2024-11-15T10:59:04-06:00 2023-12-31 540504608 BROWN EDWARDS & COMPANY LLP 3906 ELECTRIC ROAD ROANOKE VA 24018 990 2023-01-01 363666533 KISSITO HEALTHCARE INC KISS 5402650322 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 5402650322 2024-11-15 1 0 RICHARD HEDLEY P00936170 5403450936 2024-11-14 2023 2024-10-15 13:58:12Z THOMAS M CLARKE 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 19680753 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 THROUGH A BALANCED ENGAGEMENT IN ACADEMICS, RESEARCH AND HEALTH CARE DELIVERY. X 3 2 61 50 0 0 0 0 3470074 3471839 6973 -10153812 0 0 3477047 -6681973 0 0 0 0 2684551 2457366 0 0 0 770138 891950 3454689 3349316 22358 -10031289 32931147 5923103 17731599 0 15199548 5923103 X KISSITO HEALTHCARE EXISTS FOR THE BETTERMENT AND CARE OF HUMAN LIFE. 0 1 1637505 3471839 CENTRAL MANAGEMENT OF RELATED ORGANIZATIONS PROVIDING LONG TERM CARE, SHORT TERM REHAB AND ASSISTED LIVING SERVICES FOR THE ELDERLY AND HANDICAP. 1637505 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 0 1 12 0 1 61 1 0 0 0 0 0 0 0 0 0 0 X 3 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 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 THOMAS M CLARKE PRESIDENT 3.00 2.00 X X 230000 0 0 ANA CLARKE CHAIR OF THE BOARD 3.00 2.00 X X 8765 0 0 TIMOTHY DIXON SECRETARY 4.00 1.00 X X 121063 0 11308 ROBERT B MCCLINTIC III CHIEF EXECUTIVE OFFICER 10.00 30.00 X 691904 0 38703 KATIE PERRY CHIEF FINANCIAL OFFICER 30.00 10.00 X 257833 0 14580 MARY FERRELL VICE PRESIDENT OF OPERATIONS 10.00 30.00 X 231537 0 0 BETH DIVELBISS DIRECTOR OF CLINICAL REIMB 40.00 X 144512 0 0 WENDY POAGUE REGIONAL DIRECTOR OF CLINICAL SERVICES 40.00 X 122481 0 0 BRADLEY GOAD MEDICAL DIRECTOR 40.00 X 171692 0 0 AMY PHILLIPS REGIONAL DIRECTOR OF CLINICAL SERVICES 40.00 X 147194 0 0 MAUREEN SHANAHAN REGIONAL DIRECTOR OF REHAB 40.00 X 124709 0 0 2251690 0 64591 12 0 1 0 WINDSTREAM 4001 N RODNEY PARHAM RD LITTLE ROCK AR 72212 TELEPHONE/INTEREST SERVICE 311352 WILLIS TOWERS WATSON NORTHEAST INC 4951 LAKE BROOK DRIVE GLEN ALLEN VA 23060 INSURANCE 274377 BROWN EDWARDS & COMPANY 3906 ELECTRIC RD ROANOKE VA 24018 ACCOUNTING FEES 106765 3 SUBSIDARY MANAGEMENT FEES 551112 3424980 3424980 46859 46859 3471839 105311 105311 16103603 26362726 -10259123 -10259123 -10259123 -6681973 3471839 0 -10153812 1541102 1541102 534494 534494 75383 75383 124364 79345 45019 182023 162452 19571 86550 86550 15235 15235 69320 69320 25234 25234 164245 164245 120819 120819 123084 123084 33616 33616 14973 14973 4334 4334 64334 64334 47778 47778 MAINTENANCE & SERVICE C 43182 43182 LEASE EXPENSE VEHICLES 38423 38423 TAXES & LICENSES 21502 21502 BANK CHARGES 8374 8374 10947 10947 3349316 1637505 1711811 0 4530810 2423103 124102 118101 3500000 0 768267 27389867 0 32931147 5923103 689573 17042026 0 17731599 0 X 15199548 5923103 15199548 5923103 32931147 5923103 X -10031289 754844 X X 0 1 X 1 0 X 3374701 3532487 3377354 3469773 3471840 17226155 3374701 3532487 3377354 3469773 3471840 17226155 0 0 0 17226155 12 764 6973 105311 113060 12 764 6973 105311 113060 100000 100000 3474713 3532487 3378118 3476746 3577151 17439215 0.98780 0.99330 0.00650 0.00050 X X 0 0 0 0 0 0 0 0 0 ROBERT B MCCLINTIC III CHIEF EXECUTIVE OFFICER 691904 0 0 0 0 0 26907 0 11796 0 730607 0 0 0 KATIE PERRY CHIEF FINANCIAL OFFICER 257833 0 0 0 0 0 6805 0 7775 0 272413 0 0 0 MARY FERRELL VICE PRESIDENT OF OPERATIONS 231537 0 0 0 0 0 0 0 0 0 231537 0 0 0 THOMAS M CLARKE PRESIDENT 230000 0 0 0 0 0 0 0 0 0 230000 0 0 0 BRADLEY GOAD MEDICAL DIRECTOR 171692 0 0 0 0 0 0 0 0 0 171692 0 0 0 THOMAS M CLARKE PRESIDENT PERSONAL X 118101 0 0 0 0 ROBERT MCCLINTIC CHIEF EXECUTIVE OFFICER 16103603 SALE TO 100% OWNED ENTITY OF ROBERT MCCLINTIC 0 MEMBERSHIP INTERESTS OF LIMITED LIABILITY COMPANIES 2023-11-30 16103603 SALES PRICE (8594) 934479178 MCCLINTIC OPERATIONS HOLDCO II LLC 7500 SHADWELL DR STE D ROANOKE VA 24019 1 0 1 0 PART II, LINE 2E: PERSON(S) INVOLVED: ROBERT MCCLINTIC PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: SOLE OWNER OF MCCLINTIC HOLDCO I & II. ALL SUBORDINATE ENTITIES WERE CONVERTED TO LLCS. AFTER CONVERSION OF THE LLCS, THE PARENT, KISSITO HEALTHCARE, INC SOLD ALL OF THE MEMBERSHIP INTERESTS IN THE NEWLY CONVERTED LIMITED LIABILITY COMPANIES. THIS WAS DEEMED AN ASSET SALE AND RECOGNIZED ON THE KISSITO HEALTCARE INC. SEPARATE RETURN. ROBERT MCCLINTIC IS THE CEO OF KISSITO AND IS A BENEFICIAL OWNER IN THE NEW ENTITIES. SUPPLEMENTAL INFORMATION: NURSING & REHABILITATION SERVICES - 8 AWARD WINNING FACILITIES: KISSITO OPERATES EIGHT 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. 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 TWO TRADITIONAL NURSING HOME INTO 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. KISSITO'S RESPIRATORY CENTER OF EXCELLENCE IS IN HIGH DEMAND AND RECEIVES PATIENTS FROM THROUGHOUT THE UNITED STATES. FORM 990, PART III, LINE 3 KISSITO HEALTHCARE, INC. SOLD IT'S ASSETS IN THE LONG-TERM HEALTHCARE SPACE TO ANOTHER FOR-PROFIT ENTITY ON NOVEMBER 30, 2023 (SEE FORM 8594). KISSITO HEALTHCARE, INC. WILL USE THE PROCEEDS OF THE SALE TO CONTINUE AS A 501(C)(3) NOT-FOR-PROFIT TO SERVE OTHERS IN NEED. FORM 990, PART VI, SECTION A, LINE 2 THOMAS M CLARKE, PRESIDENT AND DIRECTOR IS RELATED BY MARRIAGE TO ANA CLARKE, DIRECTOR AND CHAIRMAN OF THE BOARD. 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 XI, LINE 9: EQUITY EARNINGS IN SUBSIDIARIES 7,797,260. DISCONTINUATION OF YUMA FACILITY -2,986,865. LEASE ADJUSTMENT - TRANSFERRED TO BUYER -89,356. TRANSFER OF CAPITAL (KHC) -3,966,197. ROUNDING 2. FORM 990, PART XII, LINE 2C NO CHANGES IN METHOD SINCE PRIOR YEAR. AFS OF YUMA INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 043541452 NURSING CARE NV 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF LOW MOOR INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200224 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF FINCASTLE INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200518 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF BASTIAN INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200573 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF HOTSPRINGS INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 202200654 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF LEBANON INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 820556614 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS OF MARTINSVILLE INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 834697614 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS MARTINSVILLE ALF INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 834690750 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 AFS WARSAW INC 7500 SHADWELL DRIVE SUITE D ROANOKE VA 24019 841744612 NURSING CARE VA 501(C)(3) LINE 10 KISSITO HEALTHCARE INC 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 AFS OF LOW MOOR INC L 496754 FLAT % OF TOTAL REVENUES AFS OF FINCASTLE INC L 650700 FLAT % OF TOTAL REVENUES AFS OF BASTIAN INC L 431383 FLAT % OF TOTAL REVENUES AFS OF HOT SPRINGS INC L 272967 FLAT % OF TOTAL REVENUES AFS OF LEBANON INC L 302152 FLAT % OF TOTAL REVENUES AFS WARSAW L 449719 FLAT % OF TOTAL REVENUES AFS MARTINSVILLE ALF L 62126 FLAT % OF TOTAL REVENUES AFS MARTINSVILLE L 759180 FLAT % OF TOTAL REVENUES SCHEDULE R, PART II THE RELATED TAX-EXEMPT ORGANIZATIONS HAVE BEEN CONVERTED TO LIMITED LIABILITY COMPANIES EFFECTIVE 11/30/2023. SUBSEQUENTLY, THE ORGANIZATIONS WERE INCLUDED IN THE SALE REPORTED ON THE 8594 & SCHEDULE N. THE ENTITIES WILL NO LONGER BE RELATED TO KISSITO HEALTHCARE GOING FORWARD.