2016-01-20T13:26:33-06:00 2015-06-30 510227758 MASTER SIDLOW & ASSOCIATES PA 2002 WEST 14TH STREET WILMINGTON DE 19806 990 2014-07-01 510070786 MILTON & HATTIE KUTZ HOME INC MILT 3027647000 704 RIVER ROAD WILMINGTON DE 19809 KAREN FRIEDMAN EXECUTIVE DIRECTOR 3027647000 2016-01-15 1 JUDITH M SCARBOROUGH P00161946 3026523480 2014 2016-04-25 22:37:26Z KAREN FRIEDMAN 704 RIVER ROAD WILMINGTON DE 19809 11985497 0 X WWW.KUTZHOME.ORG X 1953 DE SKILLED NURSING CARE FOR THE ELDERLY 28 28 219 25 0 0 628546 214276 9727369 11220306 161402 190835 1960 0 10519277 11625417 0 0 0 0 6045605 6030570 5350 0 0 6399865 7064764 12450820 13095334 -1931543 -1469917 24692707 22475026 14809918 14224969 9882789 8250057 THE HOME'S MISSION IS TO PROVIDE SHELTER, MEDICAL CARE, NURSING AND OTHER SERVICES FOR AGING MEN AND WOMEN. 0 0 8751667 9312715 LONG-TERM CARE NURSING FACILITY PROVIDING SKILLED NURSING CARE AND THERAPY TO THE ELDERLY WITHOUT REGARD TO ABILITY TO PAY. TOTAL OF 30,886 PATIENT DAYS. 2977750 1907591 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 8,978 PATIENT DAYS 11729417 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 1 0 0 1 16 0 1 219 1 0 0 0 0 0 0 0 0 0 0 X 28 28 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 DE X DAVID BACHER 3027647000 704 RIVER ROAD WILMINGTON DE 19809 DAVID DRIBAN PRESIDENT 1.00 X X 0 0 0 ROBERT GOODMAN TREASURER/PRESIDENT ELECT 1.00 X X 0 0 0 AMY LEVITON VICE PRESIDENT 1.00 X X 0 0 0 RUTH ROSENBERG VICE PRESIDENT 1.00 X X 0 0 0 FELISHA ALDERSON SECRETARY 1.00 X X 0 0 0 GARY ALDERSON DIRECTOR 1.00 X 0 0 0 MARDIAN BERMAN DIRECTOR 1.00 X 0 0 0 DOROTHY BOBMAN DIRECTOR 1.00 X 0 0 0 JODI COHEN DIRECTOR 1.00 X 0 0 0 STUART FELZER DIRECTOR 1.00 X 0 0 0 DONNA HARLEV DIRECTOR 1.00 X 0 0 0 KEN KAMM DIRECTOR 1.00 X 0 0 0 NEIL LATTIN DIRECTOR 1.00 X 0 0 0 LISA LESSNER DIRECTOR 1.00 X 0 0 0 SELINDA MELNIK DIRECTOR 1.00 X 0 0 0 EILEEN SARTER DIRECTOR 1.00 X 0 0 0 GREGORY SCHIFF DIRECTOR 1.00 X 0 0 0 WENDY SHLOSSMAN DIRECTOR 1.00 X 0 0 0 ANITA SOBEL 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 ORLY WALLACH DIRECTOR 1.00 X 0 0 0 GINGER WEISS DIRECTOR 1.00 X 0 0 0 LESLIE GOLDENBERG DIRECTOR 1.00 X 0 0 0 IRIS VINOKUR DIRECTOR 1.00 X 0 0 0 DAVE BACHER CONTROLLER 40.00 X 114605 0 14442 KAREN FRIEDMAN EXECUTIVE DIRECTOR 40.00 X 177344 0 12353 291949 0 26795 2 0 1 0 MORRISON SENIOR DINING 17 S MARKET SQ 4TH FLOOR HARRISBURG PA 17101 OPERATIONAL CONSULTANT 2229812 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 THERAPY 632381 XPRESS NURSES LLC PO BOX 881774 SAN FRANCISCO CA 94188 TEMPORARY STAFFING - NURSES AND CNA'S 187386 3 25679 188597 214276 MEDICAID/MEDICARE 623000 7191356 7191356 RESIDENT SERVICE REV 623000 4028950 4028950 11220306 165717 165717 385198 358875 1205 26323 -1205 25118 25118 11625417 11220306 0 190835 X 298221 298221 4707401 4115657 591744 -28000 -22874 -5126 659697 559589 100108 393251 345030 48221 109100 106575 2525 1484243 1453771 30472 98913 81440 17473 13096 13096 284636 270811 13825 7413 6641 772 12004 6070 5934 543098 525719 17379 776495 743061 33434 225936 214181 11755 CLINICAL SERVICES 733096 733096 SUPPLIES 630588 607671 22917 NURSING HOME QUALITY AS 491976 491976 FOOD 488570 488570 1165600 989337 176263 13095334 11729417 1365917 0 205639 61304 2104043 1219549 464203 300998 1273159 1184199 130113 130113 131138 193414 22362924 6100834 16985707 16262090 3116030 2853857 282675 269502 24692707 22475026 1268881 696532 218206 305244 15966 10283 13086820 12910411 220045 302499 14809918 14224969 X 8539253 7271260 1222549 857810 120987 120987 9882789 8250057 24692707 22475026 X -1469917 -80361 -82454 X 0 1 X 1 0 X 836604 1053905 474575 628546 214276 3207906 8718408 8684819 9032955 9727369 11220306 47383857 9555012 9738724 9507530 10355915 11434582 50591763 115231 157100 91606 38370 6730 409037 100296 26778 97273 11281 1594 237222 215527 183878 188879 49651 8324 646259 49945504 92792 97128 86375 142882 165717 584894 92792 97128 86375 142882 165717 584894 892 10016 320 1960 13188 9648696 9845868 9594225 10500757 11600299 51189845 0.97570 0.97350 0.01140 0.00950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 120987 120987 120987 120987 120987 120987 120987 120987 120987 120987 1.00000 0 0 20576902 5122623 15454279 1786022 978211 807811 16262090 DERIVATIVE CONTRACT - INTEREST RATE SWAP 302499 302499 X 11545056 -80361 -80361 11625417 0 11625417 13177788 82454 82454 13095334 0 13095334 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 2012 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2015 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, 2015, THE HOME DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX PROVISIONS. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON SWAP AGREEMENT 82,454. X 0 0 0 0 0 0 0 0 0 KAREN FRIEDMAN EXECUTIVE DIRECTOR 177344 0 0 0 0 0 0 0 12353 0 189697 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 1,453,771. MANAGEMENT AND GENERAL EXPENSES 30,472. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,484,243. FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON SWAP AGREEMENT -82,454. 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 AUXILIARY OF THE MILTON & HATTIE KUTZ HOME INC C 8000 FMV