2015-02-06T15:52:44-06:00 2014-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 53226 990 2013-07-01 391126946 MARQUARDT MEMORIAL MANOR INC MARQ 9202610400 1020 HILL STREET WATERTOWN WI 53098 JULIE MARKS CFO 9202610400 2015-02-06 1 DAVE GLOBIG CPA P01356041 4144319300 2015-02-06 2013 2016-02-25 16:41:14Z MATTHEW MAUTHE 1020 HILL STREET WATERTOWN WI 53098 11736070 0 X WWW.MARQUARDTVILLAGE.ORG X 1966 WI THE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE EXTENDED NURSING, CONVALESCENT, AND REHABILITATIVE CARE TO THE ELDERLY. 9 9 308 140 0 0 51252 2777 11318662 11320713 125668 116905 11023 0 11506605 11440395 0 1000 0 0 6890301 6152556 0 0 0 3668415 5022893 10558716 11176449 947889 263946 9830884 10571707 1538418 1798616 8292466 8773091 GROUNDED IN FAITH, WE PROMOTE THE HEALTH AND WELL-BEING OF EACH INDIVIDUAL WE SERVE. 0 0 8867254 1000 11320713 MARQUARDT MEMORIAL MANOR, INC. IS A 140 BED SKILLED NURSING FACILITY. IN FISCAL YEAR 2014, THE FACILITY BENEFITTED 310 RESIDENTS OF WHICH 72% WERE MEDICAID. 8867254 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 0 0 0 1 0 0 308 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JULIE MARKS 9202610400 1020 HILL STREET WATERTOWN WI 53098 TOM KASTEN BOARD MEMBER 0.50 3.00 X 0 0 0 JOHN EBERT BOARD MEMBER 0.50 3.00 X 0 0 0 REV JAMES HICKS BOARD MEMBER 0.50 3.00 X 0 0 0 DR JEFF HORKAN BOARD MEMBER 0.50 3.00 X 0 0 0 MITZI CASS BOARD MEMBER 0.50 3.00 X 0 0 0 WILLIAM KIESSLING JR PRESIDENT 0.50 3.00 X X 0 0 0 KAY WIPPERFURTH VICE PRESIDENT 0.50 3.00 X X 0 0 0 THOMAS WENDT SECRETARY/TREASURER 0.50 3.00 X X 0 0 0 NELSON FISCHER ASST. SECRETARY/ASST. TREASURER 0.50 3.00 X X 0 0 0 MATTHEW MAUTHE CEO 5.00 35.00 X 214698 0 28308 JULIE MARKS CFO 5.00 35.00 X 112388 0 21644 MICHAEL LIBBY COO 5.00 35.00 X 122317 0 24346 449403 0 74298 3 0 1 0 ALLIANCE REHAB 1520 KENSINGTON RD 105 OAKBROOK IL 60523 THERAPY SERVICES 531802 UNIDINE FOOD AND DINING MANAGEMENT 1000 WASHINGTON ST 510 BOSTON MA 02118 DINING SERVICES 358092 2 2777 2777 SKILLED NURSING FACILITY 623000 10576123 10576123 FEE ALLOCATIONS 623000 744590 744590 11320713 43921 43921 368659 295675 72984 72984 72984 11440395 11320713 0 116905 X 1000 1000 552258 552258 4442934 4309411 133523 46433 46433 652862 652862 458069 403101 54968 588634 588634 37829 37829 5438 5438 12326 12326 1801815 1382788 419027 26645 26645 454050 393311 60739 16500 16500 435790 435790 24237 24237 29945 29945 416552 416552 70539 70539 MEDICARE PART A & B EXP 755644 755644 MEDICAID BED ASSESSMENT 285600 285600 BAD DEBT EXPENSE 19432 19432 HOUSING ALLOWANCE 10407 10407 31510 30010 1500 11176449 8867254 2309195 0 250 250 884810 1041026 79835 193099 11241138 7476539 4039006 3764599 1900099 1444273 2926884 4128460 9830884 10571707 789335 1104635 728025 0 0 690944 21058 3037 1538418 1798616 X 8292466 8773091 8292466 8773091 9830884 10571707 X 263946 198265 18414 X X 0 1 X 1 0 X 11528 5602 34008 51252 2777 105167 12921478 12693438 11436634 10722333 11320713 59094596 374252 607352 981604 12933006 12699040 11844894 11380937 11323490 60181367 0 0 0 60181367 38567 53640 69727 59557 43921 265412 38567 53640 69727 59557 43921 265412 12971573 12752680 11914621 11440494 11367411 60446779 0.99560 0.99590 0.00440 0.00410 X 133147 133147 7466437 4940923 2525514 412958 345193 67765 3142901 2138522 1004379 85695 51901 33794 3764599 DEFERRED FINANCE CHARGES 21762 RESIDENT DEPOSITS 3037 UNEMPLOYMENT RESERVE FUND 143435 DUE FROM AFFILIATES 3960226 4128460 RESIDENT DEPOSITS 3037 3037 X 11657074 198265 18414 216679 11440395 0 11440395 11176449 0 11176449 0 11176449 PART X, LINE 2: IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE CORPORATION RECOGNIZES THE BENEFITS OF A TAX POSITION ONLY AFTER DETERMINING WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAXING AUTHORITY WOULD SUSTAIN THE TAX POSITION UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. THE CORPORATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2011, AND ALL SUBSEQUENT YEARS REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 18,414. X X X X 0 0 0 0 0 0 0 0 0 MATTHEW MAUTHE CEO 214466 0 0 0 232 0 3306 0 25002 0 243006 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE A SINGLE CLASS OF VOTING MEMBERS, AND THE SOLE MEMBER OF THAT CLASS SHALL BE MARQUARDT VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL APPOINT UP TO EIGHT (8) DIRECTORS. THE APPOINTED DIRECTORS SHALL BE INCLUDED IN THE TOTAL NUMBER OF AUTHORIZED DIRECTORS, SHALL BE ENTITLED TO VOTE, AND SHALL BE COUNTED FOR PURPOSES OF DETERMINING WHETHER A QUORUM IS PRESENT. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MAY BE TAKEN ONLY BY THE MEMBER: AMENDMENT OF THE ARTICLES OF INCORPORATION; AMENDMENT OF THE BYLAWS; MERGER, CONSOLIDATION, OR DISSOLUTION; THE CREATION OF OF ANY SUBSIDIARIES OR AFFILIATES. 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 INTERNAL REVENUE SERVICE. THE CEO AND THE CFO ALSO REVIEW AND APPROVE THE 990 RETURNS BEFORE THEY ARE FILED. 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 ARISE, THE PERSON AFFECTED IS ASKED TO EXCUSE THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 BOARD AND CEO REVIEW COMPARABILITY DATA AND APPROVE COMPENSATION ANNUALLY. THE BOARD REVIEWS AND APPROVES COMPENSATION FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED DINING SERVICES: PROGRAM SERVICE EXPENSES 1,293,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,293,367. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 89,421. MANAGEMENT AND GENERAL EXPENSES 419,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 508,448. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 18,414. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ZINZENDORF HALL INC 1020 HILL STREET WATERTOWN WI 53098 391647409 ASSISTED LIVING WI 501(C)(3) LINE 9 MARQUARDT VILLAGE INC 0 HUS APARTMENTS INC 1020 HILL STREET WATERTOWN WI 53098 391756037 SENIOR HOUSING WI 501(C)(3) LINE 9 MARQUARDT VILLAGE INC 0 MORAVIAN HOMES INC 1020 HILL STREET WATERTOWN WI 53098 391324889 SENIOR HOUSING WI 501(C)(3) LINE 9 MARQUARDT VILLAGE INC 0 MUELLER APARTMENTS INC 1020 HILL STREET WATERTOWN WI 53098 391294266 LOW INCOME HOUSING WI 501(C)(3) LINE 9 MARQUARDT VILLAGE INC 0 MARQUARDT FOUNDATION INC 1020 HILL STREET WATERTOWN WI 53098 391563808 SUPPORT MARQUARDT VILLAGE, INC. AND AFFILIATES WI 501(C)(3) LINE 7 MARQUARDT VILLAGE INC 0 MARQUARDT VILLAGE INC 1020 HILL STREET WATERTOWN WI 53098 391704732 MANAGEMENT SERVICES WI 501(C)(3) LINE 9 N/A 0 MARQUARDT HOME AND COMMUNITY BASED SERVICES INC 1020 HILL STREET WATERTOWN WI 53098 391940920 HOME HEALTH, HOSPICE AND EMERGENCY RESPONSE SERVICES WI 501(C)(3) LINE 9 MARQUARDT VILLAGE INC 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0