2019-01-09T10:16:16-06:00 2018-06-30 510227758 MASTER SIDLOW & ASSOCIATES PA 2002 WEST 14TH STREET WILMINGTON DE 19806 990 2017-07-01 510070786 MILTON & HATTIE KUTZ HOME INC MILT 3027647000 704 RIVER ROAD WILMINGTON DE 19809 KAREN FRIEDMAN EXECUTIVE DIRECTOR 3027647000 2019-01-09 1 JUDITH M SCARBOROUGH P00161946 3026523480 2019-01-09 23.24.32.65 2019-01-09 09:59:24 ES P D9608A024CDB716DDD60C286D6F96B3F11E7FDB5 95603AAE603B8A85C984AE3674CB55F654005DA9 2017 2019-02-21 02:37:17Z KAREN FRIEDMAN 704 RIVER ROAD WILMINGTON DE 19809 17074793 0 X WWW.KUTZHOME.ORG X 1953 DE SKILLED NURSING CARE FOR THE ELDERLY 35 35 230 25 0 0 210582 341168 13044833 14190962 66534 83397 0 0 13321949 14615527 0 0 0 0 6386697 6767325 0 0 0 7432741 7794277 13819438 14561602 -497489 53925 20669124 20559122 13922709 13439869 6746415 7119253 THE HOME'S MISSION IS TO PROVIDE SHELTER, MEDICAL CARE, NURSING AND OTHER SERVICES FOR AGING MEN AND WOMEN. 0 0 9223565 0 10506158 LONG-TERM CARE NURSING FACILITY PROVIDING SKILLED NURSING CARE AND THERAPY TO THE ELDERLY WITHOUT REGARD TO ABILITY TO PAY. TOTAL OF 31,855 PATIENT DAYS. 3707767 0 3684804 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 17,418 PATIENT DAYS. 12931332 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 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 26 0 1 230 1 0 0 0 0 0 0 0 0 0 0 X 35 35 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 PRESIDENT 1.00 X X 0 0 0 EILEEN SARTER TREASURER 1.00 X X 0 0 0 DONNA HARLEV SECRETARY 1.00 X X 0 0 0 ELISA ABRAMS DIRECTOR 1.00 X 0 0 0 SUZANNE ADELMAN DIRECTOR 1.00 X 0 0 0 ALAN EVANTASH DIRECTOR 1.00 X 0 0 0 STUART FELZER DIRECTOR 1.00 X 0 0 0 MICHELLE GLAZIER DIRECTOR 1.00 X 0 0 0 MICHAEL GROSS DIRECTOR 1.00 X 0 0 0 MARK KULLER DIRECTOR 1.00 X 0 0 0 NEIL LATTIN DIRECTOR 1.00 X 0 0 0 JEFFREY MYERS DIRECTOR 1.00 X 0 0 0 DEBBIE NACHLIS DIRECTOR 1.00 X 0 0 0 GREGORY SCHIFF DIRECTOR 1.00 X 0 0 0 BARRY SCHNOLL DIRECTOR 1.00 X 0 0 0 JOSHUA SCHOENBERG DIRECTOR 1.00 X 0 0 0 JEFFREY STAPE DIRECTOR 1.00 X 0 0 0 GAIL TOLPIN DIRECTOR 1.00 X 0 0 0 CINDI VIVIANO 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 DAVE BACHER CHIEF FINANCIAL OFFICER 40.00 X 119308 0 16028 KAREN FRIEDMAN EXECUTIVE DIRECTOR 40.00 X 174890 0 18384 294198 0 34412 2 0 1 0 FLIK LIFESTYLES 17 S MARKET SQ 4TH FLOOR HARRISBURG PA 17101 OPERATIONAL CONSULTANT 2579316 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 THERAPY 616378 CARE BY FAITH LLC 405 BLACKSTONE ROAD NEWARK DE 19713 TEMPORARY STAFFING - NURSES AND CNA'S 127957 3 43868 297300 341168 MEDICAID/MEDICARE 623000 7914473 7914473 RESIDENT SERVICE REV 623000 6276489 6276489 14190962 73779 73779 2468384 500 2459266 0 9118 500 9618 9618 14615527 14190962 0 83397 X 338287 338287 5147179 4543047 604132 104873 94685 10188 769627 662219 107408 407359 365626 41733 115000 112339 2661 1673375 1640883 32492 109548 109548 16853 16853 275899 262792 13107 8106 5968 2138 6090 3057 3033 551076 533442 17634 698603 668662 29941 243566 231686 11880 NURSING HOME QUALITY AS 823306 823306 CLINICAL SERVICES 741696 741696 SUPPLIES 664717 640101 24616 FOOD 550112 550112 1316330 1034858 281472 14561602 12931332 1630270 0 2864 1287 1753074 1942827 73568 22595 963558 1092412 98224 62625 22617353 8120922 15001105 14496431 2533574 2674545 243157 229985 36415 20669124 20559122 944520 891807 460132 480753 16295 20172 12273063 12047137 228699 0 13922709 13439869 X 6035685 6327732 589743 670459 120987 121062 6746415 7119253 20669124 20559122 X 53925 53798 265115 X 0 1 X 1 0 X 628546 214276 191702 210582 341168 1586274 9727369 11220306 11989784 13044833 14190962 60173254 10355915 11434582 12181486 13255415 14532130 61759528 38370 6730 17065 6522 6134 74821 11281 1594 21941 34816 49651 8324 17065 6522 28075 109637 61649891 142882 165717 62243 53708 73779 498329 142882 165717 62243 53708 73779 498329 1960 1960 10500757 11600299 12243729 13309123 14605909 62259817 0.99020 0.98630 0.00800 0.00890 X 0 1 X 120987 75 121062 120987 120987 120987 120987 120987 120987 120987 120987 1.00000 0 0 20696893 6961958 13734935 1751138 1158964 592174 169322 169322 14496431 X 14934440 53798 265115 318913 14615527 0 14615527 14561602 0 14561602 0 14561602 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 2015 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2018 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, 2018, THE HOME DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX PROVISIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SWAP AGREEMENT 265,115. X 0 0 0 0 0 0 0 0 0 KAREN FRIEDMAN EXECUTIVE DIRECTOR 174890 0 0 0 0 0 0 0 18384 0 193274 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 1,640,883. MANAGEMENT AND GENERAL EXPENSES 32,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,673,375. FORM 990, PART XI, LINE 9: GAIN ON SWAP AGREEMENT 265,115. AUXILIARY OF THE MILTON & HATTIE KUTZ HOME INC 510136951 SUPPORT OF THE KUTZ HOME DE 501C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0