2024-05-08T09:19:04-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2023-01-01 591800721 JOHN KNOX VILLAGE OF FLORIDA INC JOHN 9547834000 651 SW 6TH STREET POMPANO BEACH FL 33060 DOUGLAS FOLSOM CHIEF FINANCIAL OFFICER 9547834000 2024-04-29 1 DOUGLAS FOLSOM 999009999 1 TINA HENTON P00630282 4078021200 2024-04-29 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z DOUGLAS FOLSOM 651 SW 6TH STREET POMPANO BEACH FL 33060 161645276 0 X WWW.JOHNKNOXVILLAGE.COM X 1978 FL PROVIDE AN ENVIRONMENT OF WHOLE PERSON WELLNESS IN WHICH THE PEOPLE WE SERVE THRIVE. 13 12 769 14 0 0 1007155 894403 63855117 72842627 2235239 8370247 1178019 185981 68275530 82293258 2585752 0 0 0 29086710 27824919 0 0 0 39194240 43993100 70866702 71818019 -2591172 10475239 394794211 399292593 359180895 351141880 35613316 48150713 X JOHN KNOX VILLAGE OF FLORIDA, INC. IS DEDICATED TO PROVIDING AN ENVIRONMENT OF WHOLE PERSON WELLNESS IN WHICH THE PEOPLE WE SERVE THRIVE. JOHN KNOX VILLAGE OF FLORIDA IS COMMITTED TO SUPPORTING OUR EMPLOYEES, PARTNERS AND THE GREATER COMMMUNITY. 0 1 19831762 21975007 THE SKILLED NURSING PROGRAM IS AVAILABLE TO RESIDENTS AS A WELL AS MEMBERS OF THE LOCAL COMMUNITY. THE 194 BED LICENSED FACILITY IS ALSO MEDICARE AND MEDICAID CERTIFIED. RESIDENTS MAY USE THE NURSING FACILITY FOR SHORT-TERM REHABILITATION AFTER ILLNESS OR SURGERY OR FOR LONG-TERM CONTINUOUS CARE. 12526164 44957325 THE INDEPENDENT LIVING FACILITY CONSISTS OF 644 UNITS FOR SENIORS AND PROVIDES MEALS, SECURITY, FITNESS, WELLNESS, ACTIVITIES, TRANSPORTATION, HOUSEKEEPING, ON-SITE NURSING CARE AND VARIOUS OTHER SERVICES. 6915451 3394911 DINING SERVICES IS AN AMENITY PROVIDED TO THE RESIDENT COMMUNITY THAT INCLUDES HIGH-QUALITY, NUTRITIOUS MEALS. 1970128 2515384 THE ASSISTED LIVING PROGRAM PROVIDES CARE TO THOSE RESIDENTS WHO MAY NEED MORE ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. THIS THREE-STORY, DEDICATED BUILDING INCLUDES 64 UNITS. RESIDENTS RECEIVE THREE MEALS A DAY, HELP WITH ROUTINE ACTIVITIES SUCH AS BATHING, HOUSEKEEPING, LAUNDRY, PERSONAL SERVICES, APPOINTMENT SETTING, MEDICATION MANAGEMENT, AND ENJOY DAILY SOCIAL ACTIVITIES. 1970128 2515384 41243505 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 113 0 1 769 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X DOUGLAS FOLSOM 9547834000 651 SW 6TH STREET POMPANO BEACH FL 33060 SALVATORE BARBERA PRESIDENT/CEO 40.00 0.00 X X 366458 0 15049 DIRK DEJONG SECRETARY/TREASURER 2.50 0.00 X X 0 0 0 JACK CRISSY CHAIRMAN 2.50 0.00 X X 0 0 0 DR HM TODD MD VICE CHAIRMAN 2.50 0.00 X X 0 0 0 RICHARD ARONOWITZ DIRECTOR 2.50 0.00 X 0 0 0 DIANE BARTON DIRECTOR 2.50 0.00 X 0 0 0 DR MICHELLE CLARK DIRECTOR 2.50 0.00 X 0 0 0 RICHARD CLARKE DIRECTOR 2.50 0.00 X 0 0 0 TERRY COLLI DIRECTOR 2.50 2.50 X 0 0 0 MAYOR LAMAR-FISHER DIRECTOR 2.50 0.00 X 0 0 0 THOMAS MCDOWELL DIRECTOR 2.50 0.00 X 0 0 0 JENNIFER O'FLANNERY-ANDERSON DIRECTOR 2.50 0.00 X 0 0 0 REBECCA NETH-TOWNSEND DIRECTOR 2.50 0.00 X 0 0 0 MONICA MCAFEE FORMER CHIEF MARKETING & INNOVATION 40.00 0.00 X 347596 0 9238 DOUGLAS FOLSOM CHIEF FINANCIAL OFFICER 40.00 0.00 X 249543 0 12753 CHARLES WILLIAMS CHIEF INFORMATION OFFICER 40.00 0.00 X 237052 0 21993 MARK DOBOSZ EXECUTIVE DIRECTOR FOR FOUNDATION 1.00 40.00 X 204451 0 21306 KIMBERLY ALI VP OF SALES & MARKETING 40.00 0.00 X 263630 0 22188 THOMAS PRICE DIRECTOR OF PLANT OPERATION 40.00 0.00 X 225730 0 21661 GAIL SUTTON-PAULING DIRECTOR OF PROJECT MANAGE 40.00 0.00 X 213991 0 4125 WILLIAM KELLY CONTROLLER 40.00 0.00 X 209656 0 10699 2318107 0 139012 20 0 1 0 MOSS & ASSOCIATES 2101 N ANDREWS AVE FORT LAUDERDALE FL 33311 GENERAL CONTRACTOR 31269128 MARCO A SERVICES 7311 SADDLE RD LAKE WORTH FL 33463 GENERAL CONTRACTOR 824579 G PROULX BUILDING 3125 S ANDREWS AVE FORT LAUDERDALE FL 33316 BUILDING PRODUCTS 423071 DYNAFIRE 109 CONCORD DRIVE UNIT B CASSELBERRY FL 32707 FIRE SAFETY INSPECTION & INSTALLATION 261737 CLIFTON LARSON ALLEN PO BOX 740863 ATLANTA GA 30374 CONSULTING & AUDITING 252951 10 894403 894403 INDEPENDENT LIVING 623000 27308922 27308922 HEALTHCARE SERVICES 623000 21975007 21975007 AMORTIZATION OF FEES 623000 17648403 17648403 DINING SERVICES 623000 3394911 3394911 ASSISTED LIVING 623000 2515384 2515384 72842627 5140763 5140763 352109 166128 185981 185981 185981 82415374 79185890 3229484 3229484 3229484 82293258 72842627 0 8556228 1239729 1044596 195133 21601854 17254628 4347226 311610 311610 3075236 1363104 1712132 1596490 1376304 220186 549776 104124 445652 460676 460676 6101635 2380146 3721489 297419 -966 298385 1774887 1329339 445548 6105111 4170273 1934838 122126 77850 44276 3981351 3981351 10866568 10866568 1757545 114277 1643268 DIETARY 8640482 8583753 56729 THERAPY 2883219 2883219 RESIDENT ACTIVITIES 232771 141354 91417 PRODUCTION COSTS 119644 53158 66486 99890 56736 43154 71818019 41243505 30574514 0 285312 1274994 3962269 5608422 2381140 2528392 0 209000 184137 405426 2684377 2335888 424985297 144978604 230337927 280006693 154185361 104058804 686209 686209 87479 2178765 394794211 399292593 20027766 19350544 85927006 80087188 242907427 240688395 10318696 11015753 359180895 351141880 X 35240960 48150713 372356 0 35613316 48150713 394794211 399292593 X 10475239 -11120 2073278 X 0 1 X 1 0 X 719807 2049896 1238529 1007155 894403 5909790 56544803 56301391 58086933 63855117 72842627 307630871 57264610 58351287 59325462 64862272 73737030 313540661 0 0 0 313540661 2197148 1727321 1447420 2748891 5492872 13613652 2197148 1727321 1447420 2748891 5492872 13613652 336461 209355 47227 1102201 1695244 59798219 60287963 60820109 68713364 79229902 328849557 0.95340 0.95340 0.04140 0.03350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6466804 36463 935353 -26305 7464925 9564010 110562 -1334532 1873236 6466804 8876777 1381764 758494 1453025 9564010 8005457 264126 821159 213965 8876777 10984897 9649 -2667496 321593 8005457 0.99295 0.00705 0 1 1 4232030 4232030 244212095 109937442 134274653 41994456 26430481 15563975 134546716 8610681 125936035 280006693 DEPOSITS 8218474 ANNUITY PAYMENT LIABILITY 2439 DEPOSITS - PREVIEW TO LIFECARE 6655 INTERCOMPANY LIABILITIES 884801 LEASE LIABILITY 1903384 11015753 PART V, LINE 4: THE JOHN KNOX VILLAGE OF FLORIDA FOUNDATION, INC., A NONPROFIT RELATED ORGANIZATION, HOLD ENDOWMENT FUNDS AND CONTRIBUTIONS FOR THE SOLE SUPPORT OF THE JOHN KNOX VILLAGE OF FLORIDA, INC. X X X X X 1 0 0 0 0 1 0 0 0 SALVATORE BARBERA PRESIDENT/CEO 325998 0 40460 0 0 0 6270 0 8779 0 381507 0 0 0 MONICA MCAFEE FORMER CHIEF MARKETING & INNOVATION 84853 0 86012 0 176731 0 3317 0 5921 0 356834 0 0 0 KIMBERLY ALI VP OF SALES & MARKETING 141211 0 55244 0 67175 0 4774 0 17414 0 285818 0 0 0 DOUGLAS FOLSOM CHIEF FINANCIAL OFFICER 219980 0 29563 0 0 0 4836 0 7917 0 262296 0 0 0 CHARLES WILLIAMS CHIEF INFORMATION OFFICER 209608 0 27444 0 0 0 4579 0 17414 0 259045 0 0 0 THOMAS PRICE DIRECTOR OF PLANT OPERATION 196488 0 29242 0 0 0 4247 0 17414 0 247391 0 0 0 MARK DOBOSZ EXECUTIVE DIRECTOR FOR FOUNDATION 182115 0 22336 0 0 0 3892 0 17414 0 225757 0 0 0 WILLIAM KELLY CONTROLLER 171800 0 37856 0 0 0 3439 0 7260 0 220355 0 0 0 GAIL SUTTON-PAULING DIRECTOR OF PROJECT MANAGE 188094 0 25897 0 0 0 4125 0 0 0 218116 0 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE CEO BASED ON MULTIPLE COMPENSATION STUDIES FOR 2023. PART I, LINE 4A MONICA MCAFF RECEIVED SEVERANCE PAYMENT OF $124,000 IN 2023. PART I, LINE 6 EXECUTIVE LEADERSHIP RECEIVED QUARTERLY BONUSES BASED ON CORE MARGIN (CORE REVENUE MINUS CORE EXPENSES). A CITY OF POMPANO BEACH 596000411 732203AU8 2015-02-12 31980885 CONSTRUCT SKILLED NURSING FACILITY 0 0 0 B CITY OF POMPANO BEACH 596000411 732203BE3 2020-10-29 79360241 REFUND 2010 (12/30/10), FINANCE CONSTRUCTION 0 0 0 C CITY OF POMPANO BEACH 596000411 732203BJ2 2021-12-21 142259342 FINANCE CONSTRUCTION OF NEW IL TOWER 0 0 0 A 4975000 31980885 1864038 551847 29393529 171471 2018 0 0 1 1 B 3395000 79360241 4291187 2612928 1096229 53774977 17584920 2023 1 0 0 1 C 142259342 4296800 1846038 111000504 25116000 2023 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 0 1 0 0 1 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 0 A 1 B 1 C 1 SCHEDULE K, PART II, LINE 3 FOR THE CITY OF POMPANO BEACH 2/12/15, THE TOTAL PROCEEDS OF ISSUE HAS A VARIANCE FROM THE ISSUE PRICE THAT IS DUE TO INVESTMENT EARNINGS. FOR THE CITY OF POMPANO BEACH 10/19/20, THE TOTAL PROCEEDS OF ISSUE HAS A VARIANCE FROM THE ISSUE PRICE THAT IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 11 FOR THE CITY OF POMPANO BEACH 2/12/15, OTHER SPENT PROCEEDS ARE RESERVE EARNINGS SPENT FOR DEBT SERVICE. FORM 990, PART III, LINE 3 THE ORGANIZATION CEASED CONDUCTING THE SHARING AND CARING PROGRAM THAT HAD BEEN CONDUCTED IN THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A NOMINATING COMMITTEE WHOSE PURPOSE IS TO VET MEMBER CANDIDATES FOR SUITABILITY AND UPON PASSING THE VETTING PROCESS, THE NOMINATING COMMITTEE WILL SUBMIT THE NAMES FOR THE FULL BOARD OF DIRECTORS TO APPROVE. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS MEMBERS WHOSE ROLE IS TO ELECT MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE APPROVED 990 IS DISTRIBUTED TO EACH MEMBER OF THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS POTENTIAL OR ACTUAL CONFLICT OF INTEREST AND ACTION IS TAKEN ACCORDINGLY. DIRECTORS, OFFICERS AND OTHER PERTINENT EMPLOYEES ARE INSTRUCTED REGARDING CONFLICT OF INTEREST, RECUSAL FROM DECISION MAKING. THEY HAVE AN AFFIRMATIVE DUTY TO REPORT THOSE CONFLICTS TO THE COMPLIANCE OFFICER DIRECTLY OR THROUGH THE COMPLIANCE HOTLINE ANNUALLY AND AS THEY BECOME AWARE. AN ONGOING LIST OF REPORTED ACTUAL OR POTENTIAL RELATED PARTIES IS KEPT BY THE COMPLIANCE OFFICER AND MADE AVAILABLE TO THOSE DETERMINED TO BE IN MAJOR DECISION MAKING ROLES. MAJOR CONTRACTS ARE REVIEWED BY THE PRESIDENT/CEO, CHIEF FINANCIAL OFFICER AND COMPLIANCE OFFICER FOR POTENTIAL OR ACTUAL CONFLICT. THIS ALLOWS DECISION MAKING IN THE BEST INTEREST OF THE ORGANIZATION, ASSESSMENT OF THE AVAILABILITY AND COST OF COMPARABLE GOODS AND SERVICES AND WHETHER IT MEETS THE CODE OF CONDUCT. IF AFTER ANY MATERIAL FACT GATHERING, THERE IS STILL A QUESTION WHETHER THE TRANSACTION IS APPROPRIATE, THE CORPORATE ATTORNEY IS CONSULTED. A FINAL DECISION IS THEN MADE BY THE PRESIDENT/CEO OR BOARD DEPENDING UPON THE NATURE OF THE TRANSACTION. ALL REPORTED CONFLICTS OF INTEREST ARE REPORTED ON THE ANNUAL FORM 990, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE ON AN ANNUAL BASIS. THE ORGANIZATION USES AN OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES COMPARABLE WAGE AND BENEFIT DATA. BASED UPON THE PERFORMANCE REVIEW AS WELL AS DATA OBTAINED FROM THE INDEPENDENT CONSULTANT, THE CHAIRMAN OF THE BOARD MAKES A RECOMMENDATION TO THE EXECUTIVE COMMITTEE TO APPROVE THE CEO'S COMPENSATION. MINUTES ARE TAKEN AT THE EXECUTIVE COMMITTEE MEETINGS DOCUMENTING THAT THE REVIEW HAS TAKEN PLACE AND THE ACTION TAKEN. THE CEO PREPARES THE PERFORMANCE EVALUATIONS OF HIS DIRECT REPORTS ON AN ANNUAL BASIS. THE ORGANIZATION USES AN OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES COMPARABLE WAGE AND BENEFIT DATA. BASED UPON THE PERFORMANCE REVIEWS AS WELL AS DATA OBTAINED FROM THE INDEPENDENT CONSULTANT, THE CEO MAKES ADJUSTMENTS TO THE COMPENSATION OF KEY EMPLOYEES. THE CEO REVIEWS THE COMPENSATION OF KEY EMPLOYEES WITH THE EXECUTIVE COMMITTEE ON AN ANNUAL BASIS. MINUTES ARE TAKEN AT THE EXECUTIVE COMMITTEE MEETINGS DOCUMENTING THAT THE REVIEW HAS TAKEN PLACE AND THE ACTION TAKEN. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INVESTMENT IN SUBSIDIARY 477,190. NET ASSET TRANSFER 1,596,088. JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC 651 SW 6TH STREET POMPANO BEACH FL 33060 760784971 CHARITABLE GIVING & SUPPORT JKV OF FLORIDA FL 501(C)(3) LINE 7 JOHN KNOX VILLAGE OF FLORIDA INC 1 JOHN KNOX HOME HEALTH AGENCY INC 651 SW 6TH STREET POMPANO BEACH FL 33060 592823932 HOME HEALTH CARE FL JOHN KNOX VILLAGE OF FLORIDA INC C 1.00000 1 1 0 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 1 JOHN KNOX HOME HEALTH AGENCY INC A 55620 FMV JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC C 894403 FMV JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC E 174635 FMV JOHN KNOX HOME HEALTH AGENCY INC E 710166 FMV JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC L 249996 FMV JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC S 1596088 FMV