2012-11-13T09:11:44-06:00 2011-12-31 990 2011-01-01 310549058 OTTERBEIN HOMES OTTE 5139322020 580 N STATE ROUTE 741 LEBANON OH 450368839 J Christopher Green 5139335400 2012-11-13 2011 2016-02-24 21:20:13Z J CHRISTOPHER GREEN 580 N SR 741 Lebanon OH 45036 78458089 0 X WWW.OTTERBEIN.ORG X 1912 OH Otterbein Homes is an organization of continuing care retirement communities that provides housing and and services to elders. Generous donors have established a benevolent care fund which offers assistance to residents who cannot pay the full cost of care. Otterbein's rich heritage has earned us a solid reputation as a trusted and valuable resource. By providing information and services on aging issues we continue to serve residents, their families and surrounding communities. Otterbein residents and staff volunteer their time and talents at the Otterbein campuses but also for a number of organizations and causes in the greater community. 28 28 738 30 194863 -48198 1388157 163156 23126500 27068890 3894489 3462615 215851 291680 28624997 30986341 0 0 0 0 13042364 14984070 0 0 639132 13044905 13812161 26087269 28796231 2537728 2190110 113546548 110135315 65286807 67221696 48259741 42913619 Our Mission - In keeping with our United Methodist tradition we seek to enhance the quality of life and holistic growth of older persons. 0 0 17231457 27068890 Otterbein Homes provides management and support services for its five continuing care retirement communities, small house nursing home neighborhoods throughout Ohio and a Home Health agency. Some of the management services provided include administrative, financial, purchasing, human resources, marketing, and development for the related tax-exempt organizations. In providing management and support to its communities of Lebanon, Cridersville, St. Mary's, Portage Valley, North Shore, and the Small Houses at Perrysburg, Monclova, Springboro, Middletown and Maineville, Otterbein serves over 3,000 persons. 17231457 1 1 0 0 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 110 0 1 738 1 1 1 0 0 0 0 0 0 0 0 0 0 X 28 28 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X J CHRISTOPHER GREEN 5139335400 580 N SR 741 LEBANON OH 450368839 Charles Mahan 1.00 X 0 0 0 Stephen Wilson 1.00 X 0 0 0 Cyndy Garn 1.00 X 0 0 0 Zan Petrie 1.00 X 0 0 0 George Campbell 1.00 X 0 0 0 Roger Clark 1.00 X 0 0 0 John Dunham 1.00 X 0 0 0 Tom Hanover 1.00 X 0 0 0 Michael McCarty 1.00 X 0 0 0 Judith Royalty 1.00 X 0 0 0 William Thorn 1.00 X 0 0 0 John Bayliff 1.00 X 0 0 0 Margi Moul 1.00 X 0 0 0 Mel Miller 1.00 X 0 0 0 John Washburn 1.00 X 0 0 0 Rev David Woodyard 1.00 X 0 0 0 Pamela Nickell 1.00 X 0 0 0 Marla Brown 1.00 X 0 0 0 Leroy Chambliss 1.00 X 0 0 0 Jim W Fenton 1.00 X 0 0 0 Sue Stutz 1.00 X 0 0 0 Rev Brian Brown 1.00 X 0 0 0 Bill Brownson 1.00 X 0 0 0 Dr Robert Glaser 1.00 X 0 0 0 Dr George Sehi 1.00 X 0 0 0 Joe Wolf 1.00 X 0 0 0 Lynn App 1.00 X 0 0 0 Dr Joe Frederick 1.00 X 0 0 0 Jill Hreben 40.00 X 291250 0 16161 James Christopher Green 40.00 X 217255 0 13249 508505 0 29410 2 0 1 0 Concept Rehab 7150 Granite Circle Toledo OH 43617 Therapy Services 1736084 Graydon Head & Ritchey 1900 5th Third Center Cincinnati OH 45201 Legal Services 395403 Premier Restoration 1912 Oxford St Rd Middletown OH 45044 Construction Services 333486 Marlen Yost 11414 Cardinal Ln St Marys OH 45885 Consulting Services 165865 Cinncinnati Creative Marketing 8167 Trotters Chase Cincinnati OH 45249 Marketing & advertising Services 145682 6 163156 8259 163156 Service Fees 541900 26448425 26448425 Departmental Services 623000 620465 620465 27068890 841054 841054 348935 90604 258331 258331 194863 63468 49978004 2115 47350975 7583 2627029 -5468 2621561 2621561 55935 22586 33349 33349 30986341 27068890 194863 3559432 508505 508505 11625529 7204826 4066279 354424 280737 46385 234352 761948 307253 382694 72001 1807351 1194290 587719 25342 251261 250863 398 61872 61872 2441058 1823418 554510 63130 1542973 1515942 27031 278808 34053 212650 32105 1123875 928384 195491 1703516 1396684 306832 199697 171186 28511 Nurse Agency Fees/Contr 2000322 2000322 Other Administration 1632052 294645 1323689 13718 Corporate Service fees 1282640 1282640 Help Wanted/Advertising 623676 585790 37886 670411 314069 316214 40128 28796231 17231457 10925642 639132 200000 2427989 2986249 140455 232682 50008795 9613029 41873550 40395766 53798489 50644168 15106065 15876450 113546548 110135315 9991907 10713536 33341524 32291922 21953376 24216238 65286807 67221696 X 53773464 48716699 -11007252 -11272862 5493529 5469782 48259741 42913619 113546548 110135315 X 2190110 -7536232 X X 0 1 1 X 0 X 1200288 364947 217962 1388157 163156 3334510 5425569 10547394 18325253 23126500 27068889 84493605 6625857 10912341 18543215 24514657 27232045 87828115 16550 20406 12389 43720 93065 0 16550 20406 12389 43720 93065 87735050 1004432 1483970 1174737 1067119 1099387 5829645 1004432 1483970 1174737 1067119 1099387 5829645 28575 27588 33349 89512 7630289 12396311 19746527 25609364 28364781 93747272 0.93590 0.91930 0.06220 0.07920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 17.80 1 0 14678280 601051 -107752 -37815 15133764 14026059 284760 384474 -17013 14678280 13222168 500699 303192 14026059 13249657 93616 -121105 13222168 1.00000 0 0 4567791 4567791 34357019 3895399 30461620 6918642 4667847 2250795 4165343 1049783 3115560 40395766 Other Investments & securities 50644168 F 50644168 Unamortized finance costs 1041501 Construction in Progress 1114800 Investments 6207076 Notes Receivable 1545107 Other Property, Rights, Trust 2739500 Unexpended Bond Proceeds & Sinking Fund 504131 Resident Trust 14584 Land available for sale 2709751 15876450 Capital Lease 556948 Split-Interest Agreement 241268 Deferred cost of Interest Rate Swap 673178 Intercompany payables 22730260 Resident Trust 14584 24216238 30986341 28796231 2190110 -7536232 -7536232 -5346122 27417825 -3568516 -3568516 30986341 0 30986341 27912670 -883561 -883561 28796231 0 28796231 Description of How Organization Reports Conservation Easements: Part II, Line 9: The conservation easement is located at SE corner of the intersection of SR 741 and SR 63 in Warren County, Ohio. It is in place to protect the physical, biological and chemical integrity of the Little Miami River watershed and is under the enforcement of the Ohio EPA. Otterbein Homes engaged the firm of JF New in 2008 for mitigation and monitoring. Description of Intended Use of Endowment Funds: Part V, Line 4: The Organization has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment. Endowment assets include those assets of donor-restricted funds that the Organization must hold in perpetuity or for a donor-specified period. Under this policy, as approved by the Board of Trustees, the endowment assets are invested in a manner that is intended to preserve and grow capital, strive for consistent absolute returns, preserve purchasing power by striving for long-term returns which either match or exceed the set payout, fees and inflation without putting a principal value at imprudent risk, and diversify investments consistent with commonly accepted industry standard to minimize the risk of large losses. Description of Uncertain Tax Positions Under FIN 48: Part X: The Organizations qualify as tax-exempt corporations described in Section 501(c)(3) of the Internal Revenue Code. Accordingly, the Organizations are not subject to federal income taxes under Section 501(c)(3) of the code. The Organizations are classified as publicly supported charitable organizations under the code and contributions to the Organizations qualify as charitable tax deductions for the contributor. The entity files as a tax-exempt organization. Should that status be challenged in the future, all years since inception could be subject to review by the IRS. The Organizations' 2010, 2009, and 2008 tax years are open for examination by the IRS. Otterbein Service Corporation is an inactive for profit corporation, and is liable for income taxes on its taxable income. Part XI, Line 8 - Other Adjustments: Change in Unrealized Gains/Losses on Investments UR -5451390. Change in Unrealized Gains/Losses on Investments TR -50395. Change in Unrealized Gains/Losses on Investments PR -145974. Change in Fair value of interest rate swap 133129. Change in fair value of split interest agreement -48448. Change in minimum pension liability -1819603. Other changes in net assets -78219. Transfers of unrestricted net assets -75332. Total to Schedule D, Part XI, Line 8: -7536232. Part XII, Line 2d - Other Adjustments: Rent Expense - included with Net Rental Income Contributions & Special Events Gain/(Loss) on Sale of Securities Gain/(Loss) on Asset Disposal Investment Income Mineral Leases Rounding Part XIII, Line 2d - Other Adjustments: Funding Raising Expenses New Ministries Contributions to Others Rental Expenses - included with Net Rental Income Restricted gifts expenditures ye adjs, dev & new ministries expenses rounding Golf fundraising event 55935 55935 22586 55935 55935 22586 22586 33349 1 X X X X X 0 0 0 0 0 0 0 0 0 Jill Hreben 291250 0 0 0 0 0 0 0 16161 0 307411 0 0 0 James Christopher Green 217255 0 0 0 0 0 0 0 13249 0 230504 0 0 0 County of Warren Ohio 316000058 93515PAC1 2007-04-02 17605000 Renovation and Construction 0 0 0 County of Warren Ohio 316000058 93515PAF4 2009-07-16 20000000 Construction 0 0 0 1415000 17605000 482653 17122347 2008 0 0 1 1 660000 20000000 575876 19424124 2010 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 1 1 Deutsche Bank 2.900000000000 0 0 0 0 0 0 1 0 0 0 0 Jill Hreben CEO and President of Otterbein Homes 652992 Caring Communites Insurance Company (CCIC) - Otterbein Homes has a claims made policy for general liability insurance. Ms Hreben also serves on the Board of Directors of CCIC. During 2011, Otterbein Homes paid insurance premiums to CCIC totaling approximately $652,341. 0 Steve Wilson Trustee Steve Wilson is a member of the Otterbein Board of Trustees. Mr. Wilson is CEO of LCNB with which Otterbein Homes and it's affiliates have various small bank accounts. There is an LCNB branch at Otterbein's Lebanon campus. In addition, LCNB is part of the bank group holding the letter of credit for Otterbein Homes Warren County, Ohio Health Care Improvement Revenue Bonds. 0 Form 990, Part VI, Section B, line 11 The IRS Form 990 is reviewed by the officers and the external audit firm prior to filing and are made available to the board members for their review prior to filing. 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 15 An Ad Hoc committee of the Otterbein Homes Board of Trustees has the responsibility for determining the annual compensation for the officers by the use of industry specific data such as salary surveys from Leading Age and Leading Age Ohio. The salaries of the key employees are determined by the officers using industry comparative data such as salary surveys from Leading Age and Leading Age Ohio. Form 990, Part VI, Section C, line 19 The annual report is provided to the public which includes the audited financial statement summary and is certified by the Chief Executive Officer and the Chief Financial Officer. The governing documents and conflict of interest policies are available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Change in Unrealized Gains/Losses on Investments UR -5451390. Change in Unrealized Gains/Losses on Investments TR -50395. Change in Unrealized Gains/Losses on Investments PR -145974. Change in Fair value of interest rate swap 133129. Change in fair value of split interest agreement -48448. Change in minimum pension liability -1819603. Other changes in net assets -78219. Transfers of unrestricted net assets -75332. Total to Form 990, Part XI, Line 5: -7536232. 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. Otterbein Perrysburg LLC 580 N State Route 741 Lebanon OH 45036 205493322 Dev & operate small house neighborhoods - providing skilled nursing care OH 4375594 7071447 Otterbein Homes Otterbein Monclova LLC 580 N State Route 741 Lebanon OH 45036 205493287 Dev & operate small house neighborhoods - providing skilled nursing care OH 2692983 8138935 Otterbein Homes Otterbein Clearcreek LLC 580 N State Route 741 Lebanon OH 45036 260731207 Dev & operate small house neighborhoods - providing skilled nursing care OH 4298966 7808590 Otterbein Homes Otterbein Middletown LLC 580 N State Route 741 Lebanon OH 45036 260731330 Dev & operate small house neighborhoods - providing skilled nursing care OH 5304450 7974511 Otterbein Homes Otterbein Maineville LLC 580 N State Route 741 Lebanon OH 45036 205952379 Dev & operate small house neighborhoods - providing skilled nursing care OH 3956589 9227276 Otterbein Homes Otterbeing Holdings LLC 580 N State Route 741 Lebanon OH 45036 205493357 Real Estate Holding Company OH 1890467 Otterbein Homes Otterbein Independent Living Services LLC 580 N State Route 741 Lebanon OH 45036 263554627 Clinic OH 474199 58533 Otterbein Homes Otterbein Properties LLC 580 N State Route 741 Lebanon OH 45036 270543473 Real Estate Development OH Otterbein Homes Otterbein Home Health 580 N State Route 741 Lebanon OH 45036 271049483 Home Health Services OH 761195 516198 Otterbein Homes Otterbein St Marys 11230 State Route 364 St Marys OH 45885 341940880 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) Otterbein Homes 1 Otterbein Lebanon 585 North State Route 741 Lebanon OH 45036 311743874 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) Otterbein Homes 1 Otterbein North Shore 9400 North Shore Blvd Lakeside OH 43440 341743836 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) Otterbein Homes 1 Otterbien Portage Valley 20311 Pemberville Road Pemberville OH 43450 341193296 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) Otterbein Homes 1 Otterbein Cridersville 100 Red Oak Drive Cridersville OH 45806 341940884 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) Otterbein Homes 1 Otterbein Service Corporation (Inactive) 580 N State Route 741 Lebanon OH 45036 311293054 Inactive OH C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 Otterbein StMarys K 583615 Percentage of revenue Otterbein Cridersville K 472493 Percentage of revenue Otterbein Portage Valley K 484200 Percentage of revenue Otterbein North Shore K 250221 Percentage of revenue Otterbein Perrysburg K 243368 Percentage of revenue Otterbein Monclova K 142820 Percentage of revenue Otterbein Clearcreek K 247453 Percentage of revenue Otterbein Middletown K 332623 Percentage of revenue Otterbein Lebanon K 2064246 Percentage of revenue Otterbein Maineville K 235480 Percentage of revenue Home Health K 38060 Percentage of revenue ILSS K 30824 Percentage of revenue