2011-11-14T09:30:10-06:00 2010-12-31 990 2010-01-01 310549058 OTTERBEIN HOMES OTTE 5139322020 580 N STATE ROUTE 741 LEBANON OH 450368839 J Christopher Green 5139335400 2011-10-18 2010 2016-03-07 17:11:31Z J CHRISTOPHER GREEN 580 N SR 741 Lebanon OH 45036 64045966 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 communities. 29 28 680 20 132435 -49944 217964 1388157 18325253 23126500 -3451367 3894489 167728 215851 15259578 28624997 0 0 0 0 10639026 13042364 0 0 627825 9709293 13044905 20348319 26087269 -5088741 2537728 116324526 113546548 77612104 65286807 38712422 48259741 Our Mission - in keeping with the United Methodist tradition we seek to enhance the quality of life and holistic growth of older persons. 0 0 14345504 23126500 Otterbein Homes provides management and support services for its five continuing care retirement communities and small house nursing home neighborhoods throughout Ohio. 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 1,800 residents. 14345504 1 1 0 0 0 1 0 0 0 1 1 1 1 1 0 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 0 0 0 1 100 0 1 680 1 1 1 0 0 0 0 0 0 0 0 0 0 X 29 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 Zan Petrie 1.00 X 0 0 0 Roger Clark 1.00 X 0 0 0 John Dunham 1.00 X 0 0 0 William Rogers 1.00 X 0 0 0 Tom Hanover 1.00 X 0 0 0 Charles Mahan 1.00 X 0 0 0 Michael McCarty 1.00 X 0 0 0 Thomas Milbrodt 1.00 X 0 0 0 Judith Royalty 1.00 X 0 0 0 William Thorn 1.00 X 0 0 0 Stephen Wilson 1.00 X 0 0 0 John Bayliff 1.00 X 0 0 0 Gary Hughes 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 Rev Randy Stearns 1.00 X 0 0 0 Leo Scott 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 George Campbell 1.00 X 0 0 0 Thomas Compton 1.00 X 0 0 0 Cyndy Garn 1.00 X 0 0 0 Jill Hreben 40.00 X 250908 0 17793 James Christopher Green 40.00 X 170383 0 13154 Gary Horning 40.00 X 157747 0 10202 Lois Mills 40.00 X 129770 0 1812 Sue McConn 40.00 X 146049 0 13617 Wendy Price Kiser 40.00 X 129948 0 923 Donald Gilmore 40.00 X 126927 0 0 1111732 0 57501 7 1 1 0 Ridgestone General Contractors 3102 Steeple Chase Lane Perrysburg OH 43551 Construction contractors 3318660 Graydon Head & Ritchey 1900 5th Third Center Cincinnati OH 45201 Legal Services 412343 Concept Rehab 7150 Granite Circle Toledo OH 43617 Therapy Services 356332 Donald Gilmore Consulting Inc 2967 Princess Amelia Court Fernandina FL 32034 Consulting Services 215016 AON Consulting POBox 905188 Charlotte NC 28290 Consulting Services 141949 5 1388157 7200 1388157 Service Fees 541900 22825418 22825418 Departmental Services 623000 301082 301082 23126500 878857 878857 287366 99103 188263 188263 132435 55828 38308696 10400 35267227 36237 3041469 -25837 3015632 3015632 45990 18402 27588 27588 28624997 23126500 132435 3977905 1111732 1111732 9486974 5932138 3200540 354296 190081 11687 178394 597701 139486 383790 74425 1655876 1018388 607973 29515 601730 596130 5600 72919 72919 2024393 1458970 515711 49712 1435567 1411163 24404 269124 32690 210359 26075 1165156 945161 219995 1493114 1188721 304393 172662 135981 36681 Other Administration 1910833 136053 1768212 6568 Nurse Agency Fees/Contr 1688931 1688931 Intercompany 1269552 1269552 Help Wanted/Advertising 375206 400 337069 37737 Equipment Maintenance 355860 200543 151926 3391 209858 45192 124160 40506 26087269 14345504 11113940 627825 200000 200000 1542608 2427989 138246 140455 50007595 8134045 34645745 41873550 46902944 53798489 32894983 15106065 116324526 113546548 15415683 9991907 33096836 33341524 29099585 21953376 77612104 65286807 X 48443955 53773464 -15016304 -11007252 5284771 5493529 38712422 48259741 116324526 113546548 X 2537728 7009591 X X 0 1 1 X 0 X 210034 1200288 364947 217962 1388157 3381388 4655203 5425569 10547394 18325253 23126500 62079919 4865237 6625857 10912341 18543215 24514657 65461307 16550 20406 12389 49345 0 16550 20406 12389 49345 65411962 906643 1004432 1483970 1174737 1067119 5636901 906643 1004432 1483970 1174737 1067119 5636901 28575 27588 56163 5771880 7630289 12396311 19746527 25609364 71154371 0.91930 0.89220 0.07920 0.10650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 17.80 1 0 0 4599042 4599042 34583480 3185799 31397681 6659385 4118832 2540553 4165688 829414 3336274 41873550 Securities and Other Investments 53798489 F 53798489 Unamortized finance costs 1070523 Construction in Progress 873318 Investments 6262956 Notes Receivable 1159428 Intercompany Receivables 33423 Other Property, Rights, Trust 2739500 Unexpended Bond Proceeds & Sinking Fund 484178 Resident Trust 12158 Land available for sale 2463623 Accrued expenses- had to move from liabilities 6958 15106065 Capital Lease 457579 Split-Interest Agreement 224255 Deferred cost of Interest Rate Swap 817883 Intercompany payables 20441501 Resident Trust 12158 21953376 28624997 26087269 2537728 7009591 7009591 9547319 23413866 -5211131 -5211131 28624997 0 28624997 25372883 -714386 -714386 26087269 0 26087269 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 Directors, 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, except for Otterbein Service Corporation, qualify as tax-exempt corporations described in Section 501(c)(3) of the Internal Revenue Code. Accordingly, the Organizations are not subject to federal income taxes under Section 501(c)(3) of the code. The Organizations are classified as publicly supported charitable organizations under the code and contributions to the Organizations qualify as charitable tax deductions for the contributor. The entity files as a tax-exempt organization. Should that status be challenged in the future, all years since inception could be subject to review by the IRS. The Organizations' 2009, 2008, and 2007 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 Change in Unrealized Gains/Losses on Investments TR Change in Unrealized Gains/Losses on Investments PR Change in Fair value of interest rate swap Change in fair value of split interest agreement Change in minimum pension liability Other changes in net assets Transfers of unrestricted net assets Reversal of intercompany notes rounding 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 rounding Golf fundraising event 45990 45990 18402 45990 45990 18402 18402 27588 1 X X X X X 1 1 0 0 0 0 0 0 0 Jill Hreben 250908 0 0 0 0 0 0 0 17793 0 268701 0 0 0 James Christopher Green 170383 0 0 0 0 0 0 0 13154 0 183537 0 0 0 Gary Horning 157747 0 0 0 0 0 0 0 10202 0 167949 0 0 0 Sue McConn 146049 0 0 0 0 0 0 0 13617 0 159666 0 0 0 Donald Gilmore 0 0 0 0 126927 0 0 0 0 0 126927 0 0 0 Part I, Line 1a Part I, Line 4b: Donald Gilmore, Former President/CEO, received other compensation through a Board approved Supplemental Retirement Plan. Supplemental Information Part III 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 17605000 482653 17122347 2008 0 0 1 0 20000000 575876 19424124 2010 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 1 Deutsche Bank 2.900000000000 0 0 0 0 0 0 1 0 0 0 0 0 0 Jill Hreben CEO and President of Otterbein Homes 652341 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 2010, 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 Directors. Mr. Wilson is President of Lebanon Citizens National Bank (LCNB) with which Otterbein Homes and it's affiliates have various small bank accounts. 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 subsequent 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 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 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 3823134. Change in Unrealized Gains/Losses on Investments TR 21785. Change in Unrealized Gains/Losses on Investments PR 93754. Change in Fair value of interest rate swap -160982. Change in fair value of split interest agreement -54692. Change in minimum pension liability -742695. Other changes in net assets -74163. Transfers of unrestricted net assets -410218. Reversal of intercompany notes 4513669. rounding -1. Total to Form 990, Part XI, Line 5: 7009591. 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 4213585 7300964 N/A Otterbein Monclova LLC 580 N State Route 741 Lebanon OH 45036 205493287 Dev & operate small house neighborhoods - providing skilled nursing care OH 3543447 8176684 N/A Otterbein Clearcreek LLC 580 N State Route 741 Lebanon OH 45036 260731207 Dev & operate small house neighborhoods - providing skilled nursing care OH 3984135 7981320 N/A Otterbein Middletown LLC 580 N State Route 741 Lebanon OH 45036 260731330 Dev & operate small house neighborhoods - providing skilled nursing care OH 5059561 8237677 N/A Otterbein Maineville LLC 580 N State Route 741 Lebanon OH 45036 205952379 Dev & operate small house neighborhoods - providing skilled nursing care OH 399465 9413921 N/A Otterbeing Holdings LLC 580 N State Route 741 Lebanon OH 45036 205493357 Real Estate Holding Company OH 1921718 N/A Otterbein Independent Living Services LLC 580 N State Route 741 Lebanon OH 45036 263554627 Clinic OH 53386 34405 N/A Otterbein Properties LLC 580 N State Route 741 Lebanon OH 45036 270543473 Real Estate Development OH N/A Otterbein Home Health 580 N State Route 741 Lebanon OH 45036 271049483 Home Health Services OH 703932 498801 N/A Otterbein St Marys 11230 State Route 364 St Marys OH 45885 341940880 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) N/A 1 Otterbein Lebanon 585 North State Route 741 Lebanon OH 45036 311743874 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) N/A 1 Otterbein North Shore 9400 North Shore Blvd Lakeside OH 43440 341743836 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) N/A 1 Otterbien Portage Valley 20311 Pemberville Road Pemberville OH 43450 341193296 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) N/A 1 Otterbein Cridersville 100 Red Oak Drive Cridersville OH 45806 341940884 Continuing Care Retirement Community OH 501(c)(3) 509(a)(2) N/A 1 Otterbein Service Corporation (Inactive) 580 N State Route 741 Lebanon OH 45036 311293054 Inactive OH S 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 Otterbein StMarys K 579096 Otterbein Cridersville K 443196 Otterbein Portage Valley K 466008 Otterbein North Shore K 217392 Otterbein Perrysburg K 257220 Otterbein Monclova K 262884 Otterbein Clearcreek K 276096 Otterbein Middletown K 376716 Otterbein Lebanon K 2017368 Otterbein Maineville K 45948 Home Health K 35197 ILSS K 3470