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        <PersonNm>William Cashion</PersonNm>
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        <PersonNm>Matt Feczko</PersonNm>
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        <PersonNm>Karl Sparre</PersonNm>
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        <PersonNm>William Winkenwerder Jr MDMBA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ray Hunter Carson Jr</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>89206516</BOYAmt>
        <EOYAmt>127264139</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-34364694</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-92521</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <IRSWrittenDeterminationInd>X</IRSWrittenDeterminationInd>
      <SupportedOrganizationsCnt>4</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>WEST PENN ALLEGHENY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>453674924</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>CANONSBURG GENERAL HOSPITAL</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>251737079</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>ALLE-KISKI MEDICAL CENTER</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>251875178</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>JEFFERSON REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>251260215</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>4</SupportedOrganizationsTotalCnt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>true</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>false</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Highmark Health (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. It is a taxable entity governed by the provisions of Section 833. HH is the sole voting member of HH. Highmark Health provides overall strategic oversight and management to Highmark, Inc.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section B, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I - Information about Supported organizations:</FormAndLineReferenceDesc>
        <ExplanationTxt>Highmark Health provided administrative and other services to the supported organizations listed.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>181191</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>181191</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Lobbying Activity</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3491</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>790</DepreciationAmt>
        <BookValueAmt>2701</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3495913</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>562811</DepreciationAmt>
        <BookValueAmt>2933102</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>110358351</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>919963</DepreciationAmt>
        <BookValueAmt>109438388</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>112374191</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RELATED PARTY LINE OF CREDIT</Desc>
        <Amt>155598651</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE OBLIGATION</Desc>
        <Amt>1703139</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>157301790</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Inclusion in consolidated audited financial statement:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 loss on the financial statements and the net loss as reflected on IRS Form 990, Part 1, Line 19: Net loss per financial statements $(84,673,656) Add Back: equity losses of subsidiaries $ 50,308,962 ------------- Net loss per IRS Form 990 $(34,364,694) =============</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ASC 740 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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. The following is the footnote to the audited consolidated financial statements of Highmark Health for FASB ASC 740: At December 31, 2015 and 2014, gross unrecognized tax benefits (excluding the federal benefit received from state positions) were $151,436 and $150,575, respectively, and, if recognized, would have impacted the effective tax rate. The Corporation recorded potential interest and penalties payable of $375 and $115 at December 31, 2015 and 2014, respectively, in net income tax recoverable in the consolidated balance sheets. Highmarks consolidated federal income tax return has been examined by the IRS through 2012. The Corporation does not anticipate that any significant increase or decrease to unrecognized tax benefits will be recorded in 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        </RecipientBusinessName>
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          <AddressLine1Txt>2326 DUNCAN AVENUE</AddressLine1Txt>
          <CityNm>ALLISON PARK</CityNm>
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          <ZIPCd>15101</ZIPCd>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 22718</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73123</ZIPCd>
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      <RecipientTable>
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          <ZIPCd>15222</ZIPCd>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <ZIPCd>15237</ZIPCd>
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      <RecipientTable>
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          <AddressLine1Txt>PO BOX 1706</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
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      <RecipientTable>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DUQUESNE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>600 FORBES AVENUE</AddressLine1Txt>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>EPILEPSY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 REEDSDALE STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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        <USAddress>
          <AddressLine1Txt>1017 FRENCH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16501</ZIPCd>
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        <RecipientEIN>250987217</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>EXTRA MILE EDUCATION FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>603 STANWIX ST</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
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        <RecipientEIN>251519959</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FIRST LUTHERAN CHURCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <RecipientEIN>250987227</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRIENDS OF THE PITTSBURGH FISHER HOUSE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3945 FORBES AVE 240</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <RecipientEIN>460881237</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRIENDSHIP COMMUNITY PRESBYTERIAN CHURCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>181 ROBINSON STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <RecipientEIN>251456898</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GATEWAY REHABILITATION CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>311 ROUSER ROAD</AddressLine1Txt>
          <CityNm>MOON TOWNSHIP</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
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        <RecipientEIN>251204418</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>21667</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGETOWN UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>DEPARTMENT NUMBER 0734</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20073</ZIPCd>
        </USAddress>
        <RecipientEIN>530196603</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARRISBURG UNIV OF SCIENCE &amp; TECHNOLOGY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>326 MARKET STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17101</ZIPCd>
        </USAddress>
        <RecipientEIN>251900793</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JEWISH COMMUNITY ALLIANCE OF NEPA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>60 SOUTH RIVER ST</AddressLine1Txt>
          <CityNm>WILKES BARRE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18702</ZIPCd>
        </USAddress>
        <RecipientEIN>240796936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JUBILEE ASSOCIATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 42251</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>152030051</ZIPCd>
        </USAddress>
        <RecipientEIN>251394229</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KIAWAH CARES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>23 BEACHWALKER DR</AddressLine1Txt>
          <CityNm>KIAWAH ISLAND</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29455</ZIPCd>
        </USAddress>
        <RecipientEIN>465144577</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANDS AT HILLSIDE FARMS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>65 HILLSIDE ROAD</AddressLine1Txt>
          <CityNm>SHAVERTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18708</ZIPCd>
        </USAddress>
        <RecipientEIN>202975553</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LILY'S PLACE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25706</ZIPCd>
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        <RecipientEIN>462235123</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PARENT PROJECT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAL ONCOLOGY ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>382 PIERCE STREET</AddressLine1Txt>
          <CityNm>KINGSTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18704</ZIPCd>
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        <RecipientEIN>233092746</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NETWORK OF HOPE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3035 PERRYSVILLE AVE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15214</ZIPCd>
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        <RecipientEIN>251900531</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PITTSBURGH CULTURAL TRUST</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>803 LIBERTY AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <RecipientEIN>251469002</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PITTSBURGH PUBLIC THEATER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>621 PENN AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <RecipientEIN>237398683</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PITTSBURGH URBAN CHRISTIAN SCHOOL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>809 CENTER STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15221</ZIPCd>
        </USAddress>
        <RecipientEIN>251405301</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REAL TIMES WHO'S WHO PUBLISHING LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>479 LEDYARD STREET</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48201</ZIPCd>
        </USAddress>
        <RecipientEIN>264163198</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>2015 WHOS WHO IN BLACK PGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROMAN CATHOLIC DIOCESE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>429 E Grandview Blvd</AddressLine1Txt>
          <CityNm>Erie</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <RecipientEIN>550357023</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>2015 SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPECIAL OPERATIONS WARRIOR FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 89367</AddressLine1Txt>
          <CityNm>TAMPA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33689</ZIPCd>
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        <RecipientEIN>521183585</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUSAN P BYRNES HEALTH EDUCATION CTR INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>515 SOUTH GEORGE STREET</AddressLine1Txt>
          <CityNm>YORK</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17401</ZIPCd>
        </USAddress>
        <RecipientEIN>232588187</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CONFERENCE BOARD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>845 Third Avenue</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10022</ZIPCd>
        </USAddress>
        <RecipientEIN>131624108</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>28000</CashGrantAmt>
        <PurposeOfGrantTxt>The Conference Board</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR ENHANCING COMMUNITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 NORTH THIRD ST</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17108</ZIPCd>
        </USAddress>
        <RecipientEIN>010564355</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HANOVER HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>HANOVER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17331</ZIPCd>
        </USAddress>
        <RecipientEIN>231360851</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATIONS PROGRAM 2</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGIONAL OPPORTUNITY CENTER VIBRANT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1544</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15230</ZIPCd>
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        <RecipientEIN>202939474</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>65000</CashGrantAmt>
        <PurposeOfGrantTxt>Membership</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY FOUNDATION OF THE CAPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2235 MILLENNIUM WAY</AddressLine1Txt>
          <CityNm>ENOLA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17025</ZIPCd>
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        <RecipientEIN>251733405</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF ALLEGHENY COUNTY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1250 PENN AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <RecipientEIN>251043578</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION FOR UW FORWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF ERIE COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>420 WEST 6TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <RecipientEIN>251053091</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF WYOMING VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH PA AVE</AddressLine1Txt>
          <CityNm>WILKESBARRE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18701</ZIPCd>
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        <RecipientEIN>240831490</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF YORK COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 EAST KING STREET</AddressLine1Txt>
          <CityNm>YORK</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17403</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION FOR EARLY LEARNING PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF PITTSBURGH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>SCHOOL OF LAW</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15260</ZIPCd>
        </USAddress>
        <RecipientEIN>250965591</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF SCRANTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 LINDEN STREET</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>185104694</ZIPCd>
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        <RecipientEIN>240795495</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>URBAN LEAGUE OF GREATER PITTSBURGH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>610 WOOD STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>152222222</ZIPCd>
        </USAddress>
        <RecipientEIN>250965592</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VILLANOVA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 LANCASTER AVENUE</AddressLine1Txt>
          <CityNm>VILLANOVA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19085</ZIPCd>
        </USAddress>
        <RecipientEIN>231352688</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIA INDEPENDENT COLLEGES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1411 VIRGINIA ST E</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
        </USAddress>
        <RecipientEIN>550465880</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WOMENS CENTER &amp; SHELTER OF GRTR PGH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 9024</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15224</ZIPCd>
        </USAddress>
        <RecipientEIN>251264376</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>56</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Procedures For Monitoring The Use of Grant Funds In The U.S.</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule I, Part I, Line 2 The contributions on Form 990, Schedule I are contributions designated by the board of director members of Highmark Health. All contributions are approved by members of the Highmark Health board of directors prior to issuance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <FormAndLineReferenceDesc>Housing Allowance</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Health or Social Club Dues</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 1a A select number of executives listed in Form 990, Part VII received membership dues from the organization during the year ended December 31, 2015. These dues were included in that individuals box 5 of the IRS Form W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Severance Payment</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 4a The following individuals received severance payments as of December 31, 2015. These amounts are included in box 5 of their IRS Form W-2. William Winkenwerder $1,300,000 Ray Carson $453,633 James Randall Staggers $90,440 Tracy Grajewski $80,423</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Nonqualified Retirement Plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 4b The following individuals participated in a supplemental nonqualified 457(f) retirement plan. Distributions from the plan, listed below, are included in box 5 of their IRS Form W-2. David Holmberg $312,435 Nan DeTurk $175,087 Thomas VanKirk $164,524 William Cashion $51,094 James Randall Staggers $4,587</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Mission, Vision and Values</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part III, Line 1 MISSION HIGHMARK HEALTH IS THE PARENT OF AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS. VISION HIGHMARK HEALTH'S DEDICATED AND RESPECTED EMPLOYEES WILL BE LEADERS IN THE HEALTH CARE INDUSTRY, WORKING TO IMPROVE THE TOTAL HEALTH CARE EXPERIENCE OF OUR CUSTOMERS. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Statement of Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part III, Line 4a OVERVIEW OF HIGHMARK HEALTH HIGHMARK HEALTH (HH) WAS FORMED TO BE THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM LOCATED IN WESTERN PENNSYLVANIA NAMED ALLEGHENY HEALTH NETWORK (AHN). AHN WAS FORMED PRIOR TO THE AFFILIATION OF WEST PENN ALEGHENY HEALTH SYSTEM, INC. (WPAHS) WITH HIGHMARK INC. (HIGHMARK). HH IS THE SOLE MEMBER OF AHN AND THE SOLE MEMBER OF HIGHMARK. AHN IS THE SOLE MEMBER OF WPAHS, JEFFERSON REGIONAL MEDICAL CENTER (JRMC), SAINT VINCENT HEALTH CENTER (SVHC) AND SAINT VINCENT HEALTH SYSTEM (SVHS). HH SERVES AS THE ULTIMATE PARENT OF THE AHN AFFILIATES THROUGH ITS POSITION AS SOLE MEMBER OF AHN. THE MISSION OF HH IS TO PROVIDE ACCESS TO AFFORDABLE HIGH QUALITY AND ACCESSIBLE HEALTH CARE. THE ACTIVITIES OF HH INCLUDE STRATEGIC, OPERATIONAL AND ADMINISTRATIVE LEADERSHIP FOR AHN. FROM A STRATEGIC STANDPOINT, HH IS FOCUSED ON CHANGING THE CURRENT DELIVERY OF THE CARE MODEL IN WESTERN PENNSYLVANIA; HH ENCOURAGES HEALTH CARE PROVIDERS IN AHN, WHETHER HOSPITALS OR PHYSICIANS, TO USE THE MOST COST EFFECTIVE VENUE FOR CARE, ADHERE TO EVIDENCE-BASED STANDARDS OF CARE, AND DELIVER SUPERIOR OUTCOMES BY REDUCING SUCH THINGS AS UNNECESSARY READMISSIONS AND POST-SURGICAL INFECTIONS. IN SUM, AS THE PARENT ORGANIZATION OF AHN, WE WORK TO ENSURE THAT AHN OPERATES IN THE MOST EFFECTIVE AND EFFICIENT MANNER AND PROVIDES THE HIGHEST QUALITY HEALTH CARE FOR THE COMMUNITIES THAT IT SERVES. OVERVIEW OF THE ALLEGHENY HEALTH NETWORK ALLEGHENY HEALTH NETWORK IS A TEAM OF CARE GIVERS COMMITTED TO IMPROVING HEALTH AND PROMOTING WELLNESS IN ITS COMMUNITIES, ONE PERSON AT A TIME, IT PLEDGES TO CONSISTENTLY DELIVER SAFE, COMPASSIONATE QUALITY HEALTHCARE BY TREATING THE WHOLE PERSON - BODY, MIND AND SPIRIT. AHN'S MISSION IS TO PROVIDE ACCESS TO AFFORDABLE HIGH QUALITY AND ACCESSIBLE HEALTH CARE, IT PROVIDES STRATEGIC, OPERATIONAL AND ADMINISTRATIVE LEADERSHIP FOR THOSE ORGANIZATIONS IT SUPPORTS. FROM AN ADMINISTRATIVE AND OPERATIONAL PERSPECTIVE, AHN IS PROVIDING EXECUTIVE LEADERSHIP AND OVERSIGHT TO WPAHS, SVHC, SVHS AND JRMC AND ITS EXEMPT AFFILIATES TO ENSURE THAT THEY CONTINUOUSLY OPERATE IN ACCORDANCE WITH THE MISSION OF PROVIDING HIGH QUALITY AFFORDABLE HEALTH CARE. IN TOTAL, THE AHN HAD 1,018 PHYSICIAN FULL TIME EMPLOYEES IN 2015. 2015 was a year of significant challenges in the health care industry and served as a launching pad for Highmark Health, as it brought transition that required the company to come together in unprecedented fashion to navigate difficult market dynamics. This resulted in a strategic plan that uniquely positions the organization to invent a new health care model that can deliver differentiated value to our customers across their full spectrum of needs. We began to see the positive results of the investments we've made in Allegheny Health Network to deliver the highest clinical quality and patient service, while ensuring that it is positioned to meet the future needs of our patients and the community. Of particular note is Allegheny Health Network's recognition by Comparison of its top-rated Pittsburgh-area cardiac care, women's care, spinal surgery and trauma care; its national leadership in organ transplant programs; and as the leading heart transplant program in Pennsylvania based on measures of medical excellence. In 2015, the Allegheny Health Network provided $121,536,790 in uncompensated care and $59,437,491 in community benefits to the communities we serve. WEST PENN ALLEGHENY HEALTH SYSTEM WPAHS WAS ORGANIZED IN 2000 AND IS COMPRISED OF WEST PENN ALLEGHENY HEALTH SYSTEM, INC. (WPAHS, INC.), ALLE-KISKI MEDICAL CENTER (AKMC), CANONSBURG GENERAL HOSPITAL (CGH), ALLEGHENY MEDICAL PRACTICE NETWORK (AMPN), ALLEGHENY CLINIC (AC), ALLEGHENY-SINGER RESEARCH INSTITUTE (ASRI), ALLEGHENY CLINIC MEDICAL ONCOLOGY (ACMO), CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE (CGH AMBULANCE), ALLE-KISKI MEDICAL CENTER TRUST (AKMC TRUST), FORBES HEALTH FOUNDATION (FHF), SUBURBAN HEALTH FOUNDATION (SHF) AND THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION (WPHF). THE GOAL OF WPAHS IS TO ENSURE THAT AREA RESIDENTS HAVE ACCESS TO A COMPLETE CONTINUUM OF HEALTH CARE SERVICES. THROUGH APPROPRIATE INTEGRATION ACROSS WPAHS BOTH CLINICALLY AND OPERATIONALLY, WPAHS HOSPITALS AND PHYSICIAN ORGANIZATIONS ARE ABLE TO REMAIN A HIGH QUALITY, LOW-COST PROVIDER WITH LINKAGES TO THE LATEST MEDICAL RESEARCH AND ADVANCED TECHNOLOGY. IN 2015, THE WPAHS HAD 57,191 INPATIENT DISCHARGES, 834,471 OUTPATIENT REGISTRATIONS AND 49,653 SURGICAL CASES. SAINT VINCENT HEALTH CENTER/SAINT VINCENT HEALTH SYSTEM SVHC (DBA SAINT VINCENT HOSPITAL) IS COMPRISED OF SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE, WESTFIELD MEMORIAL HOSPITAL,INC., SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES, SAINT VINCENT AFFILIATED PHYSICIANS, REGIONAL HOME HEALTH AND HOSPICE (55.48% CONTROLLED), REGIONAL HEART NETWORK (76.5% CONTROLLED) AND REGIONAL CANCER CENTER (50% CONTROLLED). SVHC IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWESTERN PENNSYLVANIA AND ADJACENT AREAS OF NEW YORK AND OHIO. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. FOUNDED BY THE SISTERS OF ST. JOSEPH IN 1875, SVHC HAS EVOLVED INTO AN INTEGRATED HEALTHCARE PROVIDER. IT IS COMMITTED TO THE HIGHEST QUALITY PATIENT CARE WHILE PROVIDING A CONTINUUM OF SERVICES TO MEET HEALTHCARE NEEDS. SVHS WAS ALSO FOUNDED BY THE SISTERS OF ST. JOSEPH IN 1875. THEIR MISSION AND VALUES ARE TO PROVIDE OVERSIGHT AND SUPPORT FOR THE CHARITABLE MISSIONS OF THE ORGANIZATIONS THEY SUPPORT. IN 2015, SV HAD 14,187 INPATIENT DISCHARGES, 207,491 OUTPATIENT REGISTRATIONS AND 17,628 SURGICAL CASES. JEFFERSON REGIONAL MEDICAL CENTER JRMC WAS ORGANIZED IN 1973 AND IS LOCATED JUST SOUTH OF THE CITY OF PITTSBURGH, PA, JRMC IS AN INTEGRATED SYSTEM OF HEALTH CARE SERVICES AND FACILITIES THAT PROVIDES QUALITY HEALTH CARE FROM EMERGENCY ADMISSIONS TO INPATIENT HOSPITALIZATION AND LEADING EDGE SURGERY TO REHABILITATION AND HOME CARE. IN 2015, JRMC HAD 14,802 INPATIENT DISCHARGES, 251,391 OUTPATIENT REGISTRATIONS AND 17,434 SURGICAL CASES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Business Relationships</FormAndLineReferenceDesc>
        <ExplanationTxt>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: David Malone, David Blandino, David Matter, Steven Hoffman, Thomas Donahue, Victor Roque, Robert Baum, Joseph Guyaux, Gregory Jordan, Susan Shoval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 11b The Highmark Health IRS Form 990 was prepared by its external tax advisors, Grant Thornton, LLP and reviewed by the Highmark Health Tax Department, Senior Management of the organization and the Audit and Compliance Committee. Before filing the tax return with the Internal Revenue Service, a final copy was provided to all members of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict Of Interest Policy Monitoring And Enforcement</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 12c Highmark Health (HH) has a corporate compliance department that monitors and oversees compliance with the conflict of interest policy. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy for HH: Conflict of interest disclosure forms are completed on an annual basis by all board members, officers, any person who has authority to act on behalf of the BOD, key employees , managers and above, persons with purchasing authority including procurement department employees and committees 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 integrity and compliance department reviews all disclosures. Those that require additional information or clarification are contacted by the integrity and compliance department requesting such. Once received, all information is evaluated in consultation with the legal department and senior management as applicable to determine whether a real or potential conflict of interest exists. Those conflicts that require a mitigation plan are developed and approved in coordination with the respective responsible senior management. The senior managers are responsible for discussing the mitigation plan with the individual as needed and monitoring compliance with the mitigation plan. A final report of all board and executive level management disclosures is submitted for review to the audit and compliance subcommittee of the board, as well as by the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Process used to determine executive compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 15a and 15B The Highmark Health (HH) process for determining compensation for executive positions (including officers, key employees and other management positions) is covered by the HH executive compensation policy. This policy was approved by the HH board of directors. It is the policy of HH and its board of directors 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 &amp; compensation committee makes recommendations to the HH board of directors who ultimately approve the compensation for the ceo. For all other executive officers, the personnel &amp; compensation committee reviews and approves all compensation recommendations. Compensation shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, and fringe and other benefits. The personnel &amp; compensation committee shall also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The personnel &amp; compensation committee uses comparability data provided by an independent compensation consultant. The external consultant provides a letter of reasonability for all offers made to new executives that are under the purview of the Personnel &amp; Compensation Committee. Each board of director 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. Highmark Health follows the requirement in the regulations to comply with the rebuttable presumption of the reasonableness of compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Public availability of organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 19 Highmark Health (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 Highmark Health. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Independent Contractors</FormAndLineReferenceDesc>
        <ExplanationTxt>Part VII, Section B, Line 1 The expenditures of Highmark Health are paid by affiliated organizations and reimbursed by Highmark Health. The affiliate organizations issue Forms 990 separate from Highmark Health. Listed in this Form 990, Part VII are the five highest paid independent contractors that provided services to Highmark Health for which Highmark Health reimbursed the affiliated organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Allegheny Clinic</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>320 East North Avenue</AddressLine1Txt>
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          <BusinessNameLine1Txt>WPAHS INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Allegheny Clinic Medical Oncology</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WPAHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Allegheny Health Network</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 Fifth Avenue Suite 922</AddressLine1Txt>
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          <BusinessNameLine1Txt>Highmark Hea</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>Allegheny Singer Research Institute</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Alle-Kiski Medical Center</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Forbes Health Foundation</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>565 Coal Valley Road</AddressLine1Txt>
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          <BusinessNameLine1Txt>Klingensmith Healthcare Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 Fifth Avenue Suite 922</AddressLine1Txt>
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      </IdRelatedOrgTxblCorpTrGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Lake Erie Medical Group PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>120 Fifth Avenue Suite 922</AddressLine1Txt>
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          <BusinessNameLine1Txt>Optima Imaging</BusinessNameLine1Txt>
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          <AddressLine1Txt>4800 Friendship Avenue</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Palladium Risk Retention Group</BusinessNameLine1Txt>
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          <AddressLine1Txt>409 Broad Street Suite 270</AddressLine1Txt>
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          <BusinessNameLine1Txt>Park Cardiothoracic &amp; Vascular Inst</BusinessNameLine1Txt>
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          <AddressLine1Txt>565 Coal Valley Road</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Parker Benefits</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 1948</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Physician Landing Zone PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>120 Fifth Avenue Suite 922</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Pittsburgh Bone Joint and Spine Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1200 Brooks Lane Suite G20</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Pittsburgh Pulmonary &amp; Critical Care Ass</BusinessNameLine1Txt>
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          <AddressLine1Txt>1200 Brooks Lane Suite 130</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Premier Medical Associates PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 Fifth Avenue Suite 922</AddressLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1200 Brooks Lane 110</AddressLine1Txt>
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          <BusinessNameLine1Txt>PWH Holdco</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 Fifth Avenue Suite 922</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>West Virginia Family Health Plan Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1219 Virginia Street</AddressLine1Txt>
          <CityNm>East Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
        </USAddress>
        <EIN>452763165</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Highmark Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Highmark Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>28094375</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Allegheny Health Network</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>28094375</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Highmark Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l, m,</TransactionTypeTxt>
        <InvolvedAmt>10615166</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Allegheny Health Network</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l, m,</TransactionTypeTxt>
        <InvolvedAmt>934139</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HM Health Solutions</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l, m,</TransactionTypeTxt>
        <InvolvedAmt>898489</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>