2016-11-14T11:54:36-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2015-01-01 391674718 LINCOLN LUTHERAN COMMUNITY CARE CORPORATION INC LINC 2626391100 3950 N MAIN STREET RACINE WI 53402 JULIE MARKS CFO 2626391100 2016-11-14 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2016-11-10 2015 2017-02-10 21:41:12Z BECKER SHOOP CENTER MATT MAUTHE 3950 N MAIN STREET RACINE WI 53402 7039398 0 X N/A X 1989 WI BECKER SHOOP PROVIDES SKILLED NURSING CARE FOCUSED ON CARING FOR INDIVIDUALS WITH DEMENTIA IN A FACILITY WITH 71 BEDS. 3 3 174 30 0 0 3411 2419 5679593 6831021 41 9 74196 205949 5757241 7039398 0 0 0 0 3168606 2861970 0 0 0 2761247 3976234 5929853 6838204 -172612 201194 2042926 2600144 1746900 2102924 296026 497220 THE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE SKILLED NURSING CARE FOCUSED ON REHABILITATION SERVICES AND CARING FOR INDIVIDUALS WITH DEMENTIA IN A SKILLED NURSING FACILITY. 0 0 4748348 6834008 BECKER SHOOP IS A 71 BED SKILLED NURSING FACILITY THAT IS MEDICARE AND MEDICAID CERTIFIED AND OFFERS ROUND-THE-CLOCK NURSING CARE FOR SHORT AND LONG TERM STAYS. 4748348 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 174 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ATRIUM OF RACINE INC 2626391100 3950 N MAIN ST RACINE WI 53402 X MATTHEW MAUTHE PRESIDENT 1.00 3.00 X X 0 0 0 DAVID FULCHER VICE PRESIDENT 1.00 3.00 X X 0 0 0 GERALD KELM SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 JULIE MARKS CFO 1.00 3.00 X 0 0 0 0 0 0 0 0 0 0 REHABCARE PO BOX 503534 ST LOUIS MO 631503534 REHAB SERVICES 817390 MARQUARDT MANAGEMENT SERVICES INC 1045 HILL STREET WATERTOWN WI 53098 MANAGEMENT SERVICES 285143 A'VIANDS LLC PO BOX 1450 MINNEAPOLIS MN 554855704 DINING SERVICES 207714 OMNICARE INC PO BOX 78000 DETROIT MI 482781668 PHARMACY SERVICES 207115 NEW HORIZON FOODS PO BOX 860246 MINNEAPOLIS MN 554860246 DINING SERVICES 143141 5 2419 2419 NURSING HOME REVENUE 623000 6831021 6831021 6831021 9 9 2100 0 2100 2100 2100 SETTLEMENTS/WRITE-OFF 900000 154481 154481 MISC REVENUE 623000 32372 32372 BARBER/BEAUTY 623000 9370 9370 7626 7626 203849 7039398 7036970 0 9 2313019 2161992 151027 30959 30959 189280 189280 328712 328712 637780 637780 129836 129836 23720 23720 144612 82690 61922 15785 15785 25676 25676 49480 49480 160978 117543 43435 7312 7312 36350 36350 146087 146087 55196 55196 NURSING/ANCILIARY EXPEN 1574490 1574490 DIETARY 527724 527724 REPAIRS/MAINTENANCE 113458 113458 BAD DEBT 91233 91233 236517 170451 66066 6838204 4748348 2089856 0 97827 255 438031 1116477 56966 14885 5282513 3844361 1438546 1438152 11556 30375 2042926 2600144 990404 1358243 744940 714305 11556 30376 1746900 2102924 X 296026 497220 296026 497220 2042926 2600144 201194 0 X X 0 1 X 1 0 X 57937 13479 7979 3411 2419 85225 6367487 6112599 6026824 5679593 6831021 31017524 6425424 6126078 6034803 5683004 6833440 31102749 0 266440 376597 156281 295191 1094509 266440 376597 156281 295191 1094509 30008240 81 249 769 41 2109 3249 81 249 769 41 2109 3249 14952 29568 37434 74196 203849 359999 6440457 6155895 6073006 5757241 7039398 31465997 0.95370 0.95050 0.00010 X 90361 90361 1445212 1340405 104807 1950233 1125807 824426 1790802 1378149 412653 5905 5905 1438152 RESIDENT TRUST FUND 30376 30376 7039398 0 7039398 0 7039398 6838204 0 6838204 0 6838204 FORM 990, PART VI, SECTION A, LINE 3 MARQUARDT MANAGEMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 6 THERE IS ONE CLASS OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ELECTS OTHER MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS GIVEN TO EACH BOARD MEMBER TO REVIEW AND COMMENT ON BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD MUST ATTEST THAT THEY DO NOT HAVE ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST; OR THEY MUST DISCLOSE ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT. SHOULD A CONFLICT ARIES, THE PERSON AFFECTED IS ASKED TO EXCUSE THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 BOARD AND CEO REVIEW COMPARABILTIY DATA AND APPROVE COMPENSATION ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS THIS INFORMATION AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESSES FROM PRIOR YEARS. LINCOLN LUTHERAN OF RACINE INC 2000 DOMANIK DRIVE RACINE WI 53404 390874802 SENIOR SERVICES WI 501(C)(3) LINE 1 N/A 0 SIENA ON THE LAKE 2000 DOMANIK DRIVE RACINE WI 53404 452814682 SENIOR SERVICES WI 501(C)(3) LINE 9 LINCOLN LUTHERAN OF RACINE INC 0 ATRIUM OF RACINE INC 3950 N MAIN STREET RACINE WI 53402 391615970 ASSISTED LIVING WI 501(C)(3) LINE 9 N/A 0 LINCOLN VILLAS NORTH INC 3950 N MAIN STREET RACINE WI 53402 391363010 LOW INCOME HOUSING WI 501(C)(3) LINE 9 N/A 0 TRINITY TERRACE INC 3950 N MAIN STREET RACINE WI 53402 391667734 INDEPENDENT LIVING WI 501(C)(3) LINE 9 N/A 0 LINCOLN MANOR REDEVELOPMENT LLC 2000 DOMANIK DRIVE RACINE WI 53404 LOW INCOME HOUSING WI LINCOLN LUTHERAN OF RACINE INC 0 0 LINCOLN VILLAS REDEVELOPMENT LLC 2000 DOMANIK DRIVE RACINE WI 53404 LOW INCOME HOUSING WI LINCOLN LUTHERAN OF RACINE INC 0 0 LMR MANAGING MEMBER 2000 DOMANIK DRIVE RACINE WI 53404 203502780 MANAGING MEMBER WI LINCOLN LUTHERAN OF RACINE INC C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0