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Nonprofiteer
← FOSS HOME & VILLIAGE

Form 990 for tax year 2023

Filed by FOSS HOME & VILLIAGE.

Totals

Total revenue
$27,385,022
Total expenses
$27,241,658
Contributions and grants received
$1,708,346
Grants paid
$0
Program service revenue
$22,956,414
Investment income
$2,691,021
Other revenue
$29,241
Total assets, end of year
$11,477,442
Total liabilities, end of year
$5,329,520
Net assets or fund balances, end of year
$6,147,922
Program services expenses (Part IX)
$20,389,859
Management and general expenses
$6,692,170
Fundraising expenses
$159,629
Program service expenses (Part III)
$20,389,859

Program services were 74.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $1,550,000

  • 1f · All other contributions, gifts and grants

    $158,346

  • 2a · Program service revenue: RESIDENT FEES

    total $22,956,414 · related or exempt $22,956,414

  • 3 · Investment income

    total -$959 · excluded -$959

  • 6a · Gross rents

    real property $202,609

  • 6b · Less rental expenses

    real property $187,651

  • 6c · Rental income or loss

    real property $14,958

  • 6d · Net rental income or loss

    total $14,958 · excluded $14,958

  • 7a · Gross sales of assets other than inventory

    other assets $2,691,980

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $2,691,980

  • 7d · Net gain or loss

    total $2,691,980 · excluded $2,691,980

  • 10a · Gross sales of inventory

    $17,308

  • 10b · Cost of goods sold

    $3,357

  • 10c · Net income from sales of inventory

    total $13,951 · excluded $13,951

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $332 · excluded $332

  • 11e · Other revenue, total

    $332

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $276,087 · management and general $276,087

  • 7 · Other salaries and wages

    total $13,449,959 · program services $10,428,063 · management and general $2,949,433 · fundraising $72,463

  • 8 · Pension plan contributions

    total $335,449 · program services $255,712 · management and general $77,960 · fundraising $1,777

  • 9 · Other employee benefits

    total $1,109,145 · program services $880,775 · management and general $222,250 · fundraising $6,120

  • 10 · Payroll taxes

    total $1,292,263 · program services $985,090 · management and general $300,328 · fundraising $6,845

  • 11b · Fees: legal

    total $98,328 · management and general $98,328

  • 11c · Fees: accounting

    total $19,241 · management and general $19,241

  • 11g · Fees: other

    total $5,271,566 · program services $4,130,980 · management and general $1,130,471 · fundraising $10,115

  • 12 · Advertising and promotion

    total $79,784 · management and general $79,192 · fundraising $592

  • 13 · Office expenses

    total $478,294 · program services $254,854 · management and general $162,028 · fundraising $61,412

  • 14 · Information technology

    total $175,937 · program services $140,750 · management and general $35,187

  • 16 · Occupancy

    total $618,151 · program services $384,999 · management and general $233,152

  • 17 · Travel

    total $5,564 · management and general $5,564

  • 20 · Interest

    total $201,947 · management and general $201,947

  • 22 · Depreciation, depletion and amortization

    total $519,101 · program services $493,146 · management and general $25,955

  • 23 · Insurance

    total $341,029 · program services $272,823 · management and general $68,206

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,076,098 · program services $1,075,869 · management and general $229

  • 24b · Other expenses: FOOD

    total $832,793 · program services $832,793

  • 24c · Other expenses: ALLOCATED EXPENSES

    total $618,128 · management and general $618,128

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $245,866 · program services $245,866

  • 24e · All other expenses

    total $196,928 · program services $8,139 · management and general $188,484 · fundraising $305

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $292,794 · end of year -$1,130,820

  • 4 · Accounts receivable

    beginning of year $2,303,655 · end of year $3,698,119

  • 8 · Inventories for sale or use

    beginning of year $154,039 · end of year $346,027

  • 9 · Prepaid expenses and deferred charges

    beginning of year $305,489 · end of year $94,431

  • 10a · Land, buildings and equipment: cost or other basis

    $25,919,536

  • 10b · Land, buildings and equipment: accumulated depreciation

    $17,460,101

  • 10c · Land, buildings and equipment, net

    beginning of year $8,483,004 · end of year $8,459,435

  • 11 · Investments: publicly traded securities

    beginning of year $4,514 · end of year $4,514

  • 15 · Other assets

    beginning of year $8,889 · end of year $5,736

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,656,711 · end of year $2,497,489

  • 19 · Deferred revenue

    beginning of year $129,486 · end of year $137,431

  • 21 · Escrow or custodial account liability

    beginning of year $8,889 · end of year $5,736

  • 23 · Secured mortgages and notes payable

    beginning of year $2,775,403 · end of year $2,688,864

  • 27 · Net assets without donor restrictions

    beginning of year $5,981,895 · end of year $6,147,922

Mission and programs · 2023

Mission

NURSING HOME AND ASSISTED LIVING FACILITY.

  • SINCE 1929 FOSS HOME AND VILLAGE HAS PROVIDED CARE FOR THE COMMUNITY IN A NURSING HOME AND ASSISTED LIVING SETTING. FOSS SERVES A POPULATION WITH A SUBSTANTIAL NUMBER OF MEDICAID AND MEDICARE SUPPORTED RESIDENTS AND PATIENTS, WITH 70% OF ITS SERVICE REVENUE FROM MEDICAID/MEDICARE. IN ADDITION TO PROVIDING CARE, FOSS STRIVES TO BE ACTIVE IN THE COMMUNITY BY PARTNERING WITH THE UNIVERSITY OF WASHINGTON, SHORELINE COMMUNITY COLLEGE AND OTHER COLLEGES AND UNIVERSITIES. FOSS PROVIDES A LEARNING ENVIRONMENT FOR INTERNSHIPS BASED IN THE FIELDS OF DENTISTRY, PHARMACY, RESTORATIVE THERAPY, NURSING, AND NURSING ASSISTANT TRAINING. FOSS ALSO HAS AN ACTIVE VOLUNTEER PROGRAM THAT ENCOURAGES HIGH SCHOOL AND COLLEGE STUDENTS. FOSS SERVED 499 NURSING HOME CLIENTS AND 39 ASSISTED LIVING CLIENTS, (CONTINUED IN SCHEDULE O)WITH THE AVERAGE LENGTH OF STAY FOR SHORT-STAY RESIDENTS, DEFINED BY THOSE WHO STAYED 100 DAYS OR LESS, OF APPROXIMATELY 22 DAYS. RATES ARE SET BASED ON THE MARKET IN THE SEATTLE AREA, WHICH ARE NECESSARY TO MAKE THE ORGANIZATION VIABLE.

    Expenses $20,389,859 · Revenue $22,956,414

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • R Kevin McFeely

    PRESIDENT/CEO

    Total calculated
    $533,379
    From this org
    $0
    From related orgs
    $493,378
    Other
    $40,001
    Hours/week
    22.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,378 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $40,001 related
    Filer's total
    $0 + $533,379 related

  • Banafsheh Baharloo RN

    NURSE

    Total calculated
    $233,451
    From this org
    $218,215
    From related orgs
    $0
    Other
    $15,236
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $218,215
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,236
    Filer's total
    $233,451

  • Ayenew Aemero LPN

    NURSE

    Total calculated
    $230,344
    From this org
    $211,148
    From related orgs
    $0
    Other
    $19,196
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,148
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $19,196
    Filer's total
    $230,344

  • Gebru Tezera LPN

    NURSE

    Total calculated
    $197,508
    From this org
    $185,337
    From related orgs
    $0
    Other
    $12,171
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,337
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,171
    Filer's total
    $197,508

  • Solomon G-Kidane LPN

    NURSE

    Total calculated
    $189,930
    From this org
    $177,906
    From related orgs
    $0
    Other
    $12,024
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,906
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,024
    Filer's total
    $189,930

  • Laura Molzahn

    EXECUTIVE DIRECTOR

    Total calculated
    $187,866
    From this org
    $141,591
    From related orgs
    $0
    Other
    $46,275
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,591
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $46,275
    Filer's total
    $187,866

  • Milagros Almazan

    NURSE

    Total calculated
    $178,281
    From this org
    $161,681
    From related orgs
    $0
    Other
    $16,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,681
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $16,600
    Filer's total
    $178,281

  • Todd M Hegerman

    DIRECTOR OF FINANCIAL SERVICES

    Total calculated
    $88,221
    From this org
    $88,221
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Jeffrey West RN

    CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Judy Wildes

    VICE CHAIR (THROUGH APRIL 2023)

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Julie Yari

    DIRECTOR & VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Beverly Roach

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Kristen Chick

    TREASURER

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Brian Bruce

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Kris Johanssen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE PRESIDENT/CEO'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS OF ELISEO, A RELATED ORGANIZATION. ELISEO USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO: 1. COMPENSATION COMMITTEE 2. FORM 990 OF OTHER ORGANIZATIONS 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • FUTURA AGE

    501(C)(3) · MANAGEMENT SERVICES · WA

  • ELISEO

    501(C)(3) · LIFE PLAN COMMUNITY · WA

    Directly controlled by FUTURA AGE

  • ELISEO FOUNDATION

    501(C)(3) · FUNDRAISING · WA

    Directly controlled by ELISEO

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202443209349321864

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