2011-01-12T14:05:26-06:00 2010-06-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 53226 990 2009-07-01 391126946 MARQUARDT MEMORIAL MANOR INC MARQ 9202610400 1020 HILL STREET WATERTOWN WI 530983099 Julie Marks 9202610400 2011-01-12 1 DAVE GLOBIG CPA 4144319300 2011-01-12 2009 2016-02-24 21:20:13Z Julie Marks 1020 Hill Street Watertown WI 53098 13229899 0 X N/A X 1966 WI THE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE EXTENDED NURSING, CONVALESCENT, AND REHABILITATIVE CARE TO THE ELDERLY. 14 14 314 250 0 0 9868 11528 12243413 12400355 30977 38567 509532 521123 12793790 12971573 0 0 9120402 9499777 0 0 3447541 3369757 12567943 12869534 225847 102039 7910970 8247957 1929033 1994046 5981937 6253911 Caring for the elderly and handicapped in a Christian environment. 0 0 10106998 11002840 Operation of a skilled nursing facility benefiting 284 residents of which 60% were Medicaid. 471189 599877 Operation of a home health agency benefiting 227 individuals of which 16% were Medicaid or charity and charity care totaled $16,700. 685323 797638 Operation of a hospice agency providing care and services to 84 individuals. 11263510 1 1 0 0 0 0 0 0 0 1 1 0 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 1 8 0 1 314 1 0 0 0 0 0 0 0 0 0 14 14 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X The Organization 9202610400 1020 HILL STREET WATERTOWN WI 530983099 JEROLD DOMMER 1.00 X 0 0 0 JOHN H EBERT 1.00 X 0 0 0 NELSON FISCHER 1.00 X X 0 0 0 REV JANE HARBERG 1.00 X 0 0 0 REV JAMES T HICKS 1.00 X 0 0 0 WILLIAM KIESSLING JR 1.00 X X 0 0 0 DUANE LATSCH 1.00 X 0 0 0 REV MILO LOPPNOW 1.00 X 0 0 0 RICH MOEN 1.00 X 0 0 0 DOUGLAS RABBACH 1.00 X 0 0 0 DAVID SCHOECHERT 1.00 X 0 0 0 THOMAS WENDT 1.00 X X 0 0 0 KAY WIPPERFURTH 1.00 X X 0 0 0 GLENN ZASTROW 1.00 X 0 0 0 KYRAN CLARK 40.00 X 183214 0 21250 JULIE MARKS 40.00 X 92284 0 19059 Matthew R Mauthe 40.00 X 0 0 0 BONNIE ZABEL 40.00 X 118095 0 9360 393593 0 49669 2 0 1 0 Health Reach 17280 W North Ave 104 Brookfield WI 53045 Therapy Services 438690 1 11528 11528 SKILLED NURSING FACILI 623990 11002840 11002840 HOSPICE CARE 623990 797638 797638 home health care 623990 599877 599877 12400355 51276 51276 245617 258326 -12709 -12709 -12709 Operating - other 623990 376631 376631 Management fees 623990 144492 144492 521123 12971573 12921478 0 38567 7623314 6945438 677876 132029 117649 14380 1116900 995256 121644 627534 559188 68346 5427 5427 18000 18000 10779 10779 4899 4899 865372 781116 84256 308292 308292 30722 30722 44162 44162 375759 374996 763 205530 205530 medicare part a & b exp 626217 626217 miscellaneous expenses 286578 286578 medicaid bed assessment 252000 252000 purchased services 138133 116136 21997 Equiptment Rental and M 84937 84937 112950 23545 89405 12869534 11263510 1606024 0 401199 514776 938727 977693 90421 48106 10585543 5936155 4848220 4649388 1253874 1846721 378529 211273 7910970 8247957 943313 1021175 907392 865814 78328 107057 1929033 1994046 X 5981937 6253911 5981937 6253911 7910970 8247957 X 0 1 1 X 0 X 6891 36462 13602 9868 11528 78351 9233788 10763473 11608031 12243413 12400355 56249060 9240679 10799935 11621633 12253281 12411883 56327411 0 0 0 56327411 89417 125456 111694 34350 38567 399484 89417 125456 111694 34350 38567 399484 295159 361781 395345 509532 521123 2082940 9625255 11287172 12128672 12797163 12971573 58809835 0.95780 0.95920 0.00680 0.00780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 133147 133147 7396393 4047988 3348405 410708 289259 121449 2578174 1531787 1046387 67121 67121 0 4649388 CASH EQUIVALENTS 10252 F FIXED INCOME FUNDS 326112 F EQUITY FUNDS 1510357 F 1846721 patient trust funds 9649 INTEREST RATE SWAP AGREEMENT 75190 Employee Flex Account 22218 107057 12971573 12869534 102039 181362 -11427 169935 271974 12971573 0 12971573 0 12971573 12869534 0 12869534 0 12869534 Part X: Description of Uncertain Tax Positions Under FIN 48: Marquardt adopted ASC Topic 740-10, Accounting for Uncertainty in Income Taxes, on July 1, 2009. ASC Topic 740-10 requires an organization to determine whether it's more likely than not that a tax position will be sustained upon examination on the technical merits of the position assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of that position is not recognized in the financial statements. Marquardt recorded no assets or liabilities related to uncertain tax positions. Tax returns for the years ended June 30, 2007, 2008, and 2009 remain subject to examination by the applicable taxing authorities. Part XI, Line 8 - Other Adjustments: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT: -11427. X X 0 0 0 0 0 0 0 0 0 KYRAN CLARK 183214 0 0 0 0 0 3560 0 17690 0 204464 0 0 0 City of Watertown Wisconsin Revenue Bonds Series 2004 396005640 2004-04-01 1092000 Refinance Debt 0 0 1092000 31963 1 0 1 1 0 0 0 0 0 1 0 1 1 JP Morgan 10.000000000000 0 0 0 Form 990, Part VI, Section A, line 7a The Board of Directors of Marquardt Memorial Manor, Inc. shall consist of a maximum of 21 individuals, 5 are elected by the District Synod of the Western District of the Moravian Church in America, 1 shall be the President of the Western District Executive Board of the Moravian Church who shall be an ex-officio member with voting privileges and up to 15 to be appointed by the Marquardt Memorial Manor, Inc. Board of Directors. These board members are also members of the Boards of Directors of Mueller Apartments, Inc., Moravian Homes, Inc., Hus Apartments, Inc., Zinzendorf Hall, Inc., Marquardt Foundation, Inc., Moravian Homes of Sturgeon Bay, Inc., and Marquardt Lifeline, Inc. Form 990, Part VI, Section B, line 11 The CEO and the CFO 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 and comparability data. Form 990, Part VI, Section C, line 19 Organization will provide a copy of documents upon request. Zinzendorf Hall Inc 1020 Hill Street Watertown WI 53098 391647409 Assisted Living WI 501(c)3 Line 9 Hus Apartments Inc 1020 Hill Street Watertown WI 53098 391756037 Senior Housing WI 501(c)3 Line 9 Moravian Homes Inc 1020 Hill Street Watertown WI 53098 391324889 Senior Housing WI 501(c)3 Line 9 Mueller Apartments Inc 1020 Hill Street Watertown WI 53098 391294266 Low Income WI 501(c)3 Line 9 Marquardt Foundation Inc 1020 Hill Street Watertown WI 53098 391563808 Foundation WI 501(c)3 Line 7 Moravian Homes of Sturgeon Bay Inc 1020 Hill Street Watertown WI 53098 391704732 Senior Housing WI 501(c)3 Line 9 Marquardt Lifeline Inc 1020 Hill Street Watertown WI 53098 391940920 Emergecy Response Service WI 501(c)3 Line 9 0 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 Hus Apartments Inc D 450000 Hus Apartments Inc J 22476 Zinzendorf Hall Inc N 73200 Hus Apartments Inc N 42396 Moravian Homes Inc N 13200 Mueller Apartments Inc N 51300