2013-02-08T17:23:45-06:00 2012-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 53226 990 2011-07-01 391126946 MARQUARDT MEMORIAL MANOR INC MARQ 9202610400 1020 HILL STREET WATERTOWN WI 530983099 JULIE MARKS 9202610400 2013-02-08 1 DAVE GLOBIG CPA P01356041 4144319300 2013-02-06 2011 2016-02-25 16:41:14Z JULIE MARKS 1020 HILL STREET WATERTOWN WI 53098 14335670 0 X N/A X 1966 WI THE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE EXTENDED NURSING, CONVALESCENT, AND REHABILITATIVE CARE TO THE ELDERLY. 7 7 300 250 0 0 5602 34008 12152335 11612438 54584 292310 541103 198448 12753624 12137204 0 0 0 0 9517048 8263127 0 0 1075 3429280 2980260 12946328 11243387 -192704 893817 8498497 8699553 1932526 1540893 6565971 7158660 X CARING FOR THE ELDERLY AND HANDICAPPED IN A CHRISTIAN ENVIRONMENT. 0 1 9241860 10726500 OPERATION OF A SKILLED NURSING FACILITY BENEFITING 256 RESIDENTS OF WHICH 66% WERE MEDICAID. 348106 294187 OPERATION OF A HOME HEALTH AGENCY THAT WAS TRANSFERRED TO MARQUARDT HOME AND COMMUNITY BASED SERVICES, INC. ON 2/1/12. 289535 415947 OPERATION OF A HOSPICE AGENCY THAT WAS TRANSFERRED TO MARQUARDT HOME AND COMMUNITY BASED SERVICES, INC. ON 2/1/12. 9879501 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 8 0 1 300 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JULIE MARKS 9202610400 1020 HILL STREET WATERTOWN WI 530983099 JOHN H EBERT 1.00 X 0 0 0 REV JAMES T HICKS 1.00 X 0 0 0 TOM KASTEN 1.00 X 0 0 0 DR JEFF HORKAN 1.00 X 0 0 0 NELSON FISCHER 1.00 X X 0 0 0 WILLIAM KIESSLING JR 1.00 X X 0 0 0 THOMAS WENDT 1.00 X X 0 0 0 KAY WIPPERFURTH 1.00 X X 0 0 0 JULIE MARKS 40.00 X 109040 0 19448 MATTHEW R MAUTHE 40.00 X 142896 0 23923 BONNIE ZABEL 40.00 X 136458 0 11257 388394 0 54628 3 1 1 0 HEALTH REACH REHABILITATION SERVICES 17280 W NORTH AVE 104 BROOKFIELD WI 53045 THERAPY SERVICES 405722 CEO CONSULTING 715 HILL STREET SUITE 140 MADISON WI 53705 OPS/STRATEGY CONSULT. 102024 2 34008 34008 SKILLED NURSING FACILI 623000 10535892 10535892 HOSPICE CARE 623990 415948 415948 TENANT SERVICES 623000 366411 366411 HOME HEALTH CARE 621610 294187 294187 11612438 69727 69727 2421049 2198466 222583 222583 222583 MANAGEMENT FEES 623000 190607 190607 OTHER OPERATING REVENU 623000 7841 7841 198448 12137204 11436634 0 666562 263248 263248 6286279 6014201 272078 80744 74132 6612 1016354 933130 83224 616502 566020 50482 16975 16975 70476 70476 18600 18600 13872 13872 241922 222907 19015 7868 7868 982177 938723 43454 55156 55156 289142 289142 31255 31255 39901 39901 398178 397836 342 71290 71290 MEDICARE PART A & B EXP 303378 303378 MEDICAID BED ASSESSMENT 285600 285600 OFFICE, HOME FEE, CHAPL 46918 46918 DUES, FEES, & SUBSCRIPT 38308 38308 69244 53213 14956 1075 11243387 9879501 1362811 1075 410700 250 13516 10055 995376 562377 84313 87910 10876615 6657965 4347615 4218650 2444924 2001037 202053 1819274 8498497 8699553 1021353 718807 822114 776294 89059 45792 1932526 1540893 X 6565971 7158660 6565971 7158660 8498497 8699553 X 893817 -301128 X X 0 1 1 X 0 X 13602 9868 11528 5602 34008 74608 12003376 12752945 12921478 12693438 11436634 61807871 374252 374252 12016978 12762813 12933006 12699040 11844894 62256731 0 0 0 62256731 111694 34350 38567 53640 69727 307978 111694 34350 38567 53640 69727 307978 12128672 12797163 12971573 12752680 11914621 62564709 0.99510 0.95650 0.00490 0.00590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 133147 133147 7440034 4503501 2936533 412958 319717 93241 2759657 1791294 968363 130819 43453 87366 4218650 DEFERRED FINANCE CHARGES 30164 PATIENT TRUST FUNDS 2717 UNEMPLOYMENT RESERVE FUND 141937 DUE FROM RELATED COMPANY 1644456 1819274 RESIDENT TRUST FUND 2717 INTEREST RATE SWAP AGREEMENT 43075 45792 12137204 11243387 893817 -319865 18737 -301128 592689 16566822 -319865 4749483 4429618 12137204 0 12137204 16153699 4910312 4910312 11243387 0 11243387 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2009 AND ALL SUBSEQUENT YEARS REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 18,737. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE ADJUSTMENT PER CONSOLIDATED FINANCIAL STATEMENTS 4,749,483. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE ADJUSTMENT PER CONSOLIDATED FINANCIAL STATEMENTS 4,910,312. 1 X X X X X 1 0 0 0 0 0 0 0 0 MATTHEW R MAUTHE 142896 0 0 0 0 0 0 0 23923 0 166819 0 0 0 BONNIE ZABEL 136458 0 0 0 0 0 0 0 11257 0 147715 0 0 0 PART I, LINE 4A BONNIE ZABEL WAS TERMINATED 6/20/11 AND RECEIVED $61,352 IN SEVERANCE COMPENSATION THROUGH 12/31/11. CITY OF WATERTOWN WISCONSIN REVENUE BONDS SERIES 2004 396005640 2004-04-01 1092000 TO REFUND PRIOR ISSUE FROM 5/30/1996 0 0 0 315706 1092000 21000 1071000 2004 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 JP MORGAN 10.000000000000 1 0 0 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 THE HOME HEALTH AGENCY AND HOSPICE AGENCY WERE TRANSFERRED TO MARQUARDT HOME AND COMMUNITY BASED SERVICES, INC. ON 2/1/12. FORM 990, PART VI, SECTION A, LINE 4 ARTICLES OF AMENDMENT WERE FILED TO CONVERT FROM NON-MEMBER NONSTOCK CORPORATIONS TO NONSTOCK CORPORATIONS WITH MEMBERS AND DESIGNATING MARQUARDT VILLAGE, INC. AS THE SOLE MEMBER. 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 B, LINE 11 THE CEO, THE CFO AND THE BOARD 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. 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 WILL PROVIDE A COPY OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -319,865. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 18,737. TOTAL TO FORM 990, PART XI, LINE 5: -301,128. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED IN THE CURRENT 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 FOUNDATION WI 501(C)3 LINE 7 MARQUARDT VILLAGE INC 0 MARQUARDT VILLAGE INC 1020 HILL STREET WATERTOWN WI 53098 391704732 SENIOR HOUSING 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 0 1 0 1 0 0 1 0 0 0 0 1 0 1 0 0