2024-11-04T19:30:24-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 930471873 ROSE VILLA INC ROSE 5036543171 13505 SE RIVER ROAD PORTLAND OR 97222 GLEN LEWIS CEO 5036543171 2024-10-31 1 1 KURT BENNION CPA P01469618 4252506100 2024-10-31 2023 2024-10-15 13:58:12Z GLEN LEWIS 13505 SE RIVER ROAD PORTLAND OR 97222 26993066 0 X WWW.ROSEVILLA.ORG X 1957 OR SUPPORTING OLDER ADULTS TO LIVE THE LIFE OF THEIR OWN CHOOSING. 9 9 256 30 0 0 175365 165585 18985282 22644347 -333221 662892 619 49077 18828045 23521901 23325 36364 0 0 9256887 10467135 0 0 16428 14310564 17377859 23590776 27881358 -4762731 -4359457 171099192 164665076 188536954 185035190 -17437762 -20370114 X SUPPORTING SENIORS TO LIVE THE LIFE OF THEIR CHOOSING BY PARTNERING WITH THEM TO PROVIDE A HIGH QUALITY, INCLUSIVE, ENGAGING, INNOVATIVE AND FINANCIALLY SUSTAINABLE ENVIRONMENT. 1 0 15173223 36364 13153206 INDEPENDENT LIVING: HOUSING, MEALS AND MEDICAL/NURSING CARE PROVIDED TO APPROXIMATELY 340 RESIDENTS. 7764383 0 7995312 NURSING FACILITY: PROVIDING 11,197 MEDICAL/NURSING CARE BED DAYS TO RESIDENTS. 2500662 0 928788 FOOD SERVICES: PROVIDING MEALS TO APPROXIMATELY 340 RESIDENTS. 724408 0 567041 CLINIC AND IN-HOME SERVICES PROVIDED TO APPROXIMATELY 45 RESIDENTS.INTERGENERATIONAL DAY CARE SERVICES, INCLUDING REGULAR INTERGENERATIONAL PROGRAMMING WITH RESIDENTS, PROVIDED TO 15 FAMILIES. 724408 0 567041 26162676 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 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 0 0 0 1 73 0 256 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OR X GLEN LEWIS 5036543171 13505 SE RIVER ROAD PORTLAND OR 97222 GLENN RODRIGUEZ MD PRESIDENT 3.00 0.00 X X 0 0 0 ELEANORE HUNTER PHD VICE PRESIDENT 5.00 0.00 X X 0 0 0 WADE CLOWES TREASURER 2.00 0.00 X X 0 0 0 DOUG MORRIS SECRETARY 2.00 0.00 X X 0 0 0 CINDY BROWN DIRECTOR 1.00 0.00 X 0 0 0 KIRSTEN JACOBS DIRECTOR 1.00 0.00 X 0 0 0 SUSAN NESTER DIRECTOR 1.00 0.00 X 0 0 0 DAN STEFFEY DIRECTOR 1.00 0.00 X 0 0 0 RON STOCK MD DIRECTOR 1.00 1.00 X 0 0 0 VASSAR T BYRD CEO (THROUGH NOVEMBER 2023) 50.00 1.50 X 262472 0 27883 ANGELA HANSEN DIRECTOR OF FINANCE THEN CFO 50.00 5.00 X 160965 0 19196 JAMES WILLEFORD DIRECTOR OF STRATEGIC OPERATIONS 50.00 0.00 X 142789 0 12784 ERIN CORNELL DIRECTOR OF HEALTH SERVICES 50.00 0.00 X 135835 0 21367 RICHARD HARNELL IT DIRECTOR 50.00 0.00 X 140148 0 7528 JENNIFER WERDEL MARKETING DIRECTOR 50.00 0.00 X 126289 0 12912 JACOB FULLER DIRECTOR OF NURSING 50.00 0.00 X 118232 0 9592 1086730 0 111262 11 0 1 0 CASCADE FLOORING PROS INC 16006 SE MAIN STREET PORTLAND OR 97233 GENERAL CONTRACTOR 1194529 HELPING HANDS CONSTRUCTION 832 NE 68TH AVENUE HILLSBORO OR 97124 GENERAL CONTRACTOR 883221 TWO MAGNETS INC PO BOX 103125 PASADENA CA 91189 STAFFING CONTRACTOR 275577 DAVINCI DIGITAL 4906 SE WINWORTH COURT MILWAUKIE OR 97222 INFORMATION TECHNOLOGY 169889 SECURITAS SECURITY SERVICES PO BOX 57220 LOS ANGELES CA 90074 SECURITY CONTRACTOR 158896 8 155622 9963 165585 INDEPENDENT LIVING 623000 13153206 13153206 NURSING FACILITY 623000 4484993 4484993 ENTRANCE FEE AMORTIZATION 623000 3510319 3510319 FOOD SERVICES 623000 928788 928788 CLINIC & AT HOME SERVICES 623000 567041 567041 22644347 8473 8473 850880 850880 17679 0 17679 17679 17679 3274704 3407791 63374 -133087 -63374 -196461 -196461 MISCELLANEOUS INCOME 900099 31398 31398 31398 23521901 22644347 0 711969 36364 36364 438686 438686 8331784 8053712 267904 10168 278079 255798 21958 323 766659 719258 46493 908 651927 599692 51478 757 83438 60997 22441 62254 45510 16744 85201 85201 131481 96118 35363 101117 49216 51901 91233 77518 13675 40 287416 285416 2000 818629 770414 48215 27125 16601 10524 68928 56013 12915 5249371 5249371 7351108 7001627 349481 428683 399060 25391 4232 FACILITIES AND EQUIPMEN 866069 798846 67223 FOOD 533150 533150 TELEPHONE, CABLE, FEES, 488165 445571 42594 PROPERTY TAXES 470893 448506 22387 233598 163918 69680 27881358 26162676 1702254 16428 9006084 6965140 170194 49952 270535 552200 22757 27627 650048 712039 170098204 41297954 132758288 128800250 24157334 26266737 2554799 1509153 1291131 171099192 164665076 4939774 1886522 32006281 31550195 98995819 96183194 25057 17883 52570023 55397396 188536954 185035190 X -17721934 -20650324 284172 280210 -17437762 -20370114 171099192 164665076 X -4359457 1625557 -198452 X 0 1 X 1 0 X 9761 392314 9050 175365 130585 717075 16090964 16984790 17299797 18985282 22644347 92005180 16100725 17377104 17308847 19160647 22774932 92722255 0 0 0 92722255 389347 317314 463402 409499 877032 2456594 389347 317314 463402 409499 877032 2456594 31398 31398 16490072 17694418 17772249 19570146 23683362 95210247 0.97390 0.97790 0.02580 0.02210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 0 0 0 0 PART II-B, LINE 1: THE ORGANIZATION'S LEADERSHIP TEAM OCCASSIONALLY WRITE LETTERS TO LEGISLATORS RELATED TO LEGISLATION. 25781 1845 27626 31364 -5583 25781 31789 -425 31364 28994 2795 31789 23721 5273 28994 0.00000 0.36200 0.63800 0 0 2146044 2146044 125258288 26147706 99110582 10315452 2886994 7428458 19057740 10515753 8541987 13320680 1747501 11573179 128800250 RESIDENT DEPOSITS 54181604 REFUNDABLE FEES 1212887 DUE TO RELATED ORGANIZATIONS 2905 55397396 X 24829178 1625557 63374 1688931 23140247 85201 296453 381654 23521901 27824531 63374 63374 27761157 85201 35000 120201 27881358 PART V, LINE 4: ENDOWMENT FUNDS SUPPORT THE WESLEY WISE PROGRAM, WHICH WAS ESTABLISHED TO ACKNOWLEDGE AND SUPPORT ROSE VILLA EMPLOYEES. PART X, LINE 2: ROSE VILLA IS A TAX-EXEMPT ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED BY THE IRC SECTION 501(C)(3) AND APPLICABLE STATE LAWS; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. ROSE VILLA FOLLOWS THE PROVISIONS OF THE ORGANIZATION STANDARDS CODIFICATION TOPIC 740, INCOME TAXES, RELATING TO UNRECOGNIZED TAX BENEFITS. THIS STANDARD REQUIRES AN ENTITY TO RECOGNIZE A LIABILITY FOR TAX POSITIONS WHEN THERE IS A 50% OR GREATER LIKELIHOOD THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. ROSE VILLA IS LIABLE FOR TAXES TO THE EXTENT OF ANY UNRELATED BUSINESS INCOME AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS) REGULATIONS. ROSE VILLA BELIEVES THAT IT HAS NOT GENERATED ANY UNRELATED BUSINESS INCOME AS DEFINED BY IRS REGULATIONS AND THAT IT IS MORE LIKELY THAN NOT THAT THIS POSITION WOULD BE SUSTAINED UPON EXAMINATION. AS SUCH, THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 63,374. PART XI, LINE 4B - OTHER ADJUSTMENTS: UNREALIZED LOSS ON DERIVATIVE INSTRUMENTS 198,452. GAIN ON INVOLUNTARY CONVERSIONS 31,398. NET INVESTMENT RETURN 31,603. EXPENSES NETTED AGAINST REVENUES IN THE FINANCIAL STATEMENTS 35,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 63,374. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED AGAINST REVENUES IN THE FINANCIAL STATEMENTS 35,000. 1 ROSE VILLA FOUNDATION 13505 SE RIVER ROAD PORTLAND OR 97222 936023450 501(C)(3) 36364 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: THE ONLY GRANTS ARE MADE TO A SUBSIDIARY ORGANIZATION. SHARED EXECUTIVE OVERSIGHT ENSURES THAT ALL GRANTED FUNDS ARE USED APPROPRIATELY. X X X 1 0 0 0 0 0 0 1 0 VASSAR T BYRD CEO (THROUGH NOVEMBER 2023) 233642 0 0 0 28830 0 18451 0 9432 0 290355 0 0 0 ANGELA HANSEN DIRECTOR OF FINANCE THEN CFO 150965 0 10000 0 0 0 13379 0 5817 0 180161 0 0 0 ERIN CORNELL DIRECTOR OF HEALTH SERVICES 135835 0 0 0 0 0 11940 0 9427 0 157202 0 0 0 JAMES WILLEFORD DIRECTOR OF STRATEGIC OPERATIONS 142789 0 0 0 0 0 3357 0 9427 0 155573 0 0 0 PART I, LINE 4A VASSAR BYRD RECEIVED A SEVERANCE PAYMENT OF $28,830 IN 2023. PART I, LINE 7 IN 2023, THE CFO RECEIVED A ONE-TIME NON-FIXED BONUS AS RECOGNITION OF SIGNIFICANT EFFORT DURING THE CEO SEARCH PROCESS. A PUBLIC FINANCE AUTHORITY 273866124 179027YN1 2020-06-25 78262037 CONSTRUCT SENIOR HOUSING 0 0 0 A 21310000 78262037 8238968 1565240 58166288 0 0 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART III, LINE 2 OPENED INTERGENERATIONAL CHILD DEVELOPMENT CENTER FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO AND BY THE BOARD OF DIRECTORS. THE 990 DRAFT WAS SENT TO THE BOARD FOR THEIR REVIEW AND COMMENTS, WITH 3-5 BUSINESS DAYS ALLOWED FOR QUESTIONS/COMMENTS/ETC. THE CEO WAS AVAILABLE FOR DISCUSSION AND QUESTIONS THAT BOARD MEMBERS RAISED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, BOARD MEMBERS AND ALL EMPLOYEES ARE ASKED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THESE ARE REVIEWED BY THE COMPLIANCE OFFICER AND ANY CONFLICTS ARE REVIEWED AND MONITORED AT THE BOARD LEVEL. IF A TRANSACTION ARISES THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST, THE INTERESTED PERSON IS REQUIRED TO DISCLOSE ITS EXISTENCE, AFTER WHICH THEY LEAVE THE MEETING WHILE THE REMAINING BOARD/COMMITTEE MEMBERS DETERMINE WHETHER AN ACTUAL CONFLICT EXISTS. THE CONFLICTED INDIVIDUAL MAY PRESENT RELEVANT INFORMATION AND ANSWER QUESTIONS, BUT IS OTHERWISE EXCLUDED FROM ALL DISCUSSIONS AND VOTES RELATED TO THE TRANSACTION. THE BOARD/COMMITTEE MAY EVALUATE ALTERNATIVES THAT DO NOT INCLUDE A CONFLICT OF INTEREST. AFTER EXERCISING DUE DILIGENCE, THE BOARD/COMMITTEE EVALUATES ALTERNATIVES AND VOTES ON WHETHER TO ENTER THE TRANSACTION. IF THE BOARD/COMMITTEE HAS REASON TO BELIEVE AN INDIVIDUAL FAILED TO DISCLOSE A CONFLICT, THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE INDIVIDUAL DID FAIL TO DISCLOSE A CONFLICT, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS ARE TAKEN. FORM 990, PART VI, SECTION B, LINE 15A WHEN HIRING, COMPENSATION RANGES ARE COMPARED TO INDUSTRY BENCHMARKS FOR REASONABLENESS. THE ROSE VILLA BOARD EXECUTIVE COMMITTEE REVIEWS AND APPROVES CEO PAY ANNUALLY BASED ON PERFORMANCE. GOALS AND ACHIEVEMENTS ARE ANUALLY REVIEWED AND USED TO DETERMINE COMPENSATION. WHEN HIRING, THE CEO DETERMINES OTHER KEY SALARIES WITH THE USE OF OUTSIDE WAGE SURVEYS. SENIOR MANAGEMENT COMPENSATION IS COMPARED WITH INDUSTRY COMPENSATION EVERY 3 TO 5 YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON DERIVATIVE INSTRUMENT -198,452. ROSE VILLA FOUNDATION 13505 SE RIVER ROAD PORTLAND OR 97222 936023450 TO PROVIDE FINANCIAL ASSISTANCE OR 501(C)(3) LINE 7 N/A 0 NORTH STAR SENIOR COLLABORATIVE 13505 SE RIVER ROAD PORTLAND OR 97222 881061608 SUPPORT ROSE VILLA OR 501(C)(3) LINE 12B, II N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0