2015-12-10T07:51:16-06:00 2014-12-31 540504608 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN STREET SW ROANOKE VA 24014 990 2014-01-01 900345214 AMITY FELLOWSERVE INC AMIT 5402650322 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 THOMAS E CLARKE CEO 5402650322 2015-12-04 1 M C WINGFIELD P00005971 5403450936 2014 2016-04-25 22:37:26Z KISSITO HEALTHCARE INC THOMAS E CLARKE 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 48487871 1 1 9429 X WWW.KISSITO.ORG X 1988 IL KISSITO HEALTHCARE IS A NON-PROFIT ORGANIZATION THAT SEEKS TO SERVE THE WORLD'S MOST VERNERABLE POPULATIONS. IN THE UNITED STATES, KISSITO MANAGES AND COORDINATES THE OVERALL HEALTHCARE FOR THE FRAIL AND ELDERLY POPULATION IN SEVERAL SETTINGS, INCLUDING SKILLED NURSING FACILITIES, SERVICE ENRICHED AFFORDABLE ELDER HOUSING, AND PACE.IN EAST AFRICA KISSITO PROVIDES EMERGENCY NUTRITION MANAGEMENT AND HEALTH SYSTEMS STRENTHENING FOCUSED ON IMPROVING MATERNAL AND CHILD HEALTH IN SOUTH SUDAN, UGANDA, AND ETHIOPIA.KISSITO IS FOCUSED ON FINDING WAYS TO CREATE SUSTAINABLE SOLUTIONS TO THE PROBLEMS FACED BY THE VURNERABLE POPULATIONS WE SERVE BOTH IN THE THE U.S. AND EAST AFRICA. 4 2 752 50 266999 95020 383863 1811055 38149177 46279724 0 -1771 22922 279648 38555962 48368656 3814 0 0 0 21246366 23177830 0 0 0 37869851 24670403 59120031 47848233 -20564069 520423 10126286 26992140 11506171 26074005 -1379885 918135 X KISSTO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE. WE SEEK TO PROVIDE THE WORLD'S MOST VULNERABLE POPULATIONS WITH LOW-COST, HIGH IMPACT HEALTHCARE SOLUTIONS THAT IMPROVE OUTCOMES AND SAVE LIVES. 1 0 41543326 42448689 PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF HOUSING AND MEDICAL SERVICES. 2078165 3463353 PROVIDING NATURAL RESOURCES STEWARDSHIP THROUGH CONSERVATION, EDUCATION, AND OUTDOOR RECREATION. 43621491 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 102 0 1 752 1 1 1 1 ET UG SU 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JOE ALESANTRINO 5402650322 5228 VALLEYPOINT PARKWAY BLDG B STE ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT & CEO 10.00 30.00 X X 0 103183 0 ANA CLARKE DIRECTOR 10.00 30.00 X X 52066 26489 0 REVEREND DAVID ERICKSON DIRECTOR 1.00 4.00 X 0 13198 0 WAYNE FUZUAY DIRECTOR 1.00 4.00 X 0 28729 0 LYNN HODGE DIRECTOR 1.00 4.00 X 0 0 0 CABELL BRAND DIRECTOR 1.00 4.00 X 0 0 0 JENNIFER BELL OFFICER 40.00 0.00 X 66805 0 0 JEFF WALDON OFFICER 40.00 0.00 X 81264 0 0 CHERIE HICKS CFO 10.00 30.00 X 0 159209 10345 ANGELA MATTOCKS CNO 10.00 30.00 X 0 167522 7808 ANDY DAMERON OFFICER 10.00 30.00 X 0 136648 0 SEAN PRESSMAN COO 10.00 30.00 X 0 182472 7217 ROBERT MCCLINTIC ADMINISTRATOR 40.00 0.00 X 159521 0 12294 LELIA COLEMAN EMPLOYEE 40.00 0.00 X 117338 0 0 ADEL SALAMA EMPLOYEE 40.00 0.00 X 150634 0 0 EMILIO ZAGA EMPLOYEE 40.00 0.00 X 116659 0 0 BETH ZIERLER EMPLOYEE 40.00 0.00 X 121134 0 0 CATHERINE GRUMBINE EMPLOYEE 40.00 0.00 X 101598 0 0 967019 817450 37664 15 0 1 0 JMS BUILDERSDEVELOPERS INC 1481 LITTLE TIMBER RIDGE BUCHANAN VA 24066 RENOVATIONS & REPAIRS 2093552 OMNICARE INC 9000 HAGGERTY ROAD BELLEVILLE MI 48111 PHARMACEUTICALS & SERVICES 1210912 RESPIRATORY HEALTH SERVICES LLC PO BOX 821322 PHILADELPHIA PA 19182 RESPIRATORY SERVICES 573182 ARDOR HEALTH SOLUTIONS PO BOX 203436 DALLAS TX 75320 THERAPY SERVICES 473703 LISSO PO BOX 10568 KNOXVILLE TN 37939 MAINENANCE & REPAIRS 138383 7 118494 1692561 1262106 1811055 NURSING CARE 623000 43747035 43747035 NATURAL BRIDGE ADMISSIONS 712110 1921066 1921066 NATURAL BRIDGE GIFT SHOP 453220 388227 129409 258818 NATURAL BRIDGE RESTUARANT 722100 189354 189354 CONSULTING SERVICES 541620 34042 34042 46279724 1415 1415 376207 0 376207 376207 376207 3186 -3186 -3186 -3186 1000 62 938 938 115967 -115967 -90106 -25861 OTHER REVENUE 531390 17482 17482 VENDING MACHINE 623000 988 988 18470 48368656 45912042 266999 378560 359656 359656 21046088 21046088 70885 70885 1701201 1701201 3005045 3005045 38940 38940 134367 134367 384292 384292 4716489 4716489 373902 373902 6535910 6535910 288548 288548 41866 41866 254936 254936 726718 726718 409162 409162 DIETARY & NUTRITION EXP 2192805 2192805 PURCHASED SERVICES 2013926 2013926 BAD DEBTS 1050515 1050515 UBIT TAXES ACCRUED 23000 23000 2479982 2479982 47848233 43621491 4226742 0 276951 577322 393074 3797864 5820289 121131 292784 23415237 4146539 5464198 19268698 15000 279489 811626 10126286 26992140 5642471 9824641 1209961 1419793 13650751 3233946 2598613 11506171 26074005 X -1432116 918135 52231 0 -1379885 918135 10126286 26992140 X 520423 598939 1178658 X X 0 0 0 X 318271 607069 17145172 383863 548949 19003324 34251556 35934290 37512195 38149177 46279724 192126942 34569827 36541359 54657367 38533040 46828673 211130266 0 0 0 211130266 4507 6360 178932 76491 378560 644850 74463 74463 4507 6360 178932 76491 453023 719313 22280 19139 19654 22922 18470 102465 34596614 36566858 54855953 38632453 47300166 211952044 0.99610 0.99810 0.00340 0.00140 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: 50 ACRES AT NATURAL BRIDGE VA DATE: 12/22/14 AMOUNT: 1262106. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6265075 6265075 11157095 1089887 10067208 2644498 738685 1905813 2711128 1973676 737452 637441 344291 293150 19268698 23000 RESIDENT TRUST LIABILITY 177240 DUE TO KISSITO HEALTHCARE, INC. PARENT 943820 DEFERRED RENT & LEASE INCENTIVES 1394274 DUE TO CAVERNS AT NATURAL BRIDGE, INC. 60279 2598613 SUB-SAHARAN AFRICA 3 51 PROGRAM SERVICES HEALTHCARE STABILIZATION, MALNUTRITION AND MATERNAL/INFANT HEALTH 862247 3 51 0 0 3 51 862247 0 862247 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 CHERIE HICKS CFO 0 158886 0 0 0 323 0 0 0 10345 0 169554 0 0 ANGELA MATTOCKS CNO 0 167191 0 0 0 331 0 0 0 7808 0 175330 0 0 SEAN PRESSMAN COO 0 182206 0 0 0 266 0 0 0 7217 0 189689 0 0 ROBERT MCCLINTIC ADMINISTRATOR 159304 0 0 0 217 0 0 0 12294 0 171815 0 0 0 ADEL SALAMA EMPLOYEE 149550 0 0 0 1084 0 0 0 0 0 150634 0 0 0 PART I, LINE 3 THE COMPENSATION FOR THE PRESIDENT AND CEO IS ESTABLISHED BY THE PARENT ORGANIZATION. THE PARENT ORGANIZATION DETERMINES THE PRESIDENT AND CEO'S COMPENSATION BY REFERENCE TO COMPARABILITY DATA THAT IS SUBJECT TO REVIEW AND APPROVAL BY TEH COMPENSATION COMMITEE OF THE PARENT'S BOARD AND TOP MANAGEMENT OF THE PARENT COMPANY. X 1 1262106 APPRAISAL REPORT 1 0 0 0 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 III, LINE 2 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 CLARKE, PRESIDENT/CEO AND DIRECTOR, IS RELATED BY MARRIGAGE 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: FAIR VALUE ASSESSMENT OF PROPERTY CONTRIBUTION 693,575. INTERCOMPANY TRANSFER WITH KISSITO INTERNATIONAL & PARENT 290,563. UNKNOWN DIFF IN BEGINNING EQUITY FOR KISSITO INTERNATIONAL 502,771. INTERCOMPANY TRANSFERS WITH KISSITO NURSING HOMES AND PARENT -308,251. FORM 990, PART XII, LINE 2C NO CHANGES IN METHOD SINCE PRIOR YEAR. AMITY FELLOWSERVE INC 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 363666533 MANAGEMENT SERVICES IL 501(C)(3) LINE 9 N/A 0 AMITY FELLOWSERVE OF HONDO INC 5228 VALLEYPOINTE PKWY BLDG B 1 ROANOKE VA 24019 311594605 NURSING CARE MD 501(C)(3) LINE 9 AMITY FELLOWSERVE INC 0 KISSITO COLLABORATIVE CARE SOLUTIONS LLC 5238 VALLEYPOINTE PKWY BLDG B STE 1 ROANOKE VA 24019 462226860 CONSULTATION VA N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1