2018-05-14T12:27:20-05:00 2017-06-30 910189318 Moss Adams LLP 805 SW Broadway Ste 1200 Portland OR 97205 990 2016-07-01 930386852 Robison Jewish Home ROBI 5035354300 6125 SW Boundary Street Portland OR 97221 Martin Baicker CEO 5035354300 2018-05-10 1 Wendy Campos P00448102 5032421447 2018-05-02 2016 2022-09-23 18:48:47Z Cedar Sinai Park Martin Baicker 6125 SW Boundary Street Portland OR 97221 15946087 0 X www.cspark.com 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. 18 18 370 120 0 0 9870244 2042105 16763733 13637654 44940 15411 177938 207656 26856855 15902826 474853 52861 0 0 12075558 10480676 0 0 63272 6285898 7710594 18836309 18244131 8020546 -2341305 50626687 61313092 8281780 21583142 42344907 39729950 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 15317799 52861 13864192 PROVIDING A HIGH LEVEL OF NURSING CARE AND HOUSING TO PRIVATE, MEDICARE, AND WELFARE RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. 15317799 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 49 0 1 370 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 OR X Roger Oney CFO 5035354300 6125 SW Boundary Street Portland OR 97221 Liz Lippoff President 2.00 X X 0 0 0 Elsie Brickner-Schulz Foundation President 2.00 X X 0 0 0 Ivan Gold VP of Programs 2.00 X X 0 0 0 Susie Marcus Secretary 2.00 X X 0 0 0 Les Soltesz Treasurer 1.00 X X 0 0 0 Rachel Duke Trustee 1.00 X 0 0 0 Michael Feves Trustee 1.00 X 0 0 0 Michael Millender Trustee 1.00 X 0 0 0 Jeff Reingold Trustee 1.00 X 0 0 0 Mylen Shenker Trustee 1.00 X 0 0 0 Eddy Shuldman Trustee 1.00 X 0 0 0 Beverly Stein Trustee 1.00 X 0 0 0 Sharon Weil Trustee 1.00 X 0 0 0 Jim Winkler Trustee 1.00 X 0 0 0 Becki Saltzman Trustee 1.00 X 0 0 0 Norm Dowty TRUSTEE 1.00 X 0 0 0 pAUL sONNENSCHEIN tRUSTEE 1.00 X 0 0 0 John Christianson Trustee 1.00 X 0 0 0 Sandra Simon CEO until 4/17 37.30 2.70 X 266117 0 17090 David Fuks Interim CEO 22.30 2.70 X 0 0 0 Bobbie Jenkins CFO 37.30 2.70 X 190897 0 18526 Caroline Becker Director of HR 40.00 X 150722 0 17391 Angelo Turner Director of Development 40.00 X 171613 0 9154 779349 0 62161 4 0 1 0 Consonus Rehab PO Box 4800 Unit 12 Portland OR 97208 Physical and speech therapy 386996 Staffing Partners 2888 Crescent Avenue Eugene OR 97408 Staffing Services 223935 Moss Adams LLP PO Box 101822 Pasadena CA 911891822 Audit, tax and compliance reporting 146735 Clinical Resources LLC 3338 Peachtree Road NE Ste 102 Atlanta GA 30326 Staffing Services 101462 4 191750 76154 1774201 2042105 Resident Services 623000 13309996 13309996 Developer Fees 623000 327658 327658 13637654 15411 15411 24379 191750 43261 -18882 -18882 Other Income 623000 226538 226538 226538 15902826 13864192 0 -3471 52861 52861 973777 973777 7580896 6971919 608977 19783 18164 1619 1149906 1088199 61707 756314 656034 100280 64138 64138 141030 141030 4000 4000 4758 4758 1498289 1245145 253144 189818 2625 187193 1051835 850439 201396 196379 196379 942327 939176 3151 36499 4155 32344 176959 176959 1356505 1356505 100149 71798 28351 Food Costs 957857 957857 Medicaid Tax 499918 499918 Capital Campaign 291235 291235 Medical Supplies 115024 115024 83874 19786 816 63272 18244131 15317799 2863060 63272 7454594 6886225 494782 0 2214459 1562572 2253736 1668038 9097436 8820679 44368 83221 491847 443219 58916259 18104891 27537695 40811368 1037770 1037770 50626687 61313092 2438040 2509176 5247917 17976554 3736 2415 500000 592087 594997 8281780 21583142 X 36417211 34257273 5927696 5472677 42344907 39729950 50626687 61313092 -2341305 -273652 0 X 0 1 X 1 0 X 2998039 2445999 4881615 9870244 2042105 22238002 17518442 18067135 17502562 16763733 13637654 83489526 20516481 20513134 22384177 26633977 15679759 105727528 351222 355929 443492 379127 255071 1784841 0 351222 355929 443492 379127 255071 1784841 103942687 170245 138686 34187 44940 15411 403469 170245 138686 34187 44940 15411 403469 151409 216432 226538 594379 20686726 20651820 22569773 26895349 15921708 106725376 0.97390 0.97470 0.00380 0.00450 X Schedule A, Part III, Line 12, Explanation of Other Income: other income - 2014 Amount: $ 151,409. 2015 Amount: $ 216,432. 2016 Amount: $ 226,538. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4000 0 0 0 4000 0 Part II-B, Line 1: Payment attributable to lobbying services for state legislation related to exempt purpose 0 1 X 2325994 2325994 46462465 15983016 30479449 3676703 2121875 1554828 6451097 6451097 40811368 Intercompany Payable 501309 deposits 93688 594997 X Part IV, Line 2b: Funds held in trust for residents. Part X, Line 2: CSP, the Foundation, Kehillah, JFCS and SHC are tax-exempt organizations pursuant to Internal Revenue Code (IRC) Section 501(c)(3) and applicable state laws. O'Brien, Inc. is a tax-exempt organization pursuant to IRC Section 501(c)(2) and applicable state laws. HWS, Clay Tower, CSP-1200 and CSP-Park Lexington are limited liability companies, so all taxable income/loss flows through to the members' tax returns. Therefore, no provision for income taxes has been made in the accompanying consolidated financial statements. 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, 2017 and 2016. No interest and penalties were accrued for the year ended June 30, 2017 and 2016. The Corporation files an exempt organization return in the U.S. federal jurisdiction. Annual Benefit 216129 191750 24379 301 23002 11883 8075 216129 191750 24379 301 23002 11883 8075 43261 -18882 1 Housing With Services LLC 6125 SW Boundary Street Portland OR 97221 465768550 N/A 50000 To provide health and wellness services to low income seniors 0 1 Part I, Line 2: Restricted funds are placed into accounts and monitored to ensure the monies are used per donor intent. Our staff and administrators determine which residents are low income and qualify for assistance. Once determination is made, assistance is made available. X X X 0 0 0 0 0 0 0 0 0 Sandra Simon CEO until 4/17 224658 0 18240 0 23219 0 890 0 16200 0 283207 0 0 0 Bobbie Jenkins CFO 177025 0 13872 0 0 0 634 0 17892 0 209423 0 0 0 Caroline Becker Director of HR 143022 0 7700 0 0 0 0 0 17391 0 168113 0 0 0 Angelo Turner Director of Development 165838 0 5775 0 0 0 88 0 9066 0 180767 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 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 749040 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 Sinai Family Home Services Inc 7412 SW Beaverton-Hillsdale Hwy 106 Portland OR 97225 208504069 home Care Services OR 501(c)(3) Line 12a, I Robison Jewish Home 1 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 jewish family and child service 1221 sw yamhill street 301 portland OR 97205 930386851 social services 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 incoming housing OR Clay Tower GP LLC Related -51 890860 0 1 0.00010 CSP-1200 Limited Partnership 6125 SW Boundary Street Portland OR 97221 320371089 Low incoming housing OR CSP-1200 GP LLC Related -30 816056 0 1 0.00010 CSP-Park Lexington LTD Partnership 6125 SW Boundary Street Portland OR 97221 900881617 Low incoming housing OR CSP-Park Lexington GP LLC Related -27 6677116 0 1 0.00010 housing with Services LLC 6125 SW Boundary Street portland OR 97221 465768550 social services OR robison jewish home related 39682 208069 0 1 0.51000 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 Housing With Services LLC B 50000 fair market value csp kehillah housing E 496042 fair market value sinai family home services inc D 66179 fair market value cedar sinai park foundation D 169458 fair market value cedar sinai park foundation C 76154 fair market value