2014-03-25T16:15:22-05:00 2013-06-30 510227758 MASTER SIDLOW & ASSOCIATES PA 2002 WEST 14TH STREET WILMINGTON DE 19806 990 2012-07-01 510070786 MILTON & HATTIE KUTZ HOME INC MILT 3027647000 704 RIVER ROAD WILMINGTON DE 19809 KAREN FRIEDMAN 3027647000 2014-03-19 1 JUDITH M SCARBOROUGH P00161946 3026523480 2012 2015-11-30 17:44:51Z KAREN FRIEDMAN 704 RIVER ROAD WILMINGTON DE 19809 10059668 0 X WWW.KUTZHOME.ORG X 1953 DE SKILLED NURSING CARE FOR THE ELDERLY 30 29 156 24 0 0 1053905 474575 8684819 9032955 90314 91517 10016 320 9839054 9599367 0 0 0 0 4795366 4957126 89722 22865 22865 4306515 4631083 9191603 9611074 647451 -11707 12807055 23783813 1152768 12103066 11654287 11680747 THE HOME'S MISSION IS TO PROVIDE SHELTER, MEDICAL CARE, NURSING AND OTHER SERVICES FOR AGING MEN AND WOMEN. 0 0 8564706 0 9032955 LONG-TERM CARE NURSING FACILITY PROVIDING SKILLED NURSING CARE AND THERAPY TO THE ELDERLY WITHOUT REGARD TO ABILITY TO PAY. TOTAL OF 31,267 PATIENT DAYS. 8564706 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 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 26 0 1 156 1 0 0 0 0 0 0 0 0 0 0 X 30 29 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 MICHAEL MINEO 1.00 X 0 0 0 LAURIE SILVERSTEIN 1.00 X 0 0 0 DAVID DRIBAN 1.00 X X 0 0 0 ROBERT GOODMAN 1.00 X X 0 0 0 BARBARA SCHOENBERG 1.00 X X 0 0 0 STUART FELZER 1.00 X 0 0 0 MATTHEW FINFER 1.00 X X 0 0 0 MIRIAM EDELL 1.00 X 0 0 0 MARK STANTON 1.00 X 0 0 0 EILEEN CONNER 1.00 X 0 0 0 MARTIN MAND 1.00 X 0 0 0 DONALD PARSONS 1.00 X 0 0 0 MICHAEL ROSEN 1.00 X 0 0 0 JOAN WACHSTEIN 1.00 X 0 0 0 SHELDON WEINSTEIN 1.00 X 0 0 0 SELINDA MELNIK 1.00 X 0 0 0 MICHAEL BERKOVER 1.00 X 0 0 0 ALAN DALLAS 1.00 X 0 0 0 DAVID EPSTEIN 1.00 X 0 0 0 KEN KAMM 1.00 X 0 0 0 NEIL LATTIN 1.00 X 0 0 0 RUTH ROSENBERG 1.00 X 0 0 0 LISA KANE 1.00 X 0 0 0 ALISA MOEN 1.00 X 0 0 0 GINGER WEISS 1.00 X 0 0 0 LESLIE GOLDENBERG 1.00 X 0 0 0 IRIS VINOKUR 1.00 X 0 0 0 TERRY SHER 1.00 X 0 0 0 PEGGY DEPROPHETIS 1.00 X 0 0 0 KAREN FRIEDMAN 40.00 X 168821 0 18176 DAVE BACHER 40.00 X 102638 0 16453 271459 0 34629 2 0 1 0 MORRISON SENIOR DINING 17 S MARKET SQ 4TH FLOOR HARRISBURG PA 17101 OPERATIONAL CONSULTANT 1686269 SELECT MEDICAL REHAB SVCS INC 1386 OLD FREEPORT ROAD SUITE 3B PITTSBURGH PA 15238 THERAPY 467323 XPRESS NURSES LLC PO BOX 881774 SAN FRANCISCO CA 94188 TEMPORARY STAFFING - NURSES AND CNA'S 265481 3 20743 453832 474575 MEDICAID/MEDICARE 623000 6524280 6524280 RESIDENT SERVICE REV 623000 2508675 2508675 9032955 86375 86375 465443 460301 5142 5142 5142 MISCELLANEOUS 623000 320 320 320 9599367 9032955 0 91837 X 305705 305705 3828092 3429972 398120 44490 41609 2881 468691 415011 53680 310148 275128 35020 92536 89852 2684 22865 22865 1109805 1083530 26275 43091 29641 13450 4571 4571 174542 164419 10123 5789 5009 780 6449 1673 4776 348706 328481 20225 166330 156726 9604 CLINICAL SERVICES 555280 555280 SUPPLIES 541845 516403 25442 NURSING HOME QUALITY AS 465641 465641 FOOD 328778 328778 787720 672982 114738 9611074 8564706 1023503 22865 109282 1725 1934007 2723689 621187 609033 1116945 961705 288701 302827 20857859 4642890 5701751 16214969 3035182 2969865 12807055 23783813 940018 2198104 139416 134716 23334 22518 50000 9637572 0 110156 1152768 12103066 X 9674114 10247142 1859186 1312618 120987 120987 11654287 11680747 12807055 23783813 X -11707 148323 -416150 305994 X 0 1 X 1 0 X 152949 214687 836604 1053905 474575 2732720 7890620 7890943 8718408 8684819 9032955 42217745 8043569 8105630 9555012 9738724 9507530 44950465 8543 8308 115231 157100 91606 380788 127530 149273 100296 26778 97273 501150 136073 157581 215527 183878 188879 881938 44068527 24521 34105 92792 97128 86375 334921 24521 34105 92792 97128 86375 334921 1897 1379 892 10016 320 14504 8069987 8141114 9648696 9845868 9594225 45299890 0.97280 0.97470 0.00740 0.00750 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 6924429 3881552 3042877 1117338 761338 356000 12816092 12816092 16214969 DERIVATIVE CONTRACT - INTEREST RATE SWAP 110156 110156 X 10053684 148323 305994 454317 9599367 0 9599367 9611074 0 9611074 0 9611074 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. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE HOME'S PERMANENTLY RESTRICTED NET ASSETS CONSIST OF THREE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS ESTABLISHED TO SUPPORT THE HOME. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2013 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, 2013, THE HOME DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX PROVISIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON SWAP AGREEMENT 305,994. X X X X 1 BLOOM METZ CONSULTING 2812 LANDON DRIVE WILMINGTON DE 19810 CAPITAL CAMPAIGN CONSULTATION 0 347799 22865 324934 347799 22865 324934 1 X 0 0 0 0 0 0 0 0 0 KAREN FRIEDMAN 168821 0 0 0 0 0 0 0 18176 0 186997 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. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACTUAL SALARIES AND RELATED: PROGRAM SERVICE EXPENSES 1,083,530. MANAGEMENT AND GENERAL EXPENSES 26,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,109,805. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON SWAP AGREEMENT 305,994. 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 9692 FMV