Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
HIGHMARK FOUNDATION
 
% MATTHEW B BAZZANI
Number and street (or P.O. box number if mail is not delivered to street address)120 Fifth Avenue Suite FAP-192B
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Pittsburgh, PA15222
A Employer identification number

25-1876666
B Telephone number (see instructions)

(412) 544-6668
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$137,140,319
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 19,223,239
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 348,621 348,621  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -23,166
b Gross sales price for all assets on line 6a 4,180,535
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 19,548,694 348,621  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 6,972      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 106,883     106,797
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 113,855 0   106,797
25 Contributions, gifts, grants paid....... 8,042,178 8,072,178
26 Total expenses and disbursements. Add lines 24 and 25 8,156,033 0   8,178,975
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 11,392,661
b Net investment income (if negative, enter -0-) 348,621
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 28,144,529 16,425,660 16,425,660
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet33,953
Less: allowance for doubtful accounts bullet   28,869 33,953 33,953
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable................. 92,871,773 92,095,013 92,095,013
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 3,076,510 Click to see attachment6,483,192 6,483,192
b Investments—corporate stock (attach schedule).......   Click to see attachment19,616,240 19,616,240
c Investments—corporate bonds (attach schedule)....... 2,064,250 Click to see attachment2,486,261 2,486,261
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet44,476
Less: accumulated depreciation (attach schedule) bullet44,476      
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 126,185,931 137,140,319 137,140,319
Liabilities 17 Accounts payable and accrued expenses.......... 4,623 7,682
18 Grants payable................. 30,000  
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 34,623 7,682
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 5,279,535 8,775,496
25 Net assets with donor restrictions............ 120,871,773 128,357,141
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 126,151,308 137,132,637
30 Total liabilities and net assets/fund balances (see instructions). 126,185,931 137,140,319
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
126,151,308
2
Enter amount from Part I, line 27a .....................
2
11,392,661
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
137,543,969
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
411,332
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
137,132,637
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a I BONDS   2021-05-27 2021-12-20
b I BONDS   2021-02-16 2021-12-20
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 2,687,501   2,702,273 -14,772
b 1,493,034   1,501,428 -8,394
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       -14,772
b       -8,394
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 -23,166
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 4,846
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,846
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 4,825
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 5,825
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 979
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet979 RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? Click to see list of attachments....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changesClick to see list of attachments....
3
Yes
 
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.Click to see list of attachments
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA, WV
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullethttp://www.highmarkfoundation.org
    14
    The books are in care ofbulletMATTHEW B BAZZANI Telephone no.bullet (412) 544-8338

    Located atbullet120 FIFTH AVENUE FAPHM-191APITTSBURGHPA ZIP+4bullet15222
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    RICHARD Q DUFURRENA DDS DIRECTOR
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    JANINE K COLINEAR DIRECTOR
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    KENYA T BOSWELL DIRECTOR (EFFECTIVE 7/28/21)
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    CAIN A HAYES DIRECTOR (RESIGNED 6/11/21)
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    EVAN S FRAZIER DIRECTOR (RESIGNED 2/28/21)
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    DANIEL A ONORATO DIRECTOR/CHAIRPERSON
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    JUDITH W SJOSTEDT DIRECTOR
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    DORIS CARSON WILLIAMS DIRECTOR/VICE CHAIRPERSON
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    YVONNE C COOK PRESIDENT
    40.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    EDWARD A BITTNER JR SECRETARY
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    DIANA E LEECH ASST. SECY (RESIGNED 7/1/21)
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    MATTHEW B BAZZANI TREASURER
    1.0
    0 0 0
    120 FIFTH AVENUE
    PITTSBURGH,PA15222
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    14,856,837
    b
    Average of monthly cash balances.......................
    1b
    14,988,948
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    29,845,785
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    29,845,785
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    676,482
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    29,169,303
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,458,465
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    1,458,465
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,846
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,846
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,453,619
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    45,607
    5
    Add lines 3 and 4............................
    5
    1,499,226
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    1,499,226
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 1,499,226
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:2019, 2018, 2017 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 3,002,152
    b From 2017...... 2,518,211
    c From 2018...... 2,384,573
    d From 2019...... 3,054,829
    e From 2020...... 2,865,734
    f Total of lines 3a through e ........ 13,825,499
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 8,178,975
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 1,499,226
    e Remaining amount distributed out of corpus 6,679,749
    5 Excess distributions carryover applied to 2021.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 20,505,248
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    3,002,152
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    17,503,096
    10 Analysis of line 9:
    a Excess from 2017.... 2,518,211
    b Excess from 2018.... 2,384,573
    c Excess from 2019.... 3,054,829
    d Excess from 2020.... 2,865,734
    e Excess from 2021.... 6,679,749
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Katherine Hancock
    120 Fifth Avenue
    Pittsburgh,PA15222
    (412) 544-3243
    bThe form in which applications should be submitted and information and materials they should include:
    Proposal Process The Foundation awards programmatic grants in the area of health to 501(c)(3) organizations. The Foundation defines health broadly to include social, behavioral, and other dimensions beyond illness or disease. The grant making process is performed primarily through invited proposals or requests for proposals. The Foundation awards grants in two ways: 1. Invited Proposals - are target specific audiences and activities identified by the Foundation. Unlike request for proposals (RFPs), these proposals involve the participation of a specific entity and may represent a longer-term commitment from both the grant recipient and the Foundation. All phases of the project must be acceptable to the Foundation prior to funding, including estimated costs, timelines and expected results. 2. Request for Proposals - will be issued periodically related to specific health topics. Organizations with demonstrated capacity or evidence of strong potential to mount successful projects with res
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    The Highmark Foundation makes grants to non-profit organizations throughout the areas served by Highmark Inc., and its subsidiaries and affiliates. The Highmark Foundation has focused its attention on a variety of health issues in 2021 including but not limited to: Individualized medically prescribed diets to patients with multiple chronic disease, planning grant to explore expanding Three Rivers Mother's Milk Bank into West Virginia, support for tele-medicine wound care management program, integration of primary with dental care, and school-based health efforts. In 2021, the Highmark Foundation awarded approximately $8,138,399 to 106 non-profit organizations for traditional and school grants. The Foundation issues a "Request for Proposals" (RFP) process titled "Creating a Healthy School Environment." The Request for Proposals to schools is issued annually. Schools applying for funding may select from one of four areas: > Environmental Health > Healthy Eating and Physical Activity > So
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    A Call to Care
    336 4th Ave
    Pittsburgh,PA15222
    N/A PC To support A Call to Care's free two-day dental clinic, Mission of Mercy Pittsburgh (MOM Pittsburgh), which provides dental services to underserved and uninsured children and adults in western Pennsylvania. 50,000
    Adagio Health
    603 Stanwix Street
    Suite 500
    Pittsburgh,PA15222
    N/A PC To support the 3rd Annual Better Health Outcomes 2021 Speaker Series as the Presenting Champion Sponsor. 50,000
    Allegheny Health Network
    120 Fifth Avenue
    30 Isabella Street
    Pittsburgh,PA15212
    N/A SO I To support the creation of the AHN Center for Inclusion Health's Rethinking Incarceration and Empowering (RIVER) Clinic. In addition, a $50k grant was made to support the Move the Needle campaign. 160,000
    Allegheny Health Network-Cardiac Electrophysiology
    120 Fifth Avenue FAPHM-294E
    Pittsburgh,PA15222
    N/A SO I To support the Innovation and Research Fund in Cardiac Electrophysiology. 1,000,000
    Allegheny Health Network - First Steps Pittsburgh
    120 Fifth Avenue FAPHM-294E
    Pittsburgh,PA15222
    N/A SO I To support the implementation of the First Steps Pittsburgh and Beyond program to address infant mortality across AHN's footprint. 500,000
    Allegheny Health Network - URiM
    120 Fifth Avenue FAPHM-294E
    Pittsburgh,PA15222
    N/A SO I To support the AHN Underrepresented in Medicine (URiM) Clinician Recruitment and Retention program, White Coats for Black Professionals. 415,000
    Alliance for a Healthier Generation
    1028 SE Water Avenue
    Suite 215
    Portland,OR97214
    N/A PC To pilot the Healthy Schools, Healthy Youth program in select West Virginia schools. 50,000
    Alzheimer's Association
    2595 Interstate Drive
    Suite 100
    Harrisburg,PA17110
    N/A PC To improve dementia quality care and awareness in communities. 50,000
    American Cancer Society
    320 Billmar Drive
    Pittsburgh,PA15205
    N/A PC To support a planning grant to assess if Federally Qualified Health Centers (FQHC's) across the state will adopt the American Cancer Society's (ACS) national Return to Screening campaign. 25,000
    American Heart Association
    444 Liberty Avenue
    Suite 1300
    Pittsburgh,PA15222
    N/A PC To support American Heart Association's (AHA) Pressure for Change initiative across Pennsylvania. 71,000
    Arizona Dental Foundation
    3193 N Drinkwater Blvd
    Scottsdale,AZ85251
    N/A PC To support and promote dental care for children. 10,000
    Beckley Health Right Inc
    111 Randolph Street
    Beckley,WV25801
    N/A PC To support the WV Dental Hygiene Program. 50,000
    Bender Leadership Academy
    3 Penn Center West
    Suite 223
    Pittsburgh,PA15276
    N/A PC To support the Bender Leadership Academy's Mary Brougher Mental Health Initiative (MBMHI) campaign for youth with disabilities. 50,000
    Bethany Community Ministries
    7745 Tioga Street
    Pittsburgh,PA15208
    N/A PC To address the medical and nonmedical gaps that exist within the vulnerable minority population including seniors, immigrants and refugees, homebound individuals, and other marginalized groups by providing culturally sensitive health information and COVID-19 vaccinations. In addition, a grant of $8k was made to support COVID-19 vaccinations to seniors in high-rise facilities. 78,000
    Cabell Huntington Hospital Foundation
    1340 Hal Greer Blvd
    Huntington,WV25701
    N/A PC To support CO2 Oral and Maxillofacial Dental Laser for Surgery. 50,000
    Capital City Give Kids A Smile Inc
    107 Koontz Ave
    Clendenin,WV25045
    N/A PC To support Capital City Give Kids a Smile Free Clinic. 2,000
    Center for Health Promotion and Disease Prevention
    119 Jari Drive
    Suite 2
    Johnstown,PA15904
    N/A PC To support implementation of statewide bullying prevention strategies. 55,000
    Center for Rural Health Development Inc
    75 Chase Drive
    Hurricane,WV25526
    N/A PC To support rural health in West Virginia. 50,000
    Central Arizona Dental Society Foundation
    5300 N Central Avenue
    Suite 200
    Phoenix,AZ85012
    N/A PC To support and promote dental care for public awareness. 25,000
    Central Susquehanna IU
    90 Lawton Lane
    Milton,PA17847
    N/A PC To provide expert technical assistance to Highmark Foundation staff and recipients school grants in the positive school climate category without our School Grants and Awards program. 75,000
    Childrens Hospital Foundation
    One Childrens Hospital Drive
    4401 Penn Ave
    Pittsburgh,PA15224
    N/A PC To support The Whole Child Wellness Clinic (WCWC) pilot, a coordinated hub for health care, designed for families and their children with unmet developmental-behavioral health care needs. 160,714
    Clinton County United Way
    PO Box 818 8 North Grove Street
    Suite P
    Lock Haven,PA17745
    N/A PC To support Highmark Health's corporate gift. 2,500
    Colorado Mission of Mercy
    7615 Winding Oaks Drive
    Colorado Springs,CO80919
    N/A PC To support the Colorado Mission of Mercy (COMOM) dental clinic in the Colorado community. 25,000
    Cornerstone Care
    7 Glassworks Road
    Greensboro,PA15338
    N/A PC To support Smile for Life Integrated Oral Health Outreach Program. 37,500
    County United Way
    113A South Centre Street
    Cumberland,MD21502
    N/A PC To support the general needs of the MD United Way. 2,500
    Crohn's and Colitis Foundation
    6425 Living Place
    Suite 200
    Pittsburgh,PA15206
    N/A PC To gather additional data to better understand and serve the needs of inflammatory bowel disease (IBD) patients from all racial and ethnic backgrounds. 25,000
    Destiny of Faith
    2200 California Avenue
    Pittsburgh,PA15212
    N/A PC To support the Faith-Based Health Collaborative's (FBHC) Get Back in Your Church health and wellness minigrants program and educational forum. 70,000
    E A Hawse Health Center Inc
    17978 SR 55
    Baker,WV26801
    N/A PC To provide for Dental Equipment Upgrade/Replacement. 50,000
    Ebenezer Medical Outreach Inc
    1448 10th Avenue
    Suite 100
    Huntington,WV25701
    N/A PC To provide for Oral Health Expansion. 50,000
    Face2Face Healing
    3000 Village Run Road
    Suite 103-206
    Wexford,PA15090
    N/A PC To support expansion of Advancement of Case Management, including assisting individuals with body disfigurement with the inclusion of a clinical psychologist. 32,500
    Florence Crittenton Programs Inc
    2606 National Road
    Wheeling,WV26003
    N/A PC To support Nurturing Parenting Education Program. 50,000
    Greater Weatherly Area Community Chest Inc
    PO Box 44
    Weatherly,PA18255
    N/A PC To assist minority students address their educational needs, while building a diverse group of future dental professionals. 1,000
    Grove City Area United Way
    119 S Broad Street
    Grove City,PA16127
    N/A PC To support Highmark Health's corporate gift. 1,250
    Health Access Inc
    489 Washington Avenue
    Clarksburg,WV26301
    N/A PC To support Recovering Oral Health and Dental Care post Covid-19. 30,000
    Howard University College of Dentistry
    1851 9th Street NW
    3rd Floor
    Washington,DC20001
    N/A PC To assist minority students address their educational needs, while building a diverse group of future dental professionals. 100,000
    INROADS Inc
    10 South Broadway
    Suite 800
    St Louis,MO63102
    N/A PC To support the implementation of the INROADS intern and leadership development program to address the underrepresentation of talent in education and career opportunities in corporate settings. 75,000
    Jewish Healthcare Foundation
    625 Liberty Avenue
    Suite,PA15222
    N/A PC To support a two-year program aimed to normalize HIV screening in Allegheny County through the implementation of a centralized HIV screening and community outreach campaign and an accompanying mini-grant program. 62,500
    Lending Hearts
    114 Hoodridge Drive
    Pittsburgh,PA15228
    N/A PC To support phase two of the Lending Hearts Integrative. 95,000
    Lily's Place
    PO Box 2
    Huntington,WV25706
    N/A PC To support Project Connect. 35,200
    Logan Mingo Area Mental Health Inc
    300 Prosperity Lane
    Suite 204
    Logan,WV25601
    N/A PC To support expanding capacity for Dental Services in Southern WV. 50,000
    Lycoming County United Way
    1 W 3rd Street
    Suite 208
    Williamsport,PA17701
    N/A PC To support Highmark Health's corporate gift. 20,500
    Marshall University Research Corporation
    One John Marshall Drive
    Huntington,WV25755
    N/A PC To support Something to Smile About Program. 50,000
    Meharry Medical College
    1801 Meharry Boulevard
    Nashville,TN37208
    N/A SO I To assist minority students address their educational needs, while building a diverse group of future dental professionals. 100,000
    Mineral County Court Special Advocates Program
    251 1/2 W Piedmont St
    Keyser,WV26726
    N/A PC To support the Gerri Mason Family Center. 50,000
    Monongalia County Health Department
    453 Van Voorhis Rd
    Morgantown,WV26505
    N/A PC To support Advancing Dental Access in North Central WV. 50,000
    National Foundation of Dentistry
    1800 15th Street
    Suite 100
    Denver,CO80202
    N/A PC To assist minority students address their educational needs, while building a diverse group of future dental professionals. 20,000
    New York University College of Dentistry
    345 E 24th Street
    10th Floor
    New York,NY10010
    N/A PC To assist minority students address their educational needs, while building a diverse group of dental professionals. 50,000
    One Voice Inc
    893 Cook Pkwy
    Oceanna,WV24870
    N/A PC To support One Step to Better Health Peer Navigators. 50,000
    Pittsburgh Business Group on Health
    PO Box 208
    Ambridge,PA15003
    N/A PC To sponsor a three-part educational series in 2022 addressing health inequities in our region. 75,000
    Pittsburgh Technical College
    1111 Mckee Road
    Oakdale,PA15071
    N/A PC To support the newly established Student Wellness Center that will serve as a hub for mental and physical wellness for the PTC community. 100,000
    Pittsburgh Post Gazette
    34 Blvd of the Allies
    Pittsburgh,PA15222
    N/A PC To support Highmark Health's corporate gift. 30,000
    Pocono Mountains United Way
    301 McConnell Street
    Stroudsburg,PA18360
    N/A PC To support Highmark Health's corporate gift. 14,500
    Project Build Them Up Inc
    136 Calmont Drive
    Pittsburgh,PA15235
    N/A PC To support the implementation of Operation Back to Life, a multifaceted health and wellness program in Pittsburgh's underserved neighborhoods. 165,000
    Project Destiny
    2200 California Avenue
    Pittsburgh,PA15212
    N/A PC To support Project Destiny's Thrive 18 SDOH community initiative. 165,000
    Raleigh County Community Action Association
    111 Willow Lane
    Beckley,WV25801
    N/A PC To support Strong Smiles, Strong Communities Program. 45,000
    Read Aloud West Virginia Inc
    PO Box 1784
    Charleston,WV25326
    N/A PC To provide Books for Babies Program. 6,600
    School Grants - Western & Central PA and WV
    Various Schools
    Harrisburg,PA17110
    N/A PC To improve physical activity and nutrition in school children. 400,771
    Shenandoah Community Health Foundation
    PO Box 1146
    Martinsburg,WV25402
    N/A PC Increasing Access to Oral Health Care in Eastern Panhandle of WV. 50,000
    St Luke's Hospital- Sacred Heart
    421 W Chew Street
    Allentown,PA18102
    N/A PC To expand and improve access to oral health services for underserved families in Center City Allentown through the Sigal Center for Family Medicine. in addition, made a grant of $50k to assist minority students. 100,000
    Susan Dew Hoff Memorial Clinic Inc
    623 Liberty Street
    PO Box 128
    West Milford,WV26451
    N/A PC To support Changing Lives Through Dentistry. 15,000
    Team Smile
    2000 Swift Street
    N Kansas City,MO64116
    N/A PC To assist minority students address their educational needs, while building a diverse group of future dental professionals. 100,000
    The Advanced Leadership Institute
    Two Gateway Center
    Suite 1700 603 Stanwix Street
    Pittsburgh,PA15222
    N/A PC To provide long-term sustainability to TALI as it transitions from Initiative to Institute. 1,000,000
    The Mid-Ohio Valley Health Department
    211 6th Street
    Parkersburg,WV26101
    N/A PC To support Smiles for Life program. 50,000
    The United Way of Lackawanna and Wayne Counties
    615 Jefferson Avenue
    Scranton,PA18510
    N/A PC To support Highmark Health's corporate gift. 36,000
    Tygart Valley United Way
    221 Washington St
    Fairmont,WV26554
    N/A PC To provide general support. 2,500
    United Disabilities Services Foundation
    2270 Erin Court
    Lancaster,PA17601
    N/A PC To pilot a virtual Wound Care Management program and provide coordination of care for individuals with physical and age-related disabilities in United Disabilities Services' Home and Community Based services division. 50,000
    United Fund of Warren County
    308 Market Street
    Warren,PA16265
    N/A PC To support Highmark Health's corporate gift. 1,250
    United Way of the Capital Region
    2235 Millennium Way
    Enola,PA17025
    N/A PC To support Highmark Health's corporate gift. 300,000
    United Way of Southwestern Pennsylvania
    1250 Penn Ave
    Pittsburgh,PA15222
    N/A PC To support Highmark Health's corporate gift. 700,000
    United Way
    Various Chapters
    Wheeling,WV26003
    N/A PC To support Highmark Health's corporate gifts. 209,500
    Walking Miracles Family Foundation Inc
    116 Ridgeview Dr
    Scott Depot,WV25560
    N/A PC To support WV Pediatric and Young Adult Cancer program. 45,000
    Weirton United Way Inc
    3970 Main Street
    Weirton,WV26062
    N/A PC To provide general support. 2,500
    West Virginia Breast Health Initiative Inc
    PO Box 6623
    Charleston,WV25362
    N/A PC To support Misty Bennett's Seeds of Hope. 40,000
    West Virginia Health Right Inc
    1520 Washington Street East
    Charleston,WV25311
    N/A PC To support the Mobil Dental Unit. 50,000
    West Virginia United Health System Inc
    PO Box 8034
    Morgantown,WV26506
    N/A PC Integrate Aunt Bertha into Epic. 50,000
    Wheeling Health Right Inc
    61-29th Street
    Wheeling,WV26003
    N/A PC Building Capacity for the Expansion of Dental Care. 50,000
    Williamson Health and Wellness Center
    184 E 2nd Ave
    Williamson,WV25661
    N/A PC Increasing Access to Oral Health Care in Mingo. 50,000
    Wirt County Health Services Association
    483 Court Street
    Elizabeth,WV26143
    N/A   To support Parkersburg Family Care Dental. 50,000
    Wyoming County United Way
    119 Warren Street
    PO Box 399
    Tunkhannock,PA18657
    N/A   To support Highmark Health's corporate gift. 2,000
    UNITED DISABILITIES SERVICES FOUNDATION
    2270 ERIN COURT
    LANCASTER,PA17601
    N/A PC RETURN OF UNUSED GRANT FUNDS -45,607
    Total .................................bullet 3a 8,072,178
    bApproved for future payment
    Allegheny Health Network
    120 Fifth Avenue
    Pittsburgh,PA15222
    N/A SO I To support the development of a collaborative care model to address pediatric feeding disorders. 160,000
    Allegheny Health Network
    120 Fifth Avenue
    Pittsburgh,PA15222
    N/A SO II To build the capacity of AHN Center for Inclusion Health's (CIH) Rethinking Incarceration and Empowering Recovery (RIvER) Clinic. 160,000
    American Cancer Society
    320 Bilmar Dr
    Pittsburgh,PA15205
    N/A PC To support the Return to Screening Interventions Project, an effort to increase colorectal cancer (CRC) screening rates within three FQHC's. 100,000
    American Heart Association
    444 Liberty Avenue
    Suite 1300
    Pittsburgh,PA15222
    N/A PC To support American Heart Association's (AHA) Pressure for Change initiative across Pennsylvania. 79,000
    Appalachian Funders Network
    120 Fifth Avenue FAPHM-192B
    Pittsburgh,PA15222
    N/A PC To sponsor The Appalachian Funders Network, annual Oral Health Summit. 3,500
    Bender Leadership Academy
    3 Penn Center West
    Suite 223
    Pittsburgh,PA15276
    N/A PC To support the Bender Leadership Academy's Mary Brougher Mental Health Initiative (MBMHI)campaign for youth with disabilities. 50,000
    Central Susquehanna IU
    90 Lawton Lane
    Milton,PA17847
    N/A PC To provide expert technical assistance to Highmark Foundation staff and recipients school grants in the positive school climate category without our school grants and award program. 47,000
    Erie County Dept of Health
    606 West 2nd Street
    Erie,PA16507
    N/A PC To support Growing Smiles of Erie County, an integrated primary and dental care program. 20,000
    Free Clinic Association of PA
    2520 Green Tech Drive
    State College,PA16801
    N/A PC To hire an executive director and campaign manager to strengthen the capacity of the association and free clinics across Pennsylvania. 100,000
    Free Clinic RFP
    120 Fifth Ave
    Pittsburgh,PA15222
    N/A SO I Support the creation of the AHN Center for Inclusion Health's Rethinking Incarceration and Empowering Recovery (RIVER) Clinic. 450,000
    Howard University College of Dentistry
    1851 9th Street NW
    3rd Floor
    Washington,DC20001
    N/A PC To assist minority students address their educational needs, while building a diverse group of future dental professionals. 400,000
    Meharry Medical College School of Dentistry
    1801 Meharry Boulevard
    Nashville,TN37208
    N/A PC To assist minority students address their educational needs, while building a diverse group of future dental professionals. 500,000
    Oral Health and Dental Care RFP
    350 Capital Street
    Charleston,WV25301
    N/A PC To support organizations that focus on oral health and dental care for WV children, adults and seniors. 640,000
    SDOH RFP
    7500 Security Blvd
    Baltimore,MD21244
    N/A PC To support innovative SDOH-focused initiatives in WV that improve access to care, education or service delivery systems. 240,000
    Team Smile
    2000 Swift St
    N Kansas City,MO64116
    N/A PC To support program and equipment needs and help fund free dental care for children in communities of interest with United Concordia. 200,000
    United Disabilities Services Foundation
    2270 Erin Court
    Lancaster,PA17601
    N/A PC To pilot a virtual Wound Care Management program and provide coordination of care for individuals with physical and age-related disabilities in United Disabilities Services' Home and Community based services division. 50,000
    Women for a Healthy Environment
    5877 Commerce Street
    Suite 114
    Pittsburgh,PA15206
    N/A PC To hire a Community Health Worker (CHW) to support the Healthy Early Learning and Healthy Homes programs at WHE. 105,000
    WV United Way Agencies
    3970 Main Street
    Weirton,WV26062
    N/A PC To support Highmark Health's corporate gift. 100,000
    Vitalant (Blood Science Foundation)
    875 Greentree Road
    Parkway Center Building 5
    Pittsburgh,PA15220
    N/A PC To support a community campaign to increase donors by debunking the myths and fears surrounding blood donation. 90,000
    Total .................................bullet 3b 3,494,500
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 -23,166  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   325,455  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    325,455
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    HIGHMARK FOUNDATION
     
    Employer identification number

    25-1876666
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    HIGHMARK FOUNDATION
     
    Employer identification number
    25-1876666
    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
    1
    HIGHMARK WEST VIRGINIA INC
    PO BOX 1948
     
    PARKERSBURG, WV26102

    $ 10,000,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
    HIGHMARK INC
    120 Fifth Avenue
     
    Pittsburgh, PA15222

    $ 9,223,239


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

    $  


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

    $  


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

    $  


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

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    HIGHMARK FOUNDATION
     
    Employer identification number

    25-1876666
    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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    HIGHMARK FOUNDATION
     
    Employer identification number

    25-1876666
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AllOthProgRltdInvestmentsSch
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Category Amount
    NONE  

    TY 2021 CashDeemedCharitableExplnStmt
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Explanation:
    HIGHMARK FOUNDATION IS A 501 (C)(3) PRIVATE, CHARITABLE ORGANIZATION DEDICATED TO IMPROVING THE HEALTH, WELL-BEING, AND QUALITY OF LIFE FOR INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED BY HIGHMARK INC. AND SUBSIDIARIES AND AFFILIATES. WE FULFILL OUR MISSION BY AWARDING HIGH-IMPACT GRANTS TO CHARITABLE ORGANIZATIONS THAT IMPLEMENT EVIDENCE-BASED PROGRAMS AIMED AT IMPROVING COMMUNITY HEALTH. CENTRAL TO THE FOUNDATION'S MISSION ARE IDENTIFYING AND CONTINUOUSLY RE-EVALUATING OUR REGION'S PREVAILING HEALTH CARE NEEDS. HIGHMARK FOUNDATION CONTRIBUTED $8.2 MILLION IN 2021 TO SUPPORT THESE CAUSES. WHEN COMPLETING PART X, LINE 4 OF ITS FORM 990-PF, HIGHMARK FOUNDATION CALCULATED ITS CASH DEEMED HELD FOR CHARITABLE ACTIVITES AS $676,482, WHICH REPRESENTS THE AVERAGE AMOUNT OF CONTRIBUTIONS MADE EACH MONTH.

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    EQUIPMENT   44,476 44,476            

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BANK OF NY MELLON CORP 250,095 250,095
    CENTERPOINT ENERGY INC 102,787 102,787
    GOLDMAN SACHS GROUP INC 199,162 199,162
    KINDER MORGAN INC 106,874 106,874
    MICROSOFT CORP 266,805 266,805
    PEPSICO INC 258,428 258,428
    CNH EQUIPMENT TRUST 99,328 99,328
    HONDA AUTO TRUST 101,035 101,035
    NISSAN AUTO TRUST 99,380 99,380
    WORLD OMNI LEASE 119,446 119,446
    COMMERCIAL MORTGAGE TRUST 89,530 89,530
    COMMERCIAL MORTGAGE TRUST 100,267 100,267
    CITIGROUP COMMERCIAL 95,787 95,787
    UBS-BARCLAYS COMMERCIAL 101,840 101,840
    UBS-BARCLAYS COMMERCIAL 101,385 101,385
    WF-RBS COMMERCIAL 92,175 92,175
    WF-RBS COMMERCIAL 102,137 102,137
    STANDARD CHARTERED PLC 199,800 199,800

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ISHARES 2024 ETF 1,769,956 1,769,956
    ISHARES 5 YR ETF 8,877,647 8,877,647
    ISHARES 2023 ETF 1,768,637 1,768,637
    ISHARES 2024 ETF 983,577 983,577
    ISHARES 5 YR ETF 5,233,827 5,233,827
    ISHARES 2023 ETF 982,596 982,596

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    US Government Securities - End of Year Book Value:

    6,483,192
    US Government Securities - End of Year Fair Market Value:

    6,483,192
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2021 LandEtcSchedule2
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    EQUIPMENT 44,476 44,476    


    TY 2021 OtherDecreasesSchedule
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Description Amount
    CHANGE IN UNREALIZED LOSS ON 411,332
    AVAILABLE-FOR-SALE INVESTMENTS 0


    TY 2021 OtherExpensesSchedule
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER FOUNDATION EXPENSES 106,883     106,797


    TY 2021 TaxesSchedule
    Name:
    HIGHMARK FOUNDATION
    EIN:
    25-1876666
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 6,972