2013-05-08T15:43:20-05:00 2012-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2011-07-01 251290546 SHADYSIDE HOSPITAL FOUNDATION SHAD 4126236603 532 SOUTH AIKEN AVENUE NO 302 PITTSBURGH PA 15232 LOUISE R BROWN 4126236603 2013-05-08 1 JULIUS GREEN CPA P00350393 2159720701 2011 2016-02-25 16:41:14Z LOUISE R BROWN 532 SOUTH AIKEN AVENUE NO 302 PITTSBURGH PA 15232 3765493 0 X N/A X 1975 PA TO RAISE FUNDS FOR UPMC-PRESBYTERIAN/SHADYSIDE-TO IMPROVE AND ADVANCE MEDICINE. 39 39 3 55 7258 0 1007508 968900 0 0 2812972 2221357 0 0 3820480 3190257 2133250 1853308 0 0 273456 292925 0 0 38464 151977 146966 2558683 2293199 1261797 897058 61192661 59844099 1276977 1211664 59915684 58632435 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 1853308 1853308 DEPARTMENT OF MEDICINE (EDUCATION PROGRAMS), VARIOUS LECTURESHIP FUNDS, CANCER CARE AND EDUCATION, QUALITY PROGRAMS, AND OTHER MISCELLANEOUS PROGRAMS. 1853308 1 1 0 0 0 0 0 0 0 1 1 1 1 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 0 1 0 0 3 1 1 1 0 0 0 0 0 0 0 0 0 0 X 39 39 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MS MARGARET LAUGHLIN 4126236603 532 SOUTH AIKEN AVENUE NO 302 PITTSBURGH PA 15232 X LOUISE R BROWN 40.00 X X X 120000 100000 32470 G NICHOLAS BECKWITH III 1.00 X 0 0 0 H VAUGHAN BLAXTER III 1.00 X X 0 0 0 COURTNEY B BORNTRAEGER 1.00 X 0 0 0 AH BURCHFIELD III 1.00 X 0 0 0 ROBERT B CHALLINOR MD 1.00 X 0 0 0 W CRAIG ESTERLY 1.00 X 0 0 0 PAUL EUWER JR 1.00 X 0 0 0 STEVEN EVANS MD 1.00 X 0 0 0 NANCY C FALES 1.00 X 0 0 0 SHEILA FINE 1.00 X 0 0 0 AUDREY HILLMAN FISHER 1.00 X 0 0 0 LOTI G GAFFNEY 1.00 X 0 0 0 MONA N GENERETT 1.00 X 0 0 0 LAWRENCE N ADLER MD 1.00 X 0 0 0 JAMES A GLEASON MD 1.00 X 0 0 0 JOHN F HENSLER 1.00 X 0 0 0 JAMES F HILLIARD 1.00 X 0 0 0 THOMAS J HILLIARD JR 1.00 X 0 0 0 AURA R HULME 1.00 X 0 0 0 TORRENCE M HUNT JR 1.00 X 0 0 0 LEO A KEEVICAN JR 1.00 X 0 0 0 DONNA L KNUPP MD 1.00 X 0 0 0 F GORDON KRAFT 1.00 X 0 0 0 MARK J LASKOW 1.00 X X 0 0 0 KATE W MACVEAN 1.00 X 0 0 0 CHARLES V MASTERSON III 1.00 X 0 0 0 RICHARD B MCCOMB 1.00 X 0 0 0 W DUFF MCCRADY 1.00 X 0 0 0 ANN M METZGER 1.00 X 0 0 0 COOPER SCHENCK MUNROE 1.00 X 0 0 0 RICHARD A PAGLIARI 1.00 X 0 0 0 JOHN M PIERCE DDS 1.00 X 0 0 0 WILLIAM M ROBINSON 1.00 X 0 0 0 S MURRAY RUST III 1.00 X 0 0 0 MIKELL COOPER SCHENCK 1.00 X 0 0 0 NORMAN M STEERE 1.00 X 0 0 0 MARK A STUDER 1.00 X 0 0 0 JOEL H WEINBERG MD 1.00 X 0 0 0 DOROTHY B BECKWITH 1.00 X 0 0 0 MARY BRIGNANO 1.00 X 0 0 0 PATRICIA M DUGGAN 1.00 X 0 0 0 CLARICE K HORNE 1.00 X 0 0 0 JOHN P INNOCENTI 1.00 X 0 0 0 ELIZABETH B CONCORDIA 1.00 X 0 0 0 HENRY A MORDOH 1.00 X 0 0 0 MURRAY SACHS MD 1.00 X 0 0 0 WILLIAM M SWARTZ MD 1.00 X 0 0 0 MICHAEL WATSON 1.00 X 0 0 0 MARK H WHOLEY MD 1.00 X 0 0 0 DAVID S ZORUB MD 1.00 X 0 0 0 JOEL B NELSON MD 1.00 X 0 0 0 WILLIAM M COOPER III 1.00 X 0 0 0 ELSIE H HILLMAN 1.00 X 0 0 0 JOAN KENNEY 1.00 X 0 0 0 DAVID R WEBER MD 1.00 X 0 0 0 120000 100000 32470 1 0 1 0 0 968900 968900 728979 7258 721721 2067614 575236 1492378 1492378 1492378 3190257 0 7258 2214099 1853308 1853308 120000 108000 12000 172925 153713 19212 37035 37035 2398 2398 21028 21028 44433 39990 4443 28095 25286 2809 3882 3882 804 804 7500 7500 DUES & SUBSCRIPTIONS 1791 1791 2293199 1853308 401427 38464 471669 284250 156128 56195 84483 79682 4333 6391 68738 68733 809 5 60475239 59417576 61192661 59844099 16769 37249 1206193 1042758 54015 131657 1276977 1211664 X 37105067 36686628 2506733 2107117 20303884 19838690 59915684 58632435 61192661 59844099 X 897058 -2180307 X X 0 1 1 X 0 X X X 0 0 0 UPMC-PRESBYTERIANSHADYSIDE 250965480 3 1 1 1 1853308 1 1853308 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14267888 24525 -23073 361680 13907660 12279232 13634 2401654 426632 14267888 10320403 735355 1733845 510371 12279232 12711167 177551 -2157370 410945 10320403 0.93000 0.07000 0 0 68738 68733 5 5 COMMON FUNDS 51194832 F INVESTMENT IN LLC 1359944 F SPLIT INTEREST AGREEMENTS 6862800 F 59417576 RESTRICTED CONTRIBUTION PAYABLE 131657 131657 3190257 2293199 897058 -1854843 -325464 -2180307 -1283249 1009950 -1854843 -1854843 2864793 325464 325464 3190257 2293199 0 2293199 0 2293199 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: FOR THE BENEFIT OF UPMC-PRESBYTERIAN/SHADYSIDE TO IMPROVE AND ADVANCE HEALTHCARE DELIVERY AND MEDICAL RESEARCH AND EDUCATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL AND STATE INCOME TAXES IS REQUIRED. THE FOUNDATION IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE, BECAUSE IT IS AN ORGANIZATION AS DESCRIBED IN SECTION 509(A)(3). 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 IN 2012 AND 2011. THE FOUNDATION'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: SCHEDULE K-1 GAIN OR (LOSSES) -325,464. 1 UPMC-PRESBYTERIANSHADYSIDE 5230 CENTRE AVENUE PITTSBURGH PA 15232 250965480 501(C)(3) 1853308 PATIENT CARE, EMPLOYEE EDUCATION AND SUPPORT, OUTREACH, RESEARCH AND OTHER MISCELLANEOUS PROGRAMS. PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. X X X 0 0 0 0 0 0 0 0 0 LOUISE R BROWN 120000 100000 0 0 0 0 0 0 32470 0 152470 100000 0 0 PART I, LINE 3 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. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING FAMILY RELATIONSHIPS WERE IDENTIFIED BETWEEN BOARD MEMBERS: -G. NICHOLAS BECKWTIH, III AND DOROTHY BECKWITH -WILLIAM M. COOPER, III, MIKELL COOPER SCHENCK, AND COOPER SCHENCK MUNROE -MRS. HENRY L. HILLMAN, THOMAS J. HILLIARD, JR., JAMES F. HILLIARD, AUDREY HILLMAN FISHER, AND PATRICA DUGGAN -MARK H. WHOLEY M.D. AND JAMES A. GLEASON M.D. FORM 990, PART VI, SECTION B, LINE 11 THE FOUNDATION MANAGER REVIEWS THE 990 FOR COMPLETENESS AND ACCURACY AND A COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO ISSUANCE. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY COMPLETED BY BOARD MEMBERS AND RETAINED IN THE FOUNDATION OFFICES. THE EXECUTIVE DIRECTOR MONITORS THE PROCESS AND REVIEWS 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. 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. 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 VII, COLUMN B: CERTAIN INDIVIDUALS LISTED ON 990 PART VII SPENT TIME ON RELATED ORGANIZATIONS. THE FOLLOWING SUMMARIZES THOSE INDIVIDUALS AND THE ESTIMATED AVERAGE NUMBER OF HOURS SPENT ON RELATED ORGANIZATIONS: G. NICHOLAS BECKWITH, III- 1 HOUR MARK J. LASKOW- 1 HOUR LOUISE R. BROWN- 1 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,854,843. SCHEDULE K-1 GAIN OR (LOSSES) -325,464. TOTAL TO FORM 990, PART XI, LINE 5: -2,180,307. FORM 990, PART XII, LINE 2C COMMITTEE RESPONSIBLE FOR THE AUDIT AND SELECTION OF THE INDEPENDENT CPA'S. THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. UPMC-PRESBYTERIANSHADYSIDE 5230 CENTRE AVENUE PITTSBURGH PA 15232 250965480 HOSPITAL PA 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0