KISSITO HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KISSITO HEALTHCARE INC (EIN 36-3666533)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201333169349301328
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T08:05:49-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363666533EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMITY FELLOWSERVE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMITNameControl
Phone5402650322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15228 VALLEYPOINTE PKWY BLDG B 1AddressLine1
CityROANOKECity
StateVAState
ZIP Code24019ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS M CLARKEName
TitlePRESIDENT & CEOTitle
Phone5402650322Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN NORMANName
PTINP01506766PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1KISSITO HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS M CLARKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15228 VALLEYPOINTE PKWY BLDG B 1AddressLine1
CityROANOKECity
StateVAState
ZIP Code24019ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2447418GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KISSITOACUTE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionKISSITO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees45TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI-29821TotalGrossUBI
Net Unrelated Business Txbl Income-29821NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year613ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2828151ProgramServiceRevenuePriorYear
Program Service Revenue CY2304903ProgramServiceRevenueCY
Investment Income Prior Year156860InvestmentIncomePriorYear
Investment Income Current Year174101InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-31586OtherRevenueCurrentYear
Total Revenue Prior Year2985624TotalRevenuePriorYear
Total Revenue Current Year2447418TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year85055GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY350GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2857714SalariesEtcPriorYear
Salaries Etc Current Year2051718SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2070490OtherExpensePriorYear
Other Expenses Current Year1483518OtherExpensesCurrentYear
Total Expenses Prior Year5013259TotalExpensesPriorYear
Total Expenses Current Year3535586TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2027635RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1088168RevenuesLessExpensesCY
Total Assets BOY5866145TotalAssetsBOY
Total Assets EOY4298697TotalAssetsEOY
Total Liabilities BOY3406019TotalLiabilitiesBOY
Total Liabilities EOY6330563TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2460126NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2031866NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2879725Expense
Grants350Grants
Revenue2334724Revenue
DescriptionCENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF HOUSING AND MEDICAL SERVICESDescription
Total Program Service Expense2879725TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees45NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLORI HUFFMANNamePerson
Telephone Number5402650322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15228 VALLEYPOINTE PARKWAY BLDG BAddressLine1
CityROANOKECity
StateVAState
ZIP Code24019ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
THOMAS M CLARKE
PRESIDENT & CEO30.0010.00XX148482017529
ANA CLARKE
DIRECTOR30.0010.00X18000001248
REV DAVID ERICKSON
DIRECTOR3.002.00X000
WAYNE FUQUAY
DIRECTOR3.002.00X9013012713
LYNN HODGE
CHAIRMAN3.002.00X5384600
ROBERT G BELL
SECRETARY30.0010.00X000
THOMAS KEEFE
DIRECTOR3.002.00X000
SEAN PRESSMAN
COO30.0010.00X1752540381
LORI HUFFMAN
CFO30.0010.00X918030625
ANGELA MATTOCKS
CNO30.0010.00X17525409475
FieldValueIRS element (for citing)
Total Reportable Comp From Org833652TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation41971TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT FEE REVENUE55111223327852332785
UNRELATED CONSTRUCTION236000-29821-29821

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1939TotalRevenueColumn
Related Or Exempt Function Income1939RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2304903TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column170601TotalRevenueColumn
Exclusion$170,601ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other3500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3500TotalRevenueColumn
Exclusion$3,500ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
VENDOR9000993284$3,284
OTHER900099-4582-$4,582
INTERCOMPANY REVENUES900099-30288-$30,288
FieldValueIRS element (for citing)
Total Other Revenue-31586TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2447418TotalRevenueColumn
Related Or Exempt Function Income2334724RelatedOrExemptFunctionIncome
Unrelated Business Revenue-29821UnrelatedBusinessRevenue
Exclusion$142,515ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total350Total
Program Services350ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total875622Total
Program Services875622ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total877027Total
Program Services877027ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1425Total
Program Services1425ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total158926Total
Program Services158926ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total138718Total
Program Services138718ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total66703Total
Management And General66703ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32025Total
Management And General32025ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total61417Total
Program Services61417ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total133653Total
Program Services133653ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31173Total
Program Services31173ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total96126Total
Program Services96126ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total127980Total
Program Services127980ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4680Total
Program Services4680ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total401046Total
Management And General401046ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8821Total
Program Services8821ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total12826Total
Program Services12826ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CONTRACT SERVICES223972223972
PRE-EMPLOYMENT5664656646
EQUIPMENT RENTAL4250842508
DUES & SUBSCRIPTIONS1205512055

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total171887Total
Program Services15800ProgramServices
Management And General156087ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3535586Total
Program Services2879725ProgramServices
Management And General655861ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY330584BOY
EOY1262EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1608512BOY
EOY3118342EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY356664BOY
EOY164910EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY500082BOY
EOY583659EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6197BOY
EOY50702EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis321467LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec84142LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY78658BOY
EOY237325EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3100BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY15543EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2982348BOY
EOY126954EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5866145BOY
EOY4298697EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY990331BOY
EOY637050EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2415688BOY
EOY5679726EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY13787EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3406019BOY
EOY6330563EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2460126BOY
EOY-2031866EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2460126BOY
EOY-2031866EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5866145BOY
EOY4298697EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1088168ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-7722ReconcilationPriorAdjustment
Reconcilation Other Changes-3396102ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2695648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2410945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2623713CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2828151CurrentTaxYearMinus1Year
Current Tax Year2334724CurrentTaxYear
Total12893181Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2695648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2410945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2623713CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2828151CurrentTaxYearMinus1Year
Current Tax Year2334724CurrentTaxYear
Total12893181Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50912893181PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156860CurrentTaxYearMinus1Year
Current Tax Year170601CurrentTaxYear
Total520860Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156860CurrentTaxYearMinus1Year
Current Tax Year170601CurrentTaxYear
Total520860Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years300000CurrentTaxYearMinus4Years
Total300000Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3006618CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2481302CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2735785CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2985011CurrentTaxYearMinus1Year
Current Tax Year2505325CurrentTaxYear
Total13714041Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94010PublicSupportPercentage509
Prior Year Support Percentage0.95270PriorYearSupportPercentage
Investment Income Percentage0.03800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02550PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis34159OtherCostOrOtherBasis
Depreciation20871Depreciation
Book Value13288BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis86149OtherCostOrOtherBasis
Depreciation63271Depreciation
Book Value22878BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis201159OtherCostOrOtherBasis
Book Value201159BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings237325TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASEDescription
Amount$13,787Amount
FieldValueIRS element (for citing)
Total Of Amounts13787TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD ANY STATUS BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE ORGANIZATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS M CLARKE
PRESIDENT & CEO1088460003963601300173990166011000
ANA CLARKE
DIRECTOR18000000000130011180181248000
SEAN PRESSMAN
COO175000025400013002510175635000
ANGELA MATTOCKS
CNO1750000254000130093450184729000

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonTHOMAS M CLARKENamePerson
Relationship With OrganizationOFFICERRelationshipWithOrganization
Purpose Of LoanBUSINESSPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$656,215OriginalPrincipalAmount
Balance Due583659BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due583659TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1KISSITO 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. KISSITO HEALTHCARE INTERNATIONAL SERVES THE WORLD'S MOST VULNERABLE PEOPLE WITH LOW-COST, HIGH IMPACT HEALTHCARE SOLUTIONS WITH A SPECIAL FOCUS ON MATERNAL AND CHILD HEALTH.
FORM 990, PART VI, SECTION A, LINE 2THOMAS M. CLARKE, PRESIDENT/CEO AND DIRECTOR, IS RELATED BY MARRIAGE TO ANA CLARKE, DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY REFERENCE TO COMPARABILITY DATA AND IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD, AS WELL AS TOP MANAGEMENT OF THE COMPANY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:TRANSFERS BETWEEN AFFILIATES -3,396,102.
FORM 990, PART XII, LINE 2C:NO CHANGE IN METHOD SINCE PRIOR YEAR.
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, HEMODIALYSIS, 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 FOR THOSE ON A VENTILATOR LONG TERM AND PROVIDE A HIGH QUALITY OF LIFE WHILE DOING SO. NATIONALLY RECOGNIZED AND AWARDED 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 (COLLABORATIVE 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, MD 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 BECOME 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 WHEEL CHAIR 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. THROUGH ACQUISITION, NEW CONSTRUCTION, AND COLLABORATION, KISSITO IS INVOLVED IN MANY ELDER HOUSING DEVELOPMENT PROJECTS. PACE ALTERNATIVE HOUSTON: THE RIVERSIDE DEVELOPMENT IN COLLABORATION WITH HARRIS HEALTH SYSTEM, KISSITO IS DEVELOPING A LARGE MEDICAL SERVICES COMPLEX IN HOUSTON, TX 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, VA 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. TECHNOLOGY AND CLINICAL ACCELERATORS: KISSITO RECOGNIZES THAT THE SAFETY AND WELL BEING OF ITS PATIENTS AND PARTICIPANTS MUST BE INSURED AROUND THE CLOCK TO PREVENT UNNECESSARY FALLS AND MEDICALLY-RELATED SETBACKS FROM OCCURRING. BY INVESTING SIGNIFICANT TIME, MONEY, AND RESOURCES, KISSITO IS DEVELOPING AND IMPLEMENTING SEVERAL KEY PRODUCTS AND SYSTEMS THAT WILL WIRELESSLY MONITOR A PATIENT OR PARTICIPANT'S HEALTH AND SAFETY RELATED INDICATORS. ONE OF SUCH PRODUCTS IS THE ISHOE. KISSITO HAS ENGAGED IN A COLLABORATIVE PARTNERSHIP TO FURTHER DEVELOP NASA-BASED TECHNOLOGY THAT WILL ALLOW KISSITO TO MONITOR PATIENT ACTIVITY, BALANCE, GAIT, AND FUNCTIONAL PERFORMANCE WIRELESSLY IN THE HOME. WITH OVER 350,000 ELDERLY FALLS WITH INJURY REPORTED ANNUALLY, THE ISHOE REPRESENTS A SIGNIFICANT BREAKTHROUGH IN PATIENT SAFETY AND AN EXCITING OPPORTUNITY TO PREVENT NEEDLESS DEATH AND INJURY AMONG OUR GROWING SENIOR POPULATION.
RESEARCH AND HEALTHCARE DELIVERY/EAST AFRICA: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, SOMALIA, 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 KAMASHI 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; IN 2012, KHI TOTALED 2,275 BABIES DELIVERED WITH 911 CAESAREAN DELIVERIES. 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. 5. DUNA AND HALABA SPECIAL WOREDAS IN THE SNNPR: KISSITO IMPLEMENTED EMERGENCY NUTRITION PROGRAM FUNDED BY THE UNOCHA-HRF. KISSITO TREATED 7,758 MALNOURISHED CHILDREN UNDER THIS PROGRAM IN 2011-2012. 6. HALABA SPECIAL WOREDA: KISSITO PROVIDED TRAINING TO 2019 HEALTH STAFF INCLUDING 1073 HEALTH EXTENSION WORKERS AND 906 COMMUNITY MEMBERS IN THE HEALTH DEVELOPMENT ARMY IN 2012. UGANDA: 1. OPERATION OF THE PEDIATRIC MALNUTRITION REHABILITATION CENTER IN PARTNERSHIP WITH SERVING HIS CHILDREN 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, 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 UNDERTRAINED 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 IN 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, AND NAMANYONYI HEALTH CENTER. 10. PARTNERSHIP WITH PONT-MBALE CAP (COALITION AGAINST POVERTY) TO PROVIDE TRANSPORT SERVICES FOR EMERGENCY & 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 (UNOCHA) TO PROVIDE LIFE SAVING EMERGENCY NUTRITION SERVICES AND LOCAL HEALTHCARE CAPACITY STRENGTHENING FOR MALNOURISHED MOTHERS AND CHILDREN IN THE STATE 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 SYSTEMS - COORDINATION OF LOCAL PARTNERS AND GOVERNMENT HEALTH SERVICES SOMALIA: HEALTH: KISSITO'S PROJECT WAS ACCEPTED INTO THE CONSOLIDATED APPEAL OF THE UNITED NATIONS OFFICE OF COORDINATED HUMANITARIAN AFFAIRS TO STRENGTHEN THE GAROWE GENERAL HOSPITAL IN THE STATE OF PUNTLAND THROUGH PROVISION OF ESSENTIAL HEALTH SERVICES PACKAGE. PROPOSED INTERVENTIONS INCLUDE - EQUIPPING THE HOSPITAL WITH ESSENTIAL DRUGS AND MEDICAL SUPPLIES - PROCUREMENT OF MOTORCYCLE AMBULANCES TO PROVIDE ON-TIME TRANSPORT SERVICES - ENSURING SUFFICIENT STAFFING AT THE HOSPITAL - TREATMENT OF MALNOURISHED CHILDREN AND LACTATING MOTHERS - IMPROVEMENT OF SUPPLY CHAIN MANAGEMENT - ESTABLISHING CLINICAL PROTOCOLS, INFORMATION SYSTEMS, AND STAFFING MODELS NUTRITION: KISSITO'S PROJECT WAS ACCEPTED INTO THE CONSOLIDATED APPEAL OF THE UNITED NATIONS OFFICE OF COORDINATED HUMANITARIAN AFFAIRS TO PROVIDE EMERGENCY NUTRITION SERVICES AMONG GAROWE AND BOSSASSO INTERNALLY DISPLACED PERSONS (IDPS).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
AMITY FELLOWSERVE OF MINNESOTA INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019043317081ADMINISTRATIVE SUPPORTMN501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AMITY FELLOWSERVE OF KATY INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019760561128NURSING CARETX501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS OF YUMA INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019043541452NURSING CARENV501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS OF FINCASTLE INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019202200518NURSING CAREVA501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS OF LOW MOOR INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019202200224NURSING CAREVA501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS OF HOT SPRINGS INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019202200654NURSING CAREVA501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS OF BASTIAN INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019202200573NURSING CAREVA501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS OF LEBANON INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019820556614NURSING CARENV501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AFS REALTY OF YUMA INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019204146559LEASING REAL ESTATE TO NURSING FACILITYDE501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AMITY FELLOWSERVE OF CANE ISLAND INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019205234441GENERAL PARTNER OF ENTITY PROVIDING NURSING CAREDE501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AMITY FELLOWSERVE REALTY OF HONDO INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019830457457LEASING REAL ESTATE TO NURSING FACILITYDE501(C)(3)LINE 9AMITY FELLOWSERVE INC1
AMITY FELLOWSERVE OF HONDO INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019311594605NURSING CAREMD501(C)(3)LINE 9AMITY FELLOWSERVE INC1
MORRIS CERULLO KAMASHI TEACHING HOSPITAL
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019383781006PROVIDE MEDICAL SERVICES IN ETHIOPIADE501(C)(3)LINE 9AMITY FELLOWSERVE INC1
KISSITO HEALTHCARE INTERNATIONAL INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019270900763PROMOTION OF INTERNATIONAL HEALTHCARE AND EDUCATIONDE501(C)(3)LINE 9AMITY FELLOWSERVE INC1
BUGOBELO HOSPITAL AND MEDICAL UNIVERSITY
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019263522690PROVIDE MEDICAL SERVICES IN UGANDADE501(C)(3)LINE 9AMITY FELLOWSERVE INC1
KISSITO PACE OF ROANOKE INC
5228 VALLEYPOINTE PKWY BLDG B STE 1ROANOKEVA24019272972573ELDER HOME CAREVA501(C)(3)LINE 9AMITY FELLOWSERVE INC1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CANE ISLAND CARE CENTER LPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15228 VALLEYPOINTE PKWY BLDG B STE 1AddressLine1
CityROANOKECity
StateVAState
ZIP Code24019ZIPCode
FieldValueIRS element (for citing)
EIN260496751EIN
Primary ActivityNURSINGPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMITY FELLOWSERVE INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations1DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.57000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1JMS BUILDERSDEVELOPERS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11481 LITTLE TIMBER RIDGEAddressLine1
CityBUCHANANCity
StateVAState
ZIP Code24066ZIPCode
FieldValueIRS element (for citing)
EIN020548591EIN
Primary ActivityCONSTRUCTIONPrimaryActivity
Legal Domicile StateVALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMITY FELLOWSERVE INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntitySTypeOfEntity
Share Of Total Income-29821ShareOfTotalIncome
Share Of EOY Assets204770ShareOfEOYAssets
Percentage Ownership0.50010PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CANE ISLAND
A135959INTERCOMPANY ENTRIES
CANE ISLAND
B2185469INTERCOMPANY ENTRIES
JMS BUILDERS
D100000KHC CD COLLATERAL FOR JMS LOC
JMS BUILDERS
L2003955CONSTRUCTION WORK INVOICES

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