2021-11-12T13:29:28-06:00 2020-12-31 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2020-01-01 591800721 John Knox Village of Florida Inc JOHN 9547834000 651 SW 6th Street Pompano Beach FL 33060 Bruce Chittenden Chief Financial Officer 9547834000 2021-11-10 0 Bruce Chittenden 999009999 Rebekuh Eley P01247672 3126343400 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Gerald Stryker 651 SW 6th Street Pompano Beach FL 33060 199185958 0 X www.johnknoxvillage.com X 1978 FL Provide an environment of whole person wellness in which the people we serve thrive. The sharing & caring program began in 2008 as a way in which JKV could fulfill part of its mission statement that commits to support the greater community. Over the past several years, JKV has been in the privileged position to donate over $1.7 million to charities in the local and international communities in an effort to provide help to our neighbors where it can make the most difference. The JKV's affiliation with Meals on Wheels has given JKV the opportunity to assist those who are food insecure. These clients are often older and JKV's monetary support allowed them to remove 13 people from the waiting list. JKV has fostered a relationship with Innovation Charter School. The children participate in our holiday parade and our residents and staff volunteer time reading to the children during the year. Our budgeted funds help agencies that are doing work with individuals who have daily needs. 12 12 811 15 0 0 719807 2049896 56544803 56301391 4320644 4588924 392945 389890 61978199 63330101 30090 15000 0 0 25746924 25847112 0 0 0 37031050 37653957 62808064 63516069 -829865 -185968 196807477 248688285 147402074 198302737 49405403 50385548 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 is committed to supporting our employees, partners and the greater community. 0 0 23603524 16993790 The skilled nursing program is available to residents as 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. 14735678 15000 34199307 The independent living facility consists of 666 units for seniors and provides meals, security, fitness, wellness, activities, transportation, housekeeping, on-site nursing care and various other services. 9555754 5108294 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. 47894956 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 101 0 1 811 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 FL X X X Bruce Chittenden 9547834000 651 SW 6th Street Pompano Beach FL 33060 Gerald Stryker President/CEO 40.00 X 256309 0 19770 William Pickhardt Chief Operating Officer 40.00 X 223212 0 4421 Monica McAfee Chief Marketing & Innovation Officer 40.00 X 175720 0 34132 Thomas Price Dir. of Plant Operations 40.00 X 158684 0 29648 Bruce Chittenden Chief Financial Officer 40.00 X 167872 0 13742 Christine Fleury Marketing Associate 40.00 X 142026 0 14015 Douglas Folsom Controller 40.00 X 138294 0 17636 Kandice Hudson Clinical Director Admissions 40.00 X 109862 0 40053 Mark Rayner Administrator 40.00 X 142846 0 2740 Paul Simpson Chairman 2.50 X X 0 0 0 Dr HM Todd MD Vice Chair 2.50 X X 0 0 0 Jack Crissy Treasurer 2.50 X X 0 0 0 William O'Leary Secretary 2.50 X X 0 0 0 Kelley Babcock Director 2.50 X 0 0 0 Diane Barton Director 2.50 X 0 0 0 Tom McKay Director 2.50 X 0 0 0 Sal Barbera Director 2.50 X 0 0 0 Dr Michelle Clark Director 2.50 X 0 0 0 Janet Spalding Director 2.50 X 0 0 0 Cliff Wolf Director 2.50 X 0 0 0 Terry Colli Director 2.50 X 0 0 0 Patrick Shavloske Director 2.50 X 0 0 0 1514825 0 176157 27 0 1 0 Seacoast Construction Inc 6355 NW 36th St Suite 303 Miami FL 33166 Construction 5265723 Quality Care Rehab Inc 8477 S Suncoast Blvd Homosassa FL 34446 Healthcare Rehab 3179955 Perkins Eastman Architects DPC 115 Fifth Ave New York NY 10003 Construction 2502966 Moss & Associates LLC 2101 N Andrews Ave Fort Lauderdale FL 33311 Construction 2161834 Contracting and Consulting Inc 1503 N Powerline Road Pompano Beach FL 33069 Window and Door Installation 945019 62 168876 1752079 128941 2049896 Independent Living 623000 21180187 21180187 Healthcare Services 623000 16993790 16993790 Amortization of Fees 623000 13019120 13019120 Dining Services 623000 3181011 3181011 Assisted Living 623000 1927283 1927283 56301391 1391759 1391759 335562 156756 178806 178806 178806 138896266 135699101 3197165 3197165 3197165 Other Resident Services 900099 211084 211084 211084 63330101 56301391 0 4978814 15000 15000 823113 722592 100521 20275447 17799359 2476088 273903 171189 102714 2645636 1653641 991995 1829013 1536397 292616 666372 666372 344153 344153 4663421 2224476 2438945 619832 9641 610191 7053251 4057158 2996093 1494722 1494722 32416 7573 24843 1663292 1330116 333176 11463268 9227653 2235615 1554260 1554260 Therapy 3102266 3102266 Dietary 2759650 2759650 Production Costs 41840 41840 2195214 187423 2007791 63516069 47894956 15621113 0 6836 74773 6468882 18281242 3144776 2383350 1426950 0 79583 99482 1055992 2136934 239727028 113802163 109334296 125924865 74775989 99054943 0 0 514173 732696 196807477 248688285 5843402 13061288 78145510 77298857 48496046 106187591 14917116 1755001 147402074 198302737 X 47754174 48654217 1651229 1731331 49405403 50385548 196807477 248688285 X -185968 1219288 -53175 X 0 1 X 1 0 X 1014884 762193 901872 719807 2049896 5448652 45512337 48995756 52591016 56544803 56301391 259945303 45512337 48995756 52591016 56544803 56301391 259945303 92039558 98753705 106083904 113809413 114652678 525339258 0 0 0 525339258 1783623 1942963 2195295 2197148 1727321 9846350 1783623 1942963 2195295 2197148 1727321 9846350 402474 1556823 2339136 336461 209355 4844249 94225655 102253491 110618335 116343022 116589354 540029857 0.97280 0.97100 0.01820 0.01880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8005457 264126 821159 213965 8876777 10984897 9649 -2667496 321593 8005457 11316242 15825 -379491 -32321 10984897 10793176 16956 544369 38259 11316242 9910918 919044 677931 722274 -7557 10793176 0.60283 0.39717 0 1 1 4232030 4232030 160704866 94533002 66171864 30512042 11574930 18937112 44278090 7694231 36583859 125924865 Deposits 458581 Annuity Payment Liability 1001793 Deposits - Preview to Lifecare 6655 Inter-Company Liabilities 287972 1755001 X Part V, Line 4: The John Knox Village of Florida Foundation, Inc., a nonprofit related organization, holds endowment funds and contributions for the sole support of the John Knox Village of Florida, Inc. Part X, Line 2: The Village is a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the IRC. The Corporation's income tax returns are subject to review and examination by federal, state and local authorities. The Corporation is not aware of any activities that would jeopardize its tax-exempt status. 1 Broward Meals on Wheels 451 N State Road 7 Plantation FL 33317 592450043 501(c)(3) 10000 General Support Woodhouse 1001 NE Third Avenue Pompano Beach FL 33060 592011016 501(c)(3) 5000 General Support 2 0 Part I, Line 2: The organization's sharing and caring committee verifies that all recipients are legitimate charitable entities under Section 501(c)(3) or governmental entities (such as schools) before providing support. Annual reports and 990s are also reviewed to ensure that the recipients maintain their charitable status and use funds for program support. X X X X 0 0 0 0 0 0 0 0 0 Gerald Stryker President/CEO 176529 0 20000 0 59780 0 5275 0 14495 0 276079 0 0 0 William Pickhardt Chief Operating Officer 177607 0 3610 0 41995 0 4421 0 0 0 227633 0 0 0 Monica McAfee Chief Marketing & Innovation Officer 120707 0 5384 0 49629 0 3834 0 30298 0 209852 0 0 0 Thomas Price Dir. of Plant Operations 140846 0 0 0 17838 0 0 0 29648 0 188332 0 0 0 Bruce Chittenden Chief Financial Officer 133337 0 7477 0 27058 0 1459 0 12283 0 181614 0 0 0 Christine Fleury Marketing Associate 66634 0 0 0 75392 0 2947 0 11068 0 156041 0 0 0 Douglas Folsom Controller 123354 0 0 0 14940 0 2733 0 14903 0 155930 0 0 0 A City of Pompano Beach 596000411 NONEAVAIL 2015-02-12 31980885 To construct a new 144 bed skilled nursing facility 0 0 0 B City of Pompano Beach 596000411 732203BE3 2020-10-29 79360242 Refund 2010 (12/30/10), finance construction 0 0 0 A 2920000 32061592 1897164 538151 29393529 33190 2018 0 0 1 1 B 79361212 4291191 919377 7478550 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 1 0 0 1 0 0 1 B 0 1 0 1 0 0 0 0 1 A 1 B 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 10/29/20, 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 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 Form 990 is reviewed and approved by the finance and audit committee of the board of directors. A copy of the approved Form 990 is distributed to each member of the board for review prior to filing. 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 and CEO, Chief Financial Officer and compliance officer for potential or actual conflict. This allows decision making in the best interest of the company, 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 15a 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. Form 990, Part VI, Section C, line 19 The organization makes the governing documents, conflict of interest policy and financial statements available upon request. Form 990, Part XI, line 9: Change in value of split-interest agreements -53,175. John Knox Village of Florida Foundation Inc 651 SW 6th Street Pompano Beach FL 33060 760784971 Charitable Giving 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 131044 1652715 1.00000 1 1 0 1 1 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 John Knox Village of Florida Foundation Inc C 168876 FMV John Knox Village of Florida Foundation Inc O 171973 FMV John Knox Village of Florida Foundation Inc Q 182473 FMV John Knox Village of Florida Foundation Inc D 190070 FMV John Knox Home Health Agency Inc A 57660 FMV John Knox Home Health Agency Inc Q 1200000 FMV