Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
MAGEE HOSP CONVALESCENT T W
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

23-6215296
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$31,911,541
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 585,132 572,712  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,308,466
b Gross sales price for all assets on line 6a 3,422,725
7 Capital gain net income (from Part IV, line 2)... 1,308,466
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 12,059 12,029  
12 Total. Add lines 1 through 11........ 1,905,657 1,893,207  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 177,263 159,537   17,726
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 1,088 0 0 1,088
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 28,522 11,553   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 1,474 1,474    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 208,347 172,564 0 18,814
25 Contributions, gifts, grants paid....... 1,650,000 1,650,000
26 Total expenses and disbursements. Add lines 24 and 25 1,858,347 172,564 0 1,668,814
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 47,310
b Net investment income (if negative, enter -0-) 1,720,643
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 29,326    
2 Savings and temporary cash investments......... 161,620 723,012 723,012
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 312,128 Click to see attachment18,586,314 28,188,365
c Investments—corporate bonds (attach schedule)....... 3,028,941 Click to see attachment2,996,210 3,000,164
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 18,777,725   0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 22,309,740 22,305,536 31,911,541
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 22,309,740 22,305,536
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 22,309,740 22,305,536
30 Total liabilities and net assets/fund balances (see instructions). 22,309,740 22,305,536
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
22,309,740
2
Enter amount from Part I, line 27a .....................
2
47,310
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,665
4
Add lines 1, 2, and 3 ..........................
4
22,358,715
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
53,179
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
22,305,536
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a 611.2 FED HOME LN MTG CORP 2.500% 4/15/38   2013-12-19 2021-01-15
b 1885.16 FED HOME LN MTG CORP 3.000% 7/15/37   2015-07-22 2021-01-15
c 20000. US TREASURY NOTE 2.125% 11/30/23   2016-12-20 2021-01-20
d 2207.17 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-01-25
e 1081.47 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-01-25
707.567 DODGE & COX STOCK FUND #145   2018-12-19 2021-01-29
463.515 DODGE & COX STOCK FUND #145   2020-12-18 2021-01-29
2184.042 HARBOR CAPITAL APPREC-RET #2512   2020-12-17 2021-01-29
538.42 FED HOME LN MTG CORP 2.500% 4/15/38   2013-12-19 2021-02-15
1469.82 FED HOME LN MTG CORP 3.000% 7/15/37   2015-07-22 2021-02-15
1880.24 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-02-25
1061.86 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-02-25
1545.74 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-02-25
21.32 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-02-25
103.51 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-02-25
20000. HCP INC 3.875% 8/15/24   2014-08-07 2021-02-26
78. CISCO SYSTEMS INC   2018-05-17 2021-03-01
26. LOWES COS INC   2019-06-14 2021-03-01
60000. JPMORGAN CHASE & CO 3.250% 9/23/22   2013-05-01 2021-03-04
645.54 FED HOME LN MTG CORP 2.500% 4/15/38   2013-12-19 2021-03-15
717.56 FED HOME LN MTG CORP 3.000% 7/15/37   2015-07-22 2021-03-15
1949.52 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-03-25
1042.61 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-03-25
1910.27 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-03-25
21.41 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-03-25
162.13 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-03-25
20000. US TREASURY NOTE 2.125% 11/30/23   2016-12-20 2021-03-25
87. BASF AKTIENGESELLSCHAFT - LVL 1 ADR   2018-05-17 2021-04-01
7. GOLDMAN SACHS GROUP INC   2020-12-09 2021-04-01
237.79 FED HOME LN MTG CORP 2.500% 4/15/38   2013-12-19 2021-04-15
10. LOWES COS INC   2019-06-14 2021-04-19
8. SNAP ON INC   2018-06-14 2021-04-19
19. TOKYO ELECTRON LTD-UNSP ADR   2020-09-24 2021-04-19
15000. US TREASURY NOTE 2.125% 11/30/23   2016-12-20 2021-04-22
40000. US TREASURY NOTE 2.500% 5/15/24   2014-07-01 2021-04-22
2041.48 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-04-25
1023.69 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-04-25
1739.08 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-04-25
21.5 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-04-25
202.77 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-04-25
29000. WALGREENS BOOTS ALLI 3.450% 6/01/26   2019-11-04 2021-04-26
85000. FED NATL MTG ASSN 0.625% 4/22/25   2020-05-04 2021-05-06
15000. FED NATL MTG ASSN 2.125% 4/24/26   2016-07-29 2021-05-06
30000. DEUTSCHE BANK NY 3.375% 5/12/21   2018-05-31 2021-05-12
21. AMGEN INC   2018-05-17 2021-05-21
28. DUKE ENERGY HOLDING CORP. COM   2018-05-17 2021-05-21
1706.17 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-05-25
1005.1 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-05-25
1514.24 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-05-25
21.59 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-05-25
99.7 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-05-25
762.407 DODGE & COX STOCK FUND #145   2002-11-20 2021-06-03
59.86 DODGE & COX STOCK FUND #145   2021-03-26 2021-06-03
1735.738 HARBOR CAPITAL APPREC-RET #2512   2017-12-18 2021-06-03
187.709 HARBOR CAPITAL APPREC-RET #2512   2020-12-17 2021-06-03
1884. ISHARES S&P MID-CAP 400 GROWTH   2016-12-14 2021-06-03
783. ISHARES RUSSELL 1000 GROWTH ETF   2014-05-12 2021-06-03
6075.334 TOUCHSTONE MID CAP VAL-INST #552   2016-08-12 2021-06-03
515.451 VANGUARD 500 INDEX FD- ADM #540   2015-02-11 2021-06-03
11. ORGANON & CO   2018-05-17 2021-06-07
30000. LABORATORY CORP OF 3.200% 2/01/22   2017-05-10 2021-06-11
203. BANK OF AMERICA CORP   2018-11-20 2021-06-22
15. COMCAST CORP CLASS A   2019-06-14 2021-06-22
13. LVMH MOET HENNESSY UNSP ADR - ADR   2018-05-17 2021-06-22
9. PHILIP MORRIS INTERNATIONAL IN   2018-05-17 2021-06-22
53. VERIZON COMMUNICATIONS   2018-08-23 2021-06-22
1851.85 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-06-25
986.84 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-06-25
1203.5 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-06-25
21.68 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-06-25
151.68 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-06-25
60000. US TREASURY NOTE 2.750% 2/15/28   2018-03-12 2021-07-06
35000. US TREASURY NOTE 1.500% 2/15/30   2021-03-25 2021-07-06
65000. ORACLE CORP 2.800% 7/08/21   2018-04-16 2021-07-08
1629.13 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-07-25
968.9 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-07-25
1282.24 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-07-25
21.8 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-07-25
122.63 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-07-25
10000. REGIONS FINANCIAL CO 3.800% 8/14/23   2020-12-18 2021-08-23
25000. APPLE INC 2.900% 9/12/27   2019-06-04 2021-08-24
10000. CME GROUP INC 3.000% 3/15/25   2020-08-28 2021-08-24
20000. CME GROUP INC 3.000% 3/15/25   2015-04-14 2021-08-24
30000. COMCAST CORP 2.650% 2/01/30   2021-03-04 2021-08-24
30000. ORACLE CORP 2.875% 3/25/31   2021-07-06 2021-08-24
70000. TEXAS INSTRUMENTS IN 1.375% 3/12/25   2020-05-04 2021-08-24
996.08 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-08-25
951.28 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-08-25
1242.27 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-08-25
21.89 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-08-25
146.47 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-08-25
72. CISCO SYSTEMS INC   2018-05-17 2021-09-09
85. GLAXOSMITHKLINE PLC - ADR   2020-09-22 2021-09-09
13. HONEYWELL INTERNATIONAL INC   2019-12-11 2021-09-09
20. MICROSOFT CORP   2018-05-17 2021-09-23
16. MOTOROLA SOLUTIONS, INC.   2020-04-08 2021-09-23
11. SNAP ON INC   2018-06-14 2021-09-23
2031.31 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-09-25
933.96 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-09-25
1277.08 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-09-25
26.13 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-09-25
97.67 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-09-25
50000. ABB FINANCE USA INC 2.875% 5/08/22   2012-05-24 2021-10-07
75000. CATERPILLAR FINL SER 2.550% 11/29/22   2017-12-13 2021-10-07
1717.46 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-10-25
916.95 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-10-25
1889.65 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-10-25
22.1 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-10-25
91.72 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-10-25
1767.52 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-11-25
900.25 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-11-25
1694.13 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-11-25
22.61 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-11-25
87.86 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-11-25
137. DEUTSCHE BOERSE AG ADR   2020-11-16 2021-12-06
117. PHILIPS ELECTRONICS - NY SHR ADR   2018-05-17 2021-12-06
9. LOWES COS INC   2019-06-14 2021-12-06
27. NEXTERA ENERGY INC   2021-05-21 2021-12-06
34. RESTAURANT BRANDS INTERN   2020-02-04 2021-12-06
30000. GENERAL MOTORS FINL 3.450% 1/14/22   2017-03-21 2021-12-14
8. GOLDMAN SACHS GROUP INC   2020-11-16 2021-12-17
9. MOTOROLA SOLUTIONS, INC.   2020-04-08 2021-12-17
1682.07 FHLMC POOL #ZS7299 3.000% 10/01/30   2020-04-09 2021-12-25
721.49 FED NATL MTG ASSN 3.000% 6/25/39   2017-09-19 2021-12-25
864.79 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-12-25
20.76 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-12-25
96.68 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-12-25
25000. SUNTRUST BANKS INC 2.700% 1/27/22   2017-12-27 2021-12-27
5000. CVS HEALTH CORP 3.700% 3/09/23   2019-03-13 2021-12-28
1107.92 FNMA POOL #BM1228 3.000% 5/01/32   2020-04-16 2021-12-31
18.32 FNMA POOL 962913 4.500% 5/01/23   2009-06-05 2021-12-31
106.59 FNMA POOL AD1608 4.000% 2/01/25   2011-06-03 2021-12-31
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(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 611   620 -9
b 1,885   1,954 -69
c 21,117   19,688 1,429
d 2,207   2,339 -132
e 1,081   1,102 -21
135,945   125,597 10,348
89,055   87,980 1,075
225,000   227,686 -2,686
538   546 -8
1,470   1,523 -53
1,880   1,993 -113
1,062   1,082 -20
1,546   1,638 -92
21   22 -1
104   108 -4
22,177   19,926 2,251
3,588   3,648 -60
4,230   2,585 1,645
62,730   61,107 1,623
646   654 -8
718   744 -26
1,950   2,066 -116
1,043   1,063 -20
1,910   2,025 -115
21   22 -1
162   170 -8
21,018   19,688 1,330
1,812   2,282 -470
2,278   1,688 590
238   241 -3
2,063   994 1,069
1,885   1,277 608
2,170   1,241 929
15,733   14,766 967
42,638   40,155 2,483
2,041   2,164 -123
1,024   1,044 -20
1,739   1,843 -104
22   22  
203   212 -9
31,927   29,927 2,000
85,098   85,150 -52
15,954   15,472 482
30,000   29,353 647
5,297   3,668 1,629
2,867   2,324 543
1,706   1,808 -102
1,005   1,025 -20
1,514   1,605 -91
22   22  
100   104 -4
185,440   100,308 85,132
14,560   13,349 1,211
180,482   128,770 51,712
19,518   19,569 -51
148,915   86,782 62,133
198,685   68,531 130,154
150,000   107,776 42,224
200,000   114,197 85,803
351   325 26
30,557   30,548 9
8,044   5,481 2,563
863   636 227
2,103   948 1,155
900   730 170
3,001   2,878 123
1,852   1,963 -111
987   1,006 -19
1,204   1,276 -72
22   22  
152   159 -7
66,527   59,083 7,444
35,640   34,925 715
65,000   64,895 105
1,629   1,727 -98
969   988 -19
1,282   1,359 -77
22   22  
123   128 -5
10,646   10,849 -203
27,260   25,962 1,298
10,717   10,963 -246
21,433   20,446 987
31,595   31,055 540
31,573   31,478 95
71,362   70,914 448
996   1,056 -60
951   970 -19
1,242   1,317 -75
22   22  
146   153 -7
4,207   3,174 1,033
3,420   3,223 197
2,917   2,286 631
5,970   1,946 4,024
3,856   2,315 1,541
2,345   1,756 589
2,031   2,153 -122
934   952 -18
1,277   1,354 -77
26   26  
98   102 -4
50,717   48,688 2,029
76,874   74,723 2,151
1,717   1,820 -103
917   935 -18
1,890   2,003 -113
22   22  
92   96 -4
1,768   1,873 -105
900   918 -18
1,694   1,796 -102
23   23  
88   92 -4
2,126   2,204 -78
3,996   4,920 -924
2,272   880 1,392
2,381   2,022 359
1,965   2,096 -131
30,000   30,422 -422
3,120   1,795 1,325
2,330   1,302 1,028
1,682   1,783 -101
721   735 -14
865   917 -52
21   21  
97   101 -4
25,000   25,007 -7
5,172   5,045 127
1,108   1,174 -66
18   19 -1
107   111 -4
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
      796,139
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       -9
b       -69
c       1,429
d       -132
e       -21
      10,348
      1,075
      -2,686
      -8
      -53
      -113
      -20
      -92
      -1
      -4
      2,251
      -60
      1,645
      1,623
      -8
      -26
      -116
      -20
      -115
      -1
      -8
      1,330
      -470
      590
      -3
      1,069
      608
      929
      967
      2,483
      -123
      -20
      -104
       
      -9
      2,000
      -52
      482
      647
      1,629
      543
      -102
      -20
      -91
       
      -4
      85,132
      1,211
      51,712
      -51
      62,133
      130,154
      42,224
      85,803
      26
      9
      2,563
      227
      1,155
      170
      123
      -111
      -19
      -72
       
      -7
      7,444
      715
      105
      -98
      -19
      -77
       
      -5
      -203
      1,298
      -246
      987
      540
      95
      448
      -60
      -19
      -75
       
      -7
      1,033
      197
      631
      4,024
      1,541
      589
      -122
      -18
      -77
       
      -4
      2,029
      2,151
      -103
      -18
      -113
       
      -4
      -105
      -18
      -102
       
      -4
      -78
      -924
      1,392
      359
      -131
      -422
      1,325
      1,028
      -101
      -14
      -52
       
      -4
      -7
      127
      -66
      -1
      -4
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 1,308,466
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 23,917
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 23,917
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 13,600
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 10,333
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 23,933
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 16
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet16 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1
    177,263    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    30,597,166
    b
    Average of monthly cash balances.......................
    1b
    421,144
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    31,018,310
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    31,018,310
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    465,275
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    30,553,035
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,527,652
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    1,527,652
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    23,917
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    23,917
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,503,735
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,503,735
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    1,503,735
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 1,503,735
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 543,941
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,668,814
    a Applied to 2020, but not more than line 2a 543,941
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 1,124,873
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    378,862
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    MAGEE REHABILITATION HOSPITAL
    SIX FRANKLIN PLAZA
    PHILADELPHIA,PA19102
    NONE PC GENERAL OPERATING 1,650,000
    Total .................................bullet 3a 1,650,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 1,308,466  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP/S-CORP
        1 12,029  
    bFEDERAL TAX REFUND     1 30  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   1,905,657  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,905,657
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,088     1,088

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Name of Bond End of Year Book Value End of Year Fair Market Value
    68389XBA2 ORACLE CORP 2.800% 7    
    50540RAP7 LABORATORY CORP OF 3    
    91324PCP5 UNITEDHEALTH GROUP 62,844 59,634
    036752AJ2 ANTHEM INC 37,385 36,091
    58013MFN9 MCDONALD'S CORP 33,357 31,802
    46625HJE1 JPMORGAN CHASE & CO    
    14913Q2E8 CATERPILLAR FINL SER    
    3135G0ZR7 FED NATL MTG ASSN 2. 35,415 36,613
    12572QAG0 CME GROUP INC 35,780 36,741
    337738AS7 FISERV INC 36,467 36,201
    867914BM4 SUNTRUST BANKS INC    
    548661CW5 LOWE'S COMPANIES INC 46,077 45,096
    05565QCB2 BP CAPITAL MARKETS 2 59,744 60,965
    40414LAL3 HCP INC 3.875% 8/15/    
    912828K74 US TREASURY NOTE 2.0 53,500 56,723
    80283LAJ2 SANTANDER UK PLC 68,431 68,798
    37045XBS4 GENERAL MOTORS FINL    
    026874CY1 AMERICAN INTL GROUP 37,071 37,163
    3130AJHU6 FED HOME LN BK 84,719 83,514
    251526BW8 DEUTSCHE BANK NY    
    126650DN7 CVS HEALTH CORP 29,303 28,589
    49326EEK5 KEYCORP 37,234 35,573
    00287YAY5 ABBVIE INC 30,133 31,804
    86562MAF7 SUMITOMO MITSUI FINL 64,780 67,294
    61761J3R8 MORGAN STANLEY 77,542 74,152
    458140BD1 INTEL CORP 69,658 67,672
    172967HT1 CITIGROUP INC 3.750% 61,910 63,653
    00206RKG6 AT&T INC 40,685 39,153
    863667BA8 STRYKER CORP 30,498 29,729
    98389BAR1 XCEL ENERGY INC 38,414 36,746
    882508BH6 TEXAS INSTRUMENTS IN    
    912828P46 US TREASURY NOTE 1.6 24,689 25,430
    00037BAB8 ABB FINANCE USA INC    
    06051GEU9 BANK OF AMERICA CORP 74,834 71,916
    316773DA5 FIFTH THIRD BANCORP 37,584 36,101
    3135G0T94 FED NATL MTG ASSN 9,880 10,205
    912828WJ5 US TREASURY NOTE 2.5 123,332 129,854
    7591EPAP5 REGIONS FINANCIAL CO    
    025816CG2 AMERICAN EXPRESS CO 37,371 36,161
    06406RAF4 BANK OF NY MELLON CO 61,192 65,120
    14040HCA1 CAPITAL ONE FINANCIA 35,870 36,832
    3135G0K36 FED NATL MTG ASSN 71,156 72,589
    931427AQ1 WALGREENS BOOTS ALLI 16,512 17,024
    912828V98 US TREASURY NOTE 122,950 130,943
    912828XT2 US TREASURY NOTE 35,163 35,961
    037833DB3 APPLE INC 34,696 37,305
    3135G03U5 FED NATL MTG ASSN    
    126650CV0 CVS HEALTH CORP    
    912828YB0 US TREASURY NOTE 345,107 339,854
    961214EC3 WESTPAC BANKING CORP 62,681 62,940
    912828U57 US TREASURY NOTE 2.1    
    666807BM3 NORTHROP GRUMMAN COR 32,549 31,251
    9128283W8 US TREASURY NOTE 38,972 43,231
    91282CCN9 US TREASURY NOTE 119,761 119,058
    68389XCD5 ORACLE CORP 36,127 34,892
    166764BY5 CHEVRON CORP 67,333 65,745
    20030NDA6 COMCAST CORP 41,407 41,484
    91282CCS8 US TREASURY NOTE 87,645 87,989
    125523CL2 CIGNA CORP 21,303 20,176
    91282CCK5 US TREASURY NOTE 34,934 34,763
    808513BS3 CHARLES SCHWAB CORP 30,464 30,299
    37045XDL7 GENERAL MOTORS FINL 29,957 29,893
    693475AZ8 PNC FINANCIAL SERVIC 72,230 71,962
    035240AV2 ANHEUSER-BUSCH INBEV 22,116 21,921
    38141GXH2 GOLDMAN SACHS GROUP 82,970 82,562
    91282CCF6 US TREASURY NOTE 29,951 29,384
    37940XAE2 GLOBAL PAYMENTS INC 29,631 29,120
    91282CCG4 US TREASURY NOTE 29,863 29,558
    89788KAA4 TRUIST BANK 25,033 24,935

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Name of Stock End of Year Book Value End of Year Fair Market Value
    459506101 INTERNATIONAL FLAVOR 5,411 7,081
    478160104 JOHNSON & JOHNSON 10,168 11,291
    548661107 LOWES COS INC 1,880 6,979
    251542106 DEUTSCHE BOERSE AG A 4,341 4,817
    874060205 TAKEDA PHARMACEUTIC- 5,933 4,402
    92343V104 VERIZON COMMUNICATIO 8,206 7,846
    25157Y202 DEUTSCHE POST AG ADR 4,294 7,241
    539830109 LOCKHEED MARTIN CORP 10,948 11,729
    66987V109 NOVARTIS AG - ADR 7,197 9,184
    744573106 PUBLIC SVC ENTERPRIS 3,560 4,805
    749685103 RPM INTERNATIONAL IN 8,383 12,120
    86562M209 SUMITOMO TRUST AND B 7,492 6,389
    26441C204 DUKE ENERGY HOLDING 2,974 4,196
    031162100 AMGEN INC    
    032654105 ANALOG DEVICES INC 3,329 6,152
    742718109 PROCTER & GAMBLE CO 10,968 14,886
    771195104 ROCHE HOLDINGS LTD - 4,087 7,547
    191216100 COCA COLA CO 8,631 11,131
    686330101 ORIX CORPORATION - A 3,432 4,784
    76131D103 RESTAURANT BRANDS IN 4,278 5,643
    87807B107 TC ENERGY CORP 10,395 10,658
    889110102 TOKYO ELECTRON LTD-U 2,240 5,037
    609207105 MONDELEZ INTERNATION 4,992 8,355
    17275R102 CISCO SYSTEMS INC 5,476 8,238
    641069406 NESTLE S.A. REGISTER 5,475 8,282
    747525103 QUALCOMM INC 3,061 9,509
    89151E109 TOTALENERGIES SE -SP 10,562 9,645
    055262505 BASF AKTIENGESELLSCH 4,905 3,278
    83175M205 SMITH & NEPHEW PLC - 4,774 4,397
    46625H100 JPMORGAN CHASE & CO 3,960 5,542
    G25839104 COCA-COLA EUROPACIFI 8,665 11,410
    054536107 AXA - ADR 7,248 7,889
    126650100 CVS HEALTH CORPORATI 6,663 11,657
    37733W105 GLAXOSMITHKLINE PLC    
    833034101 SNAP ON INC 3,016 4,308
    907818108 UNION PACIFIC CORP 5,353 6,550
    904767704 UNILEVER PLC - ADR 9,008 8,822
    418056107 HASBRO INC 8,562 9,364
    594918104 MICROSOFT CORP 1,751 6,054
    060505104 BANK OF AMERICA CORP    
    438516106 HONEYWELL INTERNATIO 3,877 4,587
    500472303 PHILIPS ELECTRONICS    
    58933Y105 MERCK & CO INC NEW 8,975 11,036
    20030N101 COMCAST CORP CLASS A 7,840 9,462
    80105N105 SANOFI-ADR 3,249 4,158
    502441306 LVMH MOET HENNESSY U 1,822 4,138
    65339F101 NEXTERA ENERGY INC 4,976 10,830
    718172109 PHILIP MORRIS INTERN 3,883 4,560
    969457100 WILLIAMS COS INC 9,887 11,484
    110448107 BRITISH AMERICAN TOB 7,153 5,948
    38141G104 GOLDMAN SACHS GROUP 3,994 6,886
    826197501 SIEMENS AG - SPONSOR 8,870 10,305
    G5960L103 MEDTRONIC PLC 3,149 4,241
    620076307 MOTOROLA SOLUTIONS, 2,315 4,347
    854502101 STANLEY BLACK & DECK 6,274 6,413
    921075438 VAN ECK EMERGING MAR 300,000 288,102
    803054204 SAP SE ADR 4,042 4,063
    464287804 ISHARES CORE S&P SMA 300,692 513,463
    411512528 HARBOR CAPITAL APPRE 854,951 2,127,446
    927320101 VINCI SA ADR 6,848 6,998
    3140J5LJ6 FNMA POOL #BM1228 43,100 42,756
    589619824 MERIDIAN SMALL CAP G 300,000 287,420
    36250PAC9 GS MORTGAGE SECURITI 107,996 104,701
    464287614 ISHARES RUSSELL 1000 647,586 2,261,060
    922031737 VANGUARD INFLAT-PROT 102,204 112,619
    464287606 ISHARES S&P MID-CAP 1,003,426 1,857,304
    89155H389 TOUCHSTONE MID CAP V 973,016 1,378,211
    31641Q755 FIDELITY NEW MRKTS I 492,596 423,278
    77958B402 T ROWE PRICE INST FL 100,000 97,305
    412295107 HARDING LOEVNER INTL 300,000 396,005
    367829884 GATEWAY FUND - Y 198 500,000 613,054
    88019R385 TMPLTN EM MRKT SM CA 150,000 159,720
    74925K581 BOSTON P LNG/SHRT RE 515,758 549,798
    756255204 RECKITT BENCKIS/S AD 5,273 5,513
    693391559 PIMCO EMERG MKTS BD- 834,752 736,314
    589509207 MERGER FUND-INST #30 380,386 412,846
    922908553 VANGUARD REAL ESTATE 957,736 1,375,531
    872540109 TJX COMPANIES INC 8,808 9,794
    316390152 FIDELITY ADV INTL RL 268,359 351,248
    27831R108 EV GLBL MACR ABS RTR 525,748 506,052
    31397QJ25 FED NATL MTG ASSN 3. 1,156 1,134
    922042858 VANGUARD FTSE EMERGI 706,405 780,973
    NBP993844 NB CROSSROADS PRIV M 139,571 227,532
    256206103 DODGE & COX INTL STO 156,994 305,874
    74440Y884 PGIM HIGH YIELD-Q 10 470,510 497,707
    3132A8DC0 FHLMC POOL #ZS7299 67,099 66,858
    464288489 ISHARES INTERNATIONA 400,291 396,122
    31418NYE4 FNMA POOL AD1608 4.0 2,364 2,373
    31414DGW0 FNMA POOL 962913 4.5 262 269
    921943858 VANGUARD FTSE DEVELO 903,698 1,046,679
    00143W859 INV OPP DEVELOP MRKT 267,424 370,774
    90276RBD9 UBS COMMERCIAL MORTG 107,844 103,906
    921910501 VANGUARD INTL GRTH F 353,139 517,214
    70299PGP6 PARTNERS GROUP PRIVA 287,528 801,047
    456837103 ING GROEP N.V. - ADR 6,662 6,932
    251566105 DEUTSCHE TELEKOM AG 6,288 5,442
    GTY995331 AGILITY MULTI-ASSET 150,000 145,043
    65558R109 NORDEA BANK ABP - SP 6,788 7,210
    693390841 PIMCO HIGH YIELD FD- 493,166 524,630
    74256W568 PRINCIPAL REAL EST S 518,476 782,992
    904504479 UNDISC MGRS BEHAV VA 300,000 349,359
    922908710 VANGUARD 500 INDEX F 988,566 2,296,023
    64128R608 NEUBERGER BERMAN LON 510,238 659,092
    09260C703 BLACKROCK GL L/S CRE 588,576 611,942
    256219106 DODGE & COX STOCK FU 872,110 2,354,485
    74144Q203 T ROWE PRICE INST EM 300,000 320,539

    TY 2021 InvestmentsOtherSchedule2
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    3137A0UL7 FED HOME LN MTG CORP      
    3137BCA40 FED HOME LN MTG CORP      
    693390841 PIMCO HIGH YIELD FD-      
    464287614 ISHARES RUSSELL 1000      
    74144Q203 T ROWE PRICE INST EM      
    77958B402 T ROWE PRICE INST FL      
    31418NYE4 FNMA POOL AD1608 4.0      
    31414DGW0 FNMA POOL 962913 4.5      
    589509207 MERGER FUND-INST #30      
    256206103 DODGE & COX INTL STO      
    922031737 VANGUARD INFLAT-PROT      
    464287606 ISHARES S&P MID-CAP      
    921910501 VANGUARD INTL GRTH F      
    921075438 VAN ECK EMERGING MAR      
    464288489 ISHARES INTERNATIONA      
    693391559 PIMCO EMERG MKTS BD-      
    464287804 ISHARES CORE S&P SMA      
    412295107 HARDING LOEVNER INTL      
    922908553 VANGUARD REAL ESTATE      
    256219106 DODGE & COX STOCK FU      
    64128R608 NEUBERGER BERMAN LON      
    367829884 GATEWAY FUND - Y 198      
    31397QJ25 FED NATL MTG ASSN 3.      
    922908710 VANGUARD 500 INDEX F      
    922042858 VANGUARD FTSE EMERGI      
    74925K581 BOSTON P LNG/SHRT RE      
    89155H389 TOUCHSTONE MID CAP V      
    70299PGP6 PARTNERS GROUP PRIVA      
    921943858 VANGUARD FTSE DEVELO      
    09260C703 BLACKROCK GL L/S CRE      
    74256W568 PRINCIPAL REAL EST S      
    NBP993844 NB CROSSROADS PRIV M      
    88019R385 TMPLTN EM MRKT SM CA      
    589619824 MERIDIAN SMALL CAP G      
    411512528 HARBOR CAPITAL APPRE      
    31641Q755 FIDELITY NEW MRKTS I      
    00143W859 INV OPP DEVELOP MRKT      
    GTY995331 AGILITY MULTI-ASSET      
    316390152 FIDELITY ADV INTL RL      
    74440Y884 PGIM HIGH YIELD-Q 10      
    27831R108 EV GLBL MACR ABS RTR      
    904504479 UNDISC MGRS BEHAV VA      
    3132A8DC0 FHLMC POOL #ZS7299      
    3140J5LJ6 FNMA POOL #BM1228      

    TY 2021 OtherDecreasesSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Description Amount
    PY RETURN OF CAPITAL ADJ 18,017
    MUTUAL FUND TIMING ADJ 34,800
    PURCHASE OF ACCRUED INTEREST 362


    TY 2021 OtherExpensesSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 676 676   0
    FROM PARTNERSHIP/S-CORP 798 798   0


    TY 2021 OtherIncomeSchedule2
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 30 0  
    FROM PARTNERSHIP/S-CORP 12,029 12,029  


    TY 2021 OtherIncreasesSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Description Amount
    COST BASIS ADJ 1,665


    TY 2021 TaxesSchedule
    Name:
    MAGEE HOSP CONVALESCENT T W
    EIN:
    23-6215296
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 5,207 5,207   0
    FEDERAL TAX PAYMENT - PRIOR YE 3,369 0   0
    FEDERAL ESTIMATES - PRINCIPAL 13,600 0   0
    FOREIGN TAXES ON QUALIFIED FOR 2,311 2,311   0
    FOREIGN TAXES ON NONQUALIFIED 4,035 4,035   0