2021-04-06T08:27:42-05:00 2020-06-30 510227758 MASTER SIDLOW & ASSOCIATES PA 750 PRIDES CROSSING SUITE 100 NEWARK DE 19713 990 2019-07-01 510070786 MILTON & HATTIE KUTZ HOME INC MILT 3027647000 704 RIVER ROAD WILMINGTON DE 19809 FELISHA ALDERSON EXECUTIVE DIRECTOR 3027647000 2021-02-23 1 JUDITH M SCARBOROUGH P00161946 3026523480 2021-02-09 2019 2022-09-23 18:48:47Z KUTZ SENIOR LIVING CAMPUS FELISHA ALDERSON 704 RIVER ROAD WILMINGTON DE 19809 17466791 0 X WWW.KUTZHOME.ORG X 1953 DE SKILLED NURSING CARE FOR THE ELDERLY 37 37 216 25 0 0 376282 754150 14568311 14660873 106011 50312 0 0 15050604 15465335 0 0 0 0 7033685 7271605 0 0 0 7947770 8362786 14981455 15634391 69149 -169056 20511787 21267404 13454530 14456316 7057257 6811088 THE HOME'S MISSION IS TO PROVIDE SHELTER, MEDICAL CARE, NURSING AND OTHER SERVICES FOR AGING MEN AND WOMEN. 0 0 9830079 10370236 LONG-TERM CARE NURSING FACILITY PROVIDING SKILLED NURSING CARE AND THERAPY TO THE ELDERLY WITHOUT REGARD TO ABILITY TO PAY. TOTAL OF 29,992 PATIENT DAYS. 3988008 4290637 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 18,230 PATIENT DAYS. 13818087 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 21 0 1 216 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 DAVID BACHER 3027647000 704 RIVER ROAD WILMINGTON DE 19809 FELISHA ALDERSON EXECUTIVE DIRECTOR 40.00 X X 34494 0 4404 EILEEN SARTER TREASURER 1.00 X X 0 0 0 DONNA HARLEV PRESIDENT 1.00 X X 0 0 0 RABBI BEALS DIRECTOR 1.00 X 0 0 0 SAM CLOSIC DIRECTOR 1.00 X 0 0 0 ALAN EVANTASH DIRECTOR 1.00 X 0 0 0 MICHELLE GLAZIER VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL GROSS 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 ELLEN MEYER DIRECTOR 1.00 X 0 0 0 DEBBIE NACHLIS SECRETARY 1.00 X X 0 0 0 GREGORY SCHIFF DIRECTOR 1.00 X 0 0 0 GINGER WEISS DIRECTOR 1.00 X 0 0 0 SHERRY SIMMONS DIRECTOR 1.00 X 0 0 0 MICHAEL TANNEN DIRECTOR 1.00 X 0 0 0 RICHARD LITWIN DIRECTOR 1.00 X 0 0 0 HAROLD GRUBER DIRECTOR 1.00 X 0 0 0 BERTA KERR DIRECTOR 1.00 X 0 0 0 ROGER KERZNER DIRECTOR 1.00 X 0 0 0 SHARON SALIMAN DIRECTOR 1.00 X 0 0 0 ANDREW TAUB DIRECTOR 1.00 X 0 0 0 MARK WAGMAN DIRECTOR 0.00 X 0 0 0 HAYIM WEISS DIRECTOR 0.00 X 0 0 0 DAVE BACHER CHIEF FINANCIAL OFFICER 40.00 X 122841 0 14589 JOHN OPPENHEIMER INTERIM EXECUTIVE DIRECTOR 40.00 X 156000 0 0 313335 0 18993 2 0 1 0 UNIDINE LIFESTYLES 17 S MARKET SQ 4TH FLOOR HARRISBURG PA 17101 OPERATIONAL CONSULTANT 2865775 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 THERAPY 499217 2 45000 487280 221870 754150 MEDICAID/MEDICARE 623000 7575165 7575165 RESIDENT SERVICE REV 623000 7085708 7085708 14660873 80613 80613 1971155 2001456 -30301 -30301 -30301 15465335 14660873 0 50312 X 433923 433923 5558040 4847917 710123 75445 66491 8954 770954 651866 119088 433243 380710 52533 121068 118268 2800 1851614 1817452 34162 142788 142788 34447 21647 12800 290212 276475 13737 6117 2999 3118 486645 471072 15573 743160 707664 35496 280727 266962 13765 SUPPLIES 830131 799008 31123 NURSING HOME QUALITY AS 757609 757609 CLINICAL SERVICES 627574 627574 FOOD 627218 627218 1563476 1377155 186321 15634391 13818087 1816304 0 5187 45132 1292156 1657213 11815 5287 1371570 1359836 65570 121131 23848369 9374338 14527378 14474031 3021298 3401134 216813 203640 20511787 21267404 1053935 1071023 445367 1714920 20307 40939 11785952 11373881 148969 255553 13454530 14456316 X 6315580 5989398 741677 821690 7057257 6811088 20511787 21267404 X -169056 29471 -106584 X 0 1 X 1 0 X 191702 210582 341168 376282 754150 1873884 11989784 13044833 14190962 14568311 14660873 68454763 12181486 13255415 14532130 14944593 15415023 70328647 17065 6522 6134 4782 6860 41363 21941 21941 17065 6522 28075 4782 6860 63304 70265343 62243 53708 72319 79442 80613 348325 62243 53708 72319 79442 80613 348325 12243729 13309123 14604449 15024035 15495636 70676972 0.99420 0.99250 0.00490 0.00650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 131062 131062 121062 10000 131062 120987 75 121062 120987 120987 120987 120987 1.00000 0 0 21707656 8077893 13629763 1995302 1296445 698857 145411 145411 14474031 DERIVATIVE CONTRACT - INTEREST RATE SWAP 255553 255553 X 15494806 29471 29471 15465335 0 15465335 15740975 106584 106584 15634391 0 15634391 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 2017 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2020 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, 2020, THE HOME DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX PROVISIONS. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SWAP AGREEMENT 106,584. X 0 0 0 0 0 0 0 0 0 JOHN OPPENHEIMER INTERIM EXECUTIVE DIRECTOR 156000 0 0 0 0 0 0 0 0 0 156000 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 1,817,452. MANAGEMENT AND GENERAL EXPENSES 34,162. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,851,614. FORM 990, PART IX, LINE 24E REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 511,670. MANAGEMENT AND GENERAL EXPENSES 25,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 537,090. PURCHASED NURSING SERVICES: PROGRAM SERVICE EXPENSES 342,973. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 342,973. WORKERS COMPENSATION: PROGRAM SERVICE EXPENSES 243,295. MANAGEMENT AND GENERAL EXPENSES 33,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 276,866. BAD DEBT: PROGRAM SERVICE EXPENSES 222,748. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 222,748. PROFESSIONAL CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 83,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,743. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 21,047. MANAGEMENT AND GENERAL EXPENSES 10,359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,406. MEDICARE SERVICES: PROGRAM SERVICE EXPENSES 26,820. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,820. TELEPHONE: PROGRAM SERVICE EXPENSES 4,819. MANAGEMENT AND GENERAL EXPENSES 17,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,678. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,278. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,278. LOCAL TRANSPORTATION: PROGRAM SERVICE EXPENSES 3,783. MANAGEMENT AND GENERAL EXPENSES 2,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,874. FORM 990, PART XI, LINE 9: LOSS ON SWAP AGREEMENT -106,584. 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