2023-11-08T14:31:51-06:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 251290546 SHADYSIDE HOSPITAL FOUNDATION SHAD 4126236602 532 SOUTH AIKEN AVENUE 302 PITTSBURGH PA 15232 LOUISE R BROWN EXECUTIVE DIRECTOR 4126236602 2023-11-06 1 LOUISE BROWN 999009999 1 KERRI N BOGDA CPA P00760402 7177404863 2023-11-01 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LOUISE R BROWN 532 SOUTH AIKEN AVENUE 302 PITTSBURGH PA 15232 9648365 0 X N/A X 1975 PA TO RAISE FUNDS FOR UPMC-PRESBYTERIAN/SHADYSIDE-TO IMPROVE AND ADVANCE MEDICINE. 59 58 3 58 0 0 3655322 835515 0 0 15378055 8150040 0 0 19033377 8985555 1584871 5266728 0 0 430325 413280 0 0 31822 211321 252943 2226517 5932951 16806860 3052604 98652729 102558753 1395533 1464121 97257196 101094632 X 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 5266728 5266728 0 EACH YEAR THE FOUNDATION PUTS OUT A CALL FOR GRANT REQUESTS FROM PERSONNEL AT UPMC SHADYSIDE. OF 56 REQUESTS FOR FUNDING THAT WERE SUBMITTED, 46 WERE APPROVED. FOUR HIGHLIGHTED PROJECTS INCLUDE: THE IMPOSSIBLE DREAM TO BETTER TRACK PATIENT BELONGINGS, TRANSPORT EFFICIENCY PROJECT TO IMPROVE PATIENT CARE QUALITY METRICS, STAFF SAFETY DE-ESCALATION TRAINING, CRITICAL INCIDENT STRESS MANAGEMENT TRAINING FOR STAFF, NO-COST SCREENING COLONOSCOPIES FOR UNINSURED/LOW INCOME PATIENTS, AND IMPROVEMENTS TO THE UPMC SHADYSIDE GARAGE. ADDITIONAL PROJECTS INCLUDE THE DIABETES EDUCATION SCHOLARSHIP, WHICH PROVIDES MEDICATIONS, SUPPLIES, AND COUNSELING. THE SHADYSIDE HOSPITAL IMPROVEMENT MODEL PROVIDES SALARIES FOR TWO IMPROVEMENT SPECIALISTS WHO WORK WITH THE HOSPITAL TO MAKE IMPROVEMENTS FOR PATIENT SAFETY AND CARE. SINCE 1975, OUR VOLUNTEER BOARD HAS SUCCESSFULLY STEWARDED THE GIFTS OF GENERAL DONORS, PUTTING THEIR DOLLARS TO WORK TO HELP CREATE A WORLD-RENOWNED HOSPITAL THAT MAKES OUR COMMUNITY STRONG. SUPPORTING PROJECTS FOR QUALITY CARE, EDUCATION, AND RESEARCH THAT LIE BEYOND THE HOSPITAL'S NORMAL OPERATING BUDGET, THE SHADYSIDE HOSPITAL FOUNDATION CHANGES LIVES. 5266728 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 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 1 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 59 58 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X REBECCA GRUSECK 4126236602 532 SOUTH AIKEN AVENUE 302 PITTSBURGH PA 15232 LOUISE R BROWN EXEC. DIRECTOR/SECRETARY 39.00 1.00 X X 135131 135131 40260 TORRENCE M HUNT JR CHAIRMAN 1.00 0.00 X X 0 0 0 H VAUGHAN BLAXTER III VICE CHAIR 1.00 0.00 X X 0 0 0 MARK J LASKOW VICE CHAIR 1.00 1.00 X X 0 0 0 MIKELL COOPER SCHENCK VICE CHAIR 1.00 0.00 X X 0 0 0 NANCY B FOSTER TREASURER 1.00 0.00 X X 0 0 0 W CRAIG ESTERLY ASST. TREASURER & SECRETARY 1.00 0.00 X X 0 0 0 LAWRENCE N ADLER MD BOARD MEMBER 1.00 0.00 X 0 0 0 VIJAY K BAHL MD BOARD MEMBER 1.00 0.00 X 0 0 0 CAROLINE D BARMEN BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM W BARRINGTON MD BOARD MEMBER 1.00 0.00 X 0 0 0 DOROTHY B BECKWITH BOARD MEMBER 1.00 0.00 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 0.00 X 0 0 0 MARY BRIGNANO BOARD MEMBER 1.00 0.00 X 0 0 0 YVETTE L BROADNAX MD BOARD MEMBER 1.00 0.00 X 0 0 0 AH BURCHFIELD III BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT B CHALLINOR MD BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM M COOPER III BOARD MEMBER 1.00 0.00 X 0 0 0 PATRICIA M DUGGAN BOARD MEMBER 1.00 0.00 X 0 0 0 PAUL EUWER JR BOARD MEMBER 1.00 0.00 X 0 0 0 STEVEN EVANS MD BOARD MEMBER 1.00 0.00 X 0 0 0 NANCY C FALES BOARD MEMBER 1.00 0.00 X 0 0 0 SHEILA FINE BOARD MEMBER 1.00 0.00 X 0 0 0 MONA N GENERETT PHD BOARD MEMBER 1.00 0.00 X 0 0 0 ROBIN GIRDHAR MD BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES A GLEASON MD BOARD MEMBER 1.00 0.00 X 0 0 0 CLINTON E GUYAUX CFP CLU BOARD MEMBER 1.00 0.00 X 0 0 0 NINA FISHER HAMILTON BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN F HENSLER BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES F HILLIARD BOARD MEMBER 1.00 0.00 X 0 0 0 LEO A KEEVICAN JR BOARD MEMBER 1.00 0.00 X 0 0 0 JOAN KENNEY BOARD MEMBER 1.00 0.00 X 0 0 0 DONNA L KNUPP MD BOARD MEMBER 1.00 0.00 X 0 0 0 LOUIS E LEFF MD FACP BOARD MEMBER 1.00 0.00 X 0 0 0 KATE W MACVEAN BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLES V MASTERSON III BOARD MEMBER 1.00 0.00 X 0 0 0 JENNIFER GONZALES MCCOMB MD BOARD MEMBER 1.00 0.00 X 0 0 0 W DUFF MCCRADY BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN MCSORLEY III MD BOARD MEMBER 1.00 0.00 X 0 0 0 MARK W MEYER MD BOARD MEMBER 1.00 0.00 X 0 0 0 COOPER SCHENCK MUNROE BOARD MEMBER 1.00 0.00 X 0 0 0 JENNIFER J MUSE BOARD MEMBER 1.00 0.00 X 0 0 0 JOEL B NELSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD A PAGLIARI BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES PINGPANK MD BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL W PITUCH DMD MD BOARD MEMBER 1.00 0.00 X 0 0 0 SANDRA L RADER BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM M ROBINSON BOARD MEMBER 1.00 0.00 X 0 0 0 FRED H RUBIN MD BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN A RUDOLF BOARD MEMBER 1.00 0.00 X 0 0 0 S MURRAY RUST III BOARD MEMBER (TO AUG. 2022) 1.00 0.00 X 0 0 0 BLAKE L RUTTENBERG BOARD MEMBER 1.00 0.00 X 0 0 0 DEMMLER SCHENCK BOARD MEMBER 1.00 0.00 X 0 0 0 MARK A STUDER BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM M SWARTZ MD BOARD MEMBER 1.00 0.00 X 0 0 0 JOSEPH C WALTON BOARD MEMBER 1.00 0.00 X 0 0 0 W DENNIS ZEREGA EDD BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID S ZORUB MD BOARD MEMBER 1.00 0.00 X 0 0 0 BONNIE BLAXTER BOARD MEMBER 1.00 0.00 X 0 0 0 135131 135131 40260 1 0 1 0 0 835515 835515 1101195 1101195 7711655 662810 7048845 7048845 7048845 8985555 0 0 8150040 5266728 5266728 155261 155261 258019 258019 43230 43230 79030 79030 51757 51757 38398 9784 28614 32079 28871 3208 1661 1661 4577 4577 DUES & SUBSCRIPTIONS 2211 2211 5932951 5266728 634401 31822 506348 145363 1714760 540968 3010000 8931 8931 72227 72227 0 0 93412690 101863491 98652729 102558753 35533 35533 1273544 1341248 86456 87340 1395533 1464121 X 62567703 67160870 34689493 33933762 97257196 101094632 98652729 102558753 X 3052604 332002 452830 X 0 1 X 1 0 X X 1 UPMC PRESBYTERIANSHADYSIDE HOSPITAL 250965480 3 1 5266728 0 1 5266728 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 PRESBYTERIAN/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 20675219 2087515 661051 22101683 25213735 1500 -3849678 690338 20675219 19641728 5967812 395805 25213735 18731021 1000 1055599 145892 19641728 18569647 100755 463490 402871 18731021 0.00000 0.98079 0.01921 0 0 72227 72227 0 0 COMMON FUNDS 92335587 F SPLIT INTEREST AGREEMENTS 9527904 F 101863491 RESTRICTED CONTRIBUTION PAYABLE 87340 87340 9691357 332002 373800 705802 8985555 0 8985555 5853921 0 5853921 79030 79030 5932951 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR THE BENEFIT OF UPMC PRESBYTERIAN/SHADYSIDE TO IMPROVE AND ADVANCE HEALTHCARE DELIVERY AND MEDICAL RESEARCH AND EDUCATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 452,830. INVESTMENT FEES -79,030. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 79,030. 1 UPMC-PRESBYTERIANSHADYSIDE 5230 CENTRE AVENUE PITTSBURGH PA 15232 250965480 501(C)(3) 5266728 0 PATIENT CARE, EMPLOYEE EDUCATION AND SUPPORT, OUTREACH, RESEARCH AND OTHER MISCELLANEOUS PROGRAMS. 1 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 135131 135131 0 0 0 0 9411 9411 10719 10719 155261 155261 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 THEIR W-2S 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, COOPER SCHENCK MUNROE AND DEMMLER SCHENCK -JAMES F. HILLIARD, NINA FISHER HAMILTON AND PATRICIA DUGGAN -W. DUFF MCCRADY AND JOHN A. RUDOLF -BONNIE BLAXTER AND H. VAUGHAN BLAXTER III 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. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY. 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 15A 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 OF ENSURING 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 ARE 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 452,830. 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 PNC BANK T 75212 2023771 1.00000 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0