2023-05-16T04:40:06-05:00 2022-06-30 510227758 MASTER SIDLOW & ASSOCIATES PA 750 PRIDES CROSSING SUITE 100 NEWARK DE 19713 990 2021-07-01 510070786 MILTON & HATTIE KUTZ HOME INC MILT 3027647000 704 RIVER ROAD WILMINGTON DE 19809 FELISHA ALDERSON EXECUTIVE DIRECTOR 3027647000 2023-05-16 1 FELISHA ALDERSON 999009999 JUDITH M SCARBOROUGH P00161946 3026523480 2023-05-16 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KUTZ SENIOR LIVING CAMPUS FELISHA ALDERSON 704 RIVER ROAD WILMINGTON DE 19809 15755199 0 X WWW.KUTZHOME.ORG X 1953 DE SKILLED NURSING CARE FOR THE ELDERLY 37 37 219 25 0 0 2118925 2792097 12501564 12088129 166196 67637 0 0 14786685 14947863 0 0 0 0 7242892 6749979 0 0 0 7545715 7644058 14788607 14394037 -1922 553826 19450017 19660852 12209773 12392649 7240244 7268203 THE HOME'S MISSION IS TO PROVIDE SHELTER, MEDICAL CARE, NURSING AND OTHER SERVICES FOR AGING MEN AND WOMEN. 0 0 8292304 8064675 LONG-TERM CARE NURSING FACILITY PROVIDING SKILLED NURSING CARE AND THERAPY TO THE ELDERLY WITHOUT REGARD TO ABILITY TO PAY. TOTAL OF 22,022 PATIENT DAYS. 4097163 4023454 ASSISTED LIVING FACILITY PROVIDING ASSISTED LIVING, RESPITE CARE, AND A SECURE MEMORY CARE NEIGHBORHOOD TO SENIORS WHO DO NOT NEED SKILLED NURSING CARE BUT WOULD BENEFIT FROM SOME PERSONAL ASSISTANCE. TOTAL OF 16,056 PATIENT DAYS. 12389467 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 10 0 1 219 1 0 0 0 0 0 0 0 0 0 0 X 37 37 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 DE X X LOLA ODUNSI 3027647000 704 RIVER ROAD WILMINGTON DE 19809 EILEEN SARTER TREASURER 1.00 X X 0 0 0 BEN BRENNAN DIRECTOR 1.00 X 0 0 0 HAROLD GRUBER DIRECTOR 1.00 X 0 0 0 RABBI MICHAEL BEALS DIRECTOR 1.00 X 0 0 0 SAM CLOSIC DIRECTOR 1.00 X 0 0 0 BERTA KERR DIRECTOR 1.00 X 0 0 0 ALAN EVANTASH DIRECTOR 1.00 X 0 0 0 ROGER KERZNER DIRECTOR 1.00 X 0 0 0 MICHELLE GLAZIER PRESIDENT 1.00 X X 0 0 0 MICHAEL GROSS DIRECTOR 1.00 X 0 0 0 RICHARD LITWIN DIRECTOR 1.00 X 0 0 0 MARK KULLER DIRECTOR 1.00 X 0 0 0 PAMELA MEISSLER DIRECTOR 1.00 X 0 0 0 JONATHAN JAFFE DIRECTOR 1.00 X 0 0 0 DEBBIE NACHLIS VICE PRESIDENT 1.00 X X 0 0 0 GREGORY SCHIFF DIRECTOR 1.00 X 0 0 0 JOHN OPPENHEIMER DIRECTOR 1.00 X 0 0 0 SHARON SALIMAN DIRECTOR 1.00 X 0 0 0 DOMINIC KAYATTA DIRECTOR 1.00 X 0 0 0 ANDREW TAUB DIRECTOR 1.00 X 0 0 0 MARK WAGMAN DIRECTOR 1.00 X 0 0 0 HAYIM WEISS DIRECTOR 1.00 X 0 0 0 DAVE BACHER CHIEF FINANCIAL OFFICER 40.00 X 128908 0 11872 FELISHA ALDERSON EXECUTIVE DIRECTOR 40.00 X 193644 0 25275 322552 0 37147 2 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DR SUITE 300 BENSALEM PA 19020 OPERATIONAL CONSULTANT 2414030 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 THERAPY 432539 CARING ANGELS PO BOX 637924 CINCINNATI OH 45263 NURSING 357357 3 100000 2439912 252185 2792097 RESIDENT SERVICE REV 623000 6133855 6133855 MEDICAID/MEDICARE 623000 5954274 5954274 12088129 69554 69554 805419 774150 33186 31269 -33186 -1917 -1917 14947863 12088129 0 67637 X 364236 364236 5272956 4331004 941952 674520 572217 102303 438267 369854 68413 1792821 1762280 30541 200362 200362 58526 15729 42797 287269 273931 13338 9765 428 9337 390809 378303 12506 833446 790109 43337 341789 324881 16908 PURCHASED NURSING SERVI 711254 711254 NURSING HOME QUALITY AS 599844 599844 CLINICAL SERVICES 579623 579623 FOOD 562269 562269 1276281 1117741 158540 14394037 12389467 2004570 0 6779 234231 651614 412089 2020 16667 845761 972442 168759 163689 25512805 10517832 13943642 14994973 3831442 2866761 19450017 19660852 1092049 1628008 362246 509296 35300 25320 10633820 10094038 86358 135987 12209773 12392649 X 6281247 6706893 958997 561310 7240244 7268203 19450017 19660852 X 553826 -476238 -49629 X 0 1 X 1 0 X 341168 376282 754150 2118925 2792097 6382622 14190962 14568311 14660873 12501564 12088174 68009884 14532130 14944593 15415023 14620489 14880271 74392506 6134 4782 6860 9738 27514 21941 21941 28075 4782 6860 9738 49455 74343051 72319 79442 80613 55913 69544 357831 72319 79442 80613 55913 69544 357831 14604449 15024035 15495636 14676402 14949815 74750337 0.99460 0.99460 0.00480 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 131062 131062 131062 131062 131062 131062 121062 10000 131062 120987 75 121062 0 0 22715948 9092712 13623236 2785419 1425120 1360299 11438 11438 14994973 DERIVATIVE CONTRACT - INTEREST RATE SWAP 135987 135987 X 14421996 -476238 -49629 -525867 14947863 0 14947863 14394037 0 14394037 0 14394037 PART IV, LINE 2B: SOME RESIDENTS HAVE SMALL CASH BALANCES ON DEPOSIT WITH THE HOME FOR USE ON ITEMS SUCH AS HAIRCUTS, MEAL TICKETS, ETC. PART V, LINE 4: THE HOME'S PERMANENTLY RESTRICTED NET ASSETS CONSIST OF THREE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS ESTABLISHED TO SUPPORT THE HOME. PART X, LINE 2: THE HOME QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ITS ACTIVITIES DO NOT RESULT IN ANY INCOME TAX LIABILITY. THE HOME FOLLOWS PROFESSIONAL STANDARDS WHICH CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE HOMES FINANCIAL STATEMENTS AND PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE STANDARDS ALSO PROVIDE GUIDANCE ON DERECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE HOME FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE HOMES FEDERAL INCOME TAX RETURNS FOR FISCAL YEARS 2019 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2022 AND DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT TWELVE MONTHS. THE HOME WILL RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNRECOGNIZED TAX BENEFITS, IF ANY, AS A COMPONENT OF INCOME TAX EXPENSE. AS OF JUNE 30, 2022, THE HOME DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX PROVISIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SWAP -49,629. X 0 0 0 0 0 0 0 0 0 FELISHA ALDERSON EXECUTIVE DIRECTOR 193644 0 0 0 0 0 0 0 25275 0 218919 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FOLLOWING REVIEW BY THE CFO AND EXECUTIVE DIRECTOR, THE TREASURER OR OTHER KNOWLEDGEABLE BOARD MEMBER REVIEWS THE RETURN IN DETAIL. THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTUAL SALARIES AND RELATED: PROGRAM SERVICE EXPENSES 1,762,280. MANAGEMENT AND GENERAL EXPENSES 30,541. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,792,821. FORM 990, PART XI, LINE 9: LOSS ON SWAP AGREEMENT -49,629. AUXILIARY OF THE MILTON & HATTIE KUTZ HOME INC 510136951 SUPPORT OF THE KUTZ HOME DE 501C 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0