2025-05-09T16:43:19-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2024-01-01 591800721 JOHN KNOX VILLAGE OF FLORIDA INC JOHN 9547834000 651 SW 6TH STREET POMPANO BEACH FL 33060 DOUGLAS FOLSOM CHIEF FINANCIAL OFFICER 9547834000 2025-05-07 1 1 TINA HENTON P00630282 4078021200 2025-04-28 2024 2025-03-06 01:10:19Z DOUGLAS FOLSOM 651 SW 6TH STREET POMPANO BEACH FL 33060 93399430 0 X WWW.JOHNKNOXVILLAGE.COM X 1978 FL PROVIDE AN ENVIRONMENT OF WHOLE PERSON WELLNESS IN WHICH THE PEOPLE WE SERVE THRIVE. 14 13 665 14 0 0 894403 1010143 72842627 80825799 8370247 4356443 185981 317430 82293258 86509815 0 0 0 0 27824919 28715088 0 0 0 43993100 51841053 71818019 80556141 10475239 5953674 399292593 384673438 351141880 330852150 48150713 53821288 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 28621342 23432651 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. 18626682 51006540 THE INDEPENDENT LIVING FACILITY CONSISTS OF 791 UNITS FOR SENIORS AND PROVIDES MEALS, SECURITY, FITNESS, WELLNESS, ACTIVITIES, TRANSPORTATION, HOUSEKEEPING, ON-SITE NURSING CARE AND VARIOUS OTHER SERVICES. 9804275 3989082 DINING SERVICES IS AN AMENITY PROVIDED TO THE RESIDENT COMMUNITY THAT INCLUDES HIGH-QUALITY, NUTRITIOUS MEALS. 2681107 2397526 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. 2681107 2397526 59733406 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 1 665 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 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 490718 0 44687 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 MICHELLE CLARK 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 RICHARD CLARKE DIRECTOR 2.50 0.00 X 0 0 0 TERRY COLLI DIRECTOR 2.50 2.50 X 0 0 0 STEPHEN DEMERS DIRECTOR 2.50 0.00 X 0 0 0 KAREN KENNEDY DIRECTOR 2.50 0.00 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 CHIEF MARKETING & INNOVATION OFFICER 40.00 0.00 X 190799 0 5921 DOUGLAS FOLSOM CHIEF FINANCIAL OFFICER 40.00 0.00 X 371062 0 44790 CHARLES WILLIAMS CHIEF INFORMATION OFFICER 40.00 0.00 X 304916 0 58914 KELLY MCINTYRE CORPORATE COMPLIANCE OFFICER 40.00 0.00 X 123549 0 17266 KIMBERLY ALI VP OF SALES & MARKETING 40.00 0.00 X 453860 0 62338 THOMAS PRICE DIRECTOR OF PLANT OPERATIONS 40.00 0.00 X 323988 0 59907 GAIL SUTTON-PAULING DIRECTOR OF PROJECT MANAGEMENT 40.00 0.00 X 279676 0 11653 JENNIFER STEVENS VP OF HEALTHCARE 40.00 0.00 X 232238 0 48856 WILLIAM KELLY CONTROLLER 40.00 0.00 X 272859 0 27716 3043665 0 382048 19 0 1 0 MOSS & ASSOCIATES LLC 2101 N ANDREWS AVE FORT LAUDERDALE FL 33311 GENERAL CONTRACTOR 11320457 QUALITY CARE REHAB INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 MEDICAL/REHAB 2486036 MARCO A SERVICES LLC 7311 SADDLE RD LAKE WORTH FL 33463 GENERAL CONTRACTOR 896682 DYNAFIRE LLC 109 CONCORD DRIVE UNIT B CASSELBERRY FL 32707 FIRE & SAFETY INSPECTION & INSTALL 386151 CAROL RUBENSTEIN ASSOCIATES 2300 WALNUT ST SUITE 530 PHILADELPHIA PA 19103 INTERIOR DESIGNER 368000 11 1010143 1010143 INDEPENDENT LIVING 623000 34319439 34319439 HEALTHCARE SERVICES 623000 23432651 23432651 AMORTIZATION OF FEES 623000 16687101 16687101 DINING SERVICES 623000 3989082 3989082 ASSISTED LIVING 623000 2397526 2397526 80825799 4524463 4524463 473550 176412 297138 297138 297138 6538183 7000 6713203 0 -175020 7000 -168020 -168020 GUEST APARTMENT 900099 20292 20292 20292 86509815 80825799 0 4673873 1853216 1453629 399587 21305445 16621151 4684294 392915 262085 130830 3325653 2737867 587786 1837859 1448858 389001 1116494 107148 1009346 444611 444611 4218887 2232999 1985888 446438 446438 2047280 1387709 659571 6910964 4766591 2144373 127469 59329 68140 6452872 5140752 1312120 12757938 10300337 2457601 4003241 146115 3857126 DIETARY 9881810 9800791 81019 THERAPY 3046716 3046316 400 PRODUCTION COSTS 194035 47374 146661 RESIDENT ACTIVITIES 173561 158468 15093 18737 15887 2850 80556141 59733406 20822735 0 1274994 398496 5608422 18697948 2528392 2845918 209000 893900 405426 392632 2335888 2715366 439949227 153406466 280006693 286542761 104058804 69806306 686209 485957 2178765 1894154 399292593 384673438 19350544 10868103 80087188 128888990 240688395 188476739 11015753 2618318 351141880 330852150 X 48150713 53821288 48150713 53821288 399292593 384673438 X 5953674 -244625 -38474 X 0 1 X 1 0 X 2049896 1238529 1007155 894403 1010143 6200126 56301391 58086933 63855117 72842627 80825799 331911867 58351287 59325462 64862272 73737030 81835942 338111993 0 0 0 338111993 1727321 1447420 2748891 5492872 4998013 16414517 1727321 1447420 2748891 5492872 4998013 16414517 209355 47227 1102201 20292 1379075 60287963 60820109 68713364 79229902 86854247 355905585 0.95000 0.95340 0.04610 0.04140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7412315 114248 738766 40270 8225059 6466804 36463 935353 26305 7412315 9564010 110562 -1334532 1873236 6466804 8876777 1381764 758494 1453025 9564010 8005457 264126 821159 213965 8876777 1.00000 0 1 1 4232030 4232030 373457487 119783382 253674105 46700511 27281013 19419498 15559199 6342071 9217128 286542761 DEPOSITS 636914 ANNUITY PAYMENT LIABILITY 987 DEPOSITS - PREVIEW TO LIFECARE 6655 INTERCOMPANY LIABILITIES 408500 LEASE LIABILITY 1565262 2618318 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. 1 X X X X X 1 0 0 0 0 1 0 0 0 SALVATORE BARBERA PRESIDENT/CEO 406483 0 84235 0 0 0 15636 0 29051 0 535405 0 0 0 KIMBERLY ALI VP OF SALES & MARKETING 209664 0 102829 0 141367 0 24651 0 37687 0 516198 0 0 0 DOUGLAS FOLSOM CHIEF FINANCIAL OFFICER 240113 0 130949 0 0 0 27661 0 17129 0 415852 0 0 0 THOMAS PRICE DIRECTOR OF PLANT OPERATIONS 196488 0 123971 0 3529 0 30500 0 29407 0 383895 0 0 0 CHARLES WILLIAMS CHIEF INFORMATION OFFICER 209608 0 93856 0 1452 0 30500 0 28414 0 363830 0 0 0 WILLIAM KELLY CONTROLLER 170262 0 102597 0 0 0 12005 0 15711 0 300575 0 0 0 GAIL SUTTON-PAULING DIRECTOR OF PROJECT MANAGEMENT 188094 0 86940 0 4642 0 11653 0 0 0 291329 0 0 0 JENNIFER STEVENS VP OF HEALTHCARE 184765 0 47473 0 0 0 9241 0 39615 0 281094 0 0 0 MONICA MCAFEE CHIEF MARKETING & INNOVATION OFFICER 0 0 0 0 190799 0 0 0 5921 0 196720 0 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE CEO BASED ON MULTIPLE COMPENSATION STUDIES FOR 2024. PART I, LINE 4A MONICA MCAFF RECEIVED SEVERANCE PAYMENT OF $121,831 IN 2024. PART I, LINE 6 THE BONUS PROGRAM FOR THE CEO, CFO, AND CORPORATE COMPLIANCE OFFICERS WAS CONTINGENT ON THE ACTUAL NET OPERATING MARGIN COMPARED TO THE BUDGETED OPERATING MARGIN. THIS INCLUDED THEIR EFFORTS TO INCREASE OCCUPANCY IN INDEPENDENT LIVING (IL), ASSISTED LIVING (AL), AND SKILLED NURSING FACILITIES (SNF), AS WELL AS THE SUCCESSFUL OPENING OF WEST LAKE. 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 5730000 31980885 1864038 551847 29393529 171471 2018 0 0 1 1 B 4775000 79360241 4291187 2612928 1096229 53774977 17584920 2023 1 0 1 1 C 50000000 142259342 4296800 9448000 1846038 126668504 2023 0 0 1 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 FORM 990, PART III, LINE 3 THE ORGANIZATION OUTSOURCED ENVIRONMENTAL SERVICES TO XENDELLA, A SUBSIDIARY OF NEXDINE LLC IN OCTOBER OF 2024. 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 THAT ARE RESPONSIBLE FOR RECRUITING AND ELECTING BOARD DIRECTORS TO ENSURE LEADERSHIP ALIGNS WITH THE ORGANIZATION'S MISSION, VISION, AND INTERESTS. 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 ALONG WITH THE EXECUTIVE COMMITTEE 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 2024. 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: INVESTMENT IN SUBSIDIARY -200,252. FORECAST ADJUSTMENT 161,778. 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 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 JOHN KNOX HOME HEALTH AGENCY INC A 55620 FMV JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC C 1010143 FMV JOHN KNOX HOME HEALTH AGENCY INC E 408500 FMV JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC L 249996 FMV