2021-11-11T13:48:49-06:00 2020-12-31 540504608 BROWN EDWARDS & COMPANY LLP 319 MCCLANAHAN STREET SW ROANOKE VA 24014 990 2020-01-01 900345214 KISSITO HEALTHCARE INC AND AFFILIATES KISS 5406850288 7500 SHADWELL DRIVE NO D ROANOKE VA 24019 THOMAS E CLARKE PRESIDENT 5402650322 2021-11-11 1 THOMAS CLARKE 999009999 PATRICK PITTMAN P00587461 5403450936 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X THOMAS E CLARKE 7500 SHADWELL DRIVE NO D ROANOKE VA 24019 78797802 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. KISSITO MANAGES AND COORDINATES THE OVERALL HEALTHCARE FOR THE FRAIL AND ELDERLY POPULATION IN SKILLED NURSING FACILITIES. 4 2 1667 0 0 0 587783 6509800 48310574 66393063 68239 13169 313797 5881770 49280393 78797802 0 0 0 0 23067981 32018753 0 0 0 25410880 34566189 48478861 66584942 801532 12212860 27189472 37128641 29178638 26846560 -1989166 10282081 X KISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE. WE SEEK TO PROVIDE VULNERABLE POPULATIONS WITH LOW-COST, HIGH IMPACT HEALTHCARE SOLUTIONS THAT IMPROVE OUTCOMES AND SAVE LIVES. 0 0 62334132 70352491 PROVIDING LONG-TERM CARE FOR THE ELDERLY AND HANDICAPPED IN THE FORM OF MEDICAL SERVICES. 703648 1922342 PROVIDING NATURAL RESOURCES STEWARDSHIP THROUGH CONSERVATION, EDUCATION, AND OUTDOOR RECREATION. 63037780 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 145 0 1 1667 1 0 0 0 0 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 0 X X KATIE M PERRY 5402650322 5228 VALLEYPOINT PARKWAY BLDG B STE ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 2.00 3.00 X X 240000 0 0 ANA VELASQUEZ CLARKE CHAIRMAN OF THE BOARD 2.00 3.00 X X 0 0 0 REVEREND DAVID ERICKSON DIRECTOR 1.00 4.00 X 16000 0 0 TIMOTHY DIXON SECRETARY/DIRECTOR 4.00 1.00 X X 161245 0 6968 ROBERT MCCLINTIC CHIEF EXECUTIVE OFFICER 10.00 30.00 X 551720 0 23196 KATHY SANDERS CHIEF NURSING OFFICER 30.00 10.00 X 252120 0 13529 KATIE PERRY CHIEF FINANCIAL OFFICER 10.00 30.00 X 196892 0 10114 ROBERT NELSON CHIEF ADMIN OFFICER - MULBERRY 40.00 X 188523 0 14988 BETH ZIERLER PHYSICAL THERAPIST 40.00 X 117346 0 11101 WENDY POAGUE REGIONAL DIR. OF NURSING 40.00 X 113901 0 15213 LEANN RAQUEL ROTHE RESPIRATORY THERAPIST 40.00 X 113208 0 12361 MELISSA BARTLETT CLINICAL REIMB. COORDINATOR 40.00 X 153190 0 16979 2104145 0 124449 10 0 1 0 MCKESSON MEDICAL SURGICAL MN SUPPLY INC 9954 MARYLAND DR RICHMOND VA 23233 SUPPLIES 1671993 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 STAFFING 1095641 LINCARE INC 1807 MURRY RD ROANOKE VA 24018 THERAPY STAFFING/SUPPLIES 1001013 OMNICARE INC DEPT 4152 PO BOX9482 MERIDIAN WA WEST CHESTER TOWNSHIP OH 45069 SUPPLIES 968216 US FOODS INC PO BOX 602286 CHARLOTTE NC 28260 FOOD SERVICES AND SUPPLIES 935207 5 6509800 6509800 NURSING CARE 623000 64602313 64602313 MANAGEMENT OF STATE PARK 531390 1036549 1036549 MISCELLANEOUS REVENUE 623000 754201 754201 66393063 13169 13169 PROVIDER RELIEF FUNDS 623000 3626582 3626582 GAIN ON SETTLEMENT OF DEBT 623000 1880634 1880634 OTHER REVENUE 531390 279034 279034 95520 95520 5881770 78797802 72274833 0 13169 1401977 1401977 28768637 28768637 327898 327898 1520241 1520241 3474749 3474749 72413 72413 11212108 11212108 10498857 10498857 781174 781174 694747 694747 54132 54132 DIETARY & NUTRITION EXP 4146437 4146437 PURCHASED SERVICES 1793247 1793247 ACTIVITES & SOCIAL SERV 964789 964789 LAUNDRY & LINEN 488807 488807 384729 384729 66584942 63037780 3547162 0 1041551 4771026 6209364 7575876 96994 223254 15916666 4188508 11384588 11728158 8456975 12830327 27189472 37128641 7923321 7154735 733684 14318242 9518919 6937075 9439222 29178638 26846560 X -1989166 10282081 -1989166 10282081 27189472 37128641 12212860 58387 0 X X 0 1 X 1 0 X 1402620 538953 895819 587783 6509800 9934975 51186195 48878327 68725678 48310574 66393063 283493837 52588815 49417280 69621497 48898357 72902863 293428812 0 0 0 293428812 7622 7841 354406 52590 13169 435628 7622 7841 354406 52590 13169 435628 80055 -193167 -968715 295373 5881770 5095316 52676492 49231954 69007188 49246320 78797802 298959756 0.98150 0.99930 0.00150 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4901960 4901960 5585184 1103419 4481765 2818797 1504029 1314768 2173066 1270320 902746 437659 310740 126919 11728158 DEPOSITS & OTHER ASSETS 2212939 DUE FROM RELATED ENTITIES 10617388 12830327 RESIDENT TRUST LIABILITY 858318 DUE TO KISSITO HEALTHCARE, INC. PARENT 196864 DEFERRED RENT & LEASE INCENTIVES 3491981 DUE TO CONSERVATION LEGACY FUND LAND TRUST, INC. 439021 OTHER RELATED PARTY PAYABLES 4216390 DUE TO MERIDA 236648 9439222 X 0 0 0 0 0 0 0 0 0 ROBERT MCCLINTIC CHIEF EXECUTIVE OFFICER 551720 0 0 0 0 0 11400 0 11796 0 574916 0 0 0 KATHY SANDERS CHIEF NURSING OFFICER 252120 0 0 0 0 0 7838 0 5691 0 265649 0 0 0 THOMAS M CLARKE PRESIDENT 240000 0 0 0 0 0 0 0 0 0 240000 0 0 0 KATIE PERRY CHIEF FINANCIAL OFFICER 196892 0 0 0 0 0 4423 0 5691 0 207006 0 0 0 ROBERT NELSON CHIEF ADMIN OFFICER - MULBERRY 188523 0 0 0 0 0 7233 0 7755 0 203511 0 0 0 MELISSA BARTLETT CLINICAL REIMB. COORDINATOR 153190 0 0 0 0 0 5183 0 11796 0 170169 0 0 0 TIMOTHY DIXON SECRETARY/DIRECTOR 161245 0 0 0 0 0 0 0 6968 0 168213 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 THE COMPENSATION COMMITTEE OF THE PARENT'S BOARD AND TOP MANAGEMENT OF THE PARENT COMPANY. SUPPLEMENTAL INFORMATION: NURSING & REHABILITATION SERVICES - 6 SKILLED NURSING FACILITIES: KISSITO OPERATES SIX 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. 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 DEVELOPED TWO HIGH-ACUITY RESPIRATORY CENTERS OF EXCELLENCE. THE CENTERS ARE DESIGNED TO CARE FOR VENTILATOR AND TRACHEOTOMY DEPENDENT PATIENTS. AT THESE FACILITIES WE BOTH WEAN PATIENTS OFF OF THE VENTILATOR SO THEY MAY RETURN TO THEIR COMMUNITY AND WE CARE FOR THOSE ON A VENTILATOR LONG TERM AND PROVIDE A HIGH QUALITY OF LIFE WHILE DOING SO. MISSION STATMENT 2: 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. ERP ENVIRONMENTAL FUND: THE PRIMARY OBJECTIVE OF THE ENVIRONMENTAL FUND IS TO REDUCE THE RATE OF GROWTH OF ATMOSPHERIC CARBON DIOXIDE (CO2) THROUGH GLOBAL REFORESTATION AND BY INCENTIVIZING COAL CONSUMERS TO ACCELERATE THE REDUCTION OF CO2 POLLUTION. FORM 990, PART VI, SECTION A, LINE 2 THOMAS CLARKE, PRESIDENT AND DIRECTOR, IS RELATED BY MARRIGAGE TO ANA CLARKE, DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY REFERENCE TO COMPARABILITY DATA AND IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD, AND TOP MANAGEMENT OF THE COMPANY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGES IN METHOD SINCE PRIOR YEAR. 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