2011-05-11T12:53:35-07:00 2010-12-31 Mary K Diederich LLC N2118 Shawn Ct Kaukauna WI 541309668 990 2010-01-01 391702534 George F Peabody Foundation Inc GEOR 9207399181 P O Box 2553 Appleton WI 549122553 John A Larson 9207399181 2011-05-13 1 Mary Diederich 9207590614 2011-05-13 2010 2016-02-24 21:20:13Z John Larson 3913 West Prospect Ave Appleton WI 549148797 576489 0 X X 1991 WI Supporting organization controlled by its sole voting member, Appleton Medical Center, Inc., a member of the ThedaCare, Inc. group in support of long-term health care 10 10 0 10 0 0 28010 7785 0 0 518 -152175 0 0 28528 -144390 62250 74010 0 0 0 0 0 0 0 11073 13078 73323 87088 -44795 -231478 1260583 1335230 131 395 1260452 1334835 Supporting organization controlled by its sole voting member, Appleton Medical Center, Inc., a member of the ThedaCare, Inc. group in support of long-term health care 0 0 72010 72010 0 Support of long-term care residents and related facility needs (24 clients) + one-time contribution toward landscaping at facility 1000 1000 0 CNA/educational scholarships (2 scholarships) 1000 1000 0 Support of Harbor House program 0 0 0 74010 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X Mary K Diederich 9207590614 N2118 Shawn Ct Kaukauna WI 541309668 X John A Larson 1 X X 0 0 0 Mary Strange 0.25 X X 0 0 0 Joseph A Bielinski 0.50 X X 0 0 0 John C Keller 0.50 X X 0 0 0 Jeffrey D Riester 0.25 X 0 0 0 David Aronson 0.25 X 0 0 0 Mary K Diederich 0.5 X 0 0 0 Carol Valk 0.25 X 0 0 0 Ryan Valentine 0.25 X 0 0 0 Diane Barkmeier 0.25 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6000 0 1785 0 7785 0 15635 0 0 15635 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553069 0 720879 0 -167810 0 -167810 0 0 -167810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -144390 0 0 -152175 74010 74010 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11190 0 11190 0 0 0 0 0 0 0 1337 0 1337 0 0 0 0 0 0 0 0 0 551 0 551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87088 74010 13078 0 0 0 29909 11051 0 1106209 1137106 124465 187073 1260583 1335230 131 395 0 131 395 X 3859 2452 957623 1033413 298970 298970 1260452 1334835 1260583 1335230 X -231478 305861 X 0 1 1 X 0 X X X 0 0 0 ThedaCare Inc 391509362 501(c)(3) 1 1 1 74010 1 74010 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1009438 0 123856 53277 0 0 1080017 873406 0 136032 0 0 0 1009438 1194012 0 -320606 0 0 0 873406 0.78 0.22 0 0 0 Alternative Investments - Offshore Feeder Funds 187073 F 187073 0 0 -144390 87088 -231478 305861 0 0 0 0 305861 74383 161471 305861 0 0 0 305861 -144390 0 0 0 -144390 87088 0 0 0 0 0 87088 0 0 0 87088 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The Foundation has adopted investment and spending policies that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. All funds are used in support of effective elderly health care services. SchD_P10_S00_L02 Schedule D, Part X, Line 2 The Foundation follows FASB guidance on income taxes, Accounting for Uncertainty in Income Taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation, and various positions related to the potential sources of unrelated business taxable income. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. At December 31, 2010 and 2009, there were no unrecognized tax benefits identified or recorded as liabilities. 1 ThedaCare Inc 122 E College Ave Appleton WI 54912 391509362 5019(c)(3) 73010 0 Actual cash value N/A Support of long term residential care at Peabody Manor, part of the Senior Care Division of ThedaCare, Inc. 1 0 SchI_P01_S00_L02 Schedule I, Part I, Line 2 Grants are made based on criteria established by the Board of Directors in support of effective elderly health care. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a Board of Directors reviews Form 990 draft prior to final submission. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Board members are required to update and sign conflict of interest forms annually. Forms are reviewed annually at a Board meeting. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Form 990 and related documents are available to any member of the public upon request. F990_P11_S00_L05 Form 990, Part XI, Line 5 Unrealized gain on investments. ThedaCare Inc 122 E College Ave Appleton WI 54912 391509362 Health care WI 501(c)(3) Line 11c, III-FI ThedaCare Inc Appleton Medical Center Inc 1818 N Meade St Appleton WI 54911 390824015 Hospital WI 501(c)(3) Line 3 ThedaCare Inc Theda Clark Medical Center Inc 130 Second St Neenah WI 54956 311550056 Hospital WI 501(c)(3) Line 3 ThedaCare Inc Appleton Medical Center Foundation Inc 1818 N Meade St Appleton WI 54911 391459276 Charitable Foundation WI 501(c)(3) Line 7 ThedaCare Inc Community Hospice Foundation Inc 1818 N Meade St Appleton WI 54911 391511977 Foundation WI 501(c)(3) Line 7 ThedaCare Inc New London Family Medical Center Inc 1405 Mill St New London WI 54961 390869788 Hospital WI 501(c)(3) Line 3 ThedaCare Inc Riverside Medical Center Inc 800 Riverside Dr Waupaca WI 54981 390871113 Hospital WI 501(c)(3) Line 3 ThedaCare Inc Theda Clark Medical Center Foundation Inc 130 Second St Neenah WI 54956 390830664 Foundation WI 501(c)(3) Line 11a, I ThedaCare Inc Wolf River Area Healthcare Foundation 1405 Mill St New London WI 54961 200049796 Foundation WI 501(c)(3) Line 11b, II ThedaCare Inc 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 ThedaCare Inc b 73010 ThedaCare Inc c 6000 ThedaCare Inc o 1337