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OTTERBEIN PORTAGE VALLEY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OTTERBEIN PORTAGE VALLEY INC (EIN 34-1193296)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349301403
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

FieldValueIRS element (for citing)
Timestamp2012-11-13T09:11:44-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts8501935GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees184TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year99779ContributionsGrantsPriorYear
Contributions Grants Current Year195490ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7878186ProgramServiceRevenuePriorYear
Program Service Revenue CY8127321ProgramServiceRevenueCY
Investment Income Prior Year117866InvestmentIncomePriorYear
Investment Income Current Year179124InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8095831TotalRevenuePriorYear
Total Revenue Current Year8501935TotalRevenueCurrentYear
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 Year3383809SalariesEtcPriorYear
Salaries Etc Current Year3423301SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4393023OtherExpensePriorYear
Other Expenses Current Year4438447OtherExpensesCurrentYear
Total Expenses Prior Year7776832TotalExpensesPriorYear
Total Expenses Current Year7861748TotalExpensesCurrentYear
Revenues Less Expenses Prior Year318999RevenuesLessExpensesPriorYear
Revenues Less Expenses CY640187RevenuesLessExpensesCY
Total Assets BOY16050824TotalAssetsBOY
Total Assets EOY16017789TotalAssetsEOY
Total Liabilities BOY11555095TotalLiabilitiesBOY
Total Liabilities EOY11348737TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4495729NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4669052NetAssetsOrFundBalancesEOY
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
Expense6615922Expense
Revenue8127321Revenue
DescriptionOtterbein Portage Valley, inc. 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 Expense6615922TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees184NumberOfEmployees
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
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1J CHRISTOPHER GREENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5139335400TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Joe Frederick
Chair1.00X000
Charles Shanfelt
Vice-Chair1.00X000
Cheryl Conley
Secretary1.00X000
Larry Moore
Trustee1.00X000
Paul Blausey
Trustee1.00X000
Glenn Maddy
Trustee1.00X000
Michael Moore
Trustee1.00X000
James Nofzinger
Trustee1.00X000
Ken Ault
Trustee1.00X000
Bernard Sanchez
Trustee1.00X000
J Douglas Ruck
Trustee1.00X000
Luann Snyder
Trustee1.00X000
Alice Davis
Trustee1.00X000
Charles Skip Mahan
Trustee1.00X000
Vic Schuerman
Trustee1.00X000
Jill Hreben
President/CEO40.00029125016161X
James Christopher Green
Treasurer/CFO40.00021725513249X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs508505TotalReportableCompFrmRltdOrgs
Total Other Compensation29410TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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 CircleAddressLine1
CityToledoCity
StateOHState
ZIP Code43617ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapy ServicesDescriptionOfServices
Compensation476952Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions195490AllOtherContributions
Noncash Contributions14039NoncashContributions
Total Contributions195490TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident revenue & fee62300079975567997556
Departmental Revenue623000129765129765
FieldValueIRS element (for citing)
Total Program Service Revenue8127321TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column179124TotalRevenueColumn
Exclusion$179,124ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8501935TotalRevenueColumn
Related Or Exempt Function Income8127321RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$179,124ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2682745Total
Program Services2340021ProgramServices
Management And General342724ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total133066Total
Program Services116067ProgramServices
Management And General16999ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total188697Total
Program Services121624ProgramServices
Management And General67073ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total418793Total
Program Services391342ProgramServices
Management And General27451ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5502Total
Management And General5502ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8935Total
Management And General8935ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total906424Total
Program Services703427ProgramServices
Management And General202997ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total704308Total
Program Services693063ProgramServices
Management And General11245ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16537Total
Program Services8937ProgramServices
Management And General7600ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total352610Total
Program Services346980ProgramServices
Management And General5630ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total868007Total
Program Services854148ProgramServices
Management And General13859ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total76788Total
Program Services75562ProgramServices
Management And General1226ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Nurse Agency Fees/Contr548895548895
Corporate Service Fees484200484200
Other Administration23752120503032491
Refundable Life Use Fee148598148598

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total80122Total
Program Services62228ProgramServices
Management And General17894ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7861748Total
Program Services6615922ProgramServices
Management And General1245826ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY446510BOY
EOY962845EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY22200BOY
EOY14253EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY515080BOY
EOY469546EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY42258BOY
EOY34354EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18572BOY
EOY29485EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25415471LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13475425LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12318387BOY
EOY11940046EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1965780BOY
EOY2148263EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY722037BOY
EOY418997EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16050824BOY
EOY16017789EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1432272BOY
EOY1669325EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1094922BOY
EOY1179851EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8155486BOY
EOY7805489EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY872415BOY
EOY694072EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11555095BOY
EOY11348737EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-146329BOY
EOY-120922EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4475858BOY
EOY4508017EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY166200BOY
EOY281957EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4495729BOY
EOY4669052EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16050824BOY
EOY16017789EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses640187ReconcilationRevenueExpenses
Reconcilation Other Changes-466864ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years219716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71009CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52761CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year99779CurrentTaxYearMinus1Year
Current Tax Year195490CurrentTaxYear
Total638755Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8702508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7213621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7764545CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7878186CurrentTaxYearMinus1Year
Current Tax Year8127321CurrentTaxYear
Total39686181Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8922224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7284630CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7817306CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7977965CurrentTaxYearMinus1Year
Current Tax Year8322811CurrentTaxYear
Total40324936Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years4648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5372CurrentTaxYearMinus1Year
Current Tax Year1473CurrentTaxYear
Total16001Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years4648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5372CurrentTaxYearMinus1Year
Current Tax Year1473CurrentTaxYear
Total16001Total
FieldValueIRS element (for citing)
Public Support Total50940308935PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157103CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25664CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year116019CurrentTaxYearMinus1Year
Current Tax Year179124CurrentTaxYear
Total481117Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157103CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25664CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year116019CurrentTaxYearMinus1Year
Current Tax Year179124CurrentTaxYear
Total481117Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9079327CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7287837CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7842970CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8093984CurrentTaxYearMinus1Year
Current Tax Year8501935CurrentTaxYear
Total40806053Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98780PublicSupportPercentage509
Prior Year Support Percentage0.99050PriorYearSupportPercentage
Investment Income Percentage0.01180InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00920PriorYrInvestIncomePercentage
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 Basis18467951OtherCostOrOtherBasis
Depreciation8188676Depreciation
Book Value10279275BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4770828OtherCostOrOtherBasis
Depreciation3737285Depreciation
Book Value1033543BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2025270OtherCostOrOtherBasis
Depreciation1549464Depreciation
Book Value475806BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11940046TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOther SecuritiesDescription
Book Value2148263BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2148263TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Refundable portion of refundable life use fees$188,869
split-interest agreement$73,013
deferred cost of interest rate swap$432,190
FieldValueIRS element (for citing)
Total Of Amounts694072TotalOfAmounts
Total Revenue8501935TotalRevenue
Total Expenses7861748TotalExpenses
Excess Or Deficit For Year640187ExcessOrDeficitForYear
Other-$466,864OtherAmount
Total Adjustments-466864TotalAdjustments
Excess Or Deficit Per FS173323ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8501935TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8501935RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908501935TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7861748TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7861748ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907861748TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 tax under the 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 -28228. change in value of split-interest agreement -13943. Change in unrealized gains/losses -156240. change in minimum pension liability -268453. Total to Schedule D, Part XI, Line 8: -466864.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
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)

Base 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
0291250000000016161030741100
James Christopher Green
0217255000000013249023050400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11Form 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 12cForm 990, Part VI, Section B, line 12c: In accordance with the By-Laws, any possible conflict of interest on the part of any Board Member, Corporate Executive, Executive Director, or Administrative Staff member, or committee members, who are not members of the Board of Trustees of Otterbein Homes shall be disclosed to the Board and made a matter of record, either through an annual procedure or when the interest becomes relevant to a matter of board action.
Form 990, Part VI, Section B, line 15Form 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 18Form 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 19The 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 -28228. change in value of split-interest agreement -13943. Change in unrealized gains/losses -156240. change in minimum pension liability -268453. Total to Form 990, Part XI, Line 5: -466864.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 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 N State Rt 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)3509(a)(2)N/A0
Otterbein Cridersville
100 Red Oak DriveCridersvilleOH45806341940884Retirement Living CommunityOH501(c)3509(a)(2)N/A0
Otterbein North Shore
9400 North Shore BlvdLakesideOH43440341743836Retirement Living CommunityOH501(c)3509(a)(2)N/A0
Otterbein St Marys
11230 State Route 364St MarysOH45885341940880Retirement Living CommunityOH501(c)3509(a)(2)N/A0
Otterbein Lebanon
585 State Route 741LebanonOH45036311743874Retirement Living CommunityOH501(c)3509(a)(2)N/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
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Otterbein HomesBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved484200AmountInvolved
Method Of Amt DeterminationPercentage of revenueMethodOfAmtDetermination