2020-11-13T13:55:19-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 1 BRONZE POINTE BELLEVILLE IL 62226 990 2019-01-01 310549058 OTTERBEIN HOMES OTTE 5139322020 580 NORTH STATE ROUTE 741 LEBANON OH 450368839 J CHRISTOPHER GREEN CFO 5139322020 2020-11-12 1 JEFF PARKER P00970069 6182331200 2020-11-12 67.137.57.251 2020-11-12 09:08:16 CS P DBE5E9100BD705C5801F05FB9419F1388E8E9FDA F8146658A0E1E56269216D7DAF6ECE940CE9814E 2019 2021-01-29 14:40:06Z J CHRISTOPHER GREEN 580 NORTH STATE ROUTE 741 LEBANON OH 450368839 99351214 0 X WWW.OTTERBEIN.ORG X 1912 OH CONTINUING CARE RETIREMENT COMMUNITIES THAT PROVIDE HOUSING AND SERVICES TO ELDERS. 14 12 1526 35 127121 0 227192 272074 56663652 58413551 7366207 3143718 162935 209904 64419986 62039247 61024 51878 0 0 31971014 31880146 0 0 694197 29257736 30144115 61289774 62076139 3130212 -36892 154291614 166118082 98651570 100463312 55640044 65654770 IN KEEPING WITH OUR UNITED METHODIST TRADITION WE SEEKTO ENHANCE THE QUALITY OF LIFE AND HOLISTIC GROWTH OF OLDER PERSONS. 0 0 49263814 51878 71707674 OTTERBEIN HOMES PROVIDES MANAGEMENT AND SUPPORT SERVICES FOR ITS FIVE CONTINUING CARE RETIREMENT COMMUNITIES, NINE SMALL HOUSE NURSING HOME NEIGHBORHOODS THROUGHOUT OHIO, HOME HEALTH AGENCY AND A HOSPICE AGENCY. SOME OF THE MANAGEMENT SERVICES PROVIDED INCLUDE ADMINISTRATIVE, FINANCIAL, PURCHASING, HUMAN RESOURCES, MARKETING, AND DEVELOPMENT FOR THE RELATED TAX-EXEMPT ORGANIZATIONS. IN PROVIDING MANAGEMENT AND SUPPORT TO HOSPICE, HOME HEALTH AND ITS COMMUNITIES OF LEBANON, CRIDERSVILLE, ST. MARY'S, PORTAGE VALLEY, NORTH SHORE, FRANKLIN, AND THE SMALL HOUSE NEIGHBORHOODS AT PERRYSBURG, MONCLOVA, SPRINGBORO, MIDDLETOWN, NEW ALBANY, GAHANNA, LOVELAND, UNION TOWNSHIP AND MAINEVILLE, OTTERBEIN SERVES OVER 4,000 PERSONS. GENEROUS DONORS HAVE ESTABLISHED A BENEVOLENT CARE FUND WHICH OFFERS ASSISTANCE TO RESIDENTS WHO CANNOT PAY THE FULL COST OF CARE. OTTERBEIN'S RICH HERITAGE HAS EARNED US A SOLID REPUTATION AS A TRUSTED AND VALUABLE RESOURCE. BY PROVIDING INFORMATION AND SERVICES ON AGING ISSUES WE CONTINUE TO SERVE RESIDENTS, THEIR FAMILIES AND SURROUNDING COMMUNITIES. OTTERBEIN RESIDENTS AND STAFF VOLUNTEER THEIR TIME AND TALENTS AT THE OTTERBEIN CAMPUSES BUT ALSO FOR A NUMBER OF ORGANIZATIONS AND CAUSES IN THE GREATER COMMUNITY. DURING 2019, DONORS CONTRIBUTED A TOTAL OF $4,399, WHICH IS REPORTED AS CONTRIBUTION REVENUE. -13294123 THE ORGANIZATION PROVIDES NURSING CARE TO RESIDENTS UNDER THE MEDICAID PROGRAM FOR WHICH THE COSTS TO PROVIDE SUCH CARE EXCEEDS REIMBURSEMENT. THE ORGANIZATION FUNDS THIS DIFFERENCE THROUGH ITS OPERATIONS. THE SHORTFALL IS NETTED WITH PROGRAM SERVICE REVENUE. 49263814 1 1 0 0 0 0 1 0 1 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 360 0 1526 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X J CHRISTOPHER GREEN 5139335400 580 NORTH SR 741 LEBANON OH 450368839 MEL MILLER CHAIRMAN 1.00 5.00 X X 0 0 0 WILLIAM BROWNSON VICE CHAIRMAN 1.00 X X 0 0 0 BECKY BAYLIFF DIRECTOR 1.00 1.00 X 0 0 0 JOE WOLF DIRECTOR 1.00 X 0 0 0 LYNN APP DIRECTOR 1.00 1.00 X 0 0 0 JAMES DUNHAM DIRECTOR 1.00 X 0 0 0 CYNDY GARN DIRECTOR 1.00 X 0 0 0 THOMAS HANOVER DIRECTOR (TERM ENDED 8/19) 1.00 X 0 0 0 THOMAS HAZELBAKER DIRECTOR 1.00 X 0 5000 0 LEROY MCKAY DIRECTOR 1.00 X 0 0 0 MEL BOWDAN DIRECTOR 1.00 X 0 0 0 ROBERT COLEMAN DIRECTOR 1.00 X 0 0 0 MICHAEL UHL DIRECTOR 1.00 X 0 0 0 JILL WILSON PRESIDENT/CEO 28.00 12.00 X X 460573 0 20424 JAMES C GREEN CFO/TREASURER 28.00 12.00 X X 320530 0 19419 JASON MILLER VP OF OPERATIONS 28.00 12.00 X 361011 0 20459 DAN ARNOLD VP - NEIGHBORHOOD 40.00 0.00 X 180500 0 16859 GARY HORNING VICE PRESIDENT - MARKETING 28.00 12.00 X 244554 0 18056 PAMELA RICHMOND VP OF STRATEGIC PLANNING 28.00 12.00 X 240568 0 17952 LOIS MILLS VP OF HUMAN RESOURCES 28.00 12.00 X 214693 0 17336 KATHLEEN GEERS AVP - MARKETING 28.00 12.00 X 190571 0 13725 JEFF KMET VP - PROPERTY/CONSTRUCTION 28.00 12.00 X 181562 0 4183 2394562 5000 148413 22 0 1 0 SYMBRIA REHAB INC 28100 TORCH PARKWAY STE 600 WARRENVILLE IL 60555 THERAPY SERVICES 8833370 REMIDI SENIORCARE 962 SOUTH DORSET TROY OH 45373 HEALTH CARE CONSULTING 2052706 OLD OAK GENERAL CONTRACTORS 5874 S IDDINGS RD WEST MILTON OH 45383 CONTRACTOR 1028135 RLPS LLP 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SERVICES 965304 INTELYCARE INC 1515 HANCOCK STREET SUITE 203 QUINCY MA 02169 HEALTH CARE STAFFING 917131 22 87651 184423 15729 272074 SERVICE FEES 623000 57450521 57450521 DEPARTMENTAL SERVICES 623000 963030 963030 58413551 1823250 1823250 193 193 199112 40368 158744 158744 127121 31623 38559284 37212432 26577 1346852 -26577 1320275 1320275 14800 87651 32590 -17790 -17790 CUSTOM SERVICES - MINISTER 623000 44462 44462 OTHER INCOME 623000 18892 18892 MINERAL LEASES 623000 4609 4609 987 987 68950 62039247 58413551 127121 3226501 X 8565 8565 43313 43313 1399776 578829 820947 25170065 23010188 1690882 468995 519618 474503 35402 9713 2854484 2556313 246787 51384 1936203 1721263 180664 34276 158353 158353 98898 98898 335224 335224 12458846 8051789 4399508 7549 454991 451022 3969 3933946 2716557 1143697 73692 892219 868219 24000 851114 695381 155733 506899 450627 47298 8974 220034 215748 4286 2346841 1917427 429414 3191537 2607565 583972 611774 499835 111939 BED TAXES 2113623 2113623 FOOD & DIETARY 1178277 1178277 BAD DEBT 309007 309007 DUES, SUBSCRIPTIONS AND 266031 258672 7359 216501 115004 101497 62076139 49263814 12118128 694197 2272389 2147014 53130 71220 9133302 10421233 2122828 2048118 91 91 519054 442917 92997771 25285175 69594843 67712596 57877637 63149880 8683297 13851868 1984172 3995968 4245582 39075 43391 154291614 166118082 16608167 19832141 54996564 52915174 53130 71220 402318 290167 26591391 27354610 98651570 100463312 X 47674011 56134458 7966033 9520312 55640044 65654770 154291614 166118082 X -36892 11247486 -1195868 X X 0 1 X 1 0 X 398883 174547 221161 227192 272074 1293857 37145884 46153413 54337058 56663652 58413551 252713558 15665 14300 14800 44765 37544767 46327960 54573884 56905144 58700425 254052180 26003 28091 18697 15592 24112 112495 0 26003 28091 18697 15592 24112 112495 253939685 1520282 1277621 1464282 1365368 2022555 7650108 1520282 1277621 1464282 1365368 2022555 7650108 98499 90822 273611 90008 68950 621890 39163548 47696403 56311777 58360520 60791930 262324178 0.96800 0.96410 0.02920 0.02960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 192,536. 2018 AMOUNT: $ 45,525. 2019 AMOUNT: $ 18,892. MINERAL LEASES - 2015 AMOUNT: $ 19,070. 2016 AMOUNT: $ 1,215. 2017 AMOUNT: $ 5,417. 2018 AMOUNT: $ 6,097. 2019 AMOUNT: $ 4,609. BEAUTY AND BARBER - 2015 AMOUNT: $ 47,842. 2016 AMOUNT: $ 65,751. 2017 AMOUNT: $ 51,155. 2018 AMOUNT: $ 12,097. 2019 AMOUNT: $ 987. MINISTER - 2015 AMOUNT: $ 31,587. 2016 AMOUNT: $ 23,856. 2017 AMOUNT: $ 22,840. 2018 AMOUNT: $ 26,289. 2019 AMOUNT: $ 44,462. DIETARY - 2017 AMOUNT: $ 1,663. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 17.80 1 0 0 1 X 21827555 72396 1059578 22959529 22959764 128786 -1179814 81181 21827555 20593091 430937 1962142 26406 22959764 19541903 613791 502959 65562 20593091 18182743 1574045 -201690 13195 19541903 0.01580 0.93730 0.04690 1 0 2608703 6735950 9344653 60165884 13466766 46699118 9539256 3548035 5991221 12120521 8270374 3850147 1827457 1827457 67712596 INTERCOMPANY INVESTMENTS 11861079 C INVESTMENT IN CARING COMMUNITIES 1990789 C 13851868 CAPITAL LEASE 657309 SPLIT-INTEREST AGREEMENT 116841 INTERCOMPANY PAYABLES 26580460 27354610 X PART II, LINE 9: THE CONSERVATION EASEMENT IS LOCATED AT THE SE CORNER OF THE INTERSECTION OF SR 741 AND SR 63 IN WARREN COUNTY, OHIO. IT IS IN PLACE TO PROTECT THE PHYSICAL, BIOLOGICAL AND CHEMICAL INTEGRITY OF THE LITTLE MIAMI RIVER WATERSHED AND IS UNDER THE ENFORCEMENT OF THE OHIO EPA. OTTERBEIN HOMES ENGAGED THE FIRM OF JF NEW IN 2008 FOR MITIGATION AND MONITORING. PART IV, LINE 2B: RESIDENT FUNDS ARE DEPOSITS HELD UNDER A FIDUCIARY RESPONSIBILITY AND ARE REQUIRED BY STATE REGULATION. PART V, LINE 4: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE ORGANIZATION MUST HOLD IN PERPETUITY OR FOR A DONOR-SPECIFIED PERIOD. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRESERVE AND GROW CAPITAL, STRIVE FOR CONSISTENT ABSOLUTE RETURNS, PRESERVE PURCHASING POWER BY STRIVING FOR LONG-TERM RETURNS WHICH EITHER MATCH OR EXCEED THE SET PAYOUT, FEES AND INFLATION WITHOUT PUTTING A PRINCIPAL VALUE AT IMPRUDENT RISK, AND DIVERSIFY INVESTMENTS CONSISTENT WITH COMMONLY ACCEPTED INDUSTRY STANDARD TO MINIMIZE THE RISK OF LARGE LOSSES. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. GOLF TOURNAMENT 102451 87651 14800 570 199 22049 598 9174 102451 87651 14800 570 199 22049 598 9174 32590 -17790 1 TUITION ASSISTANCE 21 43313 PART I, LINE 2: THE ORGANIZATION HAS TUITION REIMBURSEMENT POLICIES AND PROCEDURES IN PLACE TO MONITOR THE USE OF THESE FUNDS. INDIVIDUALS MUST RECEIVE A MINIMUM GRADE, CANNOT BE REIMBURSED UNTIL THEY HAVE COMPLETED THE CLASS AND MUST TURN IN DOCUMENTATION SUPPORTING THEIR GRADE AND THE TUITION COST PRIOR TO BEING REIMBURSED. X X X X X 0 0 0 0 0 0 0 0 0 JILL WILSON PRESIDENT/CEO 363130 0 97000 0 443 0 8400 0 12024 0 480997 0 0 0 JAMES C GREEN CFO/TREASURER 262835 0 54706 0 2989 0 7395 0 12024 0 339949 0 0 0 JASON MILLER VP OF OPERATIONS 292291 0 67408 0 1312 0 8435 0 12024 0 381470 0 0 0 DAN ARNOLD VP - NEIGHBORHOOD 155950 0 23400 0 1150 0 4835 0 12024 0 197359 0 0 0 GARY HORNING VICE PRESIDENT - MARKETING 193977 0 48260 0 2317 0 6032 0 12024 0 262610 0 0 0 PAMELA RICHMOND VP OF STRATEGIC PLANNING 190481 0 47942 0 2145 0 5928 0 12024 0 258520 0 0 0 LOIS MILLS VP OF HUMAN RESOURCES 167360 0 43248 0 4085 0 5312 0 12024 0 232029 0 0 0 KATHLEEN GEERS AVP - MARKETING 153266 0 36111 0 1194 0 1701 0 12024 0 204296 0 0 0 JEFF KMET VP - PROPERTY/CONSTRUCTION 146840 0 32376 0 2346 0 4183 0 0 0 185745 0 0 0 PART I, LINE 7 THE ORGANIZATION PAID FIXED PERCENTAGE PERFORMANCE BASED BONUSES DURING THE CURRENT YEAR. A COUNTY OF WARREN OHIO 316000058 93515PAY3 2013-07-11 65524971 REFUNDING 0 0 0 B COUNTY OF WARREN OHIO 316000058 93515PBV8 2014-10-29 33115757 REFUNDING AND CONSTRUCTION 0 0 0 C COUNTY OF WARREN OHIO 316000058 93515PCT2 2016-05-10 42126455 REFUNDING AND CONSTRUCTION 0 0 0 D COUNTY OF WARREN OHIO 316000058 93515PDQ7 2019-08-07 26712520 REFUND 2016B BONDS ISSUED 5/10/16 & 2017 BONDS ISSUED 12/22/17 0 0 0 A 27170000 65524971 754971 64770000 2013 1 0 1 1 B 2145000 33115757 579874 478825 25557058 6500000 2016 1 0 1 1 C 13620000 42126455 486455 12000000 29640000 2017 1 0 1 1 D 26712520 359657 26352863 2016 1 0 1 1 A 0 1 0 0 0.00130 0.00000 0.00130 0 0 1 B 0 1 0 0 0.00130 0.00000 0.00130 0 0 1 C 0 1 0 0 0.00130 0.00000 0.00130 0 0 1 D 0 1 0 0 0.00130 0.00000 0.00130 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COUNTY OF WARREN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 10/29/2019 SCHEDULE K, SERIES 2013A BONDS - COLUMN A THE SERIES 2013A BONDS WERE USED TO REFUND BONDS ISSUED 3/25/1998, 6/24/1998, 4/2/2007, AND 7/16/2009. SCHEDULE K, SERIES 2019A BONDS - COLUMN D THE SERIES 2019A BONDS WERE USED TO REFUND THE SERIES 2016B BONDS (ISSUED 5/10/16) AND THE 2017 BONDS (ISSUED 12/22/17). SCHEDULE K, SERIES 2019A BONDS - COLUMN E THE SERIES 2019B BONDS WERE USED TO REFUND THE TAXABLE SERIES 2018 BONDS (ISSUED 6/7/18). A CITY OF FRANLIN INDIANA 356001034 353593EB8 2019-08-07 25413026 REFUND 2018 TAXABLE BONDS ISSUED ON 6/1/18 0 0 0 A 25413026 366694 25046331 2018 0 1 1 1 A 0 1 0 0 0.00130 0.00000 0.00130 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE IRS FORM 990 IS PROVIDED TO AND REVIEWED BY THE OFFICERS AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH THE BY-LAWS, ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER, CORPORATE EXECUTIVE, EXECUTIVE DIRECTOR, OR ADMINISTRATIVE STAFF MEMBER, OR COMMITTEE MEMBERS, WHO ARE NOT MEMBERS OF THE BOARD OF TRUSTEES OF OTTERBEIN HOMES SHALL BE DISCLOSED TO THE BOARD AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES RELEVANT TO A MATTER OF BOARD ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT EXECUTIVE COMMITTEE OF THE OTTERBEIN HOMES BOARD OF TRUSTEES HAS THE RESPONSIBILITY FOR DETERMINING THE ANNUAL COMPENSATION FOR THE OFFICERS BY THE USE OF INDUSTRY SPECIFIC DATA SUCH AS SALARY SURVEYS FROM LEADING AGE AND LEADING AGE OHIO. THE SALARIES OF THE KEY EMPLOYEES ARE DETERMINED BY THE OFFICERS USING INDUSTRY COMPARATIVE DATA SUCH AS SALARY SURVEYS FROM LEADING AGE AND LEADING AGE OHIO. THE DELIBERATIONS AND DECISIONS REGARDING COMPENSATION ARE DOCUMENTED. THIS PROCESS WAS LAST PERFORMED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ANNUAL REPORT IS PROVIDED TO THE PUBLIC WHICH INCLUDES THE AUDITED FINANCIAL STATEMENT SUMMARY AND IS CERTIFIED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G NURSE AGENCY FEES/CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 6,407,981. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,407,981. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,643,808. MANAGEMENT AND GENERAL EXPENSES 612,248. FUNDRAISING EXPENSES 7,549. TOTAL EXPENSES 2,263,605. CORPORATE SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,796,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,796,760. PERFORMANCE APPRAISAL - CP ADMINISTRATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 990,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 990,500. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF GIFT ANNUITY -14,870. CHANGE IN MINIMUM PENSION LIABILITY -1,180,998. FORM 990, PART XII, LINE 2C THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED. CHARITY CARE POLICY OTTERBEIN HOMES MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND MAINTAINS A BENEVOLENT ASSISTANCE POLICY TO PROVIDE CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS WHO MEET CERTAIN CRITERIA. THE ORGANIZATION HAS ESTIMATED ITS DIRECT AND INDIRECT COSTS OF PROVIDING CARE UNDER ITS BENEVOLENT ASSISTANCE POLICY USING A COST-TO-CHARGE RATIO BASED UPON HISTORICAL OPERATING MARGINS. USING THIS METHODOLOGY, THE ORGANIZATION HAS ESTIMATES THE COSTS FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S BENEVOLENT ASSISTANCE POLICY AGGREGATED APPROMXIMATELY $289,000 FOR THE YEAR ENDED DECEMBER 31, 2019. 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