2014-11-17T15:25:26-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 1 BRONZE POINTE BELLEVILLE IL 62226 990 2013-01-01 341193296 OTTERBEIN PORTAGE VALLEY INC OTTE 4198337000 20311 PEMBERVILLE ROAD PEMBERVILLE OH 43450 J CHRISTOPHER GREEN CFO 5139335400 2014-11-17 1 JEFF PARKER P00970069 6182331200 2013 2015-11-30 17:44:51Z J CHRISTOPHER GREEN 580 N SR 741 LEBANON OH 45036 9514590 0 X WWW.OTTERBEIN.ORG X 1975 OH OTTERBEIN PORTAGE VALLEY IS A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES HOUSING AND SERVICES FOR OLDER ADULTS. 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 THE SURROUNDING COMMUNITIES. OTTERBEIN RESIDENTS AND STAFF VOLUNTEER THEIR TIME AND TALENTS AT OTTERBEIN PORTAGE VALLEY RETIREMENT LIVING COMMUNITY BUT ALSO FOR A NUMBER OF ORGANIZATIONS AND CAUSES IN THE GREATER COMMUNITY. 10 10 195 80 0 0 124254 61938 8736978 9211197 99317 241455 0 0 8960549 9514590 0 0 0 0 3636650 3816276 0 0 0 4805045 4989340 8441695 8805616 518854 708974 17819301 19083561 12552529 12230465 5266772 6853096 IN KEEPING WITH OUR UNITED METHODIST TRADITION WE SEEK TO ENHANCE THE QUALITY OF LIFE AND HOLISTIC GROWTH OF OLDER PERSONS. 0 0 7304879 9211197 OTTERBEIN PORTAGE VALLEY, INC. PROVIDES A CONTINUUM OF CARE INCLUDINGINDEPENDENT LIVING, ASSISTED LIVING, NURSING CARE, AND DEMENTIA CARE.REHABILITATION, SOCIAL SERVICES AND CHAPLAINCY SERVICES ARE AVAILABLETO ALL RESIDENTS.LOCAL GROUPS SUCH AS THE VETERANS, CHURCH CIRCLES, COMMUNITY CIVICGROUPS AND A HOST OF OTHERS USE OTTERBEIN AS A MEETING PLACE. INADDITION OTTERBEIN PROVIDES SPECIAL PROGRAMS AND EVENTS FOR THECOMMUNITY ON AN ONGOING BASIS. 7304879 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 29 0 195 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X J CHRISTOPHER GREEN 5139335400 580 N SR 741 LEBANON OH 450368839 KEN AULT TRUSTEE 1.00 X 0 0 0 CHERYL CONLEY SECRETARY 1.00 X X 0 0 0 ALICE DAVIS TRUSTEE 1.00 X 0 0 0 JOE FREDERICK CHAIRPERSON 1.00 X X 0 0 0 RUTH ANN MANGES RESIDENT REPRESENTATIVE 1.00 X 0 0 0 LARRY MOORE TRUSTEE 1.00 X 0 0 0 MICHAEL MOORE TRUSTEE 1.00 X 0 0 0 JAMES NOFZINGER TRUSTEE 1.00 X 0 0 0 J DOUGLAS RUCK TRUSTEE 1.00 X 0 0 0 VICTOR SCHUERMAN TRUSTEE 1.00 X 0 0 0 LUANN SNYDER TRUSTEE 1.00 X 0 0 0 JOAN HANKINS RESIDENT REPRESENTATIVE 1.00 X 0 0 0 ARLENE LAYMAN RESIDENT REPRESENTATIVE 1.00 X 0 0 0 JILL HREBEN PRESIDENT/CEO 2.00 38.00 X 0 335426 15186 JAMES CHRISTOPHER GREEN CFO/TREASURER 2.00 38.00 X 0 220646 13812 0 556072 28998 1 0 1 0 CONCEPT REHAB INC 7150 GRANITE CIRCLE SUITE 200 TOLEDO OH 43617 THERAPY SERVICES 580087 1 61938 497 61938 RESIDENTIAL REVENUE & 623000 9064636 9064636 DEPARTMENTAL REVENUE 623000 146561 146561 9211197 241205 241205 250 0 250 250 250 9514590 9211197 0 241455 2916576 2496381 420195 279336 239092 40244 389941 291858 98083 230423 195736 34687 2094 2094 8487 8487 1017191 769884 247307 719646 708195 11451 19371 9497 9874 295387 290687 4700 916704 902118 14586 89325 87904 1421 NURSE AGENCY FEES/CONTR 646829 646829 CORPORATE SERVICE FEES 549816 549816 OTHER ADMINISTRATION 78459 53066 25393 REFUNDABLE LIFE USE FEE 70423 70423 575608 543209 32399 8805616 7304879 1500737 0 862662 742328 15249 16317 429415 609700 35102 30337 23830 34272 26693737 15251414 12001320 11442323 4054801 5731791 396922 476493 17819301 19083561 1802780 1505287 2647466 501637 7316515 6796356 785768 3427185 12552529 12230465 X 4731820 6308079 230937 240867 304015 304150 5266772 6853096 17819301 19083561 X 708974 877350 X X 0 1 X 1 0 X 52761 99779 195490 124254 61938 534222 7764545 7878186 8127321 8736978 9211197 41718227 7817306 7977965 8322811 8861232 9273135 42252449 4508 5372 1473 4860 2276 18489 0 4508 5372 1473 4860 2276 18489 42233960 25664 116019 179124 115640 241205 677652 25664 116019 179124 115640 241205 677652 7842970 8093984 8501935 8976872 9514340 42930101 0.98380 0.98870 0.01580 0.01080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 151422 151422 19082495 9433018 9649477 5429650 4134221 1295429 2030170 1684175 345995 11442323 INVESTMENTS - CURRENT ASSETS 5324192 F INVESTMENTS - OTHER ASSETS 67056 F INVESTMENTS - RESTRICTED 340543 F 5731791 REFUNDABLE PORTION OF REFUNDABLE LIFE USE FEES 3359448 SPLIT INTEREST AGREEMENT 67737 3427185 X PART X, LINE 2: THE ORGANIZATIONS, EXCEPT FOR OTTERBEIN SERVICE CORPORATION, QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE CODE. THE ORGANIZATIONS ARE CLASSIFIED AS PUBLICLY SUPPORTED CHARITABLE ORGANIZATIONS UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATIONS QUALIFY AS CHARITABLE TAX DEDUCTIONS FOR THE CONTRIBUTOR. THE ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATIONS' 2012, 2011 AND 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. OTTERBEIN SERVICE CORPORATIONS IS AN INACTIVE FOR-PROFIT CORPORATION, AND IS LIABLE FOR INCOME TAXES ON ITS TAXABLE INCOME. 1 X X X X 0 0 0 0 0 0 0 0 0 JILL HREBEN PRESIDENT/CEO 0 335426 0 0 0 0 0 0 0 15186 0 350612 0 0 JAMES CHRISTOPHER GREEN CFO/TREASURER 0 220646 0 0 0 0 0 0 0 13812 0 234458 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM IS PROVIDED AND REVIEWED BY THE CHIEF FINANACIAL OFFICER BEFORE THE FORM IS FILED. A COMPLETE COPY OF THE 990 IS ALSO PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE 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. FORM 990, PART VI, SECTION B, LINE 15 THE 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. FORM 990, PART VI, SECTION C, LINE 19 THE ANNUAL REPORT IS PROVIDED TO THE PUBLIC WHICH INCLUDES THE AUDITED FINANCIAL STATEMENT SUMMARY. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN UNREALIZED GAINS/LOSSES 106,535. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 279,156. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -12,231. CHANGE IN MINIMUM PENSION LIABILITY 503,890. NET ASSETS RELEASEED FROM RESTRICTION 0. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE TO THE SELECTION OR OVERSIGHT PROCESS. OTTERBEIN PORTAGE VALLEY LLC 580 NORTH STATE ROUTE 741 LEBANON OH 45036 270512972 REAL ESTATE HOLDING COMPANY OH 151422 OTTERBEIN PORTAGE VALLEY OTTERBEIN HOMES 580 NORTH STATE ROUTE 741 LEBANON OH 45036 310549058 PARENT OH 501(C)(3) LINE 9 N/A 0 OTTERBEIN CRIDERSVILLE 100 RED OAK DRIVE CRIDERSVILLE OH 45806 341940884 RETIREMENT LIVING COMMUNITY OH 501(C)(3) LINE 9 N/A 0 OTTERBEIN NORTH SHORE 9400 NORTH SHORE BLVD LAKESIDE OH 43440 341743836 RETIREMENT LIVING COMMUNITY OH 501(C)(3) LINE 9 N/A 0 OTTERBEIN ST MARYS 11230 STATE ROUTE 364 ST MARYS OH 45885 341940880 RETIREMENT LIVING COMMUNITY OH 501(C)(3) LINE 9 N/A 0 OTTERBEIN LEBANON 585 STATE ROUTE 741 LEBANON OH 45036 311743874 RETIREMENT LIVING COMMUNITY OH 501(C)(3) LINE 9 N/A 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0