2015-02-23T08:02:33-06:00 2014-06-30 510227758 MASTER SIDLOW & ASSOCIATES PA 2002 WEST 14TH STREET WILMINGTON DE 19806 990 2013-07-01 510070786 MILTON & HATTIE KUTZ HOME INC MILT 3027647000 704 RIVER ROAD WILMINGTON DE 19809 KAREN FRIEDMAN EXECUTIVE DIRECTOR 3027647000 2015-02-20 1 JUDITH M SCARBOROUGH P00161946 3026523480 2013 2016-02-25 16:41:14Z KAREN FRIEDMAN 704 RIVER ROAD WILMINGTON DE 19809 10792824 0 X WWW.KUTZHOME.ORG X 1953 DE SKILLED NURSING CARE FOR THE ELDERLY 28 28 194 25 0 0 474575 628546 9032955 9727369 91517 161402 320 1960 9599367 10519277 0 0 0 0 4957126 6045605 22865 5350 5350 4631083 6399865 9611074 12450820 -11707 -1931543 23783813 24692707 12103066 14809918 11680747 9882789 THE HOME'S MISSION IS TO PROVIDE SHELTER, MEDICAL CARE, NURSING AND OTHER SERVICES FOR AGING MEN AND WOMEN. 0 0 8603433 8992817 LONG-TERM CARE NURSING FACILITY PROVIDING SKILLED NURSING CARE AND THERAPY TO THE ELDERLY WITHOUT REGARD TO ABILITY TO PAY. TOTAL OF 31,133 PATIENT DAYS. 2428195 734552 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 3,534 PATIENT DAYS 11031628 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 1 0 0 0 0 1 1 1 0 0 1 22 0 1 194 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 AMY LEVITON DIRECTOR 1.00 X 0 0 0 BARBARA SCHOENBERG VICE PRESIDENT 1.00 X X 0 0 0 DAVID DRIBAN PRESIDENT 1.00 X X 0 0 0 DONALD PARSONS DIRECTOR 1.00 X 0 0 0 EILEEN CONNER DIRECTOR 1.00 X 0 0 0 FELISHA ALDERSON DIRECTOR 1.00 X 0 0 0 GAIL TOLPIN DIRECTOR 1.00 X 0 0 0 GINGER WEISS DIRECTOR 1.00 X 0 0 0 GREGORY SCHIFF DIRECTOR 1.00 X 0 0 0 IRIS VINOKUR DIRECTOR 1.00 X 0 0 0 JOAN WACHSTEIN DIRECTOR 1.00 X 0 0 0 KEN KAMM DIRECTOR 1.00 X 0 0 0 LAURIE SILVERSTEIN DIRECTOR 1.00 X 0 0 0 LESLIE GOLDENBERG DIRECTOR 1.00 X 0 0 0 MARDIAN BERMAN DIRECTOR 1.00 X 0 0 0 MARK STANTON DIRECTOR 1.00 X 0 0 0 MARTIN MAND DIRECTOR 1.00 X 0 0 0 MATTHEW FINFER SECRETARY 1.00 X X 0 0 0 MICHAEL MINEO DIRECTOR 1.00 X 0 0 0 MICHAEL ROSEN DIRECTOR 1.00 X 0 0 0 MIRIAM EDELL DIRECTOR 1.00 X 0 0 0 NEIL LATTIN DIRECTOR 1.00 X 0 0 0 ROBERT GOODMAN TREASURER 1.00 X X 0 0 0 RUTH ROSENBERG DIRECTOR 1.00 X 0 0 0 SELINDA MELNIK DIRECTOR 1.00 X 0 0 0 SHELDON WEINSTEIN DIRECTOR 1.00 X 0 0 0 STUART FELZER DIRECTOR 1.00 X 0 0 0 THEODORE ZUTX DIRECTOR 1.00 X 0 0 0 DAVE BACHER CONTROLLER 40.00 X 109158 0 15632 KAREN FRIEDMAN EXECUTIVE DIRECTOR 40.00 X 181637 0 17529 290795 0 33161 2 0 1 0 MORRISON SENIOR DINING 17 S MARKET SQ 4TH FLOOR HARRISBURG PA 17101 OPERATIONAL CONSULTANT 2090126 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 THERAPY 480070 XPRESS NURSES LLC PO BOX 881774 SAN FRANCISCO CA 94188 TEMPORARY STAFFING - NURSES AND CNA'S 194205 3 22686 605860 150000 628546 MEDICAID/MEDICARE 623000 6770326 6770326 RESIDENT SERVICE REV 623000 2957043 2957043 9727369 142882 142882 292067 273547 18520 18520 18520 MISCELLANEOUS 623000 1960 1960 1960 10519277 9727369 0 163362 X 320298 320298 4675283 4038210 637073 50256 45699 4557 623364 531082 92282 376404 329794 46610 104623 102171 2452 5350 5350 1325605 1297077 28528 107416 87136 20280 13765 13765 283286 269449 13837 6832 5960 872 10653 3754 6899 444518 430293 14225 711770 680396 31374 215279 203828 11451 SUPPLIES 661759 632462 29297 CLINICAL SERVICES 644056 644056 FOOD 467402 467402 NURSING HOME QUALITY AS 421525 421525 981376 827569 153807 12450820 11031628 1413842 5350 1725 205639 2723689 2104043 609033 464203 961705 1273159 130113 302827 131138 22333252 5347545 16214969 16985707 2969865 3116030 282675 23783813 24692707 2198104 1268881 134716 218206 22518 15966 9637572 13086820 110156 220045 12103066 14809918 X 10247142 8539253 1312618 1222549 120987 120987 11680747 9882789 23783813 24692707 X -1931543 243474 -109889 X 0 1 X 1 0 X 214687 836604 1053905 474575 628546 3208317 7890943 8718408 8684819 9032955 9727369 44054494 8105630 9555012 9738724 9507530 10355915 47262811 8308 115231 157100 91606 38370 410615 149273 100296 26778 97273 11281 384901 157581 215527 183878 188879 49651 795516 46467295 34105 92792 97128 86375 142882 453282 34105 92792 97128 86375 142882 453282 1379 892 10016 320 1960 14567 8141114 9648696 9845868 9594225 10500757 47730660 0.97350 0.97280 0.00950 0.00740 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 20494064 4478703 16015361 1786022 868842 917180 53166 53166 16985707 DERIVATIVE CONTRACT - INTEREST RATE SWAP 220045 220045 X 10762751 243474 243474 10519277 0 10519277 12560709 109889 109889 12450820 0 12450820 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 TAX YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2014 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, 2014, 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 109,889. 1 X 0 0 0 0 0 0 0 0 0 KAREN FRIEDMAN EXECUTIVE DIRECTOR 181637 0 0 0 0 0 0 0 17529 0 199166 0 0 0 X KITCHEN EQUIP 1 150000 COST 0 0 0 PART I, COLUMN (B): CONTRIBUTION OF KITCHEN EQUIPMENT FROM ONE DONOR. 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 1,297,077. MANAGEMENT AND GENERAL EXPENSES 28,528. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,325,605. FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON SWAP AGREEMENT -109,889. 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 76307 FMV