Nancy was a 75-year-old widow who had lost her husband a few years earlier in 1915 due to a terrible accident. Thomas Roland Kirkendall was riding a horse home to Saltsburg from his farm in Avonmore, Westmoreland County, when he was struck by a speeding car and died of a skull fracture.
I don't know much about Columbia Hospital. In fact, I hadn't heard of it until I saw it on Nancy's death certificate. The Historic Pittsburgh website has a few publications that indicate it opened in 1906. It became part of Forbes Health System and then closed in the early 1980s after a new hospital was built across the street named Forbes Metro. (Since it existed for almost 80 years, I was clearly a self-absorbed teenager not to have heard of it!)
Thomas and Nancy had seven children, one of whom was my husband's great-grandmother, Anna Kirkendall Stewart.