ADMINISTRATIVE STAFF	30.00	10.00		Yes (X)	$138,395	$0	$0
ANDY DAMERON
ADMINISTRATIVE STAFF	30.00	10.00		Yes (X)	$167,433	$0	$0
JOSH MCGILLIARD
ADMINISTRATIVE STAFF	30.00	10.00		Yes (X)	$124,933	$0	$0
JOSEPH ALESANTRINO
ADMINISTRATIVE STAFF	30.00	10.00		Yes (X)	$35,510	$0	$0
JENNIFER BELL
ADMINISTRATIVE STAFF	30.00	10.00		Yes (X)	$0	$98,011	$0
ANGELA CARR
EMPLOYEE	40.00	0.00			$175,172	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,089,278	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$98,011	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROWN EDWARDS & COMPANY LLP	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

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)
Services	AUDIT	ServicesDesc
Compensation	$144,493	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Related Organizations	$25,000	RelatedOrganizationsAmt
All Other Contributions	$20,000	AllOtherContributionsAmt
Total Contributions	$45,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SUBSIDARY MANAGEMENT FEES	551112	$3,246,829	$3,246,829
INVESTMENT IN SUBSIDIARIES	531390	-$732,968		-$732,968

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,163	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,163	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,542,024	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,044	TotalRevenueColumnAmt
Exclusion	$40,044	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$144,866	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$144,866	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$144,866	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$144,866	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,482,202	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,130,126	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$732,968	UnrelatedBusinessRevenueAmt
Exclusion	$40,044	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$914,136	TotalAmt
Program Services	$914,136	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$934,220	TotalAmt
Program Services	$934,220	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,022	TotalAmt
Program Services	$33,022	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$199,698	TotalAmt
Program Services	$199,698	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$145,836	TotalAmt
Program Services	$145,836	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$19,830	TotalAmt
Management And General	$19,830	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$59,089	TotalAmt
Management And General	$59,089	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$98,415	TotalAmt
Program Services	$98,415	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$16,381	TotalAmt
Program Services	$16,381	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$167,669	TotalAmt
Program Services	$167,669	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$47,183	TotalAmt
Program Services	$47,183	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$86,777	TotalAmt
Program Services	$86,777	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$85,052	TotalAmt
Program Services	$85,052	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$18,584	TotalAmt
Program Services	$18,584	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$361,483	TotalAmt
Management And General	$361,483	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,703	TotalAmt
Program Services	$25,703	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,397	TotalAmt
Program Services	$10,397	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
STONEWALL LODGE & COTTA	$150,656	$150,656
MAINTENANCE & SERVICE C	$36,745		$36,745
EQUIPMENT RENTAL	$21,193		$21,193
BUSINESS DEVELOPMENT	$8,952		$8,952

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,049	TotalAmt
Program Services	$11,049	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,452,070	TotalAmt
Program Services	$2,861,012	ProgramServicesAmt
Management And General	$591,058	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,100	BOYAmt
EOY	$40,617	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,686	BOYAmt
EOY	$64,077	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$979,052	BOYAmt
EOY	$1,148,985	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$82,830	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$246,534	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$135,868	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$87,860	BOYAmt
EOY	$110,666	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,271,829	BOYAmt
EOY	$601,108	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,448,357	BOYAmt
EOY	$1,965,453	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,600,350	BOYAmt
EOY	$4,757,019	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,880	BOYAmt
EOY	$448	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,743,260	BOYAmt
EOY	$622,645	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$149,840	BOYAmt
EOY	$300,214	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,497,330	BOYAmt
EOY	$5,680,326	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,951,027	BOYAmt
EOY	-$3,714,873	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,951,027	BOYAmt
EOY	-$3,714,873	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$16,448,357	BOYAmt
EOY	$1,965,453	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$969,868	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$13,696,032	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	$45,000	CurrentTaxYearAmt
Total	$45,000	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,828,151	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,334,724	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,304,515	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,968,900	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,274,992	CurrentTaxYearAmt
Total	$13,711,282	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,828,151	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,334,724	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,304,515	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,968,900	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,319,992	CurrentTaxYearAmt
Total	$13,756,282	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	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)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$13,756,282	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$156,860	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$170,601	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,853	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,380	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6	CurrentTaxYearAmt
Total	$404,700	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$156,860	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$170,601	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,853	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,380	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6	CurrentTaxYearAmt
Total	$404,700	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,985,011	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,505,325	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,346,368	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,004,280	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,319,998	CurrentTaxYearAmt
Total	$14,160,982	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.97140	PublicSupportCY509Pct
Public Support PY509	0.96190	PublicSupportPY509Pct
Investment Income CY	0.02860	InvestmentIncomeCYPct
Investment Income PY	0.03810	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

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,159	OtherCostOrOtherBasisAmt
Depreciation	$30,472	DepreciationAmt
Book Value	$3,687	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,375	OtherCostOrOtherBasisAmt
Depreciation	$105,396	DepreciationAmt
Book Value	$106,979	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$110,666	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
NON CURRENT OTHER RECEIVABLES	-$50,968
DUE FROM SUBSIDIARIES	$606,651
OTHER CURRENT ASSETS	$42,425
INVESTMENT IN SUBSIDIARIES	$3,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$601,108	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$50,214
DEFERRED COMPENSATION LIABILITY	$250,000

Field	Value	IRS element (for citing)
Total Liability	$300,214	TotalLiabilityAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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 (3 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
ANA CLARKE
SECRETARY	$184,963	$0	$0	$0	$0	$0	$0	$0	$0	$0	$184,963	$0	$0	$0
ANDY DAMERON
ADMINISTRATIVE STAFF	$167,433	$0	$0	$0	$0	$0	$0	$0	$0	$0	$167,433	$0	$0	$0
ANGELA CARR
EMPLOYEE	$175,172	$0	$0	$0	$0	$0	$0	$0	$0	$0	$175,172	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THOMAS M CLARKE RECEIVES A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE.
PART I, LINE 4B	THOMAS M. CLARKE, PRESIDENT PARTICPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. AT DECEMBER 31, 2015 THE BALANCE IN THE PLAN WAS $250,000.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 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	$919,622	0	Yes (1)	Yes (1)
DANNY HOLBROOK
CFO	PERSONAL	Yes (X)	$6,000	$4,000	Yes (1)	Yes (1)	Yes (1)
MIKE YATES
FORMER CFO	PERSONAL	Yes (X)	$50,968	$50,968	Yes (1)	Yes (1)	Yes (1)
THOMAS M CLARKE
	PERSONAL	Yes (X)	$170,341	$174,395	0	Yes (1)	0

Field	Value	IRS element (for citing)
Total Balance Due	$1,148,985	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. 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 A TRADITIONAL NURSING HOME INTO A 60-BED HIGH-ACUITY RESPIRATORY CENTER OF EXCELLENCE. THE CENTER IS DESIGNED TO CARE FOR VENTILATOR AND TRACHEOTOMY DEPENDENT PATIENTS. AT THIS FACILITY WE BOTH WEAN PATIENTS OFF OF THE VENTILATOR SO THEY MAY RETURN TO THEIR COMMUNITY AND WE CARE OF THOSE ON A VENTILATOR LONG TERM AND PROVIDE A HIGH QUALITY OF LIFE WHILE DOING SO. NATIONALLY RECOGNIZED AND AWARD BY THE AMERICAN ASSOCIATION OF RESPIRATORY CARE, KISSITO'S RESPIRATORY CENTER OF EXCELLENCE IS IN HIGH DEMAND AND RECEIVES PATIENTS FROM AS FAR AWAY AS THE U.S. VIRGIN ISLANDS AND HAWAII. 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: IN AMERICA, WE INSTITUTIONALIZE OUR ELDERS IN NURSING HOMES AT A FAR GREATER RATE THAN ANYWHERE ELSE IN THE WORLD. ARIZONA AND OREGON OFFER UP STUNNING EXCEPTIONS: 1.6/1.7 PERCENT OF THE OVER 65 POPULATION IS INSTITUTIONALIZED COMPARED TO A NATIONAL AVERAGE THAT IS DOUBLE THAT. WHEN THE COUNTRY'S DEFICIT SPENDING HAS RUN ITS COURSE, AND AS HEALTHCARE SERVICES MORE HOLISTIC AND INTEGRATED, 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. PACE ALTERNATIVE HOUSTON: THE RIVERSIDE DEVELOPMENT IN COLLABORATION WITH HARRIS HEALTH SYSTEM, KISSITO IS DEVELOPING A LARGE MEDICAL SERVICES COMPLEX IN HOUSTON, TEXAS TO SERVE THE DUALLY ELIGIBLE POPULATION OF ELDERS LOCATED IN THE RIVERSIDE DISTRICT. THE COMPLEX WILL HOUSE ALL THE SERVICES OF A TRADITIONAL PACE CENTER IN ADDITION TO WOMEN'S HEALTH SERVICES, GERIATRIC DENTISTRY SERVICES AND VARIOUS HOME AND COMMUNITY BASED SERVICE PROVIDERS. ELDER HOUSING WILL BE LOCATED ON THE SAME CAMPUS AS THE WELLNESS MEDICAL CENTER COMPLEX AND PROVIDE ONSITE AND OFFSITE ACCESS TO MEDICAL SERVICES ALLOWING THE TENANTS TO AGE IN PLACE. ELDER HOUSING: ROANOKE, VIRGINIA DEVELOPMENTS IN ROANOKE, VIRGINIA WHERE KISSITO HEALTHCARE HAS BASED THEIR HOME OFFICE OPERATIONS, THERE ARE ESTIMATED TO BE ABOUT 800 DUALLY ELIGIBLE SENIORS UNNECESSARILY INSTITUTIONALIZED IN NURSING HOMES. IF HOUSING OPTIONS WERE MADE AVAILABLE THEY COULD RE-ENTER THE COMMUNITY AND LIVE INDEPENDENTLY. IN AN EFFORT TO CREATE SUCH OPPORTUNITIES, KISSITO IS IN THE PROCESS OF ACQUIRING SEVERAL MULTI-FAMILY PROPERTIES THAT WILL BE CONVERTED INTO ADA COMPLIANT HOUSING FOR THE FRAIL AND ELDERLY. MEDICAL SERVICES WILL BE AVAILABLE ONSITE, WHERE POSSIBLE, TO ALLOW FOR THE SAFEST AND HEALTHIEST ENVIRONMENT FOR SENIORS TO AGE IN PLACE AT AN AFFORDABLE PRICE POINT. RESEACH AND HEALTHCARE DELIVERY/EAST AFRICA: EXPLANATION: KISSITO HEALTHCARE INTERNATIONAL SERVES THE WORLD'S MOST VULNERABLE PEOPLE WITH LOW-COST HIGH IMPACT HEALTHCARE SOLUTIONS WITH A SPECIAL FOCUS ON IMPROVING HEALTH, NUTRITION, AND LIVELIHOOD. KHI CURRENTLY HAS ACTIVE PROGRAMS IN ETHIOPIA, SOUTH SUDAN, AND UGANDA. SOME OF THE PROGRAMS ARE AS FOLLOWS: ETHIOPIA: 1. MALARIA PREVENTION: "BEGARA" FOR A MALARIA-FREE SOCIETY (JOINT PROGRAM WITH CCRDA-ETHIOPIA AND CORE GROUP - ETHIOPIA FUNDED BY THE GLOBAL FUND). WHILE KISSITO'S HOSPITAL IS UNDER CONSTRUCTION IN KAMASHI, THE ORGANIZATION IS COMMITTED TO FIGHTING THE ROOT CAUSES OF MALARIA'S DEADLY PERSISTENCE. TOGETHER WITH CORE GROUP -ETHIOPIA AND CCRDA, KISSITO HAS JOINED FORCES WITH THE GOVERNMENT IN ITS COMMITMENT TO REDUCE MALARIA MORBIDITY AND MORTALITY BY 75% BY 2013, COMPARED TO 2001-2005 LEVELS. THE PROGRAM IS A 3-YEAR, MULTI-PHASE PROJECT COMBINING VARIOUS PUBLIC RELATIONS/EDUCATIONAL CAMPAIGNS TO IMPROVE TREATMENT-SEEKING AND PREVENTATIVE BEHAVIORS AMONG KAMASHI'S PEOPLE. 2. MORRIS CERULLO KAMASHI TEACHING HOSPITAL: CONSTRUCTION, OPERATION AND HEALTH DELIVERY INTEGRATION PROGRAM. THE GOAL IS TO PROVIDE QUALITY HEALTH SERVICES TO COMMUNITIES IN KAMASHI ZONE, WITH A SPECIAL FOCUS ON MATERNAL AND CHILD HEALTH. PROGRAM STRATEGIES INCLUDE: CONSTRUCTION OF A 60-BED ACUTE CARE HOSPITAL OF INTERNATIONAL STANDARDS IN THE KAMASKI ZONE; OPERATION OF THE HOSPITAL TO INTERNATIONAL STANDARDS; HEALTHCARE DELIVERY SYSTEM INTEGRATION HEALTH WORKERS' TRAINING, PLACEMENT AND RETENTION; HEALTH EXTENSION WORKERS' TRAINING, PLACEMENT AND RETENTION; IMPROVED MEDICAL EQUIPMENT AND SUPPLIES DELIVERY THROUGH UTILIZATION OF OR STRENGTHENING OF EXISTING NETWORKS AND PARTNERSHIPS AND/OR THE DEVELOPMENT OF NEW ONES AS APPROPRIATE. 3. ADDIS ABABA: SIPARA MATERNAL, CHILD AND NEWBORN HEALTH HOSPITAL. A 60-BED KISSITO OWNED AND OPERATED CHARITABLE HOSPITAL WITH SOME OF THE BEST HEALTH OUTCOMES IN ALL OF EAST AFRICA. 4. HADIYA ZONE: KISSITO IMPLEMENTED A COMMUNITY BASED MALNUTRITION INTERVENTION FOR CHILDREN AND PREGNANT AND/OR LACTATING MOTHERS. KISSITO HAS REHABILITATED OVER 3,000 CHILDREN AND PREGNANT AND/OR LACTATING MOTHERS WHO WERE SEVERELY MALNOURISHED IN HADIYA ZONE IN 2012. UGANDA: 1. OPERATION OF THE PEDIATRIC MALNUTRITION REHABILITATION CENTER IN PARTNERSHIP WITH SERVING HIS CHILDREN (SHC). UGANDA'S MOST SUCCESSFUL REHABILITATION PROGRAM FOR SEVERELY MALNOURISHED CHILDREN, KISSITO/SHC HAVE OPENED A NEW MALNUTRITION REHABILITATION CENTER IN MANAFWA DISTRICT. THE CENTER HAS THE CAPACITY OF SERVING UP TO 20 PEDIATRIC PATIENTS AND THEIR FAMILY CAREGIVERS AT ANY ONE TIME. THE CENTER SPECIALIZES IN CASES RECOGNIZED AS SEVERE. 2. EMERGENCY OBSTETRICAL AND NEWBORN CARE TRAINING INITIATIVES IN MBALE AND MANAFWA DISTRICTS ADDRESSING UGANDA'S UNACCEPTABLY HIGH MATERNAL MORTALITY RATE AND INFANT MORTALITY RATIO.
FORM 990, PART III, LINE 1	KISSITO IS TRAINING LOCAL CLINICIANS AND OTHER HEALTH WORKERS TO IDENTIFY HIGH-RISK MOTHERS AND HELP SAVE LIVES THROUGH AN INTENSIVE, MULTI-YEAR TRAINING PROGRAM INVOLVING UGANDAN PHYSICIANS, NURSES, AND MIDWIVES. 3. OPERATIONAL, PUBLIC-PRIVATE PARTNERSHIP WITH BUGOBERO HEALTH CENTER IV, MANAFWA DISTRICT. KISSITO'S TRANSFORMATIVE PARTNERSHIP PLAN INCLUDES KISSITO COST-SHARING WITH THE MANAFWA DISTRICT GOVERNMENT ADMINISTRATION TO SPONSOR STAFF, ESSENTIAL DRUGS EQUIPMENT, AND ONGOING TRAINING. PHYSICAL IMPROVEMENTS INCLUDE EXTENSIVE RENOVATIONS AND UPGRADES TO MEET AND EXCEED HEALTH CODES PUT IN PLACE BY THE MINISTRY OF HEALTH. IN RECOGNITION OF THE TRANSFORMATIVE WORK HAPPENING AT BUGOBERO, A RECOMMENDATION IS IN PLACE TO UPGRADE BUGOBERO FROM A HEALTH CENTER IV DESIGNATION TO A GENERAL HOSPITAL. 4. TRAINING AND EQUIPPING COMMUNITY HEALTH WORKERS (CHW) PROGRAM IN MANAFWA DISTRICT. MANAFWA DISTRICT HAS A LARGE POOL OF COMMUNITY HEALTH WORKERS, BUT FUNDING AND STAFF CONSTRAINTS LEAVE THEM UNDERTRAINING AND UNDERUTILIZED. KISSITO PARTNERS WITH THE ADMINISTRATION OF MANAFWA AND ITS HEALTH MINISTRY TO PROVIDE RESOURCES FOR ONGOING TRAINING, EQUIPPING, AND DEPLOYMENT OF THESE INDIVIDUALS. 5. UNIVERSITY RESEARCH PARTNERSHIP: PEDIATRIC DIARRHEA IN UGANDA AND DEVELOPING SOCIETIES THE MAJOR GOAL OF KISSITO/UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH'S AMBITIOUS UNDERTAKING IS TO ESTABLISH THE ETIOLOGY OF DIARRHEA AMONG CHILDREN IN THE DEVELOPING WORLD, USING POPULATIONS OF ETHIOPIA UGANDA, AND MEXICO. 6. PUBLIC-PRIVATE PARTNERSHIP WITH MBALE DISTRICT ADMINISTRATION AND HEALTH OFFICE (32 FACILITIES, SERVING DISTRICT OF 332,200 INDIVIDUALS): WORKING CLOSELY WITH MBALE DISTRICT GOVERNMENT TO STRENGTHEN ITS EXISTING HEALTH FACILITIES/PROGRAMS THROUGH PROVISION OF DRUGS, SUPPLIES, EQUIPMENT, TRAINING, AND SKILLED PERSONNEL. 7. OPERATIONAL PARTNERSHIP OF FLAGSHIP FACILITY: MBALE REGIONAL REFERRAL HOSPITAL PROVIDING EMERGENCY OBSTETRIC TRAINING, TECHNICAL SUPPORT, AND EQUIPPING THE HOSPITAL WITH ESSENTIAL DRUGS AND MEDICAL SUPPLIES. 8. PUBLIC-PRIVATE PARTNERSHIP WITH MANAFWA DISTRICT ADMINISTRATION AND DISTRICT HEALTH OFFICE (23 HEALTH UNITS SERVING A DISTRICT OF 339,300 INDIVIDUALS): KISSITO IS WORKING HAND IN HAND WITH MANAFWA DISTRICT GOVERNMENT TO STRENGTHEN ITS EXISTING HEALTH FACILITIES/PROGRAMS THROUGH PROVISION OF DRUGS, SUPPLIES, EQUIPMENT, TRAINING, AND SKILLED PERSONNEL. 9. ADDITIONAL FACILITIES RECEIVING KISSITO TECHNICAL/OPERATIONAL SUPPORT INCLUDE: WANALE HEALTH CENTER III, MAGALE HEALTH CENTER IV, BUSIU HEALTH CENTER IV, AND BUTIRU/CHRISCO HEALTH CENTER IV, BUSHIKA HEALTH CENTER, BUSHIYI HEALTH CENTER, NAMANYONYI HEALTH CENTER. 10. PARTNERSHIP WITH PONT-MBALE CAP (COALITION AGAINST POVERTY) TO PROVIDE TRANSPORT SERVICES FOR EMERGENCY AND OBSTETRIC SERVICES IN RURAL DISTRICTS THROUGH MOTORCYCLE AMBULANCES. OTHER INTERVENTIONS (THROUGH THIS PARTNERSHIP) INCLUDE TRAINING OF CLINICAL STAFF, COMMUNITY HEALTH WORKERS AND ASSISTED VAGINAL DELIVERY UTILIZING KIWI OMNI EXTRACTION CUPS. 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. IN COLLABORATION WITH PLAN INTERNATIONAL KHI WILL DO THE FOLLOWING: RAPID ASSESSMENTS ESTABLISHMENT OF STABILIZATION CENTERS FOR MOTHERS AND CHILDREN ESTABLISHMENT OF OUTPATIENT THERAPEUTIC PROGRAMS SUPPLEMENTARY FEEDING PROGRAMS COMMUNITY OUTREACH AND EDUCATION CAPACITY BUILDING OF LOCAL HEALTH WORKERS IMPROVED HEALTH MANAGEMENT INFORMATION SYSTEM COORDINATION OF LOCAL PARTNERS AND GOVERNMENT HEALTH SERVICES 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 11	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 IN INVESTMENT IN SUBSIDIARIES -14,579,656. ELIMINATION OF DISREGARD ENTITY ACTIVITY -56,559. ELIMINATION OF TAXABLE ENTITY ACTIVITY 940,183.
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	-$2,602,001	$1,378,614	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	$207,215	$2,524,236	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 9	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 9	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 9	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 9	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 9	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 9	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 9	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 9	AMITY FELLOWSERVE INC	Yes (1)
KISSITO VILLAGE OF ROANOKE INC
5228 VALLEYPOINTE PARKWAY BLDG B ST	ROANOKE	VA	24019	461870152	ELDER HOME CARE	VA	501(C)(3)	LINE 9	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 9	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 9	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 9	AMITY FELLOWSERVE INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KISSITO COLLABORATIVE CARE SOLUTIONS LLC
5228 VALLEYPOINTE PKWY BLDG B STE 1	ROANOKE	VA	24019	462226860	CONSULTATION	VA	N/A	RELATED	$6,629	$16,830	0	Yes (1)	0.50000
NATURAL BRIDGE HOTEL & CONFERENCE CENTER LLC
15 APPLEDORE LANE	NATURAL BRIDGE	VA	24578	464577118	HOTEL & CONFERENCE CENTER	VA		UNRELATED	-$944,774	$2,628,875	0	Yes (1)	0.80000	AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INC

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	Yes (1)	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 (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AFS OF LOW MOOR INC
L	$407,289	FLAT % OF TOTAL REVENUES
AFS OF FINCASTLE INC
L	$757,175	FLAT % OF TOTAL REVENUES
AFS OF BASTIAN INC
L	$230,327	FLAT % OF TOTAL REVENUES
AFS OF HOT SPRINGS INC
L	$230,585	FLAT % OF TOTAL REVENUES
AFS OF LEBANON INC
L	$309,397	FLAT % OF TOTAL REVENUES
AFS OF YUMA INC
L	$895,256	FLAT % OF TOTAL REVENUES
KISSITO PACE OF ROANOKE INC
L	$394,114	FLAT % OF TOTAL REVENUES
AFS OF LOW MOOR INC
R	$123,563	DUE FROM SUB
AFS OF FINCASTLE INC
S	$703,044	DUE TO SUB
AFS OF BASTIAN INC
R	$513,376	DUE FROM SUB
AFS OF HOT SPRINGS INC
S	$193,568	DUE TO SUB
AFS OF LEBANON INC
R	$109,336	DUE FROM SUB
AFS OF YUMA INC
S	$302,190	DUE TO SUB
KISSITO VILLAGE OF ROANOKE INC
R	$540,268	DUE FROM SUB
KISSITO HEALTHCARE INTERNATIONAL
R	$58,463	DUE FROM SUB
NATURAL BRIDGE HOTEL & CONFERENCE CENTER LLC
R	$453,581	DUE FROM SUB