Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
Highmark Health Group
 
% MATT PETERSON
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
120 Fifth Avenue
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Pittsburgh, PA15222
D Employer identification number

82-1406555
E Telephone number

G Gross receipts $ 4,578,280,733
F Name and address of principal officer:
DAVID HOLMBERG
120 FIFTH AVENUE
PITTSBURGH,PA15222
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.AHN.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet6169
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROMOTE HEALTH & WELLNESS IN OUR COMMUNITIES BY PROVIDING SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 216
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 79
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 25,110
6 Total number of volunteers (estimate if necessary) ............. 6 1,584
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 5,702,165
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 1,372,118
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 18,356,919 16,440,203
9 Program service revenue (Part VIII, line 2g) ......... 3,165,504,890 3,481,345,554
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 79,833,992 58,638,068
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 100,533,631 111,793,192
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3,364,229,432 3,668,217,017
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,103,178 4,920,007
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,536,884,008 1,723,963,641
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,854,333    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,721,785,541 1,867,752,211
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,260,772,727 3,596,635,859
19 Revenue less expenses. Subtract line 18 from line 12....... 103,456,705 71,581,158
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,936,994,088 3,149,634,218
21 Total liabilities (Part X, line 26)............. 1,977,299,284 1,973,175,454
22 Net assets or fund balances. Subtract line 21 from line 20..... 959,694,804 1,176,458,764
Part II
Signature Block
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 officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: HIGHMARK HEALTH IS AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,450,026,890 including grants of $ 4,770,907 ) (Revenue $ 2,651,193,149 )
THE ALLEGHENY HEALTH NETWORK (AHN) STRIVES TO PROVIDE HIGH QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. TO ACCOMPLISH THESE PROGRAM SERVICE OBJECTIVES, THE WEST PENN ALLEGHENY HEALTH SYSTEM EXISTS TO PROMOTE HEALTH AND WELLNESS FOR OUR PATIENTS AND OUR COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS.
4b (Code:   ) (Expenses $ 358,819,875 including grants of $ 45,500 ) (Revenue $ 380,590,108 )
THE ALLEGHENY HEALTH NETWORK (AHN) STRIVES TO PROVIDE HIGH QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. TO ACCOMPLISH THESE PROGRAM SERVICE OBJECTIVES, THE SAINT VINCENT MEDICAL FAMILY EXISTS TO PROMOTE HEALTH AND WELLNESS FOR OUR PATIENTS AND OUR COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS.
4c (Code:   ) (Expenses $ 244,455,840 including grants of $ 21,500 ) (Revenue $ 291,906,201 )
THE ALLEGHENY HEALTH NETWORK (AHN) STRIVES TO PROVIDE HIGH QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. TO ACCOMPLISH THESE PROGRAM SERVICE OBJECTIVES, JEFFERSON REGIONAL MEDICAL CENTER EXISTS TO PROMOTE HEALTH AND WELLNESS FOR OUR PATIENTS AND OUR COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS.
4d Other program services (Describe in Schedule O.)
(Expenses $ 200,313,287 including grants of $ 82,100 ) (Revenue $ 151,935,931 )
4e Total program service expensesMediumBullet3,253,615,892
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part IIIClick to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,512
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
25,110
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
216
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
79
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY , PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMATT PETERSON120 FIFTH AVE   Pittsburgh,PA15222 (412) 330-6090
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) David Blandino MD......................................................................
Board Chair
 5.0
.................
15.0 		X   X       0 121,736 0
(2) Joseph Macerelli......................................................................
Board Chair
 10.0
.................
0.0 		X   X       0 0 0
(3) Robin Bergstrom......................................................................
Board Chair
 1.0
.................
0.0 		X   X       0 0 0
(4) Edward Little......................................................................
Board Chair
 1.0
.................
0.0 		X   X       0 0 0
(5) Russell Livingston......................................................................
Board Chair
 1.0
.................
0.0 		X   X       0 0 0
(6) Mark Webb......................................................................
Board Chair
 1.0
.................
0.0 		X   X       0 0 0
(7) Sandra Usher......................................................................
Board Chair
 1.0
.................
0.0 		X   X       0 0 0
(8) Edward Marasco......................................................................
Director & Chairman
 1.0
.................
0.0 		X   X       0 0 0
(9) Jeffrey Szumigale......................................................................
Director & Vice Chair
 1.0
.................
0.0 		X   X       0 0 0
(10) John Hamels PhD......................................................................
Director & Vice Chair
 1.0
.................
0.0 		X   X       0 0 0
(11) James Graham......................................................................
Director
 5.0
.................
0.0 		X           0 0 0
(12) David Malone......................................................................
Director
 5.0
.................
10.0 		X           0 85,524 0
(13) David Michael Matter......................................................................
Director
 5.0
.................
10.0 		X           0 113,736 0
(14) Michael Redlawsk......................................................................
Director
 5.0
.................
0.0 		X           0 0 0
(15) Victor Roque......................................................................
Director
 10.0
.................
5.0 		X           0 115,136 0
(16) Carol Bucci......................................................................
Director
 50.0
.................
0.0 		X           0 270,900 24,021
(17) Scott Hankinson......................................................................
Director
 50.0
.................
0.0 		X           228,593 0 28,505
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Tony Farah MD........................................................................
Director
 5.0
.......................60.0 		X           0 2,095,117 37,377
(19) David Goldberg........................................................................
Director (UNTIL 09/2018)
 60.0
.......................0.0 		X           962,543 0 21,254
(20) Daniel R Casper MD........................................................................
Director
 50.0
.......................0.0 		X           358,489 0 20,757
(21) Pamela Lapczynski........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(22) Paul Reilly MD........................................................................
Director
 50.0
.......................0.0 		X           160,965 0 21,824
(23) Jason Ross........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(24) David Parda MD........................................................................
Director
 60.0
.......................0.0 		X           1,029,251 0 28,323
(25) Michael Alterio........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(26) David Celko MD........................................................................
Director
 50.0
.......................0.0 		X           129,515 0 1,313
(27) Thomas Corkery DO........................................................................
Director
 50.0
.......................0.0 		X           327,450 0 19,890
(28) Carole Pankas........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(29) William Thomeier MD........................................................................
Director (UNTIL 11/2018)
 1.0
.......................0.0 		X           0 0 0
(30) Jennifer Lewis MD........................................................................
Director
 50.0
.......................0.0 		X           315,632 0 23,506
(31) Michael Culig MD........................................................................
Director
 50.0
.......................0.0 		X           553,554 0 24,357
(32) John Finnegan........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(33) LaDonna Fuge MD........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(34) Jason Roeback........................................................................
Director
 50.0
.......................0.0 		X           411,103 0 23,836
(35) Thomas Murphy........................................................................
Director
 50.0
.......................0.0 		X   X       218,791 0 22,736
(36) William Richardson........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(37) David Stapor MD........................................................................
Director
 50.0
.......................0.0 		X           476,579 0 23,027
(38) Richard Talarico........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(39) Thomas Vankirk........................................................................
Director
 5.0
.......................60.0 		X           0 2,438,330 29,520
(40) Helen Baran........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(41) Natalie Dwyer Haller........................................................................
Director (UNTIL 11/2018)
 1.0
.......................0.0 		X           0 0 0
(42) Karen Hanlon........................................................................
Director
 5.0
.......................60.0 		X           0 2,593,642 226,592
(43) R Steven Jones........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(44) Paul Gausman DO........................................................................
Director
 50.0
.......................0.0 		X           349,701 0 23,330
(45) Jeffrey Kim MD........................................................................
Director
 50.0
.......................0.0 		X           299,065 0 22,466
(46) Chris Serafini DO........................................................................
Director
 50.0
.......................0.0 		X           405,433 0 23,462
(47) Kathryn Burns........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(48) Susan Moore MD........................................................................
Director
 50.0
.......................0.0 		X           218,491 0 25,081
(49) Marne Roche........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(50) Chris Scott........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(51) David Lerberg MD........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(52) Jane Love MD........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(53) Wendy O'Brien........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(54) LP Gupta........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(55) Basil M Cox........................................................................
Director (UNTIL 10/2018)
 1.0
.......................0.0 		X           0 0 0
(56) Theodore Neighbors........................................................................
Director (UNTIL 10/2018)
 1.0
.......................0.0 		X           0 0 0
(57) Doris Carson Williams........................................................................
Director
 1.0
.......................5.0 		X           0 0 0
(58) Donald McNary........................................................................
Director
 50.0
.......................0.0 		X           202,157 0 10,045
(59) Madhusudan Menon MD........................................................................
Director
 60.0
.......................0.0 		X           744,673 0 3,957
(60) Dawn Karns DO........................................................................
Director
 50.0
.......................0.0 		X           143,446 0 1,234
(61) Robert Lupo MD........................................................................
Director
 60.0
.......................0.0 		X           719,873 0 24,381
(62) Jeffrey McGovern MD........................................................................
Director
 60.0
.......................0.0 		X           665,006 0 24,374
(63) Ross Peterson MD........................................................................
Director
 60.0
.......................0.0 		X           775,430 0 22,311
(64) Salam Shameen MD........................................................................
Director
 50.0
.......................0.0 		X           449,102 0 10,282
(65) Donald Whiting MD........................................................................
Director/CHAIRMAN
 60.0
.......................0.0 		X   X       1,391,541 0 104,038
(66) Joseph C Guyaux........................................................................
Director
 5.0
.......................10.0 		X           0 128,624 0
(67) James Benedict........................................................................
Director/COO
 60.0
.......................0.0 		X   X       1,184,826 0 102,536
(68) Brian Parker MD........................................................................
Director
 60.0
.......................0.0 		X           953,658 0 75,715
(69) Richard S Bartek........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(70) Lauren McAndrews........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(71) Thomas Tarpley........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(72) Parminder Sharma MD........................................................................
Director
 60.0
.......................0.0 		X           633,268 0 24,393
(73) Thomas Berkhouse........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(74) Robert Crane........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(75) Norma Cummings........................................................................
Director (UNTIL 06/2018)
 1.0
.......................0.0 		X           0 0 0
(76) Tina Gowen........................................................................
Director (UNTIL 10/2018)
 50.0
.......................0.0 		X           132,606 0 8,208
(77) Mark Hagen........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(78) Roberta Patterson........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(79) Jillian Roache........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(80) Gene Becker........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(81) Brian Jacob........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(82) Curt Marino........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(83) Robert Pacek........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(84) Kevin Snider........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(85) Venkatraman Srinivasan MD........................................................................
Trustee
 60.0
.......................0.0 		X           947,460 0 21,460
(86) Marilyn Pesci........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(87) Cynthia Hundorfean........................................................................
Director & President
 60.0
.......................0.0 		X   X       2,261,962 0 178,936
(88) William Englert........................................................................
Director & President
 50.0
.......................0.0 		X   X       308,655 0 3,906
(89) Louise Urban........................................................................
Director & President
 60.0
.......................0.0 		X   X       548,007 0 21,255
(90) Mark Rubino MD........................................................................
Director & President
 50.0
.......................0.0 		X   X       573,595 0 23,475
(91) Christopher Clark DO........................................................................
Director & President
 60.0
.......................0.0 		X   X       547,018 0 17,875
(92) Ronald Andro MD........................................................................
Director & President
 60.0
.......................0.0 		X   X       519,373 0 25,134
(93) G Scott Long MD........................................................................
Director & President
 60.0
.......................0.0 		X   X       919,631 0 13,779
(94) Allison Quick........................................................................
Director & President
 50.0
.......................0.0 		X   X       316,542 0 37,363
(95) Mark Nussbaum........................................................................
Director & Vice President
 60.0
.......................0.0 		X   X       407,873 0 31,019
(96) Keith LeJeune........................................................................
Director & Vice President
 50.0
.......................0.0 		X   X       365,427 0 31,806
(97) Jacqueline Bauer........................................................................
Director & Secretary
 60.0
.......................0.0 		X   X       0 902,968 91,667
(98) Diana Holt........................................................................
Director & Secretary
 1.0
.......................0.0 		X   X       0 0 0
(99) Jeffrey Crudele........................................................................
Director & Treasurer
 60.0
.......................0.0 		X   X       1,404,198 0 34,473
(100) James Rohrbaugh........................................................................
Director/Treas (UNTIL 04/2018)
 50.0
.......................0.0 		X   X       403,053 0 32,112
(101) Mark Leone DO........................................................................
Director
 50.0
.......................0.0 		X           329,532 0 23,406
(102) Tracey Bennett........................................................................
Director & Treasurer
 1.0
.......................0.0 		X   X       0 0 0
(103) JOHN BALACKO MD........................................................................
DIRECTOR
 60.0
.......................0.0 		X           671,172 0 21,113
(104) Barbara VanKirk........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(105) Russell Elwell........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(106) GENE G FINELY MD........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(107) DAVID HOLMBERG........................................................................
DIRECTOR
 5.0
.......................60.0 		X           0 7,442,258 50,213
(108) BRAD GROSTEFFON........................................................................
DIRECTOR/TREASURER/SECRETARY
 50.0
.......................0.0 		X   X       286,566 0 17,590
(109) KELLY KASSAB........................................................................
VICE PRESIDENT & DIRECTOR
 50.0
.......................0.0 		X   X       211,081 0 2,889
(110) CATHERINE A CAPONI........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(111) CHARLENE NEWKIRK........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(112) GREGORY GUTTING........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(113) DEBORAH SMITH........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(114) VALARIE JACKSON........................................................................
PRESIDENT
 50.0
.......................0.0 		X   X       70,711 0 2,247
(115) BETH PATRI........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(116) VICENTE REYES MD........................................................................
DIRECTOR
 50.0
.......................0.0 		X   X       275,030 0 6,091
(117) Jeffrey Cohen MD........................................................................
PRESIDENT
 60.0
.......................0.0 		    X       0 844,767 39,889
(118) Susan Barrett........................................................................
Assistant Secretary
 50.0
.......................0.0 		    X       102,828 0 18,102
(119) Maureen Chadwick........................................................................
Asst Secretary (UNTIL 11/2018)
 50.0
.......................0.0 		    X       227,162 0 17,161
(120) Rand Levis........................................................................
Assistant Treasurer
 50.0
.......................0.0 		    X       425,592 0 24,898
(121) BETH HELLER........................................................................
ASSISTANT SECRETARY
 1.0
.......................0.0 		    X       57,924 0 9,770
(122) Chong Park MD........................................................................
Chief Medical Officer
 60.0
.......................0.0 		      X     567,674 0 31,880
(123) Richard Thompson........................................................................
Vice President
 60.0
.......................0.0 		      X     574,145 0 17,438
(124) George J Magovern Jr MD........................................................................
Physician
 60.0
.......................0.0 		      X     704,856 0 24,661
(125) Patrick Demeo MD........................................................................
Physician
 60.0
.......................0.0 		      X     1,204,903 0 24,711
(126) Susan Manzi MD........................................................................
Physician
 60.0
.......................0.0 		      X     602,835 0 10,163
(127) Allan Klapper MD........................................................................
Physician
 60.0
.......................0.0 		      X     676,515 0 25,568
(128) Ngoc Thai MD........................................................................
PHYSICIAN
 60.0
.......................0.0 		      X     927,012 0 25,753
(129) Robert White MD........................................................................
Chief Medical Info Officer
 60.0
.......................0.0 		      X     917,093 0 67,424
(130) Kenyokee Crowell........................................................................
Sr. Vice President
 60.0
.......................0.0 		      X     859,605 0 65,619
(131) Beth Casagranda MD........................................................................
Physician
 60.0
.......................0.0 		      X     659,752 0 25,593
(132) Jan Silverman MD........................................................................
Physician
 60.0
.......................0.0 		      X     665,609 0 22,409
(133) Claire Zangerle........................................................................
Chief Nursing Officer
 60.0
.......................0.0 		      X     654,546 0 21,503
(134) SRICHARAN CHALIKONDA MD........................................................................
CHIEF MEDICAL OPS OFFICER
 60.0
.......................0.0 		      X     932,394 0 63,407
(135) John Lawrence MD........................................................................
Physician
 60.0
.......................0.0 		      X     626,374 0 25,593
(136) Donald Jaffee........................................................................
Chief Financial Officer - AGH
 50.0
.......................0.0 		      X     380,001 0 22,734
(137) DENZIL RUPERT........................................................................
CHIEF OPERATING OFFICER - AGH
 50.0
.......................0.0 		      X     561,928 0 23,040
(138) Srinavas Murali MD........................................................................
Physician
 60.0
.......................0.0 		      X     682,642 0 21,338
(139) David Alexander........................................................................
Sr. Vice President
 60.0
.......................0.0 		      X     455,909 0 20,885
(140) THOMAS CAMPBELL MD........................................................................
PHYSICIAN CHAIRPERSON
 60.0
.......................0.0 		      X     384,490 0 26,010
(141) WILLIAM JOHNJULIO MD........................................................................
MEDICAL DIRECTOR - CIN
 60.0
.......................0.0 		      X     725,120 0 24,746
(142) EDWARD WESTRICK MD........................................................................
Physician
 60.0
.......................0.0 		        X   1,806,638 0 26,705
(143) Daniel Altman MD........................................................................
Physician
 60.0
.......................0.0 		        X   1,715,046 0 25,262
(144) Gregory Altman MD........................................................................
Physician
 60.0
.......................0.0 		        X   1,656,080 0 26,309
(145) GEORGE EID MD........................................................................
Physician
 60.0
.......................0.0 		        X   1,411,908 0 26,781
(146) NICHOLAS SOTEREANOS MD........................................................................
PHYSICIAN
 60.0
.......................0.0 		        X   1,318,144 0 26,223
(147) Scott Whalen........................................................................
Former Dir. & President
 0.0
.......................0.0 		          X 506,605 0 677
(148) William Goldfarb........................................................................
Former Director
 0.0
.......................0.0 		          X 14,808 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 48,813,765 17,152,738 2,602,712
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2,123
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
RYCON CONSTRUCTION,
2501 SMALLMAN ST STE 100
PITTSBURGH,PA15222 		Construction 18,709,798
MASCARO CONSTRUCTION CO LP,
1720 METROPOLITAN ST
PITTSBURGH,PA15233 		CONSTRUCTION 18,438,711
EE AUSTIN SON INC,
1919 REED ST
ERIE,PA16503 		CONSTRUCTION 17,904,701
MASSARO CORP,
120 DELTA DR
PITTSBURGH,PA15238 		CONSTRUCTION 15,713,857
MAXIM HEALTHCARE SERVICES INC,
62373 COLLECTIONS CENTER DR
CHICAGO,IL60693 		STAFFING 15,610,270
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet199
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 2,574,586
d Related organizations1d 2,237,450
e Government grants (contributions)1e 3,592,294
f All other contributions, gifts, grants, and similar amounts not included above1f 8,035,873
g Noncash contributions included in lines 1a - 1f:$ 391,218
h Total. Add lines 1a-1f.......MediumBullet 16,440,203
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 621000 3,043,523,152 3,037,820,987 5,702,165  
b AFFILIATE EXPENSE REIMBURSEMENT 900099 396,270,580 396,270,580    
c SCIENTIFIC RESEARCH 541712 36,989,184 36,989,184    
d MEDICAL EDUCATION 621111 4,562,638 4,562,638    
e
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 3,481,345,554
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 30,333,332     30,333,332
4 Income from investment of tax-exempt bond proceedsMediumBullet 4,067,461     4,067,461
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   9,225,809
b Less: rental expenses    
c Rental income or (loss) 0 9,225,809
d Net rental income or (loss)......MediumBullet 9,225,809     9,225,809
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 1,557,854 931,693,929
b Less: cost or other basis and sales expenses 1,106,784 907,907,724
c Gain or (loss) 451,070 23,786,205
d Net gain or (loss).....MediumBullet 24,237,275     24,237,275
8a Gross income from fundraising events (not including $ 2,574,586of contributions reported on line 1c). See Part IV, line 18 ....
a 426,189
b Less: direct expenses ...b 1,049,208
c Net income or (loss) from fundraising events..MediumBullet -623,019   -623,019
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
a 0
b Less: cost of goods sold ..b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a CAFETERIA SALES 621110 10,282,807     10,282,807
b PHARMACY REVENUE 900099 8,181,239     8,181,239
c PARKING 900099 7,791,027     7,791,027
d All other revenue .... 76,935,329     76,935,329
e Total. Add lines 11a–11d ...... MediumBullet 103,190,402
12 Total revenue. See Instructions......MediumBullet 3,668,217,017 3,475,643,389 5,702,165 170,431,260
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 4,812,407 4,812,407
2 Grants and other assistance to domestic individuals. See Part IV, line 22 82,100 82,100
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 25,500 25,500
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 42,784,913 39,436,064 2,994,944 353,905
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,298,082 1,207,216 90,866  
7 Other salaries and wages 1,432,273,419 1,333,875,229 98,138,599 259,591
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... -17,035,737 -15,954,424 -1,081,313  
9 Other employee benefits ....... 178,663,725 166,040,768 12,615,566 7,391
10 Payroll taxes ........... 85,979,239 80,136,522 5,804,262 38,455
11 Fees for services (non-employees):        
a Management ...... 8,991,197   8,991,197  
b Legal ......... 1,664,313 400,348 1,263,965  
c Accounting ........... 2,511,383 1,075,379 1,434,612 1,392
d Lobbying ........... 304,182 304,182    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 1,084,170   1,084,170  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 270,828,119 213,993,629 56,736,025 98,465
12 Advertising and promotion .... 1,204,096 1,041,038 163,058  
13 Office expenses ....... 29,256,624 25,690,600 3,553,476 12,548
14 Information technology ...... 40,712,701 33,762,471 6,949,795 435
15 Royalties .. 0      
16 Occupancy ........... 167,781,219 155,911,480 11,439,372 430,367
17 Travel ............ 4,637,307 4,252,236 384,373 698
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 3,633,602 3,259,645 373,010 947
20 Interest ........... 32,811,828 29,449,229 3,362,599  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 131,084,293 119,375,784 11,708,416 93
23 Insurance ... 27,527,343 27,311,751 215,574 18
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PATIENT CARE SUPPLIES 347,686,076 346,819,266 866,810  
b REIMBURSEMENTS TO AFFILIATES 303,592,055 205,581,889 98,010,166  
c DRUG EXPENSE 266,539,481 266,539,481    
d PATIENT BAD DEBT 61,895,256 61,482,207 413,049  
e All other expenses 164,006,966 147,703,895 15,653,043 650,028
25 Total functional expenses. Add lines 1 through 24e 3,596,635,859 3,253,615,892 341,165,634 1,854,333
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 522,912 1 562,457
2 Savings and temporary cash investments ......... 396,611,306 2 286,596,206
3 Pledges and grants receivable, net ...... 7,928,855 3 7,557,154
4 Accounts receivable, net ............. 306,552,024 4 375,128,525
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
0 6 0
7 Notes and loans receivable, net .... 3,185,000 7 3,185,000
8 Inventories for sale or use ........ 44,940,204 8 50,985,484
9 Prepaid expenses and deferred charges ...... 21,073,948 9 42,335,054
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,781,564,114
b Less: accumulated depreciation 10b 602,486,663 977,536,795 10c 1,179,077,451
11 Investments—publicly traded securities . 386,148,550 11 322,559,662
12 Investments—other securities. See Part IV, line 11 ..... 151,526 12 151,526
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 126,342,747 14 130,809,188
15 Other assets. See Part IV, line 11 ........... 666,000,221 15 750,686,511
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,936,994,088 16 3,149,634,218
Liabilities 17 Accounts payable and accrued expenses ..... 327,521,043 17 421,971,839
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 64,883,746 19 58,640,534
20 Tax-exempt bond liabilities ......... 1,000,000,000 20 991,068,667
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.. 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 55,640,511 23 8,671,462
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 529,253,984 25 492,822,952
26 Total liabilities. Add lines 17 through 25.. 1,977,299,284 26 1,973,175,454
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 643,654,235 27 885,107,227
28 Temporarily restricted net assets ........... 26,604,330 28 25,274,390
29 Permanently restricted net assets 289,436,239 29 266,077,147
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 959,694,804 33 1,176,458,764
34 Total liabilities and net assets/fund balances ........ 2,936,994,088 34 3,149,634,218
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,668,217,017
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,596,635,859
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
71,581,158
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
959,694,804
5
Net unrealized gains (losses) on investments ...............
5
-34,767,993
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
179,950,795
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,176,458,764
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................12
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) SAINT VINCENT HEALTH CENTER
  		250965547 3 Yes   40,685,447 0
(B) WEST PENN ALLEGHENY HEALTH SYSTEM INC
  		250969492 3 Yes   189,974,022 0
(C) ALLE-KISKI MEDICAL CENTER
  		251875178 3 Yes   0 0
(D) ALLEGHENY SINGER RESEARCH INSTITUTE
  		251320493 4 Yes   0 0
(E) CANONSBURG GENERAL HOSPITAL
  		251737079 3 Yes   0 0
(F) ALLEGHENY MEDICAL PRACTICE NETWORK
  		251838457 3 Yes   0 0
(G) ALLEGHENY CLINIC
  		251838458 3 Yes   0 0
(H) JEFFERSON REGIONAL MEDICAL CENTER
  		251260215 3 Yes   15,578,408 0
(I) WESTFIELD MEMORIAL HOSPITAL INC
  		160743222 3 Yes   0 0
Total
9
 246,237,877 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 1,058,246 0 0 9,500 131,451 1,199,197
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 44,860,244 51,180,600 52,834,545 56,873,470 57,994,907 263,743,766
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge           0
6 Total. Add lines 1 through 5 45,918,490 51,180,600 52,834,545 56,882,970 58,126,358 264,942,963
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..           0
8 Public support. (Subtract line 7c from line 6.) 264,942,963
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6... 45,918,490 51,180,600 52,834,545 56,882,970 58,126,358 264,942,963
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 244,082 100,626 86,253 97,896 146,400 675,257
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 244,082 100,626 86,253 97,896 146,400 675,257
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 4,623,564 4,591,976 8,311,500 6,910,183 5,394,780 29,832,003
13 Total support. (Add lines 9, 10c, 11, and 12.).. 50,786,136 55,873,202 61,232,298 63,891,049 63,667,538 295,450,223
14
Section C. Computation of Public Support Percentage
15
15
89.674 %
16
16
89.822 %
Section D. Computation of Investment Income Percentage
17
17
0.229 %
18
18
0.237 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
Yes
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
Yes
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
No
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
No
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
No
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1 0  
2 Recoveries of prior-year distributions 2 0  
3 Other gross income (see instructions) 3 0  
4 Add lines 1 through 3 4 0  
5 Depreciation and depletion 5 0  
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 0  
7 Other expenses (see instructions) 7 0  
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8 0  
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a 0  
b Average monthly cash balances 1b 0  
c Fair market value of other non-exempt-use assets 1c 0  
d Total (add lines 1a, 1b, and 1c) 1d 0  
e Discount claimed for blockage or other factors
(explain in detail in Part VI): 0
2 Acquisition indebtedness applicable to non-exempt use assets 2 0  
3 Subtract line 2 from line 1d 3 0  
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4 0  
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 0  
6 Multiply line 5 by .035 6 0  
7 Recoveries of prior-year distributions 7 0  
8 Minimum Asset Amount (add line 7 to line 6) 8 0  
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1 0
2 Enter 85% of line 1 2 0
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 0
4 Enter greater of line 2 or line 3 4 0
5 Income tax imposed in prior year 5 0
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6 0
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 0
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		 0
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 0
4 Amounts paid to acquire exempt-use assets 0
5 Qualified set-aside amounts (prior IRS approval required) 0
6 Other distributions (describe in Part VI). See instructions 0
7Total annual distributions. Add lines 1 through 6. 0
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		 0
9 Distributable amount for 2018 from Section C, line 6 0
10 Line 8 amount divided by Line 9 amount 0 %
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		0
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		 0
3 Excess distributions carryover, if any, to 2018:
a From 2013.......0
b From 2014.......0
c From 2015.......0
d From 2016.......0
e From 2017.......0
fTotal of lines 3a through e 0
g Applied to underdistributions of prior years 0
h Applied to 2018 distributable amount 0
i Carryover from 2013 not applied (see
instructions) 		0
j Remainder. Subtract lines 3g, 3h, and 3i from 3f. 0
4Distributions for 2018 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years 0
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4. 0
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		 0
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		 0
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		 0
8 Breakdown of line 7:
a Excess from 2014......0
b Excess from 2015.....0
c Excess from 2016.....0
d Excess from 2017.....0
e Excess from 2018.....0
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
MEMBERS OF HIGHMARK HEALTH GROUP (30) PUBLIC CHARITY STATUS ALLEGHENY HEALTH NETWORK: STATUS 12, TYPE 1 ALLEGHENY SINGER RESEARCH INSTITUTE: STATUS 4 ALLEGHENY CLINIC: STATUS 3 ALLE-KISKI MEDICAL CENTER: STATUS 3 ALLE-KISKI MEDICAL CENTER TRUST: STATUS 12, TYPE 1 CANONSBURG GENERAL HOSPITAL: STATUS 3 CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE: STATUS 10 FORBES HEALTH FOUNDATION: STATUS 12, TYPE 1 THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION: STATUS 12, TYPE 1 WEST PENN ALLEGHENY HEALTH SYSTEM, INC: STATUS 3 ALLEGHENY CLINIC MEDICAL ONCOLOGY: STATUS 12, TYPE 1 JEFFERSON REGIONAL MEDICAL CENTER: STATUS 3 SAINT VINCENT FOUNDATION FOR HEALTH & HUMAN SERVICES: STATUS 12, TYPE 1 SAINT VINCENT HEALTH CENTER: STATUS 3 SAINT VINCENT HEALTH SYSTEM: STATUS 12, TYPE 1 SAINT VINCENT MEDICAL ED & RESEARCH INSTITUTE: STATUS 10 ALLEGHENY MEDICAL PRACTICE NETWORK: STATUS 3 SAINT VINCENT AFFILIATED PHYSICIANS: STATUS 10 WESTFIELD MEMORIAL HOSPITAL INC: STATUS 3 PRIME MEDICAL GROUP PCG 1: STATUS 12, TYPE 1 JEFFERSON HILLS SURGICAL SPECIALS: STATUS 12, TYPE 1 STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE: STATUS 12, TYPE 1 SOUTH PITTSBURGH UROLOGY ASSOCIATES: STATUS 12, TYPE 1 THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE: STATUS 12, TYPE 1 JRMC SPECIALTY GROUP PRACTICE, STATUS 12, TYPE 1 PRIMARY CARE GROUP 11, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 3, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 7, INC.: STATUS 12, TYPE 1 PITTSBURGH BONE, JOINT & SPINE, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 5, INC.: STATUS 12, TYPE 1
SCHEDULE A, PART I REASON FOR PUBLIC CHARITY STATUS NOTE THAT THE MAJORITY OF THE 30 ENTITIES WITHIN HIGHMARK HEALTH GROUP ARE REGISTERED AS section 509(a)(3) supporting organizations. however, some entities are also exempt as hospital entities; SECTION 509(A)(2) ORGANIZATIONS SUPPORTED BY CONTRIBUTIONS, DUES, AND CONDUCT OF EXEMPT FUNCTION ACTIVITIES; AND MEDICAL RESEARCH ORGANIZATIONS OPERATED IN CONJUNCTION WITH A HOSPITAL. ALL REQUIRED PARTS OF SCHEDULE A ARE COMPLETED FOR THE RESPECTIVE ENTITIES INVOLVED.
SCHEDULE A, PART IV Supporting Organizations As per their respective governing documents, the following entities are Type 1 supporting organizations under Section 509(a)(3): - Allegheny Health Network - Alle-Kiske Medical Center Trust - Forbes Health Foundation - The Western Pennsylvania Hospital Foundation - Allegheny Clinic Medical Oncology - Saint Vincent Foundation for Health and Human Services - Saint Vincent Health System - Jefferson Hills Surgical Specialist - JRMC Specialty Group Practice - PRIME MEDICAL GROUP PCG 1 - JEFFERSON HILLS SURGICAL SPECIALS - STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE - SOUTH PITTSBURGH UROLOGY ASSOCIATES - THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE - JRMC SPECIALTY GROUP PRACTICE - PRIMARY CARE GROUP 11, INC. - PRIMARY CARE GROUP 3, INC. - PRIMARY CARE GROUP 7, INC. - PITTSBURGH BONE, JOINT & SPINE, INC. - PRIMARY CARE GROUP 5, INC.
Part IV, Section A, Lines 1 and 2 Determination of Supported Organizations Highmark Health Groups governing documents provide that supported organizations include all Section 509(a)(2), Section 170(b)(1)(A)(iii), and hospital affiliates of Highmark Health Group as these entities have purposes consistent with those of the hospitals and the supporting organizations.
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
Highmark Health Group
  		Employer identification number
82-1406555
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
Highmark Health Group
  		Employer identification number

82-1406555
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
Highmark Health Group
  		Employer identification number

82-1406555
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
329,420
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
329,420
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1G ALLEGHENY HEALTH NETWORK MANAGEMENT, AS NEEDED, WILL MAKE CONTACT WITH ELECTED AND APPOINTED OFFICIALS AT THE FEDERAL, STATE AND LOCAL LEVELS. THIS CONTACT IS NECESSARY TO PROMOTE LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND HAVE ADVERSE CONSEQUENCES FOR THE COMMUNITIES WE SERVE.
Schedule C (Form 990 or 990EZ) 2018


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 338,653,894 314,504,019 308,814,600 323,361,457 326,684,716
b Contributions ... 10,466,540 2,378,887 6,086,053 11,096,627 9,767,463
c Net investment earnings, gains, and losses -15,453,352 36,108,383 15,032,444 -9,567,841 18,431,806
d Grants or scholarships ... 0 0 0 0 0
e Other expenditures for facilities
and programs ... 		16,302,712 13,107,770 14,618,247 16,129,681 30,720,168
f Administrative expenses .... 402,983 1,229,625 810,831 718,696 802,360
g End of year balance ...... 316,961,387 338,653,894 314,504,019 308,041,866 323,361,457
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet9.300 %
b
Permanent endowment SchDMd Bullet82.730 %
c
Temporarily restricted endowment SchDMd Bullet7.970 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
Yes
 
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   45,997,296 45,997,296
b Buildings ....   683,931,023 195,683,796 488,247,227
c Leasehold improvements   36,587,255 18,404,921 18,182,334
d Equipment ....   683,255,632 370,637,401 312,618,231
e Other .....   331,792,908 17,760,545 314,032,363
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,179,077,451
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) BENEFICIAL INTERESTS 360,097,577
(2) EQUITY INVESTMENTS 179,271,095
(3) MALPRACTICE RECEIVABLE 85,634,638
(4) INTERCOMPANY RECEIVABLES 89,910,831
(5) OTHER ASSETS 35,659,037
(6) SELF INSURANCE CAPITALIZATION 113,333
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 750,686,511
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
PENSION FUNDING 331,018,203
MEDICAL MALPRACTICE LIABILITY 122,582,154
OTHER LIABILITIES 39,222,595
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 492,822,952
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PART V INTENDED USE OF ENDOWMENT FUNDS THE INTENDED USES OF THE PERMANENT AND TERM ENDOWMENTS ARE FOR BUT NOT EXCLUSIVE TO: CAPITAL IMPROVEMENTS, RESEARCH, EDUCATION, NURSING ACTIVITIES, DEPARTMENTAL NEEDS, OPERATING EFFICIENCIES, AND OVERALL PATIENT CARE. THE EARNINGS OFF OF THE PERMANENT ENDOWMENT ARE EXPENDABLE, BASED ON THE SPECIFIC USE OF THE FUND.
INCLUSION IN CONSOLIDATED AFS HIGHMARK HEALTH GROUP DOES NOT ISSUE INDEPENDENT AUDITED FINANCIAL STATEMENTS. HIGHMARK HEALTH GROUP IS A COMPONENT OF A CONSOLIDATED AUDITED FINANCIAL STATEMENT.
SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE HIGHMARK HEALTH RECORDS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY DEFINING CRITERIA THAT A TAX POSITON ON AN INDIVIDUAL MATTER MUST MEET BEFORE THAT POSITION IS RECOGNIZED. ASC 740 ALSO PROVIDES GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND ACCOUNTING IN INTERIM PERIODS. BASED ON AN ANALYSIS PREPARED BY HIGHMARK HEALTH, IT WAS DETERMINED THAT THE APPLICATION OF FASB ASC 740 HAD NO MATERIAL EFFECT ON THE RECORDED ASSETS AND LIABILITIES OF HH ON A STANDALONE BASIS. AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED HIGHMARK SYSTEM LEVEL ONLY, INCLUDING HIGHMARK HEALTH AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES.
Schedule D (Form 990) 2018


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Europe (Including Iceland and Greenland) 0 0 Program Services RESEARCH 13,900
South Asia 0 0 Program Services RESEARCH 15,500
Europe (Including Iceland and Greenland) 0 0 Program Services CONFERENCES 24,695
North America 0 0 Program Services CONFERENCES 37,198
South America 0 0 Program Services CONFERENCES 630
South Asia 0 0 Program Services CONFERENCES 1,563
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 93,486
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 93,486
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
South Asia RESEARCH 15,500 WIRE      
Europe (Including Iceland and Greenland) RESEARCH 10,000 WIRE      
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
2
3 Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. Schedule F, Part I, Line 2 Allegheny Singer Research Institute (ASRI) received a grant award from the National Institutes of Health (NIH). The NIH grant award included a subaward to a foreign entity to carry out a portion of the work in collaboration with ASRIs Principal Investigator. Payments issued to the foreign entity are issued upon receipt and review of invoices and confirmation of progress made on the project. ASRIs monitoring of the foreign sub-awards and procedures are based on the Code of Federal Regulations 200 'Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awardsthe 'NIH Policy Statement'.
Method of Accounting Schedule F, Part I, Line 3 The accrual method of accounting is used to account for expenditures in the organizations financial statements.
Method of Accounting Schedule F, Part II, Line 1 The accrual method of accounting is used to account for cash grants in the organizations financial statements.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2018
Additional Data


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Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2018
Schedule G (Form 990 or 990-EZ) 2018
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

AHN GALA
(event type) 		(b) Event #2

GOLF EVENTS
(event type) 		(c) Other events

2
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
2,043,350
710,775
246,650
3,000,775

2
Less: Contributions . . . .
1,828,695
575,520
170,371
2,574,586
3 Gross income (line 1 minus
line 2) . . . . . .
214,655
135,255
76,279
426,189



VerticalDirectExpenses
4 Cash prizes . . . . .   9,635 1,000 10,635
5 Noncash prizes . . . .   23,259   23,259
6 Rent/facility costs . . . . 286,272 128,721 15,374 430,367
7 Food and beverages . . . 103,399   4,647 108,046
8 Entertainment . . . . 13,000   375 13,375
9 Other direct expenses . . . 401,153 12,979 49,394 463,526
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,049,208
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -623,019
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2018
Schedule G (Form 990 or 990-EZ) 2018
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
SCHEDULE G, PART II, LINE 11 THE NET LOSS OF $623,019 REFLECTED IN PART II, LINE 11 IS A PRODUCT OF HOW WE ARE REQUIRED TO REPORT FUNDRAISING EVENTS PER THE IRS INSTRUCTION. CONTRIBUTION REVENUE DIRECTLY ATTRIBUTABLE TO THE EVENTS IN THE AMOUNT OF $2,574,586 IS NOT TAKEN INTO CONSIDERATION WHEN CALCULATING THE NET LOSS OF $623,019. WHEN TAKEN INTO CONSIDERATION, THE CONTRIBUTION REVENUE ADDED TO THE GROSS RECEIPTS FROM THE EVENTS OF $3,000,775, RESULTS IN TRUE NET INCOME ATTRIBUTABLE TO THE OPERATION OF THE FUNDRAISING EVENTS OF $4,526,153.
Schedule G (Form 990 or 990-EZ) 2018
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    92,008,347 75,792,978 16,215,369 0.460 %
b Medicaid (from Worksheet 3, column a) . . . . .     236,989,434 180,734,171 56,255,263 1.590 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     328,997,781 256,527,149 72,470,632 2.050 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     5,295,361   5,295,361 0.150 %
f Health professions education (from Worksheet 5) . . .     86,862,899 33,883,806 52,979,093 1.500 %
g Subsidized health services (from Worksheet 6) . . . .     122,724,075 90,823,003 31,901,072 0.900 %
h Research (from Worksheet 7) .     2,137,149   2,137,149 0.060 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     107,423   107,423  
j Total. Other Benefits . .     217,126,907 124,706,809 92,420,098 2.610 %
k Total. Add lines 7d and 7j .     546,124,688 381,233,958 164,890,730 4.660 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     140,815   140,815  
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building     114,149   114,149  
7 Community health improvement advocacy            
8 Workforce development     1,030   1,030  
9 Other            
10 Total     255,994   255,994  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
55,502,854
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
12,455,979
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
290,287,594
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
352,449,356
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-62,161,762
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1Mimicol LLC
  		IP Development 39 %   61 %
2N Shore Endosco Cent
  		ENDOSCOPY Services 50 %   50 %
3McCand Endosco Cent
  		ENDOSCOPY Services 50 %   50 %
4WSC Realty Partners
  		Medical Office Building 23.49 %   73.79 %
5S Hills Surg Center
  		Surgery Center 41.92 %   58.08 %
6Osteophilicity LLC
  		Medical Services 39 %   61 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?8Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ALLEGHENY VALLEY HOSPITAL
1301 Carlisle Street
Natrona Heights,PA15065
See Section C for website
790101
ALLE-KISKI MEDICAL CENTER
251875178 		X X         X     A
2 CANONSBURG GENERAL HOSPITAL
100 MEDICAL BOULEVARD
CANONSBURG,PA15317
See Section C for website
295301
CANONSBURG GENERAL HOSPITAL
251737079 		X X         X     A
3 JEFFERSON REGIONAL MEDICAL CENTER
565 COAL VALLEY ROAD PO BOX 1811
PITTSBURGH,PA15236
See Section C for website
711801
JEFFERSON REGIONAL MED CTR
251260215 		X X         X     A
4 ALLEGHENY GENERAL HOSPITAL
320 EAST NORTH AVENUE
PITTSBURGH,PA15224
See Section C for website
530101
SAINT VINCENT HEALTH CENTER
250965547 		X X   X X X X     A
5 THE WESTERN PENNSYLVANIA HOSPITAL
4800 FRIENDSHIP AVENUE
PITTSBURGH,PA15224
See Section C for website
234401
WEST PENN ALLEGHEY HEALTH
250969492 		X X   X X X X     A
6 FORBES REGIONAL HOSPITAL
2570 HAYMAKER ROAD
MONROEVILLE,PA15146
See Section C for website
311101
WEST PENN ALLEGHENY HEALTH
250969492 		X X   X     X     A
7 Westfield Memorial Hospital Inc
189 East Main Street
WEstfield,NY14787
See Section C for website
0632000H
WEST PENN ALLEGHENY HEALTH
250969492 		X X         X      
8 SAINT VINCENT HEALTH CENTER
232 WEST 25TH STREET
ERIE,PA16544
See Section C for website
196001
WESTFIELD MEMORIAL HOSPITAL
160743222 		X X   X     X      
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		16
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Section C
b
See Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SAINT VINCENT HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SAINT VINCENT HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Section C
b
See Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
SAINT VINCENT HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SAINT VINCENT HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WESTFIELD MEMORIAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
WESTFIELD MEMORIAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Section C
b
See Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
WESTFIELD MEMORIAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
WESTFIELD MEMORIAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION A, HOSPITAL FACILITIES ALL OF OUR HOSPITALS ARE PART OF THE ALLEGHENY HEALTH NETWORK (AHN) AND DESCRIPTIONS CAN BE FOUND AT THE FOLLOWING WEBSITES: AHN MAIN WEBSITE: HTTPS://WWW.AHN.ORG/LOCATIONS ALLEGHENY VALLEY HOSPITAL (AKMC): HTTPS://WWW.AHN.ORG/LOCATIONS/ALLEGHENY-VALLEY-HOSPITAL CANONSBURG GENERAL HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/CANONSBURG-HOSPITAL JEFFERSON REGIONAL MEDICAL CENTER: HTTPS://WWW.AHN.ORG/LOCATIONS/JEFFERSON-HOSPITAL SAINT VINCENT HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/SAINT-VINCENT-HOSPITAL ALLEGHENY GENERAL HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/ALLEGHENY-GENERAL-HOSPITAL WEST PENN HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/WEST-PENN-HOSPITAL FORBES REGIONAL HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/FORBES-HOSPITAL WESTFIELD MEMORIAL HOSPITAL: https://www.ahn.org/locations/saint-vincent-hospital/westfield-memorial-ho spital
PART V, SECTION B, LINE 5 AS PART OF THE CHNA PROCESS FOR ALL HOSPITALS, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE PRIMARY SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. DURING THE PHONE INTERVIEWS, FEEDBACK ON THE PREVIOUS CHNA WAS SOLICITED TO EVALUATE THE PROGRESS OVER THE PRIOR THREE YEARS AND TO IMPROVE ANALYSIS AND REPORTING FOR THE CURRENT CHNA PROCESS. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED BETWEEN THE MONTHS OF JUNE 2018 AND SEPTEMBER OF 2018. COMMUNITY STAKEHOLDERS IDENTIFIED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; THE INTERVIEWS OFFERED COMMUNITY STAKEHOLDERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SECONDARY DATA RESOURCES, AND OTHER INFORMATION RELEVANT TO THE STUDY. AHN HIRED A FIRM (TRIPP UMBACH) WITH EXTENSIVE EXPERIENCE IN CONDUCTING CHNAS WHO WORKED CLOSELY WITH THE INTERNAL STEERING COMMITTEE FOR ALL HOSPITALS TO IDENTIFY COMMUNITY LEADERS FROM VARIOUS SECTORS WHO ARE ENGAGED IN THE COMMUNITY AND HAVE A KNOWLEDGE OF THE COMMUNITY NEEDS. AN INTERVIEW WAS CONDUCTED AND EACH COMMUNITY STAKEHOLDER WAS ASKED THE SAME SET OF QUESTIONS. THE INTERVIEWS PROVIDED A PLATFORM FOR STAKEHOLDERS TO IDENTIFY HEALTH ISSUES AND CONCERNS AFFECTING RESIDENTS IN THE SERVICE AREA, AS WELL AS WAYS TO ADDRESS THOSE CONCERNS. IN ADDITION, THE PRESIDENT/CEO OF EACH FACILITY WAS INTERVIEWED. THESE INTERVIEWS ENSURED THAT THE SPECTRUM OF INTERVIEWEES INCLUDED EVERYONE FROM MEMBERS OF THE COMMUNITY TO THE INDIVIDUALS WHO OPERATE THE FACILITY ON A DAILY BASIS. FROM THE ONSET OF THE PROJECT, EACH HOSPITAL MADE IT A PRIORITY TO BE TRANSPARENT IN THE IDENTIFICATION OF THE NEEDS FOR EACH FACILITY. THE QUALITATIVE DATA COLLECTED FROM COMMUNITY STAKEHOLDERS ARE THE OPINIONS, PERCEPTIONS AND INSIGHTS OF THOSE WHO WERE INTERVIEWED AS PART OF THE CHNA PROCESS. THE INDIVIDUALS INTERVIEWED FOR THE PURPOSE OF CONDUCTING THE CHNA FOR ALL OF THE HOSPITALS INCLUDED THE FOLLOWING: 1. ANNETTE FETCHKO - ALLEGHENY HEALTH NETWORK CENTER FOR INCLUSION HEALTH 2. ASHLEY CARTER- NORTH SIDE CHRISTIAN HEALTH CENTER 3. SHARON WOLF- NORTH HILLS COMMUNITY OUTREACH 4. JERRY ALLEN- ALLEN PLACE COMMUNITY SERVICES 5. LORI SHOTTS- RN NURSE NAVIGATOR, COMMUNITY CARE NETWORK 6. RITA M. HORST, MANAGER PATIENT EXPERIENCE, AHN 7. KIM GIOVANNELLI, DIRECTOR COMMUNITY SERVICES, AHN 8. RAJI JAYAKRISHNAN M.S; M.H.A EXECUTIVE DIRECTOR COMMUNITY HEALTH CLINIC 9. DAVID RHOME MAYOR OF CANONSBURG 10. PEGGY TSENG- DIRECTOR, FRANK SARRIS PUBLIC LIBRARY 11. ERICH CURNOW DIRECTOR OF CLINICAL & CASE MANAGEMENT SERVICES, WASHINGTON DRUG & ALCOHOL COMMISSION 12. LORRAINE STARSKY - ALLEGHENY COUNTY HEALTH DEPARTMENT 13. EZZ ELDIN MOUKAMAL, VICE PRESIDENT, MEDICAL AFFAIRS, AHN 14. AMY CRAWFORD-FAUCHER, VICE CHAIR, DEPARTMENT OF FAMILY MEDICINE, AHN 15. JACOB KLEINMAN, VICE CHAIR, DEPARTMENT OF EMERGENCY MEDICINE, AHN 16. PETER NAMAN, EXECUTIVE VICE CHAIR, DEPARTMENT OF SURGERY, AHN 17. DANIEL MUCCIO, MD, VICE PRESIDENT OF MEDICAL AFFAIRS, AHN 18. MAUREEN MELIA CHADWICK PHD, MSN, RN, NE-BC, CHIEF NURSING OFFICER, AHN 19. WAYNE JONES, DO, EMERGENCY ROOM MEDICAL DIRECTOR, AHN 20. BILL HAGERTY, PRESIDENT/EXECUTIVE DIRECTOR, EMERGYCARE 21. CRAIG ULMER, EXECUTIVE DIRECTOR, COMMUNITY HEALTH NET 22. MARK KRESSE, HEALTHCARE MANAGER, GE TRANSPORTATION 23. RICHARD SWARTZ, EXECUTIVE DIRECTOR, BLOOMFIELD GARFIELD CORPORATION 24. CHRISTINA HOWELL, EXECUTIVE DIRECTOR BLOOMFIELD GARFIELD CORPORATION 25. HELEN BARAN, CHAIR WESTFIELD MEMORIAL HOSPITAL BOARD OF DIRECTORS 26. DOC HAMELS, VICE CHAIR WESTFIELD MEMORIAL HOSPITAL 27. ANN ABDELLA, EXECUTIVE DIRECTOR, CHAUTAUQUA COUNTY HEALTH NETWORK 28. BREE AGETT, CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH
PART V, SECTION B, LINE 7 THE COMMUNITY HEALTH NEEDS ASSESSMENTS CAN BE FOUND HERE: HTTPS://WWW.AHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGIES CAN BE FOUND HERE: HTTPS://WWW.AHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART V, SECTION B, LINE 11 THE HOSPITALS OF THE AHN DEVELOPED AN IMPLEMENTATION PLAN TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS THEIR RESPECTIVE SERVICE AREAS. THE FOLLOWING ILLUSTRATES HOW EACH HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS WELL AS ANY NEED THAT IS NOT BEING ADDRESSED AND WHY: ALLEGHENY GENERAL HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: TRANSPORTATION STRATEGIES: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES (PCS) TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PCPS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; CONDUCT SCREENING FOR SOCIAL DETERMINANTS OF HEALTH TO DETERMINE TRANSPORTATION NEEDS. MEASURE: REDUCED MISSED APPOINTMENTS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES; REDUCED ED ADMISSIONS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES FOR MEDICAL APPOINTMENTS. IMPACT: INCREASED TRANSPORTATION SERVICES; INCREASED EDUCATION ON TRANSPORTATION SERVICES. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: WORKFORCE DEVELOPMENT STRATEGIES: INCREASE THE NUMBER OF PEOPLE THAT RECEIVE INFORMATION ON RELEVANT JOBS AND PRE-EMPLOYMENT CAREER READINESS. ACTION STEPS: PARTNER WITH LOCAL PUBLIC SCHOOLS AND COMMUNITY PARTNERS; PROVIDE EDUCATIONAL EVENTS, HOSPITAL TOURS AND OPEN HOUSES TO STUDENTS AND RESIDENTS IN OUR REGION; IDENTIFY HIGH-TURNOVER JOBS AND DEVELOP EMPLOYMENT PIPELINES SPECIFIC TO JOB OPENINGS. MEASURE: NUMBER OF COMMUNITY EVENTS PROVIDED; NUMBER OF INDIVIDUALS SCREENED FOR EMPLOYMENT; INCREASED NUMBER OF POSITIONS FILLED. IMPACT: INCREASED NUMBER OF COMMUNITY EVENTS; DECREASE NUMBER OF HIGH TURNOVER JOBS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER STRATEGIES: TO INCREASE ACCESS TO SERVICE IN THE ED FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: DEVELOP ED PATHWAY FOR INITIATION OF MEDICATION ASSISTED THERAPY (MAT) AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTERS IN AHN HOSPITALS. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS AT AHN HOSPITALS; A1C LEVELS FOR TARGET POPULATION. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT AGH. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGIES: INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES. ACTION STEPS: PARTNER WITH AHN CANCER INSTITUTE TO PROVIDE CANCER SCREENINGS FOR BREAST, COLON/RECTAL, PROSTATE AND LUNG CANCER. MEASURE: NUMBER OF SCREENINGS PERFORMED; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER. IMPACT: INCREASED NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. ALLEGHENY VALLEY HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: TRANSPORTATION STRATEGIES: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES (PCS) TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PCPS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; IMPLEMENT TRANSPORTATION PROTOCOL WITH COMMUNITY PARTNER; CONTINUE TO WORK TO IMPROVE CONNECTIVITY WITH ONE CALL SYSTEM. MEASURE: INCREASED NUMBER OF DOCUMENTED COMMUNITY BASED TRANSPORTATION RESOURCES; INCREASE THE NUMBER OF PATIENTS THAT UTILIZE TRANSPORTATION RESOURCES. IMPACT: INCREASED EDUCATION ON TRANSPORTATION SERVICES FOR STAFF; INCREASE TRANSPORTATION SERVICES FOR PATIENTS; IMPROVED DISCHARGE PROCESS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGY: IMPROVE QUALITY OUTCOMES FOR MENTAL HEALTH DOMAIN; COLLABORATE WITH AHN BEHAVIORAL HEALTH CONSULTANTS (BHC) IN THE PRIMARY CARE PRACTICES. ACTION STEPS: UTILIZE NEEDS ASSESSMENT COUNSELORS/SOCIAL SERVICES TO MONITOR PATIENT ENCOUNTERS IN ED; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; UTILIZE THE BHC TO PROVIDE SUPPORT FOR PATIENTS WITH MENTAL HEALTH ISSUES. MEASURE: NUMBER OF PATIENTS REFERRED TO INPATIENT OR OUTPATIENT FACILITIES. IMPACT: IMPROVED QUALITY OUTCOMES; INCREASE AWARENESS OF AVAILABLE RESOURCES; INCREASE NUMBER OF PATIENTS RECEIVING TREATMENT. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE ABUSE DISORDER STRATEGY: TO INCREASE ACCESS TO SERVICES IN THE ED FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: CONSULT WITH NEEDS ASSESSMENT COUNSELORS TO DISCUSS TREATMENT OPTIONS FOR ED PATIENTS; USE ED PATHWAY FOR INITIATION OF MAT AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER IN AVH; DEVELOP PARTNERSHIP WITH PRIMARY CARE REDESIGN; PREVENT THE ONSET AND DEVELOPMENT OF DIABETES. ACTION STEPS: DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; RECEIVE QUARTERLY DATA SUMMARY OF PRACTICE AND REGION PERFORMANCE ON DIABETES MEASURES; PROVIDE WORKFLOW REDESIGN SUPPORT FOR DIABETES QI EFFORT INITIATIVE; PROVIDE PATIENT EDUCATION ON RISK FACTORS AND DISEASE MANAGEMENT; PARTNER WITH COMMUNITY TO PROVIDE EDUCATION; CONNECT WITH DIABETES SUPPORT INITIATIVE; SCREEN FOR FOOD INSECURITIES BY COMMUNITY CARE NETWORK (CCN). MEASURE: A1C LEVELS FOR TARGET POPULATION; NUMBER OF COMMUNITY EVENTS; QUALITY OUTCOMES FROM PCP OFFICE INFORMATION; NUMBER OF COMMUNITY PROGRAMS; PERFORMANCE ON DIABETES MEASURES; RESULTS OF SCREENINGS FOR FOOD INSECURITIES. IMPACT: DECREASED A1C LEVELS AMONG TARGET POPULATION; INCREASED COMMUNITY PROGRAMS. IMPROVED OUTCOMES FOR DIABETES MEASURES; IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS; INCREASED COMMUNITY PROGRAMS; IMPROVED QUALITY MEASURES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGY: IMPROVE QUALITY OUTCOMES ASSOCIATED WITH HEART DISEASE. ACTION STEPS: COLLABORATE WITH STROKE TEAM TO PROVIDE STROKE AWARENESS COMMUNITY EVENTS; EXTEND PROVISION OF CURRENT CHF AT HOME SCALE FOR COMMUNITY CARE NETWORK (CCN) PATIENTS; PARTNER WITH LOCAL YMCA TO PROVIDE EXERCISE OPTIONS FOR CARDIAC REHAB PATIENTS. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF CCN CHF PATIENTS THAT UTILIZE A SCALE; READMISSIONS FOR CHF PATIENTS; NUMBER OF PATIENTS THAT SEEK EXERCISE PROGRAMS AT LOCAL YMCA. IMPACT: IMPROVED QUALITY OUTCOMES; INCREASED EDUCATION ON STROKE RISK FACTORS; INCREASED CCN CHF PATIENTS WITH A SCALE; DECREASED READMISSIONS FOR CCN CHF PATIENTS; INCREASED ROUTINE EXERCISE FOR CARDIAC REHAB PATIENTS. CANONSBURG GENERAL HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: ACCESS TO PRIMARY CARE STRATEGY: ENHANCE PCP AVAILABILITY; CONVERT CURRENT HOSPITALISTS BACK TO THE PCP OFFICE SETTING. ACTION STEPS: EXPAND PCP OFFICE HOURS TO INCLUDE WEEKENDS; MOVE HOSPITAL BASED PCPS BACK TO OFFICE BASE ONLY; UTILIZE CRNPS TO EXTEND OFFICE HOURS. HIRE ADDITIONAL PURE HOSPITALISTS TO BACKFILL OPEN POSITIONS AT THE HOSPITAL; UTILIZE CRNPS TO EXTEND OFFICE HOURS. MEASURE: NUMBER OF OFFICE VISITS WITH PCP. IMPACT: INCREASED ACCESS TO PCP; INCREASED PCP OFFICE VISITS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER STRATEGY: STRENGTHEN ED PATIENT ACCESS TO DRUG AND ALCOHOL SPECIALISTS; PROVIDE MEDICATION TO OVERDOSE PATIENTS IN THE ED.
ACTION STEPS: PROVIDE ACCESS FROM ED TO APPROPRIATE INPATIENT OR OUTPATIENT TREATMENT PROGRAMS; COLLABORATE WITH WASHINGTON DRUG & ALCOHOL CENTER (WDAC) TO HAVE DRUG AND ALCOHOL COUNSELOR AVAILABLE TO THE ED OR OFFSITE. IDENTIFY PATIENTS WITH OVERDOSE OR SYMPTOMS OF DRUG USE; PROVIDE NARCAN AND EDUCATION TO THOSE PATIENTS WITH OVERDOSE OR SYMPTOMS OF DRUG USE. MEASURE: NUMBER OF PATIENTS SEEN ON SITE; NUMBER OF PATIENTS REFERRED OFF SITE; NUMBER OF NARCAN KITS ISSUED; NUMBER OF RETURN OVERDOSE PATIENTS IN THE ED; NUMBER OF RETURN PATIENTS SHOWING SYMPTOMS OF DRUG USE IN THE ED. IMPACT: INCREASED ACCESS TO DRUG AND ALCOHOL SPECIALIST; INCREASED NUMBER OF PATIENTS REFERRED TO APPROPRIATE TREATMENT; INCREASED EDUCATION ON NARCAN KIT USE; DECREASE NUMBER OF OVERDOSE DEATHS; DECREASE IN NUMBER OF PATIENTS WITH MULTIPLE OVERDOSE ENCOUNTERS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: REDUCE THE NUMBER OF HYPOGLYCEMIC EPISODES DUE TO THE USE OF OLDER DIABETES MEDICATIONS; DEVELOP CHRONIC DISEASE SPECIALTY CENTER IN CANONSBURG HOSPITAL. ACTION STEPS: SCREEN HOME MEDICATIONS LIST TO IDENTIFY PATIENTS FOR USE OF FIRST GENERATION (OLDER) ANTI-DIABETIC MEDICATIONS; CONDUCT INTERVIEW WITH ELIGIBLE PATIENTS REGARDING HYPOGLYCEMIC EPISODES; WHEN APPROPRIATE, CONVERT DIABETIC PATIENTS TO NEWER DIABETIC MEDICATIONS THAT HAVE LOWER POTENTIAL FOR HYPOGLYCEMIA; EMBED RN NAVIGATORS IN CANONSBURG HOSPITAL; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS. MEASURE: NUMBER OF PATIENTS IDENTIFIED AS USING OLDER MEDICATIONS; NUMBER OF PATIENTS CONVERTED TO NEW MEDICATIONS; NUMBER OF RN NAVIGATORS; A1C LEVELS FOR TARGET POPULATION. IMPACT: DECREASE IN THE USE OF OLDER DIABETES MEDICATIONS; DECREASE IN HYPOGLYCEMIC EPISODES; INCREASE NUMBER OF RN NAVIGATORS; DECREASED A1CLEVELS AMONG TARGET POPULATION. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGY: PROVIDE EDUCATION ON SITE AND IN THE COMMUNITY ON THE HEALTH RISKS OF HEART DISEASE; DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT CANONSBURG HOSPITAL. ACTION STEPS: PARTNER WITH THE COMMUNITY TO PROVIDE HEART DISEASE EDUCATION CLASSES; CONDUCT HEALTH FAIRS; EMBED RN NAVIGATORS AT CANONSBURG HOSPITAL; DEVELOP TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF EDUCATION CLASSES PROVIDED; NUMBER OF HEALTH FAIRS; NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED EDUCATION AND AWARENESS OF HEART DISEASE RISK FACTORS; INCREASE NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. FORBES HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: TRANSPORTATION STRATEGY: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PCPS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; CONDUCT SCREENING FOR SOCIAL DETERMINANTS OF HEALTH TO DETERMINE TRANSPORTATION NEEDS; ENHANCE THE HERITAGE BUS LINE TO CREATE A NEW BUS STOP AT THE AHN FORBES OUTPATIENT CENTER; WORK WITH PORT AUTHORITY (PAT) AND LOCAL MUNICIPALITY LEADERS TO ESTABLISH A PAT BUS STOP ON THE FORBES CAMPUS. MEASURE: REDUCED MISSED APPOINTMENTS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES; REDUCED ED ADMISSIONS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES FOR MEDICAL APPOINTMENTS. IMPACT: INCREASED TRANSPORTATION SERVICES; INCREASE EDUCATION ON TRANSPORTATION SERVICES; IMPROVE BUS ACCESS TO THE FORBES CAMPUS. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUESTIONING (LGBTQ) STRATEGY: TRAIN STAFF ON BASIC CULTURAL COMPETENCY MODULE; MODIFY CARE DELIVERY MODEL TO BE MORE AFFIRMING AND WELCOMING TO LGBTQ PATIENTS. ACTION STEPS: ESTABLISH GUIDELINES FOR IMPLEMENTATION, USING THE HEALTHCARE EQUALITY INDEX AS A METRIC; SHARE MODEL WITH OTHER AHN HOSPITALS; EVALUATE AND MODIFY POLICIES AND PROCEDURES, USING ESTABLISHED BEST PRACTICES AND PATIENT ADVOCACY. MEASURE: PRE- AND POST-TRAINING ASSESSMENTS; USE HEALTHCARE EQUALITY INDEX. IMPACT: INCREASED KNOWLEDGE CULTURAL. COMPETENCE; INCREASED KNOWLEDGE SYSTEM-WIDE; IMPROVE CARE DELIVERY. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGY: PROVIDE EDUCATION TO PUBLIC ABOUT MENTAL HEALTH ISSUES AND TREATMENT OPTIONS; COLLABORATE WITH BEHAVIORAL HEALTH CONSULTANTS (BHC) INTO PRIMARY CARE PRACTICES; DEVELOP AND IMPLEMENT OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES. ACTION STEPS: SPONSOR MENTAL HEALTH FIRST AID TRAIN-THE-TRAINER AND COMMUNITY MHFA TRAININGS TO THE PUBLIC; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; ADMINISTER THE PHQ-2 AT EVERY PRIMARY CARE VISIT AND PHQ-9 FOR PATIENTS WHO SCREEN POSITIVE ON THE PHQ-2; OFFER CONSULTATION AND TREATMENT WITH THE PRACTICES BHC; MONITOR PHQ-9 SCORES OVER TIME FOR IMPROVEMENT; COLLABORATE WITH PSYCHIATRIC AND BEHAVIORAL HEALTH INSTITUTE TO DEVELOP STRATEGIES AND FUNDING TO IMPLEMENT OUTPATIENT FACILITY. MEASURE: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS REFERRED TO INPATIENT OR OUTPATIENT FACILITIES; NUMBER OF CHILDREN REFERRED TO OUTPATIENT SERVICES. IMPACT: INCREASED AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASE AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASE NUMBER OF BHCS IN PRACTICES; IMPROVED PHQ9 SCORES; INCREASED ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE ABUSE DISORDER STRATEGY: TO INCREASE ACCESS TO SERVICES IN THE ED FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: DEVELOP ED PATHWAY FOR INITIATION OF MEDICATION ASSISTED THERAPY (MAT) AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER MAT AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER IN FORBES HOSPITAL; DEVELOP PARTNERSHIP WITH PRIMARY CARE REDESIGN. ACTION STEPS: EMBED RN NAVIGATORS FORBES HOSPITAL; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS; RECEIVE QUARTERLY DATA SUMMARY OF PRACTICE AND REGION PERFORMANCE ON DIABETES MEASURES; PROVIDE WORKFLOW REDESIGN SUPPORT FOR DIABETES QI EFFORTS INITIATIVE. MEASURE: NUMBER OF RN NAVIGATORS; A1C LEVELS FOR TARGET POPULATION; PERFORMANCE ON DIABETES MEASURES. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION; IMPROVE OUTCOMES FOR DIABETES MEASURES; IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT FORBES HOSPITAL. ACTION STEPS: EMBED RN NAVIGATORS AT FORBES HOSPITAL; DEVELOP TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. JEFFERSON HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: COST OF CARE (GOAL 1) STRATEGIES: IMPLEMENT AT LEAST ONE PROJECT AIMED AT REDUCING RX EXPENDITURES; REDUCE INCIDENCE OF NEGATIVE SIDE-AFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT FOR INFECTION; IMPLEMENT A PROJECT TO ADDRESS MEDICATION NEEDS OF DISCHARGED PATIENTS.
ACTION STEPS: REVIEW PATIENTS HIGH COST RX, TARGET RESTRICTING HIGH COST GENERICS IN FAVOR OF LOWER COST MANUFACTURERS FOR THE IDENTICAL GENERIC MEDICATION; ENGAGE AHN QUALITY SPECIALISTS TO PROVIDE PCP AND SPECIALISTS WITH EDUCATIONAL CAMPAIGNS DESIGNED TO PROMOTE THE USE AND BENEFITS OF GENERICS AND OTHER LOWER COST OPTIONS TO PATIENTS; PHARMACISTS WILL BE INVOLVED IN CULTURE FOLLOW-UP PROCESS FOR ED VISITS FOR UTIS, WOUND INFECTIONS, THROAT CULTURES, AND STDS; DEVELOP AN ALGORITHM OR A STANDARDIZED PROTOCOL BY WHICH PHARMACISTS CAN RECOMMEND APPROPRIATE ACTIONS; REVIEW CULTURE ALERTS RECEIVED AFTER DISCHARGE FROM ED AND WHEN APPROPRIATE, MODIFY TREATMENT RECOMMENDATIONS BASED ON CONSULT BETWEEN ED PHARMACIST AND ED PROVIDER; DEVELOP MEDS TO BED PROGRAM TO IMPROVE PATIENT OUTCOMES WITH MEDICATION ADHERENCE THROUGH UPFRONT EDUCATION, CLARIFICATION OF QUESTIONS AND RESOLUTION OF INSURANCE ISSUES. MEASURES: THE COST SAVINGS OF MOVING THE PATIENTS TO THE LOWER COST MEDICATIONS; PERCENT OF APPROPRIATE ANTIBIOTIC BASED ON BACTERIA; PERCENT OF APPROPRIATE DURATION OF TREATMENT BASED ON TYPE OF INFECTION; PERCENT OF READMISSIONS RETURN VISITS TO ED FOR SAME ISSUE OR SIDE-AFFECT FROM TREATMENT DRUG; NUMBER OF PATIENTS UTILIZING THE MEDS TO BEDS PROGRAM; NUMBER OF PATIENTS UTILIZING MEDS TO BEDS WITH MEDICATION RELATED READMISSIONS. IMPACT: INCREASED USE IN GENERICS FROM LOWER COST MANUFACTURES; DECREASE OUT OF POCKET EXPENDITURES FOR MEDICATIONS; REDUCED READMISSIONS DUE TO INCIDENCE OF NEGATIVE SIDE EFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT; REDUCED ED VISITS DUE TO INCIDENCE OF NEGATIVE SIDE EFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT; DECREASE MEDICATION RELATED READMISSION RATES; REDUCED OUT OF POCKET EXPENSES TO THE PATIENT. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: COST OF CARE (GOAL 2) STRATEGIES: IMPLEMENT PHASE I OF FRONT DOOR INITIATIVE FOR SOCIAL EMERGENCY MEDICINE GRANT TO ADDRESS SOCIAL DETERMINANTS OF HEALTH; IMPLEMENT A PROGRAM DESIGNED TO ADDRESS FOOD INSECURITY AND LACK OF NUTRITION. ACTION STEPS: SCREEN/ASSESS SOCIAL FACTORS IMPACTING PATIENT HEALTH AND ACUTE PHYSICAL EMERGENCIES; ESTABLISH REFERRAL PROCESS WITH COMMUNITY PARTNERS FOR COORDINATED CARE OUTSIDE OF THE ED; REINFORCE A SENSE OF PRIDE AND TRUST OF THE ED BY THE COMMUNITY AS A CENTRAL ASSET; ESTABLISH ADVISORY COUNCIL INCLUSIVE OF INTERNAL STAFF, COMMUNITY ORGANIZATIONS AND VISIONARIES; REVIEW NATIONAL MODELS OF EXCELLENCE IN SOCIAL EMERGENCY MEDICINE; UNDERSTAND AND ANALYZE COMMUNITY AND ED POPULATION DATA; IMPROVE REFERRAL AND FOLLOW UP PROCESS; IMPLEMENT STAFF TRAINING ON CULTURAL COMPETENCY, SOCIAL DETERMINANTS OF HEALTH, ENCP; INTEGRATE SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL IN EPIC FOR ED PATIENTS; COLLABORATE WITH THE GREATER PITTSBURGH COMMUNITY FOOD BANK TO PROVIDE A MEDICALLY-TAILORED FOOD PACKAGE FOR PATIENTS AT DISCHARGE; SCREEN FOR FOOD INSECURITY; PROVIDE FOOD PACKAGES WITH FOOD ASSISTANCE RESOURCES. MEASURES: ED UTILIZATION FOR TARGET POPULATION; HOSPITAL READMISSIONS FOR TARGET POPULATION; REFERRALS TO NEEDED COMMUNITY SERVICES; 30-DAY UNPLANNED READMISSIONS; ADHERENCE TO MEDICAL TEST AND FOLLOW UP APPOINTMENTS; PATIENT REPORTED QUALITY OF LIFE IMPROVEMENT. IMPACT: DECREASED NON URGENT ED VISITS; DECREASED READMISSION RATES; INCREASE COMMUNITY REFERRALS; INCREASE NUMBER OF FOOD PACKAGES PROVIDED; REDUCED READMISSION RATES; IMPROVED ADHERENCE TO MEDICAL TEST AND FOLLOW-UP APPOINTMENTS; IMPROVED QUALITY OF LIFE. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: COST OF CARE (GOAL 3) STRATEGIES: ENGAGE TRANSITIONAL CARE MANAGEMENT TEAM TO CONDUCT OUTREACH TO PATIENTS UPON DISCHARGE FROM HOSPITAL AND AFTER ED VISITS. ACTION STEPS: PCP OFFICE CONTACTS PATIENTS WITHIN 2 DAYS OF A HOSPITAL DISCHARGE TO REVIEW DISCHARGE INSTRUCTIONS AND MEDICATIONS; IDENTIFY BARRIERS TO PATIENTS FOLLOWING UP WITH THE CARE PLAN; SCHEDULE A TRANSITIONAL CARE MANAGEMENT VISIT WITH THE PCP; PLACE HIGH PRIORITY ON PATIENTS WITH FREQUENT ED UTILIZATION; PROVIDE PATIENT EDUCATION ON WHEN TO USE THE ED VS. PCP; SCHEDULE FOLLOW-UP PCP APPOINTMENTS. MEASURES: HOSPITAL 30 DAY READMISSIONS FOR TARGET POPULATION; ED UTILIZATION FOR TARGETED POPULATIONS. IMPACT: DECREASED READMISSION RATES; DECREASED NON URGENT ED UTILIZATION; INCREASE IN PCP UTILIZATION TO AVOID ESCALATION TO ACUTE HEALTH CONDITIONS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: PROVIDE EDUCATION TO PUBLIC ABOUT MENTAL HEALTH ISSUES AND TREATMENT OPTIONS; RECRUIT, HIRE, TRAIN AND INTEGRATE BEHAVIORAL HEALTH CONSULTANTS (BHC) INTO AMBULATORY PRACTICES. ACTION STEPS: COLLABORATE WITH JEFFERSON REGIONAL FOUNDATION TO SPONSOR MENTAL HEALTH FIRST AID TRAIN-THE-TRAINER AND COMMUNITY MHFA TRAININGS TO THE PUBLIC; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; ADMINISTER THE PHQ-2 AT EVERY PRIMARY CARE VISIT AND PHQ-9 FOR PATIENTS WHO SCREEN POSITIVE ON THE PHQ-2; OFFER CONSULTATION & TREATMENT WITH THE PRACTICES BHC; MONITOR PHQ-9 SCORES OVER TIME FOR IMPROVEMENT. MEASURES: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF BHCS INTEGRATED INTO PHYSICIAN & AMBULATORY PRACTICES; BEHAVIORAL HEALTH AND PSYCHO SOCIAL ISSUE REDUCTION BY MONITORING PHQ-9 SCORES. IMPACT: INCREASED AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASE AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASED NUMBER OF BHCS IN PRACTICES; IMPROVED PHQ9 SCORES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTERS IN ALL AHN HOSPITALS; PROVIDE SUPPORT TO PRIMARY CARE PROVIDERS WITH DATA ABOUT PERFORMANCE ON DIABETES MEASURES AND SUPPORT FOR QUALITY IMPROVEMENT ACTIVITIES TO ENHANCE PERFORMANCE ON DIABETES CARE. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS; CONTINUE PARTNERSHIP WITH PRIMARY CARE REDESIGN; PROVIDE QUARTERLY DATA SUMMARY OF PRACTICE AND REGION PERFORMANCE ON DIABETES MEASURES AND ON-DEMAND PATIENT-LEVEL DATA VIA THE EMR TO GUIDE POPULATION HEALTH MANAGEMENT ACTIVITIES; PROVIDE TRAINING AND WORKFLOW REDESIGN SUPPORT FOR DIABETES QI EFFORTS VIA COACHING FROM A PRACTICE TRANSFORMATION SPECIALIST AND CONSULTATION WITH ENDOCRINOLOGISTS FROM THE AHN DIABETES PRIMARY CARE SUPPORT INITIATIVE. MEASURES: NUMBER OF RN NAVIGATORS AT AHN HOSPITALS; A1C LEVELS FOR TARGET POPULATION; PERFORMANCE ON DIABETES MEASURES: HBA1C AT GOAL, RETINAL EYE EXAM, STATIN THERAPY, BP CONTROL, ANNUAL URINE MICRO ALBUMIN RE: NEPHROPATHY, FOOT EXAM AND PERCENTAGE OF DIABETICS WHO ARE NON-SMOKERS. IMPACT: INCREASE NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION; IMPROVE OUTCOMES FOR DIABETES MEASURES; IMPROVE QUALITY OF LIFE FOR DIABETIC PATIENTS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER (GOAL 1) STRATEGIES: PROVIDE RESOURCE TO HELP INDIVIDUALS STOP THE USE OF TOBACCO PRODUCTS; INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES. ACTION STEPS: COLLABORATE WITH JEFFERSON REGIONAL FOUNDATION TO PROVIDE A GRANT TO CONSUMER HEALTH COALITION TO TRAIN TOBACCO CESSATION COUNSELORS AND ORGANIZE QUITTING WORKSHOPS; TRAIN HOSPITAL EMPLOYEES ON TOBACCO CESSATION COUNSELING; OFFER WORKSHOPS AT JEFFERSON HOSPITAL; PLAN FREE CANCER SCREENINGS FOR PROSTATE, BREAST, SKIN, CERVICAL, COLON/RECTAL, AND LUNG CANCER; DISTRIBUTE BOOKLET ON AGE-APPROPRIATE CANCER SCREENINGS. MEASURES: NUMBER OF EDUCATIONAL EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF SCREENINGS PERFORMED; NUMBER OF ABNORMAL SCREENINGS IDENTIFIED AND REFERRED FOR ADDITIONAL TESTING; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER. IMPACT: INCREASED NUMBER OF EDUCATION EVENTS AT AHN HOSPITAL SITES, ESPECIALLY HIGH -RISK AREAS; INCREASE NUMBER OF TRAINED HOSPITAL EMPLOYEES; INCREASED NUMBER OF TRAINED COMMUNITY PARTNERS; INCREASED NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER (GOAL 2) STRATEGIES: INCREASE THE VOLUME OF PATIENTS PARTICIPATING IN PROGRAMS THAT HELP PEOPLE DEALING WITH A CANCER DIAGNOSIS AND THE CHALLENGES RELATED TO TREATMENT.
ACTION STEPS: PROMOTE CANCER CARE CENTERS CANCER SUPPORT GROUP; PROMOTE THE LOOK GOOD FEEL BETTER; PROMOTE AHN CANCER INSTITUTE HAS STARTED PRE-CHEMO TREATMENT VISITS FOR ALL PATIENTS UNDERGOING CHEMOTHERAPY AT THE JEFFERSON HOSPITAL; PARTNERS WITH OUR CLUBHOUSE, TO OFFER LIVING LIFE POST CANCER TREATMENT; PARTNER WITH THE AMERICAN CANCER SOCIETY TO PROMOTE A FREE WIG SALON; PROVIDE SATCHELS OF CARING FOR CANCER PATIENTS; PROVIDE FREE NUTRITION CONSULTATION TO ONCOLOGY PATIENTS; ENGAGE AN ONCOLOGY SOCIAL WORKER TO OFFER FREE ASSISTANCE TO ONCOLOGY PATIENTS WITH THEIR SOCIAL DETERMINANTS OF NEED; UTILIZE A NURSE NAVIGATOR TO PROVIDE COORDINATION OF THEIR CARE AS PATIENTS GO THROUGH THEIR CANCER JOURNEY. MEASURES: NUMBER OF PROGRAMS; NUMBER OF PARTICIPANTS. IMPACT: INCREASED NUMBER OF CANCER SUPPORT EVENTS; INCREASED NUMBER INDIVIDUALS ACCESSING SERVICES OF SUPPORT GROUPS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: OBESITY STRATEGIES: COLLABORATE WITH LOCAL SCHOOL, AFTER SCHOOL PROGRAM, AND PEDIATRIC PRACTICES TO ENCOURAGE CHILDREN TO BECOME MORE ACTIVE; IMPLEMENT A PROGRAM TO REDUCE OBESITY IN ADULTS; IMPROVE HEALTH LITERACY ON ISSUES RELATED TO OBESITY; OFFER SUPPORT TO INDIVIDUALS WORKING ON WEIGHT MANAGEMENT. ACTION STEPS: WORK WITH LOCAL SCHOOLS/AFTER SCHOOL PROGRAM TO IMPLEMENT CATCH KIDS CLUB (NIH PROGRAM) OR SIMILAR EVIDENCE-BASED CURRICULUM; OFFER EAT HEALTHY, BE ACTIVE COMMUNITY WORKSHOPS (OFFICE OF DISEASE PREVENTION AND HEALTH PROMOTION PROGRAM) OR SIMILAR PROGRAM; COLLABORATE WITH VENTURE OUTDOORS OR SIMILAR PROGRAMS TO GET PEOPLE ACTIVE; ESTABLISH A SPEAKERS BUREAU TO PROVIDE EDUCATION TO COMMUNITY ORGANIZATIONS ON TOPICS SUCH AS NUTRITION, DIABETES, AND EXERCISE; OFFER A MONTHLY SUPPORT GROUP FOR PEOPLE TO SHARE PERSONAL EXPERIENCES, FEELINGS, AND COPING STRATEGIES ON WEIGHT MANAGEMENT. MEASURES: NUMBER OF CHILDREN ENROLLED IN PROGRAMS; NUMBER PROGRAMS OFFERED; NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF ACTIVITIES; NUMBER OF PROGRAMS PROVIDED; NUMBER OF PARTICIPANTS; IMPACT: INCREASED AWARENESS OF HEALTHY BEHAVIORS FOR CHILDREN GRADES K-5; INCREASE NUMBER OF COMMUNITY-BASED EVENTS ON OBESITY; INCREASE NUMBER OF OPPORTUNITIES FOR PHYSICAL ACTIVITY, EDUCATION, AND NUTRITION; INCREASE NUMBER OF PEOPLE ENGAGED IN ACTIVITIES TO REDUCE OBESITY; IMPROVED ABILITY TO OBTAIN, PROCESS, AND UNDERSTAND HEALTH INFORMATION NEEDED TO MAKE INFORMED HEALTH DECISIONS; FILL THE GAP BETWEEN MEDICAL TREATMENT AND EMOTIONAL SUPPORT FOR THOSE WITH WEIGHT MANAGEMENT CHALLENGES. SAINT VINCENT HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: ACCESS TO PRIMARY CARE STRATEGIES: IDENTIFY AND EDUCATE PATIENTS THAT DO NOT HAVE A PCP; INCREASE THE NUMBER OF NEW PRIMARY CARE PATIENT VISITS; INCREASE NUMBER OF SCHEDULED PCP APPOINTMENTS. ACTION STEPS: IDENTIFY UNATTRIBUTED PATIENTS THROUGH SCHEDULING TOOL; IDENTIFY UNATTRIBUTED PATIENTS THROUGH BIOMETRIC SCREENING PROCESS; CREATE HANDOFF TO CALL CENTER; PARTNER WITH LOCAL BUSINESSES TO PROMOTE PCP ENGAGEMENT; UTILIZE MEET DR. RIGHT EVENTS; PARTNER WITH CLINICAL ACCESS TEAM; IMPLEMENT CENTRALIZED SCHEDULING; IMPLEMENT ONLINE SCHEDULING; INCREASE # OF SAME DAY SLOTS OFFERED; PARTNER WITH AHN TEMPLATE TEAM TO ACHIEVE TEMPLATE STANDARDIZATION AND OPTIMIZATION. MEASURE: NUMBER OF PATIENTS CONNECTED TO A PCP; NUMBER OF PARTICIPANTS AT COMMUNITY EVENTS; NUMBER OF NEW PATIENT VISITS; NUMBER OF ONLINE SCHEDULED CALLS; NUMBER OF SAME DAY APPOINTMENTS. IMPACT: INCREASE IN NUMBER OF PATIENTS ASSIGNED TO A PCP; INCREASE ACCESS TO PCP; NUMBER OF NEW PATIENTS; INCREASE IN NUMBER OF ONLINE APPOINTMENTS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: INCREASE ACCESS TO COMMUNITY-BASED MENTAL HEALTH EDUCATION SESSIONS; INCREASE PRIMARY CARE PROVIDER NETWORK AWARENESS OF GERIATRIC BEHAVIORAL HEALTH SERVICES. ACTION STEPS: PROVIDE COMMUNITY-BASED SEMINARS AND PROGRAMS ON SIGNS OF MENTAL HEALTH ILLNESS; PROVIDE COMMUNITY EVENTS ON AVAILABLE SERVICES TO SUPPORT RECOVERY; SCHEDULE GERIATRIC BEHAVIORAL HEALTH LIAISON TO MEET WITH EACH PRACTICE TO PROVIDE EDUCATION ON AVAILABLE SERVICES; PRIMARY CARE PROVIDERS WILL CALL GERIATRIC BEHAVIORAL HEALTH LIAISON FOR POTENTIAL ADMISSIONS. MEASURE: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF GERIATRIC ADMISSIONS FROM PRIMARY CARE PROVIDERS. IMPACT: INCREASE AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASED AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASED ADMISSIONS TO GERIATRIC BEHAVIORAL HEALTH UNIT. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE ABUSE DISORDER STRATEGIES: INCREASE ACCESS TO COMMUNITY-BASED EDUCATION SESSIONS; INCREASE NUMBER OF PATIENTS ELIGIBLE FOR THE WARM HAND OFF PROGRAM. ACTION STEPS: PROVIDE COMMUNITY-BASED SEMINARS AND PROGRAMS ON SUBSTANCE USE DISORDER; PROVIDE COMMUNITY EVENTS THAT INCREASE AWARENESS OF AVAILABLE SERVICES TO SUPPORT RECOVERY; SCREEN OVERDOSE PATIENTS COMING TO THE ED FOR CRITERIA MEETING MEDICATION ASSISTED TREATMENT (MAT); BEGIN MEDICATING PATIENTS THAT MEET CRITERIA AND TRANSITION TO GAUDENZIA FOR DETOX; EDUCATION TO EMS SERVICES OF THIS PROGRAM; PUBLIC EDUCATION FOR DETOX SERVICES. MEASURE: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS IN MAT; NUMBER OF PATIENTS IN WARM HAND OFF PROGRAM. IMPACT: INCREASE AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASED AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASE IN NUMBER OF PATIENTS WHO RECEIVE MEDICATION FOR ADDICTION; INCREASED NUMBER OF PATIENTS IN WARM HAND OFF PROGRAM. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: PROMOTE DIABETES PREVENTION PROGRAMMING TO THE COMMUNITY; IMPROVE CARE MANAGEMENT OF RISING RISK PATIENTS WITH CHRONIC DISEASE. ACTION STEPS: CONDUCT SCREENINGS AND EDUCATION AT COMMUNITY EVENTS; IDENTIFY PARTICIPANTS THROUGH THE BIOMETRIC SCREENING PROCESS; IDENTIFY PATIENTS THROUGH RISK STRATIFICATION TOOLS; PARTNER WITH POPULATION HEALTH MANAGEMENT TEAMS; DEVELOP A TOOL WITHIN THE ELECTRONIC MEDICAL RECORDS. MEASURE: NUMBER OF PATIENTS COUNSELED ON RISK FACTORS; ED UTILIZATION; HOSPITAL ADMISSIONS; A1C LEVELS FOR TARGET POPULATION. IMPACT: INCREASE AWARENESS OF RISK FACTORS OF DIABETES; DECREASED ED UTILIZATION; DECREASED HOSPITAL ADMISSIONS FOR DIABETES RELATED ILLNESS; DECREASED A1C LEVELS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGIES: PROVIDE COMMUNITY-BASED CANCER SCREENING EVENTS; INCREASE CT LUNG CANCER SCREENING UTILIZATION; INCREASE SCREENINGS WITH ASYMPTOMATIC BREAST ULTRASOUND (ABUS). ACTION STEPS: PROVIDE COMMUNITY CANCER SCREENING AND EDUCATION EVENTS; IMPLEMENT LUNG CANCER SCREENING NAVIGATION; EXPAND CT LUNG SCREENING ACCESS/LOCATIONS; PROMOTE TO PUBLIC AND PROVIDERS; INCREASE SCREENING BREAST ULTRASOUND CAPACITY; EDUCATE PRIMARY CARE PROVIDERS ON SCREENING BREAST ULTRASOUND; EXPAND NUMBER OF SONOGRAPHERS TRAINED ON ABUS. MEASURE: NUMBER OF SCREENING EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF STUDIES PERFORMED; NUMBER OF SCREENING BREAST ULTRASOUNDS PERFORMED. IMPACT: INCREASED NUMBER OF CANCER SCREENING AND EDUCATION EVENTS; INCREASE NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF CT LUNG SCREENINGS; INCREASE NUMBER OF BREAST SCREENINGS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: OBESITY STRATEGIES: INCREASE COMMUNITY-BASED EDUCATION PROGRAMS; EDUCATE COMMUNITY ON CORRELATION BETWEEN WEIGHT AND HEALTH; INCREASE ACCESS TO BARIATRIC PROGRAM FOR TREATMENT OF OBESITY; PROVIDE OPPORTUNITIES FOR COMMUNITY MEMBERS TO BECOME INVOLVED IN EVENTS THAT ENCOURAGE PHYSICAL HEALTH AND WELLNESS. ACTION STEPS: WORK WITH LOCAL SCHOOL DISTRICTS ON CHILDHOOD OBESITY EDUCATION; COORDINATE PROGRAMMING AND BMI SCREENINGS FOR HEALTH FAIRS; PROVIDE NUTRITION FOCUSED LECTURES; IDENTIFY PARTICIPANTS THROUGH THE BIOMETRIC SCREENING PROCESS; PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE EDUCATION ON OBESITY; INCREASE PCP AWARENESS OF THE BARIATRIC PROGRAM; UTILIZE MEET DR. RIGHT EVENTS TO INCREASE ACCESS TO THE BARIATRIC PROGRAM; INCREASE EVENTS THAT ENCOURAGE HEALTH AND WELLNESS ACTIVITIES THAT INCLUDE PHYSICAL EXERCISE, NUTRITIONAL COUNSELING, STRESS MANAGEMENT AND PREDIABETES EDUCATION. MEASURE: NUMBER OF PATIENTS COUNSELED ON RISK FACTORS; NUMBER OF BMI SCREENINGS; NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS THAT SCHEDULE APPOINTMENTS AT MEET DR. RIGHT EVENTS. IMPACT: INCREASE IN AWARENESS OF RISK FACTORS OF OBESITY; INCREASE IN NUMBER OF PATIENTS SCREENED FOR BMI; INCREASE IN NUMBER OF COMMUNITY-BASED EVENTS; INCREASE NUMBER OF EVALUATIONS FOR BARIATRIC PROGRAM; INCREASE AWARENESS OF PHYSICAL HEALTH AND WELLNESS. WESTFIELD MEMORIAL HOSPITAL HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: PROVIDE PATIENTS PRESENTING TO THE ED WITH LOCAL OPTIONS FOR FOLLOW-UP CARE. ACTION STEPS: DEVELOP PARTNERSHIPS WITH AREA BEHAVIORAL HEALTH PROVIDERS; DEVELOP A REFERRAL PATHWAY FOR POST-ED FOLLOW-UP CARE OF ADDICTION AND OTHER MENTAL HEALTH ISSUES.
MEASURE: NUMBER OF PATIENTS REFERRED TO OUTPATIENT FACILITIES; NUMBER OF LOCAL SERVICES IDENTIFIED. IMPACT: INCREASED REFERRALS TO SERVICES; INCREASED AWARENESS OF AVAILABLE RESOURCES. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER (GOAL 1) STRATEGIES: BEGIN MEDICATING PATIENTS THAT MEET CRITERIA WITH FIRST DOSE OF BUPRENORPHINE AND TRANSITION TO MEDICATION ASSISTED TREATMENT (MAT) FOR DETOX. ACTION STEPS: SCREEN OVERDOSE PATIENTS IN THE EMERGENCY DEPARTMENT FOR MAT CRITERIA; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; COLLABORATE WITH BUFFALO MATTERS TO DEVELOP PROTOCOLS FOR WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT; NUMBER OF PATIENTS THAT PARTICIPATE IN MAT PROGRAM. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER (GOAL 2) STRATEGIES: INCREASE COMMUNITY KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER RESOURCES. ACTION STEPS: PARTNER WITH COMMUNITY BASED PROVIDERS; HOST PUBLIC INFORMATION SESSIONS WITH LOCAL PROVIDERS. MEASURE: NUMBER OF COMMUNITY EVENTS. IMPACT: INCREASED AWARENESS OF TREATMENT RESOURCES FOR SUBSTANCE USE DISORDER. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: PROMOTE DIABETES PREVENTION IN THE COMMUNITY; PARTNER WITH LOCAL CHILDRENS DIABETIC CAMPS. ACTION STEPS: HOST SCREENING AND EDUCATION EVENTS; IDENTIFY AT RISK PATIENTS THROUGH BIOMETRIC SCREENINGS; PRESENT AT SCHOOLS AND COMMUNITY GROUP ON HEALTHY LIVING; INCLUDE DIABETES/WELLNESS EDUCATION ON SOCIAL MEDIA SITE MONTHLY; PROVIDE SUBJECT MATTER SUPPORT TO CHILDREN AT THE CAMP; EDUCATE CAMPERS ON DIABETES MANAGEMENT STRATEGIES. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF AT RISK PATIENTS IDENTIFIED THROUGH BIOMETRIC SCREENINGS; NUMBER OF SOCIAL MEDIA EDUCATION TOPICS POSTED; STAFF HOURS FOR PLANNING AND PRESENTING AT THE CAMP; NUMBER OF CAMPERS EDUCATED. IMPACT: INCREASED COMMUNITY PROGRAMS; INCREASE SCREENINGS; INCREASE PARTICIPATION IN CHILDRENS CAMP; INCREASE EDUCATION FOR CAMPERS; INCREASE SCREENINGS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT WMH. ACTION STEPS: EMBED RN NAVIGATORS AT WMH; DEVELOP TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGIES: DEVELOP CT LUNG CANCER SCREENING PROGRAM. ACTION STEPS: IMPLEMENT LUNG CANCER SCREENING PROTOCOLS; EDUCATE REFERRING PROVIDERS OF SERVICES. MEASURE: NUMBER OF STUDIES PERFORMED. IMPACT: INCREASED NUMBER OF CT LUNG SCREENINGS; INCREASED NUMBER OF EARLY LUNG CANCER DETECTIONS. WEST PENN HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: FOOD INSECURITY, DIET, NUTRITION STRATEGY: INCREASE ACCESS TO THE HEALTHY FOOD CENTER. ACTION STEPS: UTILIZE THE HEALTHY FOOD CENTER TO EDUCATE ON CHRONIC DISEASES; PARTNER WITH THE HEALTHY FOOD CENTER TO PROVIDE EDUCATION ON HEALTHY CHOICES; PARTNER WITH PCP OFFICES TO UTILIZE THE SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL FOR FOOD INSECURITIES; REFER PATIENTS TO THE HEALTHY FOOD CENTER. MEASURE: NUMBER OF REFERRALS FROM PCP OFFICES; NUMBER OF REFERRALS THAT UTILIZE THE HEALTHY FOOD CENTER. IMPACT: INCREASED UTILIZATION OF THE HEALTHY FOOD CENTER; INCREASED EDUCATION AND AWARENESS OF FOOD INSECURITIES. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: POST-PARTUM DEPRESSION STRATEGY: IDENTIFY WOMEN AT RISK FOR PERINATAL OR POST-PARTUM DEPRESSION AND ANXIETY DISORDERS. ACTION STEPS: CONDUCT EARLY SCREENINGS FOR PERINATAL AND POST-PARTUM DEPRESSION; CONDUCT BEHAVIORAL HEALTH ASSESSMENT PRIOR TO DISCHARGE; PROVIDE ACCESS TO APPROPRIATE LEVEL CARE; DESTIGMATIZE POST-PARTUM DEPRESSION AND ANXIETY DISORDERS; CONDUCT BEHAVIORAL HEALTH ASSESSMENT AT FOLLOW UP VISITS. MEASURE: NUMBER OF WOMEN SCREENED; NUMBER OF WOMEN REFERRED TO ALEXIS JOY DACHILLE CENTER FOR PERINATAL MENTAL HEALTH; NUMBER OF WOMEN REFERRED TO OTHER LOCATIONS FOR APPROPRIATE CARE; NUMBER OF BEHAVIORAL HEALTH ASSESSMENTS. IMPACT: INCREASED AWARENESS OF SIGNS OF PERINATAL AND POST-PARTUM DEPRESSIONS; INCREASED USE OF APPROPRIATE BEHAVIORAL HEALTH SERVICES FOR WOMEN. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT WEST PENN HOSPITAL. ACTION STEPS: EMBED RN NAVIGATORS AT WEST PENN HOSPITAL; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS; REFER PATIENTS TO DIABETIC MEAL PILOT ALLOWING PATIENTS TO RECEIVE UPON DISCHARGE FOOD FOR 30 DAYS (2 MEALS/DAY). THIS ALSO WILL INCLUDE A FOLLOW UP REFERRAL TO THE HEALTHY FOOD CENTER. MEASURE: NUMBER OF RN NAVIGATORS AT WEST PENN HOSPITAL; A1C LEVELS FOR TARGET POPULATION; NUMBER OF EDUCATION PROGRAMS FOR PROVIDERS; NUMBER OF EDUCATION PROGRAMS FOR PATIENTS; NUMBER OF REFERRALS TO THE HEALTHY FOOD CENTER. IMPACT: INCREASE NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION; IMPROVE OUTCOMES FOR DIABETES MEASURES; IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGY: INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES; EDUCATE ADULTS ON THE IMPORTANCE OF EARLY DETECTION. ACTION STEPS: PLAN FREE CANCER SCREENINGS FOR PROSTATE, BREAST, SKIN, CERVICAL, COLON/RECTAL, AND LUNG CANCER; DISTRIBUTE BOOKLET ON AGE-APPROPRIATE CANCER SCREENINGS; COLLABORATE WITH COMMUNITY PARTNERS TO ENHANCE COMMUNITY OUTREACH AND EDUCATION; COLLABORATE WITH BREATH PA AMERICAN LUNG ASSOCIATION AND CONSUMER HEALTH COALITION ON SMOKING CESSATION; WORK WITH PCPS ON SMOKING CESSATION EDUCATION/COUNSELING; EDUCATE PCPS ON RECOMMENDING HOME COLON/RECTAL SCREENINGS KITS. MEASURE: NUMBER OF SCREENINGS PERFORMED; NUMBER OF ABNORMAL SCREENINGS IDENTIFIED AND REFERRED FOR ADDITIONAL TESTING; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER; NUMBER OF EDUCATIONAL EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF COLLABORATIONS; NUMBER OF PROGRAMS; NUMBER OF EDUCATIONS AND COUNSELING. IMPACT: INCREASED NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. INCREASED EARLY DETECTION OF CANCER; INCREASED PCP EDUCATION; INCREASE COMMUNITY EDUCATION; INCREASE USE OF HOME CANCER SCREENING KITS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: OBESITY STRATEGY: COLLABORATE WITH LOCAL SCHOOL, AFTER SCHOOL PROGRAM, AND PEDIATRIC PRACTICES TO ENCOURAGE CHILDREN TO BECOME MORE ACTIVE; IMPLEMENT PROGRAMS TO REDUCE OBESITY IN ADULTS.
ACTION STEPS: WORK WITH LOCAL SCHOOLS/AFTER SCHOOL PROGRAM TO ENCOURAGE HEALTHY EATING AND PHYSICAL ACTIVITY. OFFER MEAL PLANNING AND NUTRITION COUNSELING; OFFER MEDICAL WEIGHT LOSS PROGRAMS; PROVIDE A COMPREHENSIVE MULTIDISCIPLINARY APPROACH TO SURGICAL INTERVENTION; PROVIDE EDUCATION SESSIONS ON SURGICAL INTERVENTIONS; PROVIDE SUPPORT GROUPS; PROVIDE WEB-BASED EDUCATION AND COOKING CLASSES. MEASURE: NUMBER OF CHILDREN ENROLLED IN PROGRAMS; NUMBER PROGRAMS OFFERED; NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS WITH SURGICAL INTERVENTIONS; NUMBER OF SUPPORT GROUP MEETINGS; NUMBER OF ATTENDEES. IMPACT: INCREASED AWARENESS OF HEALTHY BEHAVIORS FOR CHILDREN; INCREASED NUMBER OF COMMUNITY-BASED EVENTS ON OBESITY; INCREASED AWARENESS OF OPTIONS FOR WEIGHT MANAGEMENT; INCREASED NUMBER OF SURGICAL INTERVENTIONS. PART V, SECTION B, LINE 13H ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE ALL THE HOSPITALS LISTED IN PART V, SECTION A OF THIS SCHEDULE H ARE PART OF THE INTEGRATED DELIVERY SYSTEM AHN. All AHN hospitals use the uniform AHN financial assistance policy, the last to adopt being Westfield Memorial Hospital which made the adoption on 1/1/2018. AHN'S FINANCIAL ASSISTANCE POLICY USES A PRESUMPTIVE ELIGIBILITY PROGRAM THAT ENABLES AHN TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. THE HEALTH SYSTEM UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO-ECONOMIC AND FINANCIAL CAPACITY SCORE. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND IT IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR AHN FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY IS DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS AHN TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW CONSTITUTES ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THE AHN POLICY. WHEN ELECTRONIC ENROLLMENT IS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE PATIENT IS NOTIFIED OF THE DETERMINATION AND THE HIGHEST DISCOUNT OF FULL FREE CARE IS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. FOR RETROSPECTIVE DATES OF SERVICE ONLY.
PART V, SECTION B, LINE 16A, B, AND C OUR FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTPS://WWW.AHN.ORG/CARE-FOR-UNINSURED
PART V, SECTION B, LINE 16I PLAIN LANGUAGE SUMMARY AVAILABLE IN FOREIGN LANGUAGES THE HOSPITALS OF THE AHN have translated the Financial Assistance Policy into 19 languages. THE AVAILABILITY OF TRANSLATIONS IS BASED ON A COMPREHENSIVE STUDY CONDUCTED BY THE HOSPITALS. THE STUDY LEVERAGED U.S. CENSUS DATA TO IDENTIFY HOUSEHOLDS THAT SPOKE A FOREIGN LANGUAGE WITHIN AHN'S SERVICE AREA. THE FINANCIAL ASSISTANCE POLICIES ARE TRANSLATED INTO ALL NECESSARY FOREIGN LANGUAGES IN ACCORDANCE WITH THE STUDY AND PUBLISHED ON AHN'S WEBSITE AT WWW.AHN.ORG/FINANCIAL-ASSISTANCE-AHN-BILLS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?53
Name and address Type of Facility (describe)
1 AGH South Tower
320 E North Ave
Pittsburgh,PA15212 		Medical Office
2 WPH - Mellon Pavilion
4815 Liberty Ave
Pittsburgh,PA15224 		Medical Office
3 Suburban General Hospital
100 South Jackson Avenue
Belleview,PA15202 		Medical Office
4 SVH - Hardner Building
2315 Myrtle Street
Erie,PA16544 		Medical Office
5 JH - South Hills Medical Building
575 Coal Valley Road
Jefferson Hills,PA15025 		Medical Office
6 AGH Cancer Center
491 Hemlock St
Pittsburgh,PA15212 		Medical Office
7 JH - Bibro Pavilion
565 Coal Valley Rd
Jefferson Hills,PA15025 		MIXED USE
8 AGH Allegheny Professional Building
490 E North Ave
Pittsburgh,PA15212 		Medical Office
9 AGH East Wing Office Building
390 E North Ave
Pittsburgh,PA15212 		Medical Office
10 Bethel Park
1000 Highbee Drive
Bethel Park,PA15102 		Medical Office
11 McCandless Medical Office Building
9335 McKnight Road
McCandless,PA15237 		Medical Office
12 Blazier Building
500 Blazier Drive
McCandless,PA15090 		Medical Office
13 Suburban Medical Office Building
575 Lincoln Ave
Belleview,PA15202 		Medical Office
14 Bethel HWP - ImagingBHWP
1010 Higbee Drive
Bethel Park,PA15102 		Medical Office
15 Canonsburg Community Health Care
36 E Pike St
Canonsburg,PA15317 		Medical Office
16 Forbes Cancer & Imaging Center
2626 Haymaker Road
Monroeville,PA15146 		Medical Office
17 SVH - Outpatient Surgery Center
312 W 25th Street
Erie,PA16502 		Medical Office
18 SVHC - Albion
155 E State Street
Albion,PA16401 		Medical Office
19 SVH - Professional Building
312 W 25th Street
Erie,PA16502 		Medical Office
20 St Vincent Union City Medical Building
130 N Main Street
Union City,PA16438 		Medical Office
21 Meyer Professional Building
185 E Main Street
Westfield,NY14787 		Medical Office
22 1515 Main Street
1515 Main Street
Sharpsburg,PA15215 		Medical Office
23 Allegheny Imaging at Robinson
133 Church Hill Road
Robinson,PA15136 		Medical Office
24 Century III Medical Building
2027 Lebanon Church Road
West Mifflin,PA15122 		Medical Office
25 Cranberry Internal Medicine Association
20826 Route 19
Cranberry Township,PA16066 		Medical Office
26 Cranberry Shoppes
20215 Route 19 Suite 101
Cranberry Township,PA16066 		Medical Office
27 Federal North Clinic
1307 Federal St
Pittsburgh,PA15212 		Medical Office
28 Fort Couch Commons
59 Fort Couch Road
Bethel Park,PA15102 		Medical Office
29 Richland Mall
5375 William Flynn Highway
Richland,PA150449628 		Medical Office
30 FH - POB #1
2566 Haymaker Road
Monroeville,PA15146 		Medical Office
31 Murrysville Medical Commons
4262 Old William Penn Highway
Murrysville,PA15668 		Medical Office
32 2801 Freeport Road
2801 Freeport Road
Harrison,PA15065 		Medical Office
33 Heights Plaza
1600-1719 Union/Pacific Ave
Harrison,PA15065 		Medical Office
34 One Peluso Place
2692 Leechsburg Road
New Kenington,PA15068 		Medical Office
35 Wilson Sq Professional Building
224 Longfellow Street
Vandergrift,PA15690 		Medical Office
36 5140 Liberty Medical Office Building
5140 Liberty Ave
Pittsburgh,PA15224 		Medical Office
37 Cercone Building
4727 Friendship Ave
Pittsburgh,PA15224 		Medical Office
38 FH - POB #2
2580 Haymaker Road
Monroeville,PA15146 		Medical Office
39 Pain Institute
5124 Liberty Ave
Pittsburgh,PA15224 		Medical Office
40 Three Robinson Plaza
3 Robinson Plaza
Robinson,PA15205 		Medical Office
41 Erie Buffalo Road Medical Office Buildin
4916 Buffalo Road
Harborcreek Township,PA16510 		Medical Office
42 Sassafras Medical Center
1910 Sassafras St
Erie,PA16502 		Medical Office
43 West Side Medical Office BuildingEWHWP
4247 W Ridge Road
Millcreek Township,PA15506 		Medical Office
44 Yorktown Center
2501 W 12th St
Erie,PA16505 		Medical Office
45 495 East Waterfront Drive
495 E Waterfront Dr
Homestead,PA15120 		Medical Office
46 Brentwood Professional Plaza
3720 Brownsville Rd
Brentwood,PA15227 		Medical Office
47 Curry Hollow Medical Building
140 Curry Hollow Rd
Pleasant Hills,PA15236 		Medical Office
48 JMA Building
1200 Brooks Ln
Jefferson Hills,PA15025 		Medical Office
49 Outpatient Cardiac & Pulmonary
720 Clairton Blvd
Pleasant Hills,PA15236 		Medical Office
50 Rostraver Medical Building
1533 Broad Ave
Rostaver Township,PA15012 		Medical Office
51 Rte 51 Medical Center
810 Clairton Blvd
Pleasant Hills,PA15236 		Medical Office
52 Yadagani Building
97 Delaware Ave
Uniontown,PA15401 		Medical Office
53 Chautauqua Institution
23 Roberts Avenue
Chautauqua,NY14722 		Medical Office
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Schedule H (Form 990) 2018
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Highmark Health Group
 
Employer identification number
82-1406555
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) A Glimmer of Hope Inc
PO BOX 908
WEXFORD,PA150900908 		25-1627978 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(2) Alexis Joy D'Achille Foundation for Postpartum Dep
2012 LAKE MARSHALL DR
GIBSONIA,PA150447425 		46-4212454 501(c)(3) 11,000   FMV N/A PROGRAM SUPPORT
(3) Allegheny County Medical Society Foundation
713 RIDGE AVE
PITTSBURGH,PA152126002 		25-6064355 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(4) American Cancer Society
250 WILLIAMS ST STE 400
ATLANTA,GA303031032 		13-1788491 501(c)(3) 18,000   FMV N/A PROGRAM SUPPORT
(5) American Diabetes Association
2451 CRYSTAL DR STE 900
ARLINGTON,VA222024804 		13-1623888 501(c)(3) 15,000   FMV N/A PROGRAM SUPPORT
(6) American Heart Association
7272 GREENVILLE AVE
DALLAS,TX752315129 		13-5613797 501(c)(3) 65,250   FMV N/A PROGRAM SUPPORT
(7) American Lung Association
21 WEST 38TH ST 3RD FL
NEW YORK,NY100182254 		13-1632524 501(c)(3) 6,500   FMV N/A PROGRAM SUPPORT
(8) Arthritis Foundation Inc
1355 PEACHTREE ST NE STE 600
ATLANTA,GA303093234 		58-1341679 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(9) Bike Share Pittsburgh Inc
5500 WALNUT STREET SUITE 300
PITTSBURGH,PA152322367 		46-1701053 501(c)(3) 20,833   FMV N/A PROGRAM SUPPORT
(10) Bloomfield Little Italy Days
2549 Penn Avenue
Pittsburgh,PA15222 		46-0691769 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(11) Carnegie Institute
4400 FORBES AVE
PITTSBURGH,PA152134080 		25-0965280 501(c)(3) 25,000   FMV N/A PROGRAM SUPPORT
(12) Carnegie Mellon University
5000 Forbes Ave Warner Hall 6
PITTSBURGH,PA15213 		25-0969449 501(c)(3) 25,000   FMV N/A PROGRAM SUPPORT
(13) CHALLENGE PROGRAM INC
Three Gateway Center Suite 2400
PITTSBURGH,PA15222 		20-1644028 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(14) City of Pittsburgh Pittsburgh Three Rivers Marath
414 Grant Street
PITTSBURGH,PA15219 		25-6000879 GOV'T 42,000   FMV N/A PROGRAM SUPPORT
(15) Community Liver Alliance
100 W STATION SQUARE DR STE 1
PITTSBURGH,PA152191138 		46-1909171 501(C)(3) 10,000   FMV N/A PROGRAM SUPPORT
(16) Cultures Arts Festivals & Events of Erie (CAFE)
626 STATE STREET
ERIE,PA165011128 		61-1428869 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(17) Delta Foundation of Pittsburgh
911 GALVESTON AVE
PITTSBURGH,PA152331732 		23-2874576 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(18) Dr Gertrude A Foundation
100 BARBER PL
ERIE,PA165071863 		25-1753149 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(19) Edinboro University Foundation
210 Meadville St
Edinboro,PA16412 		25-1819940 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(20) Epilepsy Foundation WesternCentral Pennsylvania
1501 REEDSDALE ST STE 3002
PITTSBURGH,PA152332310 		23-7241930 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(21) Erie Western Pennsylvania Port Authority
1 Holland Street
Erie,PA16507 		25-1261547 GOV'T 10,000   FMV N/A PROGRAM SUPPORT
(22) Grantmakers of Western PA
650 SMITHFIELD ST STE 210
PITTSBURGH,PA152223907 		25-1496312 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(23) JEFFERSON HILLS BOROUGH
925 Old Clairton Road
JEFFERSON HILLS,PA150253197 		25-1857820 GOV'T 20,000   FMV N/A PROGRAM SUPPORT
(24) Jewish Healthcare Foundation
650 Smithfield Street
PITTSBURGH,PA15222 		25-1624347 501(C)(3) 10,000   FMV N/A PROGRAM SUPPORT
(25) Juvenile Diabetes Research Foundatation
26 BROADWAY 14TH FLR
NEW YORK,NY100041703 		23-1907729 501(c)(3) 75,000   FMV N/A PROGRAM SUPPORT
(26) March of Dimes Foundation
1275 MAMARONECK AVE
WHITE PLAINS,NY106055201 		13-1846366 501(c)(3) 19,000   FMV N/A PROGRAM SUPPORT
(27) Monroeville Area Chamber of Commerce
2790 MOSSIDE BLVD STE 715
MONROEVILLE,PA151462747 		25-1293687 501(c)(6) 15,750   FMV N/A PROGRAM SUPPORT
(28) Monroeville Foundation
2700 MONROEVILLE BLVD
MONROEVILLE,PA151462359 		20-1073113 501(c)(3) 15,000   FMV N/A PROGRAM SUPPORT
(29) National Kidney Foundation of the Alleghenies
30 EAST 33RD STREET
NEW YORK,NY100165337 		13-1673104 501(c)(3) 15,500   FMV N/A PROGRAM SUPPORT
(30) National Ovarian Cancer Coalition
2501 OAK LAWN AVE
DALLAS,TX752194019 		65-0628064 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(31) North Side Chamber of Commerce
809 MIDDLE ST
PITTSBURGH,PA152124918 		25-0696267 501(c)(6) 7,000   FMV N/A PROGRAM SUPPORT
(32) Northside Leadership Conference
1319 ALLEGHENY AVE 2ND FL
PITTSBURGH,PA152331531 		25-1689304 501(c)(3) 12,500   FMV N/A PROGRAM SUPPORT
(33) Pittsburgh North Regional Chamber of Commerce
STE 100
WEXFORD,PA150900000 		25-1374594 501(c)(6) 13,500   FMV N/A PROGRAM SUPPORT
(34) Prevention Point Pittsburgh
460 Melwood Ave
PITTSBURGH,PA15213 		25-1852314 501(c)(3) 50,000   FMV N/A PROGRAM SUPPORT
(35) Rotary District 7300 Foundation
4014 HANCOCK DR
ALIQUIPPA,PA150019556 		25-1550778 501(c)(3) 6,000   FMV N/A PROGRAM SUPPORT
(36) Susan G Komen Pittsburgh
1133 S BRADDOCK AVE STE
PITTSBURGH,PA152181286 		81-0665396 501(c)(3) 10,000   FMV N/A PROGRAM SUPPORT
(37) Team PHenomenal Hope
1936 5TH AVE
PITTSBURGH,PA152195544 		45-4956117 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(38) The ALS Association Western Pennsylvania Chapter
416 LINCOLN AVE
PITTSBURGH,PA152095612 		23-7123851 501(c)(3) 7,500   FMV N/A PROGRAM SUPPORT
(39) The Open Door
PO Box 99243
Pittsburgh,PA15233 		30-0354607 501(c)(3) 55,000   FMV N/A PROGRAM SUPPORT
(40) WQLN Public Media (Public Broadcasting of Northwes
8425 PEACH ST
ERIE,PA165094718 		25-1154116 501(c)(3) 9,000   FMV N/A PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
37
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) AGH NURSING ALUMNI SCHOLARSHIP 2 3,800      
(2) SEYBOLD NURSING SCHOLARSHIP 1 4,000      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. Schedule I, Part I, Line 2 ALLEGHENY HEALTH NETWORK UPPER MANAGEMENT ANALYZES REQUESTS FOR CHARITABLE DISBURSEMENTS ON AN ONGOING BASIS. DISBURSEMENTS ARE REWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE AND/OR A COMMUNITY BENEFIT AND WHO WILL PUT THE USE OF THE FUNDS TOWARDS THE CHARITABLE MISSION ON WHICH ALLEGHENY HEALTH NETWORK WAS FOUNDED.
SCHEDULE I, PART II - NON-CHARITABLE GRANTS THE HIGHMARK HEALTH GROUP PROVIDES ASSISTANCE TO GOVERNMENTAL UNITS. THESE UNITS WERE PROVIDED ASSISTANCE TO SUPPORT THEIR CIVIC ENDEAVORS.
Schedule I (Form 990) 2018



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
Yes
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Carol Bucci
Director 		(i)

(ii)		 0
-------------
223,392 		0
-------------
46,177 		0
-------------
1,331 		0
-------------
17,714 		0
-------------
6,307 		0
-------------
294,921 		0
-------------
0
2Scott Hankinson
Director 		(i)

(ii)		 194,080
-------------
0 		33,252
-------------
0 		1,261
-------------
0 		7,957
-------------
0 		20,548
-------------
0 		257,098
-------------
0 		0
-------------
0
3Tony Farah MD
Director 		(i)

(ii)		 0
-------------
877,058 		0
-------------
1,073,612 		0
-------------
144,447 		0
-------------
9,625 		0
-------------
27,752 		0
-------------
2,132,494 		0
-------------
0
4David Goldberg
Director (UNTIL 09/2018) 		(i)

(ii)		 403,101
-------------
0 		518,619
-------------
0 		40,823
-------------
0 		0
-------------
0 		21,254
-------------
0 		983,797
-------------
0 		0
-------------
0
5Daniel R Casper MD
Director 		(i)

(ii)		 333,235
-------------
0 		6,084
-------------
0 		19,170
-------------
0 		2,750
-------------
0 		18,007
-------------
0 		379,246
-------------
0 		0
-------------
0
6Paul Reilly MD
Director 		(i)

(ii)		 153,005
-------------
0 		0
-------------
0 		7,960
-------------
0 		1,594
-------------
0 		20,230
-------------
0 		182,789
-------------
0 		0
-------------
0
7David Parda MD
Director 		(i)

(ii)		 874,994
-------------
0 		150,000
-------------
0 		4,257
-------------
0 		2,750
-------------
0 		25,573
-------------
0 		1,057,574
-------------
0 		0
-------------
0
8Thomas Corkery DO
Director 		(i)

(ii)		 293,910
-------------
0 		14,495
-------------
0 		19,045
-------------
0 		2,750
-------------
0 		17,140
-------------
0 		347,340
-------------
0 		0
-------------
0
9Jennifer Lewis MD
Director 		(i)

(ii)		 267,010
-------------
0 		35,750
-------------
0 		12,872
-------------
0 		2,750
-------------
0 		20,756
-------------
0 		339,138
-------------
0 		0
-------------
0
10Michael Culig MD
Director 		(i)

(ii)		 499,990
-------------
0 		50,000
-------------
0 		3,564
-------------
0 		2,750
-------------
0 		21,607
-------------
0 		577,911
-------------
0 		0
-------------
0
11Jason Roeback
Director 		(i)

(ii)		 362,491
-------------
0 		40,000
-------------
0 		8,612
-------------
0 		2,750
-------------
0 		21,086
-------------
0 		434,939
-------------
0 		0
-------------
0
12Thomas Murphy
Director 		(i)

(ii)		 217,922
-------------
0 		0
-------------
0 		869
-------------
0 		2,179
-------------
0 		20,557
-------------
0 		241,527
-------------
0 		0
-------------
0
13David Stapor MD
Director 		(i)

(ii)		 450,008
-------------
0 		21,083
-------------
0 		5,488
-------------
0 		2,750
-------------
0 		20,277
-------------
0 		499,606
-------------
0 		0
-------------
0
14Thomas Vankirk
Director 		(i)

(ii)		 0
-------------
643,303 		0
-------------
1,645,757 		0
-------------
149,270 		0
-------------
20,898 		0
-------------
8,622 		0
-------------
2,467,850 		0
-------------
0
15Karen Hanlon
Director 		(i)

(ii)		 0
-------------
729,005 		0
-------------
1,842,414 		0
-------------
22,223 		0
-------------
206,493 		0
-------------
20,099 		0
-------------
2,820,234 		0
-------------
0
16Paul Gausman DO
Director 		(i)

(ii)		 224,070
-------------
0 		125,148
-------------
0 		483
-------------
0 		2,750
-------------
0 		20,580
-------------
0 		373,031
-------------
0 		0
-------------
0
17Jeffrey Kim MD
Director 		(i)

(ii)		 210,631
-------------
0 		88,241
-------------
0 		193
-------------
0 		2,750
-------------
0 		19,716
-------------
0 		321,531
-------------
0 		0
-------------
0
18Chris Serafini DO
Director 		(i)

(ii)		 260,000
-------------
0 		145,180
-------------
0 		253
-------------
0 		2,750
-------------
0 		20,712
-------------
0 		428,895
-------------
0 		0
-------------
0
19Susan Moore MD
Director 		(i)

(ii)		 148,000
-------------
0 		69,235
-------------
0 		1,256
-------------
0 		2,180
-------------
0 		22,901
-------------
0 		243,572
-------------
0 		0
-------------
0
20Donald McNary
Director 		(i)

(ii)		 201,376
-------------
0 		0
-------------
0 		781
-------------
0 		2,014
-------------
0 		8,031
-------------
0 		212,202
-------------
0 		0
-------------
0
21Madhusudan Menon MD
Director 		(i)

(ii)		 329,992
-------------
0 		413,236
-------------
0 		1,445
-------------
0 		2,750
-------------
0 		1,207
-------------
0 		748,630
-------------
0 		0
-------------
0
22Robert Lupo MD
Director 		(i)

(ii)		 559,000
-------------
0 		158,621
-------------
0 		2,252
-------------
0 		2,750
-------------
0 		21,631
-------------
0 		744,254
-------------
0 		0
-------------
0
23Jeffrey McGovern MD
Director 		(i)

(ii)		 550,000
-------------
0 		112,426
-------------
0 		2,580
-------------
0 		2,750
-------------
0 		21,624
-------------
0 		689,380
-------------
0 		0
-------------
0
24Ross Peterson MD
Director 		(i)

(ii)		 420,183
-------------
0 		226,083
-------------
0 		129,164
-------------
0 		2,750
-------------
0 		19,561
-------------
0 		797,741
-------------
0 		0
-------------
0
25Salam Shameen MD
Director 		(i)

(ii)		 408,654
-------------
0 		40,015
-------------
0 		433
-------------
0 		2,750
-------------
0 		7,532
-------------
0 		459,384
-------------
0 		0
-------------
0
26Donald Whiting MD
Director/CHAIRMAN 		(i)

(ii)		 964,660
-------------
0 		397,836
-------------
0 		29,045
-------------
0 		82,625
-------------
0 		21,413
-------------
0 		1,495,579
-------------
0 		0
-------------
0
27James Benedict
Director/COO 		(i)

(ii)		 678,341
-------------
0 		486,249
-------------
0 		20,236
-------------
0 		72,655
-------------
0 		29,881
-------------
0 		1,287,362
-------------
0 		0
-------------
0
28Brian Parker MD
Director 		(i)

(ii)		 546,568
-------------
0 		387,219
-------------
0 		19,871
-------------
0 		49,857
-------------
0 		25,858
-------------
0 		1,029,373
-------------
0 		0
-------------
0
29Parminder Sharma MD
Director 		(i)

(ii)		 550,014
-------------
0 		75,619
-------------
0 		7,635
-------------
0 		2,750
-------------
0 		21,643
-------------
0 		657,661
-------------
0 		0
-------------
0
30Venkatraman Srinivasan MD
Trustee 		(i)

(ii)		 630,011
-------------
0 		308,594
-------------
0 		8,855
-------------
0 		2,750
-------------
0 		18,710
-------------
0 		968,920
-------------
0 		0
-------------
0
31Cynthia Hundorfean
Director & President 		(i)

(ii)		 966,309
-------------
0 		1,268,144
-------------
0 		27,509
-------------
0 		163,555
-------------
0 		15,381
-------------
0 		2,440,898
-------------
0 		0
-------------
0
32William Englert
Director & President 		(i)

(ii)		 270,129
-------------
0 		36,779
-------------
0 		1,747
-------------
0 		2,701
-------------
0 		1,205
-------------
0 		312,561
-------------
0 		0
-------------
0
33Louise Urban
Director & President 		(i)

(ii)		 436,515
-------------
0 		86,703
-------------
0 		24,789
-------------
0 		2,750
-------------
0 		18,505
-------------
0 		569,262
-------------
0 		0
-------------
0
34Mark Rubino MD
Director & President 		(i)

(ii)		 447,250
-------------
0 		109,417
-------------
0 		16,928
-------------
0 		2,750
-------------
0 		20,725
-------------
0 		597,070
-------------
0 		0
-------------
0
35Christopher Clark DO
Director & President 		(i)

(ii)		 385,893
-------------
0 		151,648
-------------
0 		9,477
-------------
0 		2,750
-------------
0 		15,125
-------------
0 		564,893
-------------
0 		0
-------------
0
36Ronald Andro MD
Director & President 		(i)

(ii)		 421,100
-------------
0 		83,641
-------------
0 		14,632
-------------
0 		2,750
-------------
0 		22,384
-------------
0 		544,507
-------------
0 		0
-------------
0
37Jeffrey Cohen MD
PRESIDENT 		(i)

(ii)		 0
-------------
678,912 		0
-------------
142,500 		0
-------------
23,355 		0
-------------
16,563 		0
-------------
23,326 		0
-------------
884,656 		0
-------------
0
38G Scott Long MD
Director & President 		(i)

(ii)		 594,232
-------------
0 		314,586
-------------
0 		10,813
-------------
0 		2,750
-------------
0 		11,029
-------------
0 		933,410
-------------
0 		0
-------------
0
39Allison Quick
Director & President 		(i)

(ii)		 281,108
-------------
0 		30,351
-------------
0 		5,083
-------------
0 		9,625
-------------
0 		27,738
-------------
0 		353,905
-------------
0 		0
-------------
0
40Scott Whalen
Former Dir. & President 		(i)

(ii)		 0
-------------
0 		180,000
-------------
0 		326,605
-------------
0 		0
-------------
0 		677
-------------
0 		507,282
-------------
0 		507,282
-------------
0
41Mark Nussbaum
Director & Vice President 		(i)

(ii)		 337,330
-------------
0 		61,014
-------------
0 		9,529
-------------
0 		9,625
-------------
0 		21,394
-------------
0 		438,892
-------------
0 		0
-------------
0
42Keith LeJeune
Director & Vice President 		(i)

(ii)		 301,804
-------------
0 		54,884
-------------
0 		8,739
-------------
0 		9,625
-------------
0 		22,181
-------------
0 		397,233
-------------
0 		0
-------------
0
43Jacqueline Bauer
Director & Secretary 		(i)

(ii)		 0
-------------
406,674 		0
-------------
476,809 		0
-------------
19,485 		0
-------------
76,303 		0
-------------
15,364 		0
-------------
994,635 		0
-------------
0
44Jeffrey Crudele
Director & Treasurer 		(i)

(ii)		 617,880
-------------
0 		627,527
-------------
0 		158,791
-------------
0 		9,625
-------------
0 		24,848
-------------
0 		1,438,671
-------------
0 		70,549
-------------
0
45James Rohrbaugh
Director/Treas (UNTIL 04/2018) 		(i)

(ii)		 343,269
-------------
0 		0
-------------
0 		59,784
-------------
0 		9,689
-------------
0 		22,423
-------------
0 		435,165
-------------
0 		0
-------------
0
46Mark Leone DO
Director 		(i)

(ii)		 247,500
-------------
0 		78,618
-------------
0 		3,414
-------------
0 		2,750
-------------
0 		20,656
-------------
0 		352,938
-------------
0 		0
-------------
0
47Maureen Chadwick
Asst Secretary (UNTIL 11/2018) 		(i)

(ii)		 212,243
-------------
0 		0
-------------
0 		14,919
-------------
0 		0
-------------
0 		17,161
-------------
0 		244,323
-------------
0 		0
-------------
0
48Rand Levis
Assistant Treasurer 		(i)

(ii)		 334,750
-------------
0 		0
-------------
0 		90,842
-------------
0 		2,750
-------------
0 		22,148
-------------
0 		450,490
-------------
0 		0
-------------
0
49Chong Park MD
Chief Medical Officer 		(i)

(ii)		 565,011
-------------
0 		0
-------------
0 		2,663
-------------
0 		2,750
-------------
0 		29,130
-------------
0 		599,554
-------------
0 		0
-------------
0
50Richard Thompson
Vice President 		(i)

(ii)		 343,371
-------------
0 		211,295
-------------
0 		19,479
-------------
0 		9,625
-------------
0 		7,813
-------------
0 		591,583
-------------
0 		0
-------------
0
51George J Magovern Jr MD
Physician 		(i)

(ii)		 695,011
-------------
0 		0
-------------
0 		9,845
-------------
0 		2,750
-------------
0 		21,911
-------------
0 		729,517
-------------
0 		0
-------------
0
52Patrick Demeo MD
Physician 		(i)

(ii)		 900,001
-------------
0 		200,000
-------------
0 		104,902
-------------
0 		2,750
-------------
0 		21,961
-------------
0 		1,229,614
-------------
0 		0
-------------
0
53Susan Manzi MD
Physician 		(i)

(ii)		 599,997
-------------
0 		0
-------------
0 		2,838
-------------
0 		2,750
-------------
0 		7,413
-------------
0 		612,998
-------------
0 		0
-------------
0
54Allan Klapper MD
Physician 		(i)

(ii)		 599,997
-------------
0 		75,000
-------------
0 		1,518
-------------
0 		2,750
-------------
0 		22,818
-------------
0 		702,083
-------------
0 		0
-------------
0
55Ngoc Thai MD
PHYSICIAN 		(i)

(ii)		 775,008
-------------
0 		150,000
-------------
0 		2,004
-------------
0 		2,750
-------------
0 		23,003
-------------
0 		952,765
-------------
0 		0
-------------
0
56Robert White MD
Chief Medical Info Officer 		(i)

(ii)		 494,853
-------------
0 		398,462
-------------
0 		23,778
-------------
0 		44,532
-------------
0 		22,892
-------------
0 		984,517
-------------
0 		0
-------------
0
57Kenyokee Crowell
Sr. Vice President 		(i)

(ii)		 475,854
-------------
0 		364,484
-------------
0 		19,267
-------------
0 		37,163
-------------
0 		28,456
-------------
0 		925,224
-------------
0 		0
-------------
0
58Beth Casagranda MD
Physician 		(i)

(ii)		 549,994
-------------
0 		109,158
-------------
0 		600
-------------
0 		2,750
-------------
0 		22,843
-------------
0 		685,345
-------------
0 		0
-------------
0
59Jan Silverman MD
Physician 		(i)

(ii)		 550,035
-------------
0 		110,000
-------------
0 		5,574
-------------
0 		2,750
-------------
0 		19,659
-------------
0 		688,018
-------------
0 		0
-------------
0
60Claire Zangerle
Chief Nursing Officer 		(i)

(ii)		 415,667
-------------
0 		219,368
-------------
0 		19,511
-------------
0 		21,081
-------------
0 		422
-------------
0 		676,049
-------------
0 		0
-------------
0
61SRICHARAN CHALIKONDA MD
CHIEF MEDICAL OPS OFFICER 		(i)

(ii)		 663,462
-------------
0 		0
-------------
0 		268,932
-------------
0 		37,740
-------------
0 		25,667
-------------
0 		995,801
-------------
0 		0
-------------
0
62John Lawrence MD
Physician 		(i)

(ii)		 549,994
-------------
0 		75,000
-------------
0 		1,380
-------------
0 		2,750
-------------
0 		22,843
-------------
0 		651,967
-------------
0 		0
-------------
0
63Donald Jaffee
Chief Financial Officer - AGH 		(i)

(ii)		 370,742
-------------
0 		0
-------------
0 		9,259
-------------
0 		2,750
-------------
0 		19,984
-------------
0 		402,735
-------------
0 		0
-------------
0
64DENZIL RUPERT
CHIEF OPERATING OFFICER - AGH 		(i)

(ii)		 457,424
-------------
0 		88,820
-------------
0 		15,684
-------------
0 		2,750
-------------
0 		20,290
-------------
0 		584,968
-------------
0 		0
-------------
0
65Srinavas Murali MD
Physician 		(i)

(ii)		 557,640
-------------
0 		32,500
-------------
0 		92,502
-------------
0 		2,750
-------------
0 		18,588
-------------
0 		703,980
-------------
0 		0
-------------
0
66David Alexander
Sr. Vice President 		(i)

(ii)		 286,474
-------------
0 		145,671
-------------
0 		23,764
-------------
0 		0
-------------
0 		20,885
-------------
0 		476,794
-------------
0 		0
-------------
0
67EDWARD WESTRICK MD
Physician 		(i)

(ii)		 997,505
-------------
0 		755,607
-------------
0 		53,526
-------------
0 		2,750
-------------
0 		23,955
-------------
0 		1,833,343
-------------
0 		0
-------------
0
68Daniel Altman MD
Physician 		(i)

(ii)		 840,004
-------------
0 		648,939
-------------
0 		226,103
-------------
0 		2,750
-------------
0 		22,512
-------------
0 		1,740,308
-------------
0 		0
-------------
0
69Gregory Altman MD
Physician 		(i)

(ii)		 840,004
-------------
0 		594,153
-------------
0 		221,923
-------------
0 		2,750
-------------
0 		23,559
-------------
0 		1,682,389
-------------
0 		0
-------------
0
70GEORGE EID MD
Physician 		(i)

(ii)		 899,995
-------------
0 		510,276
-------------
0 		1,637
-------------
0 		2,750
-------------
0 		24,031
-------------
0 		1,438,689
-------------
0 		0
-------------
0
71William Goldfarb
Former Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		14,808
-------------
0 		0
-------------
0 		0
-------------
0 		14,808
-------------
0 		0
-------------
0
72JOHN BALACKO MD
DIRECTOR 		(i)

(ii)		 480,002
-------------
0 		187,756
-------------
0 		3,414
-------------
0 		2,750
-------------
0 		18,363
-------------
0 		692,285
-------------
0 		0
-------------
0
73NICHOLAS SOTEREANOS MD
PHYSICIAN 		(i)

(ii)		 1,115,548
-------------
0 		184,994
-------------
0 		17,602
-------------
0 		2,750
-------------
0 		23,473
-------------
0 		1,344,367
-------------
0 		0
-------------
0
74DAVID HOLMBERG
DIRECTOR 		(i)

(ii)		 0
-------------
1,400,000 		0
-------------
5,468,347 		0
-------------
573,911 		0
-------------
18,148 		0
-------------
32,065 		0
-------------
7,492,471 		0
-------------
0
75BRAD GROSTEFFON
DIRECTOR/TREASURER/SECRETARY 		(i)

(ii)		 217,292
-------------
0 		15,000
-------------
0 		54,274
-------------
0 		2,046
-------------
0 		15,544
-------------
0 		304,156
-------------
0 		0
-------------
0
76KELLY KASSAB
VICE PRESIDENT & DIRECTOR 		(i)

(ii)		 210,642
-------------
0 		0
-------------
0 		439
-------------
0 		2,106
-------------
0 		783
-------------
0 		213,970
-------------
0 		0
-------------
0
77THOMAS CAMPBELL MD
PHYSICIAN CHAIRPERSON 		(i)

(ii)		 266,925
-------------
0 		0
-------------
0 		117,565
-------------
0 		2,750
-------------
0 		23,260
-------------
0 		410,500
-------------
0 		0
-------------
0
78WILLIAM JOHNJULIO MD
MEDICAL DIRECTOR - CIN 		(i)

(ii)		 700,003
-------------
0 		0
-------------
0 		25,117
-------------
0 		2,750
-------------
0 		21,996
-------------
0 		749,866
-------------
0 		0
-------------
0
79VICENTE REYES MD
DIRECTOR 		(i)

(ii)		 241,154
-------------
0 		33,234
-------------
0 		642
-------------
0 		0
-------------
0 		6,091
-------------
0 		281,121
-------------
0 		0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINE 1A A SELECT NUMBER OF EXECUTIVES LISTED IN FORM 990, PART VII RECEIVED TAX GROSS-UP PAYMENTS FROM THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2018. THESE WERE INCLUDED IN BOX 5 OF THEIR IRS FORM W-2. THESE EXECUTIVES INCLUDE TWO DIRECTORS, AN OFFICER AND A KEY EMPLOYEE.
SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS OF DECEMBER 31, 2018. THESE AMOUNTS ARE INCLUDED IN THEIR BOX 5 OF THEIR IRS FORM W-2. SCOTT WHALEN $326,605 WILLIAM GOLDFARB $14,808
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS RECEIVED OR PROVIDED 457(F) CONTRIBUTIONS INCLUDED IN 2018 W-2 COMPENSATION: JEFFREY CRUDELE $194,129 THE FOLLOWING INDIVIDUALS HAD 457(F) OR CONTRIBUTIONS DEFERRED IN 2017: CYNTHIA HUNDORFEAN $153,930 JACQUELINE BAUER $41,655 JAMES BENEDICT $63,030 BRIAN PARKER, MD $40,232 KAREN HANLON $177,345 ROBERT WHITE $34,907 KENYOKEE CROWELL $27,538 CLAIRE ZANGERLE $11,456 JEFFREY COHEN $13,813 DONALD WHITING $73,000 SRICHARAN CHALIKONDA $28,115
SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS HIGHMARK HEALTH GROUP (HHG) PROVIDES BONUS COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. IN THE VAST MAJORITY OF ARRANGEMENTS, THIS COMPONENT IS BASED UPON ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES AND RESULTS IN FIXED PAYMENTS. CERTAIN ENTITIES WITHIN THE HIGHMARK HEALTH GROUP, HOWEVER, HAVE ENTERED INTO ARRANGEMENTS WHICH PROVIDE FOR OTHER BONUSES WHICH ARE DISCRETIONARY IN NATURE, TO A LIMITED NUMBER OF THOSE PERSONS LISTED IN THIS FORM 990, PART VII, SECTION A, LINE 1A. NOTWITHSTANDING SUCH DISCRETION AND ASSUMING FULL PAYOUT OF SUCH DISCRETIONARY PAYMENTS, THE TOTAL COMPENSATION PAID TO THOSE PERSONS FALLS WITHIN THE RANGE OF FAIR MARKET VALUE.
SCHEDULE J, PART I, LINES 8 AND 9 PAID OR ACCRUED COMPENSATION PURSUANT TO A CONTRACT SUBJECT TO THE INITIAL CONTRACT EXCEPTION HIGHMARK HEALTH GROUP (HHG) HAS CERTAIN EMPLOYMENT CONTRACTS WHICH MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION UNDER IRC REGULATION 53.4958-4(A)(3). IF SO QUALIFIED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN IRC REGULATION 53.4958-6(C) WERE FOLLOWED.
Schedule J (Form 990) 2018
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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Highmark Health Group
 
Employer identification number
82-1406555
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY
  		25-1327925 01728A4A1 08-29-2018 1,000,004,532 NEW CONSTRUCTIONS/REFUND PRIOR ISS   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 0      
2 Amount of bonds legally defeased .............. 0      
3 Total proceeds of issue .................. 1,000,004,532      
4 Gross proceeds in reserve funds ............. 0      
5 Capitalized interest from proceeds ............. 4,532      
6 Proceeds in refunding escrows ............... 0      
7 Issuance costs from proceeds ............... 0      
8 Credit enhancement from proceeds ............. 0      
9 Working capital expenditures from proceeds ............. 0      
10 Capital expenditures from proceeds ............. 25,702,858      
11 Other spent proceeds ............. 806,545,185      
12 Other unspent proceeds ............. 167,756,489      
13 Year of substantial completion .............
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X              
15 Were the bonds issued as part of an advance refunding issue? .....   X            
16 Has the final allocation of proceeds been made? .......... X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X              
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X              
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X              
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? ............. X              
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 1.788 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 1.788 %      
7 Does the bond issue meet the private security or payment test? ...                
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X            
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X            
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X              
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X            
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X              
b Exception to rebate? ........   X            
c No rebate due? .........   X            
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X              
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider .......... 0
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X            
b Name of provider .......... 0
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X            
7 Has the organization established written procedures to monitor the requirements of section 148? ... X              
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X            
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Part VI Written Bond Procedures ALLEGHENY HEALTH NETWORK HAS NOT VIOLATED ANY APPLICABLE REQUIREMENTS FOR TAX EXEMPT BONDS BENEFITING THE HOSPITAL. THE HOSPITAL IS WORKING TO ESTABLISH WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS RELATING TO PRIVATE BUSINESS USE, ARBITRAGE, AND ENSURE TIMELY IDENTIFICATION OF FEDERAL TAX REQUIREMENTS AND TIMELY CORRECTIONS OF ANY IDENTIFIED VIOLATIONS.
Schedule K (Form 990) 2018

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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2018
Schedule L (Form 990 or 990-EZ) 2018
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) QUICK MED CLAIMS 35% CONTROLLED ENTITY 517,723 SEE SCHEDULE L, PART V   No
(2) WEST RIDGE MEDICAL PARTNERS 35% CONTROLLED ENTITY 2,149,812 SEE SCHEDULE L, PART V   No
(3) Mary Beth Kroemer FAMILY OF BOARD MEMBER 84,408 EMPLOYMENT   No
(4) Peter Kroemer FAMILY OF BOARD MEMBER 192,743 EMPLOYMENT   No
(5) Caitlin Clark FAMILY OF BOARD MEMBER 270,800 EMPLOYMENT   No
(6) Kyung Park FAMILY OF KEY EMPLOYEE 646,607 EMPLOYMENT   No
(7) JESSICA RUBINO FAMILY OF BOARD MEMBER 62,543 EMPLOYMENT   No
(8) CHRISTINA MAFFEO FAMILY OF BOARD MEMBER 40,981 EMPLOYMENT   No
(9) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 585,097 GENERAL BUSINESS PURPOSE   No
(10) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 400,812 GENERAL BUSINESS PURPOSE   No
(11) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 279,114 GENERAL BUSINESS PURPOSE   No
(12) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2,327,473 GENERAL BUSINESS PURPOSE   No
(13) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 274,631 GENERAL BUSINESS PURPOSE   No
(14) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 8,340,955 GENERAL BUSINESS PURPOSE   No
(15) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2,595,116 GENERAL BUSINESS PURPOSE   No
(16) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 166,037 GENERAL BUSINESS PURPOSE   No
(17) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 104,000 GENERAL BUSINESS PURPOSE   No
(18) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1,068,753 GENERAL BUSINESS PURPOSE   No
(19) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1,200,111 GENERAL BUSINESS PURPOSE   No
(20) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1,464,262 GENERAL BUSINESS PURPOSE   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
PART IV ALL EMPLOYMENT AND BUSINESS RELATIONS BETWEEN INTERESTED PERSONS AND MEMBERS OF THE HIGHMARK HEALTH GROUP LISTED ABOVE WERE CONDUCTED AT ARMS-LENGTH AND FAIR MARKET VALUE.
PART IV, LINE 1, COLUMN D DESCRIPTION OF TRANSACTION More than 35% controlled entity by Edward Marasco, director.
PART IV, LINE 2, COLUMN D DESCRIPTION OF TRANSACTION More than 35% owned entity by Michael Redlawsk, director.
Schedule L (Form 990 or 990-EZ) 2018


Additional Data


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SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 5,312 COST
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 7 318,143 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies . X 12 52,963 COST
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( ADVERTISING PANELS ) X 11 9,350 COST
26 Other Right pointing arrow large image ( SPORTING EVENT TICKETS ) X 2 5,450 COST
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2018)
Schedule M (Form 990) (2018)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I, Column B HIGHMARK HEALTH GROUP IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.
Schedule M (Form 990) (2018)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Return Reference Explanation
INTRODUCTION TO AHN ALLEGHENY HEALTH NETWORK (AHN), BASED IN PITTSBURGH, PENNSYLVANIA, IS A TAX-EXEMPT, PATIENT-CENTERED AND PHYSICIAN-LED ACADEMIC HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE CARE AND HIGH-QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO PATIENTS FROM WESTERN PENNSYLVANIA AND THE ADJACENT REGIONS OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. AHN COMPRISES EIGHT HOSPITALS AND MORE THAN 250 HEALTHCARE SITES, INCLUDING FIVE HEALTH + WELLNESS PAVILIONS, SURGICAL CENTERS AND OUTPATIENT CLINICS; A RESEARCH INSTITUTE; MORE THAN 2,400 EMPLOYED AND AFFILIATED PHYSICIANS; APPROXIMATELY 21,000 TOTAL EMPLOYEES; 2,000 VOLUNTEERS; A GROUP PURCHASING ORGANIZATION; AND A COMPLETE SPECTRUM OF HOME AND COMMUNITY BASED HEALTHCARE SERVICES. THE NETWORKS HOSPITALS INCLUDE ONE QUATERNARY ACADEMIC MEDICAL CENTER (ALLEGHENY GENERAL HOSPITAL IN PITTSBURGH) AND SEVEN TERTIARY/COMMUNITY HOSPITALS THAT PROVIDE A WIDE ARRAY OF GENERAL AND ADVANCED CLINICAL SERVICES (ALLEGHENY VALLEY HOSPITAL, NATRONA HEIGHTS, PA; CANONSBURG HOSPITAL, CANONSBURG, PA; FORBES HOSPITAL, MONROEVILLE, PA; JEFFERSON HOSPITAL, JEFFERSON HILLS, PA; SAINT VINCENT HOSPITAL, ERIE, PA; WEST PENN HOSPITAL, PITTSBURGH, PA; AND WESTFIELD MEMORIAL HOSPITAL, WESTFIELD, NY.) AHN WAS ESTABLISHED IN 2013, BUT ITS MEMBER HOSPITALS SHARE LEGACIES OF CHARITABLE CARE THAT DATE BACK 170 YEARS (WEST PENN HOSPITAL WAS CHARTERED IN 1848). AHN WAS FORMED TO ACT AS THE PARENT COMPANY OF THE HOSPITALS OF THE WEST PENN ALLEGHENY HEALTH SYSTEM, INC. (WPAHS), AS WELL AS JEFFERSON HOSPITAL, SAINT VINCENT HOSPITAL AND WESTFIELD MEMORIAL HOSPITAL. HIGHMARK HEALTH (HH), IN TURN, SERVES AS THE ULTIMATE PARENT OF AHN AND ITS AFFILIATES. IN 2018, THE HOSPITALS AND CLINICS OF AHN TOGETHER ADMITTED NEARLY 90,000 PATIENTS, LOGGED NEARLY 300,000 EMERGENCY ROOM VISITS AND DELIVERED NEARLY 8,000 BABIES; AND ITS PHYSICIANS PERFORMED MORE THAN 100,000 SURGICAL PROCEDURES. ANCHORED BY NATIONALLY AND INTERNATIONALLY RECOGNIZED CLINICAL AND RESEARCH PROGRAMS IN THE AREAS OF BONE AND JOINT CARE, SPORTS MEDICINE, CARDIOVASCULAR DISEASE, NEUROSURGERY AND NEUROLOGY, WOMENS HEALTH, CANCER, EMERGENCY MEDICINE, BARIATRIC AND METABOLIC DISEASE, AHN PROVIDES A COMPLETE SPECTRUM OF ADVANCED DIAGNOSTIC, MEDICAL AND SURGICAL CARE ACROSS ALL MEDICAL SPECIALTIES, INCLUDING PRIMARY CARE, TRAUMA AND BURN CARE, GENERAL SURGERY, DIABETES, AUTOIMMUNE DISEASES, CRITICAL CARE, DIGESTIVE DISEASES, MENS HEALTH/UROLOGY, LUNG AND ESOPHAGEAL DISEASES AND REHABILITATION SERVICES. AHN ALSO PLAYS A PIVOTAL ROLE IN THE TRAINING OF FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS BY OFFERING FOUR DOZEN GRADUATE MEDICAL PROGRAMS, AND BY MAINTAINING AFFILIATIONS WITH THREE MEDICAL SCHOOLS AND TWO NURSING SCHOOLS. THE NETWORKS HOSPITALS SERVE AS CLINICAL CAMPUSES FOR THE MEDICAL SCHOOLS OF DREXEL UNIVERSITY, TEMPLE UNIVERSITY AND THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM). NEARLY 250 STUDENTS ARE ENROLLED EACH YEAR IN NURSING PROGRAMS AT THE WEST PENN HOSPITAL SCHOOL OF NURSING AND THE CITIZENS SCHOOL OF NURSING IN NATRONA HEIGHTS, AND ABOUT 450 MEDICAL RESIDENTS AND FELLOWS RECEIVE ADVANCED TRAINING ON STAFF AT AHN HOSPITALS. AHNS PLAN IS TO TRANSFORM THE CURRENT MODEL OF HEALTH CARE DELIVERY IN WESTERN PENNSYLVANIA BY ENCOURAGING HEALTH CARE PROVIDERS WITHIN AHN, WHETHER HOSPITALS OR PHYSICIANS, TO USE THE MOST COST-EFFECTIVE VENUE FOR CARE, ADHERE TO THE HIGHEST, EVIDENCE-BASED STANDARDS OF CARE, AND DELIVER SUPERIOR OUTCOMES BY REDUCING UNNECESSARY READMISSIONS AND HEALTHCARE ASSOCIATED COMPLICATIONS. PROVIDING COST-EFFICIENT, CONVENIENTLY ACCESSED CARE DELIVERS VALUE AND BENEFIT TO LOCAL COMMUNITIES, PARTNER HEALTH CARRIERS, AREA BUSINESSES, AND MOST OF ALL TO AHNS PATIENTS. THE GOAL OF AHN IS TO PROMOTE HEALTH AND WELLNESS IN ITS COMMUNITIES BY PROVIDING SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENTS RACE, CREED, GENDER, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY, OR ABILITY TO PAY. VISION AND STRATEGY AHN IS FULLY COMMITTED TO BUILDING A VALUE-BASED SYSTEM, REQUIRING A FULL-SCALE CULTURAL CHANGE IN THE WAY THAT CLINICAL SERVICES ARE DELIVERED. THIS INVOLVES MOVING CARE TO LOWER-COST SETTINGS; REDESIGNING CARE MODELS TO PROMOTE INTEGRATION AND CLINICAL STANDARDIZATION AND PASSING THOSE BENEFITS ALONG TO EMPLOYERS AND MEMBERS; REALIGNING PAYMENT TO QUALITY-AND COST-PERFORMANCE; AND EMBRACING NOVEL FORMS OF INTEGRATION AND PARTNERSHIPS AMONG DIFFERENT PROVIDERS AND PAYERS. AHN AND HH BELIEVE THIS PATH HOLDS PROMISE OF CORRECTING MANY OF THE FUNDAMENTAL ISSUES AFFECTING THE HEALTH CARE INDUSTRY TODAY. TRANSITION TO THAT MODEL, REQUIRES SUBSTANTIAL INVESTMENT TO BUILD THE CAPABILITIES AND NEW PROCESSES TO SUPPORT THE NECESSARY TYPE OF CARE, AND REQUIRES A NEW STRATEGY. CUSTOMER VALUE CREATION: AHN IS BUILDING SERVICES, CAPABILITIES AND PRODUCTS THAT ARE ALIGNED TO PATIENTS DEMANDS FOR VALUE (ACCESS, EXPERIENCE, AND QUALITY AT AN AFFORDABLE COST). SUSTAINABLE GROWTH: FOCUSING ON BUSINESSES AND CUSTOMERS WHERE HH-AHNS COMMITMENT TO CUSTOMER VALUE MOST RESONATES!, THAT INCLUDES BUILDING ON AHNS HISTORY OF INVESTING IN DIVERSIFIED HEALTHCARE BUSINESSES THAT CAN ADD JOBS AND VALUE TO THE COMMUNITY. CLINICIAN-LED CARE DELIVERY TRANSFORMATION: CREATING CARE MODELS AND UNDERLYING PRODUCTS AND SERVICES THAT IMPROVE THE EXPERIENCE AND OUTCOMES OF PATIENTS, AND THAT ARE ORIENTED TOWARD REDUCING WASTE IN THE HEALTHCARE SYSTEM, BY PUTTING CLINICIANS IN CHARGE. CORE BUSINESS PERFORMANCE: IMPROVING THE CORE SYSTEMS THAT ARE REQUIRED FOR DELIVERING HEALTH CARE. UNPARALLELED EXECUTION: BUILDING THE RIGHT SYSTEMS, PROCESSES AND CARE TEAMS TO ENSURE TRANSFORMATIONAL EXECUTION ACROSS THE NETWORK.
COMMUNITY BENEFITS AHN AND ITS TAX-EXEMPT SUBSIDIARY FACILITIES SUPPORT A BROAD ARRAY OF CHARITABLE SERVICES TO THE COMMUNITY BY PROVIDING SUBSIDIZED HEALTH CARE; SPONSORING COMMUNITY EVENTS (HEALTH FAIRS, CANCER SCREENINGS, WALKS, EDUCATIONAL SEMINARS; SUPPORT GROUPS); AND MAKING CHARITABLE DONATIONS. THE SERVICES BENEFIT CHILDREN AND TEENS, ADULTS AND SENIORS, PATIENTS AND THEIR FAMILIES, AND THE COMMUNITY AT LARGE. THE FOLLOWING IS NOT A TOTAL ACCOUNT OF ALL OF AHNS CHARITABLE ACTIVITIES, BUT A SAMPLING OF AHNS MANY CONTRIBUTIONS TO THE COMMUNITY, AND ITS COMMITMENT TO PROVIDE A WIDE RANGE OF QUALITY HEALTH SERVICES TO DIVERSE COMMUNITIES, AND TO ALL WHO SEEK AHNS CARE: AHN POSITIVE HEALTH CLINIC: THE POSITIVE HEALTH CLINIC (PHC) IS A COMPREHENSIVE HIV PRIMARY CARE CLINIC PROVIDING STATE-OF-THE-ART CARE TO HIV-POSITIVE PERSONS. ITS SUPPORT STAFF INCLUDES PHYSICIANS, NURSES, MEDICAL ASSISTANTS, SOCIAL WORKERS, BEHAVIORAL HEALTH THERAPISTS, PSYCHIATRISTS AND PATIENT ADVOCATES. THE TEAM TREATS MORE THAN 750 PATIENTS AND HAS EXTENSIVE EXPERIENCE WITH ALL ASPECTS OF HIV MANAGEMENT, PROVIDING A WIDE RANGE OF PRIMARY AND SPECIALIZED HIV CARE, REGARDLESS OF AN INDIVIDUAL'S MEDICAL INSURANCE COVERAGE OR ABILITY TO PAY. SERVICES AND PROGRAMS INCLUDE: COMPREHENSIVE HIV CARE; RAPID HIV TESTING AND COUNSELING AND PARTNER TESTING; MEDICATION ADHERENCE COUNSELING AND PHARMACY SUPPORT; GYNECOLOGIC CARE; NUTRITIONAL ASSESSMENT AND COUNSELING BY A REGISTERED DIETITIAN; TREATMENT FOR PERSONS CO-INFECTED WITH HIV AND HEPATITIS C; SMOKING CESSATION PROGRAMS; MENTAL HEALTH ASSESSMENT, COUNSELING AND PSYCHIATRIC SUPPORT; AND CASE-MANAGEMENT FOR NON-MEDICAL NEEDS. THE STAFF ASSISTS WITH FINANCIAL OR SOCIAL ISSUES THAT MAY INTERFERE WITH THE PROVISION OF MEDICAL CARE. AHN ALSO PROVIDES SIGNIFICANT FINANCIAL SUPPORT TO A REGIONAL AIDS-PREVENTION PARTNERSHIP WHOSE GOAL IS TO END NEW HIV INFECTIONS IN ALLEGHENY COUNTY, PA., BY 2020. ALEXIS JOY DACHILLE CENTER FOR PERINATAL MENTAL HEALTH: IN 2018, AHN OPENED THE ALEXIS JOY DACHILLE CENTER FOR PERINATAL MENTAL HEALTH AT WEST PENN HOSPITAL, AN INNOVATIVE NEW FACILITY THAT OFFERS WOMEN WITH PREGNANCY-RELATED DEPRESSION ACCESS TO A SPECTRUM OF FAMILY-FOCUSED CARE OPTIONS UNDER ONE ROOF. THE 7,300-SQUARE-FOOT, $2.5 MILLION CENTER IS DESIGNED SO THAT MOTHERS CAN STAY WITH THEIR BABIES WHILE UNDERGOING TREATMENT. THE FACILITY HOUSES ROOMS FOR INDIVIDUAL THERAPY AS WELL AS SPACE FOR INTENSIVE OUTPATIENT CARE - A THREE-HOURS-DAILY, THREE-DAY-A-WEEK PROGRAM THAT FOCUSES ON GROUP THERAPY, MOTHER-CHILD BONDING AND COMPLEMENTARY MODALITIES FOR STRESS RELIEF, SUCH AS YOGA AND MEDITATION. THE CENTER WILL ALSO OFFER CHILD CARE SERVICES FOR OLDER CHILDREN, ADDRESSING A MAJOR BARRIER TO CARE FOR WOMEN. BRADDOCK URGENT CARE: IN 2015, AHN AND HH OPENED THE AHN URGENT CARE CENTER, SUBSIDIZING HEALTH CARE ACCESS FOR THE UNDERSERVED BRADDOCK, PA., COMMUNITY, BY PROVIDING CARE ON A CHARITABLE BASIS AND SERVING A SIGNIFICANT SHARE OF MEDICARE AND MEDICAID PATIENTS. WITH THE HELP OF A GRANT FROM HIGHMARK INC., AHN HAS LAUNCHED A COMMUNITY HEALTH IMPROVEMENT PLAN, INTENDED TO EDUCATE AND IMPROVE OUTCOMES FOR BRADDOCK-AREA RESIDENTS IN FOUR KEY AREAS: BEHAVIORAL HEALTH, INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS; CANCER, PARTICULARLY OF THE PROSTATE, LUNG, COLON OR BREAST; CHRONIC DISEASE, WITH A FOCUS ON ASTHMA AND DIABETES, AND MATERNAL AND CHILD HEALTH, WITH A PARTICULAR FOCUS ON SEXUALLY TRANSMITTED DISEASE PREVENTION. THE AHN URGENT CARE CENTER WAS BUILT FOLLOWING THE CLOSURE OF BRADDOCKS COMMUNITY HOSPITAL, WHICH HAD BEEN THE PRIMARY JOBS SOURCE AND HEALTH CARE ACCESS POINT FOR BRADDOCK RESIDENTS. THE AHN URGENT CARE CENTER IS STAFFED BY BOARD CERTIFIED PHYSICIANS, REGISTERED NURSES, MEDICAL ASSISTANTS AND RADIOLOGY TECHNICIANS, AND EQUIPPED WITH 12 PATIENT EXAM ROOMS AND DIAGNOSTIC CAPABILITIES SUCH AS X-RAY IMAGING AND BLOOD WORK. BUILD: THE BUILD HEALTH CHALLENGE, A NATIONAL PROGRAM THAT LEVERAGES MULTI-SECTOR COMMUNITY PARTNERSHIPS IN ORDER TO IMPROVE PUBLIC HEALTH IN PITTSBURGHS NORTHERN NEIGHBORHOODS. AHN AND ITS FLAGSHIP HOSPITAL, ALLEGHENY GENERAL HOSPITAL, ALONG WITH PARENT COMPANY HIGHMARK HEALTH ARE WORKING WITH LOCAL ORGANIZATIONS INCLUDING PROJECT DESTINY, THE ALLEGHENY COUNTY HEALTH DEPARTMENT, AND THE BUHL FOUNDATION TO IMPLEMENT INNOVATIVE SOLUTIONS TO THE HEALTH CHALLENGES FACED BY RESIDENTS OF PITTSBURGHS NORTHSIDE COMMUNITY. A $250,000 AWARD FROM BUILD, COMBINED WITH MATCHING FUNDS FROM BOTH HIGHMARK AND THE BUHL FOUNDATION, ARE BEING USED TO CREATE THE "CENTER FOR LIFTING UP EVERYONE" (CLUB) - A HEALTH AND WELLNESS MODEL AIMED AT REACHING THE NORTHSIDES MOST VULNERABLE RESIDENTS. CHARITY CARE: TOGETHER AS AN ENTERPRISE, AHN PROVIDED MORE THAN $164.9 MILLION IN CHARITY AND UNCOMPENSATED CARE IN 2018. COMMUNITY HEALTH NEEDS ASSESSMENT: IN 2018, AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AHN EMBARKED ON ANOTHER COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BUILDING UPON THE HOSPITALS PREVIOUS CHNAS CONDUCTED IN 2013 AND 2015. THE RESULTS OF THE CHNA ENABLE AHN AND ITS EIGHT HOSPITALS, ALONG WITH OTHER COMMUNITY AGENCIES AND PROVIDERS, TO SET PRIORITIES, DEVELOP INTERVENTIONS, AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN WESTERN PENNSYLVANIA AND SOUTHWESTERN NEW YORK. THE CHNA PROVIDES A COMPREHENSIVE GUIDE FOR AHNS COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS; THE CHNAS IDENTIFIES NEEDS WITHIN EACH OF AHNS HOSPITAL COMMUNITIES AND ENABLES AHN TO WORK WITH LOCAL PARTNERS IN A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT, DIRECTING SYSTEM-WIDE RESOURCES TO IMPROVE ACCESS AND OUTCOMES AND REDUCE HEALTH DISPARITIES THROUGHOUT AHNS SERVICE FOOTPRINT. THE CHNA INITIATIVE ALIGNS WITH ONGOING COMMUNITY HEALTH IMPROVEMENT ACTIVITIES IN AHNS LOCAL HOSPITAL SERVICE AREAS, AS WELL AS PUBLIC HEALTH EFFORTS DIRECTED BY THE ALLEGHENY AND ERIE COUNTY HEALTH DEPARTMENTS; WHERE APPLICABLE, AHN HAS ALIGNED PRIORITIES AND PLANNING WITH THESE LOCAL AND REGIONAL INITIATIVES TO FOSTER COLLABORATION IN COMMUNITY HEALTH IMPROVEMENT. COMMUNITY SUPPORT, EVENTS AND SPONSORSHIPS: THROUGHOUT 2018, AHN PROVIDED OVER $1 MILLION IN FUNDING TO SUPPORT COMMUNITY HEALTH AND ECONOMIC DEVELOPMENT INITIATIVES TO IMPROVE THE OVERALL WELL-BEING OF THE COMMUNITIES SERVED BY AHN. SOME OF THOSE INITIATIVES INCLUDE PITTSBURGH'S "HEALTHY RIDE" BIKE SHARE PROGRAM; VARIOUS COMMUNITY HEALTH INITIATIVES IN ALIGNMENT WITH THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY; BUILD ("BUILD, UPSTREAM, INTEGRATED, LOCAL, AND DATA-DRIVEN") HEALTH CHALLENGE; AND NUMEROUS HEALTH-RELATED COMMUNITY EVENTS. DONATE LIFE MONTH: IN 2018, AHNS COMMITMENT TO ORGAN, TISSUE, AND CORNEA DONATION RESULTED IN NEARLY 100 LIVES BEING SAVED BY ORGANS DONATED AT ITS HOSPITALS. ADDITIONALLY, MORE THAN 9,500 LIVES WERE IMPROVED BECAUSE OF THE GENEROSITY OF TISSUE DONORS FROM AHN HOSPITALS AND MORE THAN 100 AHN DONORS PROVIDED THE GIFT OF SIGHT THROUGH CORNEAL TRANSPLANTATION. AHN PROMOTES ORGAN AND TISSUE DONATION THROUGHOUT THE MONTH OF APRIL (NATIONAL DONATE LIFE MONTH) BY HOSTING A SERIES OF EVENTS ACROSS ITS HOSPITALS. THE EVENTS WILL PAY TRIBUTE TO THOSE WHO HAVE GIVEN THE GIFT OF LIFE WHILE ALSO ENCOURAGING STAFF, PATIENTS AND VISITORS TO LEARN MORE ABOUT ORGAN DONATION AND HOW TO BECOME A REGISTERED ORGAN DONOR. IN 2018, THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) RECOGNIZED AHN FOR ITS OUTSTANDING EFFORTS TO RAISE AWARENESS FOR ORGAN DONATION; EACH PARTICIPATING AHN HOSPITAL EARNED A TITANIUM-LEVEL FINISH, THE HIGHEST RANKING POSSIBLE FOR THE CELEBRATED, MONTH-LONG INITIATIVE. THE TITANIUM RANKING, FIRST INTRODUCED IN 2017, RECOGNIZES HOSPITALS THAT ENGAGE IN UNPRECEDENTED LEVELS OF OUTREACH ACTIVITIES THROUGHOUT THE MONTH OF APRIL.
FRONT DOOR INITIATIVE: AHN'S JEFFERSON HOSPITAL IS UTILIZING A $1 MILLION, FOUR-YEAR GRANT TO ESTABLISH THE "FRONT DOOR INITIATIVE FOR EMERGENCY MEDICINE," A COMPREHENSIVE EFFORT TO BETTER UNDERSTAND AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AMONG PATIENTS WHO VISIT THE HOSPITALS EMERGENCY DEPARTMENT. PATIENTS WHO FREQUENTLY UTILIZE EMERGENCY DEPARTMENT OFTEN DO SO BECAUSE OF CHALLENGES FACED IN THEIR SOCIAL ENVIRONMENT. JEFFERSON HOSPITAL WILL APPLY THE GRANT TOWARD: EXTENSIVE ASSESSMENT OF COMMUNITY NEEDS RELATED TO ITS EMERGENCY SERVICES; IDENTIFICATION OF MODEL PRACTICES FOR SOCIAL EMERGENCY MEDICINE; WORKING WITH COMMUNITY PARTNERS ON THE DEVELOPMENT OF A FRONT DOOR VISION AND PLAN; IMPLEMENTATION OF A STRONG DATA SYSTEM; EDUCATIONAL INTERVENTIONS FOR STAFF; AND DEVELOPMENT OF AN INTEGRATED SUPPORT NETWORK AND ENSURING PATIENTS ARE PROPERLY CONNECTED TO IT. HEALTHY FOOD CENTER: A FIRST OF ITS KIND IN THE REGION, AHNS NEW HEALTHY FOOD CNETER ACTS AS A "FOOD PHARMACY" WHERE PATIENTS WHO LACK ACCESS TO FOOD CAN RECEIVE NUTRITIOUS FOOD ITEMS, EDUCATION ON DISEASE-SPECIFIC DIETS, AND ADDITIONAL SERVICES FOR OTHER SOCIAL CHALLENGES THEY MIGHT FACE. ACCORDING TO THE GREATER PITTSBURGH COMMUNITY FOOD BANK, A PARTNER OF THE HEALTHY FOOD CENTER, FOOD INSECURITY AFFECTS MORE THAN 350,000 PEOPLE OR ONE IN SEVEN ADULTS IN THE PITTSBURGH REGION. FOOD INSECURITY REFERS TO A LACK OF AVAILABLE FINANCIAL RESOURCES FOR NUTRITIONALLY-ADEQUATE FOOD SUCH AS FRUITS, VEGETABLES, LEAN PROTEINS AND WHOLE GRAINS. THE HEALTHY FOOD CENTER IS PILOTING ITS PROGRAM AMONG PATIENTS WITH DIABETES WHO ARE SCREENED BY THEIR DOCTOR AS BEING FOOD INSECURE. PATIENTS RECEIVE A REFERRAL TO THE HEALTHY FOOD CENTER WHERE THEY INITIALLY MEET WITH AN ONSITE DIETITIAN TO DISCUSS THEIR DIETARY NEEDS BASED ON THEIR CONDITION. AFTER SHOPPING AT THE CENTER FOR THE RECOMMENDED FOOD ITEMS, PATIENTS GO HOME WITH TWO TO THREE DAYS WORTH OF FOOD FOR ALL MEMBERS OF THEIR HOUSEHOLD. THE HEALTHY FOOD CENTER OPENED IN 2018. IMMIGRANT HEALTH PROGRAM: THE IMMIGRANT HEALTH PROGRAM AT AHN, PART OF THE AHN CENTER FOR INCLUSION HEALTH, WAS AWARDED A $250,000 GRANT FROM THE JEWISH HEALTHCARE FOUNDATION IN SUPPORT OF ITS EFFORTS TO DELIVER A NEW COMMUNITY HEALTH MODEL AIMED AT MEETING THE HEALTH CARE NEEDS OF IMMIGRANT WOMEN IN OUR REGION. FROM 2005-2015, THE NUMBER OF FOREIGN-BORN AREA RESIDENTS GREW FROM 48,266 TO 72,265, MORE THAN HALF OF WHOM ARE WOMEN. OVER THE NEXT THREE YEARS, AHNS CENTER FOR INCLUSION HEALTH AND MORE THAN A DOZEN LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE PROVIDERS WILL CONVENE TO DELIVER THE "IMMIGRANT WOMEN-COMMUNITY HEALTH MODEL" AIMED AT PROVIDING IMMIGRANT WOMEN ACCESS TO CULTURALLY- COMPETENT AND QUALITY PERINATAL SERVICES, AS WELL AS OTHER WOMENS HEALTH AND SOCIAL SERVICES. MEDICAL RESPITE PROGRAM: IN 2016, AHN ESTABLISHED A NEW MEDICAL RESPITE PROGRAM THAT PROVIDES ITINERANT PATIENTS RECOVERING FROM ILLNESSES WITH A SAFE PLACE TO RECUPERATE AND RECEIVE ONGOING NON-ACUTE CARE AND SUPPORT FOLLOWING A HOSPITAL STAY. THIS INNOVATIVE MODEL REPRESENTS THE FIRST AND ONLY MEDICAL RESPITE PROGRAM IN THE PITTSBURGH REGION. THE MEDICAL RESPITE PROGRAM FIRST ADDRESSES THE PATIENTS PRIMARY NEEDS FOR SAFE TEMPORARY HOUSING AND NUTRITION (THROUGH PARTNERSHIPS WITH LOCAL HOMELESS SERVICES FACILITIES LOCATED IN DOWNTOWN PITTSBURGH); THEN FOLLOWS UP WITH PATIENTS HEALTH NEEDS WITH VISITS FROM AHN HEALTH CARE PROFESSIONALS (AHNS CENTER FOR INCLUSION HEALTH AND HEALTHCARE@HOME PROGRAMS). THROUGH THIS MODEL, THE PROGRAM HELPS ACHIEVE BETTER HEALTH OUTCOMES AND SOCIAL STABILITY FOR AT-RISK PATIENT POPULATIONS, WHILE LOWERING THEIR RISK OF DANGEROUS AND COSTLY RE-HOSPITALIZATIONS. OPEN HEART SURGERY OBSERVATION: SINCE 2008, HIGH SCHOOL STUDENTS FROM WESTERN PENNSYLVANIA, WEST VIRGINIA AND OHIO HAVE BEEN INVITED TO OBSERVE AHNS CARDIOVASCULAR SURGEONS IN ACTION THROUGH THE CARDIOVASCULAR INSTITUTES (CVI) OPEN HEART SURGERY OBSERVATION PROGRAM. THE PROGRAM, WHICH HAS HOSTED MORE THAN 15,000 AREA STUDENTS FROM DOZENS OF SCHOOLS, IS SUPPORTED BY TWO PART-TIME POSITIONS, AND IS PART OF AHNS AND THE CVIS COMMITMENT TO COMMUNITY EDUCATION AND INSPIRING FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS. OPIOIDS AND ADDICTION MEDICINE: OVER THE LAST SEVERAL YEARS, AHN HAS TAKEN NUMEROUS STEPS TO CURB PAINKILLER MISUSE AND ADDICTION, OPIOID USE DISORDER, AND OVERDOSE DEATHS RELATED TO FENTANYL, CARFENTANIL, AND OTHER SYNTHETIC OPIATES. IN 2017, AHN ESTABLISHED A NEW, COMPREHENSIVE PROGRAM DESIGNED TO HELP PATIENTS WITH OPIOID-RELATED SUBSTANCE USE DISORDERS RECEIVE THE HEALTH AND COMMUNITY-BASED CARE AND SUPPORT THEY NEED TO RECOVER FROM THEIR ILLNESS AND MAINTAIN LONG-TERM WELLNESS. CALLED THE AHN CENTER OF EXCELLENCE FOR OPIOID USE DISORDER, THE CENTER IS ONE OF 45 PROGRAMS IMPLEMENTED ACROSS PENNSYLVANIA, ALL OF WHICH ARE SUPPORTED BY A GRANT FROM THE STATES DEPARTMENT OF HUMAN SERVICES. IN 2018, AHN AND PARTNER ORGANIZATIONS OPENED A NEW 45-BED UNIT AT THE KANE COMMUNITY LIVING CENTER IN MCKEESPORT, PA., A POST-ACUTE UNIT IS FOR PATIENTS WITH MEDICAL CONDITIONS AND CO-OCCURRING SUBSTANCE USE DISORDERS. ALSO IN 2018, AHN ANNOUNCED AND BEGAN INSTALLING SECURE, PERMANENT DRUG TAKE-BACK BOXES AT SIX AHN HOSPITALS, AS WELL AS AT THE WEXFORD HEALTH + WELLNESS PAVILION; THE BOXES WILL ALLOW PATIENTS OR VISITORS TO DISPOSE OF SURPLUS OR EXPIRED MEDICATIONS YEAR-ROUND. AHN WAS ALSO ONE OF THE FIRST HEALTH CARE ORGANIZATIONS IN PENNSYLVANIA TO PARTNER WITH LAW ENFORCEMENT TO HELP CURB THE DEADLY EFFECTS OF OPIOID OVERDOSES; STARTING IN 2014, EMERGENCY MEDICAL PROFESSIONALS AT FORBES HOSPITAL BEGAN TRAINING POLICE OFFICERS FROM THE PITCAIRN POLICE DEPARTMENT TO DISPENSE NARCAN, A NARCOTIC "ANTIDOTE" DRUG, TO OVERDOSE VICTIMS. SINCE THEN, AHN PROVIDED THE TRAINING TO OTHER POLICE DEPARTMENTS, INCLUDING MONROEVILLE, EAST MCKEESPORT AND THE WESTMORELAND COUNTY SHERIFFS DEPARTMENT. FINALLY, AHNS RESEARCH INSTITUTE IS STUDYING AND DEVELOPING SINGLE-DOSE, LONGER-LASTING OPIOID OVERDOSE ANTIDOTES. PERINATAL HOPE: IN 2016, AHN LAUNCHED ITS PERINATAL HOPE PROGRAM, A MEDICAL HOME CARE MODEL FOR MOTHERS-TO-BE WHO ARE ADDICTED TO DRUGS. THE PROGRAM PROVIDES COMPREHENSIVE AND COORDINATED TREATMENT THAT PUTS THE MOTHER AND BABY ON TRACK FOR A MORE HOPEFUL FUTURE. PERINATAL HOPE IS THE REGIONS FIRST ALL-INCLUSIVE PROGRAM FOR MATERNAL ADDICTION THAT COMBINES OBSTETRICAL CARE, AND DRUG AND ALCOHOL THERAPY AND MEDICATION-ASSISTED TREATMENT INTO ONE CLINIC VISIT. PERINATAL HOPE IS SUPPORTED IN PART BY GRANTS FROM THE MARCH OF DIMES FOUNDATION WESTERN PENNSYLVANIA, THE HIGHMARK FOUNDATION AND THE JEWISH WOMENS FOUNDATION OF GREATER PITTSBURGH. ADDITIONALLY, AHNS NEW WOMENS BEHAVIORAL HEALTH PROGRAM INCLUDES THE REGIONS FIRST INTENSIVE OUTPATIENT PROGRAM FOR WOMEN WITH PREGNANCY-RELATED DEPRESSION. SPECIAL OLYMPICS: FOR FIVE STRAIGHT YEARS, AHNS SPORTS MEDICINE TEAM HAS PROVIDED ON-SITE MEDICAL SUPPORT TO ATHLETES COMPETING IN THE SPECIAL OLYMPICS PENNSYLVANIA (SOPA) WINTER GAMES. SPECIAL OLYMPICS PENNSYLVANIA PROVIDES YEAR-ROUND TRAINING AND COMPETITION IN 21 OLYMPIC-TYPE SPORTS TO NEARLY 20,000 CHILDREN AND ADULTS WITH INTELLECTUAL DISABILITIES. STOP THE BLEED: AS PART OF THIS ONGOING COMMUNITY AWARENESS CAMPAIGN, AHN TRAUMA CENTER REPRESENTATIVES PARTNER WITH EMS PROFESSIONALS TO PROVIDE SCHOOL OFFICIALS WITH TRAINING ON HOW TO HELP CONTROL BLEEDING FROM INJURIES IN THE EVENT OF A MASS CAUSALLY INCIDENT. SIMILAR TO HOW HEALTH CARE PROVIDERS EDUCATE THE GENERAL PUBLIC IN CPR, THE "STOP THE BLEED" CAMPAIGN FOCUSES ON TRAINING THE GENERAL PUBLIC IN BLEEDING CONTROL TECHNIQUES. IN MASS CASUALTY INCIDENTS, INDIVIDUALS OFTEN SUFFER INJURIES THAT RESULT IN PREVENTABLE DEATHS. BY TRAINING THE GENERAL PUBLIC IN BASIC BLEEDING CONTROL TECHNIQUES, BYSTANDERS WILL BE ABLE TO INITIATE LIFESAVING MEASURES BEFORE THE FIRST RESPONDERS ARRIVE. SUMMER CAMP FOR BURN INJURED CHILDREN: IN 1986, WEST PENN BURN CENTER ESTABLISHED ITS SUMMER CAMP FOR BURN INJURED CHILDREN. THE CAMP GIVES CHILDREN WHO HAVE BEEN BURNED A CHANCE TO HEAL PHYSICALLY AND EMOTIONALLY IN A SUPPORTIVE ENVIRONMENT THAT OFFERED PLENTY OF OPPORTUNITIES FOR FUN. AT THE FREE, FIVE-DAY CAMP, KIDS AGES 7 TO 17 WHO HAVE BEEN TREATED AT THE WEST PENN BURN CENTER MEET TO SHARE THEIR STORIES AND ENJOY NEW EXPERIENCES. WITH THE GUIDANCE OF SKILLED PROFESSIONALS, CHILDREN ARE ENCOURAGED TO MEET NEW CHALLENGES AND TO TAKE POSITIVE RISKS BY PARTICIPATING IN ADVENTURES - SUCH AS ROPE CLIMBING - THAT HELPS BUILD CONFIDENCE WHILE ALSO BUILDING STRONG BODIES.
HOSPITAL PROFILES AND HEALTH SYSTEM COMPONENTS ALLEGHENY GENERAL HOSPITAL: FOUNDED IN 1885, ALLEGHENY GENERAL HOSPITAL (AGH) IS AHNS FLAGSHIP HOSPITAL, SERVING AS AHNS PRIMARY TEACHING HOSPITAL, ITS PREMIER QUATERNARY CARE FACILITY, OFFERING HIGHLY ADVANCED SPECIALTIES SUCH AS ORGAN TRANSPLANTATION, NEUROSURGERY, SURGICAL ONCOLOGY AND CARDIOVASCULAR SURGERY. LOCATED IN PITTSBURGHS NORTH SIDE, AGH HAS 552 LICENSED BEDS AND APPROXIMATELY 800 PHYSICIANS AND 5,000 STAFF MEMBERS. AGH IS ALSO A LEVEL I SHOCK TRAUMA CENTER, AND ITS LIFEFLIGHT AEROMEDICAL SERVICE WAS THE FIRST TO FLY IN THE NORTHEASTERN UNITED STATES. FOR THE 2018 REPORTING PERIOD, TOTAL DISCHARGES PLUS OBSERVATIONS WERE APPROXIMATELY 28,000, EMERGENCY DEPARTMENT VISITS WERE 53,000, AND OUTPATIENT VISITS WERE 320,000. ALLEGHENY VALLEY HOSPITAL: ALLEGHENY VALLEY HOSPITAL (AVH) HAS SERVED NATRONA HEIGHTS, PA., AND THE SURROUNDING COMMUNITY FOR OVER 100 YEARS. AVH HAS 188 LICENSED BEDS AND PROVIDES EMERGENCY CARE, SURGICAL CARE, REHABILITATION CARE AND OTHER QUALITY HEALTH CARE SERVICES FOR ITS PATIENTS. FOR THE 2018 REPORTING PERIOD, TOTAL DISCHARGES PLUS OBSERVATIONS WERE APPROXIMATELY 7,500, EMERGENCY DEPARTMENT VISITS WERE 33,000, AND OUTPATIENT VISITS WERE 175,000. CANONSBURG HOSPITAL: SINCE 1904, 104-BED CANONSBURG HOSPITAL (CH), BASED IN CANONSBURG, PA., HAS SERVED THE COMMUNITIES OF NORTHERN WASHINGTON AND SOUTHERN ALLEGHENY COUNTIES, PROVIDING QUALITY MEDICAL CARE AND IMPROVING THE HEALTH AND WELL-BEING OF ITS PATIENTS. FOR THE 2018 REPORTING PERIOD, TOTAL DISCHARGES PLUS OBSERVATIONS WERE APPROXIMATELY 3,000, EMERGENCY DEPARTMENT VISITS WERE 17,000 AND OUTPATIENT VISITS WERE 64,000. FORBES HOSPITAL: SINCE 1978, FORBES HOSPITAL (FH) HAS BEEN PROVIDING HIGH-QUALITY CARE FOR THE COMMUNITIES OF EASTERN ALLEGHENY AND WESTMORELAND COUNTIES. FORBES FEATURES A LEVEL II TRAUMA CENTER, A TOP RATED CARDIOVASCULAR SURGERY PROGRAM AND A COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICE AMONG ITS MANY CLINICAL OFFERINGS. A 315-BED FACILITY BASED IN MONROEVILLE, PA., IN 2018, FH RECORDED APPROXIMATELY 21,000 DISCHARGES PLUS OBSERVATIONS, 41,000 EMERGENCY DEPARTMENT VISITS, 151,000 OUTPATIENT VISITS AND NEARLY 1,400 BIRTHS. JEFFERSON HOSPITAL: JEFFERSON HOSPITAL (JH) WAS ORGANIZED IN 1973. LOCATED JUST SOUTH OF PITTSBURGH, THE 341-BED HOSPITAL PROVIDES A WIDE SPECTRUM OF HIGH QUALITY HEALTH CARE SERVICES, FROM EMERGENCY CARE AND INTENSIVE CARE, COMPREHENSIVE SURGICAL PROGRAMS AND REHABILITATION. IN 2014, JH OPENED A NEW LABOR AND DELIVERY UNIT, THE FIRST NEW HOSPITAL-BASED MATERNITY PROGRAM TO BE BUILT AND DEVELOPED IN PENNSYLVANIA IN THREE DECADES. FOR THE 2018 REPORTING PERIOD, TOTAL DISCHARGES PLUS OBSERVATIONS WERE APPROXIMATELY 21,000, EMERGENCY DEPARTMENT VISITS WERE NEARLY 50,000, OUTPATIENT VISITS WERE 275,000 AND BIRTHS TOTALED MORE THAN 1,000. SAINT VINCENT HOSPITAL: SAINT VINCENT HOSPITAL (SVH) IS A 371-BED FACILITY THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWESTERN PENNSYLVANIA AND ADJACENT AREAS OF NEW YORK AND OHIO. FOUNDED BY THE SISTERS OF ST. JOSEPH IN 1875, SVH CONTINUES TO EXEMPLIFY THE VALUES OF THE SISTERS IN PROVIDING COMPASSIONATE CARE TO ALL. ADDITIONALLY, SVHS FOUR-BED SATELLITE FACILITY, WESTFIELD MEMORIAL HOSPITAL, HAS PROVIDED HIGH QUALITY HEALTH CARE TO RESIDENTS OF WESTERN NEW YORK FOR MORE THAN HALF A CENTURY. FOR THE 2018 REPORTING PERIOD, SVHS TOTAL DISCHARGES PLUS OBSERVATIONS WERE APPROXIMATELY 20,000, EMERGENCY DEPARTMENT VISITS WERE 62,000, OUTPATIENT VISITS WERE 180,000, AND BIRTHS WERE NEARLY 900. WEST PENN HOSPITAL: SERVING THE BLOOMFIELD AREA OF PITTSBURGH AND ITS SURROUNDING COMMUNITIES SINCE 1848, WEST PENN HOSPITAL (WPH) IS A 333-BED ACADEMIC MEDICAL CENTER WITH PRIVATE ACUTE-CARE PATIENT ROOMS AND ONE OF PENNSYLVANIAS MOST ADVANCED OBSTETRICAL AND NEWBORN CARE PROGRAMS, INCLUDING A LEVEL 3 NEONATAL INTENSIVE CARE UNIT. WPH HAS A REPUTATION FOR OUTSTANDING CLINICAL CARE AND NURSING EXCELLENCE; AND WAS THE FIRST HOSPITAL IN WESTERN PENNSYLVANIA TO EARN MAGNET RECOGNITION STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). WPH ALSO IS HOME TO THE WEST PENN BURN CENTER, THE ONLY FACILITY OF ITS KIND IN THE REGION CERTIFIED TO TREAT BOTH PEDIATRIC AND ADULT BURN PATIENTS. FOR THE 2018 REPORTING PERIOD, WPHS TOTAL DISCHARGES PLUS OBSERVATIONS WERE APPROXIMATELY 19,000, EMERGENCY DEPARTMENT VISITS WERE 24,000, OUTPATIENT VISITS WERE 155,000, AND BIRTHS WERE 4,400.
OUTPATIENT CARE FACILITIES: IN ADDITION TO ITS HUNDREDS OF CLINICAL OFFICES, AHN OPERATES FIVE LARGE, MULTI-SPECIALTY HEALTH + WELLNESS PAVILIONS (TWO IN ALLEGHENY COUNTY, ONE IN WASHINGTON COUNTY, AND TWO IN ERIE COUNTY); FIVE URGENT CARE CLINICS (THREE IN ALLEGHENY COUNTY AND TWO IN ERIE COUNTY); AND EIGHT HOSPITAL-BASED AND FREE-STANDING SURGERY CENTERS (SIX IN ALLEGHENY COUNTY, ONE IN WASHINGTON COUNTY AND ONE IN ERIE COUNTY). ALLEGHENY HEALTH NETWORK RESEARCH INSTITUTE: AHNS RESEARCH INSTITUTE OFFERS ACCESS TO NEW DRUG THERAPIES, HONES REVOLUTIONARY SURGICAL PROCEDURES, AND HAS ADVANCED EXPERTISE WITH INNOVATIVE DEVICES AND WEARABLE TECHNOLOGIES THAT HELP REDUCE THE IMPACT OF CHRONIC DISEASE. THE INSTITUTE PARTNERS WITH INDUSTRY, GOVERNMENT, ACADEMIA, AND HEALTH SYSTEMS ACROSS THE REGION TO WORK TOWARD A SERIES OF COMMON GOALS: DISCOVERING CURES, DEVELOPING THE NEXT CLINICAL "BEST PRACTICES" IMPROVING THE HEALTH OF PATIENTS AND ADVANCING THE SCIENCE OF MEDICINE. PHYSICIANS AND SCIENTISTS AT AHN ARE OFTEN ON THE CUTTING EDGE OF ADVANCED TREATMENTS AND NEW TECHNOLOGIES. INNOVATIVE MEDICAL RESEARCH ACROSS ALL OF THE NETWORKS PROGRAMS IS A CRITICAL COMPONENT OF THE ORGANIZATIONS MISSION. THE NETWORKS RESEARCH INSTITUTE COORDINATES PRIVATE AND FEDERALLY FUNDED INTERDISCIPLINARY PROGRAMS DESIGNED TO BETTER UNDERSTAND, TREAT AND PREVENT DISEASE, AND THE NETWORKS HOSPITALS ARE FREQUENTLY INVOLVED IN CLINICAL TRIALS OF BREAST, PROSTATE AND BOWEL CANCER, BURN AND TRAUMATIC INJURIES, GENE THERAPY, CARDIOVASCULAR DISEASE, LEUKEMIA AND LYMPHOMA, AUTOIMMUNE DISEASES, NEUROLOGICAL DISEASES, AND MORE. THE NETWORK IS CURRENTLY HOME TO HUNDREDS OF ACTIVE CLINICAL RESEARCH TRIALS. ALLEGHENY CLINIC: WITH MORE THAN 1,200 EMPLOYED PHYSICIANS AND 4,700 TOTAL EMPLOYEES, THE ALLEGHENY CLINIC IS ONE OF WESTERN PENNSYLVANIAS LARGEST PHYSICIAN GROUPS. SINCE THE FORMATION OF AHN, AHN HAS ADDED HUNDREDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SURGEONS TO THE ALLEGHENY CLINIC. THOSE PHYSICIANS AND ADMINISTRATIVE STAFF SUPPORT DOZENS OF SPECIALTY SERVICE LINES AND CLINICAL INSTITUTES, INCLUDING THE BARIATRIC AND METABOLIC INSTITUTE, THE CANCER INSTITUTE, THE CARDIOVASCULAR INSTITUTE, THE ESOPHAGEAL AND LUNG INSTITUTE, THE NEUROSCIENCE INSTITUTE, THE ORTHOPAEDIC INSTITUTE AND THE TRANSPLANT INSTITUTE. FOUNDATIONS: IN ADDITION TO THE AFOREMENTIONED ENTITIES, AHN ALSO INCLUDES A NUMBER OF AFFILIATED PHILANTHROPIC ORGANIZATIONS: THE ALLE-KISKI MEDICAL CENTER TRUST, FORBES HEALTH FOUNDATION, SUBURBAN HEALTH FOUNDATION, AND THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION. KEY INSTITUTES AND SERVICES LINES ALLEGHENY HEALTH NETWORK CANCER INSTITUTE: AHNS CANCER INSTITUTE INCLUDES MORE THAN 50 CANCER INSTITUTE CLINICS, TWO DOZEN SEPARATE CLINICAL LOCATIONS AND A MULTIDISCIPLINARY TEAM OF MORE THAN 200 PHYSICIANS. THE INSTITUTE TREATS 10,000 PATIENTS ANNUALLY IN WESTERN PENNSYLVANIA, ERIE, WEST VIRGINIA, AND OHIO. AHN RECENTLY OPENED AN EXTENDED HOURS ONCOLOGY CLINIC AT WEST PENN HOSPITAL TO BETTER CARE FOR PATIENTS EXPERIENCING THE SIDE EFFECTS OF CHEMOTHERAPY TREATMENTS, AND OVER THE NEXT FEW YEARS, AHN WILL INVEST MORE THAN $225 MILLION IN NEW INFRASTRUCTURE AND CAPABILITIES TO SUPPORT THEIR VISION AND STRATEGY FOR SERVING AHN PATIENTS WHO ARE DIAGNOSED WITH CANCER; THAT INFRASTRUCTURE WILL INCLUDE A NEW ACADEMIC CANCER INSTITUTE ON THE AGH CAMPUS AS WELL AS SEVERAL NEW COMMUNITY-BASED CANCER CENTERS. ADDITIONALLY, AHN COLLABORATES WITH JOHNS HOPKINS KIMMEL CANCER CENTER, TO OFFER MORE STREAM-LINED ACCESS TO CLINICAL TRIALS AND PROVIDE ADDITIONAL TREATMENT OPTIONS AND SECOND OPINIONS FOR PATIENTS WITH RARE AND COMPLEX CANCERS, AMONG OTHER BENEFITS.
ALLEGHENY HEALTH NETWORK CARDIOVASCULAR INSTITUTE: ON THE FRONTIER OF ADVANCED SPECIALTY HEART CARE, THE ALLEGHENY HEALTH NETWORK CARDIOVASCULAR INSTITUTE (CVI) IS ONE OF THE PREMIER CARDIAC PROGRAMS IN THE COUNTRY, PROVIDING SUPERIOR STATE-OF-THE-ART CARE FOR PATIENTS WITH HEART DISEASE AND ACCESS TO WESTERN PENNSYLVANIA'S MOST COMPREHENSIVE, MULTIDISCIPLINARY TEAM OF SPECIALISTS AND INNOVATIVE THERAPIES, INCLUDING MANY AVAILABLE ONLY THROUGH ADVANCED CLINICAL TRIALS. THE PHYSICIANS OF THE AHN CVIS SEVEN HOSPITALS AND 20 OUTPATIENT PITTSBURGH- AND ERIE-AREA LOCATIONS HAVE HELPED TO PIONEER THE USE OF THE LATEST GENERATION OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; WERE AMONG THE FIRST IN THE NATION TO PERFORM TRANS-CATHETER AORTIC VALVE REPLACEMENT (TAVR), REPLACING DEFECTIVE AORTIC HEART VALVES VIA A MINIMALLY INVASIVE CATHETER PROCEDURE; INTRODUCED NEW TREATMENTS TO REPAIR DEFECTIVE MITRAL VALVES VIA ROBOT-ASSISTED MINIMALLY INVASIVE SURGERY; AND PLAYED AN INSTRUMENTAL ROLE IN THE DEVELOPMENT OF LEFT VENTRICULAR ASSIST DEVICES (LVAD), A MECHANICAL PUMP THAT IS SURGICALLY IMPLANTED TO ASSIST A WEAKENED HEART MUSCLE. CURRENTLY, THE PHYSICIANS AT THE CARDIOVASCULAR INSTITUTE ARE CONDUCTING RESEARCH THAT LEADS TO BETTER WAYS TO PREVENT, FIND AND TREAT HEART DISEASE; CURRENTLY, AHN RESEARCHERS AND PHYSICIANS ARE WORKING ON MORE THAN 75 RESEARCH PROJECTS AND CLINICAL TRIALS. ADDITIONALLY, AHNS WOMENS HEART CENTER, THE FIRST HEART CENTER OF ITS KIND IN ALLEGHENY COUNTY, TREATS COMPLEX CARDIOVASCULAR CONDITIONS FOR ADULT WOMEN OF ALL AGES. ALLEGHENY HEALTH NETWORK MEDICINE INSTITUTE: AHNS MEDICINE INSTITUTES HOUSES THE ONE-OF-A-KIND AUTOIMMUNITY INSTITUTE, WHICH OPENED A NEW FACILITY IN 2018 THAT COMBINES MULTISPECIALTY CARE WITH CUTTING-EDGE RESEARCH, PATIENT EDUCATION AND ADVOCACY TO ADVANCE THE TREATMENT OF AUTOIMMUNE DISEASES AND ACCELERATE DISCOVERY OF A CURE FOR MORE THAN 100 DIFFERENT DISEASE TYPES. THE AHN AUTOIMMUNITY INSTITUTE HOSTS FOUR "CENTERS OF EXCELLENCE" FOR THE TREATMENT OF COMMON AUTOIMMUNE DISEASES INCLUDING LUPUS, RHEUMATOID ARTHRITIS, INFLAMMATORY BOWEL DISEASE AND CELIAC DISEASE. THE INSTITUTE INCLUDES PHYSICIANS FROM AN ARRAY OF CLINICAL SUBSPECIALTIES SUCH AS RHEUMATOLOGY, ALLERGY AND CLINICAL IMMUNOLOGY, PULMONARY, DERMATOLOGY, GASTROENTEROLOGY, NEPHROLOGY, ENDOCRINOLOGY, CARDIOLOGY AND INFUSION THERAPY. THE MEDICINE INSTITUTE ALSO INCLUDES SPECIALTY PROGRAMS DEDICATED TO DERMATOLOGY, DENTISTRY, INFECTIOUS DISEASE, NEPHROLOGY, AND INCLUSION HEALTH. ALLEGHENY HEALTH NETWORK NEUROSCIENCE INSTITUTE: AHNS NEUROSCIENCE INSTITUTE IS A NATIONAL LEADER IN PROVIDING INNOVATIVE, EXPERT CARE FOR COMPLEX BRAIN, SPINE, OR NEUROLOGICAL CONDITIONS. AHNS RENOWNED NEUROSURGEONS HAVE DEVELOPED GROUNDBREAKING SURGERIES AND TREATMENT ADVANCEMENTS THAT LEAD TO IMPROVED CARE FOR PATIENTS EXPERIENCING THE SYMPTOMS OF PARKINSONS DISEASE, TRIGEMINAL NEURALGIA, STROKE COMPLICATIONS, CONGENITAL SPINAL CONDITIONS, AND MORE. ADDITIONALLY, AGH HAS EARNED A "COMPREHENSIVE STROKE CENTER" DESIGNATION, THE HIGHEST DISTINCTION OF STROKE CARE AWARDED BY THE AMERICAN HEART ASSOCIATIONS JOINT COMMISSION. AHNS NEUROSCIENCE PROGRAM INCLUDES RENOWNED EXPERTS IN THE SUBSPECIALTIES OF NEUROLOGY, NEURO-OTOLOGY, NEURORADIOLOGY, NEURO-CRITICAL CARE, AND NEUROSURGERY, AND THE INSTITUTE HAS BEEN IDENTIFIED AS A NEUROSCIENCES CENTER OF EXCELLENCE AND A SPINE CENTER OF EXCELLENCE, ENABLING AHN AND AGH TO SERVE AS A NATIONAL AND INTERNATIONAL REFERRAL CENTER FOR TREATMENT OF ALL TYPES OF NEUROLOGICAL CONDITIONS. ALLEGHENY HEALTH NETWORK ORTHOPAEDIC INSTITUTE: THE ORTHOPAEDIC INSTITUTES MULTIDISCIPLINARY TEAM OF SURGEONS, PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS AND REHABILITATION SPECIALISTS WORK TOGETHER TO DEVELOP A COORDINATED TREATMENT PLAN SPECIFICALLY DESIGNED FOR EACH PATIENT, SPECIALIZING IN PEDIATRIC ORTHOPAEDICS, JOINT REPLACEMENT, ORTHOPAEDIC SURGERY, SPINAL SURGERY, AND SPORTS MEDICINE. TOGETHER, AHN AND HH HAVE MADE SIGNIFICANT INVESTMENTS IN AHNS ORTHOPAEDIC CAPABILITIES AND INFRASTRUCTURE, INCLUDING THE 2016 OPENING OF THE AHN SPORTS COMPLEX AT COOL SPRINGS, A LARGE MULTI-SPORT FACILITY SPECIALIZING IN ORTHOPAEDIC CARE AND SPORTS MEDICINE, AND THE 2017 OPENING OF THE STATE-OF-THE-ART PEDIATRIC ORTHOPAEDIC INSTITUTE, A GROUP OF ORTHOPAEDIC SPECIALISTS WHO TREAT A WIDE RANGE OF NEURO- AND MUSCULOSKELETAL INJURIES AND CONDITIONS. AHNS SPORTS MEDICINE TEAM IS THE OFFICIAL MEDICAL PROVIDER FOR THE PITTSBURGH PIRATES AND THE PITTSBURGH RIVERHOUNDS, AND HAS BEEN DESIGNATED AS AN OFFICIAL U.S. OLYMPIC REGIONAL MEDICAL CENTER. AHN ALSO OFFERS SPORTS MEDICINE SERVICES FOR LOCAL COLLEGES AND DISTRICTS. ALLEGHENY HEALTH NETWORK TRANSPLANT INSTITUTE: THE AHN TRANSPLANT INSTITUTE PROVIDES PERSONALIZED, COMPASSIONATE CARE FROM A SPECIALIZED TEAM OF EXPERTS, INCLUDING TRANSPLANT SURGEONS, NEPHROLOGISTS, PSYCHIATRISTS, PHARMACISTS, SOCIAL WORKERS, DIETITIANS, TRANSPLANT NURSE COORDINATORS, AND OTHER HEALTHCARE PROFESSIONALS. THE TRANSPLANT INSTITUTES OFFERS HEART, KIDNEY, PANCREAS AND LIVER TRANSPLANTATION SERVICES, WITH A LEGACY OF TRANSPLANTATION CATE AND INNOVATION THAT DATES TO THE 1980S. IN 2016, THE ALLEGHENY HEALTH NETWORK HEART TRANSPLANT INSTITUTE RANKED AMONG THE TOP 25 PROGRAMS IN THE COUNTRY, ACCORDING TO THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR), THE OFFICIAL NATIONAL DATABASE OF ORGAN TRANSPLANTATION STATISTICS. IN ADDITION TO TRANSPLANTATION SERVICES, THE AHN TRANSPLANT INSTITUTE OFFERS PATIENTS ACCESS TO NOVEL IMMUNOSUPPRESSIVE AGENTS AND CLINICAL TRIALS. ADDITIONALLY, AHN AND ITS TRANSPLANT INSTITUTE ARE ADVOCATES FOR ORGAN DONATION EDUCATION AND AWARENESS. EMERGENCY MEDICINE AND TRAUMA CARE: IN 2018, AHNS HOSPITALS RECORDED NEARLY 280,000 EMERGENCY DEPARTMENT VISITS AND AHNS AFFILIATED TRAUMA CENTERS PROVIDE LIFE-SAVING CARE TO 5,000 PATIENTS ANNUALLY. AHNS EXPERIENCED, MULTIDISCIPLINARY TEAMS OF PHYSICIANS, SPECIALISTS, NURSES, TRAUMA SURGEONS AND SUPPORT STAFF PROVIDE AROUND-THE-CLOCK, AWARD-WINNING CARE FOR THE REGIONS SICK AND WOUNDED. AHNS EMERGENCY DEPARTMENTS HAVE SOME OF THE SHORTEST WAIT TIMES IN THE STATE. AHNS HOSPITALS OPERATE EIGHT EMERGENCY DEPARTMENTS: AGH IS A LEVEL I TRAUMA CENTER, OFFERING TRAUMA SURGERY, SURGICAL CRITICAL CARE AND EMERGENCY GENERAL SURGERY, AS WELL AS A VARIETY OF RESEARCH AND EDUCATIONAL PROGRAMS; FH OPERATES A LEVEL II TRAUMA CENTER; AND WPH CARRIES A VERIFICATION FROM BOTH THE AMERICAN BURN ASSOCIATION AND THE AMERICAN COLLEGE OF SURGEONS, FOR THE TREATMENT OF BOTH PEDIATRIC AND ADULT BURN PATIENTS. ADDITIONALLY, AHNS LIFEFLIGHT, WHICH PROVIDES REGIONAL EMERGENCY HELICOPTER AND CRITICAL CARE GROUND TRANSPORTATION SERVICES FOR CRITICALLY ILL AND INJURED PATIENTS WHO NEED IMMEDIATE SPECIALIZED CARE, OPERATES FIVE MEDICAL HELICOPTER BASES (AT CLARION HOSPITAL, CANONSBURG HOSPITAL, INDIANA REGIONAL MEDICAL CENTER, BUTLER AIRPORT, AND ROSTRAVER AIRPORT). AHN WOMEN & CHILDREN INSTITUTE: AHN OFFERS COMPASSIONATE AND COMPREHENSIVE CARE THROUGH THE NETWORK OF MORE THAN 100 OBSTETRICIANS AND GYNECOLOGISTS, AND HUNDREDS OF OTHER SPECIALISTS WHO WORK TOGETHER TO CARE FOR WOMEN. AHN GROWING WOMENS HEALTH TEAM TREATS PATIENTS AT MORE THAN 50 WOMENS HEALTH OFFICE LOCATIONS, THROUGH EVERY LIFE STAGE: PREVENTION AND WELLNESS; LABOR AND DELIVERY SERVICES; ADVANCED GYNECOLOGIC SURGERIES; MIDLIFE CARE; SPECIALIZED CARDIOVASCULAR TREATMENTS; LEADING-EDGE BREAST CANCER DIAGNOSTIC AND THERAPEUTIC CAPABILITIES; MENOPAUSE AND OSTEOPOROSIS THERAPIES; AND INNOVATIVE CLINICAL TRIALS AND ADVANCED THERAPIES FOR GYNECOLOGIC CANCER. IN THE LAST THREE YEARS, AHN HAS MADE SIGNIFICANT UPGRADES TO ITS FACILITIES AND PROGRAMS FOR WOMEN, INCLUDING THE CONSTRUCTION OF A BRAND NEW MATERNITY UNIT AT JEFFERSON HOSPITAL, EXPANDED AND ENHANCED OBSTETRIC UNITS AT FORBES AND WEST PENN HOSPITALS, THE LAUNCH OF AN INTENSIVE OUTPATIENT PROGRAM FOR MOTHERS SUFFERING FROM SEVERE POSTPARTUM DEPRESSION, AND THE PLANNED CONSTRUCTION OF A NEW NEONATAL INTENSIVE CARE UNIT AT WEST PENN. IN 2018, AHN OPENED ITS ALEXIS JOY DACHILLE CENTER FOR PERINATAL MENTAL HEALTH, AN INNOVATIVE NEW FACILITY THAT OFFERS WOMEN WITH PREGNANCY-RELATED DEPRESSION ACCESS TO A SPECTRUM OF FAMILY-FOCUSED CARE OPTIONS UNDER ONE ROOF. IN 2018, AHNS OBSTETRICAL UNITS DELIVERED NEARLY 8,000 BABIES.
ACCOMPLISHMENTS OVER THE YEARS, AHN HAS BEEN RECOGNIZED FOR ITS ADVANCED TECHNOLOGIES, CLINICAL QUALITY, AND THE DEPTH AND BREADTH OF ITS PROFESSIONAL AND CLINICAL PROGRAMMING. IN 2018, IT RECEIVED THE FOLLOWING AWARDS, RECOGNITIONS AND ACCREDITATIONS, AMONG OTHERS: ALS ASSOCIATION WESTERN PENNSYLVANIA CHAPTER: SANDEEP RANA, MD, MEDICAL DIRECTOR OF THE ALS CERTIFIED CENTER OF EXCELLENCE AT AHN, WAS RECOGNIZED WITH THE ROBERT F. BALINT ABOVE AND BEYOND AWARD. AMERICAN HEART ASSOCIATION: ALLEGHENY GENERAL HOSPITAL AND JEFFERSON HOSPITAL EARNED GOLD PLUS HONORS FOR THE SIXTH CONSECUTIVE YEAR, WHILE FORBES HOSPITAL AND ALLEGHENY VALLEY HOSPITAL (AVH) RECEIVED SILVER PLUS RECOGNITION IN THIS YEARS AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES - HEART FAILURE ACHIEVEMENT AWARDS. THE AWARD RECOGNIZES HOSPITALS THAT IMPLEMENT SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AHA/AMERICAN COLLEGE OF CARDIOLOGY FOUNDATIONS SECONDARY PREVENTION GUIDELINES FOR PATIENTS WITH HEART FAILURE. AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION: FIVE AHN HOSPITALS RECEIVED NATIONAL RECOGNITION FOR THEIR COMMITMENT TO DELIVERING EXCELLENT, EVIDENCE-BASED CARE FOR STROKE PATIENTS. ALLEGHENY GENERAL, FORBES, JEFFERSON, AND SAINT VINCENT HOSPITALS EACH EARNED THE STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD IN THE GET WITH THE GUIDELINES ACHIEVEMENT AWARDS. WEST PENN HOSPITAL EARNED THE STROKE BRONZE QUALITY ACHIEVEMENT AWARD. AMERICAN NURSES CREDENTIALING CENTER: IN 2018, AHNS WEST PENN HOSPITAL FOR THE THIRD TIME EARNED THE MAGNET RECOGNITION DESIGNATION. AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE: IN 2018, AHNS CENTER FOR REPRODUCTIVE MEDICINE WAS NAMED A NURSING CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE. CENTERS FOR DISEASE CONTROL: THE CDC GRANTED WESTFIELD MEMORIAL HOSPITAL FULL RECOGNITION FOR ITS DIABETES PREVENTION PROGRAM (DPP). THIS DESIGNATION IS RESERVED FOR PROGRAMS THAT HAVE EFFECTIVELY DELIVERED A QUALITY, EVIDENCE-BASED PROGRAM THAT MEETS ALL OF THE STANDARDS FOR CDC RECOGNITION. COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES: ALLEGHENY GENERAL HOSPITAL, FORBES HOSPITAL, JEFFERSON HOSPITAL, SAINT VINCENT HOSPITAL, WEST PENN HOSPITAL, AND WESTFIELD MEMORIAL HOSPITAL WERE RECOGNIZED AS 2018 MOST WIRED HOSPITALS FOR ADVANCED TECHNOLOGICAL CAPABILITIES SUCH AS EPIC. COMMUNITY LIVER ALLIANCE: AHNS ROBIN MIDIAN, MD, WAS A RECIPIENT OF THE COMMUNITY LIVER ALLIANCE'S 2018 "MAKE A DIFFERENCE" AWARD, WHICH RECOGNIZES INDIVIDUALS WHO GO ABOVE AND BEYOND TO EDUCATE THE COMMUNITY ABOUT LIVER HEALTH AND DRIVE AWARENESS ABOUT LIVER DISEASE. HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA: AHN WAS RECOGNIZED FOR ITS OUTSTANDING EFFORTS TO RAISE AWARENESS FOR ORGAN DONATION IN THE 2018 DONATE LIFE PA HOSPITAL CHALLENGE. EACH PARTICIPATING AHN HOSPITAL EARNED A TITANIUM-LEVEL FINISH, THE HIGHEST RANKING POSSIBLE FOR THE INITIATIVE WHICH RECOGNIZES HOSPITALS THAT ENGAGE IN UNPRECEDENTED LEVELS OF OUTREACH ACTIVITIES THROUGHOUT THE MONTH OF APRIL. PARTICIPATING AHN HOSPITALS INCLUDED: ALLEGHENY GENERAL, ALLEGHENY VALLEY, CANONSBURG, FORBES, JEFFERSON, SAINT VINCENT AND WEST PENN. INTERNATIONAL BOARD OF LACTATION CONSULTANTS: THE AHN WOMEN AND INFANTS CENTER AT WEST PENN HOSPITAL RECEIVED THE INTERNATIONAL BOARD OF LACTATION CONSULTANTS CARE AWARD IN 2018. JOURNAL OF EMERGENCY MEDICAL SERVICES: BENJAMIN J. LAWNER, DO, MS, EMT-P, FACEP, MEDICAL DIRECTOR OF PREHOSPITAL CARE SERVICES, LIFEFLIGHT AND EMS AT AHNS ALLEGHENY GENERAL HOSPITAL, WAS AWARDED THE JOHN P. PRYOR, MD, STREET MEDICINE SOCIETY AWARD. KEYSTONE 10: JEFFERSON HOSPITAL HAS RECEIVED "KEYSTONE 10" DESGINATION, INDICATING THE HOSPITALS HIGH LEVEL OF SUPPORT FOR BREAST-FEEDING FAMILIES. NATIONAL ADULT AND INFLUENZA IMMUNIZATION SUMMIT: PREMIER MEDICAL ASSOCIATES RECEIVED AN IMMUNIZATION EXCELLENCE AWARD AT THE MAY 2018 SUMMIT. NATIONAL KIDNEY FOUNDATION: THE NATIONAL KIDNEY FOUNDATION OF THE ALLEGHENIES HONORED AHNS BARBARA CLARK, MD, WITH THE GIFT OF LIFE MEDICAL AWARD FOR HER EXTRAORDINARY CONTRIBUTIONS TO THE FIELD OF NEPHROLOGY. NATIONAL PANCREAS FOUNDATION: SHYAM THAKKAR, MD, DIRECTOR OF ENDOSCOPY AND THE AHN MULTIDISCIPLINARY PANCREAS CENTER, WAS RECOGNIZED WITH A COURAGE OF CARE AWARD; AHN NURSES DEAH DAVIS, RN, BSN, AND PAMELA NERO, RN, BSN, CGRN, RECEIVED COMPASSIONATE CARE AWARDS. PENNSYLVANIA MEDICAL SOCIETY: FOUR PHYSICIANS FROM SAINT VINCENT HOSPITAL WERE NAMED 2018 PENNSYLVANIA MEDICAL SOCIETY TOP PHYSICIANS UNDER 40. THEY ARE THE ONLY ERIE PHYSICIANS TO BE RECOGNIZED. THE PHYSICIANS INCLUDE KLARA ROMAN, MD, AND LYDIA TRAVNIK, DO, OF THE SAINT VINCENT-AHN HEALTH & WELLNESS PAVILION; RACHEL WILKERSON, DO, A SAINT VINCENT HOSPITALIST; AND AMANDA WINCIK, DO, CHIEF RESIDENT WITH THE SAINT VINCENT FAMILY MEDICINE PROGRAM. PITTSBURGH BUSINESS TIMES: THE BUSINESS TIMES HONORED AHN WITH ITS CORPORATE CITIZENSHIP AWARD. AHN WAS ONE OF ABOUT A DOZEN COMPANIES IN THE PITTSBURGH REGION HONORED OUTSTANDING PHILANTHROPIC CONTRIBUTIONS AND COLLABORATIVE RELATIONSHIPS WITH NONPROFITS, CIVIC AND GOVERNMENTAL ORGANIZATIONS. PITTSBURGH BUSINESS TIMES: SEVERAL AHN HEALTH CARE PROVIDERS AND TEAMS WERE HONORED WITH HEALTHCARE HERO AWARDS IN 2018, WHICH RECOGNIZE OUTSTANDING PROFESSIONAL ACHIEVEMENT, INNOVATIVE CARE, AND COMMUNITY OUTREACH. DAVID PARDA, MD, RECEIVED THE CAREER ACHIEVEMENT AWARD, SUSAN MANZI, MD, MARTA KOLTHOFF, MD, AND ALLISON FREEMAN, MD, RECEIVED HEALTH CARE PROVIDER AWARDS, THE AHN ADDICTION MEDICINE CARE TEAM AND BECKY ORLER AND HOLLY CHAPMAN (TRANSPLANT COORDINATORS) RECEIVED HEALTH CARE PROVIDER (NON-PHYSICIAN) AWARDS, KENYOKEE CROWELL RECEIVED A HEALTHCARE EXECUTIVE AWARD, JUDITH SCHAAD, DPT, AND LINDA LEONARD (WEST PENN BURN CAMP) RECEIVED A COMMUNITY OUTREACH AWARD. PITTSBURGH MAGAZINE: AHN NURSES JACQUELINE COLLAVO, MA, BSN, RN, NE-BC, AND STUART FISK, CRNP, HAVE EACH RECEIVED TOP HONOR IN PITTSBURGH MAGAZINES THIRD ANNUAL EXCELLENCE IN NURSING AWARDS. QUANTROS/CARECHEX: AS OF 2018, ALLEGHENY GENERAL HOSPITAL IS RATED AMONG THE TOP 10% OF HOSPITALS IN THE NATION FOR MEDICAL EXCELLENCE IN WOMENS HEALTH, AND IS RATED THE NO. 1 HOSPITAL IN WESTERN PA FOR PATIENT SAFETY IN OVERALL MEDICAL CARE, CARDIAC CARE, HEART ATTACK TREATMENT, MAJOR NEURO-SURGERY, ORGAN TRANSPLANTS, PULMONARY CARE, STROKE CARE, HEART TRANSPLANT, KIDNEY TRANSPLANT AND TRAUMA CARE. MARKET CLAIMS ARE BASED ON CARECHEX 2018 COMPOSITE QUALITY SCORES AND RATINGS FOR ACUTE CARE HOSPITALS SERVING THE COMBINED STATISTICAL AREA (CSA) OF PITTSBURGH-NEW CASTLE-WEIRTON. QUANTROS/CARECHEX: AS OF 2018, WEST PENN HOSPITAL IS RATED THE NO. 1 HOSPITAL IN WESTERN PA FOR MEDICAL EXCELLENCE IN BARIATRIC SURGERY, AND IS RATED AMONG THE TOP 10% OF HOSPITALS IN THE NATION FOR MEDICAL EXCELLENCE IN STROKE CARE. MARKET CLAIMS ARE BASED ON CARECHEX 2018 COMPOSITE QUALITY SCORES AND RATING FOR ACUTE CARE HOSPITALS SERVING THE COMBINED STATISTICAL AREA OF PITTSBURGH-NEW CASTLE-WEIRTON. QUANTROS: AS OF 2018, FORBES HOSPITAL IS RATED THE NO.1 HOSPITAL IN WESTERN PA FOR MEDICAL EXCELLENCE IN MAJOR NEURO-SURGERY. MARKET CLAIMS ARE BASED ON CARECHEX 2018 COMPOSITE QUALITY SCORES AND RATING FOR ACUTE CARE HOSPITALS SERVING THE COMBINED STATISTICAL AREA OF PITTSBURGH-NEW CASTLE-WEIRTON. UNIVERSITY OF PITTSBURGH: FIFTEEN AHN NURSES RECEIVED CAMEOS OF CARING AWARDS FOR EXCELLENCE IN NURSING CARE AND PROFESSIONAL ACHIEVEMENT. CATEGORIES AWARDED TO AHN NURSES INCLUDED ADVANCED PRACTICE AWARD, DONATE LIFE AWARD, NURSE EDUCATOR AWARD, CASE MANAGEMENT AWARD, AND QUALITY & SAFETY AWARD.
VOTING MEMBERS OF GOVERNING BOARD FORM 990, PART I, LINE 3 THE NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY REFLECTED IN IRS FORM 990, PAGE 1, PART I, LINE 3 WILL NOT CORRESPOND TO THE ACTUAL NUMBER OF VOTING MEMBERS LISTED IN IRS FORM 990, PAGE 7, PART VII BECAUSE CERTAIN VOTING MEMBERS OF THE GOVERNING BODY ARE VOTING MEMBERS FOR MORE THAN ONE OF THE ORGANIZATIONS INCLUDED IN THIS GROUP FILING. IN THESE INSTANCES, THE INDIVIDUAL IS COUNTED IN PART I, LINE 3 IN ACCORDANCE WITH THE NUMBER OF ORGANIZATIONS FOR WHICH THEY ARE VOTING MEMBERS BUT WILL ONLY BE LISTED IN PART VII ONCE.
CONTRIBUTIONS, GRANTS, AND SIMILAR AMOUNTS RECEIVED FORM 990, PART I, LINE 8 PURSUANT TO TREASURY REGULATION SECTION 1 6033-2(D)(5) THE SPONSORING ENTITY OF HIGHMARK HEALTH GROUP, HIGHMARK HEALTH, HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GRANTS, AND SIMILAR AMOUNTS RECEIVED, INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN INDEPENDENT CONTRACTORS ON A CONSOLIDATED BASIS ALONG WITH ALL MEMBERS OF THE HIGHMARK HEALTH GROUP IN THE HIGHMARK HEALTH GROUP RETURN.
BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP THROUGH THEIR CONNECTION OF SERVING TOGETHER ON THE BOARD OF RELATED TAXABLE NON-PROFIT ORGANIZATIONS: JOSEPH GUYAUX, DAVID BLANDINO, M.D., VICTOR ROQUE, DAVID MALONE, DAVID MATTER, AND DAVID HOLMBERG. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 WEST PENN ALLEGHENY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - CANONSBURG GENERAL HOSPITAL - ALLEGHENY MEDICAL PRACTICE NETWORK - ALLEGHENY SINGER RESEARCH INSTITUTE - ALLE-KISKI MEDICAL CENTER - THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION - FORBES HEALTH FOUNDATION - ALLEGHENY CLINIC - ALLEGHENY CLINIC MEDICAL ONCOLOGY AHN IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - JEFFERSON REGIONAL MEDICAL CENTER - WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - SAINT VINCENT HEALTH SYSTEM - SAINT VINCENT HEALTH CENTER ALLE-KISKI MEDICAL CENTER IS THE SOLE MEMBER OF: - ALLE-KISKI MEDICAL CENTER TRUST HIGHMARK HEALTH IS THE SOLE MEMBER OF: - ALLEGHENY HEALTH NETWORK SAINT VINCENT HEALTH SYSTEM IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT AFFILIATED PHYSICIANS - SAINT VINCENT MEDICAL EDUCATION & RESEARCH INSTITUTE - Westfield Memorial Hospital CANONSBURG GENERAL HOSPITAL IS THE SOLE MEMBER OF: - CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE MEMBERS OR STOCKHOLDERS WHO MAY ELECT FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE BYLAWS OF EACH ENTITY, THE SOLE MEMBER OF SUCH ENTITY HAS THE POWER TO ELECT OR APPOINT ALL OR A SIGNIFICANT PORTION OF SUCH ENTITY'S BOARD OF DIRECTORS AND TO REMOVE OR REPLACE SUCH DIRECTORS.
DECISIONS SUBJECT TO APPROVAL FORM 990, PART VI, SECTION A, LINE 7B For the following entities that comprise the group, Highmark Health, as the direct or indirect sole member, holds certain reserve powers pursuant to the bylaws of: - CANONSBURG GENERAL HOSPITAL - ALLEGHENY HEALTH NETWORK - JEFFERSON REGIONAL MEDICAL CENTER - ALLEGHENY SINGER RESEARCH INSTITUTE - ALLE-KISKI MEDICAL CENTER - THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION - ALLE-KISKI MEDICAL CENTER TRUST - FORBES HEALTH FOUNDATION - WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE - SAINT VINCENT HEALTH SYSTEM - SAINT VINCENT HEALTH CENTER - SAINT VINCENT AFFILIATED PHYSICIANS - CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE - ALLEGHENY CLINIC - ALLEGHENY CLINIC MEDICAL ONCOLOGY - ALLEGHENY MEDICAL PRACTICE NETWORK THE FOLLOWING ARE THE RESERVED POWERS OF HIGHMARK HEALTH: 1) TO APPROVE THE ELECTION, RE-ELECTION AND REMOVAL OF ALL OFFICERS, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, OF THE CORPORATION AND ITS SUBSIDIARIES; 2) TO AMEND, REVISE OR RESTATE THE CORPORATIONS ARTICLES OF INCORPORATION AND BYLAWS AND APPROVE ALL AMENDMENTS OR REVISIONS OF THE CORPORATIONS ARTICLES OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED OR APPROVED BY AHN, THE MEMBER OR BOARD OF DIRECTORS OF THE CORPORATION, SUBJECT TO CERTAIN EXCEPTIONS. 3) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION OR ITS SUBSIDIARIES; 4) TO CHANGE THE GENERAL STRUCTURE OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES AS A VOLUNTARY, NONPROFIT CORPORATION; 5) TO (A) DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE CORPORATION OR ITS SUBSIDIARIES, (B) CONSOLIDATE OR MERGE THE CORPORATION OR ITS SUBSIDIARIES WITH ANOTHER CORPORATION OR ENTITY, (C) SELL OR ACQUIRE ASSETS, WHETHER IN A SINGLE TRANSACTION OR SERIES OF TRANSACTIONS, WHERE THE CONSOLIDATION EXCEEDS 1% OF THE CORPORATIONS OR THE RELEVANT SUBSIDIARYS TOTAL ASSETS, AND (D) APPROVE ANY OF THE FOREGOING ACTIONS THAT MAY BE PROPOSED BY AHN, THE MEMBER OR THE BOARD OF DIRECTORS OF THE CORPORATION BEFORE SUCH ACTION BECOMES EFFECTIVE; 6) TO APPROVE THE ANNUAL CONSOLIDATED CAPITAL AND OPERATING PLAN AND BUDGET OF THE CORPORATION AND ITS SUBSIDIARIES, AND ANY AMENDMENTS THERETO OR SIGNIFICANT VARIANCES THEREFROM; 7) APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS SUBSIDIARIES OR THE MAKING OF CAPITAL EXPENDITURES BY THE CORPORATION AND THE SUBSIDIARIES DURING ANY FISCAL YEAR OF THE CORPORATION, IN EITHER CASE IN EXCESS OF ONE QUARTER OF 1% OF THE CONSOLIDATED ANNUAL OPERATING BUDGET OF THE CORPORATION AND ITS SUBSIDIARIES FOR EACH FISCAL YEAR IF SUCH DEBT OR CAPITAL EXPENDITURES ARE NOT INCLUDED IN THE CORPORATIONS SUBSIDIARIES APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS. 8) TO APPROVE ANY DONATION OR ANY OTHER TRANSFER OF THE CORPORATIONS OR ITS SUBSIDIARIES ASSETS, OTHER THAN TO THE MEMBER OR TO THE CORPORATION BY ITS SUBSIDIARIES, IN EXCESS OF $10,000,000, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATIONS OR ITS SUBSIDIARIES APPROVED BUDGETS. 9) TO APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION AND ITS SUBSIDIARIES; 10) TO APPROVE INVESTMENT POLICIES OF THE CORPORATION AND SUBSIDIARIES; 11) TO APPROVE THE CLOSURE OR RELOCATION OF A LICENSED HEALTHCARE FACILITY OF THE CORPORATION AND ITS SUBSIDIARIES; 12) TO APPROVE THE FORMATION OF SUBSIDIARY CORPORATIONS, PARTNERSHIPS AND JOINT VENTURES OR TO MAKE NEW INVESTMENTS IN EXISTING SUBSIDIARY CORPORATIONS, PARTNERSHIPS AND JOINT VENTURES, IF THE NEW INVESTMENTS OF THE CORPORATION AND THE SUBSIDIARIES IN SUCH SUBSIDIARIES CORPORATIONS, PARTNERSHIPS, AND JOINT VENTURES DURING ANY FISCAL YEAR WOULD, IN THE AGGREGATE, EXCEED 1% OF THE CORPORATIONS CONSOLIDATED TOTAL ASSETS AT THE END OF THE PRIOR FISCAL YEAR OF THE CORPORATION; 13) TO ESTABLISH AND MANAGE THE CORPORATIONS PROGRAM FOR COMPLIANCE WITH ALL LEGAL REQUIREMENTS APPLICABLE TO THE CORPORATION, ALL ACCREDITATION AND LICENSING REQUIREMENTS AND THE CONDITIONS OF PARTICIPATION IN ALL GOVERNMENTAL PAYER PROGRAMS APPLICABLE TO THE CORPORATION; AND 14) TO SELECT AND APPOINT AUDITORS AND TO DESIGNATE THE FISCAL YEAR OF THE CORPORATION AND THE SUBSIDIARIES. 15) TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE NONPROFIT CORPORATION LAW.
FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B HIGHMARK HEALTH GROUP IRS FORM 990 WAS PREPARED BY ITS EXTERNAL ADVISORS, PRICEWATERHOUSECOOPERS LLP AND REVIEWED BY THE HIGHMARK HEALTH TAX DEPARTMENT, SENIOR MANAGEMENT OF THE ORGANIZATION, AND THE AUDIT AND COMPLIANCE COMMITTEE. Before filing the tax return with the Internal Revenue Service, a final copy was provided to all members of the Boards of Directors.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT FORM 990, PART VI, SECTION B, LINE 12C Highmark Health (HH) has a corporate compliance department that monitors and oversees compliance with the Conflict of Interest Policy for all entities within the filing group. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy: Conflict of interest disclosure statements are completed upon hire/appointment and on an annual basis by all board members, officers, key employees, supervisors and above, persons with purchasing authority including procurement department employees and committee members which may influence purchasing decisions, and any other employees as designated by the compliance department. Upon completion of the above disclosure statement by all applicable individuals, the Corporate Compliance Department reviews all disclosures. Those disclosure statements that require additional information or clarification are contacted by the corporate compliance department requesting such. Once received, the Corporate Compliance Department reviews the information to determine whether a real or potential conflict of interest exists. As applicable, Legal and Senior Management are consulted to determine whether a real or potential conflict of interest exists. When a conflict requires a mitigation plan, the mitigation plan is developed and approved in coordination with the respective responsible senior management. The senior managers are responsible for discussing the mitigation plan with the individual and monitoring compliance with the mitigation plan. A Conflict of Interest/Independence Disclosure Summary Report of all board members, officers, and executive management with reportable disclosures is provided to the Audit and Compliance committee of the Board of Highmark Health as well as the Board of Directors of Highmark Health, AHN and any applicable hospital.
PROCESS FOR DETERMINING EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A AND 15B AHN follows a process for determining compensation for executive positions, (including officers, key employees and other management positions), and is covered by the Highmark Health executive compensation policy. The policy was approved by the Highmark Health board of directors. It is the policy of AHN management to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with AHN. The Highmark Health personnel and compensation committee (P&C) of the Board of Directors approves the compensation for the president and CEO of AHN and all non-hospital senior executives who report directly to the president and CEO of AHN. The personnel and compensation committee uses comparability data provided by an independent compensation consultant. The external consultant provides a letter of reasonability for all offers made to new executives that report to the AHN CEO. Each P&C committee member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. The executive compensation program for the hospital entities within the group is administered by the CEO of AHN with respect to the CEOs, COOs and CFOs of each hospital, pursuant to overall guidelines established by the personnel and compensation committee of the board of directors of Highmark Health. It is the policy of AHN to compensate its executives in accordance with competitive market practices, taking into account organizational performance and the skills, experience, qualifications and performance of each executive. AHN generally targets the median of the relevant market with reasonable variation based on each executives skills, experience, performance and current positioning relative to market. Highmark Health management, in coordination with the independent consultant to the P&C committee obtains appropriate market comparability data for each position, including nationally published compensation surveys and/or specific organization peer groups, to prepare compensation recommendations for all key executives, including officers, key employees, and other disqualified persons. Recommendations are reviewed and approved by a committee that is independent with respect to the compensation provided to the executives. Compensation may include several forms of cash compensation, including base salary, performance-based incentive compensation, and a competitive employee benefits program. Base salary is the fixed element of compensation intended to align with each executives role, responsibilities, overall performance and other contributions. Incentive compensation is used to provide variable, or "at risk" compensation, based on the performance of both the executive and the organization. Typically, AHN and hospital executives can earn incentive compensation only if the organization achieves certain pre-determined goals as approved by the P&C Committee. The plans are intended to hold executives accountable for achieving performance that is consistent with the long-term goals and objectives of the organization. All entities within the filing follow the requirement in the regulations to comply with the rebuttable presumption of the reasonableness of compensation. THE P&C COMMITTEE COMPLETED A REVIEW AND APPROVAL OF THE ANNUAL COMPENSATION STUDY OF CORPORATE EXECUTIVES PREPARED BY THE INDEPENDENT COMPENSATION CONSULTANT IN JULY 2019.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE ON A CONSOLIDATED BASIS, AND ARE AVAILABLE UPON REQUEST AND APPROVAL BY THE CFO OF HIGHMARK HEALTH. INDEPENDENT CONTRACTORS PART VII, SECTION B, LINE 2 LISTED IN THIS FORM 990, PART VII ARE THE FIVE HIGHEST PAID INDEPENDENT CONTRACTORS THAT PROVIDED SERVICES THE HIGHMARK HEALTH GROUP. THE AMOUNT OF INDEPENDENT CONTRACTORS REPORTED ON LINE 2 INCLUDES THE TOTAL AMOUNT OF VENDORS PAID OVER $100,000.
OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 EQUITY TRANSFERS 321,645,050 PENSION LIABILITY ADJUSTMENTS (71,431,241) OTHER (70,263,014) ------------- TOTAL 179,950,795
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) AHN Surgery Center - Bethel Park LLC
1000 Higbee Drive
Bethel Park,PA15102
47-3690355 		Healthcare PA 2,510,972 906,861 AHN
 
(2) West Penn Allegheny Foundation LLC
4800 Friendship Avenue
Pittsburgh,PA15224
20-1107650 		Capital Acq. PA 3,174,836 29,055,773 WPAHS
 
(3) Peters Township ASC LLC
160 Gallery Drive
McMurray,PA15317
27-3982341 		Healthcare PA 3,813,610 5,600,600 WPAHS
 
(4) West Penn ASC LLC
4800 Friendship Avenue
Pittsburgh,PA15224
27-2344847 		Inactive PA 0 0 WPAHS
 
(5) JRMC Diagnostic Services LLC
565 Coal Valley Road
Pittsburgh,PA15025
80-0069336 		Healthcare PA 1,219,837 269,113 JRMC
 
(6) SV Shared Savings Program ACO LLC
232 West 25th Street
Erie,PA16544
45-5550348 		Inactive PA 0 0 SVHC
 
(7) SVEC LLC
232 West 25th Street
Erie,PA16544
20-8572620 		Inactive PA 0 0 SVHC
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Canonsburg Hospital & Health Foundation
100 Medical Boulevard

Canonsburg,PA15317
25-1818505 		Inactive PA 501(c)(3) 12a-TYPE I NA
 
 
No
(2)Clinical Pathology Institute Cooperative
1526 Peach Street

Erie,PA16501
25-1528055 		Healthcare PA 501(c)(3) 3 SVHC
 
 
No
(3)Community Blood Bank
232 West 25th Street

Erie,PA16544
25-1181389 		Healthcare PA 501(c)(3) 12a-TYPE I SVHC
 
 
No
(4)Emergycare Inc
232 West 25th Street

Erie,PA16544
25-1430922 		Healthcare PA 501(c)(3) 10 SVHC
 
 
No
(5)Greater Canonsburg Health System
100 Medical Boulevard

Canonsburg,PA15317
25-1488089 		Inactive PA 501(c)(3) 12a-TYPE I NA
 
 
No
(6)Highmark Health
120 Fifth Avenue Suite 922

Pittsburgh,PA15222
45-3674900 		Healthcare PA 501(c)(3) 12a-TYPE I NA
 
 
No
(7)Regional Cancer Center
232 West 25th Street

Erie,PA16544
25-1385705 		Healthcare PA 501(c)(3) 3 SVHS
 
 
No
(8)Regional Heart Network
232 West 25th Street

Erie,PA16544
25-1856341 		Healthcare PA 501(c)(3) 3 SVHC
 
 
No
(9)Regional Home Health and Hospice
232 West 25th Street

Erie,PA16544
83-0371265 		Healthcare PA 501(c)(3) 9 SVHS
 
 
No
(10)Suburban Health Foundation
100 South Jackson Ave

Pittsburgh,PA15202
25-1472073 		Fundraising PA 501(c)(3) 12a-TYPE I WPAHS INC
 
 
No
(11)Vantage Health Group
232 West 25th Street

Erie,PA16544
25-1498145 		Healthcare PA 501(c)(3) 3 SVHC
 
 
No
(12)West Allegheny Hospital
100 Medical Boulevard

Pittsburgh,PA15317
25-1054206 		Inactive PA 501(c)(3) 3 NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) 5148 Liberty Assoc

5989 Centre Avenue
Pittsburgh,PA15206
25-1689871 		Property Rental PA WPAHS Inc
  		EXCLUDED 75,632 903,150   No     No 50.000 %
(2) AHN Emerus LLC

30 Isabella St
Pittsburgh,PA15212
82-3655381 		Medical Practice PA AHN
  		RELATED -81,252 45,571   No     No 51.000 %
(3) AHN Home Infusion

312 West 25th Street
Erie,PA16502
25-1736527 		Medical Practice PA SVHS
  		Related 17,596,951 7,365,597   No     No 80.000 %
(4) Celtic Hospice

30 Isabella St
Pittsburgh,PA15212
20-5661063 		Medical Practice PA WPAHS Inc
  		Related 3,287,429 20,693,005   No     No 80.000 %
(5) JV Holdco LLC

30 Isabella St
Pittsburgh,PA15212
47-2368587 		Holding Company PA WPAHS Inc
  		Related 1,173,965 32,261,928   No     No 60.000 %
(6) Mccandles Endoscopy

4800 Friendship Ave
Pittsburgh,PA15224
26-1284448 		Medical Practice PA WPAHS Inc
  		Related 681,090 445,674   No     No 50.000 %
(7) N Shore Endoscopy

4800 Friendship Ave
Pittsburgh,PA15224
25-1880238 		Medical Practice PA WPAHS Inc
  		Related 717,561 407,444   No     No 50.000 %
(8) Provider PPI LLC

120 Fifth Avenue Suite 922
Pittsburgh,PA15222
32-0429947 		Group Purchasing PA HMPG
  		Related 15,818,989 27,506,102   No     No 99.000 %
(9) ST VINC PROF BLDG

312 West 25th Street
Erie,PA16502
25-1578290 		Property Mgmt PA SVHC
  		Related 429,996 311,734   No     No 97.000 %
(10) Vantage HLDNG COMP

312 West 25th Street
Erie,PA16502
03-0477182 		Capital Mgmt PA CSI
  		Related 169,013 8,292,208   No     No 51.000 %
(11) AHN-LECOM JV LLC

30 ISABELLA ST
PITTSBURGH,PA15212
82-5500526 		HEALTHCARE PA AHN
  		RELATED -162,305 4,587,695   No     No 50.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Clinical Services Inc

232 West 25th Street
Erie,PA16544
25-1403846 		Holding Company PA SVHS
  		C Corp -768,312 8,766,025 100.000 % Yes  
(2) Family Practice Medical Associates South

2414 Lytle Rd Ste 300
Bethel Park,PA15102
25-1684735 		Medical Practice PA JRMC
  		C Corp 8,821,439 3,043,958 100.000 % Yes  
(3) Grandis Rubin Shanahan & Assoc

565 Coal Valley Rd
Jefferson Hills,PA15025
45-3355906 		Medical Practice PA JRMC
  		C Corp 5,362,471 1,537,655 100.000 % Yes  
(4) Health System Services Corp & Subs

565 Coal Valley Rd
Jefferson Hills,PA15025
25-1403745 		Real Estate Ops PA JRMC
  		C Corp 3,279,301 19,760,320 100.000 % Yes  
(5) HMPG Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
45-3444325 		Holding Company PA AHN
  		C Corp 8,174,348 131,019,341 100.000 % Yes  
(6) JRMC Physician Service Corp

565 Coal Valley Rd
Jefferson Hills,PA15025
86-1159658 		Medical Practice PA JRMC
  		C Corp -66,211 108,584 100.000 % Yes  
(7) Lake Erie Medical Group PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
45-3444157 		Medical Practice PA AC
  		C Corp 147,742 599,315 100.000 % Yes  
(8) Palladium Risk Retention Group

409 Broad St Ste 270
Sewickley,PA15143
46-3476730 		Insurance VT WPAHS Inc
  		C Corp 25,520,084 93,334,272 100.000 % Yes  
(9) Physician Landing Zone PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
45-3913973 		Health Care PA AC
  		C Corp 9,034,060 637,319 100.000 % Yes  
(10) Pittsburgh Pulmonary & Critical Care

1200 BROOKS LN STE 130
Clairton,PA15025
46-3274101 		Medical Practice PA JRMC
  		C Corp 3,818,841 834,501 100.000 % Yes  
(11) Premier Medical Associates PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1742869 		Medical Practice PA AC
  		C Corp 57,097,090 27,947,488 100.000 % Yes  
(12) Premier Women's Health

120 Fifth Ave Suite 922
Pittsburgh,PA15222
46-4682160 		Medical Practice PA AC
  		C Corp 6,261,267 1,274,963 100.000 % Yes  
(13) Primary Care Group 4 Inc

1907 Lebanon Church Rd
West Mifflin,PA15122
80-0403090 		Medical Practice PA JRMC
  		C Corp 548,762 51,647 100.000 % Yes  
(14) Primary Care Group 6 Inc

PO Box 333
West Mifflin,PA15122
90-0503600 		Medical Practice PA JRMC
  		C Corp 408,368 68,108 100.000 % Yes  
(15) Primary Care Group 8 Inc

803 Miller Ave
Clairton,PA15025
01-0927360 		Medical Practice PA JRMC
  		C Corp 139,835 330,277 100.000 % Yes  
(16) Primary Care Group 10 Inc

3726 Brownsville Rd
Pittsburgh,PA15227
38-3807173 		Medical Practice PA JRMC
  		C Corp 391,162 156,867 100.000 % Yes  
(17) Primary Care Group 12 Inc

17 Arentzen Blvd Ste 101
Charleroi,PA15022
90-0614054 		Medical Practice PA JRMC
  		C Corp 1,344,672 199,409 100.000 % Yes  
(18) Specialty Group Practice 1 Inc

575 Coal Valley Rd Ste 365
Clairton,PA15025
35-2367818 		Medical Practice PA JRMC
  		C Corp 1,298,264 291,081 100.000 % Yes  
(19) West Penn Corporate Medical ServicesInc

4800 Friendship Avenue
Pittsburgh,PA15224
25-1437405 		Inactive PA WPAHS Inc
  		C Corp 0 89,483 100.000 % Yes  
(20) West Penn Neurosurgery PC

4800 Friendship Avenue
Pittsburgh,PA15224
25-1630719 		Inactive PA WPAHS Inc
  		C Corp 0 0 100.000 % Yes  
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
Yes
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Allegheny Clinic

 P 135,595,514 FMV
(2) PROVIDER PPI LLC

 P 2,906,904 FMV
(3) PARK CARDIOTHORACIC & VASCULAR INSTITUTE

 P 599,921 FMV
(4) OSIRIS PROPERTIES LLC

 P 587,544 FMV
(5) Gold Mist Advisors LLC

 P 211,007 FMV
(6) CLINICAL SERVICES INC

 P 173,142 FMV
(7) PROMEDIX LLC

 P 133,698 FMV
(8) REGIONAL HOME HEALTH AND HOSPICE

 P 59,447 FMV
(9) Allegheny Clinic

 Q 30,961,769 FMV
(10) Physician Landing Zone PC

 Q 5,897,368 FMV
(11) Wexford Medical Mall LLC

 Q 3,935,149 FMV
(12) Monroeville Ambulatory Surgery Center LLC

 Q 2,141,460 FMV
(13) Physician Partners of Western PA LLC

 Q 961,925 FMV
(14) HHPG Inc

 Q 499,638 FMV
(15) Saint Vincent CIC Disease LLC

 Q 412,828 FMV
(16) JRMC Physician Services Corporation

 Q 238,957 FMV
(17) Summer Wind Management LLC

 Q 105,572 FMV
(18) Peters Township Surgery Center LLC

 Q 102,781 FMV
(19) Highmark Health

 C 77,000 FMV
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART V, LINE 2 HIGHMARK HEALTH GROUP TRANSACTS BUSINESS WITH THE LISTED RELATED ORGANIZATIONS IN THE MANNER IDENTIFIED IN COLUMN 2(B). HIGHMARK HEALTH GROUP HAS CHOSEN TO REFLECT THESE TRANSACTIONS COMBINED FOR PURPOSES OF DISCLOSURE ON SCHEDULE R, PART V, LINE 2.
Schedule R (Form 990) 2018

Additional Data


Software ID:  
Software Version:  






TY 2018 AffiliateListing
Name:
Highmark Health Group
EIN:
82-1406555

Name Address EIN Name control
HIGHMARK HEALTH GROUP  
 
82-1406555
 HIGH