Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 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 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 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 | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part I REGIONAL HEART NETWORK - SCHEDULE H FILING REQUIREMENTS | INTERNAL REVENUE SERVICE FORM 990, SCHEDULE H IS REQUIRED TO BE COMPLETED BY ALL ORGANIZATIONS THAT MEET THE IRS DEFINITION OF A HOSPITAL AND IN ADDITION, ARE REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. REGIONAL HEART NETWORK IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A HOSPITAL UNDER IRC SECTION 170(B)(1)(A)(III). REGIONAL HEART NETWORK IS NOT REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED AS A HOSPITAL BY THE STATE OF PENNSYLVANIA. ACCORDINGLY, INTERNAL REVENUE SERVICE FORM 990, SCHEDULE H IS NOT COMPLETED BY REGIONAL HEART NETWORK. |
| Software ID: | 22016089 |
| Software Version: | 2022v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part IV, Line 31 DISSOLUTION AND WIND DOWN AGREEMENT | THE MEMBERS OF REGIONAL HEART NETWORK, ON OCTOBER 31, 2020, ENTERED INTO A DISSOLUTION AND WIND DOWN AGREEMENT. THE LIQUIDATION WILL OCCUR AS SOON AS PRACTICABLE. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | RIGHTS AND INTERESTS OF EACH MEMBER ARE PROPORTIONAL TO THE VOTING RIGHTS OF THAT MEMBER (DETERMINED BY THEIR PROPORTIONAL CAPITAL CONTRIBUTION TO THE ORGANIZATION). MEMBERS SHALL HAVE SUCH POWERS, RIGHTS AND PRIVILEGES AS DESIGNATED TO THEM BY THE NONPROFIT CORPORATION LAW OF 1988, AS AMENDED (OR ANY SUCCESSOR STATUTE), THE ARTICLES OF INCORPORATION AND THE BYLAWS. NO FUNDAMENTAL CHANGE IN THE ORGANIZATION'S OPERATIONS OR GOVERNANCE MAY BE MADE WITHOUT THE WRITTEN CONSENT OF EVERY MEMBER. MEMBERS HAVE THE RIGHT AND POWER TO TAKE OR AUTHORIZE ANY ACTION BY OR ON BEHALF OF THE CORPORATION WHICH MAY BE TAKEN OR AUTHORIZED BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MANAGES THE BUSINESS OF THE ORGANIZATION. THE BOARD OF TRUSTEES MAY EXERCISE ALL POWERS OF THE ORGANIZATION CONFERRED UPON THEM BY THE BYLAWS AND MAY PERFORM ALL LAWFUL ACTS THAT ARE NOT REQUIRED OF MEMBERS. THE EXECUTIVE OFFICERS - CHAIRPERSON, VICE CHAIRPERSON, PRESIDENT, AND SECRETARY - WHO ARE PART OF THE BOARD OF TRUSTEES, MAY BE ELECTED ANNUALLY BY THEIR FELLOW TRUSTEES. THE BOARD OF TRUSTEES, MAY BE ELECTED ANNUALLY BY THEIR FELLOW TRUSTEES. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | RIGHTS AND INTERESTS OF EACH MEMBER ARE PROPORTIONAL TO THE VOTING RIGHTS OF THAT MEMBER (DETERMINED BY THEIR PROPORTIONAL CAPITAL CONTRIBUTION TO THE ORGANIZATION). MEMBERS SHALL HAVE SUCH POWERS, RIGHTS AND PRIVILEGES AS DESIGNATED TO THEM BY THE NONPROFIT CORPORATION LAW OF 1988, AS AMENDED (OR ANY SUCCESSOR STATUTE), THE ARTICLES OF INCORPORATION AND THE BYLAWS. NO FUNDAMENTAL CHANGE IN THE ORGANIZATION'S OPERATIONS OR GOVERNANCE MAY BE MADE WITHOUT THE WRITTEN CONSENT OF EVERY MEMBER. MEMBERS HAVE THE RIGHT AND POWER TO TAKE OR AUTHORIZE ANY ACTION BY OR ON BEHALF OF THE CORPORATION WHICH MAY BE TAKEN OR AUTHORIZED BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MANAGES THE BUSINESS OF THE ORGANIZATION. THE BOARD OF TRUSTEES MAY EXERCISE ALL POWERS OF THE ORGANIZATION CONFERRED UPON THEM BY THE BYLAWS AND MAY PERFORM ALL LAWFUL ACTS THAT ARE NOT REQUIRED OF MEMBERS. THE EXECUTIVE OFFICERS - CHAIRPERSON, VICE CHAIRPERSON, PRESIDENT, AND SECRETARY - WHO ARE PART OF THE BOARD OF TRUSTEES, MAY BE ELECTED ANNUALLY BY THEIR FELLOW TRUSTEES. THE BOARD OF TRUSTEES, MAY BE ELECTED ANNUALLY BY THEIR FELLOW TRUSTEES. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | RIGHTS AND INTERESTS OF EACH MEMBER ARE PROPORTIONAL TO THE VOTING RIGHTS OF THAT MEMBER (DETERMINED BY THEIR PROPORTIONAL CAPITAL CONTRIBUTION TO THE ORGANIZATION). MEMBERS SHALL HAVE SUCH POWERS, RIGHTS AND PRIVILEGES AS DESIGNATED TO THEM BY THE NONPROFIT CORPORATION LAW OF 1988, AS AMENDED (OR ANY SUCCESSOR STATUTE), THE ARTICLES OF INCORPORATION AND THE BYLAWS. NO FUNDAMENTAL CHANGE IN THE ORGANIZATION'S OPERATIONS OR GOVERNANCE MAY BE MADE WITHOUT THE WRITTEN CONSENT OF EVERY MEMBER. MEMBERS HAVE THE RIGHT AND POWER TO TAKE OR AUTHORIZE ANY ACTION BY OR ON BEHALF OF THE CORPORATION WHICH MAY BE TAKEN OR AUTHORIZED BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MANAGES THE BUSINESS OF THE ORGANIZATION. THE BOARD OF TRUSTEES MAY EXERCISE ALL POWERS OF THE ORGANIZATION CONFERRED UPON THEM BY THE BYLAWS AND MAY PERFORM ALL LAWFUL ACTS THAT ARE NOT REQUIRED OF MEMBERS. THE EXECUTIVE OFFICERS - CHAIRPERSON, VICE CHAIRPERSON, PRESIDENT, AND SECRETARY - WHO ARE PART OF THE BOARD OF TRUSTEES, MAY BE ELECTED ANNUALLY BY THEIR FELLOW TRUSTEES. THE BOARD OF TRUSTEES, MAY BE ELECTED ANNUALLY BY THEIR FELLOW TRUSTEES. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | REGIONAL HEALTH NETWORK IRS FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT OF THE ORGANIZATION, 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 BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION FOLLOWS AHN CONFLICT OF INTEREST POLICY TO ASSURE THAT DUTIES ARE PERFORMED IN GOOD FAITH AND IN THE BEST INTERESTS OF THE CORPORATION. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO REMAIN FREE FROM ANY CONFLICT OF INTEREST THAT MAY HINDER THEIR ABILITY TO OBJECTIVELY, EFFECTIVELY, OR FAIRLY PERFORM THEIR RESPONSIBILITIES. THEY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND CERTIFICATION IMMEDIATELY UPON JOINING THE COMPANY, AND THEREAFTER MUST COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT AND CERTIFICATION AT LEAST ANNUALLY; AND, THROUGHOUT EACH SUBSEQUENT YEAR THEY DISCLOSE ANY CHANGES IN CIRCUMSTANCES THAT MAY EITHER GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST OR CHANGE A POTENTIAL CONFLICT PREVIOUSLY DISCLOSED. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE ORGANIZATION CURRENTLY HAS NO COMPENSATED OFFICERS, DIRECTORS, KEY EMPLOYEES, OR HIGHEST COMPENSATED EMPLOYEES; HOWEVER, IT RELIES ON THE COMPENSATION PROCESS OF ALLEGHENY HEALTH NETWORK, PURSUANT TO OVERALL GUIDELINES ESTABLISHED BY THE PERSONNEL AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF HIGHMARK HEALTH. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE ORGANIZATION CURRENTLY HAS NO COMPENSATED OFFICERS, DIRECTORS, KEY EMPLOYEES, OR HIGHEST COMPENSATED EMPLOYEES; HOWEVER, IT RELIES ON THE COMPENSATION PROCESS OF ALLEGHENY HEALTH NETWORK, PURSUANT TO OVERALL GUIDELINES ESTABLISHED BY THE PERSONNEL AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF HIGHMARK HEALTH. |
| Form 990, Part VI, Line 19 Required documents available to the public | HIGHMARK HEALTH (HH) FINANCIAL STATEMENTS ARE ON A CONSOLIDATED BASIS AND INCLUDE REGIONAL HEART NETWORK. THE AUDITED FINANCIAL STATEMENTS OF HH ARE AVAILABLE UPON REQUEST AND APPROVAL BY THE CFO OF HH. AT THIS TIME, REGIONAL HEART NETWORK DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. |
| Form 990, Part IX, Line 11g Other Fees | consulting services - Total Expense: 23450, Program Service Expense: 23450, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | NET LOSS ATTRIBUTABLE TO NONCONTROLLING INTEREST - -6157732; OTHER CHANGES IN NET ASSETS - -392238; |
| Software ID: | 22016089 |
| Software Version: | 2022v5.0 |