2011-11-11T16:04:18-06:00 2011-06-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 53226 990 2010-07-01 391126946 MARQUARDT MEMORIAL MANOR INC MARQ 9202610400 1020 HILL STREET WATERTOWN WI 530983099 JULIE MARKS 9202610400 2011-11-11 1 DAVE GLOBIG CPA 4144319300 2011-11-10 2010 2016-02-24 21:20:13Z JULIE MARKS 1020 HILL STREET WATERTOWN WI 53098 12788505 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 14 318 250 0 0 11528 5602 12400355 12152335 38567 54584 521123 541103 12971573 12753624 0 0 0 0 9499777 9517048 0 0 0 3369757 3429280 12869534 12946328 102039 -192704 8247957 8498497 1994046 1932526 6253911 6565971 CARING FOR THE ELDERLY AND HANDICAPPED IN A CHRISTIAN ENVIRONMENT. 0 0 10113923 11230242 OPERATION OF A SKILLED NURSING FACILITY BENEFITING 286 RESIDENTS OF WHICH 64% WERE MEDICAID. 502068 602479 OPERATION OF A HOME HEALTH AGENCY BENEFITING 192 INDIVIDUALS OF WHICH 12% WERE MEDICAID OR CHARITY AND CHARITY CARE TOTALED $14,436. 694857 860717 OPERATION OF A HOSPICE AGENCY PROVIDING CARE AND SERVICES TO 77 INDIVIDUALS. 11310848 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 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 0 0 1 0 0 0 0 1 8 0 1 318 1 0 0 0 0 0 0 0 0 0 0 X 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 JOHN H EBERT 1.00 X 0 0 0 REV JANE HARBERG 1.00 X 0 0 0 REV JAMES T HICKS 1.00 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 TOM KASTEN 1.00 X 0 0 0 DAVID SCHOECHERT 1.00 X 0 0 0 GLENN ZASTROW 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 98844 0 21400 MATTHEW R MAUTHE 40.00 X 87469 0 20727 BONNIE ZABEL 40.00 X 120873 0 10824 307186 0 52951 1 0 0 0 HEALTH REACH 17280 W NORTH AVE 104 BROOKFIELD WI 53045 THERAPY SERVICES 454247 1 5602 5602 SKILLED NURSING FACILI 623000 10689139 10689139 HOSPICE CARE 623990 860717 860717 HOME HEALTH CARE 621610 602479 602479 12152335 53640 53640 35825 34881 944 944 944 OPERATING - OTHER 623000 368483 368483 MANAGEMENT FEES 623000 172620 172620 541103 12753624 12693438 0 54584 7611280 6985821 625459 134855 120005 14850 1143277 1017382 125895 627636 558522 69114 47323 47323 18450 18450 14854 14854 1572 1572 884508 802573 81935 321853 321853 29308 29308 42038 42038 391892 391015 877 177566 177566 MEDICARE PART A & B EXP 496024 496024 MISCELLANEOUS EXPENSES 333228 333228 MEDICAID BED ASSESSMENT 285600 285600 PURCHASED SERVICES 138834 115966 22868 EQUIPTMENT RENTAL AND M 91832 91832 154398 34589 119809 12946328 11310848 1635480 0 514776 410700 977693 995376 48106 84313 10638486 6290871 4649388 4347615 1846721 2458440 211273 202053 8247957 8498497 1021175 1021353 865814 822114 107057 89059 1994046 1932526 X 6253911 6565971 6253911 6565971 8247957 8498497 X -192704 504764 X 0 1 1 X 0 X 36462 13602 9868 11528 5602 77062 10763473 11608031 12243413 12400355 12152334 59167606 10799935 11621633 12253281 12411883 12157936 59244668 0 0 0 59244668 125456 111694 34350 38567 53640 363707 125456 111694 34350 38567 53640 363707 361781 395345 509532 521123 541103 2328884 11287172 12128672 12797163 12971573 12752679 61937259 0.95650 0.95780 0.00590 0.00680 X 133147 133147 7398745 4275757 3122988 410708 304690 106018 2629966 1644504 985462 65920 65920 0 4347615 CASH EQUIVALENTS 13516 F FIXED INCOME FUNDS 360184 F EQUITY FUNDS 2084740 F 2458440 RESIDENT TRUST FUND 4231 INTEREST RATE SWAP AGREEMENT 61812 EMPLOYEE FLEX ACCOUNT 23016 89059 12753624 12946328 -192704 491386 13378 504764 312060 12753624 0 12753624 0 12753624 12946328 0 12946328 0 12946328 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MARQUARDT IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MARQUARDT IS ALSO EXEMPT FROM STATE INCOME TAXES ON THE RELATED INCOME. IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, MARQUARDT 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. MARQUARDT HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2008 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 13,378. CITY OF WATERTOWN WISCONSIN REVENUE BONDS SERIES 2004 396005640 2004-04-01 1092000 REFINANCE DEBT 0 0 0 1092000 31963 1 0 1 1 0 0 0 0 0 1 0 1 1 JP MORGAN 10.000000000000 0 0 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 491,386. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 13,378. TOTAL TO FORM 990, PART XI, LINE 5: 504,764. ZINZENDORF HALL INC 1020 HILL STREET WATERTOWN WI 53098 391647409 ASSISTED LIVING WI 501(C)3 LINE 9 0 HUS APARTMENTS INC 1020 HILL STREET WATERTOWN WI 53098 391756037 SENIOR HOUSING WI 501(C)3 LINE 9 0 MORAVIAN HOMES INC 1020 HILL STREET WATERTOWN WI 53098 391324889 SENIOR HOUSING WI 501(C)3 LINE 9 0 MUELLER APARTMENTS INC 1020 HILL STREET WATERTOWN WI 53098 391294266 LOW INCOME WI 501(C)3 LINE 9 0 MARQUARDT FOUNDATION INC 1020 HILL STREET WATERTOWN WI 53098 391563808 FOUNDATION WI 501(C)3 LINE 7 0 MORAVIAN HOMES OF STURGEON BAY INC 1020 HILL STREET WATERTOWN WI 53098 391704732 SENIOR HOUSING WI 501(C)3 LINE 9 0 MARQUARDT LIFELINE INC 1020 HILL STREET WATERTOWN WI 53098 391940920 EMERGECY RESPONSE SERVICE WI 501(C)3 LINE 9 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 ZINZENDORF HALL INC N 76104 MUELLER APARTMENTS INC N 53400