STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

GRACE I IRWIN TRUST NO 0235948 UW FBO SHADYSIDE HOSPITAL: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
GRACE I IRWIN TRUST NO 0235948 UW FBO SHADYSIDE HOSPITAL (EIN 25-6071986)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-03-26
IRS object ID
201820859349100707
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-03-26T20:21:43-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN256071986EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRACE I IRWIN FOR SHADYSIDE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIRWIBusinessNameControlTxt
Phone4127629161PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALL P8YB3502LAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPNC BANK N A BYPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone4127629161PhoneNum
Signature2018-03-23SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address161.150.240.2IPv4AddressTxt
FieldValueIRS element (for citing)
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1CC7BA5074E8AB1797D9DE59A1DFA746CF600023AtSubmissionCreationDeviceId
At Submission Filing Device Id1CC7BA5074E8AB1797D9DE59A1DFA746CF600023AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization4947a1 Trtd PFYes (X)Organization4947a1TrtdPFInd
FMV Assets EOY$387,123FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$7,058DividendsRevAndExpnssAmt
Dividends Net Invst Incm$7,058DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$16,954NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$64,246GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$16,954CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$2,213OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,879OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$26,225TotalRevAndExpnssAmt
Total Net Invst Incm$25,891TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$2,985CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$2,836CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$149CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$30TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$3,015TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,838TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$149TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$16,332ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$16,332ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$19,347TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,838TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$16,481TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$6,878ExcessRevenueOverExpensesAmt
Net Investment Income$23,053NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$25,986SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$45,303SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$45,303SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$306,949OtherInvestmentsBOYAmt
Other Investments EOY$294,510OtherInvestmentsEOYAmt
Other Investments EOYFMV$341,820OtherInvestmentsEOYFMVAmt
Total Assets BOY$332,935TotalAssetsBOYAmt
Total Assets EOY$339,813TotalAssetsEOYAmt
Total Assets EOYFMV$387,123TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$331,472CapitalStockBOYAmt
Capital Stock EOY$338,385CapitalStockEOYAmt
Retained Earning BOY$1,463RetainedEarningBOYAmt
Retained Earning EOY$1,428RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$332,935TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$339,813TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$332,935TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$339,813TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$332,935TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$6,878ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$339,813SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$339,813TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (61 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
43. ISHARES MSCI EMERGING MKTS INDEX FUND2012-04-122017-01-01$1,508$1,838-$330-$330
32. SECTOR SPDR TR SBI INT-TECH2016-08-312017-01-01$1,549$1,505$44$44
33. SECTOR SPDR TR SHS BEN INT-UTILITIES2016-10-312017-01-01$1,610$1,628-$18-$18
25. INDUSTRIAL SELECT SECTOR SPDR ETF LARGE CAP2016-12-302017-01-31$1,579$1,560$19$19
21. SECTOR SPDR TR SBI INT-ENERGY2016-12-302017-03-31$1,466$1,588-$122-$122
241.155 T ROWE PRICE REAL ESTATE FUND FD 1222012-04-122017-04-27$6,791$4,871$1,920$1,920
10. ISHARES TR S&P MIDCAP 4002017-03-312017-04-28$1,730$1,717$13$13
23. ISHARES TR S&P SMLCAP 6002016-12-302017-05-31$1,563$1,582-$19-$19
7.265 CAMBIAR INTL EQUITY FUND-INS2016-12-202017-06-02$192$176$16$16
12.635 ARTISAN INTERNATIONAL FD-ADV2015-09-102017-06-02$387$367$20$20
70.153 BAIRD MIDCAP INST2016-04-062017-06-02$1,299$1,062$237$237
.056 BAIRD MIDCAP INST2016-10-182017-06-02$1$1
12. DB X-TRACKERS MSCI JAPAN HDG ETF2015-04-302017-06-02$476$509-$33-$33
13. DEUTSCHE X-TRACKERS MSCI EUR ETF2015-04-302017-06-02$370$381-$11-$11
15.771 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO2012-11-012017-06-02$336$251$85$85
2. ISHARES TR S&P SMLCP VALU2012-04-122017-06-02$281$153$128$128
3. ISHARES TR S&P SMLCP GROW2014-03-142017-06-02$470$360$110$110
12. ISHARES EDGE MSCI USA QUALITY FACTOR ETF2017-04-282017-06-02$900$879$21$21
11. ISHARES EDGE MSCI USA QUALITY FACTOR ETF2016-10-032017-06-02$825$740$85$85
16. ISHARES EDGE MSCI USA VALUE FACTOR ETF2016-10-032017-06-02$1,183$1,042$141$141
43.018 MFS VALUE FUND CLASS I FUND 8932010-02-082017-06-02$1,673$854$819$819
51.468 MAINSTAY EPOCH GLOBAL EQUITY YIELD FUND CLASS I2013-08-282017-06-02$1,002$922$80$80
50.492 T ROWE PRICE GROWTH STOCK FUND2013-10-072017-06-02$3,260$2,363$897$897
43.629 ROWE T PRICE VALUE FD INC COM2013-08-012017-06-02$1,583$1,453$130$130
3. AMEX FINANCIAL SELECT SPDR2017-01-312017-06-02$70$71-$1-$1
3. SECTOR SPDR TR SBI INT-TECH2017-04-282017-06-02$171$163$8$8
11.53 TEMPLETON GLOBAL BOND FUND AD FUND2012-04-122017-06-02$139$150-$11-$11
20.648 TEMPLETON INSTL FDS INC FOREIGN EQUITY SER2015-01-272017-06-02$440$421$19$19
25.431 WASATCH INTL OPPORTUNIT-INST2016-05-262017-06-02$87$73$14$14
16.731 WELLS FARGO SPECIAL US MID CAP VALUE I2016-05-262017-06-02$627$537$90$90
46. WISDOMTREE U.S. QUALITY DIVI ETF2016-10-032017-06-02$1,699$1,482$217$217
40. ISHARES MSCI EMERGING MKTS INDEX FUND2012-04-122017-07-31$1,748$1,710$38$38
23. INDUSTRIAL SELECT SECTOR SPDR ETF LARGE CAP2017-07-312017-08-31$1,572$1,577-$5-$5
8.333 CAMBIAR INTL EQUITY FUND-INS2016-12-202017-10-13$237$202$35$35
11.269 ARTISAN INTERNATIONAL FD-ADV2015-09-102017-10-13$370$319$51$51
16.238 BAIRD MIDCAP INST2016-04-062017-10-13$311$246$65$65
3. DB X-TRACKERS MSCI JAPAN HDG ETF2015-04-302017-10-13$124$127-$3-$3
9.104 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO2012-11-012017-10-13$207$140$67$67
29. ISHARES MSCI EMERGING MKTS INDEX FUND2017-08-312017-10-13$1,355$1,301$54$54
2. ISHARES TR S&P SMLCP VALU2012-04-122017-10-13$299$153$146$146
1. ISHARES TR S&P SMLCP GROW2014-03-142017-10-13$165$120$45$45
10. ISHARES EDGE MSCI USA QUALITY FACTOR ETF2016-10-032017-10-13$790$672$118$118
9. ISHARES EDGE MSCI USA VALUE FACTOR ETF2016-10-032017-10-13$709$586$123$123
22.704 MFS VALUE FUND CLASS I FUND 8932010-02-082017-10-13$924$451$473$473
6.141 MAINSTAY EPOCH GLOBAL EQUITY YIELD FUND CLASS I2013-08-282017-10-13$121$110$11$11
18.385 T ROWE PRICE GROWTH STOCK FUND2013-10-072017-10-13$1,262$860$402$402
30.759 ROWE T PRICE VALUE FD INC COM2013-08-012017-10-13$1,175$1,024$151$151
7. AMEX FINANCIAL SELECT SPDR2017-01-312017-10-13$183$163$20$20
1. SECTOR SPDR TR SBI INT-TECH2017-04-282017-10-13$60$54$6$6
12.104 TEMPLETON INSTL FDS INC FOREIGN EQUITY SER2015-01-272017-10-13$272$247$25$25
54.62 TOUCHSTONE SANDS CAPITAL SELECT GROWTH FD CLASS Y2012-04-122017-10-13$973$702$271$271
40.517 TOUCHSTONE SANDS CAPITAL SELECT GROWTH FD CLASS Y2017-06-022017-10-13$722$669$53$53
36.044 WASATCH INTL OPPORTUNIT-INST2016-05-262017-10-13$128$104$24$24
4.73 WELLS FARGO SPECIAL US MID CAP VALUE I2016-05-262017-10-13$183$152$31$31
15. WISDOMTREE U.S. QUALITY DIVI ETF2016-10-032017-10-13$581$483$98$98
8. ISHARES MSCI EMERGING MKTS INDEX FUND2017-05-312017-10-31$369$352$17$17
25. ISHARES MSCI EMERGING MKTS INDEX FUND2012-04-122017-10-31$1,153$1,069$84$84
1. SECTOR SPDR TR SBI INT-TECH2017-04-282017-10-31$63$54$9$9
21. ISHARES TR S&P SMLCAP 6002017-10-312017-11-30$1,630$1,572$58$58
59. AMEX FINANCIAL SELECT SPDR2017-01-312017-11-30$1,627$1,374$253$253
CAPITAL GAIN DIVIDENDS$9,666P
FieldValueIRS element (for citing)
Capital Gain Net Income$16,954CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$16,981AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$349,621NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.04857DistributionYr1Rt
Adjusted Qlfy Distri Yr2$16,510AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$368,666NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.044783DistributionYr2Rt
Adjusted Qlfy Distri Yr3$15,489AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$373,185NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.041505DistributionYr3Rt
Adjusted Qlfy Distri Yr4$14,782AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$349,959NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.042239DistributionYr4Rt
Adjusted Qlfy Distri Yr5$14,920AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$325,126NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.04589DistributionYr5Rt
Total Distribution0.222987TotalDistributionRt
Average Distribution0.044597AverageDistributionRt
Net Vl Noncharitable Assets$366,525NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$16,346AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$231NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$16,577AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$16,481QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$461InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$461SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$461TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$56EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$56TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$405TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StatePAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1PNC BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4127629161PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALLAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd
FieldValueIRS element (for citing)
NECT Filing In Lieu OF Form1041Yes (X)NECTFilingInLieuOFForm1041Ind
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonPNC BANK N APersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALLAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$2,985CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$372,107AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$372,107TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$372,107AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,582CashDeemedCharitableAmt
Net Vl Noncharitable Assets$366,525NetVlNoncharitableAssetsAmt
Minimum Investment Return$18,326MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$18,326MinimumInvestmentReturnAmt
Tax Based On Investment Income$461TaxBasedOnInvestmentIncomeAmt
Total Tax$461TotalTaxAmt
Distributable Before Adj$17,865DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$17,865DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$17,865DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$16,481ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$16,481QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$16,481AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$17,865DistributableAsAdjustedAmt
Undistributed Income PY$9,269UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$16,481QualifyingDistributionsAmt
Applied To Year1$9,269AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$7,212AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$10,653UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1UPMC SHADYSIDE HOSPITALBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1200 LOTHROP STREET SUITE 8058AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15213ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL SUPPORTGrantOrContributionPurposeTxt
Amt$16,332Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$16,332TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$7,058ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$16,954ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescFEDERAL TAX REFUNDDesc
Exclusion14ExclusionCd
Exclusion$334ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$26,225ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$26,225TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MUTUAL FUNDS - FIXEDAT COST$115,442$113,848
MUTUAL FUNDS - EQUITYAT COST$179,068$227,972

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescFEDERAL TAX REFUND FROM PRIOR YEARDesc
Revenue And Expenses Per Books$334RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$28$0$0
FOREIGN TAXES ON QUALIFIED FOR$2$2$0