OTTERBEIN NORTH SHORE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OTTERBEIN NORTH SHORE (EIN 34-1743836)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201233189349301328
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T09:11:44-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341743836 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH SHORE RETIREMENT COMMUNITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 4197988203 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9400 NORTH SHORE BLVD | AddressLine1 |
| City | LAKESIDE | City |
| State | OH | State |
| ZIP Code | 43440 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | J Christopher Green | Name |
| Title | CFO | Title |
| Phone | 5139335400 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | J CHRISTOPHER GREEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 N SR 741 | AddressLine1 |
| City | Lebanon | City |
| State | OH | State |
| ZIP Code | 45036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4214048 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OTTERBEIN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | Otterbein North Shore 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 North Shore Retirement Living Community but also for a number of organizations and causes in the greater community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 98 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 107932 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 88703 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3700932 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4031329 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 65688 | InvestmentIncomePriorYear |
| Investment Income Current Year | 94016 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3874552 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4214048 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1543756 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1587940 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2381497 | OtherExpensePriorYear |
| Other Expenses Current Year | 2574530 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3925253 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4162470 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -50701 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 51578 | RevenuesLessExpensesCY |
| Total Assets BOY | 10567245 | TotalAssetsBOY |
| Total Assets EOY | 10392235 | TotalAssetsEOY |
| Total Liabilities BOY | 10051811 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10005777 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 515434 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 386458 | NetAssetsOrFundBalancesEOY |
| Mission Description | Our Mission - In keeping with our United Methodist tradition we seek to enhance the quality of life and holistic growth of older persons. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3389166 | Expense |
| Revenue | 4031329 | Revenue |
| Description | Otterbein North Shore Provides a Continuum of care including independent living, assisted living, nursing care, and dementia care. Rehabilitation, social services and chaplaincy services are available to all residents.Local groups such as the veterans, church circles, community civic groups and a host of others use Otterbein as a meeting place. In addition Otterbein provides special programs and events for the community on an ongoing basis. | Description |
| Total Program Service Expense | 3389166 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 98 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J CHRISTOPHER GREEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5139335400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 N SR 741 | AddressLine1 |
| City | LEBANON | City |
| State | OH | State |
| ZIP Code | 450368839 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Jerry Phelps | ||||||
| Chair | 1.00 | X | 0 | 0 | 0 | |
| Lynn App | ||||||
| Vice Chair | 1.00 | X | 0 | 0 | 0 | |
| Helen Rofkar | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Jim Stouffer Jr | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Rev Bruce Batchelor-Glader | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Neil Allen | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Phyllis Lane | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Carol Everson | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Tim Taylor | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Carol Morgan | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Bob Metheny | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Jill Hreben | ||||||
| President/CEO | 40.00 | 0 | 291250 | 16161 | X | |
| James Chris Green | ||||||
| Treasurer/CFO | 40.00 | 0 | 217255 | 13249 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 508505 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 29410 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concept Rehab Inc | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7150 Granite Circle | AddressLine1 |
| City | Toledo | City |
| State | OH | State |
| ZIP Code | 43617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Therapy Services | DescriptionOfServices |
| Compensation | 230029 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 88703 | AllOtherContributions |
| Noncash Contributions | 9198 | NoncashContributions |
| Total Contributions | 88703 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Resident Service Fees | 623000 | 3940030 | 3940030 |
| Departmental Revenue | 623000 | 91299 | 91299 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4031329 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93966 | TotalRevenueColumn |
| Exclusion | $93,966 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 50 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 50 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50 | TotalRevenueColumn |
| Exclusion | $50 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4214048 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4031329 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $94,016 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1203894 | Total |
| Program Services | 948511 | ProgramServices |
| Management And General | 255383 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53720 | Total |
| Program Services | 42324 | ProgramServices |
| Management And General | 11396 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134366 | Total |
| Program Services | 75091 | ProgramServices |
| Management And General | 59275 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195960 | Total |
| Program Services | 174177 | ProgramServices |
| Management And General | 21783 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9953 | Total |
| Management And General | 9953 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8936 | Total |
| Management And General | 8936 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 463749 | Total |
| Program Services | 379240 | ProgramServices |
| Management And General | 84509 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313472 | Total |
| Program Services | 306373 | ProgramServices |
| Management And General | 7099 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2124 | Total |
| Program Services | 331 | ProgramServices |
| Management And General | 1793 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271021 | Total |
| Program Services | 264883 | ProgramServices |
| Management And General | 6138 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 410905 | Total |
| Program Services | 401599 | ProgramServices |
| Management And General | 9306 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34417 | Total |
| Program Services | 33638 | ProgramServices |
| Management And General | 779 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Nurse Agency Fees/Contr | 268156 | 268156 | |
| Corporate Service Fees | 250221 | 250221 | |
| Refundable Life Use Fee | 248881 | 248881 | |
| Benevolent assistance | 147361 | 147361 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145334 | Total |
| Program Services | 98601 | ProgramServices |
| Management And General | 46733 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4162470 | Total |
| Program Services | 3389166 | ProgramServices |
| Management And General | 773304 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 271474 | BOY |
| EOY | 301820 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1618 | BOY |
| EOY | 2218 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14573 | BOY |
| EOY | 21382 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13455595 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4623233 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9042927 | BOY |
| EOY | 8832362 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 937679 | BOY |
| EOY | 929064 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298974 | BOY |
| EOY | 305389 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10567245 | BOY |
| EOY | 10392235 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 668659 | BOY |
| EOY | 751455 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1303388 | BOY |
| EOY | 1242045 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6686184 | BOY |
| EOY | 6627638 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1393580 | BOY |
| EOY | 1384639 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10051811 | BOY |
| EOY | 10005777 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3536491 | BOY |
| EOY | -3667399 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4045200 | BOY |
| EOY | 4047132 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6725 | BOY |
| EOY | 6725 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515434 | BOY |
| EOY | 386458 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10567245 | BOY |
| EOY | 10392235 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 51578 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -180554 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 202927 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56758 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 120798 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 107932 | CurrentTaxYearMinus1Year |
| Current Tax Year | 88703 | CurrentTaxYear |
| Total | 577118 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3176801 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3696774 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3868134 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3700932 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4031329 | CurrentTaxYear |
| Total | 18473970 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3379728 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3753532 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3988932 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3808864 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4120032 | CurrentTaxYear |
| Total | 19051088 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9145 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3510 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41015 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1263 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1175 | CurrentTaxYear |
| Total | 56108 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9145 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3510 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41015 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1263 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1175 | CurrentTaxYear |
| Total | 56108 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 18994980 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 125357 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -3845 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8031 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 93966 | CurrentTaxYear |
| Total | 294509 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 125357 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -3845 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8031 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 93966 | CurrentTaxYear |
| Total | 294509 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 46196 | CurrentTaxYearMinus2Years |
| Total | 46196 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3505085 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3749687 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4043159 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3879864 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4213998 | CurrentTaxYear |
| Total | 19391793 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97950 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97810 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01520 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01430 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 574075 | OtherCostOrOtherBasis |
| Book Value | 574075 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11401211 | OtherCostOrOtherBasis |
| Depreciation | 3606189 | Depreciation |
| Book Value | 7795022 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1280005 | OtherCostOrOtherBasis |
| Depreciation | 914907 | Depreciation |
| Book Value | 365098 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 200304 | OtherCostOrOtherBasis |
| Depreciation | 102137 | Depreciation |
| Book Value | 98167 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8832362 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Securities | Description |
| Book Value | 929064 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 929064 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Refundable portion of refundable life use fees | $201,380 |
| Split-interest agreement | $41,347 |
| Deferred cost of interest rate swap | $330,286 |
| Intercompany Payable | $811,626 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1384639 | TotalOfAmounts |
| Total Revenue | 4214048 | TotalRevenue |
| Total Expenses | 4162470 | TotalExpenses |
| Excess Or Deficit For Year | 51578 | ExcessOrDeficitForYear |
| Other | -$180,554 | OtherAmount |
| Total Adjustments | -180554 | TotalAdjustments |
| Excess Or Deficit Per FS | -128976 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4214048 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4214048 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4214048 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4162470 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4162470 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4162470 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | 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 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 Organization's 2010, 2009 and 2008 tax years are open for examination by the IRS. |
| Part XI, Line 8 - Other Adjustments: | change in fair value of interest rate swap -101510. change in value of split interest agreement -5654. Net Assets Released from Restriction 71174. Change in unrealized gains/losses -86889. change in minimum pension liablility -57675. Total to Schedule D, Part XI, Line 8: -180554. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jill Hreben | |||||||||||||
| 0 | 291250 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16161 | 0 | 307411 | 0 | 0 |
| James Chris Green | |||||||||||||
| 0 | 217255 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13249 | 0 | 230504 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990, Part VI, Section A, line 10: The 990's are prepared internally by a Senior Staff Accountant and the Controller. They are reviewed by the Chief Financial Officer and the external audit firm. | |
| Form 990, Part VI, Section B, line 12c | 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 the annual procedure or when the interest becomes relevant to a matter of board action. | |
| Form 990, Part VI, Section B, line 15 | 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 18 | Form 990, Part VI Section C, line 19: The annual report is provided to the public which includes the audited financial statement summary. | |
| Form 990, Part VI, Section C, line 19 | Form 990, Part VI, Section C, line 19: The governing documents and conflict of interest policy are available upon request. | |
| Form 990, Part XI, line 5: | change in fair value of interest rate swap -101510. change in value of split interest agreement -5654. Net Assets Released from Restriction 71174. Change in unrealized gains/losses -86889. change in minimum pension liablility -57675. Total to Form 990, Part XI, Line 5: -180554. | Changes in Net Assets or Fund Balances: |
| Form 990, Page 12, Part XII, Line 2c: | There have been no changes in the oversight or the selection of an independent accountant from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Otterbein Homes | ||||||||||
| 580 North State Route 741 | Lebanon | OH | 45036 | 310549058 | Parent | OH | 501(c)(3) | 509(a)(2) | N/A | 0 |
| Otterbein Cridersville | ||||||||||
| 100 Red Oak Drive | Cridersville | OH | 45806 | 341940884 | Retirement Living Community | OH | 501(c)(3) | 509(a)(2) | N/A | 0 |
| Otterbein Portage Valley | ||||||||||
| 20311 Pemberville Rd | Pemberville | OH | 43450 | 341193296 | Retirement Living Community | OH | 501(c)(3) | 509(a)(2) | N/A | 0 |
| Otterbein St Marys | ||||||||||
| 11230 State Route 364 | St Marys | OH | 45885 | 341940880 | Retirement Living Community | OH | 501(c)(3) | 509(a)(2) | N/A | 0 |
| Otterbein Lebanon | ||||||||||
| 585 North State 741 | Lebanon | OH | 45036 | 311743874 | Retirement Living Community | OH | 501(c)(3) | 509(a)(2) | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Otterbein Homes | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionType |
| Amount Involved | 250221 | AmountInvolved |
| Method Of Amt Determination | Percentage of revenue | MethodOfAmtDetermination |