Civic Intelligence

Kissito Healthcare Inc and Affiliates

990 • Fiscal year 2015 • EIN 90-0345214

Jan 01, 2015 to Dec 31, 2015 • Filed on Feb 02, 2017

5228 Valleypointe Pkwy Bldg B 1Roanoke, VA 24019

(540) 265-0322

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

94th percentile

1.09x

Higher debt load relative to assets than 94% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Liabilities / Revenue

60th percentile

0.61x

Higher debt load relative to revenue than 60% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Net Margin

17th percentile

-5.6%

Higher net margin than 17% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Top Officer Pay

19th percentile

$189,997

Higher top officer pay than 19% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Asset Growth

56th percentile

2.9%

Faster asset growth than 56% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2014 to 2015

Revenue Growth

44th percentile

2.5%

Faster revenue growth than 44% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2014 to 2015

Assets

Up

$27,772,390

Up $780,250 (+2.9%) from 2014

Net Assets

Down

-$2,362,430

Down $3,280,565 (-357%) from 2014

Liabilities

Up

$30,134,820

Up $4,060,815 (+16%) from 2014

Revenue

Up

$49,588,651

Up $1,219,995 (+2.5%) from 2014

Expenses

Up

$52,342,703

Up $4,494,470 (+9.4%) from 2014

Net Income

Down

-$2,754,052

Down $3,274,475 (-629%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$200M$0-$200M-$400MAssets 2010: $12,824,255Liabilities 2010: $13,734,025Net Assets 2010: -$909,7702010Assets 2011: $12,715,948Liabilities 2011: $10,393,150Net Assets 2011: $2,322,7982011Assets 2012: $24,970,273Liabilities 2012: $5,986,349Net Assets 2012: $18,983,9242012Assets 2013: $10,126,286Liabilities 2013: $11,506,171Net Assets 2013: -$1,379,8852013Assets 2014: $26,992,140Liabilities 2014: $26,074,005Net Assets 2014: $918,1352014Assets 2015: $27,772,390Liabilities 2015: $30,134,820Net Assets 2015: -$2,362,4302015Assets 2016: $26,326,242Liabilities 2016: $28,198,887Net Assets 2016: -$1,872,6452016Assets 2017: $55,173,888Liabilities 2017: $330,051,876Net Assets 2017: -$274,877,9882017Assets 2018: $28,859,844Liabilities 2018: $333,334,407Net Assets 2018: -$304,474,5632018Assets 2019: $27,189,472Liabilities 2019: $29,178,638Net Assets 2019: -$1,989,1662019Assets 2020: $37,128,641Liabilities 2020: $26,846,560Net Assets 2020: $10,282,0812020Assets 2021: $34,272,416Liabilities 2021: $22,399,468Net Assets 2021: $11,872,9482021Assets 2022: $61,263,756Liabilities 2022: $45,133,838Net Assets 2022: $16,129,9182022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2015

Assets$27,772,390
Liabilities$30,134,820
Net Assets-$2,362,430

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $33,277,7402010Expenses 2011: $35,548,8182011Expenses 2012: $38,158,5092012Revenue 2013: $38,632,453Expenses 2013: $59,120,031Net Income 2013: -$20,487,5782013Revenue 2014: $48,368,656Expenses 2014: $47,848,233Net Income 2014: $520,4232014Revenue 2015: $49,588,651Expenses 2015: $52,342,703Net Income 2015: -$2,754,0522015Revenue 2016: $51,846,688Expenses 2016: $51,374,814Net Income 2016: $471,8742016Revenue 2017: $51,312,331Expenses 2017: $72,401,530Net Income 2017: -$21,089,1992017Revenue 2018: $68,617,930Expenses 2018: $93,627,131Net Income 2018: -$25,009,2012018Revenue 2019: $49,280,393Expenses 2019: $48,478,861Net Income 2019: $801,5322019Revenue 2020: $78,797,802Expenses 2020: $66,584,942Net Income 2020: $12,212,8602020Revenue 2021: $69,527,581Expenses 2021: $65,578,007Net Income 2021: $3,949,5742021Revenue 2022: $69,164,307Expenses 2022: $64,907,337Net Income 2022: $4,256,9702022Revenue 2023: $71,403,814Expenses 2023: $66,541,108Net Income 2023: $4,862,7062023

Highlighted filing

2015

Revenue$49,588,651
Expenses$52,342,703
Net Income-$2,754,052
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Feb 2, 2017
Return Version
2015v3.0
Gross Receipts
$50,224,718
Mission and Program Overview

Mission

Kissito 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.

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.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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$19,268,698$18,989,168▼ $279,530
Accounts Receivable$5,820,289$5,063,453▼ $756,836
Cash and Non-Interest-Bearing Accounts$577,322$1,157,280▲ $579,958
Pledges and Grants Receivable$393,074$374,174▼ $18,900
Inventories for Sale or Use$121,131$39,607▼ $81,524
Total Assets$26,992,140$27,772,390▲ $780,250
Other Assets Total$811,626$2,148,708▲ $1,337,082
Liabilities
Mortgage Notes Payable Secured by Investment Property$13,650,751$15,211,745▲ $1,560,994
Accounts Payable and Accrued Expenses$9,824,641$12,035,558▲ $2,210,917
Other Liabilities$2,598,613$2,887,517▲ $288,904
Total Liabilities$26,074,005$30,134,820▲ $4,060,815
Net Assets / Fund Balance
Unrestricted Net Assets$918,135$-2,362,430▼ $3,280,565
Total Net Assets Fund Balance$918,135$-2,362,430▼ $3,280,565
Total Liabilities and Net Assets / Fund Balance$26,992,140$27,772,390▲ $780,250

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,833,330$908,418$9,741,748
Land$7,331,169-$7,331,169
Equipment$603,970$2,216,466$2,820,436
Leasehold Improvements$1,866,155$945,086$2,811,241
Other Land Buildings$354,544$430,813$785,357
Other Assets Org$1,382,067--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Adel SalamaEmployeeFT$189,997-$189,997
Sean PressmanAdministrative StaffPT-$142,308$142,308
Vicky SchmermanEmployeeFT$141,303-$141,303
Emilio ZagaEmployeeFT$138,648-$138,648
Cherie HicksAdministrative StaffPT-$138,395$138,395
Josh McgilliardAdministrative StaffPT-$129,933$129,933
Beth ZierlerEmployeeFT$129,560-$129,560
Monique LoomisEmployeeFT$121,384-$121,384
Thomas M ClarkePresidentPT-$119,882$119,882
Jennifer BellOfficerPT$98,011-$98,011
Joseph AlesantrinoAdministrative StaffPT-$35,510$35,510
Wayne FuquayVice President--$682$682

Board Members and Trustees

NameTitle
Reverend David EricksonDirector
Andy DameronAdministrative Staff
Ana ClarkeSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Omnicare INCPharmaceuticals & ServicesPO BOX 78000, Detroit, MI 48278$1,606,460
Respiratory Health Services LLCRespiratory ServicesPO BOX 821322, Philadelphia, PA 19182$620,041
Azirona Department Of RevenueProvided Bed AssessmentPO BOX 29085, Phoenix, AZ 85038$392,564
Palm View Rehabilitation & Care CenterTherapy Services2222 S AVE A, Yuma, AZ 85364$373,954
Premium Assignment CorporationFinancing Of Insurance PremiumsPO BOX 79153, Baltimore, MD 21279$348,706
Revenue and Support

Revenue Composition

Contributions and Grants
$1,339,885
Program Service Revenue
$48,027,466
Investment Income
$-57,515
Other Revenue
$278,815
All Other Contributions
$1,339,885
Change in Net Assets
$-2,754,052
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$27,190,422
Salaries, Compensation, and Employee Benefits$25,152,281
Total Fundraising Expense$875
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,256,970--$23,256,970
Occupancy$6,621,067--$6,621,067
Office Expenses$4,272,238--$4,272,238
All Other Expenses$3,649,132-$875$3,650,007
Fees for Services Management-$3,261,173-$3,261,173
Payroll Taxes$1,637,973--$1,637,973
Depreciation Depletion$864,942--$864,942
Interest-$829,782-$829,782
Insurance-$411,431-$411,431
Fees for Services Accounting-$374,460-$374,460
Information Technology$321,992--$321,992
Advertising-$306,622-$306,622
Travel$264,082--$264,082
Pension Plan Contributions$151,528--$151,528
Fees for Services Legal-$129,112-$129,112
Current Officers, Directors, Trustees, and Key Employees$98,011--$98,011
Fees for Services Other$92,271--$92,271
Other Expenses$20,886--$20,886
Conferences and Meetings$20,854--$20,854
Other Employee Benefits$7,799--$7,799
Total Functional Expenses$47,029,248$5,312,580$875$52,342,703
International Activity

International Summary

Offices
3
Employees
17
Spending
$0

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Sub-saharan Africa - South SudanProgram ServicesHealthcare Stabilization, Malnutrition and Maternal/infant Health317-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Rent & Lease Incentives$1,465,472
Due to Kissito Healthcare, Inc. Parent$766,161
Due to Caverns at Natural Bridge, Inc.$397,694
Resident Trust Liability$214,304
Due to Conservation Legacy Fund Land Trust, Inc.$35,119
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Amity Fellowserve Inc
EIN
90-0345214
Phone
5402650322
Address
5228 VALLEYPOINTE PKWY BLDG B 1, ROANOKE, VA 24019
Doing Business As
Kissito Healthcare Inc

Signing Officer

Name
Thomas E Clarke
Title
CEO
Phone
5402650322
Signed
2017-02-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas E Clarke
Formed
1988
Legal Domicile
Il
Voting Board Members
4
Independent Board Members
2
Employees
1,170
Volunteers
50

Preparer

Firm
Brown Edwards & Company Llp
Address
319 MCCLANAHAN STREET SW, ROANOKE, VA 24014
Preparer
M C Wingfield
Phone
5403450936
Supplemental Narrative

Additional Explanations

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

Form 990, Part III, Line 1

South sudan: kissito's project was funded by ima 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 includes: 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 XI, LINE 9:

Fair value assessment of property contribution 22,394.

Form 990, Part XII, Line 2C

No changes in method since prior year.

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IRS990/ActivityOrMissionDesc0KISSITO 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.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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt4OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt5ADMINISTRATIVE STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt6ADMINISTRATIVE STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt7ADMINISTRATIVE STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt8ADMINISTRATIVE STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt9ADMINISTRATIVE STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt10EMPLOYEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11EMPLOYEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt13EMPLOYEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14EMPLOYEE
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IRS990/MissionDesc0KISSITO 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.
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IRS990/ProgramServiceRevenueGrp/Desc2NATURAL BRIDGE GIFT SHOP
IRS990/ProgramServiceRevenueGrp/Desc3NATURAL BRIDGE RESTUARANT
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IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt1212773
IRS990/ProgSrvcAccomActy2Grp/Desc0PROVIDING NATURAL RESOURCES STEWARDSHIP THROUGH CONSERVATION, EDUCATION, AND OUTDOOR RECREATION.
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IRS990/ProgSrvcAccomActy2Grp/RevenueAmt02773267
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IRS990/PYOtherExpensesAmt024670403
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IRS990/PYProgramServiceRevenueAmt046279724
IRS990/PYRevenuesLessExpensesAmt0520423

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$71.4$66.5$4.86
2022Detailed filing. Detailed filing data is available for this year.$61.3$45.1$16.1$69.2$64.9$4.26
2021Detailed filing. Detailed filing data is available for this year.$34.3$22.4$11.9$69.5$65.6$3.95
2020Detailed filing. Detailed filing data is available for this year.$37.1$26.8$10.3$78.8$66.6$12.2
2019Detailed filing. Detailed filing data is available for this year.$27.2$29.2$1.99$49.3$48.5$0.80
2018Detailed filing. Detailed filing data is available for this year.$28.9$333$304$68.6$93.6$25.0
2017Detailed filing. Detailed filing data is available for this year.$55.2$330$275$51.3$72.4$21.1
2016Detailed filing. Detailed filing data is available for this year.$26.3$28.2$1.87$51.8$51.4$0.47
2015Detailed filing. Detailed filing data is available for this year.$27.8$30.1$2.36$49.6$52.3$2.75
2014Detailed filing. Detailed filing data is available for this year.$27.0$26.1$0.92$48.4$47.8$0.52
2013Detailed filing. Detailed filing data is available for this year.$10.1$11.5$1.38$38.6$59.1$20.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.0$5.99$19.0$38.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.7$10.4$2.32$35.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$13.7$0.91$33.3