2020-07-15T15:37:57-05:00 2019-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2018-07-01 930386852 ROBISON JEWISH HOME ROBI 5035354300 6125 SW BOUNDARY STREET PORTLAND OR 97221 JULIE STEWART CFO 5035354300 2020-07-15 1 WENDY CAMPOS P00448102 5032421447 2020-07-14 73.96.206.44 2020-07-15 14:08:05 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 697E1C7253A5CA0A5488E87239FE5BE3AB33F6DC 2018 2021-01-29 14:40:06Z CEDAR SINAI PARK MARTIN BAICKER 6125 SW BOUNDARY STREET PORTLAND OR 97221 21374861 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. 20 20 563 120 0 0 1635010 1474734 15327201 19790588 6051 2969 128845 23664 17097107 21291955 64417 0 0 0 12786105 14235741 0 0 0 9549975 11054420 22400497 25290161 -5303390 -3998206 60516897 57694615 26317395 27493319 34199502 30201296 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 22624823 0 19876435 PROVIDING A HIGH LEVEL OF NURSING CARE AND HOUSING TO PRIVATE, MEDICARE, AND WELFARE RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. 22624823 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 68 0 1 563 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 1 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 OR X JULIE STEWART CFO 5035354300 6125 SW BOUNDARY STREET PORTLAND OR 97221 IVAN GOLD CHAIR 2.00 X X 0 0 0 LIZ LIPPOFF PAST CHAIR 1.00 X X 0 0 0 MICHAEL FEVES VICE CHAIR 1.00 X X 0 0 0 ELISE BRICKNER-SCHULZ VICE CHAIR 1.00 X X 0 0 0 MICHELLE GRADOW VICE CHAIR 1.00 X X 0 0 0 STEVE RALLISON VICE CHAIR 1.00 X X 0 0 0 MICHAEL MILLENDER VICE CHAIR 1.00 X X 0 0 0 JEFF REINGOLD SECRETARY 1.00 X X 0 0 0 DAVID HIRSCH TREASURER 1.00 X X 0 0 0 PAUL SONNENSCHEIN TRUSTEE 1.00 X 0 0 0 MICHAEL CAHANA TRUSTEE 1.00 X 0 0 0 MARION GANS TRUSTEE 1.00 X 0 0 0 MARVIN KAISER TRUSTEE 1.00 X 0 0 0 MARCY MORRIS 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 MICHAEL SMIRA TRUSTEE 1.00 X 0 0 0 MANNY BERMAN TRUSTEE 1.00 X 0 0 0 CONRAD MYERS TRUSTEE 1.00 X 0 0 0 JAMES WINKLER TRUSTEE 1.00 X 0 0 0 MARTIN BAICKER CEO 38.50 1.50 X 252622 0 8962 JULIE STEWART CFO 38.50 1.50 X 101420 0 10008 ANGELO TURNER CDO 40.00 X 154153 0 4374 508195 0 23344 3 0 1 0 CONSONUS REHAB PO BOX 4800 UNIT 12 PORTLAND OR 97208 THERAPY SERVICES 1003059 VANDERHOUWEN & ASSOCIATES 6342 SW MACADAM AVE PORTLAND OR 97239 CONTRACT LABOR 143686 RAINDROP ROOFING NORTHWEST 8305 SW CIRRUS DR BEAVERTON OR 97008 ROOFING SERVICES 139772 NOW CFO 5251 S GREEN ST MURRAY UT 84123 CONTRACT LABOR 139563 VERITAS COLLABORATIONS LLC 10117 SE SUNNYSIDE RD F1119 CLACKAMAS OR 97015 MARKETING SERVICES 115140 9 266628 119187 1088919 60000 1474734 RESIDENT SERVICES 623000 19500480 19500480 DEVELOPER FEES 623000 290108 290108 19790588 3142 3142 173 -173 -173 -173 20550 266628 82733 -62183 -62183 OTHER INCOME 623000 85847 85847 85847 21291955 19876435 0 -59214 591135 591135 10139568 9594396 545172 5867 4988 879 2448554 2413418 35136 1050617 937616 113001 122093 122093 176927 176927 175122 175122 15672 15672 1764849 1381902 382947 229542 9292 220250 953829 695154 258675 231073 112416 118657 1327122 1320855 6267 20305 7382 12923 333 333 930679 930598 81 2428177 2428177 128525 110915 17610 FOOD COSTS 1108844 1098621 10223 MEDICAID TAX 675267 675267 MEDICAL SUPPLIES 607242 607242 OTHER EXPENSES 158819 158819 25290161 22624823 2665338 0 2314294 2423060 1358752 294280 2578210 2561267 8584030 8231803 58945 41370 439695 408276 57687930 14748992 44387350 42938938 795621 795621 60516897 57694615 1944347 1992076 19661958 19383137 3145 3146 4075000 5000000 632945 1114960 26317395 27493319 X 32250695 29056683 1948807 1144613 34199502 30201296 60516897 57694615 -3998206 0 X 0 1 X 1 0 X 4881615 9870244 2042105 1635010 1474734 19903708 17502562 16763733 13637654 15327201 19790588 83021738 22384177 26633977 15679759 16962211 21265322 102925446 443492 379127 255071 317154 262181 1657025 0 443492 379127 255071 317154 262181 1657025 101268421 34187 44940 15411 6051 3142 103731 34187 44940 15411 6051 3142 103731 151409 216432 226538 163983 85847 844209 22569773 26895349 15921708 17132245 21354311 103873386 0.97490 0.97340 0.00100 0.00230 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. 2017 AMOUNT: $ 163,983. 2018 AMOUNT: $ 85,847. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15672 15672 0 PART II-B, LINE 1: MEMBER DUES PAID TO OTHER ORGANIZATIONS ATTRIBUTABLE TO LOBBYING 0 1 X 2325994 2325994 51989441 13728838 38260603 3257899 1020154 2237745 114596 114596 42938938 INTERCOMPANY PAYABLE 1012847 DEPOSITS 102113 1114960 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, 2019 AND 2018. NO INTEREST AND PENALTIES WERE ACCRUED FOR THE YEAR ENDED JUNE 30, 2019 AND 2018. THE CORPORATION FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION. ANNUAL BENEFIT 287178 266628 20550 4250 4200 19400 1960 52923 287178 266628 20550 4250 4200 19400 1960 52923 82733 -62183 X X X 0 0 0 0 0 0 0 0 0 MARTIN BAICKER CEO 252622 0 0 0 0 0 0 0 0 8962 252622 8962 0 0 ANGELO TURNER CDO 154153 0 0 0 0 0 1024 0 0 3350 155177 3350 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 X 1 60000 APPRAISAL 0 0 0 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 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 INCOMING HOUSING OR CLAY TOWER GP LLC RELATED -27 921866 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 -23 712509 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 -24 6251446 0 1 0.00010 HOUSING WITH SERVICES LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 465768550 SOCIAL SERVICES OR ROBISON JEWISH HOME RELATED -65893 120672 0 1 0.51000 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 CEDAR SINAI PARK FOUNDATION C 119187 FAIR MARKET VALUE CEDAR SINAI PARK FOUNDATION D 568979 FAIR MARKET VALUE CSP KEHILLAH HOUSING D 65341 FAIR MARKET VALUE CSP KEHILLAH HOUSING E 490775 FAIR MARKET VALUE CEDAR SINAI PARK FOUNDATION E 484806 FAIR MARKET VALUE