TY 2019 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID HOLMBERG...................................................................... DIRECTOR	5.0 ................. 60.0	X				0	8,092,338	54,414
(2) Jeffrey Crudele...................................................................... Director & Treasurer	60.0 ................. 0.0	X	X			1,402,663	0	2,055,626
(3) Karen Hanlon...................................................................... Director	5.0 ................. 60.0	X				0	3,041,353	279,887
(4) Cynthia Hundorfean...................................................................... Director & President	60.0 ................. 0.0	X	X			3,108,172	0	25,416
(5) Thomas Vankirk...................................................................... Director	5.0 ................. 60.0	X				0	2,596,116	32,790
(6) Tony Farah MD...................................................................... Director	5.0 ................. 60.0	X				0	2,273,622	38,826
(7) EDWARD WESTRICK MD...................................................................... Physician	60.0 ................. 0.0				X	1,788,072	0	28,639
(8) James Benedict...................................................................... Director/COO	60.0 ................. 0.0	X	X			1,776,752	0	39,897
(9) Daniel Altman MD...................................................................... Physician	60.0 ................. 0.0				X	1,595,222	0	30,152
(10) Donald Whiting MD...................................................................... Director/CHAIRMAN	60.0 ................. 0.0	X	X			1,490,510	0	128,276
(11) Gregory Altman MD...................................................................... Physician	60.0 ................. 0.0				X	1,485,172	0	27,533
(12) GEORGE EID MD...................................................................... Physician	60.0 ................. 0.0				X	1,367,892	0	23,680
(13) Alexander Yu MD...................................................................... PHYSICIAN	60.0 ................. 0.0				X	1,337,432	0	11,555
(14) SRICHARAN CHALIKONDA...................................................................... CHIEF MEDICAL OPS OFFICER	60.0 ................. 0.0			X		1,190,391	0	104,315
(15) Patrick Demeo MD...................................................................... Physician	60.0 ................. 0.0			X		1,202,679	0	26,217
(16) Robert White MD...................................................................... Chief Medical Info Officer	60.0 ................. 0.0			X		1,137,075	0	33,929
(17) BRIAN MATTHEW PARKER...................................................................... DIRECTOR	60.0 ................. 0.0	X				1,029,063	0	82,177

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Jacqueline Bauer........................................................................ Director & Secretary	60.0 .......................0.0	X	X		0	1,054,182	51,915
(19) Kenyokee Crowell........................................................................ Sr. Vice President	60.0 .......................0.0			X	1,022,525	0	65,252
(20) David Parda MD........................................................................ Director	60.0 .......................0.0	X			1,020,395	0	29,929
(21) Robert Lupo MD........................................................................ Director	60.0 .......................0.0	X			970,967	0	26,486
(22) Ngoc Thai MD........................................................................ PHYSICIAN	60.0 .......................0.0			X	945,756	0	27,259
(23) Venkatraman Srinivasan........................................................................ Trustee	60.0 .......................0.0	X			929,104	0	24,166
(24) G Scott Long MD........................................................................ Director & President	60.0 .......................0.0	X	X		921,988	0	9,624
(25) Ross Peterson MD........................................................................ Director	60.0 .......................0.0	X			865,922	0	28,142
(26) Srinavas Murali MD........................................................................ Physician	60.0 .......................0.0			X	799,665	0	22,263
(27) Jeffrey McGovern MD........................................................................ Director	60.0 .......................0.0	X			768,836	0	26,295
(28) Parminder Sharma MD........................................................................ Director	60.0 .......................0.0	X			766,773	0	25,899
(29) WILLIAM JOHNJULIO MD........................................................................ MEDICAL DIRECTOR - CIN	60.0 .......................0.0			X	763,562	0	25,649
(30) PETER LUND MD........................................................................ DIRECTOR	1.0 .......................0.0	X			759,587	0	23,361
(31) Claire Zangerle........................................................................ Chief Nursing Officer	60.0 .......................0.0			X	743,716	0	11,366
(32) George J Magovern Jr........................................................................ Physician	60.0 .......................0.0			X	698,600	0	27,202
(33) Madhusudan Menon MD........................................................................ Director	60.0 .......................0.0	X			706,288	0	4,007
(34) JOHN BALACKO MD........................................................................ DIRECTOR	60.0 .......................0.0	X			675,947	0	22,419
(35) Allan Klapper MD........................................................................ Physician	60.0 .......................0.0			X	670,319	0	27,074
(36) Beth Casagranda MD........................................................................ Physician	60.0 .......................0.0			X	659,576	0	27,099
(37) Mark Rubino MD........................................................................ Director & President	50.0 .......................0.0	X	X		654,220	0	22,521
(38) Susan Manzi MD........................................................................ Physician	60.0 .......................0.0			X	662,325	0	10,732
(39) Chong Park MD........................................................................ Chief Medical Officer	60.0 .......................0.0			X	622,658	0	25,823
(40) John Lawrence MD........................................................................ Physician	60.0 .......................0.0			X	620,118	0	27,099
(41) Louise Urban........................................................................ Director & President	60.0 .......................0.0	X	X		608,859	0	22,600
(42) Richard Thompson........................................................................ Vice President	60.0 .......................0.0			X	606,022	0	18,194
(43) DENZIL RUPERT........................................................................ CHIEF OPERATING OFFICER - AGH	50.0 .......................0.0			X	556,295	0	24,405
(44) DANIEL MUCCIO MD........................................................................ DIRECTOR	1.0 .......................0.0	X			548,836	0	26,601
(45) Jan Silverman MD........................................................................ Physician	60.0 .......................0.0			X	546,539	0	19,673
(46) Ronald Andro MD........................................................................ Director & President	60.0 .......................0.0	X	X		529,722	0	26,761
(47) Christopher Clark DO........................................................................ Director & President	60.0 .......................0.0	X	X		528,484	0	25,352
(48) JAMES VALERIANO........................................................................ PHYSICIAN CHAIRPERSON	1.0 .......................0.0			X	504,364	0	23,362
(49) James Rohrbaugh........................................................................ Treasurer	50.0 .......................0.0		X		479,917	0	39,808
(50) Mark Nussbaum........................................................................ Director & Vice President	60.0 .......................0.0	X	X		487,206	0	28,614
(51) THOMAS CAMPBELL MD........................................................................ PHYSICIAN CHAIRPERSON	60.0 .......................0.0			X	475,896	0	27,317
(52) JOSEPH ARACRI........................................................................ PHYSICIAN CHAIRPERSON	60.0 .......................0.0			X	453,372	0	20,627
(53) Jason Roeback........................................................................ Director	50.0 .......................0.0	X			419,985	0	26,262
(54) JEFFREY CARLSON........................................................................ DIRECTOR	1.0 .......................0.0	X	X		404,754	0	35,741
(55) Allison Quick........................................................................ Director & President	50.0 .......................0.0	X	X		376,486	0	38,019
(56) Keith LeJeune........................................................................ Director & Vice President	50.0 .......................0.0	X	X		363,099	0	33,893
(57) Daniel R Casper MD........................................................................ Director	50.0 .......................0.0	X			360,702	0	22,051
(58) William Englert........................................................................ Director & Pres (until 2/2019)	50.0 .......................0.0	X	X		346,738	0	33,981
(59) Thomas Corkery DO........................................................................ Director	50.0 .......................0.0	X			351,721	0	21,335
(60) Paul Gausman DO........................................................................ Director	50.0 .......................0.0	X			347,934	0	24,836
(61) Jennifer Lewis MD........................................................................ Director	50.0 .......................0.0	X			340,679	0	25,012
(62) Rand Levis........................................................................ Assistant Treasurer	50.0 .......................0.0		X		333,793	0	26,682
(63) Mark Leone DO........................................................................ Director	50.0 .......................0.0	X			301,044	0	25,327
(64) Jeffrey Kim MD........................................................................ Director	50.0 .......................0.0	X			302,103	0	24,237
(65) Michael Culig MD........................................................................ Director	50.0 .......................0.0	X			302,076	0	15,219
(66) Carol Bucci........................................................................ Director	50.0 .......................0.0	X			0	274,674	8,712
(67) Scott Hankinson........................................................................ Director	50.0 .......................0.0	X			224,533	0	26,340
(68) Thomas Murphy........................................................................ Director	50.0 .......................0.0	X	X		217,204	0	27,381
(69) Donald McNary........................................................................ Director	50.0 .......................0.0	X			230,649	0	10,606
(70) THOMAS HIPKISS........................................................................ Chief Financial Officer	60.0 .......................0.0		X		214,458	0	26,462
(71) VICENTA GASPAR-YOO M........................................................................ DIRECTOR	50.0 .......................0.0	X	X		233,293	0	1,716
(72) KELLY KASSAB........................................................................ VICE PRESIDENT & DIRECTOR	50.0 .......................0.0	X	X		218,212	0	3,044
(73) Susan Moore MD........................................................................ Director	50.0 .......................0.0	X			179,941	0	23,016
(74) Paul Reilly MD........................................................................ Director	50.0 .......................0.0	X			155,034	0	23,380
(75) Dawn Karns DO........................................................................ Director	50.0 .......................0.0	X			168,642	0	2,292
(76) BRAD GROSTEFFON........................................................................ DIR/TREAS/SEC'Y (UNTIL 6/2019)	50.0 .......................0.0	X	X		124,084	0	9,125
(77) Joseph C Guyaux........................................................................ Director	5.0 .......................10.0	X			0	129,824	0
(78) KAREN SURKALA........................................................................ PRESIDENT	1.0 .......................0.0		X		123,972	0	3,665
(79) David Celko MD........................................................................ Director	50.0 .......................0.0	X			124,998	0	1,269
(80) David Blandino MD........................................................................ Board Chair	5.0 .......................15.0	X	X		0	119,612	0
(81) David Michael Matter........................................................................ Director	5.0 .......................10.0	X			0	114,312	0
(82) Susan Barrett........................................................................ Assistant Secretary	50.0 .......................0.0		X		94,772	0	19,358
(83) Victor Roque........................................................................ Director	10.0 .......................5.0	X			0	113,312	0
(84) ALFRED MANSFIELD........................................................................ CHIEF FINANCIAL OFFICER	1.0 .......................0.0		X		98,560	0	0
(85) David Malone........................................................................ Director	5.0 .......................10.0	X			0	84,024	0
(86) VALARIE JACKSON........................................................................ PRESIDENT	50.0 .......................0.0	X			47,279	0	1,670
(87) Joseph Macerelli........................................................................ Board Chair	10.0 .......................0.0	X	X		0	0	0
(88) Robin Bergstrom........................................................................ Board Chair	1.0 .......................0.0	X	X		0	0	0
(89) Edward Little........................................................................ Board Chair	1.0 .......................0.0	X	X		0	0	0
(90) Russell Livingston........................................................................ Board Chair	1.0 .......................0.0	X	X		0	0	0
(91) Mark Webb........................................................................ Board Chair	1.0 .......................0.0	X	X		0	0	0
(92) Sandra Usher........................................................................ Board Chair	1.0 .......................0.0	X	X		0	0	0
(93) Edward Marasco........................................................................ Director & Chairman	1.0 .......................0.0	X	X		0	0	0
(94) Jeffrey Szumigale........................................................................ Director & Vice Chair	1.0 .......................0.0	X	X		0	0	0
(95) John Hamels PhD........................................................................ Director & Vice Chair	1.0 .......................0.0	X	X		0	0	0
(96) James Graham........................................................................ Director	5.0 .......................0.0	X			0	0	0
(97) Michael Redlawsk........................................................................ Director	5.0 .......................0.0	X			0	0	0
(98) Pamela Lapczynski........................................................................ Director	1.0 .......................0.0	X			0	0	0
(99) Jason Ross........................................................................ Director	1.0 .......................0.0	X			0	0	0
(100) Michael Alterio........................................................................ Director	1.0 .......................0.0	X			0	0	0
(101) Carole Pankas........................................................................ Director	1.0 .......................0.0	X			0	0	0
(102) John Finnegan........................................................................ Director	1.0 .......................0.0	X			0	0	0
(103) LaDonna Fuge MD........................................................................ Director	1.0 .......................0.0	X			0	0	0
(104) William Richardson........................................................................ Director	1.0 .......................0.0	X			0	0	0
(105) Richard Talarico........................................................................ Director	1.0 .......................0.0	X			0	0	0
(106) Helen Baran........................................................................ Director	1.0 .......................0.0	X			0	0	0
(107) R Steven Jones........................................................................ Director	1.0 .......................0.0	X			0	0	0
(108) Kathryn Burns........................................................................ Director	1.0 .......................0.0	X			0	0	0
(109) Marne Roche........................................................................ Director	1.0 .......................0.0	X			0	0	0
(110) Chris Scott........................................................................ Director	1.0 .......................0.0	X			0	0	0
(111) David Lerberg MD........................................................................ Director	1.0 .......................0.0	X			0	0	0
(112) Jane Love MD........................................................................ Director	1.0 .......................0.0	X			0	0	0
(113) Wendy O'Brien........................................................................ Director	1.0 .......................0.0	X			0	0	0
(114) LP Gupta........................................................................ Director	1.0 .......................0.0	X			0	0	0
(115) Doris Carson Williams........................................................................ Director	1.0 .......................5.0	X			0	0	0
(116) Richard S Bartek........................................................................ Director	1.0 .......................0.0	X			0	0	0
(117) Lauren McAndrews........................................................................ Director	1.0 .......................0.0	X			0	0	0
(118) Thomas Tarpley........................................................................ Director	1.0 .......................0.0	X			0	0	0
(119) Thomas Berkhouse........................................................................ Director	1.0 .......................0.0	X			0	0	0
(120) Robert Crane........................................................................ Director	1.0 .......................0.0	X			0	0	0
(121) Roberta Patterson........................................................................ Director	1.0 .......................0.0	X			0	0	0
(122) Jillian Roache........................................................................ Director	1.0 .......................0.0	X			0	0	0
(123) Gene Becker........................................................................ Trustee	1.0 .......................0.0	X			0	0	0
(124) Brian Jacob........................................................................ Trustee	1.0 .......................0.0	X			0	0	0
(125) Curt Marino........................................................................ Trustee	1.0 .......................0.0	X			0	0	0
(126) Robert Pacek........................................................................ Trustee	1.0 .......................0.0	X			0	0	0
(127) Kevin Snider........................................................................ Trustee	1.0 .......................0.0	X			0	0	0
(128) Marilyn Pesci........................................................................ Trustee	1.0 .......................0.0	X			0	0	0
(129) Diana Holt........................................................................ Director & Secretary	1.0 .......................0.0	X	X		0	0	0
(130) Tracey Bennett........................................................................ Director & Treasurer	1.0 .......................0.0	X	X		0	0	0
(131) Barbara VanKirk........................................................................ Director	1.0 .......................0.0	X			0	0	0
(132) GENE G FINELY MD........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(133) DEBORAH SMITH........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(134) JOSEPH HALL........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(135) MARK PERRY........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(136) LEANNE ROBERTS........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(137) RICHARD SULLIVAN MD........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(138) BETH PATRI........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(139) CATHERINE A CAPONI........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(140) CHARLENE NEWKIRK........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0
(141) GREGORY GUTTING........................................................................ DIRECTOR	1.0 .......................0.0	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
GILBANE BUILDING CO MASSARO CORP, 7 JACKSON WALKWAY PROVIDENCE,RI029033694	Construction	57,677,402
MASSARO CORP, 120 DELTA DRIVE PITTSBURGH,PA15238	CONSTRUCTION	40,685,230
MBM CONTRACTING INC, 4999 OLD CLAIRTON RD PITTSBURGH,PA15236	CONSTRUCTION	35,552,439
EE AUSTIN SON INC, 1919 REED ST ERIE,PA16503	CONSTRUCTION	25,596,810
MASCARO CONSTRUCTION CO LP, 1720 METROPOLITAN ST PITTSBURGH,PA15233	CONSTRUCTION	14,818,717
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 156

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................12

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)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) SAINT VINCENT HEALTH CENTER	250965547	3	Yes		54,898,802	0
(B) WEST PENN ALLEGHENY HEALTH SYSTEM INC	250969492	3	Yes		205,952,160	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		13,446,233	0
(I) WESTFIELD MEMORIAL HOSPITAL INC	160743222	3	Yes		0	0
Total 9					274,297,195

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2019

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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	0	0	9,500	131,451	0	140,951
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	51,180,600	52,834,545	56,873,470	57,994,907	63,984,739	282,868,261
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	51,180,600	52,834,545	56,882,970	58,126,358	63,984,739	283,009,212
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.)						283,009,212

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...	51,180,600	52,834,545	56,882,970	58,126,358	63,984,739	283,009,212
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	100,626	86,253	97,896	146,400	391,552	822,727
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	100,626	86,253	97,896	146,400	391,552	822,727
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.) ..	4,591,976	8,311,500	6,910,183	5,394,780	5,904,266	31,112,705
13	Total support. (Add lines 9, 10c, 11, and 12.)..	55,873,202	61,232,298	63,891,049	63,667,538	70,280,557	314,944,644

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

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

89.860 %

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

89.674 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

0.261 %

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

0.229 %

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

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

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.

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).

Yes

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

Yes

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6			0
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.		0
3 Excess distributions carryover, if any, to 2019:
a From 2014.......0
b From 2015.......0
c From 2016.......0
d From 2017.......0
e From 2018.......0
fTotal of lines 3a through e	0
g Applied to underdistributions of prior years		0
h Applied to 2019 distributable amount			0
i Carryover from 2014 not applied (see instructions)	0
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.	0
4Distributions for 2019 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years		0
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.	0
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.	0
8 Breakdown of line 7:
a Excess from 2015.....0
b Excess from 2016.....0
c Excess from 2017.....0
d Excess from 2018.....0
e Excess from 2019.....0

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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 Group's 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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

Highmark Health Group

Employer identification number

82-1406555

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Highmark Health Group

Part I Contributors	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

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 Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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.

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

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2019

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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)

Yes|No

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

323,328

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

323,328

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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 1D ALLEGHENY HEALTH NETWORK INCURRED INSUBSTANTIAL EXPENSES IN SENDING MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND HAVE ADVERSE CONSEQUENCES FOR THE COMMUNITIES WE SERVE.
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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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 instructions and the latest information.

OMB No. 1545-0047

2019

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

If the organization elected, as permitted under FASB 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.

If the organization elected, as permitted under FASB 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

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	316,961,387	338,653,894	314,504,019	308,814,600	323,361,457
b	Contributions ...	11,208,765	10,466,540	2,378,887	6,086,053	11,096,627
c	Net investment earnings, gains, and losses	45,810,701	-15,453,352	36,108,383	15,032,444	-9,567,841
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	15,995,604	16,302,712	13,107,770	14,618,247	16,129,681
f	Administrative expenses ....	1,367,638	402,983	1,229,625	810,831	718,696
g	End of year balance ......	356,617,611	316,961,387	338,653,894	314,504,019	308,041,866

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

6.670 %

Permanent endowment SchDMd Bullet

86.240 %

Term endowment SchDMd Bullet

7.090 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	46,208,623		46,208,623
b	Buildings ....	811,376,833	258,864,313	552,512,520
c	Leasehold improvements	46,674,584	25,541,324	21,133,260
d	Equipment ....	815,100,710	487,380,251	327,720,459
e	Other .....	463,968,086	12,102,342	451,865,744
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,399,440,606

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

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				533,316,623
(2)EQUITY INVESTMENTS				187,882,650
(3)MALPRACTICE RECEIVABLE				92,859,548
(4)INTERCOMPANY RECEIVABLES				98,619,006
(5)OTHER ASSETS				24,401,950
(6)SELF INSURANCE CAPITALIZATION				30,000
(7)RIGHT TO USE ASSETS				264,009,032
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,201,118,809

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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	709,813,339
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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

2019

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" on Form 990, Part IV, line 14b.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the region
	Europe (Including Iceland and Greenland)	Program Services	CONFERENCES	4,377
	North America	Program Services	CONFERENCES	31,513
	East Asia and the Pacific	Program Services	CONFERENCES	11,281














3a	Sub-total ....			47,171
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			47,171

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

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 ASRI's Principal Investigator. Payments issued to the foreign entity are issued upon receipt and review of invoices and confirmation of progress made on the project. ASRI's 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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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 arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

If "Yes," list the 10 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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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) 2019

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.

		(a) Event #1 AHN GALA (event type)	(b) Event #2 GOLF EVENTS (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,733,407	707,269	485,292	2,925,968
2	Less: Contributions . . . .	1,602,697	563,170	390,799	2,556,666
3	Gross income (line 1 minus line 2) . . . . . .	130,710	144,099	94,493	369,302

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	84,148	110,901	64,498	259,547
7	Food and beverages . . .	169,243	33,537	2,724	205,504
8	Entertainment . . . .	21,818	3,450	37,577	62,845
9	Other direct expenses . . .	437,052	55,151	72,639	564,842
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,092,738
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-723,436

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.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2019

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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 $723,436 REFLECTED IN PART II, LINE 11 IS A PRODUCT OF HOW WE ARE REQUIRED TO REPORT FUNDRAISING EVENTS PER THE IRS INSTRUCTIONS. CONTRIBUTION REVENUE DIRECTLY ATTRIBUTABLE TO THE EVENTS IN THE AMOUNT OF $2,556,668 IS NOT TAKEN INTO CONSIDERATION WHEN CALCULATING THE NET LOSS OF $723,436. WHEN TAKEN INTO CONSIDERATION, THE CONTRIBUTION REVENUE ADDED TO THE GROSS RECEIPTS FROM THE EVENTS OF $2,925,970, RESULTS IN TRUE NET INCOME ATTRIBUTABLE TO THE OPERATION OF THE FUNDRAISING EVENTS OF $4,389,901.

Schedule G (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2019

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	79,507,898	63,776,332	15,731,566	0.420 %
b	Medicaid (from Worksheet 3, column a) . . . . .	225,532,023	179,944,458	45,537,565	1.200 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	305,039,921	243,720,790	61,269,131	1.620 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,086,628		5,086,628	0.130 %
f	Health professions education (from Worksheet 5) . . .	84,909,320	34,447,254	50,462,066	1.330 %
g	Subsidized health services (from Worksheet 6) . . . .	119,819,363	96,074,485	23,744,878	0.630 %
h	Research (from Worksheet 7) .	6,815,989		6,815,989	0.180 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	168,770		168,770
j	Total. Other Benefits . .	216,800,070	130,521,739	86,278,331	2.270 %
k	Total. Add lines 7d and 7j .	521,839,991	374,242,529	147,547,462	3.890 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	180,310	180,310
4	Environmental improvements
5	Leadership development and training for community members	3,236	3,236
6	Coalition building	98,717	98,717
7	Community health improvement advocacy	5,700	5,700
8	Workforce development	2,760	2,760
9	Other	14,080	14,080
10	Total	304,803	304,803

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

47,845,293

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. ......

10,563,968

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

Enter total revenue received from Medicare (including DSH and IME).....

305,868,263

Enter Medicare allowable costs of care relating to payments on line 5.....

379,150,163

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-73,281,900

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %	(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	23.5 %	76.5 %
5S Hills Surg Center	Surgery Center	41.9 %	58.1 %
6Osteophilicity LLC	Medical Services	39 %	61 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

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)								Facility reporting group
1	ALLEGHENY VALLEY HOSPITAL 1301 Carlisle Street Natrona Heights,PA15065 See Section C for website 790101 ALIE-KISKI MEDCAL 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	SAINT VINCENT HEALTH CENTER 232 WEST 25TH STREET ERIE,PA16544 See Section C for website 196001 WEST PENN ALLEGHENY HEALTH 250969492	X	X	X			X
8	Westfield Memorial Hospital Inc 189 East Main Street WEstfield,NY14787 See Section C for website 0632000h WESTFIELD MEMORIAL HOSPITAL 160743222	X	X				X

Schedule H (Form 990) 2019

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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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 .................

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Section C

The FAP application form was widely available on a website (list url):

See Section C

A plain language summary of the FAP was widely available on a website (list url):
See Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

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

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

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):

Yes

Community Health Needs Assessment

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?........................

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2019

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

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Section C

The FAP application form was widely available on a website (list url):

See Section C

A plain language summary of the FAP was widely available on a website (list url):
See Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	SAINT VINCENT HEALTH CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

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

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

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):

Yes

Community Health Needs Assessment

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?........................

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2019

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

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Section C

The FAP application form was widely available on a website (list url):

See Section C

A plain language summary of the FAP was widely available on a website (list url):
See Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	WESTFIELD MEMORIAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

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

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

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, 20a, 20b, 20c, 20d, 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.
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/about/uninsured-financial-assistance
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 https://www.ahn.org/about/uninsured-financial-assistance.

Schedule H (Form 990) 2019

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?55
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 HWP - BHWP 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	Wexford Medical MallWHWP 12311 Perry Hwy Pine Township,PA15090	Medical Office
15	Forbes Cancer & Imaging Center 2626 Haymaker Road Monroeville,PA15146	Medical Office
16	SVH - Outpatient Surgery Center 312 W 25th Street Erie,PA16502	MIXED USE
17	Fededral North Building 1307 Federal St Pittsburgh,PA15212	Mixed use
18	JMA Building 1200 Brooks Ln Jefferson Hills,PA15025	Medical Office
19	St Vincent Union City Medical Building 130 N Main Street Union City,PA16438	Medical Office
20	FH - POB #1 2566 Haymaker Rd Monroeville,PA15146	Medical Office
21	Hemfield - Micro 6321 Route 30 Hempfield,PA15601	Mixed use
22	Allegheny Imaging at Robinson 133 Church Hill Road Robinson,PA15136	Medical Office
23	Century III Medical Building 2027 Lebanon Church Road West Mifflin,PA15122	Medical Office
24	Cranberry Internal Medicine Association 20826 Route 19 Cranberry Township,PA16066	Medical Office
25	Cranberry Shoppes 20215 Route 19 Suite 101 Cranberry Township,PA16066	Medical Office
26	JRMC - Surgery CenterBHWP 990 Higbee Drive Bethel Park,PA15102	Mixed use
27	Fort Couch Commons 59 Fort Couch Road Bethel Park,PA15102	Medical Office
28	Richland Mall 5375 William Flynn Highway Richland,PA150449628	Medical Office
29	Monroeville Medical Arts Bldg 2550 Mosside Blvd Monroeville,PA15146	Medical Office
30	Murrysville Medical Commons 4262 Old William Penn Highway Murrysville,PA15668	Medical Office
31	MEDICAL OFFICE BUILDING 2801 Freeport Road Harrison,PA15065	Medical Office
32	Heights Plaza 1600-1719 Union/Pacific Ave Harrison,PA15065	Medical Office
33	One Peluso Place 2692 Leechsburg Road New Kenington,PA15068	Medical Office
34	Wilson Sq Professional Building 224 Longfellow Street Vandergrift,PA15690	Medical Office
35	5140 Liberty Medical Office Building 5140 Liberty Ave Pittsburgh,PA15224	Medical Office
36	Cercone Building 4727 Friendship Ave Pittsburgh,PA15224	Medical Office
37	FH - POB #2 2580 Haymaker Road Monroeville,PA15146	Medical Office
38	Pain Institute 5124 Liberty Ave Pittsburgh,PA15224	Medical Office
39	Medical Office Building 3 Robinson Plaza Robinson,PA15205	Medical Office
40	Valley School 550 Coal Valley Rd Jefferson Hills,PA15025	Medical Office
41	Dinnerbell Square 333 W Main St Saxonburg,PA16056	Medical Office
42	West Side Medical Office BuildingEWHWP 4247 W Ridge Road Millcreek Township,PA15506	Medical Office
43	Yorktown Center 2501 W 12th St Erie,PA16505	Medical Office
44	MEDICAL OFFICE BUILDING 495 E Waterfront Dr Homestead,PA15120	Medical Office
45	Brentwood Professional Plaza 3720 Brownsville Rd Brentwood,PA15227	Medical Office
46	AVH Medical Office Building 1301 Alabama Ave Harrison,PA15065	Medical Office
47	Beaver Community Cancer Center 81 Wagner Road Center Township,PA15061	Medical Office
48	Outpatient Cardiac & Pulmonary 720 Clairton Blvd Pleasant Hills,PA15236	Medical Office
49	Medical Office Building 1533 Broad Ave Rostaver Township,PA15012	Medical Office
50	Rte 51 Medical Center 810 Clairton Blvd Pleasant Hills,PA15236	Medical Office
51	Yadagani Building 97 Delaware Ave Uniontown,PA15401	Medical Office
52	Chautauqua Institution 23 Roberts Avenue Chautauqua,NY14722	Medical Office
53	Butler Community Cancer Center 160 Hollywood Drive Butler City,PA16001	Medical Office
54	Citizens General 651 Fourth Ave New Kensington,PA15068	Medical Office
55	Highpoint Towers 2314 Sassafras St Erie,PA16502	Medical Office

Schedule H (Form 990) 2019

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.

Form and Line Reference	Explanation
ELIGIBILITY FOR FREE OR DISCOUNTED CARE	PART I, LINE 3C AHN'S FINANCIAL ASSISTANCE POLICY STATES THE CRITERIA FOR DETERMINING PATIENTS ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PATIENTS WHO MEET THE CRITERIA AS ESTABLISHED IN THE POLICY WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDING FREE OR DISCOUNTED CARE. A patient must be a citizen of the United States of America or a lawful permanent resident of the United States of America, and a resident of the Commonwealth of Pennsylvania, or New York State for Westfield Memorial Hospital. International patients or unauthorized immigrants may qualify for Financial Assistance if they are eligible for Medicaid. There may be special circumstances for out-of-state and international patients (e.g., auto accident, emergent illness) under which, at AHNs sole discretion, such individuals could be considered for qualification for Financial Assistance under the Policy. THE PATIENT/GUARANTOR MUST BE ABLE TO DEMONSTRATE A GOOD FAITH EFFORT IN HAVING APPLIED FOR AND COMPLIED WITH AVAILABLE AFFORDABLE HEALTHCARE BENEFIT ALTERNATIVES (E.G., MEDICAID ELIGIBILITY AND OTHER ACA SUBSIDIZED HEALTHCARE BENEFIT PROGRAMS), OR PROVIDE EVIDENCE THAT COVERAGE FOR MEDICAID OR OTHER PROGRAMS WOULD NOT BE GRANTED BEFORE BECOMING ELIGIBLE FOR CHARITY CARE. THE PATIENT MUST SUBMIT A COMPLETED APPLICATION FOR CHARITY CARE WITHIN THE APPLICATION PERIOD. AHN WILL MAKE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR OUTSIDE ASSISTANCE BEFORE ENGAGING AN EXTRAORDINARY COLLECTION ACTION (ECAS) AGAINST THE INDIVIDUAL. REASONABLE EFFORTS FOR PURPOSES OF MEETING THESE REQUIREMENTS INCLUDE, A NOTIFICATION PERIOD AND AN APPLICATION PERIOD. THE NOTIFICATION PERIOD IS THE PERIOD IN WHICH AHN MUST NOTIFY AN INDIVIDUAL ABOUT THIS POLICY, AND BEGINS ON THE DATE CARE IS PROVIDED TO THE INDIVIDUAL AND ENDS ON THE 120TH DAY AFTER AHN PROVIDES THE PATIENT WITH THE FIRST BILLING STATEMENT FOR THE CARE. IF THE INDIVIDUAL HAS FAILED TO SUBMIT AN APPLICATION BY THE END OF THE NOTIFICATION PERIOD, AHN MAY ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL. HOWEVER, AHN WILL ACCEPT AND PROCESS APPLICATIONS SUBMITTED BY AN INDIVIDUAL DURING THE LONGER APPLICATION PERIOD THAT ENDS ON THE 240TH DAY AFTER AHN PROVIDES THE INDIVIDUAL WITH THE FIRST BILLING STATEMENT FOR THE CARE. PATIENTS WHO FAIL TO SUBMIT A COMPLETE APPLICATION OR FAIL TO RETURN THE APPLICATION INCLUDING SUPPORTING DOCUMENTATION AFTER 240 DAYS MAY BE DENIED DUE TO FAILURE TO COMPLY. COVERAGE BY CHARITY CARE IS LIMITED TO BASIC MEDICAL CARE, AND WILL ONLY APPLY TO EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES. CHARITY CARE WILL NOT BE AVAILABLE TO A PATIENT THAT REFUSES DISCHARGE AND INCURS ADDITIONAL CHARGES THAT ARE CONSIDERED MEDICALLY UNNECESSARY. CHARITY CARE DISCOUNTS APPLY ONLY TO DRUGS THAT ARE ADMINISTERED DURING AN INPATIENT STAY OR OUTPATIENT SERVICE. THESE DISCOUNTS DO NOT APPLY TO ANY OTHER DRUGS OR MAIL ORDER PRESCRIPTIONS. CHARITY CARE WILL NOT APPLY TO SERVICES THAT ARE COVERED BY AN INSURANCE CARRIER THAT HAS DENIED SERVICES DUE TO LITIGATION, LACK OF COOPERATION FROM THE PATIENT OR ERRONEOUS INFORMATION FROM THE PATIENT. PENSION ACCOUNTS ARE EXCLUDED. Once a patient is approved, Charity Care is granted for a period of six months beginning on the date of approval. AHN will apply Charity Care adjustments to prior accounts that are within 240 days from the first post-discharge patient billing statement that triggered the Financial Assistance application. However, AHN reserves the right to limit retroactive application of Charity Care for time frames in excess of what is generally required under 501(r). Generally, this limitation would only apply when extraordinary differences exist between the patients current financial condition and their financial condition in the six month period prior to approval and when such differences are also accompanied by a clear indication that sufficient funds or income were available in the prior period to pay outstanding medical bills. CHARITY CARE DISCOUNTS APPLY TO PATIENT LIABILITY AMOUNTS ONLY, AND NO INSURANCE AMOUNTS WILL BE CONSIDERED. APPROVED AMOUNTS MAY BE A RESULT OF THE FOLLOWING: (1) PATIENT DOES NOT HAVE MEDICAL ASSISTANCE OR ADEQUATE INSURANCE COVERAGE; (2) PATIENT HAS EXHAUSTED HIS/HER INSURANCE BENEFITS (E.G., EXCEEDED MAXIMUM COVERED DAYS/AMOUNT, EXCEEDED MEDICARES LIFETIME RESERVE DAYS); (3) PATIENT HAS A PRIMARY INSURANCE CARRIER WHO HAS RENDERED PAYMENT BUT A SECONDARY LIABILITY EXISTS FOR WHICH HE/SHE DOES NOT HAVE COVERAGE; (4) PATIENT IS CONSIDERED INDIGENT DUE TO THE AMOUNT OF MEDICAL DEBT INCURRED IN COMPARISON TO THE PATIENTS FINANCIAL CIRCUMSTANCES; (5) DECEASED PATIENTS ESTATE WILL EXHAUST PRIOR TO PAYMENT OF THE FULL PATIENT BALANCE; (6) PATIENT HAS PROVIDED A FORMAL BANKRUPTCY JUDGMENT THAT IMPACTS THE DATE ON WHICH SERVICES WERE PROVIDED ALONG WITH UNDATED INCOME/ASSET INFORMATION; (7) PATIENT IS HOMELESS OR HAS PROVEN TO BE A RESIDENT OF A HOMELESS SHELTER; (8) PATIENT HAS PROVIDED A FORMAL AFFIDAVIT OR DOCUMENTATION REGARDING INCOME/ASSET INFORMATION AND/OR HOMELESS STATUS THAT QUALIFIES THE PATIENT FOR CHARITY CARE; OR (9) THE PATIENT HAS MEDICAID PART PAY BALANCES AND QUALIFIES FOR CHARITY CARE. There are three principal financial criteria that are applied as follows in order to determine whether a patient has economic means to pay and whether that patient meets eligibility for Financial Assistance under this Policy, assuming other criteria in the Policy (such as residency) are also met. (1) First, a patients liquid assets are determined (see earlier definition of liquid assets). If liquid assets exceed the calculated threshold level indicated in Appendix F, then all liquid assets above the threshold level must first be used to satisfy any outstanding balance owed to AHN by a patient. (2) Once step one has been completed, if the patient still owes a balance, then the patient will be evaluated on an income basis. If the patient and/or guarantors household income is at or below 200% of the Federal Poverty Level (FPL) Guidelines, then 100% of the balance for which the patient is still responsible and for which Financial Assistance is available under this Policy, will be forgiven by AHN. No Financial Assistance is available for a patient or a guarantor whose Annual Income is greater than 200% of the FPL unless they qualify under Medical Hardship.(3) As an alternative to step 2, a patient may demonstrate Medical Hardship. Patients that meet Medical Hardship criteria qualify for the same Financial Assistance benefit as individuals whose income is at or below 200% of the FPL Guidelines. Generally AHN does not provide Financial Assistance to patients whose income exceeds 200% of the FPL unless they meet the criteria for Medical Hardship. AHN does not use any previous Financial Assistance eligibility determinations to presumptively approve a patient for Financial Assistance. When a patients Financial Assistance has terminated, the patient must reapply for Financial Assistance. Generally, once qualified, an individual qualifies and remains eligible for Financial Assistance for a six month period before requiring re-qualification for Financial Assistance under the Policy. In addition, a Financial Assistance application filed and approved at any AHN hospital shall apply to all AHN hospitals with the exception of Westfield Memorial Hospital. HARDSHIP DOCUMENTATION MAY BE REQUIRED (I.E., CASES WITH EXCESSIVE MEDICATIONS, TERMINAL ILLNESS OR MULTIPLE HOSPITALIZATIONS). FOR A PATIENT THAT EXCEEDS 200% OF THE FEDERAL POVERTY GUIDELINES AND WHOSE ACCOUNT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, AHN MAY CLAIM THE EXCESS BALANCE AS A HARDSHIP PROVIDED THAT THE PATIENT PROVIDES DOCUMENTATION OF INCOME, OR INCOME CAN BE DERIVED FROM OUTSIDE DATABASE SOURCES.
FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT BY ENTITY	PART I, LINE 7 THIS RETURN REPORTS THE GROUP COMBINED RESPONSE FOR THE TABLE IN PART I, LINE 7. THE HOSPITAL ORGANIZATIONS REPORTED THE FOLLOWING SEPARATE NET COMMUNITY BENEFIT EXPENSE: ALLE-KISKI MEDICAL CENTER: $13,443,648 CANONSBURG GENERAL HOSPITAL: $3,166,657 JEFFERSON REGIONAL MEDICAL CENTER: $5,799,133 SAINT VINCENT HEALTH CENTER: $16,387,811 WESTFIELD MEMORIAL HOSPITAL, INC.: $3,354,476 WEST PENN ALLEGHENY HEALTH SYSTEM, INC.: $105,395,737 (ALLEGHENY GENERAL, FORBES AND WEST PENN HOSPITALS) TOTAL NET COMMUNITY BENEFIT EXPENSE: $147,547,462
FREE OR DISCOUNTED CARE BUDGET	PART 1, LINE 5B WESTFIELD MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE EXPENSES DID NOT EXCEED THE BUDGETED AMOUNT.
BAD DEBT	PART I, LINE 7, COLUMN F BAD DEBT WAS REMOVED FROM TOTAL FUNCTIONAL EXPENSES AS REPORTED IN PART IX OF FORM 990 IN ORDER TO COMPUTE THE PERCENTAGES FOR COLUMN F OF LINE 7.
BAD DEBT	PART III, SECTION A, LINE 2, 3, AND 4 THE AUDITED FINANCIAL STATEMENTS ARE ISSUED ON A CONSOLIDATED BASIS AND INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING. THEREFORE, THE FOOTNOTE REGARDING BAD DEBT IS NOT RELEVANT TO THIS RETURN. THE FIGURE REFLECTED ON LINE 2 IS THE SUMMATION OF ALL BAD DEBT EXPENSE FOR THE HOSPITALS INCLUDED IN SCHEDULE H. BAD DEBT EXPENSE IS ACCOUNTED FOR ON A CHARGE BASIS IN OUR INTERNAL FINANCIAL STATEMENTS.
SHORTFALL TREATMENT AS COMMUNITY BENEFIT	PART III, SECTION B, LINE 8 AHN RECEIVES OVERALL REIMBURSEMENT FROM MEDICARE LESS THAN THE COST OF THE SERVICES PROVIDED. AS SUCH, WE CONSIDER THE SHORTFALL A COMMUNITY BENEFIT. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE COST ACCOUNTING SYSTEM.
WRITTEN DEBT COLLECTION POLICY	PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE PROVIDED WITH AN APPROVAL LETTER WITH THE EFFECTIVE DATES FOR THE ASSISTANCE. AT ANY TIME THE INDIVIDUAL PRESENTS FOR SERVICES WITHIN 240 days from the first post-discharge patient billing statement PRECEDING AND 6 months FOLLOWING APPROVAL, THEY SHOW THE LETTER AND WILL BE REGISTERED AS A CHARITY CARE CASE. CHARITY CARE CASES ARE DESIGNATED IN THE INTERNAL COMPUTERIZED SYSTEMS WITH UNIQUE billing indicators THAT PREVENT BILLING TO THE PATIENT. REPORTS ARE RUN TO CAPTURE THE PATIENT ACCOUNTS REGISTERED WITH THE CHARITY CARE billing indicator SO THEY CAN BE WRITTEN OFF TO CHARITY CARE.
COMMUNITY HEALTH NEEDS ASSESSMENT	PART VI, LINE 2 IN ADDITION TO THE FORMAL CHNA, THE HOSPITALS MANAGEMENT AND STAFF UTILIZE MULTIPLE STRATEGIES TO CONTINUALLY MONITOR AND ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THIS INCLUDES OUTREACH TO COMMUNITY MEMBERS IN AN EFFORT TO RECEIVE INPUT RELATED TO CURRENT HEALTH NEEDS AND TRENDS. THE HOSPITALS ACT ON SPECIFIC REQUESTS RECEIVED FOR HEALTH RELATED MATTERS SUCH AS SCREENINGS, PROGRAMS AND RELATED EVENTS. THE HOSPITAL PARTICIPATES IN AREA GROUPS AND PARTNERSHIPS IN AN EFFORT TO UNDERSTAND THE COMMUNITY AND OBTAIN A SENSE OF SPECIFIC ISSUES. THE HOSPITAL ALSO ACTS ON SURVEY RESULTS RECEIVED FROM PATIENTS AND THE PATIENT FAMILIES AS WELL AS BEING CONNECTED TO WORLD-WIDE, NATIONAL AND LOCAL HEALTH TRENDS AND NEEDS AND ACTING ACCORDINGLY TO ENSURE OUR PATIENTS HAVE THE BEST CARE AVAILABLE TO THEM.
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 AHN DISPLAYS SIGNAGE IN VARIOUS PATIENT ADMISSION, REGISTRATION, AND EMERGENCY DEPARTMENT AREAS THAT ALERT PATIENTS TO THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM AND CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. DURING THE PRE-SERVICE PROCESS, PATIENTS ARE EVALUATED TO DETERMINE FINANCIAL ASSISTANCE OPTIONS. EACH HOSPITAL OFFERS THE FINANCIAL ASSISTANCE PROGRAM, WHICH CONSISTS OF APPLICATION ASSISTANCE FOR GOVERNMENTAL ELIGIBILITY, CHARITY CARE APPLICATION COMPLETION AND SUBMISSION SUPPORT, AS WELL AS FINANCIAL ASSISTANCE FOR THE UNINSURED. AHNS FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE AT EACH HOSPITAL, AND EACH HOSPITAL ALSO PROVIDES ON-SITE SUPPORT THROUGH FINANCIAL COUNSELORS, WHO ARE AVAILABLE TO WORK WITH PATIENTS. FINANCIAL COUNSELORS WORK DIRECTLY WITH THE PATIENTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, AS WELL AS TO PROVIDE GUIDANCE TO PATIENTS REGARDING MEDICAL ASSISTANCE ELIGIBILITY. BOTH WEEKDAY AND WEEKEND COVERAGE IS AVAILABLE TO THE PATIENTS, AS WELL AS FIELD SUPPORT NEEDED FOR POST-DISCHARGE FOLLOW UP NEEDED FOR FINANCIAL ASSISTANCE APPLICATION SUBMISSION. THE ABOVE SUPPORT IS AVAILABLE AT NO CHARGE TO THE PATIENT. INFORMATION ABOUT AHNS FINANCIAL ASSISTANCE PROGRAM IS ALSO COMMUNICATED THROUGH BROCHURES THAT ARE AVAILABLE IN THE REGISTRATION DEPARTMENTS THAT EXPLAIN THE PROGRAMS. THE BROCHURES INCLUDE CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR ASSISTING PATIENTS WITH FINANCIAL ASSISTANCE DETERMINATIONS. THE BACK OF THE PATIENT STATEMENT INCLUDES A SECTION REGARDING THE FINANCIAL ASSISTANCE PROGRAM, AND CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR ADMINISTERING THE FINANCIAL ASSISTANCE PROGRAM IS LISTED THERE AS WELL. WESTFIELD MEMORIAL HOSPITAL: WMH PROVIDES A SUMMARY DESCRIPTION OF THE CHARITY CARE POLICY IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE.
COMMUNITY INFORMATION	PART VI, LINE 4 THE EIGHT HOSPITALS (ALLEGHENY GENERAL, ALLEGHENY VALLEY, CANONSBURG, FORBES, JEFFERSON, SAINT VINCENT, WESTFIELD MEMORIAL AND WEST PENN), FIVE HEALTH + WELLNESS PAVILIONS, AND MORE THAN 250 CLINICAL SITES THAT COMPRISE ALLEGHENY HEALTH NETWORK SERVE ALL OF WESTERN PENNSYLVANIA, AND PARTS OF WEST VIRGINIA, OHIO AND NEW YORK. ITS PRIMARY SERVICE AREAS INCLUDE THE PITTSBURGH METROPOLITAN STATISTICAL AREA (ALLEGHENY, ARMSTRONG, BEAVER, BUTLER, FAYETTE, WASHINGTON, AND WESTMORELAND COUNTIES) AND THE ERIE MSA (ERIE COUNTY). TOGETHER, THESE AREAS HAVE A POPULATION OF MORE THAN 2.6 MILLION. THE TWO MSAS ARE SIMILAR DEMOGRAPHICALLY, WITH A WHITE / CAUCASIAN POPULATION OF ABOUT 89 PERCENT, AND A BLACK / AFRICAN-AMERICAN POPULATION OF NEARLY 8 PERCENT. ERIE COUNTY HAS A LARGER LATINO / HISPANIC POPULATION (MORE THAN 3 PERCENT) THAN DOES THE PITTSBURGH MSA (LESS THAN 1 PERCENT). ERIE, PA., HOME TO SAINT VINCENT HOSPITAL, ALSO HAS A SIGNIFICANT REFUGEE POPULATION; ACCORDING TO THE CITYS MAYOR, REFUGEES MAKE UP ABOUT 18 PERCENT (OR ABOUT 18,000) OF THE CITYS POPULATION OF ABOUT 100,000. BOTH THE PITTSBURGH AND ERIE MSA SKEW OLDER THAN THE NATIONAL AVERAGE, MEANING HOSPITALS IN THOSE MSAS SEE HIGHER-THAN-AVERAGE PROPORTION OF MEDICARE PATIENTS. THE PITTSBURGH MSAS 65-AND-OVER POPULATION IS MORE THAN 17 PERCENT; ERIE COUNTYS PROPORTION OF SENIOR CITIZENS IS MORE THAN 16 PERCENT. NATIONALLY, ABOUT 15 PERCENT OF AMERICANS ARE AGED 65 OR OLDER. HOUSEHOLDS WITHIN THE PITTSBURGH AND ERIE MSAS HAVE A LOWER-THAN-AVERAGE MEDIAN INCOME. IN THE PITTSBURGH MSA, THE MEDIAN HOUSEHOLD INCOME WAS ABOUT $58,500 IN 2017, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN THE ERIE REGION, MEDIAN HOUSEHOLD INCOME WAS ABOUT $50,600 IN 2017, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN 2017, THE U.S. MEDIAN HOUSEHOLD INCOME WAS $60,336, ACCORDING TO U.S. CENSUS ESTIMATES. NEW YORKS CHAUTAUQUA COUNTY, HOME TO AHNS WESTFIELD MEMORIAL HOSPITAL, HAS A POPULATION OF ABOUT 133,000, AND A MEDIAN HOUSEHOLD INCOME OF ABOUT $44,000 IN 2017, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 THE HOSPITALS OF AHN (ALLEGHENY GENERAL, ALLEGHENY VALLEY, CANONSBURG, FORBES, JEFFERSON, SAINT VINCENT, WESTFIELD MEMORIAL AND WEST PENN) PROMOTE THE HEALTH AND WELL-BEING OF THEIR RESPECTIVE COMMUNITIES IN A VARIETY OF WAYS. FIRST AND FOREMOST, THEY DO SO THROUGH THE PROVISION OF EMERGENCY CARE AND TRAUMA CARE, OPERATING EMERGENCY DEPARTMENTS 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGHLY SKILLED AND TRAINED EMERGENCY MEDICINE PHYSICIANS AND NURSES. THE EMERGENCY DEPARTMENTS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, AND PROVIDE SPECIALIZED, LIFE-SAVING CARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENTS RACE, CREED, GENDER, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY, OR ABILITY TO PAY. ADDITIONALLY, THE HOSPITALS AND CLINICS OF AHN SUPPORT A BROAD ARRAY OF CHARITABLE SERVICES AND PROGRAMS TO THE COMMUNITY BY PROVIDING SUBSIDIZED HEALTH CARE; SPONSORING COMMUNITY EVENTS (HEALTH FAIRS, CANCER SCREENINGS, WALKS, EDUCATIONAL SEMINARS, BENEFITS 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. SOME OF THOSE SERVICES AND INITIATIVES INCLUDE: THE AHN POSITIVE HEALTH CLINIC; THE BRADDOCK URGENT CARE CENTER; FREE CANCER SCREENINGS; A MEDICAL RESPITE PROGRAM; THE OPEN HEART SURGERY OBSERVATION PROGRAM; THE PERINATAL HOPE PROGRAM; AND MORE. (FOR ADDITIONAL DETAIL, SEE SCHEDULE O.) IN 2018, AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AHN EMBARKED ON A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO COLLECT HEALTH AND SOCIO-ECONOMIC DATA TO DETERMINE THE COMMUNITY HEALTH NEEDS ACROSS AHNS WESTERN PENNSYLVANIA SERVICE FOOTPRINT. IN TAKING A SYSTEM-WIDE APPROACH TO COMMUNITY HEALTH IMPROVEMENT, AHN SOUGHT TO IDENTIFY REGIONAL HEALTH TRENDS AND UNIQUE DISPARITIES WITHIN HOSPITAL SERVICE AREAS. (FOR ADDITIONAL DETAIL, SEE SCHEDULE O.) NOTABLY, AHN AND ITS MEMBER FACILITIES SUPPORT THE HEALTH OF THEIR RESPECTIVE COMMUNITIES, COUNTIES AND THE STATE OF PENNSYLVANIA THROUGH TAX CONTRIBUTIONS OF NEARLY $10.793 MILLION IN 2019. COLLECTIVELY, AHN CREATES DIRECT AND INDIRECT ECONOMIC BENEFIT TO THE REGIONS ECONOMIES (INCLUSIVE OF SPENDING AND SALARIES) TOTALING $3.6 BILLION. THROUGH DIRECT SPENDING, CAPITAL SPENDING, AND SALARIES (AHN EMPLOYS MORE THAN 21,000 ACROSS ITS FOOTPRINT), AHN SERVES AS AN ECONOMIC CATALYST TO THE REGION, AND ITS MEMBER HOSPITALS AND FACILITIES SUPPORT THEIR RESPECTIVE COMMUNITIES BY CREATING HEALTH-CARE JOBS AND HELPING TO SUSTAIN DOWNSTREAM JOBS AND BUSINESSES. OTHER INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE MANY COMMUNITIES SERVED BY AHN INCLUDE: -HEALTHY FOOD CENTER: A FIRST OF ITS KIND IN THE REGION, AHNS NEW HEALTHY FOOD CENTER 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. -COMMUNITY-BASED DIABETES CARE: AHN, WITH FINANCIAL SUPPORT FROM THE RICHARD KING MELLON FOUNDATION, IS ADVANCING A TRANSFORMATIONAL, COMMUNITY-BASED DIABETES CARE MODEL IN THE REGION. MORE THAN 29 MILLION PEOPLE IN THE UNITED STATES, OR NEARLY 10% OF THE POPULATION, ARE AFFECTED BY DIABETES. AT THE CURRENT PACE OF THE EPIDEMIC, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) ESTIMATES THAT AS MANY AS ONE IN THREE PEOPLE COULD HAVE DIABETES BY THE YEAR 2050. THE YEARLY ECONOMIC IMPACT OF THE DISEASE AND ITS COMPLICATIONS EXCEEDS $245 BILLION; TO BETTER ADDRESS THE GROWING INCIDENCE AND IMPACT OF DIABETES IN WESTERN PENNSYLVANIA, AHN HAS ESTABLISHED A PATIENT-CENTERED MODEL OF CARE TO MORE EFFECTIVELY MEET THE COMPREHENSIVE NEEDS OF THOSE LIVING WITH THE DISEASE. THE RICHARD KING MELLON FOUNDATION GRANT PROVIDES PATIENTS IN THE AHN PROGRAM WITH ACCESS TO A RANGE OF MEDICAL AND OTHER SUPPORT SERVICES IN THE COMMUNITY. AT THE CORE OF THE NEW CARE MODEL ARE PHYSICIAN-LED, HOLISTIC ASSESSMENTS TO UNDERSTAND A PATIENTS INDIVIDUAL NEEDS AND TO UNCOVER POTENTIAL BARRIERS TO SUCCESSFUL DISEASE MANAGEMENT. CRUCIALLY, DIABETES CARE COORDINATORS ARE HELPING TO CONNECT PATIENTS WITH A VARIETY OF SPECIALISTS TO HELP THEM MANAGE THEIR DISEASE MORE EFFECTIVELY, INCLUDING NUTRITIONISTS, BEHAVIORAL HEALTH COUNSELORS AND SOCIAL WORKERS. IN ADDITION, PATIENTS ARE CONNECTED WITH SERVICES AND ORGANIZATIONS WITHIN THEIR COMMUNITIES TO HELP FURTHER IMPROVE AND ENHANCE THEIR OVERALL CARE, SUCH AS LOCAL FOOD BANKS OFFERING HEALTHY DIETARY OPTIONS, THE AMERICAN DIABETES ASSOCIATION AND JDRF. -CHILD SAFETY DAY: CANONSBURG HOSPITAL (PART OF AHN) SPONSORS A SPRING CHILD SAFETY DAY ON ITS HOSPITAL GROUNDS FOR A DAY OF FUN, EDUCATION, AND PRIZES. EACH FAMILY ATTENDING IS GIVEN A FREE FIRST-AID KIT, AND HOSPITAL STAFF WILL DISTRIBUTED MORE THAN 300 BICYCLE HELMETS. WHILE CHILD DEATHS RELATED TO UNINTENTIONAL INJURY OR TRAUMA HAVE DROPPED DRAMATICALLY OVER THE LAST 30 YEARS, UNINTENTIONAL INJURIES (MOTOR VEHICLE/TRAFFIC ACCIDENTS, SUFFOCATION, DROWNING, POISONING, AND FIRE/BURNING) ARE STILL THE LEADING CAUSE OF DEATH FOR CHILDREN, AND MANY TRAUMA-RELATED INJURIES INCREASE IN THE SUMMER AFTER SCHOOL LETS OUT. - 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 HEALTH AND 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 FOR PATIENTS WITH MEDICAL CONDITIONS AND CO-OCCURRING SUBSTANCE USE DISORDERS. ALSO IN 2018, AHN 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. AHNS RESEARCH INSTITUTE IS STUDYING AND DEVELOPING SINGLE-DOSE, LONGER-LASTING OPIOID OVERDOSE ANTIDOTES. -SCHOOL PARTNERSHIPS: AHN IS INVOLVED IN NUMEROUS CAREER AND EDUCATIONAL DEVELOPMENT PARTNERSHIPS, INCLUDING THE FUTURE IS MINE (STUDENTS TOUR VARIOUS AHN HOSPITAL DEPARTMENTS AND LEARN ABOUT CAREERS, EDUCATION, AND WORKING IN THE MEDICAL FIELD); DISABILITY MENTORING DAY (STUDENTS ARE ABLE TO TOUR PART HOSPITAL DEPARTMENTS AND LEARN ABOUT VARIOUS TASKS AND DUTIES ONE PERFORMS IN THEIR FIELD); WORKREADY (A SIX-WEEK MENTORING FOR WESTERN PENNSYLVANIA HIGH SCHOOL STUDENTS THAT GIVE STUDENTS REAL-WORK EXPERIENCE); CITY CONNECTIONS (A PROGRAM THAT HELPS HIGH SCHOOL STUDENTS WITH SEVERE DISABILITIES GAIN REAL WORK EXPERIENCE AND KNOWLEDGE FROM THEIR SELECTED DEPARTMENT MENTOR); PROJECT MOVE (AN EIGHT-WEEK MENTORING PROGRAM AT AGH); START ON SUCCESS (A COMMUNITY WORK PROGRAM THAT ASSIGNS STUDENTS TO WORK ALONGSIDE REGULAR STAFF AND COMPLETE ASSIGNED TASKS AND RESPONSIBILITIES; STUDENTS RECEIVE AN HOURLY WAGE AND ARE AT THE HOSPITAL M-F FOR TWO HOURS A DAY); STRANGER AWARENESS (AGH AND TWO HIGH SCHOOL STUDENTS CREATED THE STRANGER AWARENESS PROGRAM TO HELP YOUNGER STUDENTS PRACTICE WHAT TO DO WHEN A STRANGER APPROACHES THEM AND RECOGNIZE "SAFE"
STRANGERS); IN SCHOOL YOUTH (A PROGRAM FOCUSED ON PITTSBURGH HIGH SCHOOL	STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTHCARE); OUT OF SCHOOL YOUTH (A PROGRAM FOR PITTSBURGH HIGH SCHOOL STUDENTS WHO HAVE NOT DECIDED A CAREER PATH); SCIENCE, TECHNOLOGY, ENGINEERING, MATH, MEDICINE (A ONE-DAY STEMM SEMINAR IS DESIGNED FOR HIGH SCHOOL JUNIORS AND SENIORS); GATEWAY MEDICAL SOCIETY-JOURNEY INTO MEDICINE (AN EDUCATIONAL PROGRAM OFFERED TO STUDENTS WHO ARE INTERESTED PURSUING A CAREER IN THE ALLIED HEALTH FIELD FOR SIXTH- AND SEVENTH-GRADERS); AND SEVERAL OTHER PARTNERSHIPS. -DIVERSITY IN EMPLOYMENT AND CONTRACTING: AHN IS COMMITTED TO DIVERSITY AND THE CREATION OF AN INCLUSIVE WORK ENVIRONMENT FOR NOT ONLY ITS EMPLOYEES, BUT ALSO VENDORS AND CONTRACTORS WHO SUPPORT THE NETWORK. AS AN EQUAL OPPORTUNITY EMPLOYER, AHN RECOGNIZES AND EMBRACES THE MANY DIVERSE PERSPECTIVES AND LIFE EXPERIENCES THAT EACH INDIVIDUAL BRINGS TO THE WORKPLACE; CREATING A DIVERSE WORKFORCE, AND PROVIDING OPPORTUNITIES FOR WOMEN-OWNED AND MINORITY-OWNED VENDORS, IS PART OF AHNS EMPLOYMENT AND BUSINESS SUPPLY CHAIN STRATEGY. - LIFEFLIGHT: LIFEFLIGHT, THE FIRST AIR MEDICAL TRANSPORT SERVICE IN THE NORTHEASTERN UNITED STATES, IS PART OF AHN AND HAS COMPLETED MORE THAN 70,000 MISSIONS IN 40 YEARS OF FLYING. HOSPITAL-BASED AIR-MEDICAL TRANSPORT PROGRAMS THAT FIRST TOOK FLIGHT IN THE LATE 1970S ARE CREDITED WITH SIGNIFICANTLY IMPROVING A CRITICALLY INJURED PATIENTS CHANCE OF SURVIVAL. THEY PROVIDE TIMELY ACCESS TO SPECIALTY LIFE-SAVING INTERVENTIONS FOR PEOPLE SUFFERING FROM TRAUMA, HEART ATTACKS, STROKES, AND OTHER CRITICAL ILLNESSES. AHNS LIFEFLIGHT HAS FIVE BASES THROUGHOUT THE REGION. -PERINATAL 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 MEDIATION. THE CENTER WILL ALSO OFFER CHILD CARE SERVICES FOR OLDER CHILDREN, ADDRESSING A MAJOR BARRIER TO CARE FOR WOMEN. ADDITIONALLY, 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. -VETERANS: AHN IS A PARTNER IN THE "WE HONOR VETERANS PROGRAM," A PROGRAM DEVELOPED BY THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) IN COLLABORATION WITH THE DEPARTMENT OF VETERANS AFFAIRS (VA) TO SPECIFICALLY RECOGNIZE THE UNIQUE NEEDS OF AMERICAS VETERANS AND THEIR FAMILIES. AHNS HEALTHCARE@HOME UNIT RECOGNIZES THAT VETERANS AND THEIR FAMILIES MAY FACE UNIQUE AND SPECIAL NEEDS AND CHALLENGES BECAUSE OF THEIR ILLNESS, ISOLATION OR TRAUMATIC LIFE EXPERIENCES. THE GOALS OF THE WE HONOR VETERANS PROGRAM FOCUS ON RESPECTFUL INQUIRY, COMPASSIONATE LISTENING AND GRATEFUL ACKNOWLEDGMENT. ADDITIONALLY, AHN SUPPORTS THE HEALTH OF WESTERN PENNSYLVANIAS SUBSTANTIAL VETERANS COMMUNITY THROUGH THE INTEGRATION OF THE AHN AND VA ELECTRONIC MEDICAL RECORDS (EMR) PLATFORMS. THE TWO ORGANIZATIONS CAN NOW EXCHANGE VETERANS HEALTH RECORDS SECURELY AND SEAMLESSLY FOR A MORE CONNECTED PATIENT-PROVIDER EXPERIENCE. -RESEARCH: AT THE ALLEGHENY HEALTH NETWORK RESEARCH INSTITUTE, THE PATH TO ADVANCING THE SCIENCE OF MEDICINE STARTS WITH DISCOVERY. AHN RESEARCH SCIENTISTS AND PHYSICIAN INVESTIGATORS ARE FORGING NEW MEDICAL FRONTIERS LOOKING FOR CURES TO SOME OF THE MOST COMPLEX CAUSES OF DISEASE. AHN OFFERS COMMUNITY 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. AHN PARTNERS WITH LOCAL INDUSTRY, GOVERNMENT, ACADEMIA, AND HEALTH SYSTEMS ACROSS THE REGION TO WORK TOWARD A COMMON GOAL: DISCOVERING CURES AND DEVELOPING THE NEXT "BEST PRACTICES" IN MEDICINE. BY REDEFINING THE WAY AHN TREATS DISEASE, THE NETWORK IS IMPROVING THE HEALTH OF ITS COMMUNITY, AND ITS PATIENTS, WHILE ADVANCING THE SCIENCE OF MEDICINE. ADDITIONALLY, AHN PARTICIPATES IN HIGHMARK HEALTH'S "VITAL" (VERIFICATION OF INNOVATION BY TESTING, ANALYSIS AND LEARNING) PROGRAM, A CLINICAL INNOVATION PROGRAM THAT LEVERAGES HIGHMARK HEALTH'S SIZE AND MARKET POSITION, AND AHNS PATIENTS AND CLINICIANS, TO ACCELERATE THE PACE AT WHICH NOVEL THERAPIES AND SERVICES ARE MADE AVAILABLE TO THE COMMUNITY CUSTOMERS. THE VITAL INNOVATION PROGRAM IS A TEST BED DESIGNED TO FACILITATE EARLY USE OF TECHNOLOGIES THAT HAVE RECEIVED REGULATORY APPROVAL, BUT ARE NOT YET COVERED BY MOST COMMERCIAL INSURERS. VITAL AND AHN CLINICIANS TEST THOSE TECHNOLOGIES AND THERAPIES, SEE HOW WELL THEY WORK ON AHN PATIENTS THROUGH CLINICAL TRIALS, AND DETERMINE WHETHER THEY ARE COST EFFECTIVE IN HOPES OF SPEEDING THOSE TECHNOLOGIES TO THE FULL WESTERN PENNSYLVANIA POPULATION.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 SEE SCHEDULE O.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7 WESTFIELD MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK AS PART OF ITS OBLIGATION TO FURNISH THE STATE OF NEW YORK WITH A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES.

Schedule H (Form 990) 2019

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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

2019

Open to Public
Inspection

Name of the organization
Highmark Health Group

Employer identification number
82-1406555

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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	(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)	11,250	FMV	N/A	Program Support
(2) AMERICAN CANCER SOCIETY INC 250 WILLIAMS ST 4TH FL ATLANTA,GA303031032	13-1788491	501(c)(3)	22,500	FMV	N/A	Program Support
(3) AMERICAN DIABETES ASSOCIATION INC 2451 CRYSTAL DRIVE ARLINGTON,VA222024804	13-1623888	501(c)(3)	15,000	FMV	N/A	Program Support
(4) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS,TX752315129	13-5613797	501(c)(3)	68,250	FMV	N/A	Program Support
(5) AMERICAN LUNG ASSOCIATION 21 WEST 38TH ST 3RD FL NEW YORK,NY100182254	13-1632524	501(c)(3)	6,500	FMV	N/A	Program Support
(6) ARTHRITIS FOUNDATION INC 1355 PEACHTREE ST NE STE 600 ATLANTA,GA303093234	58-1341679	501(c)(3)	10,500	FMV	N/A	Program Support
(7) Avonworth School District 304 Josephs Lane Pittsburgh,PA15237	25-6000137	Government	8,300	FMV	N/A	Program Support
(8) BEMUS BAY POPS INC PO BOX 9250 BEMUS POINT,NY147120925	05-0555451	501(c)(3)	10,000	FMV	N/A	Program Support
(9) CARNEGIE INSTITUTE 4400 FORBES AVE PITTSBURGH,PA152134007	25-0965280	501(c)(3)	20,000	FMV	N/A	Program Support
(10) Children's Miracle Network 1249 Cocoa Ave 115 HERSHEY,PA17033	87-0387205	501(c)(3)	52,544	FMV	N/A	Program Support
(11) COMMUNITY LIVER ALLIANCE 100 W STATION SQUARE DR STE 1930 PITTSBURGH,PA152191139	46-1909171	501(c)(3)	10,000	FMV	N/A	Program Support
(12) CRIBS FOR KIDS 5450 2ND AVE PITTSBURGH,PA152071859	25-1442806	501(c)(3)	6,000	FMV	N/A	Program Support
(13) CROHNS & COLITIS FOUNDATION INC 733 3RD AVE STE 510 NEW YORK,NY100173218	13-6193105	501(c)(3)	5,500	FMV	N/A	Program Support
(14) CULTURAL ARTS FESTIVALS AND EVENTS OF ERIE 626 STATE STREET ERIE,PA165011128	61-1428869	501(c)(3)	15,000	FMV	N/A	Program Support
(15) DELTA FOUNDATION OF PITTSBURGH INC 911 GALVESTON AVE PITTSBURGH,PA152331732	23-2874576	501(c)(3)	10,000	FMV	N/A	Program Support
(16) DR GERTRUDE A BARBER FOUNDATION INC 100 BARBER PL ERIE,PA165071863	25-1753149	501(c)(3)	7,500	FMV	N/A	Program Support
(17) EPILEPSY FOUNDATION OF WESTERN PA 1501 REEDSDALE ST STE 3002 PITTSBURGH,PA152332310	23-7241930	501(c)(3)	15,000	FMV	N/A	Program Support
(18) JDRF INTERNATIONAL 26 BROADWAY 14TH FLOOR NEW YORK,NY100041828	23-1907729	501(c)(3)	52,500	FMV	N/A	Program Support
(19) LEUKEMIA & LYMPHOMA SOCIETY INC 3 INTERNATIONAL DRIVE RYE BROOK,NY105737500	13-5644916	501(c)(3)	6,500	FMV	N/A	Program Support
(20) MARCH OF DIMES INC 1275 MAMARONECK AVE WHITE PLAINS,NY106055201	13-1846366	501(c)(3)	14,000	FMV	N/A	Program Support
(21) MONROEVILLE AREA CHAMBER OF COMMERCE 2790 MOSSIDE BLVD STE 715 MONROEVILLE,PA151462747	25-1293687	501(c)(6)	15,000	FMV	N/A	Program Support
(22) MONROEVILLE FOUNDATION INC 2700 MONROEVILLE BLVD MONROEVILLE,PA151462359	20-1073113	501(c)(3)	11,000	FMV	N/A	Program Support
(23) NATIONAL DOWN SYNDROME CONGRESS 30 MANSELL CT STE 108 ROSWELL,GA300764858	51-0163631	501(c)(3)	10,000	FMV	N/A	Program Support
(24) NATIONAL KIDNEY FOUNDATION INC 30 EAST 33RD STREET NEW YORK,NY100165337	13-1673104	501(c)(3)	8,000	FMV	N/A	Program Support
(25) NATIONAL OVARIAN CANCER COALITION INC 3800 MAPLE AVE STE 435 DALLAS,TX752194070	65-0628064	501(c)(3)	10,000	FMV	N/A	Program Support
(26) North Hills School District 53 Rochester Road Pittsburgh,PA15229	25-6002325	Government	7,500	FMV	N/A	Program Support
(27) NORTH SIDE CHAMBER OF COMMERCE 809 MIDDLE ST PITTSBURGH,PA152124918	25-0696267	501(c)(6)	7,000	FMV	N/A	Program Support
(28) NORTHSIDE LEADERSHIP CONFERENCE 1319 ALLEGHENY AVE 2ND FL PITTSBURGH,PA152331531	25-1689304	501(c)(3)	12,500	FMV	N/A	Program Support
(29) PITTSBURGH NORTH REGIONAL CHAMBER INC 5000 BROOKTREE ROAD WEXFORD,PA150909261	25-1374594	501(c)(6)	9,550	FMV	N/A	Program Support
(30) PITTSBURGH THREE RIVERS MARATHON INC 810 RIVER AVE STE 120 PITTSBURGH,PA152125960	26-2524046	501(c)(3)	42,000	FMV	N/A	Program Support
(31) Prevention Point Pittsburgh 460 Melwood Ave Pittsburgh,PA15213	25-1852314	501(c)(3)	55,000	FMV	N/A	Program Support
(32) PUBLIC BROADCASTING OF NW PA INC 8425 PEACH ST ERIE,PA165094718	25-1154116	501(c)(3)	9,000	FMV	N/A	Program Support
(33) Seneca Valley School District 128 Seneca School Road Harmony,PA16037	25-6011213	Government	10,000	FMV	N/A	Program Support
(34) THE FLAGSHIP NIAGARA LEAGUE 150 EAST FRONT STREET ERIE,PA165071594	25-1422309	501(c)(3)	10,000	FMV	N/A	Program Support
(35) UNITED WAY 1250 Penn Ave Pittsburgh,PA15222	13-1635294	501(c)(3)	7,240	FMV	N/A	Program Support
(36) WESTFIELD MEMORIAL HOSP FOUNDATION INC 189 East Main Street Westfield,PA14787	22-2270533	501(c)(3)	50,000	FMV	N/A	Program Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

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) SCHOLARSHIP CONTRIBUTION FOR NAZARETH PREP INTERN	15	15,000
(2) SCHOLARSHIP FOX CHAPEL AREA SCHOOL DISTRICT	10	10,000
(3) NEUBERT & SEYBOLD (AKMC TRUST) SCHOLARSHIPS	10	38,000
(4) WEST PENN SCHOOL OF NURSING SCHOLARSHIPS	12	21,500
(5) AHN SCHOLARSHIPS	16	35,000
(6) AGH ALUMNAE SCHOLARSHIPS	11	22,750
(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) 2019

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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

2019

Open to Public Inspection

Name of the organization

Highmark Health Group

Employer identification number

82-1406555

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on 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 .........

Yes

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 on Line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

Yes

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 ..........................

Yes

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Carol Bucci Director	(i) (ii)	0 ------------- 226,392	0 ------------- 46,951	0 ------------- 1,331	0 ------------- 0	0 ------------- 8,712	0 ------------- 283,386	0 ------------- 0
2Scott Hankinson Director	(i) (ii)	195,322 ------------- 0	28,941 ------------- 0	270 ------------- 0	7,993 ------------- 0	18,347 ------------- 0	250,873 ------------- 0	0 ------------- 0
3Tony Farah MD Director	(i) (ii)	0 ------------- 884,803	0 ------------- 1,239,075	0 ------------- 149,744	0 ------------- 9,800	0 ------------- 29,026	0 ------------- 2,312,448	0 ------------- 0
4Daniel R Casper MD Director	(i) (ii)	325,756 ------------- 0	13,129 ------------- 0	21,817 ------------- 0	2,800 ------------- 0	19,251 ------------- 0	382,753 ------------- 0	0 ------------- 0
5Paul Reilly MD Director	(i) (ii)	147,949 ------------- 0	0 ------------- 0	7,085 ------------- 0	1,585 ------------- 0	21,795 ------------- 0	178,414 ------------- 0	0 ------------- 0
6David Parda MD Director	(i) (ii)	866,138 ------------- 0	150,000 ------------- 0	4,257 ------------- 0	2,800 ------------- 0	27,129 ------------- 0	1,050,324 ------------- 0	0 ------------- 0
7Thomas Corkery DO Director	(i) (ii)	298,356 ------------- 0	10,285 ------------- 0	43,080 ------------- 0	2,800 ------------- 0	18,535 ------------- 0	373,056 ------------- 0	0 ------------- 0
8Jennifer Lewis MD Director	(i) (ii)	261,954 ------------- 0	77,239 ------------- 0	1,486 ------------- 0	2,800 ------------- 0	22,212 ------------- 0	365,691 ------------- 0	0 ------------- 0
9Michael Culig MD Director	(i) (ii)	262,657 ------------- 0	37,500 ------------- 0	1,919 ------------- 0	2,800 ------------- 0	12,419 ------------- 0	317,295 ------------- 0	0 ------------- 0
10Jason Roeback Director	(i) (ii)	370,597 ------------- 0	40,000 ------------- 0	9,388 ------------- 0	2,800 ------------- 0	23,462 ------------- 0	446,247 ------------- 0	0 ------------- 0
11Thomas Murphy Director	(i) (ii)	216,303 ------------- 0	0 ------------- 0	901 ------------- 0	2,245 ------------- 0	25,136 ------------- 0	244,585 ------------- 0	0 ------------- 0
12Thomas Vankirk Director	(i) (ii)	0 ------------- 662,335	0 ------------- 1,763,429	0 ------------- 170,352	0 ------------- 24,013	0 ------------- 8,777	0 ------------- 2,628,906	0 ------------- 0
13Karen Hanlon Director	(i) (ii)	0 ------------- 836,545	0 ------------- 2,181,573	0 ------------- 23,235	0 ------------- 259,654	0 ------------- 20,233	0 ------------- 3,321,240	0 ------------- 0
14Paul Gausman DO Director	(i) (ii)	219,014 ------------- 0	128,437 ------------- 0	483 ------------- 0	2,800 ------------- 0	22,036 ------------- 0	372,770 ------------- 0	0 ------------- 0
15Jeffrey Kim MD Director	(i) (ii)	205,855 ------------- 0	96,055 ------------- 0	193 ------------- 0	2,800 ------------- 0	21,437 ------------- 0	326,340 ------------- 0	0 ------------- 0
16Susan Moore MD Director	(i) (ii)	141,531 ------------- 0	37,779 ------------- 0	631 ------------- 0	1,859 ------------- 0	21,157 ------------- 0	202,957 ------------- 0	0 ------------- 0
17Donald McNary Director	(i) (ii)	204,836 ------------- 0	25,000 ------------- 0	813 ------------- 0	2,074 ------------- 0	8,532 ------------- 0	241,255 ------------- 0	0 ------------- 0
18Madhusudan Menon MD Director	(i) (ii)	329,992 ------------- 0	374,851 ------------- 0	1,445 ------------- 0	2,800 ------------- 0	1,207 ------------- 0	710,295 ------------- 0	0 ------------- 0
19Dawn Karns DO Director	(i) (ii)	122,680 ------------- 0	45,962 ------------- 0	0 ------------- 0	1,692 ------------- 0	600 ------------- 0	170,934 ------------- 0	0 ------------- 0
20Robert Lupo MD Director	(i) (ii)	553,344 ------------- 0	416,218 ------------- 0	1,405 ------------- 0	2,800 ------------- 0	23,686 ------------- 0	997,453 ------------- 0	0 ------------- 0
21Jeffrey McGovern MD Director	(i) (ii)	544,529 ------------- 0	221,727 ------------- 0	2,580 ------------- 0	2,800 ------------- 0	23,495 ------------- 0	795,131 ------------- 0	0 ------------- 0
22Ross Peterson MD Director	(i) (ii)	410,498 ------------- 0	326,825 ------------- 0	128,599 ------------- 0	2,800 ------------- 0	25,342 ------------- 0	894,064 ------------- 0	0 ------------- 0
23Donald Whiting MD Director/CHAIRMAN	(i) (ii)	975,357 ------------- 0	487,753 ------------- 0	27,400 ------------- 0	105,007 ------------- 0	23,269 ------------- 0	1,618,786 ------------- 0	0 ------------- 0
24James Benedict Director/COO	(i) (ii)	729,799 ------------- 0	847,427 ------------- 0	199,526 ------------- 0	9,800 ------------- 0	30,097 ------------- 0	1,816,649 ------------- 0	0 ------------- 0
25Parminder Sharma MD Director	(i) (ii)	544,958 ------------- 0	214,180 ------------- 0	7,635 ------------- 0	2,800 ------------- 0	23,099 ------------- 0	792,672 ------------- 0	0 ------------- 0
26Venkatraman Srinivasan MD Trustee	(i) (ii)	624,366 ------------- 0	295,884 ------------- 0	8,854 ------------- 0	2,800 ------------- 0	21,366 ------------- 0	953,270 ------------- 0	0 ------------- 0
27Cynthia Hundorfean Director & President	(i) (ii)	994,664 ------------- 0	1,591,795 ------------- 0	521,713 ------------- 0	9,800 ------------- 0	15,616 ------------- 0	3,133,588 ------------- 0	0 ------------- 0
28William Englert Director & Pres (until 2/2019)	(i) (ii)	28,201 ------------- 0	58,710 ------------- 0	259,827 ------------- 0	33,871 ------------- 0	110 ------------- 0	380,719 ------------- 0	0 ------------- 0
29Louise Urban Director & President	(i) (ii)	453,256 ------------- 0	89,304 ------------- 0	66,299 ------------- 0	2,800 ------------- 0	19,800 ------------- 0	631,459 ------------- 0	0 ------------- 0
30Mark Rubino MD Director & President	(i) (ii)	454,023 ------------- 0	182,700 ------------- 0	17,497 ------------- 0	2,800 ------------- 0	19,721 ------------- 0	676,741 ------------- 0	0 ------------- 0
31Christopher Clark DO Director & President	(i) (ii)	388,890 ------------- 0	129,237 ------------- 0	10,357 ------------- 0	2,800 ------------- 0	22,552 ------------- 0	553,836 ------------- 0	0 ------------- 0
32Ronald Andro MD Director & President	(i) (ii)	428,365 ------------- 0	86,150 ------------- 0	15,207 ------------- 0	2,800 ------------- 0	23,961 ------------- 0	556,483 ------------- 0	0 ------------- 0
33G Scott Long MD Director & President	(i) (ii)	599,091 ------------- 0	310,533 ------------- 0	12,364 ------------- 0	2,800 ------------- 0	6,824 ------------- 0	931,612 ------------- 0	0 ------------- 0
34Allison Quick Director & President	(i) (ii)	276,355 ------------- 0	92,951 ------------- 0	7,180 ------------- 0	9,800 ------------- 0	28,219 ------------- 0	414,505 ------------- 0	0 ------------- 0
35Mark Nussbaum Director & Vice President	(i) (ii)	341,904 ------------- 0	133,069 ------------- 0	12,233 ------------- 0	9,800 ------------- 0	18,814 ------------- 0	515,820 ------------- 0	0 ------------- 0
36Keith LeJeune Director & Vice President	(i) (ii)	307,021 ------------- 0	47,389 ------------- 0	8,689 ------------- 0	9,800 ------------- 0	24,093 ------------- 0	396,992 ------------- 0	0 ------------- 0
37Jacqueline Bauer Director & Secretary	(i) (ii)	0 ------------- 414,535	0 ------------- 447,761	0 ------------- 191,886	0 ------------- 35,213	0 ------------- 16,702	0 ------------- 1,106,097	0 ------------- 0
38Jeffrey Crudele Director & Treasurer	(i) (ii)	630,568 ------------- 0	692,183 ------------- 0	79,912 ------------- 0	2,028,730 ------------- 0	26,896 ------------- 0	3,458,289 ------------- 0	0 ------------- 0
39James Rohrbaugh Treasurer	(i) (ii)	348,959 ------------- 0	116,929 ------------- 0	14,029 ------------- 0	9,800 ------------- 0	30,008 ------------- 0	519,725 ------------- 0	0 ------------- 0
40Mark Leone DO Director	(i) (ii)	239,529 ------------- 0	59,945 ------------- 0	1,570 ------------- 0	2,800 ------------- 0	22,527 ------------- 0	326,371 ------------- 0	0 ------------- 0
41Rand Levis Assistant Treasurer	(i) (ii)	327,994 ------------- 0	0 ------------- 0	5,799 ------------- 0	2,800 ------------- 0	23,882 ------------- 0	360,475 ------------- 0	0 ------------- 0
42Chong Park MD Chief Medical Officer	(i) (ii)	559,995 ------------- 0	60,000 ------------- 0	2,663 ------------- 0	2,800 ------------- 0	23,023 ------------- 0	648,481 ------------- 0	0 ------------- 0
43Richard Thompson Vice President	(i) (ii)	350,506 ------------- 0	236,615 ------------- 0	18,901 ------------- 0	9,800 ------------- 0	8,394 ------------- 0	624,216 ------------- 0	0 ------------- 0
44George J Magovern Jr MD Physician	(i) (ii)	688,755 ------------- 0	0 ------------- 0	9,845 ------------- 0	2,800 ------------- 0	24,402 ------------- 0	725,802 ------------- 0	0 ------------- 0
45Patrick Demeo MD Physician	(i) (ii)	879,561 ------------- 0	200,000 ------------- 0	123,118 ------------- 0	2,800 ------------- 0	23,417 ------------- 0	1,228,896 ------------- 0	0 ------------- 0
46Susan Manzi MD Physician	(i) (ii)	597,969 ------------- 0	60,000 ------------- 0	4,356 ------------- 0	2,800 ------------- 0	7,932 ------------- 0	673,057 ------------- 0	0 ------------- 0
47Allan Klapper MD Physician	(i) (ii)	593,801 ------------- 0	75,000 ------------- 0	1,518 ------------- 0	2,800 ------------- 0	24,274 ------------- 0	697,393 ------------- 0	0 ------------- 0
48Ngoc Thai MD PHYSICIAN	(i) (ii)	768,752 ------------- 0	175,000 ------------- 0	2,004 ------------- 0	2,800 ------------- 0	24,459 ------------- 0	973,015 ------------- 0	0 ------------- 0
49Robert White MD Chief Medical Info Officer	(i) (ii)	498,299 ------------- 0	516,379 ------------- 0	122,397 ------------- 0	9,800 ------------- 0	24,129 ------------- 0	1,171,004 ------------- 0	0 ------------- 0
50Kenyokee Crowell Sr. Vice President	(i) (ii)	480,855 ------------- 0	521,872 ------------- 0	19,798 ------------- 0	33,921 ------------- 0	31,331 ------------- 0	1,087,777 ------------- 0	0 ------------- 0
51Beth Casagranda MD Physician	(i) (ii)	543,738 ------------- 0	115,238 ------------- 0	600 ------------- 0	2,800 ------------- 0	24,299 ------------- 0	686,675 ------------- 0	0 ------------- 0
52Jan Silverman MD Physician	(i) (ii)	432,037 ------------- 0	110,000 ------------- 0	4,502 ------------- 0	2,800 ------------- 0	16,873 ------------- 0	566,212 ------------- 0	0 ------------- 0
53Claire Zangerle Chief Nursing Officer	(i) (ii)	427,437 ------------- 0	270,014 ------------- 0	46,265 ------------- 0	9,800 ------------- 0	1,566 ------------- 0	755,082 ------------- 0	0 ------------- 0
54SRICHARAN CHALIKONDA MD CHIEF MEDICAL OPS OFFICER	(i) (ii)	750,820 ------------- 0	418,278 ------------- 0	21,293 ------------- 0	77,974 ------------- 0	26,341 ------------- 0	1,294,706 ------------- 0	0 ------------- 0
55John Lawrence MD Physician	(i) (ii)	543,738 ------------- 0	75,000 ------------- 0	1,380 ------------- 0	2,800 ------------- 0	24,299 ------------- 0	647,217 ------------- 0	0 ------------- 0
56DENZIL RUPERT CHIEF OPERATING OFFICER - AGH	(i) (ii)	451,243 ------------- 0	88,820 ------------- 0	16,232 ------------- 0	2,800 ------------- 0	21,605 ------------- 0	580,700 ------------- 0	0 ------------- 0
57Srinavas Murali MD Physician	(i) (ii)	557,163 ------------- 0	150,000 ------------- 0	92,502 ------------- 0	2,800 ------------- 0	19,463 ------------- 0	821,928 ------------- 0	0 ------------- 0
58EDWARD WESTRICK MD Physician	(i) (ii)	990,425 ------------- 0	748,159 ------------- 0	49,488 ------------- 0	2,800 ------------- 0	25,839 ------------- 0	1,816,711 ------------- 0	0 ------------- 0
59Daniel Altman MD Physician	(i) (ii)	847,166 ------------- 0	549,307 ------------- 0	198,749 ------------- 0	2,800 ------------- 0	27,352 ------------- 0	1,625,374 ------------- 0	0 ------------- 0
60Gregory Altman MD Physician	(i) (ii)	849,766 ------------- 0	438,937 ------------- 0	196,469 ------------- 0	2,800 ------------- 0	24,733 ------------- 0	1,512,705 ------------- 0	0 ------------- 0
61GEORGE EID MD Physician	(i) (ii)	893,668 ------------- 0	472,694 ------------- 0	1,530 ------------- 0	2,800 ------------- 0	20,880 ------------- 0	1,391,572 ------------- 0	0 ------------- 0
62JOHN BALACKO MD DIRECTOR	(i) (ii)	475,921 ------------- 0	196,612 ------------- 0	3,414 ------------- 0	2,800 ------------- 0	19,619 ------------- 0	698,366 ------------- 0	0 ------------- 0
63Alexander Yu MD PHYSICIAN	(i) (ii)	623,354 ------------- 0	713,388 ------------- 0	690 ------------- 0	2,800 ------------- 0	8,755 ------------- 0	1,348,987 ------------- 0	0 ------------- 0
64DAVID HOLMBERG DIRECTOR	(i) (ii)	0 ------------- 1,382,716	0 ------------- 6,032,346	0 ------------- 677,276	0 ------------- 18,413	0 ------------- 36,001	0 ------------- 8,146,752	0 ------------- 0
65THOMAS CAMPBELL MD PHYSICIAN CHAIRPERSON	(i) (ii)	273,124 ------------- 0	80,000 ------------- 0	122,772 ------------- 0	2,800 ------------- 0	24,517 ------------- 0	503,213 ------------- 0	0 ------------- 0
66WILLIAM JOHNJULIO MD MEDICAL DIRECTOR - CIN	(i) (ii)	689,738 ------------- 0	50,000 ------------- 0	23,824 ------------- 0	2,800 ------------- 0	22,849 ------------- 0	789,211 ------------- 0	0 ------------- 0
67JOSEPH ARACRI PHYSICIAN CHAIRPERSON	(i) (ii)	397,429 ------------- 0	53,000 ------------- 0	2,943 ------------- 0	2,800 ------------- 0	17,827 ------------- 0	473,999 ------------- 0	0 ------------- 0
68JEFFREY CARLSON DIRECTOR	(i) (ii)	314,989 ------------- 0	78,920 ------------- 0	10,845 ------------- 0	9,800 ------------- 0	25,941 ------------- 0	440,495 ------------- 0	0 ------------- 0
69VICENTA GASPAR-YOO MD DIRECTOR	(i) (ii)	194,661 ------------- 0	0 ------------- 0	38,632 ------------- 0	1,716 ------------- 0	0 ------------- 0	235,009 ------------- 0	0 ------------- 0
70THOMAS HIPKISS Chief Financial Officer	(i) (ii)	204,012 ------------- 0	10,000 ------------- 0	446 ------------- 0	2,114 ------------- 0	24,348 ------------- 0	240,920 ------------- 0	0 ------------- 0
71PETER LUND MD DIRECTOR	(i) (ii)	645,155 ------------- 0	105,288 ------------- 0	9,144 ------------- 0	2,800 ------------- 0	20,561 ------------- 0	782,948 ------------- 0	0 ------------- 0
72DANIEL MUCCIO MD DIRECTOR	(i) (ii)	544,368 ------------- 0	500 ------------- 0	3,968 ------------- 0	2,800 ------------- 0	23,801 ------------- 0	575,437 ------------- 0	0 ------------- 0
73BRIAN MATTHEW PARKER MD DIRECTOR	(i) (ii)	558,086 ------------- 0	450,551 ------------- 0	20,426 ------------- 0	53,791 ------------- 0	28,386 ------------- 0	1,111,240 ------------- 0	0 ------------- 0
74JAMES VALERIANO PHYSICIAN CHAIRPERSON	(i) (ii)	354,562 ------------- 0	145,062 ------------- 0	4,740 ------------- 0	2,800 ------------- 0	20,562 ------------- 0	527,726 ------------- 0	0 ------------- 0
75KELLY KASSAB VICE PRESIDENT & DIRECTOR	(i) (ii)	217,747 ------------- 0	0 ------------- 0	465 ------------- 0	2,178 ------------- 0	866 ------------- 0	221,256 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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. THESE WERE INCLUDED IN BOX 5 OF THEIR IRS FORM W-2. VICENTA GASPAR-YOO
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS OF DECEMBER 31, 2019. THESE AMOUNTS ARE INCLUDED IN THEIR BOX 5 OF THEIR IRS FORM W-2. WILLIAM ENGLERT $259,679
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS RECEIVED OR PROVIDED 457(F) CONTRIBUTIONS INCLUDED IN 2019 W-2 COMPENSATION: JEFFREY CRUDELE $56,382 CYNTHIA HUNDORFEAN $494,476 JAMES BENEDICT $176,969 ROBERT WHITE $98,753 CLAIRE ZANGERLE $25,307 JACQUELINE BAUER $16,866 THE FOLLOWING INDIVIDUALS HAD 457(F) OR CONTRIBUTIONS DEFERRED IN 2017: BRIAN PARKER, MD $43,991 KENYOKEE CROWELL $24,121 JEFFREY COHEN $12,301 DONALD WHITING $95,207 SRICHARAN CHALIKONDA $68,174
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) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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 ..................	1,002,760,363
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 .............	140,765,849
11 Other spent proceeds .............	806,545,185
12 Other unspent proceeds .............	55,449,329
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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 ....	1.782 %
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 .........
6 Total of lines 4 and 5 .............	1.782 %
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) 2019

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 II, LINE 3	TOTAL PROCEEDS THE TOTAL AMOUNT OF PROCEEDS OF THE BOND ISSUE AS OF THE END OF YEAR 2019 INCLUDES THE PERIOD INVESTMENT EARNINGS OF $2,755,831.
PART VI	Written Bond Procedures ALLEGHENY HEALTH NETWORK HAS NOT VIOLATED ANY APPLICABLE REQUIREMENTS FOR TAX EXEMPT BONDS BENEFITING THE NETWORK. AT THE TIME OF FILING OF YEAR 2019 FORM 990, WRITTEN PROCEDURES HAVE BEEN ESTABLISHED.

Schedule K (Form 990) 2019

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

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) 2019

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) QUICK MED CLAIMS	35% CONTROLLED ENTITY	397,322	SEE SCHEDULE L, PART V		No
(2) WEST RIDGE MEDICAL PARTNERS	35% CONTROLLED ENTITY	2,650,213	SEE SCHEDULE L, PART V		No
(3) CAITLIN CLARK	FAMILY OF BOARD MEMBER	295,430	EMPLOYMENT		No
(4) MARY BETH KROEMER	FAMILY OF BOARD MEMBER	91,249	EMPLOYMENT		No
(5) PETER KROEMER	FAMILY OF BOARD MEMBER	161,059	EMPLOYMENT		No
(6) ELIZABETH KROEMER	FAMILY OF BOARD MEMBER	16,498	EMPLOYMENT		No
(7) CHRISTINE MAFFEO	FAMILY OF BOARD MEMBER	42,645	EMPLOYMENT		No
(8) WESTMINSTER PLACE PARTNERSHIP	35% CONTROLLED ENTITY	857,979	SEE SCHEDULE L, PART V		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.
PART IV, LINE 8, COLUMN D	DESCRIPTION OF TRANSACTION More than 35% owned entity by Michael Redlawsk, director.

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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		3,470	COST
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	8	170,087	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	2	19,528	COST
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( OTHER )	X	51	30,331	COST
26 Other ( GIFT CERTIFICATES )	X	40	28,608	COST
27 Other ( ENTERTAINMENT VOUCHERS )	X	53	26,922	COST
28 Other ( FESTIVELY DECORATED TREE )	X	20	8,063	COST
Other ( EXERCISE EQUIPMENT )	X	5	6,356	COST
Other ( ADVERTISING PANELS )	X	2	5,494	COST
Other ( FOOD DONATIONS )	X	15	886	COST

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

Yes

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 isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't 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) (2019)

Page 2

Part IISupplemental 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) (2019)

Additional Data

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SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
Highmark Health Group

Employer identification number
82-1406555

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed. Click to see list of attachments

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2019)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

If "Yes," did the organization provide such notice? .....................

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
JEFFERSON HILLS SURGICAL SPECIALISTS	249,403	Book Value	25-1838458	Allegheny Clinic 120 fifth avenue Pittsburgh,PA15222	501(C)(3)
Steel Valley Ortho & Sports Medicine	454,740	BOOK VALUE	25-1838458	Allegheny Clinic 120 Fifth Avenue Pittsburgh,PA15222	501(C)(3)
South Pittsburgh Urology Associates	273,943	BOOK VALUE	25-1838458	Allegheny Clinic 120 Fifth Avenue Pittsburgh,PA15222	501(c)(3)
Primary Care Group 3, Inc._Santiesteban	46,774	BOOK VALUE	25-1838458	Allegheny Clinic 120 Fifth Avenue Pittsburgh,PA15222	501(C)(3)
Primary Care Group 7, Inc._Menon	303,475	BOOK VALUE	25-1838458	Allegheny Clinic 120 Fifth Avenue Pittsburgh,PA15222	501(C)(3)
Pittsburgh Bone Joint & Spine, Inc.	810,901	BOOK VALUE	25-1838458	Allegheny Clinic 120 Fifth Avenue Pittsburgh,PA15222	501(C)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2019)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule N (Form 990 or 990-EZ) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

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

2019

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 12 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), 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; GROVE CITY HOSPITAL, GROVE CITY, PA; JEFFERSON HOSPITAL, JEFFERSON HILLS, PA; SAINT VINCENT HOSPITAL, ERIE, PA; WEST PENN HOSPITAL, PITTSBURGH, PA; AND WESTFIELD MEMORIAL HOSPITAL, WESTFIELD, NY.), AND THREE NEIGHBORHOOD HOSPITALS (AHN HEMPFIELD IN WESTMORELAND COUNTY; AHN McCANDLESS IN ALLEGHENY COUNTY; AND AHN BRENTWOOD IN ALLEGHENY COUNTY). 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 2019, THE HOSPITALS AND CLINICS OF AHN TOGETHER REPORTED MORE THAN 120,000 PATIENT DISCHARGES AND OBSERVATIONS, LOGGED NEARLY 300,000 EMERGENCY ROOM VISITS, AND DELIVERED MORE THAN 8,000 BABIES; 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. 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. AUNT BERTHA: ALLEGHENY HEALTH NETWORK, HIGHMARK INC., AND GATEWAY HEALTH PARTNERED WITH AUNT BERTHA TO PROVIDE A FREE RESOURCE TOOL FOR INDIVIDUALS FACING FOOD, HOUSING OR OTHER CRISES DURING THESE DIFFICULT TIMES. THE AUNT BERTHA DIRECTORY CONTAINS GEOGRAPHIC-SPECIFIC INFORMATION ON SOCIAL SERVICE AGENCIES AND COMMUNITY BENEFIT ORGANIZATIONS (CBOS) ACROSS THE UNITED STATES. ONLINE USERS WILL ONLY NEED TO ENTER THEIR ZIP CODE, FOLLOWED BY APPLICATION OF FILTERS TO ENCOMPASS THEIR SPECIFIC NEEDS, TO ACCESS LOCAL OPTIONS. THE SERVICE IS FREE AND HAS NO INCOME CONSTRAINTS FOR USERS. AUNT BERTHAS MISSION IS TO CONNECT ALL PEOPLE IN NEED AND THE PROGRAMS THAT SERVE THEM WITH DIGNITY AND EASE. THE ONLINE TOOL ALLOWS USERS TO FIND NEARBY CBOS, MAKING IT EASIER FOR INDIVIDUALS TO ACCESS SOCIAL SERVICE OPTIONS IN THEIR NEIGHBORHOODS. THANKS TO AUNT BERTHA, NON-PROFITS HAVE AN EASIER TIME COORDINATING THEIR EFFORTS, WHILE HEALTHCARE PROVIDERS CAN INTEGRATE SOCIAL CARE INTO THEIR WORK MORE APPROPRIATELY. BRADDOCK URGENT CARE: AHN AND HH OPERATE 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. THRIVE 18: THIS IS 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, 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 2019. 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 2019, 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 2019, AHNS COMMITMENT TO ORGAN, TISSUE, AND CORNEA DONATION RESULTED IN THOUSANDS OF LIVES SAVED OR IMPROVED, EITHER THROUGH TRANSPLANT PROCEDURES CARRIED OUT AT THE NETWORKS HOSPITALS, OR BECAUSE OF THE GENEROSITY OF ORGAN AND TISSUE DONORS WHO WERE PATIENTS AT AHN HOSPITALS. 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. F.O.R.E. GRANT: THE FOUNDATION FOR OPIOID RESPONSE EFFORTS (F.O.R.E.) ANNOUNCED IN 2019 THAT AHN WOULD BE THE RECIPIENT OF A $600,000 GRANT IN SUPPORT OF A PROGRAM THAT WILL PROVIDE COMMUNITY-BASED, OPIOID USE DISORDER (OUD) OUTREACH, ENGAGEMENT, AND PATIENT RETENTION INTERVENTION. AS PART OF THE PROJECT, MULTIDISCIPLINARY TEAMS MADE UP OF A PROVIDER, ADDICTION RECOVERY SPECIALIST, AND COMMUNITY PARAMEDIC ARE MOBILIZING INTO THE COMMUNITY TO ASSIST PEOPLE WITH THEIR OUD-RELATED TREATMENT NEEDS.
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 HEALTHY FOOD CENTERS ACT 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 PRIMARILY SERVES PATIENTS WITH DIABETES WHO ARE SCREENED BY THEIR DOCTOR AS BEING FOOD INSECURE. PATIENTS RECEIVE A REFERRAL TO THE HEALTHY FOOD CENTER AT WEST PENN AND ALLEGHENY GENERAL HOSPITALS 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 AT WPH AND EXPANDED TO AGH in 2020. 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. 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 2019, AHN RECEIVED A $5 MILLION FEDERAL GRANT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TO WILL SUPPORT THE IMPLEMENTATION AND EVALUATION OF ENHANCED SUBSTANCE USE SCREENING AND INTERVENTION SERVICES IN THE PRIMARY CARE SETTING. ADDITIONALLY, AHN AND GATEWAY HEALTH HAVE PARTNERED TO LAUNCH AN ENHANCED PAIN MANAGEMENT PROGRAM WHICH TAKES A NOVEL, HOLISTIC APPROACH TO TREATING A PATIENT'S PAIN WITHOUT OPIOIDS. THE FIRST SUCH CLINIC HAS OPENED AT THE AHN INSTITUTE FOR PAIN MEDICINE NEAR WEST PENN HOSPITAL, WITH MORE LOCATIONS BEING PLANNED. 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 FOR PATIENTS WITH MEDICAL CONDITIONS AND CO-OCCURRING SUBSTANCE USE DISORDERS. ALSO IN 2018, AHN 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 has 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 HEALTH AND HUMAN SERVICES. 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; 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. AHNS RESEARCH INSTITUTE IS STUDYING AND DEVELOPING SINGLE-DOSE, LONGER-LASTING OPIOID OVERDOSE ANTIDOTES. PERINATAL HOPE: The PERINATAL HOPE PROGRAM is 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 THE LAST SEVERAL 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 IS ALSO A LEVEL I SHOCK TRAUMA CENTER, AND ITS LIFEFLIGHT AEROMEDICAL SERVICE WAS THE FIRST TO FLY IN THE NORTHEASTERN UNITED STATES. ALLEGHENY VALLEY HOSPITAL: ALLEGHENY VALLEY HOSPITAL (AVH) HAS SERVED NATRONA HEIGHTS, PA., AND THE SURROUNDING COMMUNITY FOR OVER 100 YEARS. AVH PROVIDES EMERGENCY CARE, SURGICAL CARE, REHABILITATION CARE AND OTHER QUALITY HEALTH CARE SERVICES FOR ITS PATIENTS. CANONSBURG HOSPITAL: SINCE 1904, 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. FORBES HOSPITAL: SINCE 1978, MONROEVILLES 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. GROVE CITY HOSPITAL: GROVE CITY MEDICAL CENTER, NOW AHN GROVE CITY, WAS CREATED IN 1978, THROUGH THE MERGER OF TWO EXISTING GROVE CITY, PA., HOSPITALS. TODAY, THE HOSPITAL OPERATES SIX OUTPATIENT CLINICS AND LAB SITES THROUGHOUT ITS SERVICE FOOTPRINT. IT PROVIDES CANCER CARE, CARDIAC CARE, GENERAL SURGERY, LAB SERVICES, HOME HEALTH AND DIAGNOSTIC IMAGING, AMONG OTHER CLINICAL SERVICES. JEFFERSON HOSPITAL: JEFFERSON HOSPITAL (JH) WAS ORGANIZED IN 1973. LOCATED JUST SOUTH OF PITTSBURGH, THE HOSPITAL PROVIDES A WIDE SPECTRUM OF HIGH QUALITY HEALTH CARE SERVICES, FROM EMERGENCY CARE AND INTENSIVE CARE, to COMPREHENSIVE SURGICAL PROGRAMS AND REHABILITATION, cancer care and comprehensive LABOR AND DELIVERY services including a level II neonatal intensive care unit. SAINT VINCENT HOSPITAL: SAINT VINCENT HOSPITAL (SVH) 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. IN 2019, THE HOSPITAL OPENED A NEW COMPREHENSIVE CANCER CENTER, A NEW, GREATLY EXPANDED EMERGENCY DEPARTMENT, NEW OPERATING ROOM SUITE AND A SECOND HEALTH & WELLNESS PAVILION ON THE CITYS WESTSIDE. WEST PENN HOSPITAL: SERVING THE BLOOMFIELD AREA OF PITTSBURGH AND ITS SURROUNDING COMMUNITIES SINCE 1848, WEST PENN HOSPITAL (WPH) IS AN 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. IN 2019, WPH WAS NAMED ONE OF THE NATIONS TOP 100 HOSPITALS BY IBM WATSON.
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), AS WELL AS SEVERAL URGENT CARE CLINICS AND SURGERY CENTERS. 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: 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. CLINICALLY INTEGRATED NETWORK (CIN): AHNS CIN IS A REGIONAL PARTNERSHIP OF INDEPENDENT AND AHN-AFFILIATED PHYSICIANS. THE CIN, KNOWN AS "PHYSICIAN PARTNERS OF WESTERN PA," COORDINATES CARE FOR NEARLY A QUARTER-MILLION PATIENTS ACROSS VARIOUS MEDICAL SPECIALTIES AND CARE SITES BY SETTING COMMON GOALS IN THE AREAS OF OUTCOMES, VALUE, AND EVIDENCED-BASED CLINICAL MODELS. THE CIN HELPS PHYSICIANS AND PRACTICES PREPARE FOR CURRENT AND FUTURE CHALLENGES IN THE AREAS OF TECHNOLOGY INFRASTRUCTURE, GOVERNMENT REGULATIONS, AND PAYMENT REFORM. CLINICAL GOALS AND FINANCIAL INCENTIVES ARE ESTABLISHED THROUGH A PHYSICIAN-LED GOVERNANCE STRUCTURE. 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, SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES, 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. IN 2019, AHN OPENED NEW COMMUNITY CANCER CENTERS IN BUTLER, BEAVER, ALLEGHENY, AND ERIE COUNTIES. AHN ALSO PLANS TO OPEN A NEW ACADEMIC CANCER INSTITUTE AND CANCER GENOME LABORATORY ON THE AGH CAMPUS IN 2020. 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. 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 OPENING OF THE AHN SPORTS COMPLEX AT COOL SPRINGS, A LARGE MULTI-SPORT FACILITY SPECIALIZING IN ORTHOPAEDIC CARE AND SPORTS MEDICINE, AND THE 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 CARE AND INNOVATION THAT DATES TO THE 1980S. 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 2019, 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 WOMENS 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 2019, AHNS OBSTETRICAL UNITS DELIVERED MORE THAN 8,100 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 2019, IT RECEIVED THE FOLLOWING AWARDS, RECOGNITIONS AND ACCREDITATIONS, AMONG OTHERS: THE AMERICAN STROKE ASSOCIATION RECOGNIZED AHN HOSPITALS FOR LEADING STROKE CARE. THE CARDIOTHORACIC INTENSIVE CARE UNIT AT FORBES HOSPITAL WAS ONE OF TWO PA HOSPITALS TO EARN NATIONAL THREE-YEAR BEACON AWARD FOR EXCELLENCE AHNS DR. SUSAN MANZI WAS HONORED AT THE ART ROONEY AWARDS EVENT FOR OUTSTANDING CONTRIBUTIONS TO THE COMMUNITY. AHN HOSPITALS EARNED 17 BLUE DISTINCTION CENTER DESIGNATIONS FOR HIGH QUALITY CARE. AGHS HEART TRANSPLANT PROGRAMS 3-YEAR SURVIVAL WAS RATED TOPS IN STATE, AND SEVENTH NATIONALLY. AHNS ALLEGHENY VALLEY HOSPITAL WAS AWARDED ADVANCED CERTIFICATION AS A PRIMARY STROKE CENTER. AHN'S ROBERT WHITE, MD, NAMED A "CIO OF THE YEAR" BY PITTSBURGH TECHNOLOGY COUNCIL. WEST PENN HOSPITAL WAS NAMED ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON. AHN PRESIDENT AND CEO CYNTHIA HUNDORFEAN WAS NAMED TO MODERN HEALTHCARES TOP 25 WOMEN LEADERS LIST.
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 FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO MAY ELECT PURSUANT TO THE BYLAWS OF EACH ENTITY, EITHER HIGHMARK HEALTH OR THE ENTITY'S SOLE DIRECT MEMBER HAS THE AUTHORITY 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 CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS AND APPROVE ALL AMENDMENTS OR REVISIONS OF THE CORPORATION'S 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 CORPORATION'S OR THE RELEVANT SUBSIDIARY'S 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 CORPORATION'S 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 CORPORATION'S 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 CORPORATION'S 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 CORPORATION'S CONSOLIDATED TOTAL ASSETS AT THE END OF THE PRIOR FISCAL YEAR OF THE CORPORATION; 13) TO ESTABLISH AND MANAGE THE CORPORATION'S 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 AND DECISION MAKING AUTHORITY, AND ANY OTHER EMPLOYEES AS DESIGNATED BY THE COMPLIANCE DEPARTMENT. INDIVIDUALS ARE REQUIRED TO REPORT TO THE COMPLIANCE DEPARTMENT THROUGHOUT THE YEAR IF CHANGES IN CIRCUMSTANCES ARISE THAT MAY GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST OR CHANGE A PREVIOUSLY-DISCLOSED CONFLICT. 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 and officers 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 executive's 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 executive's 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 289,592,971 PENSION LIABILITY ADJUSTMENTS (11,089,000) OTHER 104,941,473 ------------- TOTAL 383,445,444

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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	2,027,294	1,776,698	AHN
(2) West Penn Allegheny Foundation LLC 4800 Friendship Avenue Pittsburgh,PA15224 20-1107650	Capital Acq.	PA	3,174,836	27,308,880	WPAHS
(3) Peters Township ASC LLC 160 Gallery Drive McMurray,PA15317 27-3982341	Healthcare	PA	3,984,968	2,493,015	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	404,561	1,272,249	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?
(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	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)Suburban Health Foundation 100 South Jackson Ave Pittsburgh,PA15202 25-1472073	Fundraising	PA	501(c)(3)	12a-TYPE I	WPAHS INC		No
(10)Vantage Health Group 232 West 25th Street Erie,PA16544 25-1498145	Healthcare	PA	501(c)(3)	3	SVHC		No
(11)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) 2019

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 5148 Liberty Assoc 5989 Centre Avenue Pittsburgh,PA15206 25-1689871	Property Rental	PA	WPAHS Inc	EXCLUDED	106,049	758,866		No			No	50.000 %
(2) AHN Emerus LLC 30 Isabella St Pittsburgh,PA15212 82-3655381	Medical Practice	PA	AHN	RELATED	-1,629,731	33,906,413		No			No	51.000 %
(3) AHN Home Infusion 312 West 25th Street Erie,PA16502 25-1736527	Medical Practice	PA	SVHS	Related	24,194,995	10,483,830		No			No	80.000 %
(4) Celtic Hospice 30 Isabella St Pittsburgh,PA15212 20-5661063	Medical Practice	PA	WPAHS Inc	Related	3,210,346	18,797,628		No			No	79.900 %
(5) JV Holdco LLC 30 Isabella St Pittsburgh,PA15212 47-2368587	Holding Company	PA	WPAHS Inc	Related	4,236,230	30,455,822		No			No	59.610 %
(6) Mccandles Endoscopy 4800 Friendship Ave Pittsburgh,PA15224 26-1284448	Medical Practice	PA	WPAHS Inc	Related	587,446	514,374		No			No	50.000 %
(7) N Shore Endoscopy 4800 Friendship Ave Pittsburgh,PA15224 25-1880238	Medical Practice	PA	WPAHS Inc	Related	766,568	362,128		No			No	50.000 %
(8) Provider PPI LLC 120 Fifth Avenue Suite 922 Pittsburgh,PA15222 32-0429947	Group Purchasing	PA	HMPG	Related	18,385,166	39,247,050		No			No	99.500 %
(9) ST VINC PROF BLDG 312 West 25th Street Erie,PA16502 25-1578290	Property Mgmt	PA	CSI	Related	355,435	373,034		No			No	82.660 %
(10) Vantage HLDNG COMP 312 West 25th Street Erie,PA16502 03-0477182	Capital Mgmt	PA	CSI	Related	594,882	5,399,005		No			No	50.530 %
(11) AHN-LECOM JV LLC 30 ISABELLA ST PITTSBURGH,PA15212 82-5500526	HEALTHCARE	PA	AHN	RELATED	691,762	5,279,458		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?
(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		Yes	No
(1) Clinical Services Inc 232 West 25th Street Erie,PA16544 25-1403846	Holding Company	PA	SVHS	C Corp	3,085,807	8,299,433	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	5,469,532	3,683,435	100.000 %	Yes
(3) Grandis Rubin Shanahan & Assoc 565 Coal Valley Rd Jefferson Hills,PA15025 45-3355906	Medical Practice	PA	JRMC	C Corp	5,996,565	2,124,005	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	17,207,296	17,652,465	100.000 %	Yes
(5) HMPG Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3444325	Holding Company	PA	AHN	C Corp	13,249,946	149,218,972	100.000 %	Yes
(6) JRMC Physician Service Corp 565 Coal Valley Rd Jefferson Hills,PA15025 86-1159658	Medical Practice	PA	JRMC	C Corp	-115,096	0	100.000 %	Yes
(7) Lake Erie Medical Group PC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3444157	Medical Practice	PA	AC	C Corp	0	184,227	100.000 %	Yes
(8) Palladium Risk Retention Group 409 Broad St Ste 270 Sewickley,PA15143 46-3476730	Insurance	VT	WPAHS Inc	C Corp	30,242,501	102,841,418	100.000 %	Yes
(9) Physician Landing Zone PC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3913973	Health Care	PA	AC	C Corp	-344,941	645,437	100.000 %	Yes
(10) Pittsburgh Pulmonary & Critical Care 1200 BROOKS LN STE 130 Clairton,PA15025 46-3274101	Medical Practice	PA	JRMC	C Corp	3,297,102	914,827	100.000 %	Yes
(11) Premier Medical Associates PC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1742869	Medical Practice	PA	AC	C Corp	57,685,724	24,727,476	100.000 %	Yes
(12) Premier Women's Health 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-4682160	Medical Practice	PA	AC	C Corp	6,528,644	1,383,254	100.000 %	Yes
(13) Primary Care Group 8 Inc 803 Miller Ave Clairton,PA15025 01-0927360	Medical Practice	PA	JRMC	C Corp	8,785	294,020	100.000 %	Yes
(14) Primary Care Group 10 Inc 3726 Brownsville Rd Pittsburgh,PA15227 38-3807173	Medical Practice	PA	JRMC	C Corp	160,875	118,228	100.000 %	Yes
(15) West Penn Corporate Medical ServicesInc 4800 Friendship Avenue Pittsburgh,PA15224 25-1437405	Inactive	PA	WPAHS Inc	C Corp	0	89,483	100.000 %	Yes
(16) 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) 2019

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

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 .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

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	162,210,697	FMV
(2) Monroeville Ambulatory Surgery Center LLC	P	5,141,307	FMV
(3) Physician Partners of Western PA LLC	P	946,177	FMV
(4) Saint Vincent CIC Disease LLC	P	667,973	FMV
(5) PROVIDER PPI LLC	P	572,433	FMV
(6) Peters Township Surgery Center LLC	P	180,795	FMV
(7) Allegheny Clinic	Q	23,132,462	FMV
(8) Physician Landing Zone PC	Q	5,209,664	FMV
(9) Wexford Medical Mall LLC	Q	3,401,466	FMV
(10) AHN Home Infusion LLC	Q	1,513,592	FMV
(11) HHPG Inc	Q	717,975	FMV
(12) CLINICAL SERVICES INC	Q	246,248	FMV
(13) Wexford Medical Mall LLC	Q	110,405	FMV
(14) Summer Wind Management LLC	Q	108,451	FMV
(15) Silver Rain LP	Q	52,126	FMV
(16) Highmark Health	C	113,000	FMV

Schedule R (Form 990) 2019

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

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) 2019

Additional Data

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	210
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	88
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	26,671
6	Total number of volunteers (estimate if necessary) .............	6	1,526
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,970,208
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	60,778

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	16,440,203	14,508,408
9	Program service revenue (Part VIII, line 2g) .........	3,481,345,554	3,737,184,630
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	58,638,068	50,291,258
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	111,793,192	132,212,417
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,668,217,017	3,934,196,713
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,920,007	1,140,450
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)	1,723,963,641	1,891,592,268
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 865,240
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,867,752,211	1,956,502,102
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,596,635,859	3,849,234,820
19	Revenue less expenses. Subtract line 18 from line 12.......	71,581,158	84,961,893
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,149,634,218	3,792,772,543
21	Total liabilities (Part X, line 26).............	1,973,175,454	2,189,461,024
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,176,458,764	1,603,311,519

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,682,257,711 including grants of $ 921,319 ) (Revenue $ 2,829,409,313 )
	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 $ 244,447,494 including grants of $ 1,500 ) (Revenue $ 313,027,394 )
	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 $ 380,420,594 including grants of $ 114,561 ) (Revenue $ 417,309,368 )
	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.

	(Code: ) (Expenses $ 203,786,739 including grants of $ 103,070 ) (Revenue $ 172,468,347 )
	Other Program Services

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 203,786,739 including grants of $ 103,070 ) (Revenue $ 172,468,347 )
4e	Total program service expenses3,510,912,538

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	26,587,752	17,057,611	3,286,102

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	2,925,970
d	Related organizations		1d	2,016,401
e	Government grants (contributions)		1e	4,497,025

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,069,012

g	Noncash contributions included in lines 1a - 1f:$		1g	952,979

h Total. Add lines 1a-1f.......		14,508,408

		Business Code
2a	PATIENT SERVICE REVENUE	621000	3,280,575,881	3,275,605,673	4,970,208
b	AFFILIATE EXPENSE REIMBURSEMENT	900099	407,074,107	407,074,107
c	SCIENTIFIC RESEARCH	541712	44,494,030	44,494,030
d	MEDICAL EDUCATION	621111	5,040,612	5,040,612
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		3,737,184,630

3 Investment income (including dividends, interest, and othersimilar amounts) ......			36,486,549			36,486,549
4 Income from investment of tax-exempt bond proceeds			2,755,831			2,755,831
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		7,855,087	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	7,855,087	6c
d	Net rental income or (loss).......			7,855,087			7,855,087
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	94,363,000	837,330,929	7a
b	Less: cost or other basis and sales expenses	94,268,329	826,376,722	7b
c	Gain or (loss)	94,671	10,954,207	7c
d	Net gain or (loss).........			11,048,878			11,048,878
8a	Gross income from fundraising events (not including $ 2,925,970of contributions reported on line 1c). See Part IV, line 18 ....
			8a	369,302
b	Less: direct expenses ...		8b	1,092,738
c	Net income or (loss) from fundraising events..			-723,436			-723,436
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	PHARMACY REVENUE		900099	13,434,859			13,434,859
b	CAFETERIA SALES		621110	10,709,939			10,709,939
c	PARKING		900099	7,870,632			7,870,632
d	All other revenue ....			93,065,336			93,065,336
e	Total. Add lines 11a–11d ......			125,080,766
12	Total revenue. See instructions.....			3,934,196,713	3,732,214,422	4,970,208	182,503,675

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	996,922	996,922
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	142,250	142,250
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	1,278	1,278
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	44,377,800	40,904,273	3,106,446	367,081
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	1,558,988,729	1,450,494,719	108,200,246	293,764
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	-19,152,011	-17,556,009	-1,596,002
9	Other employee benefits .......	210,884,886	193,317,480	17,559,071	8,335
10	Payroll taxes ...........	96,492,864	88,772,437	7,679,420	41,007
11	Fees for services (non-employees):
a	Management ......	3,359,084		3,359,084
b	Legal .........	1,356,821	154,044	1,202,777
c	Accounting ...........	973,799	390	973,409
d	Lobbying ...........	311,641	311,641
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,792,947		1,792,947
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	279,571,464	210,038,119	69,418,674	114,671
12	Advertising and promotion ....	1,477,157	1,347,830	129,327
13	Office expenses .......	32,603,060	29,456,232	3,146,828
14	Information technology ......	29,062,205	26,875,624	2,186,216	365
15	Royalties ..	0
16	Occupancy ...........	190,902,951	175,705,561	15,197,390
17	Travel ............	6,024,478	5,515,531	508,191	756
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	5,572,299	5,006,290	565,151	858
20	Interest ...........	25,736,704	23,163,523	2,573,181
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	146,478,620	131,710,370	14,768,172	78
23	Insurance ...	26,769,963	25,391,490	1,378,473
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 & DRUGS	698,763,286	698,495,738	267,548
b	REIMBURSEMENTS TO AFFILATES	336,971,550	255,510,150	81,461,400
c	PATIENT BAD DEBT	66,692,169	66,719,038	-26,869
d	FOOD/DIETARY PROVISIONS	15,444,687	13,912,548	1,532,064	75
e	All other expenses	86,637,217	84,525,069	2,073,898	38,250
25	Total functional expenses. Add lines 1 through 24e	3,849,234,820	3,510,912,538	337,457,042	865,240
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			562,457	1	429,074
2	Savings and temporary cash investments .........			286,596,206	2	171,756,184
3	Pledges and grants receivable, net ......			7,557,154	3	8,371,467
4	Accounts receivable, net .............			375,128,525	4	394,247,623
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			3,185,000	7	4,311,761
8	Inventories for sale or use ............			50,985,484	8	53,019,349
9	Prepaid expenses and deferred charges ......			42,335,054	9	46,402,927
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,183,328,836
b	Less: accumulated depreciation	10b	783,888,230	1,179,077,451	10c	1,399,440,606
11	Investments—publicly traded securities .			322,559,662	11	374,680,231
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 ...............			130,809,188	14	138,842,986
15	Other assets. See Part IV, line 11 ...........			750,686,511	15	1,201,118,809
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,149,634,218	16	3,792,772,543

17	Accounts payable and accrued expenses .....	421,971,839	17	436,827,517
18	Grants payable ...	0	18	0
19	Deferred revenue .........	58,640,534	19	54,135,934
20	Tax-exempt bond liabilities .........	991,068,667	20	985,858,041
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	8,671,462	23	2,826,193
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	492,822,952	25	709,813,339
26	Total liabilities. Add lines 17 through 25..	1,973,175,454	26	2,189,461,024

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	885,107,227	27	1,264,475,481
28	Net assets with donor restrictions ...........	291,351,537	28	338,836,038
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,176,458,764	32	1,603,311,519
33	Total liabilities and net assets/fund balances ........	3,149,634,218	33	3,792,772,543

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No