STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

GRACE I IRWIN TRUST NO 0235948 UW FBO SHADYSIDE HOSPITAL: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
GRACE I IRWIN TRUST NO 0235948 UW FBO SHADYSIDE HOSPITAL (EIN 25-6071986)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-04-30
IRS object ID
201541209349100904
Schema version
2014v5.0
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)
Return2015-04-30T09:00:22-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990PFReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

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 Line1PNC BANK NA 620 LIBERTY AVENUE 10AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP152222705ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPNC BANK N A BYPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone4127629161PhoneNum
Signature2015-04-28SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization4947a1 Trtd PFYes (X)Organization4947a1TrtdPFInd
FMV Assets EOY$378,723FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$8,143DividendsRevAndExpnssAmt
Dividends Net Invst Incm$8,143DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$19,969NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$191,036GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$19,969CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$28,112TotalRevAndExpnssAmt
Total Net Invst Incm$28,112TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$3,753CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$3,565CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$188CompOfcrDirTrstDsbrsChrtblAmt
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$262TaxesRevAndExpnssAmt
Taxes Net Invst Incm$18TaxesNetInvstIncmAmt
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$4,015TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,583TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$188TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$15,301ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$15,301ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$19,316TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,583TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$15,489TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$8,796ExcessRevenueOverExpensesAmt
Net Investment Income$24,529NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$22,870SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$32,600SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$32,600SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$311,447OtherInvestmentsBOYAmt
Other Investments EOY$308,523OtherInvestmentsEOYAmt
Other Investments EOYFMV$346,123OtherInvestmentsEOYFMVAmt
Total Assets BOY$334,317TotalAssetsBOYAmt
Total Assets EOY$341,123TotalAssetsEOYAmt
Total Assets EOYFMV$378,723TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$332,586CapitalStockBOYAmt
Capital Stock EOY$339,010CapitalStockEOYAmt
Retained Earning BOY$1,731RetainedEarningBOYAmt
Retained Earning EOY$2,113RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$334,317TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$341,123TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$334,317TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$341,123TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$334,317TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$8,796ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$343,113SubtotalAmt
Other Decreases$1,990OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$341,123TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (53 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
1. ISHARES TR S&P SMLCAP 6002013-10-312014-01-01$109$104$5$5
1. SECTOR SPDR TR SBI CYCL TRANS2013-10-312014-01-01$67$64$3$3
99. INDUSTRIAL SELECT SECTOR SPDR ETF LARGE CAP2013-10-312014-01-01$5,159$4,831$328$328
95. HEALTH CARE SELECT SECTOR ETF LARGE CAP2013-12-312014-01-31$5,319$5,272$47$47
3. SECTOR SPDR TR SBI CYCL TRANS2013-10-312014-02-28$201$191$10$10
100. INDUSTRIAL SELECT SECTOR SPDR ETF LARGE CAP2014-01-312014-02-28$5,223$5,009$214$214
69.05 EAGLE SMALL CAP GROWTH FUND CL I2012-04-122014-03-14$4,102$2,978$1,124$1,124
184.538 THIRD AVENUE INTERNATL VALUE FUND 4482012-04-122014-03-14$3,586$2,908$678$678
1. ISHARES TR S&P SMLCAP 6002014-01-312014-04-30$106$105$1$1
3. HEALTH CARE SELECT SECTOR ETF LARGE CAP2014-02-282014-04-30$174$180-$6-$6
73. SECTOR SPDR TR SBI CYCL TRANS2013-10-312014-04-30$4,639$4,645-$6-$6
4. SECTOR SPDR TR SBI CYCL TRANS2014-01-312014-04-30$254$251$3$3
46. ISHARES TR S&P SMLCAP 6002013-10-312014-06-30$5,137$4,779$358$358
87. HEALTH CARE SELECT SECTOR ETF LARGE CAP2014-02-282014-06-30$5,299$5,211$88$88
3. INDUSTRIAL SELECT SECTOR SPDR ETF LARGE CAP2014-04-302014-06-30$162$159$3$3
68. ISHARES MSCI EAFE SMALL CAP ETF2014-06-302014-07-31$3,485$3,601-$116-$116
47. SPDR S&P INTERNATIONAL SMALL CAP2014-06-302014-07-31$1,624$1,659-$35-$35
95. INDUSTRIAL SELECT SECTOR SPDR ETF LARGE CAP2014-04-302014-07-31$4,948$5,031-$83-$83
7. SECTOR SPDR TR SBI BASIC INDS2014-06-302014-08-29$353$347$6$6
51. SECTOR SPDR TR SBI INT-ENERGY2014-07-312014-08-29$5,010$4,967$43$43
28.478 AMERICAN BEACON L/C VALU IS2012-04-122014-09-05$587$434$153$153
18.031 ARTISAN FDS INC INTERNATIONAL2000-12-202014-09-05$561$380$181$181
29.645 DODGE & COX INTERNATIONAL STOCK FUND2012-04-122014-09-05$1,405$945$460$460
2.988 GOLDMAN SACHS MID CAP VALUE FD CL I2013-05-302014-09-05$149$139$10$10
32.506 GOLDMAN SACHS GRTH OPPOR INSTIT CLASS2012-04-122014-09-05$1,077$827$250$250
43.455 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO2012-11-012014-09-05$827$666$161$161
4. ISHARES TR S&P SMLCP VALU2012-04-122014-09-05$457$307$150$150
109.553 MFS VALUE FUND CLASS I2010-02-082014-09-05$3,840$2,671$1,169$1,169
74.728 MAINSTAY EPOCH GLOBAL EQUITY YIELD FUND CLASS I2013-08-282014-09-05$1,547$1,337$210$210
85.525 T ROWE PRICE GROWTH STOCK FUND2013-10-072014-09-05$4,790$4,003$787$787
126.107 ROWE T PRICE VALUE FD INC COM2013-08-012014-09-05$4,729$4,199$530$530
16.218 T ROWE PRICE REAL ESTATE FUND FD 1222012-04-122014-09-05$412$328$84$84
9. SECTOR SPDR TR SBI BASIC INDS2014-06-302014-09-05$454$447$7$7
8. HEALTH CARE SELECT SECTOR ETF LARGE CAP2014-08-292014-09-05$511$510$1$1
12. SECTOR SPDR TR SBI INT-TECH2014-07-312014-09-05$482$473$9$9
217.368 TOUCHSTONE SANDS CAPITAL SELECT GROWTH FD CLASS Y2012-04-122014-09-05$4,134$2,795$1,339$1,339
252.814 DODGE & COX INCOME FUND2014-09-052014-10-22$3,522$3,522
2382.14 DODGE & COX INCOME FUND2012-04-122014-10-22$33,183$32,349$834$834
385.766 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL2014-09-052014-10-22$4,220$4,228-$8-$8
3133.531 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL2012-04-122014-10-22$34,281$34,936-$655-$655
568.766 PIMCO UNCONSTRAINED BOND FUND INSTITUTIONAL CLASS2013-07-012014-10-22$6,387$6,421-$34-$34
79.019 PIMCO UNCONSTRAINED BOND FUND INSTITUTIONAL CLASS2014-09-052014-10-22$887$897-$10-$10
233.905 EATON VANCE FLOATING RATE FUND CLASS I2014-09-052014-10-30$2,105$2,129-$24-$24
592.451 EATON VANCE FLOATING RATE FUND CLASS I2012-04-122014-10-30$5,332$5,385-$53-$53
87.772 TEMPLETON GLOBAL BOND FUND AD FUND2014-09-052014-10-30$1,161$1,179-$18-$18
58.359 TEMPLETON GLOBAL BOND FUND AD FUND2012-04-122014-10-30$772$761$11$11
93. SECTOR SPDR TR SBI BASIC INDS2014-06-302014-12-01$4,518$4,616-$98-$98
3. HEALTH CARE SELECT SECTOR ETF LARGE CAP2014-08-292014-12-01$209$191$18$18
6. SECTOR SPDR TR SBI INT-TECH2014-07-312014-12-01$252$235$17$17
36.329 MFS VALUE FUND CLASS I2010-02-082014-12-30$1,287$721$566$566
28.315 T ROWE PRICE REAL ESTATE FUND FD 1222012-04-122014-12-30$772$572$200$200
13.39 TOUCHSTONE SANDS CAPITAL SELECT GROWTH FD CLASS Y2012-04-122014-12-30$249$172$77$77
CAPITAL GAIN DIVIDENDS$10,980P
FieldValueIRS element (for citing)
Capital Gain Net Income$19,969CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$14,782AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$349,959NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.042239DistributionYr1Rt
Adjusted Qlfy Distri Yr2$14,920AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$325,126NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.04589DistributionYr2Rt
Adjusted Qlfy Distri Yr3$14,325AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$323,114NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.044334DistributionYr3Rt
Adjusted Qlfy Distri Yr4$15,266AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$310,636NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.049144DistributionYr4Rt
Total Distribution0.181607TotalDistributionRt
Average Distribution0.045402AverageDistributionRt
Net Vl Noncharitable Assets$373,185NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$16,943AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$245NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$17,188AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$15,489QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$491InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$491SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$491TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$488EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$0AppliedToEsTaxAmt
Total Payments And Credits$488TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$3TaxDueAmt
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 Line1620 LIBERTY AVENUE 10TH FLOORAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP152222705ZIPCd
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 Line1620 LIBERTY AVENUEAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$3,753CompensationAmt
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$378,868AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$378,868TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$378,868AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,683CashDeemedCharitableAmt
Net Vl Noncharitable Assets$373,185NetVlNoncharitableAssetsAmt
Minimum Investment Return$18,659MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$18,659MinimumInvestmentReturnAmt
Tax Based On Investment Income$491TaxBasedOnInvestmentIncomeAmt
Total Tax$491TotalTaxAmt
Distributable Before Adj$18,168DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$18,168DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$18,168DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$15,489ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$15,489QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$15,489AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$18,168DistributableAsAdjustedAmt
Undistributed Income PY$4,689UndistributedIncomePYAmt
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$15,489QualifyingDistributionsAmt
Applied To Year1$4,689AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$10,800AppliedToCurrentYearAmt
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$7,368UndistributedIncomeCYAmt
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$15,301Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$15,301TotalGrantOrContriPdDurYrAmt

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$8,143ExclusionAmt
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$19,969ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$28,112ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$28,112TotalIncomeProducingActyAmt
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

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescDIFF BETWEEN TAX COST AND CARRYING VALUEDesc
Amt$1,990Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$244$0$0
FOREIGN TAXES ON QUALIFIED FOR$18$18$0