SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
OTTERBEIN HOMES
 
Employer identification number

31-0549058
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) OTTERBEIN PERRYSBURG LLC
580 N STATE ROUTE 741
LEBANON,OH45036
20-5493322
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 4,633,207 6,643,513 OTTERBEIN HOMES
 
(2) OTTERBEIN MONCLOVA LLC
580 N STATE ROUTE 741
LEBANON,OH45036
20-5493287
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 4,190,539 7,117,455 OTTERBEIN HOMES
 
(3) OTTERBEIN CLEAR CREEK LLC
580 N STATE ROUTE 741
LEBANON,OH45036
26-0731207
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 5,082,197 7,569,937 OTTERBEIN HOMES
 
(4) OTTERBEIN MIDDLETOWN LLC
580 N STATE ROUTE 741
LEBANON,OH45036
26-0731330
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 5,594,728 8,231,909 OTTERBEIN HOMES
 
(5) OTTERBEIN HOLDINGS LLC
580 N STATE ROUTE 741
LEBANON,OH45036
20-5493357
REAL ESTATE HOLDING COMPANY OH 0 0 OTTERBEIN HOMES
 
(6) OTTERBEIN INDEPENDENT LIVING SERVICES LLC
580 N STATE ROUTE 741
LEBANON,OH45036
26-3554627
CLINIC OH 1,007,318 174,232 OTTERBEIN HOMES
 
(7) OTTERBEIN PROPERTIES LLC
580 N STATE ROUTE 741
LEBANON,OH45036
27-0543473
REAL ESTATE DEVELOPMENT OH 0 0 OTTERBEIN HOMES
 
(8) OTTERBEIN HOME HEALTH
580 N STATE ROUTE 741
LEBANON,OH45036
27-1049483
HOME HEALTH SERVICES OH 2,054,463 1,274,953 OTTERBEIN HOMES
 
(9) OTTERBEIN MAINEVILLE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
20-5952379
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 5,011,914 7,531,746 OTTERBEIN HOMES
 
(10) OTTERBEIN HOSPICE
580 N STATE ROUTE 741
LEBANON,OH45036
46-1453798
HOSPICE SERVICES OH 2,353,316 960,515 OTTERBEIN HOMES
 
(11) OTTERBEIN BATAVIA
580 N STATE ROUTE 741
LEBANON,OH45036
46-2718728
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 5,017,482 8,855,135 OTTERBEIN HOMES
 
(12) OTTERBEIN GAHANNA
580 N STATE ROUTE 741
LEBANON,OH45036
46-2748595
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 4,660,557 9,878,646 OTTERBEIN HOMES
 
(13) OTTERBEIN NEW ALBANY
580 N STATE ROUTE 741
LEBANON,OH45036
46-2726708
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 4,764,913 9,603,860 OTTERBEIN HOMES
 
(14) OTTERBEIN LOVELAND
580 N STATE ROUTE 741
LEBANON,OH45036
46-2733350
DEVELOP & OPERATE SMALL HOUSE NEIGHBORHOODS - PROVIDING SKILLED NURSING CARE OH 4,781,756 10,133,219 OTTERBEIN HOMES
 
(15) OTTERBEIN BATAVIA REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1622556
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(16) OTTERBEIN CLEAR CREEK REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1727490
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(17) OTTERBEIN EXTENDED SERVICES LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1497005
HOLDING COMPANY OH 0 0 OTTERBEIN HOMES
 
(18) OTTERBEIN GAHANNA REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1582103
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(19) OTTERBEIN LOVELAND REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1655560
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(20) OTTERBEIN LSC LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1518504
HOLDING COMPANY OH 0 0 OTTERBEIN HOMES
 
(21) OTTERBEIN MAINEVILLE REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1690234
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(22) OTTERBEIN MANAGEMENT LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1531268
PROVIDE MANAGEMENT SERVICES OH 0 0 OTTERBEIN HOMES
 
(23) OTTERBEIN MIDDLETOWN REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1705605
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(24) OTTERBEIN MONCLOVA REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1671473
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(25) OTTERBEIN NEW ALBANY REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1642781
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(26) OTTERBEIN PERRYSBURG REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1600491
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(27) OTTERBEIN REAL ESTATE LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1478545
HOLD REAL ESTATE OH 0 0 OTTERBEIN HOMES
 
(28) OTTERBEIN NEIGHBORHOODS LLC
580 N STATE ROUTE 741
LEBANON,OH45036
81-1745546
HOLDING COMPANY OH 0 0 OTTERBEIN HOMES
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)OTTENBEIN ST MARYS
11230 STATE ROUTE 364

ST MARYS,OH45885
34-1940880
CONTINUING CARE RETIREMENT COMMUNITY OH 501(C)(3) LINE 10 OTTERBEIN HOMES
 
Yes
 
(2)OTTERBEIN LEBANON
585 NORTH STATE ROUTE 741

LEBANON,OH45036
31-1743874
CONTINUING CARE RETIREMENT COMMUNITY OH 501(C)(3) LINE 10 OTTERBEIN HOMES
 
Yes
 
(3)OTTERBEIN NORTH SHORE
9400 NORTH SHORE BLVD

LAKESIDE,OH43440
34-1743836
CONTINUING CARE RETIREMENT COMMUNITY OH 501(C)(3) LINE 10 OTTERBEIN HOMES
 
Yes
 
(4)OTTERBEIN PORTAGE VALLEY
20311 PEMBERVILLE ROAD

PEMBERVILLE,OH43450
34-1193296
CONTINUING CARE RETIREMENT COMMUNITY OH 501(C)(3) LINE 10 OTTERBEIN HOMES
 
Yes
 
(5)OTTERBEIN CRIDERSVILLE
100 RED OAK DRIVE

CRIDERSVILLE,OH45806
34-1940884
CONTINUING CARE RETIREMENT COMMUNITY OH 501(C)(3) LINE 10 OTTERBEIN HOMES
 
Yes
 
(6)THE FRANKLIN UNITED METHODIST HOME INC DBA OTTERBEIN FRANKLIN
1070 WEST JEFFERSON STREET

FRANKLIN,IN46131
35-0988712
CONTINUING CARE RETIREMENT COMMUNITY IN 501(C)(3) LINE 10 OTTERBEIN HOMES
 
Yes
 


For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) UNION VILLAGE DEVELOPMENT COMPANY

580 N STATE ROUTE 741
LEBANON,OH45036
81-1563789
LAND DEVELOPMENT OH OTTERBEIN HOMES
 
C 195,000 12,932,697 100.000 % Yes  












Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) OTTERBEIN CRIDERSVILLE

L 700,884 PERCENTAGE OF REVENUE
(2) OTTERBEIN LEBANON

L 2,431,908 PERCENTAGE OF REVENUE
(3) OTTERBEIN ST MARYS

L 799,212 PERCENTAGE OF REVENUE
(4) OTTERBEIN NORTH SHORE

L 344,616 PERCENTAGE OF REVENUE
(5) OTTERBEIN PORTAGE VALLEY

L 661,944 PERCENTAGE OF REVENUE
(6) THE FRANKLIN UNITED METHODIST HOME INC DBA OTTERBEIN FRANKLIN

L 1,450,752 PERCENTAGE OF REVENUE
(7) OTTERBEIN NORTH SHORE

D 2,849,217 EOY ACCOUNT BALANCE
(8) OTTERBEIN PORTAGE VALLEY

D 994,872 EOY ACCOUNT BALANCE
Schedule R (Form 990) 2019
Page 4
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Page 5
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID:  
Software Version: