STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARQUARDT MEMORIAL MANOR INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MARQUARDT MEMORIAL MANOR INC (EIN 39-1126946)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202321359349312497
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T15:12:40-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391126946EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARQUARDT MEMORIAL MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARQBusinessNameControlTxt
Phone9202610400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53098ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICOLE CHWALAPersonNm
Person TitleCFOPersonTitleTxt
Phone9202610400PhoneNum
Signature2023-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNICOLEPersonFirstNm
Person LastCHWALAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSONPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2023-05-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW MAUTHEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53098ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,334,520GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARQUARDTVILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Other Organization DscCOPORATIONOtherOrganizationDsc
Formation1966FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE EXTENDED NURSING, CONVALESCENT, AND REHABILITATIVE CARE TO THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee493TotalEmployeeCnt
Total Volunteers121TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,322,685PYContributionsGrantsAmt
CY Contributions Grants$1,275,979CYContributionsGrantsAmt
PY Program Service Revenue$10,440,153PYProgramServiceRevenueAmt
CY Program Service Revenue$10,057,650CYProgramServiceRevenueAmt
PY Investment Income$1,117PYInvestmentIncomeAmt
CY Investment Income$891CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,763,955PYTotalRevenueAmt
CY Total Revenue$11,334,520CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,913,616PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,925,837CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,543,214PYOtherExpensesAmt
CY Other Expenses$5,873,504CYOtherExpensesAmt
PY Total Expenses$9,456,830PYTotalExpensesAmt
CY Total Expenses$8,799,341CYTotalExpensesAmt
PY Revenues Less Expenses$5,307,125PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,535,179CYRevenuesLessExpensesAmt
Total Assets BOY$22,486,239TotalAssetsBOYAmt
Total Assets EOY$23,158,595TotalAssetsEOYAmt
Total Liabilities BOY$2,876,775TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,013,952TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,609,464NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,144,643NetAssetsOrFundBalancesEOYAmt
MissionGROUNDED IN FAITH, WE PROMOTE THE HEALTH AND WELL-BEING OF EACH INDIVIDUAL WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,034,174ExpenseAmt
Revenue$10,057,650RevenueAmt
DescMARQUARDT MEMORIAL MANOR, INC IS A 140 BED SKILLED NURSING FACILITYDesc
Total Program Service Expenses$7,034,174TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee493EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NICOLE CHWALABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9202610400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP530983099ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
REV BRUCE NELSON
BOARD MEMBER1.009.00Yes (X)$0$0$0
SCOTT DETTMANN
BAORD ASST SECRETARY/TREASU1.009.00Yes (X)$0$0$0
ROBERT MEIDENBAUR
BOARD SECRETARY/TREASURER1.009.00Yes (X)$0$0$0
WILLIAM OSWALD
BOARD VICE PRESIDENT1.009.00Yes (X)$0$0$0
TODD FISCHER
BOARD PRESIDENT1.009.00Yes (X)$0$0$0
MIKE WILKES
BOARD MEMBER1.009.00Yes (X)$0$0$0
REV KATIE VAN DER LINDEN
BOARD MEMBER1.009.00Yes (X)$0$0$0
NICOLE CHWALA
CFO5.0035.00$164,057$0$0Yes (X)
MICHAEL LIBBY
SENIOR VP OF OPERATIONS5.0035.00$290,278$0$36,357Yes (X)
MATTHEW MAUTHE
CEO5.0035.00$516,650$0$40,348Yes (X)
JENNIFER JOHNSON
EXECUTIVE DIRECTOR- THE MARQUARDT5.0035.00$168,623$0$4,924Yes (X)
SHERRY CIRA
SENIOR VP OF ADMINISTRATION5.0035.00$172,548$0$2,734Yes (X)
JEFF HOFFMANN
VP OF CONSTRUCTION5.0035.00$154,775$0$13,945Yes (X)
MARK PIETROWIAK
VP OF BUSINESS DEVELOPMENT5.0035.00$153,358$0$45,891Yes (X)
ROSE BORCK
RN- THE MARQUARDT1.0039.00$135,965$0$9,089Yes (X)
MELISA TEWS
DIRECTOR OF NURSES- THE MARQUARDT1.0039.00$121,704$0$5,796Yes (X)
CHERYL MEYER
DIRECTOR OF HOME HEALTH1.0039.00$133,809$0$13,252Yes (X)
CHRIS BRASEL
CLINICAL REIMBURSEMENT MANAGER1.0039.00$110,811$0$3,314Yes (X)
GARY THORPE
DIRECTOR OF HR5.0035.00$129,621$0$35,774Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,252,199TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$211,424TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SYMBRIA REHAB
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555THERAPY SERVICES$582,136
GRAPETREE MEDICAL STAFFING LLC
2501 BOJI BEND DR SUITE 100MILFORDIA51351CONTRACTED NURSING$247,674
HEALTHDIRECT INSTITUTIONAL PHARMACY SERV
150 PATRICK BLVDBROOKFIELDWI53045PHARMACY$204,630
ELIM PREFERRED SERVICES INC
3500 HOLLY LANDEPLYMOUTHMN55447MEDICAL SUPPLIES$128,731
TOTAL MECHANICAL INC
N234 N2830 PAUL ROADPEWAUKEEWI53072REPAIRS AND MAINTENANCE$100,971
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$22RelatedOrganizationsAmt
Government Grants$1,275,957GovernmentGrantsAmt
Total Contributions$1,275,979TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING FACILITIES623000$7,366,999$7,366,999
FAMILY CARE623000$1,586,194$1,586,194
INSURANCE PAYMENTS623000$643,305$643,305
ALLOCATED REVENUES623000$398,912$398,912
HOSPICE623000$39,729$39,729

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,511TotalRevenueColumnAmt
Related Or Exempt Func Income$22,511RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,057,650TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$891TotalRevenueColumnAmt
Exclusion$891ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,334,520TotalRevenueColumnAmt
Related Or Exempt Func Income$10,057,650RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$891ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$563,440TotalAmt
Program Services$563,440ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,083,851TotalAmt
Program Services$2,083,851ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$33,273TotalAmt
Program Services$33,273ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$67,303TotalAmt
Program Services$67,303ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$177,970TotalAmt
Program Services$177,970ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$927,669TotalAmt
Management And General$927,669ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,563TotalAmt
Management And General$27,563ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$241,277TotalAmt
Management And General$241,277ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,242,167TotalAmt
Program Services$2,227,167ProgramServicesAmt
Management And General$15,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45,151TotalAmt
Program Services$43,126ProgramServicesAmt
Management And General$2,025ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$67,008TotalAmt
Program Services$40,630ProgramServicesAmt
Management And General$26,378ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$154,756TotalAmt
Program Services$154,756ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$226,065TotalAmt
Program Services$221,265ProgramServicesAmt
Management And General$4,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,304TotalAmt
Program Services$6,575ProgramServicesAmt
Management And General$5,729ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,602TotalAmt
Program Services$16,602ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$392,388TotalAmt
Program Services$392,388ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$148,707TotalAmt
Program Services$148,707ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICARE PART A & B EXP$571,521$571,521
BAD DEBT EXPENSE$468,429$468,429
MEDICAID BED ASSESSMENT$285,600$285,600
REPAIRS AND MAINTENANCE$28,621$28,621

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,676TotalAmt
Management And General$17,676ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,799,341TotalAmt
Program Services$7,034,174ProgramServicesAmt
Management And General$1,765,167ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
EOY$250EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,427,402BOYAmt
EOY$1,297,924EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$266,511BOYAmt
EOY$450,909EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,252,087LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,067,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,441,877BOYAmt
EOY$2,184,957EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,350,199BOYAmt
EOY$19,224,555EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,486,239BOYAmt
EOY$23,158,595EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,280,529BOYAmt
EOY$1,009,866EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$656,787BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$939,459BOYAmt
EOY$4,086EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,876,775BOYAmt
EOY$1,013,952EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,609,464BOYAmt
EOY$22,144,643EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,609,464BOYAmt
EOY$22,144,643EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,486,239BOYAmt
EOY$23,158,595EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,535,179ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$268,284CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,322,685CurrentTaxYearMinus1YearAmt
Current Tax Year$1,275,979CurrentTaxYearAmt
Total$5,866,948TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,931,570CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,613,031CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,760,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,440,153CurrentTaxYearMinus1YearAmt
Current Tax Year$10,057,650CurrentTaxYearAmt
Total$55,802,461TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,931,570CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,613,031CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,028,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,762,838CurrentTaxYearMinus1YearAmt
Current Tax Year$11,333,629CurrentTaxYearAmt
Total$61,669,409TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,237CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$112,152CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,429CurrentTaxYearMinus2YearsAmt
Total$244,818TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,237CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$112,152CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,429CurrentTaxYearMinus2YearsAmt
Total$244,818TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$61,424,591PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$655CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,117CurrentTaxYearMinus1YearAmt
Current Tax Year$891CurrentTaxYearAmt
Total$9,531TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$655CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,117CurrentTaxYearMinus1YearAmt
Current Tax Year$891CurrentTaxYearAmt
Total$9,531TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,935,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,613,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,031,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,763,955CurrentTaxYearMinus1YearAmt
Current Tax Year$11,334,520CurrentTaxYearAmt
Total$61,678,940TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99590PublicSupportCY509Pct
Public Support PY5090.99510PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,147OtherCostOrOtherBasisAmt
Book Value$133,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,028,238OtherCostOrOtherBasisAmt
Depreciation$6,456,310DepreciationAmt
Book Value$1,571,928BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$420,246OtherCostOrOtherBasisAmt
Depreciation$406,367DepreciationAmt
Book Value$13,879BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,571,140OtherCostOrOtherBasisAmt
Depreciation$3,130,989DepreciationAmt
Book Value$440,151BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,316OtherCostOrOtherBasisAmt
Depreciation$73,464DepreciationAmt
Book Value$25,852BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,184,957TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
UNEMPLOYEMENT RESERVE FUND$241,429
DUE FROM AFFILIATES$18,979,040
RESIDENT DEPOSITS$4,086
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,224,555TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT DEPOSITSDesc
Amt$4,086Amt
FieldValueIRS element (for citing)
Total Liability$4,086TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMARQUARDT VILLAGE AND ALL AFFILIATES, EXCEPT MARQUARDT INVESTMENTS, ARE TAX-EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE CORPORATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW MAUTHE
CEO$448,088$0$68,562$0$0$0$0$0$40,348$0$556,998$0$0$0
MICHAEL LIBBY
SENIOR VP OF OPERATIONS$265,557$0$24,721$0$0$0$0$0$36,357$0$326,635$0$0$0
MARK PIETROWIAK
VP OF BUSINESS DEVELOPMENT$134,879$0$18,479$0$0$0$0$0$45,891$0$199,249$0$0$0
SHERRY CIRA
SENIOR VP OF ADMINISTRATION$161,815$0$10,733$0$0$0$0$0$2,734$0$175,282$0$0$0
JENNIFER JOHNSON
EXECUTIVE DIRECTOR- THE MARQUARDT$168,623$0$0$0$0$0$0$0$4,924$0$173,547$0$0$0
JEFF HOFFMANN
VP OF CONSTRUCTION$138,286$0$16,489$0$0$0$0$0$13,945$0$168,720$0$0$0
GARY THORPE
DIRECTOR OF HR$119,931$0$9,690$0$0$0$0$0$35,774$0$165,395$0$0$0
NICOLE CHWALA
CFO$147,873$0$16,184$0$0$0$0$0$0$0$164,057$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 7BTHE 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 ANY SUBSIDIARIES OR AFFILIATES.
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CANNUALLY 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 15BOARD 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,249,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,249,639. PHARMACY: PROGRAM SERVICE EXPENSES 212,674. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,674. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 714,984. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 714,984. LAB: PROGRAM SERVICE EXPENSES 37,689. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,689. X-RAY: PROGRAM SERVICE EXPENSES 12,181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,181. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ZINZENDORF HALL INC
1045 HILL STREETWATERTOWNWI53098391647409ASSISTED LIVINGWI501(C)(3)LINE 10MARQUARDT VILLAGE INC0
MARQUARDT MANAGEMENT SERVICES INC
1045 HILL STREETWATERTOWNWI53098391756037SENIOR HOUSINGWI501(C)(3)LINE 10MARQUARDT VILLAGE INC0
MORAVIAN HOMES INC
1045 HILL STREETWATERTOWNWI53098391324889SENIOR HOUSINGWI501(C)(3)LINE 10MARQUARDT VILLAGE INC0
MUELLER APARTMENTS INC
1045 HILL STREETWATERTOWNWI53098391294266LOW INCOME HOUSINGWI501(C)(3)LINE 10MARQUARDT VILLAGE INC0
MARQUARDT FOUNDATION INC
1045 HILL STREETWATERTOWNWI53098391563808SUPPORT MARQUARDT VILLAGEWI501(C)(3)LINE 7MARQUARDT VILLAGE INC0
MARQUARDT VILLAGE INC
1045 HILL STREETWATERTOWNWI53098391704732MANAGEMENT SERVICESWI501(C)(3)LINE 12B, II0N/A
MARQUARDT HOME AND COMMUNITY BASED SERVICES INC
1045 HILL STREETWATERTOWNWI53098391940920HOME HEALTH, HOSPICE AND EMERGENCY RESPONSE SERVICESWI501(C)(3)LINE 10MARQUARDT VILLAGE INC0
THE HILLS AT COURTLAND RIDGE
1045 HILL STREETWATERTOWNWI53098611517711DEVELOPMENT OF RETIREMENT COMMUNITYWI501(C)(3)LINE 10MARQUARDT VILLAGE INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MARQUARDT INVESTMENTS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53098ZIPCd
FieldValueIRS element (for citing)
EIN475473378EIN
Primary ActivitiesINVESTMENTSPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MARQUARDT FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd