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OTTERBEIN HOMES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OTTERBEIN HOMES (EIN 31-0549058)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349305749
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T15:46:19-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 BRONZE POINTEAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code62226ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310549058EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OTTERBEIN HOMESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOTTENameControl
Phone5139322020Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1580 NORTH STATE ROUTE 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code450368839ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJ CHRISTOPHER GREENName
TitleCFOTitle
Phone5139335400Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF PARKERName
PTINP00970069PTIN
Phone6182331200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ CHRISTOPHER GREENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1580 NORTH SR 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code450368839ZIPCode
FieldValueIRS element (for citing)
Gross Receipts68542192GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OTTERBEIN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1912YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOTTERBEIN HOMES IS AN ORGANIZATION OF CONTINUING CARE RETREMENT COMMUNITIES THAT PROVIDE HOUSING AND SERVICES TO ELDERS. 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees772TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI190253TotalGrossUBI
Net Unrelated Business Txbl Income-53426NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year163156ContributionsGrantsPriorYear
Contributions Grants Current Year232406ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27068890ProgramServiceRevenuePriorYear
Program Service Revenue CY29594091ProgramServiceRevenueCY
Investment Income Prior Year3462615InvestmentIncomePriorYear
Investment Income Current Year3237518InvestmentIncomeCurrentYear
Other Revenue Prior Year291680OtherRevenuePriorYear
Other Revenue Current Year269109OtherRevenueCurrentYear
Total Revenue Prior Year30986341TotalRevenuePriorYear
Total Revenue Current Year33333124TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14984070SalariesEtcPriorYear
Salaries Etc Current Year16558427SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year729956TotalFundrsngExpCurrentYear
Other Expense Prior Year13812161OtherExpensePriorYear
Other Expenses Current Year14538053OtherExpensesCurrentYear
Total Expenses Prior Year28796231TotalExpensesPriorYear
Total Expenses Current Year31096480TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2190110RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2236644RevenuesLessExpensesCY
Total Assets BOY110135315TotalAssetsBOY
Total Assets EOY117548976TotalAssetsEOY
Total Liabilities BOY67221696TotalLiabilitiesBOY
Total Liabilities EOY68949071TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY42913619NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48599905NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION - IN KEEPING WITH OUR UNITED METHODIST TRADITION WE SEEKTO ENHANCE THE QUALITY OF LIFE AND HOLISTIC GROWTH OF OLDER PERSONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22957402Expense
Revenue29594091Revenue
DescriptionOTTERBEIN HOMES PROVIDES MANAGEMENT AND SUPPORT SERVICES FOR ITS FIVE CONTINUING CARE RETIREMENT COMMUNITIES, SMALL HOUSE NURSING HOME NEIGHBORHOODS THROUGHOUT OHIO AND A HOME HEALTH 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 ITS COMMUNITIES OF LEBANON, CRIDERSVILLE, ST. MARY'S, PORTAGE VALLEY, NORTH SHORE, AND THE SMALL HOUSES AT PERRYSBURG, MONCLOVA, SPRINGBORO, MIDDLETOWN AND MAINEVILLE, OTTERBEIN SERVES OVER 3,000 PERSONS.Description
Total Program Service Expense22957402TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109692NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees772NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJ CHRISTOPHER GREENNamePerson
Telephone Number5139335400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1580 NORTH SR 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code450368839ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
REV BRIAN BROWN
TRUSTEE1.00X000
REV MARLA BROWN
TRUSTEE1.00X000
BILL BROWNSON
TRUSTEE1.00X000
REV GEORGE CAMPBELL
TRUSTEE1.00X000
REV LEROY CHAMBLISS
TRUSTEE1.00X000
ROGER CLARK
TRUSTEE1.00X000
TOM COMPTON
TRUSTEE1.00X000
JAMES DUNHAM
TRUSTEE1.00X000
JIM FENTON JR
TRUSTEE1.00X000
REV CYNDY GARN
SECRETARY1.00X000X
ROBERT GLASER
TRUSTEE1.00X000
REV TOM HANOVER
TRUSTEE1.00X000
CHARLES MAHAN
CHAIR1.00X000X
MICHAEL MCCARTY
TRUSTEE1.00X000
LEROY MCKAY
TRUSTEE1.00X000
MEL MILLER
TRUSTEE1.00X000
PAMELA NICKELL
TRUSTEE1.00X000
ZAN PETRIE
TRUSTEE1.00X000
GEORGE SEHI
TRUSTEE1.00X000
TINA BASINGER
TRUSTEE1.00X000
WILLIAM THORN
TRUSTEE1.00X000
JOHN WASHBURN
TRUSTEE1.00X000
STEPHEN WILSON
VICE CHAIR1.00X000X
JOE WOLF
TRUSTEE1.00X000
DAVID WOODYARD
TRUSTEE1.00X000
LYNN APP
TRUSTEE1.00X000
JOE FREDERICK
TRUSTEE1.00X000
PATTY CISCO
TRUSTEE1.00X000
RUTH FLOYD
TRUSTEE1.00X000
JILL HREBEN
PRESIDENT/CEO38.00324103019337X2.00
JAMES C GREEN
CFO/VP FINANCE38.0022687909602X2.00
GARY HORNING
VP MARKETING40.00201009012764X
LOIS MILLS
VP OF HUMAN RESOURCES40.00172526011640X
SUE MCCONN
VP40.00177563027257X
PAMELA RICHMOND
VP OF STRATEGIC PLANNING40.00155708014727X
SONDRA MARKER
ASSISTANT VP OF MARKETING40.0013390204865X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1391690TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation100192TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CONCEPT REHAB INC
7150 GRANITE CIRCLE SUITE 200TOLEDOOH43617THERAPY SERVICES1670492
DIGITEL COMMUNICATIONS
406 BLANKENBAKER PARKWAY SUITE 1LOUISVILLEKY40243TECHNOLOGY SERVICES306235
ESCO TECHNOLOGIES LLC
7372 LIBERTY ONE DRIVELIBERTY TOWNSHIPOH45044TELEPHONE SERVICES190546
GRAYDON HEAD & RITCHEY
PO BOX 6464CINCINNATIOH452016464LEGAL SERVICES170095
B-1 TECHNOLOGIES
7723 TYLERS PLACE BLVD 324WEST CHESTEROH45069TECHNOLOGY SERVICES153930
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Fundraising Events170130FundraisingEvents
All Other Contributions62276AllOtherContributions
Noncash Contributions5061NoncashContributions
Total Contributions232406TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYMENTS6230001700400317004003
SERVICE FEES5419001182862511828625
DEPARTMENTAL SERVICES623000761463761463
FieldValueIRS element (for citing)
Total Program Service Revenue29594091TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column944001TotalRevenueColumn
Exclusion$944,001ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real347115Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real83329Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real263786Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column263786TotalRevenueColumn
Unrelated Business Revenue190253UnrelatedBusinessRevenue
Exclusion$73,533ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities37392974Securities
Other1394Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities35098371Securities
Other2480Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2294603Securities
Other-1086Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2293517TotalRevenueColumn
Exclusion$2,293,517ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events12350GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events170130CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses24888FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-12538TotalRevenueColumn
Exclusion-$12,538ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code623000BusinessCode
Total Revenue Column17861TotalRevenueColumn
Exclusion$17,861ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17861TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33333124TotalRevenueColumn
Related Or Exempt Function Income29594091RelatedOrExemptFunctionIncome
Unrelated Business Revenue190253UnrelatedBusinessRevenue
Exclusion$3,316,374ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1719916Total
Management And General1719916ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11348543Total
Program Services10999019ProgramServices
Fundraising349524Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total819666Total
Program Services689869ProgramServices
Management And General129797ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1671203Total
Program Services1349347ProgramServices
Management And General253876ManagementAndGeneral
Fundraising67980Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total999099Total
Program Services818779ProgramServices
Management And General154051ManagementAndGeneral
Fundraising26269Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total64883Total
Management And General60757ManagementAndGeneral
Fundraising4126Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total57893Total
Management And General57893ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2171175Total
Program Services2171175ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total438290Total
Management And General306509ManagementAndGeneral
Fundraising131781Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3016589Total
Program Services2659678ProgramServices
Management And General290341ManagementAndGeneral
Fundraising66570Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total256741Total
Management And General256741ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1583368Total
Program Services1352997ProgramServices
Management And General230371ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total305245Total
Program Services231402ProgramServices
Management And General43538ManagementAndGeneral
Fundraising30305Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1092352Total
Program Services933421ProgramServices
Management And General158931ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1687563Total
Program Services1442032ProgramServices
Management And General245531ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total193566Total
Program Services165403ProgramServices
Management And General28163ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraisingProgram ServicesProgramServices
OTHER ADMINISTRATION1585315154198143334
CORPORATE SERVICE FEES14870021487002
BAD DEBT346049346049
STAFF DEVELOPMENT1162565708110548

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total135766Total
Program Services33732ProgramServices
Management And General97675ManagementAndGeneral
Fundraising4359Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31096480Total
Program Services22957402ProgramServices
Management And General7409122ManagementAndGeneral
Fundraising729956Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY53455EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2986249BOY
EOY2672709EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1545107BOY
EOY2149765EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY232682BOY
EOY183731EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50680182LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11235327LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40395766BOY
EOY39444855EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY50644168BOY
EOY57265168EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY325000BOY
EOY325000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14006343BOY
EOY15454293EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY110135315BOY
EOY117548976EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10713536BOY
EOY11276470EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY32291922BOY
EOY31198918EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24216238BOY
EOY26473683EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY67221696BOY
EOY68949071EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY48716699BOY
EOY54127483EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-11272862BOY
EOY-11259594EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5469782BOY
EOY5732016EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42913619BOY
EOY48599905EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY110135315BOY
EOY117548976EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2236644ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4627486ReconciliationUnrealizedInvest
Reconcilation Other Changes-1177844ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years364947CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years217962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1388157CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year163156CurrentTaxYearMinus1Year
Current Tax Year232406CurrentTaxYear
Total2366628Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10547394CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18325253CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23126500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27068889CurrentTaxYearMinus1Year
Current Tax Year29594091CurrentTaxYear
Total108662127Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10912341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18543215CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24514657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27232045CurrentTaxYearMinus1Year
Current Tax Year29826497CurrentTaxYear
Total111028755Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12389CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43720CurrentTaxYearMinus1Year
Current Tax Year27768CurrentTaxYear
Total120833Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12389CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43720CurrentTaxYearMinus1Year
Current Tax Year27768CurrentTaxYear
Total120833Total
FieldValueIRS element (for citing)
Public Support Total509110907922PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1483970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1174737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1067119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1099387CurrentTaxYearMinus1Year
Current Tax Year1291116CurrentTaxYear
Total6116329Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1483970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1174737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1067119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1099387CurrentTaxYearMinus1Year
Current Tax Year1291116CurrentTaxYear
Total6116329Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years28575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33349CurrentTaxYearMinus1Year
Current Tax Year17861CurrentTaxYear
Total107373Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12396311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19746527CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25609364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28364781CurrentTaxYearMinus1Year
Current Tax Year31135474CurrentTaxYear
Total117252457Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94590PublicSupportPercentage509
Prior Year Support Percentage0.93590PriorYearSupportPercentage
Investment Income Percentage0.05220InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.06220PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2009 AMOUNT: $ 28,575. 2010 AMOUNT: $ 27,588. 2011 AMOUNT: $ 33,349. 2012 AMOUNT: $ 17,861.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Total Number Of Easements1TotalNumberOfEasements
Total Acreage17.80TotalAcreage
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring0WrittenPolicyMonitoring

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15133764BeginningOfYearBalance
Contributions760932Contributions
Investment Earnings Or Losses432771InvestmentEarningsOrLosses
Other Expenditures78923OtherExpenditures
End Of Year Balance16248544EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14678280BeginningOfYearBalance
Contributions601051Contributions
Investment Earnings Or Losses-107752InvestmentEarningsOrLosses
Other Expenditures37815OtherExpenditures
End Of Year Balance15133764EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14026059BeginningOfYearBalance
Contributions284760Contributions
Investment Earnings Or Losses384474InvestmentEarningsOrLosses
Other Expenditures17013OtherExpenditures
End Of Year Balance14678280EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13222168BeginningOfYearBalance
Contributions500699Contributions
Investment Earnings Or Losses303192InvestmentEarningsOrLosses
End Of Year Balance14026059EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13249657BeginningOfYearBalance
Contributions93616Contributions
Investment Earnings Or Losses-121105InvestmentEarningsOrLosses
End Of Year Balance13222168EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01900BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.96760PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01340TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4567791OtherCostOrOtherBasis
Book Value4567791BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34369099OtherCostOrOtherBasis
Depreciation4748799Depreciation
Book Value29620300BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7561839OtherCostOrOtherBasis
Depreciation5224053Depreciation
Book Value2337786BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4181453OtherCostOrOtherBasis
Depreciation1262475Depreciation
Book Value2918978BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39444855TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED FINANCE COST994050
CIP1859807
UNEXPECTED BOND PROCEED & SINKING FUND526575
INVESTMENTS6601962
OTHER PROPERTY2414500
RESIDENT TRUST21211
LAND HELD FOR RESALE3036188
FieldValueIRS element (for citing)
Total Book Value Other Assets15454293TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE$2,046,968
SPLIT-INTEREST AGREEMENT$226,123
DEFERRED COST OF INTEREST RATE SWAP$363,567
RESIDENT TRUST$21,211
INTERCOMPANY PAYABLES$23,815,814
FieldValueIRS element (for citing)
Total Of Amounts26473683TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS:PART II, LINE 9:THE CONSERVATION EASEMENT IS LOCATED AT 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 ENGAGEMENT THE FIRM OF JF NEW IN 2008 FOR MITIGATION AND MONITORING.
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATION HAS ADPOTED 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 THA 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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFIES AS A 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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DILGARD TOURNAMENT (GOLF)NameOfEvent1
Gross Receipts Event157685GrossReceiptsEvent1
Charitable Contributions Event145335CharitableContributionsEvent1
Gross Revenue Event112350GrossRevenueEvent1
Other Direct Expenses Event124888OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2124795GrossReceiptsEvent2
Charitable Contributions Event2124795CharitableContributionsEvent2
Gross Receipts Total182480GrossReceiptsTotal
Charitable Contributions Total170130CharitableContributionsTotal
Gross Revenue Total Events12350GrossRevenueTotalEvents
Other Direct Expenses Total Events24888OtherDirectExpensesTotalEvents
Direct Expense Summary Events24888DirectExpenseSummaryEvents
Net Income Summary-12538NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JILL HREBEN
PRESIDENT/CEO3241030000000193370343440000
JAMES C GREEN
CFO/VP FINANCE226879000000096020236481000
GARY HORNING
VP MARKETING2010090000000127640213773000
LOIS MILLS
VP OF HUMAN RESOURCES1725260000000116400184166000
SUE MCCONN
VP1775630000000272570204820000
PAMELA RICHMOND
VP OF STRATEGIC PLANNING1557080000000147270170435000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COUNTY OF WARREN OHIO
A31600005893515PAC12007-04-0217605000RENOVATION AND CONSTRUCTION000
COUNTY OF WARREN OHIO
B31600005893515PAF42009-07-1620000000CONSTRUCTION000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A193000017605000383026996271712234720080011
B1020000200000003438992319771942412420100011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000001
B0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
DEUTSCHE BANK
A0001112.90000000000000001
(no name)
B010010001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJILL HREBENNamePerson
FieldValueIRS element (for citing)
RelationshipCEO/PRESIDENT OF OTTERBEIN HOMES & BOARD REPRESENTATIVE OF CCICRelationship
Amount Of Transaction653000AmountOfTransaction
Description Of TransactionCARING COMMUNITES INSURANCE COMPANY (CCIC) - OTTERBEIN HOMES HAS A CLAIMS MADE POLICY FOR GENERAL LIABILITY INSURANCE. HS. HREBEN ALSO SERVES ON THE BOARD OF DIRECTORS OF CCIC. DURING 2012, OTTERBEIN HOMES PAID INSURANCE PREMIUMS TO CCIC TOTALING APPROXIMATELY $653,000. MS. HREBEN RECEIVES NO PERSONAL BENEFIT FROM THIS RELATIONSHIP.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CIN 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 15AN AD HOC 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 19THE 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 XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 5,739. CHANGE IN FAIR VALUE OF SPLIT INTEREST AGREEMENT -16,290. CHANGE IN MINIMUM PENSION LIABILITY -1,030,706. TRANSFERS OF UNRESTRICTED NET ASSETS -101,208. RESTRICTED FUND ADJUSTMENTS -35,379.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
OTTERBEIN PERRYSBURG LLC
580 N STATE ROUTE 741LEBANONOH45036205493322DEVELOP AND OPERATE SMALL HOUSE NEIGHHOODS - PROVIDING SKILLED NURSING CAREOH42936526928670OTTERBEIN HOMES
OTTERBEIN MONCLOVA LLC
580 N STATE ROUTE 741LEBANONOH45036205493287DEVELOP AND OPERATE SMALL HOUSE NEIGHHOODS - PROVIDING SKILLED NURSING CAREOH42194407906742OTTERBEIN HOMES
OTTERBEIN CLEARCREEK LLC
580 N STATE ROUTE 741LEBANONOH45036260731207DEVELOP AND OPERATE SMALL HOUSE NEIGHHOODS - PROVIDING SKILLED NURSING CAREOH42668467495549OTTERBEIN HOMES
OTTERBEIN MIDDLETOWN LLC
580 N STATE ROUTE 741LEBANONOH45036260731330DEVELOP AND OPERATE SMALL HOUSE NEIGHHOODS - PROVIDING SKILLED NURSING CAREOH50238577522181OTTERBEIN HOMES
OTTERBEIN HOLDING LLC
580 N STATE ROUTE 741LEBANONOH45036205493357REAL ESTATE HOLDING COMPANYOH1890467OTTERBEIN HOMES
OTTERBEIN INDEPENDENT LIVING SERVICES LLC
580 N STATE ROUTE 741LEBANONOH45036263554627CLINICOH61733482306OTTERBEIN HOMES
OTTERBEIN PROPERTIES LLC
580 N STATE ROUTE 741LEBANONOH45036270543473REAL ESTATE DEVELOPMENTOHOTTERBEIN HOMES
OTTERBEIN HOME HEALTH
580 N STATE ROUTE 741LEBANONOH45036271049483HOME HEALTH SERVICESOH952533597219OTTERBEIN HOMES
OTTERBEIN MAINEVILLE LLC
580 N STATE ROUTE 741LEBANONOH45036205952379DEVELOP AND OPERATE SMALL HOUSE NEIGHHOODS - PROVIDING SKILLED NURSING CAREOH48170628932655OTTERBEIN HOMES

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
OTTENBEIN ST MARYS
11230 STATE ROUTE 364ST MARYSOH45885341940880CONTINUING CARE RETIREMENT COMMUNITYOH501(C)(3)LINE 9OTTERBEIN HOMES1
OTTERBEIN LEBANON
585 NORTH STATE ROUTE 741LEBANONOH45036311743874CONTINUING CARE RETIREMENT COMMUNITYOH501(C)(3)LINE 9OTTERBEIN HOMES1
OTTERBEIN NORTH SHORE
9400 NORTH SHORE BLVDLAKESIDEOH43440341743836CONTINUING CARE RETIREMENT COMMUNITYOH501(C)(3)LINE 9OTTERBEIN HOMES1
OTTERBEIN PORTAGE VALLEY
20311 PEMBERVILLE ROADPEMBERVILLEOH43450341193296CONTINUING CARE RETIREMENT COMMUNITYOH501(C)(3)LINE 9OTTERBEIN HOMES1
OTTERBEIN CRIDERSVILLE
100 RED OAK DRIVECRIDERSVILLEOH45806341940884CONTINUING CARE RETIREMENT COMMUNITYOH501(C)(3)LINE 9OTTERBEIN HOMES1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OTTERBEIN SERVICES CORPORATION (INACTICE)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1580 N STATE ROUTE 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code45036ZIPCode
FieldValueIRS element (for citing)
EIN311293054EIN
Primary ActivityINACTIVEPrimaryActivity
Legal Domicile StateOHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OTTERBEIN HOMESBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OTTERBEIN PERRYSBERG
L260229PERCENTAGE OF REVENUE
OTTERBEIN MONCLOVA
L256620PERCENTAGE OF REVENUE
OTTERBEIN CLEARCREEK
L261588PERCENTAGE OF REVENUE
OTTERBEIN MIDDLETOWN
L324576PERCENTAGE OF REVENUE
OTTERBEIN MAINEVILLE
L266304PERCENTAGE OF REVENUE
OTTERBEIN HOME HEALTH SERVICES
L56431PERCENTAGE OF REVENUE
OTTERBEIN INDEPENDENT LIVING SUPPORT SERVICES
L61254PERCENTAGE OF REVENUE
OTTERBEIN CRIDERSVILLE
L494795PERCENTAGE OF REVENUE
OTTERBEIN LEBANON
L2042957PERCENTAGE OF REVENUE
OTTERBEIN ST MARYS
L586327PERCENTAGE OF REVENUE
OTTERBEIN NORTH SHORE
L265861PERCENTAGE OF REVENUE
OTTERBEIN PORTAGE VALLEY
L511788