2017-12-11T14:40:03-06:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-07-01 251290546 Shadyside Hospital Foundation SHAD 4126236603 532 South Aiken Avenue No 302 Pittsburgh PA 15232 LOUISE R BROWN Executive Director 4126236603 2017-12-07 1 Julius C Green CPA P00350393 2159720701 X 38.140.17.115 2017-12-07 14:03:58 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0DE2BF53A88997A41C65A9916D417D5267397C41 2016 2017-02-10 21:41:12Z LOUISE R BROWN 532 South Aiken Avenue No 302 Pittsburgh PA 15232 3459349 0 X N/A X 1975 PA TO RAISE FUNDS FOR UPMC-PRESBYTERIAN/SHADYSIDE-TO IMPROVE AND ADVANCE MEDICINE. 60 59 3 59 19 0 567142 1000992 0 0 2948192 1597301 395293 431894 3910627 3030187 1866203 1831052 0 0 388788 388680 0 0 28296 208653 179838 2463644 2399570 1446983 630617 71922214 78939162 1291890 1162589 70630324 77776573 To raise funds for the benefit of UPMC-PRESBYTERIAN/Shadyside. The funds raised are used to further improve and advance the science or art of healthcare delivery and assist in the advancement of medical education and research. 0 0 1831052 1831052 0 Provide funding for DEPARTMENT OF MEDICINE (EDUCATION PROGRAMS), VARIOUS LECTURESHIP FUNDS, CANCER CARE AND EDUCATION, QUALITY PROGRAMS, AND OTHER MISCELLANEOUS PROGRAMS. 1831052 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 3 1 0 0 0 0 0 0 0 0 0 0 X 60 59 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MARGARET LAUGHLIN 4126236603 532 SOUTH AIKEN AVENUE SUITE 302 PITTSBURGH PA 15232 H VAUGHAN BLAXTER III CHAIR 1.00 X X 0 0 0 AUDREY HILLMAN FISHER VICE CHAIR 1.00 X X 0 0 0 TORRENCE M HUNT JR VICE CHAIR 1.00 X X 0 0 0 MARK J LASKOW VICE CHAIR 1.00 1.00 X X 0 0 0 JOHN M PIERCE DDS VICE CHAIR 1.00 X X 0 0 0 MIKELL COOPER SCHENCK VICE CHAIR 1.00 X X 0 0 0 NANCY B FOSTER TREASURER 1.00 X X 0 0 0 W CRAIG ESTERLY ASST. TREASURER & SECRETARY 1.00 X X 0 0 0 LOUISE R BROWN EXEC. DIRECTOR/SECRETARY 39.00 1.00 X X 140877 124746 16131 Lawrence N Adler MD BOARD MEMBER 1.00 X 0 0 0 CAROLINE D BARMEN BOARD MEMBER 1.00 X 0 0 0 G NICHOLAS BECKWITH III BOARD MEMBER 1.00 1.00 X 0 0 0 COURTNEY B BORNTRAEGER BOARD MEMBER 1.00 X 0 0 0 AH BURCHFIELD III BOARD MEMBER 1.00 X 0 0 0 JENNIFER G CALIHAN BoarD MEMBER 1.00 X 0 0 0 ROBERT B CHALLINOR MD BOARD MEMBER 1.00 X 0 0 0 PAUL EUWER JR BOARD MEMBER 1.00 X 0 0 0 STEVEN EVANS MD FACS BOARD MEMBER 1.00 X 0 0 0 NANCY C FALES BOARD MEMBER 1.00 X 0 0 0 SHEILA FINE BOARD MEMBER 1.00 X 0 0 0 MONA N GENERETT PHD BOARD MEMBER 1.00 X 0 0 0 JAMES A GLEASON MD BOARD MEMBER 1.00 X 0 0 0 CLINTON E GUYAUX CFP CLU BoarD MEMBER 1.00 X 0 0 0 JOHN F HENSLER BOARD MEMBER 1.00 X 0 0 0 JAMES F HILLIARD BOARD MEMBER 1.00 X 0 0 0 Aura R Hulme BoarD MEMBER 1.00 X 0 0 0 LEO A KEEVICAN JR BOARD MEMBER 1.00 X 0 0 0 DONNA L KNUPP MD BOARD MEMBER 1.00 X 0 0 0 KATE W MACVEAN BOARD MEMBER 1.00 X 0 0 0 CHARLES V MASTERSON III BOARD MEMBER 1.00 X 0 0 0 W DUFF MCCRADY BOARD MEMBER 1.00 X 0 0 0 JOHN McSORLEY III MD BoarD MEMBER 1.00 X 0 0 0 COOPER SCHENCK MUNROE BOARD MEMBER 1.00 X 0 0 0 JENNIFER J MUSE BoarD MEMBER 1.00 X 0 0 0 Joel B Nelson MD BoarD MEMBER 1.00 X 0 0 0 RICHARD A PAGLIARI BOARD MEMBER 1.00 X 0 0 0 DANIEL W PITUCH DMD MD BOARD MEMBER 1.00 X 0 0 0 WILLIAM M ROBINSON BOARD MEMBER 1.00 X 0 0 0 JOHN A RUDOLF BoarD MEMBER 1.00 X 0 0 0 S MURRAY RUST III BOARD MEMBER 1.00 X 0 0 0 BLAKE L RUTTENBERG BoarD MEMBER 1.00 X 0 0 0 NORMAN M STEERE BOARD MEMBER 1.00 X 0 0 0 MARK A STUDER BOARD MEMBER 1.00 X 0 0 0 JOSEPH C WALTON BOARD MEMBER 1.00 X 0 0 0 JOEL H WEINBERG MD BOARD MEMBER 1.00 X 0 0 0 W DENNIS ZEREGA EDD BOARD MEMBER 1.00 X 0 0 0 DOROTHY B BECKWITH BOARD MEMBER 1.00 X 0 0 0 MARY BRIGNANO BOARD MEMBER 1.00 X 0 0 0 William M Cooper III BOARD MEMBER 1.00 X 0 0 0 PATRICIA M DUGGAN BOARD MEMBER 1.00 X 0 0 0 CLARICE K HORNE BOARD MEMBER 1.00 X 0 0 0 JOHN P INNOCENTI BOARD MEMBER 1.00 X 0 0 0 Joan Kenney BOARD MEMBER 1.00 X 0 0 0 WILLIAM M SWARTZ MD BOARD MEMBER 1.00 X 0 0 0 DAVID S ZORUB MD BOARD MEMBER 1.00 X 0 0 0 William W Barrington BOARD MEMBER 1.00 X 0 0 0 Nina Fisher Hamilton BOARD MEMBER 1.00 X 0 0 0 Louis S Leff MD FACP BOARD MEMBER 1.00 X 0 0 0 Jennifer Gonzales McComb MD BOARD MEMBER 1.00 X 0 0 0 Fred H Rubin MD BOARD MEMBER 1.00 X 0 0 0 HENRY A MORDOH BOARD MEMBER (Term 3/2017) 1.00 X 0 0 0 DANIEL P PETROMD BOARD MEMBER (Term 3/2017) 1.00 X 0 0 0 MURRAY SACHS MD BOARD MEMBER (Term 3/2017) 1.00 X 0 0 0 Michael Watson BOARD MEMBER (Term 3/2017) 1.00 X 0 0 0 140877 124746 16131 1 0 1 0 0 10000 179700 811292 1000992 238622 19 238603 1787841 429162 1358679 1358679 1358679 BIPT Distributions 900099 431894 431894 431894 3030187 0 19 2029176 1831052 1831052 138510 138510 250170 250170 720 720 37050 37050 7900 7900 48013 48013 28606 3604 25002 32939 29645 3294 6076 6076 15870 15870 Dues & Subscriptions 2664 2664 2399570 1831052 540222 28296 455046 608199 35312 36008 50000 7881 7988 72227 72227 0 0 71423975 78236967 71922214 78939162 38523 70639 1169734 1009323 83633 82627 1291890 1162589 X 46007694 50705769 1758369 1894365 22864261 25176439 70630324 77776573 71922214 78939162 X 630617 6049263 466369 X 0 1 X 1 0 X X 1 UPMC Presbyterianshadyside hospital 250965480 3 1 1831052 0 1 1831052 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 Part IV, Section D, Line 3: THE PRESIDENT OF UPMC PRESBYTERIAN/SHADYSIDE HOSPITAL SERVES AS A DIRECTOR ON THE BOARD OF SHADYSIDE HOSPITAL FOUNDATION. Part IV, Section E, Line 2A: CONTRIBUTIONS/GIFTS THAT ARE PROVIDED TO THE HOSPITAL FOUNDATION (THE "FOUNDATION") WITH A SPECIFIC DESIGNATION ARE SENT TO UPMC PRESBYERIAN/SHADYSIDE HOSPITAL (THE "HOSPITAL") FOR THAT PURPOSE. IN ADDITION, THE HOSPITAL MAY SEND A WRITTEN PROPOSAL FOR FUNDS THAT REQUIRES APPROVAL BY THE GRANT COMMITTEE. ONCE APPROVED THE FUNDS ARE TRANSFERRED TO THE HOSPITAL FOR THAT PURPOSE. THE FOUNDATION DOES NOT PERFORM ANY ACTIVITIES OUTSIDE OF RAISING FUNDS ON BEHALF OF THE HOSPITAL. Part IV, Section E, Line 2B: THE FOUNDATION INCURS EXPENSES FOR TWO INDIVIDUAL IMPROVEMENT SPECIALISTS SALARIES THAT ARE FOCUSED ON THE HOSPITAL PROCESS IMPROVEMENTS. IF THE FOUNDATION DID NOT INCUR THIS EXPENSE, THE HOSPITAL WOULD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15987899 750 1943519 97699 17834469 16787998 2720 -506851 295958 15987899 17164051 5665 -127566 254152 16787998 15532088 30458 2066369 464864 17164051 14076743 32702 1784654 362011 15532088 0.00030 0.96020 0.03950 0 0 72227 72227 0 0 Common Funds 70184682 F SPLIT INTEREST AGREEMENTS 8052285 F 78236967 Restricted Contribution Payable 82627 82627 X 9545819 6049263 466369 6515632 3030187 0 3030187 2399570 0 2399570 0 2399570 Part V, Line 4: For the benefit of UPMC Presbyterian/Shadyside to improve and advance healthcare delivery and medical research and education. Part X, Line 2: The Foundation accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold at June 30, 2017 and 2016. Part XI, Line 2d - Other Adjustments: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 466,369. Part V, Line 1D: The grants and scholarships amount for year ended 6/30/2016 includes a $50,000 adjustment. 1 UPMC-PRESBYTERIANSHADYSIDE 5230 Centre Avenue Pittsburgh PA 15232 250965480 501(c)(3) 1831052 Patient care, employee education and support, outreach, research and other miscellaneous programs. 1 0 Part I, Line 2: Grants are distributed annually to related, charitable organizations in compliance with a spending policy set by the Board of Directors. Individual grants are to be reported on a 6-month interval & at the end of the grant year. Grantees are to report on the use of the funds, progress of the project & benefits derived. ACCORDING TO FOUNDATION POLICY, UNSPENT MONEYS ARE TO BE RETURNED TO THE FOUNDATION. 0 0 0 0 0 0 0 0 0 LOUISE R BROWN EXEC. DIRECTOR/SECRETARY 124746 124746 8802 0 7329 0 0 8803 0 7328 140877 140877 0 0 Part I, Line 3 THE EXECUTIVE DIRECTOR, LOUISE R. BROWN, IS COMPENSATED BY UPMC PRESBYTERIAN/SHADYSIDE, A RELATED TAX-EXEMPT ORGANIZATION. UPMC PRESBYTERIAN/SHADYSIDE USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Form 990, Part V, Line 2b: SHADYSIDE HOSPITAL FOUNDATION DOES NOT HAVE ANY OF ITS OWN EMPLOYEES PROVIDING SERVICES TO THE ORGANIZATION. THE ORGANIZATION DOES NOT FILE ITS OWN FORM W-3. THE EMPLOYEES PROVIDING SERVICES TO SHADYSIDE HOSPITAL FOUNDATION ARE EMPLOYED BY UPMC PRESBYTERIAN/SHADYSIDE, A RELATED TAX EXEMPT ORGANIZATION. THESE EMPLOYEES RECEIVE A W-2 FROM UPMC PRESBYTERIAN/SHADYSIDE. Form 990, Part VI, Section A, line 2 The following family relationships were identified between board members: -G. Nicholas Beckwith, III AND Dorothy B. Beckwith -William M. Cooper, III, Mikell Cooper Schenck, and Cooper Schenck Munroe -James F. Hilliard, Audrey Hillman Fisher, Nina Hamilton Fisher and Patrica Duggan -W. Duff McCrady and John A. Rudolf Form 990, Part VI, Section B, line 11b The Foundation manager reviews the 990 for completeness and accuracy and a copy is provided to the Board of Directors prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Conflict of interest statements are completed annually by board members and retained in the Foundation offices. The executive director monitors the process. The executive director and the chairman review any identified conflicts. If during the course of any given year a covered person becomes aware of a new or potential or otherwise undisclosed individual interest, the covered person must promptly and appropriately update the conflict of interest disclosure statement. ANY BOARD MEMBER OR OFFICER HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15 The compensation program for all employees meets the unique needs of the organization and has the goal of providing a compensation program that is market-competitive and equitable with the purpose of attracting and retaining qualified staff members and to ensure that compensation does not exceed fair market value. The compensation committee reviews the compensation of the executive director. The committee compares the compensation with other organizations in the area. The process and approval is documented in the committee minutes. For other employees, compensation is documented and determined by the Chief of Human Resources, Administrative Service Officer and Chairperson to the Board of Directors of the Shadyside Hospital Foundation. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part XI, line 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 466,369. UPMC PRESBYTERIANShadyside 5230 Centre Avenue Pittsburgh PA 15232 250965480 Hospital PA 501(c)(3) Line 3 N/A 0 Shadyside Hospital Supporting Foundation 532 South Aiken Avenue Pittsburgh PA 15232 260303394 Raise funds for UPMC Shadyside PA 501(c)(3) Line 12a, I N/A 0 ADDISON F HOLLIDAY TRUST PNC Bank 620 Liberty Avenue Pittsburgh PA 15265 Beneficial Interest in Perpetual trust PA T 118172 2047197 1.00000 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0