2025-11-07T10:02:32-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 930471873 ROSE VILLA INC ROSE 5036543171 13505 SE RIVER ROAD PORTLAND OR 97222 GLEN LEWIS CEO 5036543171 2025-11-01 1 1 KURT BENNION CPA P01469618 4252506100 2025-10-31 2024 2025-03-06 01:10:19Z GLEN LEWIS 13505 SE RIVER ROAD PORTLAND OR 97222 29621624 0 X WWW.ROSEVILLA.ORG X 1957 OR SUPPORTING OLDER ADULTS TO LIVE THE LIFE OF THEIR OWN CHOOSING. 9 9 284 30 0 0 165585 489195 22644347 24811743 662892 1113577 49077 121022 23521901 26535537 36364 34625 0 0 10467135 11002901 0 0 0 17377859 17818616 27881358 28856142 -4359457 -2320605 164665076 164767935 185035190 185059116 -20370114 -20291181 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. 0 0 15298036 34625 14090377 INDEPENDENT LIVING: HOUSING, MEALS AND MEDICAL/NURSING CARE PROVIDED TO APPROXIMATELY 340 RESIDENTS. 9625598 0 8865735 NURSING FACILITY: PROVIDING 11,549 MEDICAL/NURSING CARE BED DAYS TO RESIDENTS. 1040655 0 958504 FOOD SERVICES: PROVIDING MEALS TO APPROXIMATELY 340 RESIDENTS. 974018 0 897127 CLINIC AND IN-HOME SERVICES PROVIDED TO APPROXIMATELY 45 RESIDENTS.INTERGENERATIONAL DAY CARE SERVICES, INCLUDING REGULAR INTERGENERATIONAL PROGRAMMING WITH RESIDENTS, PROVIDED TO 15 FAMILIES. 974018 0 897127 26938307 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 75 0 1 284 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OR X KRISTINA DELISLE 5036543171 13505 SE RIVER ROAD PORTLAND OR 97222 GLEN LEWIS CEO 50.00 1.10 X 220212 0 11593 JAMES WILLEFORD DIRECTOR OF STRATEGIC OPERATIONS 50.00 0.00 X 164870 0 27514 ERIN CORNELL DIRECTOR OF HEALTH SERVICES 50.00 0.00 X 157528 0 31702 ANGELA HANSEN CFO (THROUGH AUGUST 2024) 50.00 5.10 X 163710 0 20147 RICHARD HAMELL IT DIRECTOR 50.00 0.00 X 142645 0 17005 MICHELLE LACROIX HR DIRECTOR 50.00 0.00 X 129328 0 10394 AZEEM BHATTI RN NURSE 40.00 0.00 X 124825 0 8937 BECKY JEWELL RN NURSE 40.00 0.00 X 118148 0 12590 THUY TRAN RN NURSE 40.00 0.00 X 107071 0 9290 CHUCK DUNLAP INTERIM CFO (AS OF AUGUST 2024) 30.00 0.00 X 0 0 0 WADE CLOWES PRESIDENT 1.00 0.10 X X 0 0 0 ELEANORE HUNTER PHD VICE PRESIDENT 1.00 0.10 X X 0 0 0 RON STOCK MD MA SECRETARY 1.00 1.00 X X 0 0 0 SUSAN NESTOR CPA CFP PFS TREASURER 1.00 1.00 X X 0 0 0 CINDY BROWN DIRECTOR 1.00 0.00 X 0 0 0 KIRSTEN JACOBS MSW DIRECTOR 1.00 0.00 X 0 0 0 STEVE MORRIS DIRECTOR 1.00 0.00 X 0 0 0 GLENN RODRIGUEZ MD DIRECTOR 1.00 0.00 X 0 0 0 DAN STEFFEY DIRECTOR 1.00 0.00 X 0 0 0 1328337 0 149172 10 0 1 0 COTTA CONSTRUCTION 15855 NW PUMPKIN RIDGE ROAD NORTH PLAINS OR 97133 CONSTRUCTION 563316 CASCADE FLOORING PROS INC 16006 SE MAIN STREET PORTLAND OR 97233 CONSTRUCTION 467807 STRAIGHT EDGE 17027 SW BLANTON STREET ALOHA OR 97078 LANDSCAPING 334548 BREMIK 1026 SE STARK STREET PORTLAND OR 97214 CONSTRUCTION 198401 TONY BOWER ROOFING PO BOX 22740 MILWAUKIE OR 97269 ROOFING 195870 16 474761 12934 1500 489195 INDEPENDENT LIVING 623000 14090377 14090377 NURSING FACILITY 623000 4746817 4746817 ENTRANCE FEE AMORTIZATION 623000 4118918 4118918 FOOD SERVICES 623000 958504 958504 CLINIC & AT HOME SERVICES 623000 897127 897127 24811743 779750 779750 331418 331418 18173 0 18173 18173 18173 3088496 3075241 10846 13255 -10846 2409 2409 INVOLUNTARY CONVERSION GAIN 900099 102849 102849 102849 26535537 24811743 0 1234599 34625 34625 798439 286212 512227 8561380 8281163 280217 242594 239668 2926 665326 634414 30912 735162 676001 59161 27595 19522 8073 60496 42799 17697 99505 99505 163433 115623 47810 14121 1274 12847 99837 84597 15240 467432 308287 159145 917042 862881 54161 26007 16853 9154 67776 54453 13323 5178733 5178733 7308602 6961142 347460 478947 445785 33162 FACILITIES AND EQUIPMEN 1151873 1125008 26865 PROPERTY TAXES 556240 529796 26444 FOOD 551577 551577 TELEPHONE, CABLE, FEES, 482124 392382 89742 167276 95512 71764 28856142 26938307 1917835 0 6965140 5263173 49952 767991 552200 933494 27627 28120 712039 664807 172855495 48484564 128800250 124370931 26266737 30045733 29205 1291131 2664481 164665076 164767935 1886522 2346904 31550195 32357876 96183194 95677670 55415279 54676666 185035190 185059116 X -20650324 -20591755 280210 300574 -20370114 -20291181 164665076 164767935 X -2320605 1321191 1078347 X X 0 1 X 1 0 X 392314 9050 175365 130585 489195 1196509 16984790 17299797 18985282 22644347 24811743 100725959 17377104 17308847 19160647 22774932 25300938 101922468 0 0 0 101922468 317314 463402 409499 877032 1129341 3196588 317314 463402 409499 877032 1129341 3196588 31398 102849 134247 17694418 17772249 19570146 23683362 26533128 105253303 0.96840 0.97390 0.03040 0.02580 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 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. 27626 -303 27323 25781 1845 27626 31364 -5583 25781 31789 -425 31364 28994 2795 31789 0.00000 0.36600 0.63400 0 0 2146044 2146044 127175663 30974760 96200903 10315115 3337887 6977228 20002378 12006279 7996099 13216295 2165638 11050657 124370931 RESIDENT DEPOSITS 53162432 REFUNDABLE FEES 1490811 DUE TO RELATED ORGANIZATIONS 12500 RIGHT-OF-USE LEASE LIABILITIES 10923 54676666 X 28690203 1321191 1089193 2410384 26279819 99505 156213 255718 26535537 28734483 10846 10846 28723637 99505 33000 132505 28856142 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, 2024 AND 2023. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 10,846. UNREALIZED GAIN ON DERIVATIVE INSTRUMENT 1,078,347. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON INVOLUNTARY CONVERSION 102,849. NET INVESTMENT RETURN 20,364. EXPENSES NETTED AGAINST REVENUES IN THE FINANCIAL STATEMENTS 33,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 10,846. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED AGAINST REVENUES IN THE FINANCIAL STATEMENTS 33,000. 1 ROSE VILLA FOUNDATION 13505 SE RIVER ROAD PORTLAND OR 97222 936023450 501(C)(3) 34625 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 0 0 GLEN LEWIS CEO 220212 0 0 0 0 0 0 0 11593 0 231805 0 0 0 JAMES WILLEFORD DIRECTOR OF STRATEGIC OPERATIONS 164870 0 0 0 0 0 11229 0 16285 0 192384 0 0 0 ERIN CORNELL DIRECTOR OF HEALTH SERVICES 157528 0 0 0 0 0 13757 0 17945 0 189230 0 0 0 ANGELA HANSEN CFO (THROUGH AUGUST 2024) 145664 0 0 0 18046 0 13442 0 6705 0 183857 0 0 0 RICHARD HAMELL IT DIRECTOR 142645 0 0 0 0 0 7715 0 9290 0 159650 0 0 0 PART I, LINE 4A ANGELA HANSEN RECEIVED A SEVERANCE PAYMENT OF $18,046 IN 2024. A PUBLIC FINANCE AUTHORITY 273866124 179027YN1 2020-06-25 78262037 CONSTRUCT SENIOR HOUSING 0 0 0 A 21310000 78262037 4184463 8238968 1565240 58166288 6107078 2023 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 STARTING IN AUGUST 2024, ROSE VILLA CONTRACTED WITH MCCRACKEN ALLIANCE CORPORATION TO PROVIDE INTERIM CFO SERVICES. ROSE VILLA PAID $104,471 FOR THESE SERVICES IN 2024. 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 AND COMMENTS. 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 ANNUALLY 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 GAIN ON DERIVATIVE INSTRUMENT 1,078,347. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR. 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