2024-05-06T17:07:28-05:00 2023-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2022-07-01 930386852 ROBISON JEWISH HOME ROBI 5035354300 6125 SW BOUNDARY STREET PORTLAND OR 97221 KIMBERLY FUSON CEO 5035354300 2024-05-02 1 KIMBERLY FUSON 999009999 1 WENDY CAMPOS P00448102 5032421447 2024-05-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CEDAR SINAI PARK KIMBERLY FUSON 6125 SW BOUNDARY STREET PORTLAND OR 97221 22099947 0 X CEDARSINAIPARK.ORG X 1920 OR TO PROVIDE RESIDENTIAL AND COMMUNITY-BASED CARE TO OUR ELDERS AND INFIRM WITH SERVICES THAT ALLOW THEM TO LIVE WITH COMFORT, INDEPENDENCE AND DIGNITY IN A MANNER AND IN AN ENVIRONMENT BASED ON JEWISH VALUES. 21 21 325 21 0 0 2360354 2016314 20489897 20025823 -6664 57810 0 0 22843587 22099947 0 0 0 0 13830651 13686640 0 0 0 10410658 11486473 24241309 25173113 -1397722 -3073166 54945637 50176226 26176297 24480052 28769340 25696174 TO PROVIDE RESIDENTIAL AND COMMUNITY-BASED CARE TO OUR ELDERS AND INFIRM WITH SERVICES THAT ALLOW THEM TO LIVE WITH COMFORT, INDEPENDENCE AND DIGNITY IN A MANNER AND IN AN ENVIRONMENT BASED ON JEWISH VALUES. 0 0 22562382 20025823 PROVIDING A HIGH LEVEL OF NURSING CARE AND HOUSING TO PRIVATE, MEDICARE, AND WELFARE RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. 22562382 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 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 1 1 1 0 0 0 1 51 0 1 325 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 1 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 OR X THE ORGANIZATION 5035354300 6125 SW BOUNDARY STREET PORTLAND OR 97221 STEVE RALLISON CHAIR 2.00 1.00 X X 0 0 0 MARVIN KAISER CHAIR ELECT 1.00 0.00 X X 0 0 0 MICHAEL FEVES VICE CHAIR 1.00 1.00 X X 0 0 0 IVAN GOLD VICE CHAIR 1.00 1.00 X X 0 0 0 DAVID HIRSCH VICE CHAIR 1.00 0.00 X X 0 0 0 ILENE DAVIDSON SECRETARY 1.00 0.00 X X 0 0 0 CONRAD MYERS TREASURER 1.00 0.00 X X 0 0 0 MICHAEL MILLENDER MEMBER AT LARGE 1.00 0.00 X 0 0 0 FRAN GARDNER REPRESENTATIVE 1.00 0.00 X 0 0 0 MARION GANS TRUSTEE 1.00 0.00 X 0 0 0 MARC GOLDRING TRUSTEE 1.00 0.00 X 0 0 0 HOWARD GRAITZER TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER GRIFFITH TRUSTEE 1.00 0.00 X 0 0 0 JAIMIE SIMON HARPER TRUSTEE 1.00 0.00 X 0 0 0 MARGOT FEVES PEARMINE TRUSTEE 1.00 0.00 X 0 0 0 FELICIA ROSENTHAL TRUSTEE 1.00 0.00 X 0 0 0 MYLEN SHENKER TRUSTEE 1.00 0.00 X 0 0 0 EDDY SHULDMAN TRUSTEE 1.00 0.00 X 0 0 0 JOSH ERDE-WOLLHEIM TRUSTEE 1.00 0.00 X 0 0 0 ALISON GARFINKLE TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL CAHANA TRUSTEE 1.00 0.00 X 0 0 0 KIMBERLY FUSON CEO 38.50 1.50 X 252624 0 29228 KATHLEEN THOMPSON CFO 38.50 1.50 X 198056 0 0 KRISTA BLECHA-MATTOX RJHC ADMINISTRATOR 40.00 0.00 X 132643 0 8773 JANICE WARREN SENIOR ACCOUNTANT 40.00 0.00 X 155762 0 7428 MICHAEL DILLINGER RESIDENT CARE MANAGER 40.00 0.00 X 150123 0 8066 DEBORAH GONZALES CERTIFIED NURSING ASSISTANT 40.00 0.00 X 130187 0 7428 SEQUIN DEMAR REGISTERED NURSE 40.00 0.00 X 129957 0 1305 1149352 0 62228 11 0 1 0 REHAB SPECIALISTS DBA CONSONUS 4560 SE INTL WAY STE 100 MILWAUKIE OR 97222 REHABILITATION SERVICES 549123 CONSONUS PHARMACY SERVICES 4560 SE INTL WAY STE 101 MILWAUKIE OR 97222 PHARMACY SERVICES AND SUPPLIES 263966 CLIFTONLARSONALLEN LLP POB 31001-2443 PASADENA CA 911102443 ADVISORY SERVICES & TEMP STAFFING 202680 MILLER NASH GRAHAM & DUNN LLP PO BOX 3585 PORTLAND OR 972083585 LEGAL SERVICES 106258 4 1847805 168509 5267 2016314 RESIDENT SERVICES 623000 19812773 19812773 DEVELOPER FEES 623000 213050 213050 20025823 3061 3061 54749 0 54749 54749 54749 22099947 20025823 0 57810 439761 439761 10180296 9245290 935006 24710 18960 5750 2161876 2057710 104166 879997 777244 102753 91507 91507 133616 133616 2414215 2195192 219023 101374 65641 35733 1015170 723776 291394 249740 106243 143497 1181130 1166315 14815 42130 36774 5356 16261 5116 11145 856051 856051 2625139 2611239 13900 288480 262375 26105 FOOD COSTS 996426 992727 3699 MEDICAID TAX 711745 711745 MEDICAL SUPPLIES 547198 547198 216291 182786 33505 25173113 22562382 2610731 0 737413 994624 3646931 1479060 1500 1500 2757513 2055464 7290071 7197510 203128 158839 530246 457566 59908237 24880848 37206589 35027389 52931 73771 749200 749200 1770115 1981303 54945637 50176226 2770589 1837498 18018251 17378676 4530 8326 4806880 4679009 576047 576543 26176297 24480052 X 28000883 24907320 768457 788854 28769340 25696174 54945637 50176226 -3073166 0 X 0 1 X 1 0 X 1474734 2311891 4899305 2360354 2016314 13062598 19790588 20362026 19466980 20489897 20025823 100135314 21265322 22673917 24366285 22850251 22042137 113197912 262181 262181 0 262181 262181 112935731 3142 4147 2276 3061 12626 3142 4147 2276 3061 12626 85847 85847 21354311 22673917 24370432 22852527 22045198 113296385 0.99680 0.99220 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 85,847. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2335642 2335642 53380302 22456970 30923332 4192293 2423878 1768415 35027389 INTERCOMPANY PAYABLE 469707 DEPOSITS 106836 576543 X PART IV, LINE 2B: FUNDS HELD IN TRUST FOR RESIDENTS. PART X, LINE 2: THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, IF ANY, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENTS. THE CORPORATION RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO TAX MATTERS IN ADMINISTRATIVE EXPENSES. THE CORPORATION HAD NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2023 AND 2022. NO INTEREST AND PENALTIES WERE ACCRUED FOR THE YEAR ENDED JUNE 30, 2023 AND 2022. THE CORPORATION FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION. X X X 0 0 0 0 0 0 0 0 0 KIMBERLY FUSON CEO 247624 0 5000 0 0 0 21800 0 7428 0 281852 0 0 0 KATHLEEN THOMPSON CFO 195306 0 2750 0 0 0 0 0 0 0 198056 0 0 0 JANICE WARREN SENIOR ACCOUNTANT 155512 0 250 0 0 0 0 0 7428 0 163190 0 0 0 MICHAEL DILLINGER RESIDENT CARE MANAGER 148498 0 1625 0 0 0 638 0 7428 0 158189 0 0 0 A OREGON FACILITIES AUTHORITY 930847114 179027VH7 2016-06-28 20000000 CONSTRUCTION OF ASSISTED LIVING FACILITY 0 0 0 A 17976554 12728637 5247917 2023446 2016 0 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON MAY BECOME A MEMBER OF THE ROBISON JEWISH HOME BY PAYING THE DUES SET BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION WILL ELECT APPROXIMATELY ONE THIRD OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT CPA AND IS REVIEWED WITH THE FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CLAY TOWER GP LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 020536507 TO OPERATE APARTMENT COMPLEX OR 0 749000 ROBISON JEWISH HOME CSP-1200 GP LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 454612993 TO ACQUIRE & REHABILITATE PROPERTY OR 0 100 ROBISON JEWISH HOME CSP-PARK LEXINGTON GP LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 260526202 TO ACQUIRE & REHABILITATE PROPERTY OR 0 100 ROBISON JEWISH HOME CEDAR SINAI PARK FOUNDATION 6125 SW BOUNDARY STREET PORTLAND OR 97221 043774565 SUPPORTING ROBISON JEWISH HOME OR 501(C)(3) LINE 12A, I ROBISON JEWISH HOME 1 CSP KEHILLAH HOUSING 6125 SW BOUNDARY STREET PORTLAND OR 97221 454839314 AFFORDABLE HOUSING TO DISABLED ADULTS OR 501(C)(3) LINE 7 ROBISON JEWISH HOME 1 CEDAR SINAI PARK-CLAY TOWER APTS 6125 SW BOUNDARY STREET PORTLAND OR 97221 260536507 LOW INCOME HOUSING OR CLAY TOWER GP LLC RELATED 7 2154510 0 1 0.00010 CSP-1200 LIMITED PARTNERSHIP 6125 SW BOUNDARY STREET PORTLAND OR 97221 320371089 LOW INCOME HOUSING OR CSP-1200 GP LLC RELATED -22 899478 0 1 0.00010 CSP-PARK LEXINGTON LTD PARTNERSHIP 6125 SW BOUNDARY STREET PORTLAND OR 97221 900881617 LOW INCOME HOUSING OR CSP-PARK LEXINGTON GP LLC RELATED -47 5705750 0 1 0.00010 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 CEDAR SINAI PARK FOUNDATION C 1842538 FAIR MARKET VALUE CSP KEHILLAH HOUSING D 126824 FAIR MARKET VALUE CEDAR SINAI PARK FOUNDATION D 1952578 FAIR MARKET VALUE CSP KEHILLAH HOUSING E 469707 FAIR MARKET VALUE