HIGHMARK HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: HIGHMARK HEALTH (EIN 45-3674900)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-11
IRS object ID: 201943159349301029
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-11T08:03:28-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	453674900	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Highmark Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MATTHEW BAZZANI	InCareOfNm
Business Name Control	HIGH	BusinessNameControlTxt
Phone	4125446668	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 Fifth Avenue Suite 922	AddressLine1Txt
City	Pittsburgh	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SAURABH TRIPATHI	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	4125446668	PhoneNum
Signature	2019-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIC M MCNEIL	PreparerPersonNm
PTIN	P00460263	PTIN
Phone	2673303000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.125.77	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320193155000000	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-11	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7C276736B1F8534619D83B6F2AADECD8007A5E58	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7C276736B1F8534619D83B6F2AADECD8007A5E58	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	David Holmberg	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 Fifth Avenue	AddressLine1Txt
City	Pittsburgh	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$262,189,235	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.highmarkhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2011	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	HIGHMARK HEALTH IS THE PARENT ENTITY OF AN INTERDEPENDENT HEALTHCARE SYSTEM. SEE PART III, LINE 1 FOR OUR MISSION, VISION AND VALUES.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1754	TotalEmployeeCnt
Total Volunteers	2864	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$553,480	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$200,526,144	PYProgramServiceRevenueAmt
CY Program Service Revenue	$212,862,048	CYProgramServiceRevenueAmt
PY Investment Income	$92,279	PYInvestmentIncomeAmt
CY Investment Income	$123,063	CYInvestmentIncomeAmt
PY Other Revenue	$100,675	PYOtherRevenueAmt
CY Other Revenue	$49,204,124	CYOtherRevenueAmt
PY Total Revenue	$200,719,098	PYTotalRevenueAmt
CY Total Revenue	$262,189,235	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,165,704	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,126,583	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$178,087,773	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$200,794,670	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$49,853,443	PYOtherExpensesAmt
CY Other Expenses	$51,877,494	CYOtherExpensesAmt
PY Total Expenses	$229,106,920	PYTotalExpensesAmt
CY Total Expenses	$253,798,747	CYTotalExpensesAmt
PY Revenues Less Expenses	-$28,387,822	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,390,488	CYRevenuesLessExpensesAmt
Total Assets BOY	$394,513,134	TotalAssetsBOYAmt
Total Assets EOY	$450,506,582	TotalAssetsEOYAmt
Total Liabilities BOY	$67,759,388	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$87,533,822	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$326,753,746	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$362,972,760	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HIGHMARK HEALTH IS THE PARENT ENTITY OF AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS. SEE SCHEDULE O FOR OUR MISSION, VISION AND VALUES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$185,374,962	ExpenseAmt
Grant	$1,126,583	GrantAmt
Revenue	$212,966,625	RevenueAmt
Desc	INTRODUCTION TO HIGHMARK HEALTH (HH) HH IS THE PARENT ORGANIZATION OF AN INTEGRATED DELIVERY AND FINANCING SYSTEM THAT INCLUDES HIGHMARK INC. AND THE ALLEGHENY HEALTH NETWORK. HH PROVIDES STRATEGIC LEADERSHIP, STEWARDSHIP AND SUPPORT TO THE ALLEGHENY HEALTH NETWORK TO ENABLE IT TO EXECUTE ON ITS CHARITABLE MISSION. HH TOGETHER WITH THE ALLEGHENY HEALTH NETWORK AND WITHIN OUR INTEGRATED DELIVERY AND FINANCING SYSTEM ARE DEDICATED TO IMPROVING THE QUALITY OF CARE AND DRIVING DOWN HEALTHCARE COSTS. INTRODUCTION TO THE ALLEGHENY HEALTH NETWORK HEADQUARTERED IN PITTSBURGH, AHNS OPERATIONS ARE CONCENTRATED PRIMARILY IN THE PENNSYLVANIA CITIES OF PITTSBURGH AND ERIE AND THEIR SURROUNDING COMMUNITIES. THE AHN SYSTEM IS A PATIENT-CENTERED AND PHYSICIAN-LED ACADEMIC HEALTHCARE SYSTEM THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO PATIENTS IN WESTERN PENNSYLVANIA AND THE ADJACENT REGIONS OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. AHN OPERATES EIGHT ACUTE CARE HOSPITALS WITH MORE THAN 2,200 BEDS IN QUATERNARY, TERTIARY AND COMMUNITY FACILITIES, EIGHT AMBULATORY SURGICAL CENTERS, SIX URGENT CARE CENTERS, AND FIVE HEALTH + WELLNESS PAVILIONS ("H+WPS"). THE AHN SYSTEM EMPLOYS MORE THAN 1,200 PHYSICIANS WHO PROVIDE A VARIETY OF PRIMARY AND SPECIALTY CARE AT MORE THAN 250 HEALTHCARE SITES THROUGHOUT THE REGION. AHN IS AFFILIATED WITH THREE MEDICAL SCHOOLS AND CURRENTLY EDUCATES MORE THAN 500 RESIDENTS EACH YEAR IN 46 ACCREDITED RESIDENCY PROGRAMS. AHN ALSO CONTROLS A RESEARCH INSTITUTE AND FOUR CHARITABLE FOUNDATIONS AND A TRUST THAT SUPPORT CERTAIN HOSPITALS WITHIN THE AHN SYSTEM. AHN PROVIDES AN ARRAY OF POST-ACUTE CARE SERVICES, PRIMARILY UNDER JOINT VENTURE ARRANGEMENTS, INCLUDING DURABLE MEDICAL EQUIPMENT, HOME INFUSION SERVICES AND HOME HEALTH AND HOSPICE SERVICES. AHN ALSO OWNS AND OPERATES A GROUP PURCHASING ORGANIZATION THAT SUPPORTS 87 MEMBERS (WHICH INCLUDE AHN ENTITIES) IN THE REGION, A CAPTIVE INSURANCE COMPANY, AND A CLINICALLY INTEGRATED NETWORK ("CIN"), AMONG OTHER BUSINESSES. 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 OUR 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 HH AND AHN ARE 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. HH AND AHN 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 AND HH ARE 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 HHS 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 THE DRIVERS SEAT. 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. 2018 WAS A YEAR OF ACCELERATION FOR THAT STRATEGY, AND THAT VALUE-BASED DELIVERY SYSTEM: AHN CREATED A NEW STANDARD FOR ACCESS BY LAUNCHING SAME-DAY APPOINTMENTS IN A MARKET THAT WAS AVERAGING 19 DAYS WAIT TIME FOR A PRIMARY CARE PHYSICIAN APPOINTMENT AND 38 DAYS FOR A SPECIALIST APPOINTMENT; A LIVING PROOF MARKETING CAMPAIGN HIGHLIGHTED THE HIGH DEGREE OF PATIENT TOUCH AND CARING THAT AHN PROVIDES FOR ITS PATIENTS; AND AHN, ITS COMMUNITY HOSPITAL PARTNERS, AND ITS CLINICALLY INTEGRATED NETWORK OF PHYSICIANS ARE WORKING TOGETHER TO CREATE A LOWER-COST NETWORK THAT COLLABORATES TO BUILD NEW, CONSISTENT AND MORE EFFECTIVE CARE MODELS.	Desc
Total Program Service Expenses	$185,374,962	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	512	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1754	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MATTHEW BAZZANI	PersonNm
Phone	4125448338	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 FIFTH AVENUE SUITE 924	AddressLine1Txt
City	Pittsburgh	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Joseph Guyaux
Chairman	5.0	10.0	Yes (X)	$0	$128,624	$0
David Blandino MD
Director	5.0	15.0	Yes (X)	$0	$121,736	$0
Victor Roque
Director	5.0	10.0	Yes (X)	$0	$115,136	$0
Thomas Donahue
Director	5.0	5.0	Yes (X)	$0	$79,524	$0
Steven Hoffman CPA
Director	5.0	10.0	Yes (X)	$0	$113,636	$0
Gregory Jordan Esq
Director	5.0	5.0	Yes (X)	$0	$82,524	$0
David Malone
Director	5.0	10.0	Yes (X)	$0	$85,524	$0
David Michael Matter
Director	5.0	10.0	Yes (X)	$0	$113,736	$0
Terrence Cavanaugh
Director	5.0	1.0	Yes (X)	$0	$0	$0
Susan Shoval
Director	5.0	5.0	Yes (X)	$0	$0	$150
Dennis Brenckle
Director	5.0	0.0	Yes (X)	$0	$0	$0
David Holmberg
Ex Officio Director and Pres	60.0	5.0	Yes (X)	$7,442,258	$0	$50,213	Yes (X)
Thomas Vankirk
Secretary	60.0	5.0		$2,438,330	$0	$29,520	Yes (X)
Dennis Cronin
Assistant Treasurer	60.0	5.0		$760,014	$0	$87,241	Yes (X)
Karen Hanlon
Treasurer	60.0	5.0		$2,593,642	$0	$226,592	Yes (X)
Michael Bennett
EVP Chief Strat & Transf OFC	60.0	0.0		$1,654,723	$0	$99,335		Yes (X)
Melissa Anderson
EVP Chf Aud&Cmp Ofcr	60.0	0.0		$1,110,647	$0	$121,267		Yes (X)
Daniel Onorato
EVP, Corporate Affairs	60.0	0.0		$1,317,035	$0	$50,271		Yes (X)
Larry Kleinman
EVP Chief HR Officer	60.0	0.0		$1,430,082	$0	$48,553		Yes (X)
Cindy Donohoe
EVP Chief Marketing Officer	60.0	0.0		$958,467	$0	$65,493		Yes (X)
Tony Farah MD
EVP Chief Med & Clin Transf	60.0	5.0		$2,095,117	$0	$37,377		Yes (X)
William Cashion
SVP Chief Actuary	60.0	0.0		$928,553	$0	$53,458			Yes (X)
Jacqueline Bauer
General Counsel	0.0	60.0		$902,968	$0	$91,667			Yes (X)
JANINE COLINEAR
SVP FINANCE	60.0	0.0		$816,403	$0	$60,582			Yes (X)
MATT FECZKO
SVP CORP DEV & INVEST	60.0	0.0		$783,101	$0	$49,551			Yes (X)
DEBORAH WERTZBERGER
SVP POST ACUTE	60.0	0.0		$660,747	$0	$15,882			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$25,892,087	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$840,440	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,087,152	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	446	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE HACKETT GROUP INC
LOCKBOX 741197	ATLANTA	GA	303741197	Consulting Services	$5,360,815
GALLUP INC
PO BOX 310284	DES MOINES	IA	503310284	Consulting Services	$3,377,547
DELOITTE CONSULTING LLP
PO BOX 844717	DALLAS	TX	752844717	Consulting Services	$2,555,293
INTERNATIONAL BUSINESS MACHINES COR
3039 E CORNWALLIS	RESRCH TRI PK	NC	27009	CONSULTING SERVICES	$1,955,979
CLARITY SOLUTION GROUP LLC
150 SOUTH WACKER SUITE 2750	CHICAGO	IL	60606	Consulting Services	$1,501,058

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	174	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	AFFILIATE EXPENSE REIMBURSEMENT	Desc
Business	900099	BusinessCd
Total Revenue Column	$212,862,048	TotalRevenueColumnAmt
Related Or Exempt Func Income	$212,862,048	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$212,862,048	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,155	TotalRevenueColumnAmt
Exclusion	$123,155	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	-$92	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$92	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$92	TotalRevenueColumnAmt
Exclusion	-$92	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHANGE IN EQUITY - PSH	900099	$49,099,547	$49,099,547
MISCELLAEOUS INCOME	900099	$104,577		$104,577

Field	Value	IRS element (for citing)
Other Revenue Total	$49,204,124	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$262,189,235	TotalRevenueColumnAmt
Related Or Exempt Func Income	$212,966,625	RelatedOrExemptFuncIncomeAmt
Exclusion	$49,222,610	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,126,583	TotalAmt
Program Services	$1,126,583	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$22,518,079	TotalAmt
Program Services	$16,325,607	ProgramServicesAmt
Management And General	$6,192,472	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$149,606,603	TotalAmt
Program Services	$108,464,787	ProgramServicesAmt
Management And General	$41,141,816	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,547,254	TotalAmt
Program Services	$4,021,759	ProgramServicesAmt
Management And General	$1,525,495	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,106,144	TotalAmt
Program Services	$10,226,954	ProgramServicesAmt
Management And General	$3,879,190	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,016,590	TotalAmt
Program Services	$6,537,028	ProgramServicesAmt
Management And General	$2,479,562	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$310,464	TotalAmt
Program Services	$232,848	ProgramServicesAmt
Management And General	$77,616	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$505,963	TotalAmt
Management And General	$505,963	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$104,298	TotalAmt
Program Services	$104,298	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,472,499	TotalAmt
Program Services	$4,120,070	ProgramServicesAmt
Management And General	$1,352,429	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,529,061	TotalAmt
Program Services	$1,833,569	ProgramServicesAmt
Management And General	$695,492	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,220,521	TotalAmt
Program Services	$4,698,469	ProgramServicesAmt
Management And General	$522,052	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$886,979	TotalAmt
Program Services	$643,060	ProgramServicesAmt
Management And General	$243,919	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,158,770	TotalAmt
Program Services	$2,290,108	ProgramServicesAmt
Management And General	$868,662	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,849,705	TotalAmt
Program Services	$1,341,036	ProgramServicesAmt
Management And General	$508,669	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,062,037	TotalAmt
Program Services	$15,994,977	ProgramServicesAmt
Management And General	$6,067,060	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,122,974	TotalAmt
Program Services	$814,156	ProgramServicesAmt
Management And General	$308,818	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SPONSORSHIPS	$4,439,819	$3,218,869	$1,220,950
NON-DEPRECIABLE EQUIP.(EPIC)	$1,849,796	$1,664,816	$184,980
CORPORATE DUES	$1,547,109	$1,121,654	$425,455
EQUIPMENT RENTAL	$9,298	$8,368	$930

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$808,201	TotalAmt
Program Services	$585,946	ProgramServicesAmt
Management And General	$222,255	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$253,798,747	TotalAmt
Program Services	$185,374,962	ProgramServicesAmt
Management And General	$68,423,785	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,659,992	BOYAmt
EOY	$21,148,418	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,726,084	BOYAmt
EOY	$7,510,777	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$201,208,531	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$53,480,702	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,540,080	BOYAmt
EOY	$147,727,829	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,595,375	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$231,991,603	BOYAmt
EOY	$274,119,558	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,513,134	BOYAmt
EOY	$450,506,582	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,759,388	BOYAmt
EOY	$81,457,941	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,075,881	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,759,388	BOYAmt
EOY	$87,533,822	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$326,753,746	BOYAmt
EOY	$362,972,760	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$326,753,746	BOYAmt
EOY	$362,972,760	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$394,513,134	BOYAmt
EOY	$450,506,582	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,390,488	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$15,750,179	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$43,578,705	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
WEST PENN ALLEGHENY HEALTH SYSTEM INC
453674924	3	Yes (true)	$6,854,499	$0
CANONSBURG GENERAL HOSPITAL
251737079	3	Yes (true)	$199,540	$0
ALLE-KISKI MEDICAL CENTER
251875178	3	Yes (true)	$479,473	$0
JEFFERSON REGIONAL MEDICAL CENTER
251260215	3	Yes (true)	$1,044,698	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$8,578,210	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 6	Highmark Health (HH) exists to support the charitable mission of the Allegheny Health Network. Refer to Schedule O for information on the Allegheny Health Network and HHs role in supporting its mission. HH provides services to Highmark Inc. Highmark Inc. is a Pennsylvania nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association. HH is the sole voting member of Highmark Inc.
SCHEDULE A, PART IV, SECTION B, LINE 1	THE HIGHMARK HEALTH (HH) BOARD BROADLY REPRESENTS THE COMMUNITY SERVED BY THE HEALTH SYSTEM. THE HH BOARD IS A SELF PERPETUATING BOARD; THE HH BOARD MEMBERS WILL SELECT THEIR SUCCESSORS.
SCHEDULE A, PART I - INFORMATION ABOUT SUPPORTED ORGANIZATIONS	HIGHMARK HEALTH PROVIDED ADMINISTRATIVE AND OTHER SERVICES TO THE SUPPORTED ORGANIZATIONS LISTED.

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$271,378	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$271,378	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE 1G HIGHMARK HEALTH 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,316	OtherCostOrOtherBasisAmt
Depreciation	$6,269	DepreciationAmt
Book Value	$16,047	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,054,028	OtherCostOrOtherBasisAmt
Depreciation	$18,432,467	DepreciationAmt
Book Value	$29,621,561	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$153,132,187	OtherCostOrOtherBasisAmt
Depreciation	$35,041,966	DepreciationAmt
Book Value	$118,090,221	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$147,727,829	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN PENN STATE HLTH	$233,490,444
INTERCOMPANY RECEIVABLES	$40,629,114

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$274,119,558	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$4,604,541
EXCISE TAXES PAYABLE	$1,471,340

Field	Value	IRS element (for citing)
Total Liability	$6,075,881	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

INCLUSION IN CONSOLIDATED AUDITED FINANCIAL STATEMENT:

HIGHMARK HEALTH (HH) DOES NOT ISSUE INDEPENDENT AUDITED FINANCIAL STATEMENTS. HH IS A COMPONENT OF A CONSOLIDATED AUDITED FINANCIAL STATEMENT. THE FOLLOWING ANALYSIS REPRESENTS THE RECONCILIATION BETWEEN THE NET INCOME ON THE FINANCIAL STATEMENTS AND THE NET INCOME AS REFLECTED ON IRS FORM 990, PART 1, LINE 19: (REPORTED IN THOUSANDS OF DOLLARS) NET INCOME PER FINANCIAL STATEMENTS $ 570,777 LESS: EQUITY INCOME OF OTHER SUBSIDIARIES $ 562,387 ---------- NET INCOME PER FORM 990 $ 8,390 ==========

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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
ALLEGHENY VALLEY HABITAT FOR HUMANITY
225 FREEPORT ST	NEW KENSINGTON	PA	15068	251776631	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
ALLEGHNEY HEALTH NETWORK
320 EAST NORTH AVENUE	PITTSBURGH	PA	15212	251320493	501(c)(3)	$75,000	FMV	N/A	GENERAL SUPPORT	14TH FLOOR-SOUTH TOWER
ALLE-KISKI VALLEY SENIOR CITIZENS CENTER
PROJECT SEED	NEW KENSINGTON	PA	15068	251268694	501(c)(3)	$7,500	FMV	N/A	GENERAL SUPPORT	1039 3RD AVENUE
ALLISON PARK CHURCH OF THE ASSEMBLIES
2326 DUNCAN AVENUE	ALLISON PARK	PA	15101	251303579	501(c)(3)	$25,000	FMV	N/A	GENERAL SUPPORT
AMERICAN JEWISH JOINT DISTRIBUTION COMM
PO BOX 4124	NEW YORK	NY	10163	131656634	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
BENEDICTINE SOCIETY OF WESTMORELAND COUN
232 WEST 25 STREET	ERIE	PA	16544	250964126	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
CARSON SCHOLARS FUND INC
305 WEST CHESAPEAKE AVENUE	TOWSON	MD	21204	521851346	501(c)(3)	$35,000	FMV	N/A	GENERAL SUPPORT
CATHOLIC CHARITIES DIOCESE OF PGH INC
212 NINTH STREET	PITTSBURGH	PA	15222	251326213	501(c)(3)	$20,000	FMV	N/A	GENERAL SUPPORT
CENTRAL CATHOLIC HIGH SCHOOL-PITTSBURGH
4720 FIFTH AVE	PITTSBURGH	PA	15213	200478989	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
CENTRAL PENNSYLVANIA FOOD BANK
ATTN SOUP A BOWL 3908 COREY ROA	HARRISBURG	PA	17109	232202250	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
CHILDREN'S MUSEUM OF PITTSBURGH
10 CHILDRENS WAY	PITTSBURGH	PA	15212	251379704	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
CLEVELAND CLINIC FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714585	501(c)(3)	$50,000	FMV	N/A	GENERAL SUPPORT	MAIL CODE H18
COALITION FOR CHRISTIAN OUTREACH
5912 PENN AVENUE	PITTSBURGH	PA	152063805	251216330	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
COMMISSION ON ECONOMIC OPPORTUNITY
165 AMBER LANE PO BOX 1127	WILKESBARRE	PA	187031127	231653093	501(c)(3)	$15,000	FMV	N/A	GENERAL SUPPORT
DUQUESNE UNIVERSITY
SCHOOL OF EDUCATION 213 CANEVIN HA	PITTSBURGH	PA	15282	251035663	501(c)(3)	$20,000	FMV	N/A	GENERAL SUPPORT
EAST LIBERTY FAMILY HEALTH CARE CENTER
6023 HARVARD STREET	PITTSBURGH	PA	15206	251417228	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
EASTMINISTER PRESBYTERIAN CHURCH
250 N HIGHLAND AVE	PITTSBURGH	PA	15206	250979378	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
FLORIDA LIONS EYE CLINIC
10322 PENNSYLVANIA AVENUE	BONITA SPRINGS	FL	34135	450560906	501(c)(3)	$25,000	FMV	N/A	GENERAL SUPPORT
GEORGETOWN UNIVERSITY
37TH AND 0 STREET NW	WASHINGTON	DC	20057	530196603	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
GREAT BARRINGTON LAND CONSERVANCY INC
LAKE MANSFIELD ALL PO BOX 987	GREAT BARRINGTON	MA	01230	043091536	501(c)(3)	$7,500	FMV	N/A	GENERAL SUPPORT
HARRISBURG UNIV OF SCIENCE & TECHNOLOGY
301 MARKET STREET 9TH FLOOR	HARRISBURG	PA	17101	251900793	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
JEWISH COMMUNITY ALLIANCE OF NORTHEAST PA
60 SOUTH RIVER STREET	WILKES BARRE	PA	18702	240796936	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
JUBILEE ASSOCIATION INC
MS PAULETTE BLASKO 2005 WYANDOTTE	PITTSBURGH	PA	15219	251394229	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
LIGHTHOUSE OF COLLIER INC
2685 HORSESHOE DRIVE SOUTH SUITE 2	NAPLES	FL	34104	270401702	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
MEDICAL ONCOLOGY ASSOCIATES
382 PIERCE STREET	KINGSTON	PA	18704	233092746	501(C)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
PITTSBURGH CULTURAL TRUST
125 7TH ST SUITE 1700	PITTSBURGH	PA	15222	251469002	501(c)(3)	$15,000	FMV	N/A	GENERAL SUPPORT
PITTSBURGH PUBLIC THEATER
ALLEGHENY SQUARE	PITTSBURGH	PA	15212	237398683	501(c)(3)	$35,000	FMV	N/A	GENERAL SUPPORT
PITTSBURGH URBAN CHRISTIAN SCHOOL INC
809 CENTER STREET	PITTSBURGH	PA	15221	251405301	501(c)(3)	$20,000	FMV	N/A	GENERAL SUPPORT
POISE FOUNDATION
603 STANWIX ST STE 1700	PITTSBURGH	PA	15222	251393426	501(c)(3)	$50,000	FMV	N/A	GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF CENT PA
550 MICKLE BOULEVARD	CAMDEN	NJ	08103	232204761	501(c)(3)	$15,000	FMV	N/A	GENERAL SUPPORT
SECOND PRESBYTERIAN CHURCH
3511 BELMONT BLVD	NASHVILLE	TN	37215	620644692	501(c)(3)	$20,000	FMV	N/A	GENERAL SUPPORT
THE FOUNDATION FOR ENHANCING COMMUNITIES
200 NORTH THIRD STREET	HARRISBURG	PA	17101	010564355	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
THE JOSEPH ROBERT SHAW FOUNDATION INC
5117 52ND STREET NW	WASHINGTON	DC	20016	820765105	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
THE PITTSBURGH FOUNDATION
FIVE PPG PLACE SUITE 250	PITTSBURGH	PA	152225414	250965466	501(c)(3)	$200,000	FMV	N/A	GENERAL SUPPORT
THE SIGHT CENTER OF NORTWEST PA
2402 CHERRY STREET	ERIE	PA	165022693	250965454	501(c)(3)	$10,000	FMV	N/A	GENERAL SUPPORT
UNITED WAY FOUNDATION OF THE CAPITAL
2235 MILLENNIUM WAY	ENOLA	PA	17025	251733405	501(c)(3)	$25,000	FMV	N/A	GENERAL SUPPORT
UNITED WAY OF SOUTHWESTERN PA
1250 PENN AVENUE	PITTSBURGH	PA	15222	251373514	501(c)(3)	$57,500	FMV	N/A	GENERAL SUPPORT
URBAN LEAGUE OF GREATER PITTSBURGH
610 WOOD STREET	PITTSBURGH	PA	152222222	250965592	501(c)(3)	$25,000	FMV	N/A	GENERAL SUPPORT
VOLUNTEERS IN MEDICINE BERKSHIRES INC
777 MAIN ST STE 4	GREAT BARRINGTON	MA	01230	900140004	501(c)(3)	$15,000	FMV	N/A	GENERAL SUPPORT
WHITAKER CENTER FOR SCIENCE & THE ARTS
THE KUNKEL BLDG 301 MARKET ST	HARRISBURG	PA	171012205	251724566	501(c)(3)	$20,000	FMV	N/A	GENERAL SUPPORT
WYOMING SEMINARY
201 NORTH SPRAGUE AVENUE	KINGSTON	PA	18704	240795509	501(c)(3)	$7,500	FMV	N/A	GENERAL SUPPORT
JEFFERSON AWARDS FOR PUBLIC SERVICE
100 WEST 10TH ST STE 215	WILMINGTON	DE	19801	520959336	501(C)(3)	$17,500	FMV	N/A	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	42	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 HIGHMARK HEALTH ANALYZES REQUESTS FOR CHARITABLE DISBURSEMENTS ON AN ONGOING BASIS. DISBURSEMENTS ARE AWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE AND/OR A COMMUNITY BENEFIT AND WHO WILL PUT THE USE OF THE FUNDS TOWARD THE CHARITABLE MISSION FOR WHICH HIGHMARK HEALTH WAS FOUNDED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Holmberg
Ex Officio Director and Pres	$1,400,000	$0	$5,468,347	$0	$573,911	$0	$18,148	$0	$32,065	$0	$7,492,471	$0	$0	$0
Thomas Vankirk
Secretary	$643,303	$0	$1,645,757	$0	$149,270	$0	$20,898	$0	$8,622	$0	$2,467,850	$0	$0	$0
Dennis Cronin
Assistant Treasurer	$350,968	$0	$386,463	$0	$22,583	$0	$63,830	$0	$23,411	$0	$847,255	$0	$0	$0
Karen Hanlon
Treasurer	$729,005	$0	$1,842,414	$0	$22,223	$0	$206,493	$0	$20,099	$0	$2,820,234	$0	$0	$0
Michael Bennett
EVP Chief Strat & Transf OFC	$552,761	$0	$1,031,948	$0	$70,014	$0	$75,035	$0	$24,300	$0	$1,754,058	$0	$0	$0
Melissa Anderson
EVP Chf Aud&Cmp Ofcr	$428,640	$0	$661,461	$0	$20,546	$0	$97,734	$0	$23,533	$0	$1,231,914	$0	$0	$0
Daniel Onorato
EVP, Corporate Affairs	$494,391	$0	$751,615	$0	$71,029	$0	$18,148	$0	$32,123	$0	$1,367,306	$0	$0	$0
Larry Kleinman
EVP Chief HR Officer	$520,193	$0	$757,857	$0	$152,032	$0	$18,148	$0	$30,405	$0	$1,478,635	$0	$68,633	$0
Cindy Donohoe
EVP Chief Marketing Officer	$427,693	$0	$510,450	$0	$20,324	$0	$45,489	$0	$20,004	$0	$1,023,960	$0	$0	$0
Tony Farah MD
EVP Chief Med & Clin Transf	$877,058	$0	$1,073,612	$0	$144,447	$0	$9,625	$0	$27,752	$0	$2,132,494	$0	$0	$0
William Cashion
SVP Chief Actuary	$407,080	$0	$430,103	$0	$91,370	$0	$20,898	$0	$32,560	$0	$982,011	$0	$0	$0
Jacqueline Bauer
General Counsel	$406,674	$0	$476,809	$0	$19,485	$0	$76,303	$0	$15,364	$0	$994,635	$0	$0	$0
JANINE COLINEAR
SVP FINANCE	$359,328	$0	$436,267	$0	$20,808	$0	$31,202	$0	$29,380	$0	$876,985	$0	$0	$0
MATT FECZKO
SVP CORP DEV & INVEST	$308,342	$0	$454,610	$0	$20,149	$0	$20,752	$0	$28,799	$0	$832,652	$0	$0	$0
DEBORAH WERTZBERGER
SVP POST ACUTE	$54,923	$0	$178,500	$0	$427,324	$0	$0	$0	$15,882	$0	$676,629	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRST CLASS OR CHARTER TRAVEL AND TRAVEL FOR COMPANIONS	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 FOR FIRST CLASS TRAVEL AND TRAVEL FOR COMPANIONS DURING THE YEAR ENDED DECEMBER 31, 2018. THESE EXECUTIVES INCLUDE TWO DIRECTORS AND A KEY EMPLOYEE. TAX INDEMNIFICATION AND GROSS UPS 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. MICHAEL BENNETT DEBORAH WERTZBERGER MATTHEW FECZKO DANIEL ONORATO SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A DEBORAH WERTZBERGER RECEIVED A SEVERANCE PAYMENT OF $287,692 IN 2018.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED OR PROVIDED 457(F) CONTRIBUTIONS INCLUDED IN 2018 W-2 COMPENSATION: LARRY KLEINMAN $128,809 TONY FARAH, M.D. $117,644 DAVID HOLMBERG $546,137 DANIEL ONORATO $48,429 THOMAS VANKIRK $121,656 WILLIAM CASHION $69,038 THE FOLLOWING INDIVIDUALS HAD 457(F) OR CONTRIBUTIONS DEFERRED IN 2018. DENNIS CRONIN $29,181 KAREN HANLON $177,345 MELISSA ANDERSON $63,086 MICHAEL BENNETT $59,637 CINDY DONOHOE $30,091 JACQUELINE BAUER $41,655 MATTHEW FECZKO $2,604 JANINE COLINEAR $13,054
NONFIXED PAYMENTS	SCHEDULE J, PART I, LINE 7 HIGHMARK HEALTH (HH) 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. HOWEVER, HIGHMARK HEALTH HAS 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.
PAID/ACCRUED COMP PURSUANT TO A CONTRACT SUBJ TO THE INITIAL CONTRACT EXCP	SCHEDULE J, PART I, LINES 8 AND 9 HIGHMARK HEALTH (HH) 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MISSION, VISION AND VALUES	FORM 990, PART III, LINE 1 MISSION OUR MISSION IS TO CREATE A REMARKABLE HEALTH EXPERIENCE, FREEING PEOPLE TO BE THEIR BEST. VISION OUR VISION IS A WORLD WHERE EVERYONE EMBRACES HEALTH. VALUES PEOPLE MATTER - EVERY PERSON CONTRIBUTES TO OUR SUCCESS. WE STRIVE FOR AN INCLUSIVE CULTURE, REGARDING PEOPLE AS PROFESSIONALS AND RESPECTING INDIVIDUAL DIFFERENCES WHILE FOCUSING ON THE COLLECTIVE WHOLE. STEWARDSHIP - WORKING TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND WISELY MANAGING THE ASSETS WHICH HAVE BEEN ENTRUSTED TO OUR CARE. TRUST - EARNING TRUST BY DELIVERING ON OUR COMMITMENTS AND LEADING BY EXAMPLE. INTEGRITY - COMMITTING TO THE HIGHEST STANDARDS ENCOMPASSING EVERY ASPECT OF OUR BEHAVIOR INCLUDING HIGH MORAL CHARACTER, RESPECT, HONESTY AND PERSONAL RESPONSIBILITY. CUSTOMER-FOCUSED COLLABORATION - BECAUSE NO ONE PERSON HAS ALL THE ANSWERS, WE ACTIVELY SEEK TO COLLABORATE WITH EACH OTHER TO ACHIEVE THE RIGHT OUTCOMES FOR OUR CUSTOMERS. COURAGE - EMPOWERING EACH OTHER TO ACT IN A PRINCIPLED MANNER AND TO TAKE APPROPRIATE RISKS TO DO WHAT IS RIGHT TO FULFILL OUR MISSION. INNOVATION - COMMITTING TO CONTINUOUS LEARNING AND EXPLORING NEW, BETTER, AND CREATIVE WAYS TO ACHIEVE OUR VISION. EXCELLENCE - BEING ACCOUNTABLE FOR CONSISTENTLY EXCEEDING THE EXPECTATIONS OF THOSE WE SERVE.
BUSINESS RELATIONSHIPS	FORM 990, PART VI, 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, THOMAS DONAHUE, STEVEN HOFFMAN, CPA, GREGORY JOURDAN, ESQ., DAVID MALONE, DAVID MATTER, SUSAN SHOVAL, AND DAVID HOLMBERG. DAVID HOLMBERG AND DENNIS CRONIN HAVE A BUSINESS RELATIONSHIP.
REVIEW PROCESS	FORM 990, PART VI, LINE 11B THE HIGHMARK HEALTH (HH) IRS FORM 990 WAS PREPARED BY ITS EXTERNAL TAX ADVISORS, PRICEWATERHOUSECOOPERS LLP AND REVIEWED BY THE HH 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 BOARD OF DIRECTORS.
CONFLICT OF INTEREST POLICY MONITORING AND ENFORCEMENT	FORM 990, PART VI, SECTION B, LINE 12C HH has a corporate compliance department that monitors and oversees compliance with the Conflict of Interest Policy for all entities within the filing group. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy: Conflict of interest disclosure statements are completed upon hire/appointment and on an annual basis by all board members, officers, key employees, supervisors and above, persons with purchasing authority including procurement department employees and committee which may influence purchasing decisions, and any other employees as designated by the compliance department. Upon completion of the above disclosure statement by all applicable individuals, the Corporate Compliance Department reviews all disclosures. Those disclosure statements that require additional information or clarification are contacted by the corporate compliance department requesting such. Once received, the Corporate Compliance Department reviews the information to determine whether a real or potential conflict of interest exists. As applicable, Legal and Senior Management are consulted to determine whether a real or potential conflict of interest exists. When a conflict requires a mitigation plan, the mitigation plan is developed and approved in coordination with the respective responsible senior management. The senior managers are responsible for discussing the mitigation plan with the individual and monitoring compliance with the mitigation plan. A Conflict of Interest/Independence Disclosure Summary Report of all board members, officers, and executive management with reportable disclosures is provided to the Audit and Compliance committee of the Board of HH as well as the Board of Directors of HH.
PROCESS USED TO DETERMINE EXECUTIVE COMPENSATION	FORM 990, PART VI, LINES 15A AND 15B THE HH CORPORATE FOLLOWS A PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE POSITIONS, (INCLUDING OFFICERS, KEY EMPLOYEES AND OTHER MANAGEMENT POSITIONS), AND ARE COVERED BY THE HH EXECUTIVE COMPENSATION POLICY. THE POLICY WAS APPROVED BY THE HH BOARD OF DIRECTORS. IT IS THE POLICY OF HH 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 HH. THE PERSONNEL AND COMPENSATION COMMITTEE (P&C) RECOMMENDS AND THE HH BOARD APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO OF HH. THE P&C COMMITTEE APPROVES THE COMPENSATION OF ALL SENIOR EXECUTIVES WHO REPORT DIRECTLY TO THE PRESIDENT AND CEO OF HH, THE COMPENSATION OF THE PRESIDENT AND CEO OF AHN AND THE COMPENSATION OF ALL NON-HOSPITAL SENIOR EXECUTIVES WHO REPORT DIRECTLY TO THE CEO OF AHN. THE P&C 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 HH CEO, AHN CEO AND THE DIRECT REPORTS OF EACH. 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. HH MANAGEMENT, IN COORDINATION WITH THE INDEPENDENT CONSULTANT TO THE HH P&C COMMITTEE OBTAINS APPROPRIATE MARKET COMPARABILITY DATA FOR EACH ENTITY, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS AND/OR SPECIFIC ORGANIZATION PEER GROUPS, TO PREPARE COMPENSATION RECOMMENDATIONS FOR ALL KEY EXECUTIVES, INCLUDING OFFICERS, KEY EMPLOYEES, AND OTHER DISQUALIFIED PERSONS. RECOMMENDATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE THAT IS INDEPENDENT WITH RESPECT TO THE COMPENSATION PROVIDED TO THE EXECUTIVES. COMPENSATION MAY INCLUDE SEVERAL FORMS OF CASH COMPENSATION, INCLUDING BASE SALARY, PERFORMANCE-BASED INCENTIVE COMPENSATION, AND A COMPETITIVE EMPLOYEE BENEFITS PROGRAM. BASE SALARY IS THE FIXED ELEMENT OF COMPENSATION INTENDED TO ALIGN WITH EACH EXECUTIVES ROLE, RESPONSIBILITIES, OVERALL PERFORMANCE AND OTHER CONTRIBUTIONS. INCENTIVE COMPENSATION IS USED TO PROVIDE VARIABLE, OR "AT RISK" COMPENSATION BASED ON THE PERFORMANCE OF BOTH THE EXECUTIVE AND THE ORGANIZATION. EXECUTIVES CAN EARN INCENTIVE COMPENSATION ONLY IF THE ORGANIZATION ACHIEVES CERTAIN PRE-DETERMINED FINANCIAL GOALS. THE PLANS ARE INTENDED TO HOLD EXECUTIVES ACCOUNTABLE FOR ACHIEVING PERFORMANCE THAT IS CONSISTENT WITH THE SHORT-TERM AND LONG-TERM GOALS AND OBJECTIVES OF THE ORGANIZATION. HH FOLLOWS THE REQUIREMENT IN THE REGULATIONS TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF COMPENSATION.
PUBLIC AVAILABILITY OF ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, LINE 19 HH DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. THE AUDITED FINANCIAL STATEMENTS OF HH ARE INCLUDED IN A CONSOLIDATED FINANCIAL STATEMENT FOR THE HEALTH SYSTEM. IT IS AVAILABLE UPON REQUEST AND APPROVAL BY THE CFO OF HH. HH HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT IS UNIFORMLY APPLIED TO ALL HH ORGANIZATIONS. THIS POLICY IS NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS OR FUND	FORM 990, PART XI, LINE 9 EQUITY TRANSFERS FROM SUBSIDIARIES $43,578,705

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Canonsburg Hospital & Health Foundation
100 Medical Boulevard	Canonsburg	PA	15317	251818505	Inactive	PA	501(c)(3)	12-TYPE I	NA	false
Emergycare Inc
232 West 25th Street	Erie	PA	16544	251430922	Healthcare	PA	501(c)(3)	10	SVHC	false
Greater Canonsburg Health System
100 Medical Boulevard	Canonsburg	PA	15317	251488089	Inactive	PA	501(c)(3)	12-TYPE I	NA	false
Regional Cancer Center
232 West 25th Street	Erie	PA	16544	251385705	Healthcare	PA	501(c)(3)	3	SVHS	false
Regional Heart Network
232 West 25th Street	Erie	PA	16544	251856341	Healthcare	PA	501(c)(3)	3	SVHC	false
Regional Home Health and Hospice
232 West 25th Street	Erie	PA	16544	830371265	Healthcare	PA	501(c)(3)	10	SVHS	false
Suburban Health Foundation
100 South Jackson Ave	Pittsburgh	PA	15202	251472073	Fundraising	PA	501(c)(3)	12-TYPE I	WPAHS INC	false
Vantage Health Group
232 West 25th Street	Erie	PA	16544	251498145	Healthcare	PA	501(c)(3)	3	SVHC	false
West Allegheny Hospital
100 Medical Boulevard	Pittsburgh	PA	15317	251054206	Inactive	PA	501(c)(3)	3	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
5148 Liberty Avenue Associates
5989 Centre Avenue	Pittsburgh	PA	15206	251689871	Property Rental	PA	WPAHS Inc	Excluded	$75,632	$903,150	false	false	0.50000
AHN Emergency Medicine Mgmt
30 Isabella St	Pittsburgh	PA	15212	465705484	Medical Practice	PA	HMPG	Related	$0	$0	false	false	0.50000
AHN Emerus LLC
30 Isabella St	Pittsburgh	PA	15212	823655381	Medical Practice	PA	AHN	Related	-$81,252	$45,571	false	false	0.51000
Allegheny Health Network Home Infusion
312 West 25th Street	Erie	PA	16502	251736527	Medical Practice	PA	SVHS	Related	$17,596,951	$7,365,597	false	false	0.80000
Gateway Health Plan LP
444 Liberty Avenue Suite 2100	Pittsburgh	PA	15222	251691945	Health Plan	PA	Highmark Inc	Related	-$6,213,687	$245,065,895	false	false	0.50000
Jenkins Empire Associates
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	251524682	Property Mgmt	PA	Highmark Inc	Related	$5,450,367	$48,571,614	false	false	1.00000
JV Holdco LLC
30 Isabella St	Pittsburgh	PA	15212	472368587	Holding Company	PA	WPAHS Inc	Related	$1,173,965	$32,261,928	false	false	0.60000
Mccandless Endoscopy Center
4800 Friendship Ave	Pittsburgh	PA	15224	261284448	Medical Practice	PA	WPAHS Inc	Related	$681,090	$445,674	false	false	0.50000
North Shore Endoscopy Center
4800 Friendship Ave	Pittsburgh	PA	15224	251880238	Medical Practice	PA	WPAHS Inc	Related	$717,561	$407,444	false	false	0.50000
Provider PPI LLC
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	320429947	Group Purchasing	PA	HMPG	Related	$15,818,989	$27,506,102	false	false	0.99000
Saint Vincent Professional Bld
312 West 25th Street	Erie	PA	16502	251578290	Property Mgmt	PA	SVHC	Related	$429,996	$311,734	false	false	0.97000
Silver Rain LP
30 Isabella St	Pittsburgh	PA	15212	273035436	Property Mgmt	PA	HMPG	Related	$0	$3,644,548	false	false	1.00000
Thryve Digital Health LLP
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	981311003	Info Tech		HMHS	Related	$24,279,978	$26,368,375	false	false	1.00000	IN
Vantage Holding Company LLC
312 West 25th Street	Erie	PA	16502	030477182	Capital Mgmt	PA	CSI	Related	$169,013	$8,292,208	false	false	0.51000
Celtic Hospice LLC
30 Isabella St	Pittsburgh	PA	15212	205661063	Medical Practice	PA	WPAHS INC	Related	$3,287,429	$20,693,005	false	false	0.80000
AHN- Lecom JV LLC
30 Isabella St	Pittsburgh	PA	15212	825500526	Healthcare	PA	AHN	Related	-$162,305	$4,587,695	false	false	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (67 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Clinical Services Inc
232 West 25th Street	Erie	PA	16544	251403846	Holding Company	PA	SVHS	C Corp	-$768,312	$8,766,025	1.00000	Yes (true)
ECCA Managed Vision Care Inc
175 East Houston Street	San Antonio	TX	78205	742759084	Physician Srvs.	TX	NA	C Corp
Empire Vision Center Inc
175 East Houston Street	San Antonio	TX	78205	141586016	Retail Sales	NY	NA	C Corp
Eye Drx Retail Management Inc
175 East Houston Street	San Antonio	TX	78205	742924030	Office Admin	DE	NA	C Corp
Family Practice Medical Associates South
2414 Lytle Rd Ste 300	Bethel Park	PA	15102	251684735	Medical Practice	PA	JRMC	C Corp	$8,821,439	$3,043,958	1.00000	Yes (true)
First Priority Life Insurance Company
19 North Main Street	WilkesBarre	PA	18711	232905083	Insurance	PA	NA	C Corp
Gateway Health Plan of Ohio Inc
444 Liberty Avenue Suite 2100	Pittsburgh	PA	15222	300282076	Insurance	OH	NA	C Corp
Gateway Health Plan Inc
444 Liberty Avenue Suite 2100	Pittsburgh	PA	15222	251505506	Insurance	PA	NA	C Corp
Grandis Rubin Shanahan & Assoc
565 Coal Valley Rd	Jefferson Hills	PA	15025	453355906	Medical Practice	PA	JRMC	C Corp	$5,362,471	$1,537,655	1.00000	Yes (true)
HCI Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	753002215	Insurance	VT	NA	C Corp
Health System Services Corp & Subs
565 Coal Valley Rd	Jefferson Hills	PA	15025	251403745	Medic. Office Blg	PA	JRMC	C Corp	$3,279,301	$19,760,320	1.00000	Yes (true)
Highmark BCBSD Health Options Inc
800 Delaware Avenue	Wilmington	DE	198011368	471817274	Insurance	DE	NA	C Corp
Highmark BCBSD Inc
800 Delaware Avenue	Wilmington	DE	198011368	510020405	Insurance	DE	NA	C Corp
Highmark Benefits Group Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464763378	Insurance	PA	NA	C Corp
Highmark Casualty Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251334623	Insurance	PA	NA	C Corp
Highmark Coverage Advantage Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464757476	Insurance	PA	NA	C Corp
Highmark Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	231294723	Insurance	PA	HM Health	C Corp	$23,797,669,153	$7,731,166,913		false
Highmark Select Resources Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	202353206	Insurance	PA	NA	C Corp
Highmark Senior Health Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464156633	Insurance	PA	NA	C Corp
Highmark Senior Solutions Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464156854	Insurance	WV	NA	C Corp
Highmark West Virginia
PO Box 1948	Parkersburg	WV	26102	550624615	Insurance	WV	NA	C Corp
HM Centered Health
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	205457337	Insurance	PA	NA	C Corp
HM Health Holdings Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	810919390	Holding Company	PA	HM Health	C Corp	$772,353	$1,268,992	1.00000	Yes (true)
HM Health Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	541637426	Insurance	PA	NA	C Corp
HM Health Solutions Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	463823617	Info Technology	PA	HM Health	C Corp	$952,183,251	$183,455,229	1.00000	Yes (true)
HM Insurance Group
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251646315	Holding Company	PA	NA	C Corp
HM Life Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	061041332	Insurance	PA	NA	C Corp
HM Life Insurance Company of New York
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251800302	Insurance	NY	NA	C Corp
HMO of Northeastern Pennsylvania Inc
19 North Main Street	WilkesBarre	PA	18711	232413324	Insurance	PA	NA	C Corp
HMPG Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453444325	Holding Company	PA	AHN	C Corp	$39,238,989	$177,637,027	1.00000	Yes (true)
JEA Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251712017	Real Estate Ops	PA	NA	C Corp
JRMC Physician Service Corp
565 Coal Valley Rd	Jefferson Hills	PA	15025	861159658	Medical Practice	PA	JRMC	C Corp	-$607,766	$105,139	1.00000	Yes (true)
Highmark Choice Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251522457	Insurance	PA	NA	C Corp
Klingensmith Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251375204	Health Equip.	PA	HMPG Inc	C Corp	$14,694,488	$6,992,035	0.65000	Yes (true)
Lake Erie Medical Group PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453444157	Health Care	PA	AC	C Corp	$147,742	$599,315	1.00000	Yes (true)
Palladium Risk Retention Group
409 Broad St Ste 270	Sewickley	PA	15143	463476730	Insurance	VT	WPAHS Inc	C Corp	$25,520,084	$93,334,272	1.00000	Yes (true)
Physician Landing Zone PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453913973	Health Care	PA	AC	C Corp	$9,034,060	$637,319	1.00000	Yes (true)
Pittsburgh Pulmonary & Critical Care
1200 BROOKS LN STE 130	Clairton	PA	15025	463274101	Medical Practice	PA	JRMC	C Corp	$3,818,841	$834,501	1.00000	Yes (true)
Premier Medical Associates PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251742869	Health Care	PA	AC	C Corp	$57,097,090	$27,947,488	1.00000	Yes (true)
Premier Women's Health
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464682160	Medical Practice	PA	AC	C Corp	$6,261,267	$1,274,963	1.00000	Yes (true)
Primary Care Group 4 Inc
1907 Lebanon Church Rd	West Mifflin	PA	15122	800403090	Medical Practice	PA	JRMC	C Corp	$548,762	$51,647	1.00000	Yes (true)
Primary Care Group 6 Inc
PO Box 333	West Mifflin	PA	15122	900503600	Medical Practice	PA	JRMC	C Corp	$408,368	$68,108	1.00000	Yes (true)
Primary Care Group 8 Inc
803 Miller Ave	Clairton	PA	15025	010927360	Medical Practice	PA	JRMC	C Corp	$139,835	$330,277	1.00000	Yes (true)
Primary Care Group 10 Inc
3726 Brownsville Rd	Pittsburgh	PA	15227	383807173	Medical Practice	PA	JRMC	C Corp	$391,162	$156,867	1.00000	Yes (true)
Primary Care Group 12 Inc
17 Arentzen Blvd Ste 101	Charleroi	PA	15022	900614054	Medical Practice	PA	JRMC	C Corp	$1,344,672	$199,409	1.00000	Yes (true)
Remworks Sleep Store Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251411844	Rental & Sales	PA	NA	C Corp
Specialty Group Practice 1 Inc
575 Coal Valley Rd Ste 365	Clairton	PA	15025	352367818	Medical Practice	PA	JRMC	C Corp	$1,298,264	$291,081	1.00000	Yes (true)
Standard Property Corporation
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251668093	Real Estate Ops	PA	NA	C Corp
United Concordia Companies Inc
4401 Deer Path Road	Harrisburg	PA	17110	251687586	Dental Insurance	PA	NA	C Corp
United Concordia Dental Plans of CA
4401 Deer Path Road	Harrisburg	PA	17110	237328765	Dental Insurance	CA	NA	C Corp
United Concordia Dental Plans of PA
4401 Deer Path Road	Harrisburg	PA	17110	232541529	Dental Insurance	PA	NA	C Corp
United Concordia Dental Plans of TX
4401 Deer Path Road	Harrisburg	PA	17110	742489037	Dental Insurance	TX	NA	C Corp
United Concordia Dental Plans - Midwest
4401 Deer Path Road	Harrisburg	PA	17110	382289438	Dental Insurance	MI	NA	C Corp
United Concordia Dental Plans Inc
4401 Deer Path Road	Harrisburg	PA	17110	521542269	Dental Insurance	MD	NA	C Corp
United Concordia Insurance Company
4401 Deer Path Road	Harrisburg	PA	17110	860307623	Dental Insurance	AZ	NA	C Corp
United Concordia Insurance Company of NY
4401 Deer Path Road	Harrisburg	PA	17110	113008245	Dental Insurance	NY	NA	C Corp
Visionary Properties Inc
175 East Houston Street	San Antonio	TX	78205	742849554	Leasing	DE	NA	C Corp
Visionary Retail Management Inc
175 East Houston Street	San Antonio	TX	78205	742849552	Office Admin.	DE	NA	C Corp
Visionworks Distribution Services Inc
175 East Houston Street	San Antonio	TX	78205	043742989	Optical Retail	TX	NA	C Corp
Visionworks Enterprises Inc
175 East Houston Street	San Antonio	TX	78205	352196998	Trademarks	DE	NA	C Corp
Visionworks Lab Services Inc
175 East Houston Street	San Antonio	TX	78205	043742977	Optical Retail	TX	NA	C Corp
Visionworks of America Inc
175 East Houston Street	San Antonio	TX	78205	742337775	Retail Sales	TX	NA	C Corp
Visionworks Inc
175 East Houston Street	San Antonio	TX	78205	020677066	Optical Retail	DE	NA	C Corp
West Penn Corporate Medical Services
4800 Friendship Avenue	Pittsburgh	PA	15224	251437405	Medical Practice	PA	WPAHS Inc	C Corp	$0	$89,483	1.00000	Yes (true)
West Penn Neurosurgery PC
4800 Friendship Avenue	Pittsburgh	PA	15224	251630719	Medical Practice	PA	WPAHS Inc	C Corp	$0	$0	1.00000	Yes (true)
West Virginia Family Health Plan Inc
1219 Virginia Street East	Charleston	WV	25301	452763165	Insurance	WV	NA	C Corp
ForeverCare Inc
444 Liberty Avenue Suite 2100	Pittsburgh	PA	15222	822424834	Insurance	PA	NA	C Corp

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Highmark Inc
C	$43,582,497	FMV
Allegheny Health Network
L,Q	$103,088,548	FMV
HM HEALTH HOLDINGS COMPANY
L,M,Q	$1,279,737	FMV
HM HEALTH SOLUTIONS
L,M,P	$126,145,080	FMV
Highmark Inc
L,M,P	$923,827,609	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2	FormAndLineReferenceDesc
Explanation	HIGHMARK HEALTH TRANSACTS BUSINESS WITH THE LISTED RELATED ORGANIZATIONS IN THE MANNER IDENTIFIED IN COLUMN 2(B). DUE TO THE ADMINISTRATIVE DIFFICULTIES ASSOCIATED WITH A DETAILED BREAKDOWN OF TRANSACTION TYPE L, M, P AND Q, HIGHMARK HEALTH HAS CHOSEN TO REFLECT THESE TRANSACTIONS COMBINED FOR PURPOSES OF DISCLOSURE ON SCHEDULE R, PART V, LINE 2.	ExplanationTxt