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OTTERBEIN PORTAGE VALLEY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OTTERBEIN PORTAGE VALLEY INC (EIN 34-1193296)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349305799
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)
EIN341193296EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OTTERBEIN PORTAGE VALLEY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOTTENameControl
Phone4198337000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line120311 PEMBERVILLE ROADAddressLine1
CityPEMBERVILLECity
StateOHState
ZIP Code43450ZIPCode

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 N SR 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code45036ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8976872GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OTTERBEIN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOTTERBEIN 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees191TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year195490ContributionsGrantsPriorYear
Contributions Grants Current Year124254ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8127321ProgramServiceRevenuePriorYear
Program Service Revenue CY8736978ProgramServiceRevenueCY
Investment Income Prior Year179124InvestmentIncomePriorYear
Investment Income Current Year99317InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8501935TotalRevenuePriorYear
Total Revenue Current Year8960549TotalRevenueCurrentYear
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 Year3423301SalariesEtcPriorYear
Salaries Etc Current Year3636650SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4438447OtherExpensePriorYear
Other Expenses Current Year4805045OtherExpensesCurrentYear
Total Expenses Prior Year7861748TotalExpensesPriorYear
Total Expenses Current Year8441695TotalExpensesCurrentYear
Revenues Less Expenses Prior Year640187RevenuesLessExpensesPriorYear
Revenues Less Expenses CY518854RevenuesLessExpensesCY
Total Assets BOY16017789TotalAssetsBOY
Total Assets EOY17819301TotalAssetsEOY
Total Liabilities BOY11348737TotalLiabilitiesBOY
Total Liabilities EOY12552529TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4669052NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5266772NetAssetsOrFundBalancesEOY
Mission DescriptionIN KEEPING WITH OUR UNITED METHODIST TRADITION WE SEEK TO ENHANCE THE QUALITY OF LIFE AND HOLISTIC GROWTH OF OLDER PERSONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7103710Expense
Revenue8736978Revenue
DescriptionOTTERBEIN 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.Description
Total Program Service Expense7103710TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees191NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 Venture0InvestmentInJointVenture
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 N SR 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code450368839ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
KEN AULT
TRUSTEE1.00X000
MORRIS BARLEY
RESIDENT REPRESENTATIVE1.00X000
CHERYL CONLEY
SECRETARY1.00X000X
ALICE DAVIS
TRUSTEE1.00X000
JOE FREDERICK
CHAIRPERSON1.00X000X
ARLENE LAYMAN
RESIDENT REPRESENTATIVE1.00X000
GLENN MADDY
TRUSTEE1.00X000
CHARLES MAHAN
EX-OFFICIO1.00X000
RUTH ANN MANGES
RESIDENT REPRESENTATIVE1.00X000
LARRY MOORE
TRUSTEE1.00X000
MICHAEL MOORE
TRUSTEE1.00X000
JAMES NOFZINGER
TRUSTEE1.00X000
J DOUGLAS RUCK
TRUSTEE1.00X000
BERNARD SANCHEZ
TRUSTEE1.00X000
CHARLES SHANFELT
TRUSTEE1.00X000
VICTOR SCHUERMAN
TRUSTEE1.00X000
LUANN SNYDER
TRUSTEE1.00X000
MARLEN YOST
TRUSTEE1.00X000
JILL HREBEN
PRESIDENT/CEO2.00032410319337X38.00
JAMES CHRISTOPHER GREEN
CFO/TREASURER2.0002268799602X38.00
THOMAS KEITH
ADMINISTRATOR40.00119117011628X
FieldValueIRS element (for citing)
Total Reportable Comp From Org119117TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs550982TotalReportableCompFrmRltdOrgs
Total Other Compensation40567TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CONCEPT REHAB INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17150 GRANITE CIRCLE SUITE 200AddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43617ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation623078Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions124254AllOtherContributions
Total Contributions124254TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENTIAL REVENUE &62300086110898611089
DEPARTMENTAL REVENUE623000125889125889
FieldValueIRS element (for citing)
Total Program Service Revenue8736978TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column115640TotalRevenueColumn
Exclusion$115,640ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other16323Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-16323Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-16323TotalRevenueColumn
Exclusion-$16,323ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8960549TotalRevenueColumn
Related Or Exempt Function Income8736978RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$99,317ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2829954Total
Program Services2542763ProgramServices
Management And General287191ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total180409Total
Program Services162101ProgramServices
Management And General18308ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total405044Total
Program Services363939ProgramServices
Management And General41105ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total221243Total
Program Services198791ProgramServices
Management And General22452ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1198Total
Management And General1198ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8573Total
Management And General8573ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1062749Total
Program Services990817ProgramServices
Management And General71932ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total676257Total
Program Services663450ProgramServices
Management And General12807ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13801Total
Program Services12400ProgramServices
Management And General1401ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total329926Total
Program Services323678ProgramServices
Management And General6248ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total890762Total
Program Services873892ProgramServices
Management And General16870ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total98635Total
Program Services96767ProgramServices
Management And General1868ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSE AGENCY FEES683291683291
CORPORATE SERVICE FEES511788511788
OTHER ADMINISTRATION255430255430
REFUNDABLE LIFE USE FEE174621174621

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total98014Total
Program Services17200ProgramServices
Management And General80814ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8441695Total
Program Services7103710ProgramServices
Management And General1337985ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY962845BOY
EOY862662EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY14253BOY
EOY15249EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY469546BOY
EOY429415EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY34354BOY
EOY35102EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY29485BOY
EOY23830EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26367507LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14366187LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11940046BOY
EOY12001320EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY4054801EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2148263BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY418997BOY
EOY396922EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16017789BOY
EOY17819301EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1669325BOY
EOY1802780EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1179851BOY
EOY2647466EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7805489BOY
EOY7316515EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY694072BOY
EOY785768EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11348737BOY
EOY12552529EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-120922BOY
EOY4731820EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4508017BOY
EOY230937EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY281957BOY
EOY304015EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4669052BOY
EOY5266772EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16017789BOY
EOY17819301EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses518854ReconcilationRevenueExpenses
Reconcilation Other Changes78866ReconcilationOtherChanges
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 Years71009CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52761CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year195490CurrentTaxYearMinus1Year
Current Tax Year124254CurrentTaxYear
Total543293Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7213621CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7764545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7878186CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8127321CurrentTaxYearMinus1Year
Current Tax Year8736978CurrentTaxYear
Total39720651Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7284630CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7817306CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7977965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8322811CurrentTaxYearMinus1Year
Current Tax Year8861232CurrentTaxYear
Total40263944Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1473CurrentTaxYearMinus1Year
Current Tax Year4860CurrentTaxYear
Total20861Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1473CurrentTaxYearMinus1Year
Current Tax Year4860CurrentTaxYear
Total20861Total
FieldValueIRS element (for citing)
Public Support Total50940243083PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25664CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years116019CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year179124CurrentTaxYearMinus1Year
Current Tax Year115640CurrentTaxYear
Total439654Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25664CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years116019CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year179124CurrentTaxYearMinus1Year
Current Tax Year115640CurrentTaxYear
Total439654Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7287837CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7842970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8093984CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8501935CurrentTaxYearMinus1Year
Current Tax Year8976872CurrentTaxYear
Total40703598Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98870PublicSupportPercentage509
Prior Year Support Percentage0.98780PriorYearSupportPercentage
Investment Income Percentage0.01080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01180PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis151422OtherCostOrOtherBasis
Book Value151422BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18917531OtherCostOrOtherBasis
Depreciation8802686Depreciation
Book Value10114845BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5268384OtherCostOrOtherBasis
Depreciation3933229Depreciation
Book Value1335155BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2030170OtherCostOrOtherBasis
Depreciation1630272Depreciation
Book Value399898BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12001320TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE PORTION OF REFUNDABLE LIFE USE FEES$427,784
SPLIT INTEREST AGREEMENT$78,828
DEFERRED COST OF INTEREST RATE SWAP$279,156
FieldValueIRS element (for citing)
Total Of Amounts785768TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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' 2011, 2010, AND 2009 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.Explanation

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 (2 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/CEO0324103000000019337034344000
JAMES CHRISTOPHER GREEN
CFO/TREASURER022687900000009602023648100

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM IS PROVIDED AND REVIEWED BY THE CHIEF FINANACIAL OFFICER BEFORE THE FORM IS FILLED. 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 12CTHE 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 15THE 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 19THE 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 129,357. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 153,034. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -17,991. CHANGE IN MINIMUM PENSION LIABILITY -185,534.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHERE HAS BEEN NO CHANGE TO THE SELECTION OR OVERSIGHT PROCESS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OTTERBEIN PORTAGE VALLEY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1580 NORTH STATE ROUTE 741AddressLine1
CityLEBANONCity
StateOHState
ZIP Code45036ZIPCode
FieldValueIRS element (for citing)
EIN270512972EIN
Primary ActivitiesREAL ESTATE HOLDING COMPANYPrimaryActivities
Legal Domicile StateOHLegalDomicileState
EOY Assets151422EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OTTERBEIN PORTAGE VALLEYBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
OTTERBEIN HOMES
580 NORTH STATE ROUTE 741LEBANONOH45036310549058PARENTOH501(C)(3)LINE 9N/A0
OTTERBEIN CRIDERSVILLE
100 RED OAK DRIVECRIDERSVILLEOH45806341940884RETIREMENT LIVING COMMUNITYOH501(C)(3)LINE 9N/A0
OTTERBEIN NORTH SHORE
9400 NORTH SHORE BLVDLAKESIDEOH43440341743836RETIREMENT LIVING COMMUNITYOH501(C)(3)LINE 9N/A0
OTTERBEIN ST MARYS
11230 STATE ROUTE 364ST MARYSOH45885341940880RETIREMENT LIVING COMMUNITYOH501(C)(3)LINE 9N/A0
OTTERBEIN LEBANON
585 STATE ROUTE 741LEBANONOH45036311743874RETIREMENT LIVING COMMUNITYOH501(C)(3)LINE 9N/A0
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 Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg