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OTTERBEIN PORTAGE VALLEY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OTTERBEIN PORTAGE VALLEY INC (EIN 34-1193296)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349302125
Schema version
2010v3.2
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)
Timestamp2011-11-14T09:30:10-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-10-18DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts8095831GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OTTERBEIN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOTTERBEIN PORTAGE VALLEY, INC. 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, inc. BUT ALSO FOR A NUMBER OF ORGANIZATIONS AND CAUSES IN THE GREATER COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees184TotalNbrEmployees
Total Nbr Volunteers52TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year52761ContributionsGrantsPriorYear
Contributions Grants Current Year99779ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7764545ProgramServiceRevenuePriorYear
Program Service Revenue CY7878186ProgramServiceRevenueCY
Investment Income Prior Year39157InvestmentIncomePriorYear
Investment Income Current Year117866InvestmentIncomeCurrentYear
Other Revenue Prior Year17595OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7874058TotalRevenuePriorYear
Total Revenue Current Year8095831TotalRevenueCurrentYear
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 Year3259848SalariesEtcPriorYear
Salaries Etc Current Year3383809SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4381839OtherExpensePriorYear
Other Expenses Current Year4393023OtherExpensesCurrentYear
Total Expenses Prior Year7641687TotalExpensesPriorYear
Total Expenses Current Year7776832TotalExpensesCurrentYear
Revenues Less Expenses Prior Year232371RevenuesLessExpensesPriorYear
Revenues Less Expenses CY318999RevenuesLessExpensesCY
Total Assets BOY16073386TotalAssetsBOY
Total Assets EOY16050824TotalAssetsEOY
Total Liabilities BOY11240881TotalLiabilitiesBOY
Total Liabilities EOY11555095TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4832505NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4495729NetAssetsOrFundBalancesEOY
Mission DescriptionIn keeping with the United Methodist tradition we seek to enhance the quality of life and holistic growth of older persons.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6594146Expense
Revenue7878186Revenue
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 Expense6594146TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 With109627NumberFormsTransmittedWith1096
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
Funds To Pay Premiums0FundsToPayPremiums
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
Larry Moore
Chair1.00X000
Charles Shanfelt
Vice-Chair1.00X000
Cheryl Conley
Secretary1.00X000
Paul Blausey
Trustee1.00X000
Joe Frederick
Trustee1.00X000
Glenn Maddy
Trustee1.00X000
Michael Moore
Trustee1.00X000
James Nofzinger
Trustee1.00X000
Ken Ault
Trustee1.00X000
Arlene Layman
Trustee1.00X000
Bernard Sanchez
Trustee1.00X000
Frank Stumpf
Trustee1.00X000
Thelma Thompson
Trustee1.00X000
Thomas Compton
Trustee1.00X000
J Douglas Ruck
Trustee1.00X000
Luann Snyder
Trustee1.00X000
Alice Davis
Trustee1.00X000
Jill Hreben
President/CEO40.00025090817793X
James Christopher Green
Chief financial Officer40.00017038313154X
Donald Gilmore
Former President/CEO40.0001269270X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs548218TotalReportableCompFrmRltdOrgs
Total Other Compensation30947TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
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
Compensation440573Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions99779AllOtherContributions
Noncash Contributions2935NoncashContributions
Total Contributions99779TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident revenue & fee62300077483127748312
Departmental Revenue623000129874129874
FieldValueIRS element (for citing)
Total Program Service Revenue7878186TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column116019TotalRevenueColumn
Exclusion$116,019ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1847Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1847Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1847TotalRevenueColumn
Exclusion$1,847ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8095831TotalRevenueColumn
Related Or Exempt Function Income7878186RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$117,866ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2639233Total
Program Services2307141ProgramServices
Management And General332092ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total115530Total
Program Services100993ProgramServices
Management And General14537ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total225109Total
Program Services157652ProgramServices
Management And General67457ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total403937Total
Program Services377410ProgramServices
Management And General26527ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14022Total
Management And General14022ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11811Total
Management And General11811ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total780398Total
Program Services611548ProgramServices
Management And General168850ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total710219Total
Program Services702117ProgramServices
Management And General8102ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16196Total
Program Services9439ProgramServices
Management And General6757ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total414908Total
Program Services408068ProgramServices
Management And General6840ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total859746Total
Program Services845573ProgramServices
Management And General14173ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total112353Total
Program Services110501ProgramServices
Management And General1852ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Nurse Agency Fees/Contr514059514059
Intercompany Expense466008466008
Refundable Life Use Fee232454232454
Other Administration21542919380721622
Dues, subscriptions, &24687390820779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total20733Total
Program Services19476ProgramServices
Management And General1257ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7776832Total
Program Services6594146ProgramServices
Management And General1182686ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY177041BOY
EOY446510EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY22200EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY476812BOY
EOY515080EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY36645BOY
EOY42258EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18647BOY
EOY18572EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24925015LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12606628LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12355341BOY
EOY12318387EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1653120BOY
EOY1965780EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1355780BOY
EOY722037EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16073386BOY
EOY16050824EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY622869BOY
EOY1432272EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY789438BOY
EOY1094922EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9109319BOY
EOY8155486EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY719255BOY
EOY872415EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11240881BOY
EOY11555095EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-511911BOY
EOY-146329EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5179216BOY
EOY4475858EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY165200BOY
EOY166200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4832505BOY
EOY4495729EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16073386BOY
EOY16050824EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses318999ReconcilationRevenueExpenses
Reconcilation Other Changes-655775ReconcilationOtherChanges
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 Years82674CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years219716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71009CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52761CurrentTaxYearMinus1Year
Current Tax Year99779CurrentTaxYear
Total525939Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9836109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8702508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7213621CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7764545CurrentTaxYearMinus1Year
Current Tax Year7878186CurrentTaxYear
Total41394969Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9918783CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8922224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7284630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7817306CurrentTaxYearMinus1Year
Current Tax Year7977965CurrentTaxYear
Total41920908Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years4648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4508CurrentTaxYearMinus1Year
Current Tax Year5372CurrentTaxYear
Total14528Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years4648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4508CurrentTaxYearMinus1Year
Current Tax Year5372CurrentTaxYear
Total14528Total
FieldValueIRS element (for citing)
Public Support Total50941906380PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25664CurrentTaxYearMinus1Year
Current Tax Year116019CurrentTaxYear
Total388212Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25664CurrentTaxYearMinus1Year
Current Tax Year116019CurrentTaxYear
Total388212Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10005002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9079327CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7287837CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7842970CurrentTaxYearMinus1Year
Current Tax Year8093984CurrentTaxYear
Total42309120Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99050PublicSupportPercentage509
Prior Year Support Percentage0.99290PriorYearSupportPercentage
Investment Income Percentage0.00920InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00690PriorYrInvestIncomePercentage
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 Basis18226932OtherCostOrOtherBasis
Depreciation7588760Depreciation
Book Value10638172BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4554696OtherCostOrOtherBasis
Depreciation3566143Depreciation
Book Value988553BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1991965OtherCostOrOtherBasis
Depreciation1451725Depreciation
Book Value540240BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12318387TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionInvestmentsDescription
Book Value1965780BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1965780TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Refundable portion of refundable life use fees$175,044
split-interest agreement$69,950
deferred cost of interest rate swap$627,421
FieldValueIRS element (for citing)
Total Of Amounts872415TotalOfAmounts
Total Revenue8095831TotalRevenue
Total Expenses7776832TotalExpenses
Excess Or Deficit For Year318999ExcessOrDeficitForYear
Other-$655,775OtherAmount
Total Adjustments-655775TotalAdjustments
Excess Or Deficit Per FS-336776ExcessOrDeficitPerFS

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 2009, 2008, and 2007 tax years are open for examination by the IRS.
Part XI, Line 8 - Other Adjustments:Change in fair value of interest rate swap change in value of split-interest agreement Change in unrealized gains/losses change in minimum pension liability reversal of intercompany notes

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 Plan1SupplementalNonqualRetirePlan
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 (3 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
0250908000000017793026870100
James Christopher Green
0170383000000013154018353700
Donald Gilmore
000001269270000012692700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationPart 1, Line 4b: Donald Gilmore, former President/CEO, received other compensation through a Board approved supplemental retirement plan.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Descriptionmisc itemsDescription
Number Of Contributions12NumberOfContributions
Noncash Contribs Rptd F9902935NoncashContribsRptdF990
Method Of Determining Revenuesmarket valueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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. The 990's are available for review by the Board subsequent to filing with the IRS.
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 an annual procedure or when the interest becomes relevant to a matter of board action.Form 990, Part VI, Section B, line 12c
Form 990, Part VI, Section B, line 15: The executive committee of the Otterbein Homes Board of Directors has the responsibility for determining the annual compensation for the officers by the use of industry specific data such as salary surveys from Leading Age and Leading Age Ohio. The salaries of the key employees are determined by the officers using industry comparative data such as salary surveys from Leading Age and Leading Age Ohio.Form 990, Part VI, Section B, line 15
Form 990, Part VI, Section C, line 19: The annual report is provided to the public which includes the audited financial statement summary and is certified by the CEO and CFO.Form 990, Part VI, Section C, line 18
The governing documents and conflict of interest policy are available upon request.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Change in fair value of interest rate swap -92585. change in value of split-interest agreement -21726. Change in unrealized gains/losses 45119. change in minimum pension liability -90079. reversal of intercompany notes -496504. Total to Form 990, Part XI, Line 5: -655775.Form 990, Part XI, line 5:
There have been no changes in the oversight or the selection of an independent accountant from the prior year.Form 990, Page 12, Part XII, Line 2c:

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 NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (6 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)(3)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
Otterbein Leipsic
580 North State Route 741LebanonOH45036341940875Retirement 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 Org0LoansOrGuaranteesFromOtherOrg
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 Involved466008AmountInvolved