2017-02-07T07:46:04-06:00 2015-12-31 540504608 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN STREET SW ROANOKE VA 24014 990 2015-01-01 363666533 AMITY FELLOWSERVE INC AMIT 5402650322 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT & CEO 5402650322 2017-02-02 1 M C WINGFIELD P00005971 5403450936 2017-02-02 2015 2021-01-29 14:40:06Z KISSITO HEALTHCARE INC THOMAS M CLARKE 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 2627068 0 X WWW.KISSITO.ORG X 1988 IL KISSITO HEALTHCARE AND KISSITO HEALTHCARE INTERNATIONAL EXIST FOR THE BETTERMENT AND CARE OF HUMAN LIFE. THE ORGANIZATION SEEKS TO IMPROVE PATIENT OUTCOMES IN OUR DOMESTIC AND GLOBAL SERVICES THROUGH A BALANCED ENGAGEMENT IN ACADEMICS, RESEARCH AND HEALTH CARE DELIVERY. 4 2 22 50 -732968 -883624 0 45000 2001960 2542024 -42160 -104822 0 0 1959800 2482202 0 0 0 0 2007240 2226912 0 0 0 1002070 1225158 3009310 3452070 -1049510 -969868 16448357 1965453 5497330 5680326 10951027 -3714873 X 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. 0 0 2861012 3130126 CENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF HOUSING AND MEDICAL SERVICES. 2861012 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 89 0 1 22 1 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X JOE ALESANTRINO 5402650322 5228 VALLEYPOINTE PARKWAY BLDG B ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 30.00 10.00 X X 119882 0 0 ANA CLARKE SECRETARY 30.00 10.00 X X 184963 0 0 REVEREND DAVID ERICKSON DIRECTOR 4.00 1.00 X 0 0 0 WAYNE FUQUAY VICE PRESIDENT 4.00 1.00 X 682 0 0 SEAN PRESSMAN ADMINISTRATIVE STAFF 30.00 10.00 X 142308 0 0 CHERIE HICKS ADMINISTRATIVE STAFF 30.00 10.00 X 138395 0 0 ANDY DAMERON ADMINISTRATIVE STAFF 30.00 10.00 X 167433 0 0 JOSH MCGILLIARD ADMINISTRATIVE STAFF 30.00 10.00 X 124933 0 0 JOSEPH ALESANTRINO ADMINISTRATIVE STAFF 30.00 10.00 X 35510 0 0 JENNIFER BELL ADMINISTRATIVE STAFF 30.00 10.00 X 0 98011 0 ANGELA CARR EMPLOYEE 40.00 0.00 X 175172 0 0 1089278 98011 0 7 0 1 0 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN STREET SW ROANOKE VA 24014 AUDIT 144493 1 25000 20000 45000 SUBSIDARY MANAGEMENT FEES 551112 3246829 3246829 INVESTMENT IN SUBSIDIARIES 531390 -732968 -732968 28163 28163 2542024 40044 40044 144866 -144866 -144866 -144866 2482202 3130126 -732968 40044 914136 914136 934220 934220 33022 33022 199698 199698 145836 145836 19830 19830 59089 59089 98415 98415 16381 16381 167669 167669 47183 47183 86777 86777 85052 85052 18584 18584 361483 361483 25703 25703 10397 10397 STONEWALL LODGE & COTTA 150656 150656 MAINTENANCE & SERVICE C 36745 36745 EQUIPMENT RENTAL 21193 21193 BUSINESS DEVELOPMENT 8952 8952 11049 11049 3452070 2861012 591058 0 13100 40617 13686 64077 979052 1148985 82830 0 246534 135868 87860 110666 15271829 601108 16448357 1965453 1600350 4757019 3880 448 3743260 622645 149840 300214 5497330 5680326 X 10951027 -3714873 10951027 -3714873 16448357 1965453 X -969868 -13696032 X X 0 0 0 X 45000 45000 2828151 2334724 2304515 2968900 3274992 13711282 2828151 2334724 2304515 2968900 3319992 13756282 0 0 0 13756282 156860 170601 41853 35380 6 404700 156860 170601 41853 35380 6 404700 2985011 2505325 2346368 3004280 3319998 14160982 0.97140 0.96190 0.02860 0.03810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34159 30472 3687 212375 105396 106979 110666 NON CURRENT OTHER RECEIVABLES -50968 DUE FROM SUBSIDIARIES 606651 OTHER CURRENT ASSETS 42425 INVESTMENT IN SUBSIDIARIES 3000 601108 CAPITAL LEASE 50214 DEFERRED COMPENSATION LIABILITY 250000 300214 X 0 1 X 0 1 0 0 0 0 0 0 0 ANA CLARKE SECRETARY 184963 0 0 0 0 0 0 0 0 0 184963 0 0 0 ANDY DAMERON ADMINISTRATIVE STAFF 167433 0 0 0 0 0 0 0 0 0 167433 0 0 0 ANGELA CARR EMPLOYEE 175172 0 0 0 0 0 0 0 0 0 175172 0 0 0 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. THOMAS M CLARKE PRESIDENT & CEO BUSINESS X 656215 919622 0 1 1 DANNY HOLBROOK CFO PERSONAL X 6000 4000 1 1 1 MIKE YATES FORMER CFO PERSONAL X 50968 50968 1 1 1 THOMAS M CLARKE PERSONAL X 170341 174395 0 1 0 1148985 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. CAVERNS AT NATURAL BRIDGE LLC 15 APPLEDORE LANE NATURAL BRIDGE VA 24578 464576529 MANAGEMENT OF NATURAL BRIDGE CAVERNS VA -2602001 1378614 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 207215 2524236 AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INC AFS OF YUMA INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 043541452 NURSING CARE NV 501(C)(3) LINE 9 AMITY FELLOWSERVE INC 1 AFS OF LOW MOOR INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200224 NURSING CARE VA 501(C)(3) LINE 9 AMITY FELLOWSERVE INC 1 AFS OF FINCASTLE INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200518 NURSING CARE VA 501(C)(3) LINE 9 AMITY FELLOWSERVE INC 1 AFS OF BASTIAN INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200573 NURSING CARE VA 501(C)(3) LINE 9 AMITY FELLOWSERVE INC 1 AFS OF HOTSPRINGS INC 5228 VALLEYPOINTE PARKWAY BLDG B ST ROANOKE VA 24019 202200654 NURSING CARE VA 501(C)(3) LINE 9 AMITY FELLOWSERVE INC 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 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 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 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 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 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 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 1 KISSITO COLLABORATIVE CARE SOLUTIONS LLC 5228 VALLEYPOINTE PKWY BLDG B STE 1 ROANOKE VA 24019 462226860 CONSULTATION VA N/A RELATED 6629 16830 0 1 0.50000 NATURAL BRIDGE HOTEL & CONFERENCE CENTER LLC 15 APPLEDORE LANE NATURAL BRIDGE VA 24578 464577118 HOTEL & CONFERENCE CENTER VA AMITY FELLOWSERVE INC DBA KISSITO HEALTHCARE INC UNRELATED -944774 2628875 0 1 0.80000 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 AFS OF LOW MOOR INC L 407289 FLAT % OF TOTAL REVENUES AFS OF FINCASTLE INC L 757175 FLAT % OF TOTAL REVENUES AFS OF BASTIAN INC L 230327 FLAT % OF TOTAL REVENUES AFS OF HOT SPRINGS INC L 230585 FLAT % OF TOTAL REVENUES AFS OF LEBANON INC L 309397 FLAT % OF TOTAL REVENUES AFS OF YUMA INC L 895256 FLAT % OF TOTAL REVENUES KISSITO PACE OF ROANOKE INC L 394114 FLAT % OF TOTAL REVENUES AFS OF LOW MOOR INC R 123563 DUE FROM SUB AFS OF FINCASTLE INC S 703044 DUE TO SUB AFS OF BASTIAN INC R 513376 DUE FROM SUB AFS OF HOT SPRINGS INC S 193568 DUE TO SUB AFS OF LEBANON INC R 109336 DUE FROM SUB AFS OF YUMA INC S 302190 DUE TO SUB KISSITO VILLAGE OF ROANOKE INC R 540268 DUE FROM SUB KISSITO HEALTHCARE INTERNATIONAL R 58463 DUE FROM SUB NATURAL BRIDGE HOTEL & CONFERENCE CENTER LLC R 453581 DUE FROM SUB