HIGHMARK HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: HIGHMARK HEALTH (EIN 16-0743222)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-11
IRS object ID: 201623169349303137
Schema version: 2015v2.1
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 B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-11T13:39:21-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 700	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743222	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WESTFIELD MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TINA GOWEN CPA	InCareOfNm
Business Name Control	WEST	BusinessNameControlTxt
Phone	4125446668	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O HIGHMARK TAX DEPT SUITE 922	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT A WHALEN	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	4125446668	PhoneNum
Signature	2016-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Frank Giardini	PreparerPersonNm
PTIN	P00532355	PTIN
Phone	2155614200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARTHA SMITH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 WEST 25TH STREET	AddressLine1Txt
City	ERIE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16544	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$10,662,813	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AHN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1944	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	WESTFIELD MEMORIAL HOSPITAL IS A TEAM OF CARE GIVERS COMMITTED TO IMPROVING HEALTH AND PROMOTING WELLNESS IN OUR COMMUNITIES. See Form 990, Page 2, Part III, Question 1	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	116	TotalEmployeeCnt
Total Volunteers	3	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$515,637	PYContributionsGrantsAmt
CY Contributions Grants	$218,135	CYContributionsGrantsAmt
PY Program Service Revenue	$8,158,244	PYProgramServiceRevenueAmt
CY Program Service Revenue	$8,076,597	CYProgramServiceRevenueAmt
PY Investment Income	$66,727	PYInvestmentIncomeAmt
CY Investment Income	$280,689	CYInvestmentIncomeAmt
PY Other Revenue	$915,487	PYOtherRevenueAmt
CY Other Revenue	$863,765	CYOtherRevenueAmt
PY Total Revenue	$9,656,095	PYTotalRevenueAmt
CY Total Revenue	$9,439,186	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,732,586	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,913,308	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,837,282	PYOtherExpensesAmt
CY Other Expenses	$5,722,451	CYOtherExpensesAmt
PY Total Expenses	$10,569,868	PYTotalExpensesAmt
CY Total Expenses	$10,635,759	CYTotalExpensesAmt
PY Revenues Less Expenses	-$913,773	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,196,573	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,260,085	TotalAssetsBOYAmt
Total Assets EOY	$9,204,736	TotalAssetsEOYAmt
Total Liabilities BOY	$1,285,159	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,282,670	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,974,926	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,922,066	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WESTFIELD MEMORIAL HOSPITAL, INC. (WMH) IS A TEAM OF CARE GIVERS COMMITTED TO IMPROVING HEALTH AND PROMOTING WELLNESS IN OUR COMMUNITIES, ONE PERSON AT A TIME. IT PLEDGES TO CONSISTENTLY DELIVER SAFE, COMPASSIONATE QUALITY HEALTHCARE BY TREATING THE WHOLE PERSON - BODY, MIND AND SPIRIT. TO COMPLETE THIS MISSION, WESTFIELD MEMORIAL HOSPITAL PROVIDES SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$8,838,291	ExpenseAmt
Revenue	$8,932,455	RevenueAmt
Desc	WESTFIELD MEMORIAL HOSPITAL, INC IS A TEAM OF CARE GIVERS COMMITTED TO IMPROVING HEALTH AND PROMOTING WELLNESS IN OUR COMMUNITIES, ONE PERSON AT A TIME. IT PLEDGES TO CONSISTENTLY DELIVER SAFE, COMPASSIONATE QUALITY HEALTHCARE BY TREATING THE WHOLE PERSON - BODY, MIND AND SPIRIT. REFER TO SCHEDULE O FOR A COMPLETE NARRATIVE OF OUR PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$8,838,291	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	116	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	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	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TINA GOWEN CPA	PersonNm
Phone	8144525055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 WEST 25TH STREET	AddressLine1Txt
City	ERIE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16544	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
HELEN BARAN
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN HAMELS PHD
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SANDRA BROWN
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
TOM BERKHOUSE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MAUREEN CHADWICK
DIRECTOR	1.0	39.0	Yes (X)		$0	$253,737	$44,779
ROBERT CRANE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
NORMA CUMMINGS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PAMELA FRANK
FORMER DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DAVID HAZELTON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ROBERTA PATTERSON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JOHN RAWLINSON
FORMER DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARJORY FRITZ
FORMER EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARK HAGEN
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DIANA HOLT
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ALEX SELIOUTSKI MD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SCOTT WHALEN
EX-OFFICIO DIRECTOR	1.0	39.0	Yes (X)		$0	$730,735	$362,167
RUSSELL ELWELL
MEDICAL DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARTHA SMITH
TREASURER	1.0	0.0		Yes (X)	$0	$0	$0
PATRICIA BALLMAN
ADMINISTRATOR	20.0	20.0		Yes (X)	$0	$147,352	$12,429
PRAGNA SUTARIA MD
PHYSICIAN	40.0	0.0			$167,935	$0	$14,193	Yes (X)
RONALD FILIPPI MD
PHYSICIAN	40.0	0.0			$239,392	$0	$5,179		Yes (X)
BRADFORD BUEGE DO
PHYSICIAN	40.0	0.0			$272,984	$0	$16,351		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$680,311	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,131,824	TotReportableCompRltdOrgAmt
Total Other Compensation	$455,098	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3	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
CPS PAYMENT SERVICES LLC
501 CONGRESSIONAL BLVD SUITE 250	CARMEL	IN	46032	PAYMENT SERVICES	$534,870
Cardinal Health
2675 SOUTH MILFORD ROAD - UNIT B	HIGHLAND	MI	48357	PHARMACY SERVICES	$320,159
TRI-STATE ANESTHESIA SERVICE
444 WEST 8TH STREET	ERIE	PA	16502	CRNA SERVICES	$255,451
AHN EMERGENCY GROUP OF ERIE COUNTY
4535 DRESSLER ROAD NW	CANTON	OH	44718	PHYSICIAN SERVICES	$248,850
ALCON LABORATORIES
PO BOX 677775	DALLAS	TX	75267	LENSES - EYE SURGERY	$202,541

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$12,443	RelatedOrganizationsAmt
Government Grants	$196,332	GovernmentGrantsAmt
All Other Contributions	$9,360	AllOtherContributionsAmt
Total Contributions	$218,135	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT FEES	Desc
Business	621110	BusinessCd
Total Revenue Column	$8,076,597	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,076,597	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$8,076,597	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,161	TotalRevenueColumnAmt
Exclusion	$67,161	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,507	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,600	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,907	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,907	TotalRevenueColumnAmt
Exclusion	$7,907	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,434,555	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,213,288	SecuritiesAmt
Other	$7,739	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$221,267	SecuritiesAmt
Other	-$7,739	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$213,528	TotalRevenueColumnAmt
Exclusion	$213,528	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ELECTRONIC HEALTH RECORDS	621110	$707,930	$707,930
REBATE PAYMENTS	621110	$62,977	$62,977
PHYSICAL THERAPY	621110	$12,486	$12,486

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$72,465	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$855,858	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,439,186	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,932,455	RelatedOrExemptFuncIncomeAmt
Exclusion	$288,596	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

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	$79,891	TotalAmt
Management And General	$79,891	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	$4,028,212	TotalAmt
Program Services	$3,411,489	ProgramServicesAmt
Management And General	$616,723	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$96,965	TotalAmt
Program Services	$76,613	ProgramServicesAmt
Management And General	$20,352	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$428,471	TotalAmt
Program Services	$371,717	ProgramServicesAmt
Management And General	$56,754	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$279,769	TotalAmt
Program Services	$233,707	ProgramServicesAmt
Management And General	$46,062	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	$15,751	TotalAmt
Management And General	$15,751	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$25,000	TotalAmt
Management And General	$25,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

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	$1,036,212	TotalAmt
Program Services	$1,036,212	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,868	TotalAmt
Management And General	$20,868	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,238,533	TotalAmt
Program Services	$710,745	ProgramServicesAmt
Management And General	$527,788	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$102,936	TotalAmt
Program Services	$102,936	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

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

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$38,175	TotalAmt
Program Services	$21,917	ProgramServicesAmt
Management And General	$16,258	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	$0	TotalAmt

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	$910,949	TotalAmt
Program Services	$714,161	ProgramServicesAmt
Management And General	$196,788	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$153,194	TotalAmt
Program Services	$109,581	ProgramServicesAmt
Management And General	$43,613	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBTS	$864,144	$864,144
MEDICAL SUPPLIES	$719,742	$714,020	$5,722
MAINTENANCE CONTRACTS	$456,664	$445,835	$10,829
FREIGHT	$24,677	$24,677

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,606	TotalAmt
Program Services	$537	ProgramServicesAmt
Management And General	$115,069	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,635,759	TotalAmt
Program Services	$8,838,291	ProgramServicesAmt
Management And General	$1,797,468	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$100	BOYAmt
EOY	$100	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$447,481	BOYAmt
EOY	$396,018	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	$1,221,372	BOYAmt
EOY	$783,840	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	$219,899	BOYAmt
EOY	$271,519	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,561	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,426,367	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,204,940	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,834,345	BOYAmt
EOY	$6,221,427	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,516,327	BOYAmt
EOY	$1,531,832	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	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,260,085	BOYAmt
EOY	$9,204,736	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,141,035	BOYAmt
EOY	$1,138,513	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	$144,124	BOYAmt
EOY	$144,157	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,285,159	BOYAmt
EOY	$1,282,670	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,854,606	BOYAmt
EOY	$7,796,948	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,958	BOYAmt
EOY	$28,756	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$96,362	BOYAmt
EOY	$96,362	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,974,926	BOYAmt
EOY	$7,922,066	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,260,085	BOYAmt
EOY	$9,204,736	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,196,573	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$233,152	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$376,865	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$120,320	BeginningYearBalanceAmt
Contributions	$218,135	ContributionsAmt
Investment Earnings Or Losses	-$5,866	InvestmentEarningsOrLossesAmt
Other Expenditures	$207,471	OtherExpendituresAmt
End Year Balance	$125,118	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$96,362	BeginningYearBalanceAmt
Contributions	$515,637	ContributionsAmt
Investment Earnings Or Losses	$6,372	InvestmentEarningsOrLossesAmt
Other Expenditures	$498,051	OtherExpendituresAmt
End Year Balance	$120,320	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$60,155	BeginningYearBalanceAmt
Contributions	$36,207	ContributionsAmt
End Year Balance	$96,362	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,433	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,722	InvestmentEarningsOrLossesAmt
End Year Balance	$60,155	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,683	InvestmentEarningsOrLossesAmt
End Year Balance	$55,433	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.80000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.20000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,594,997	OtherCostOrOtherBasisAmt
Depreciation	$767,872	DepreciationAmt
Book Value	$3,827,125	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,161,370	OtherCostOrOtherBasisAmt
Depreciation	$1,391,015	DepreciationAmt
Book Value	$1,770,355	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$670,000	OtherCostOrOtherBasisAmt
Depreciation	$46,053	DepreciationAmt
Book Value	$623,947	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,221,427	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED THIRD PARTY PAYOR	Desc
Amt	$144,157	Amt

Field	Value	IRS element (for citing)
Total Liability	$144,157	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$8,297,660	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$1,141,526	OtherRevenueAmt
Revenue Not Reported	-$1,141,526	RevenueNotReportedAmt
Revenue Subtotal	$9,439,186	RevenueSubtotalAmt
Total Revenue Per Form990	$9,439,186	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$9,739,749	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$896,010	OtherExpensesIncludedAmt
Expenses Not Reported	-$896,010	ExpensesNotReportedAmt
Expenses Subtotal	$10,635,759	ExpensesSubtotalAmt
Total Expenses Per Form990	$10,635,759	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

ENDOWMENT FUNDS THE INTENDED USE OF THE WESTFIELD MEMORIAL HOSPITAL PERMANENT ENDOWMENTS ARE FOR, BUT NOT EXCLUSIVE TO: CAPITAL IMPROVEMENTS, RESEARCH, EDUCATION, DEPARTMENTAL NEEDS, OPERATING EFFICIENCIES, AND OVERALL PATIENT CARE. THE EARNINGS OFF OF THE PERMANENT AMOUNT ARE EXPENDABLE, BASED ON THE SPECIFIC USE OF THE FUND.

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. 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$130,974	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,607,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,127,491	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$480,115	NetCommunityBenefitExpnsAmt
Total Expense	0.04910	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,738,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,258,465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$480,115	NetCommunityBenefitExpnsAmt
Total Expense	0.04910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,864	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,823	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,823	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$591	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$591	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,278	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,749,858	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,258,465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$491,393	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,141	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,141	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,141	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,141	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$864,144	BadDebtExpenseAmt
Reimbursed By Medicare	$1,789,499	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,989,023	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$199,524	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WESTFIELD MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	189 EAST MAIN STREET	AddressLine1Txt
City	WESTFIELD	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14787	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.AHN.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WESTFIELD MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.ahn.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.ahn.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.ahn.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.ahn.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, PART V, SECTION B, LINE 5	The Community Health Needs Assessment, which was conducted and implemented in 2015, was overseen by a Steering Committee of key health system representatives and an Advisory Committee made up of individual hospital leaders and community stakeholders who represent individuals who are medically underserved, low income, minorities or other special populations within the Allegheny Health Network service area. Taken together, the Steering and Advisory Committees drove the Community Health Needs Assessment process. In addition to the internal employed personnel engaged in the Community Health Needs Assessment process, the following individuals participated in the Community Health Needs Assessment planning and oversight process as part of the Allegheny Health Network Community Health Needs Assessment Steering and Advisory Committees: Honorable Robert Brooks, Mayor, Municipality of Monroeville; Aggie Brose, Deputy Executive Director, Bloomfield Garfield Corporation; Leslie Grenfell, Executive Director, SWPA Area Agency on Aging; Karen Hacker, MD, Director, Allegheny County Health Department; AJ Harper, President, Hospital Counsel of Western PA; Jack Krah, President, Allegheny County Medical Society; Sharon Wolf, Executive Director, North Hills Community Outreach Doris Carson Williams, President and CEO, African American Chamber of Commerce and Board Member; David Blandino, MD, Board Member; Basil Cox, Board Member; Joseph Macerelli, Esq., Board Member Qualitative research was conducted with key community stakeholders and others representing the broad interests of the community, including experts in public health, members of medically underserved, low-income, and minority populations, and other representatives of special populations within the communities. Qualitative research methodology used to solicit feedback from community stakeholders included: Key Informant Survey of 107 community representatives to solicit feedback on community health priorities, underserved populations and partnership; Six focus groups were conducted with target populations including pregnant and postpartum mothers, seniors, behavioral health consumers, EMS providers, and care coordinators to inform implementation strategies. In addition to the CHNA above, Hospital management and staff utilize multiple strategies to continually monitor and assess the health care needs of the communities it serves. This includes outreach to community members in an effort to receive input related to current health needs and trends. The hospital acts on specific requests received for health related matters such as screenings, programs and related events. Hospital participates in area groups and partnerships in an effort to understand the community and obtain a sense of specific issues. The hospital also acts on survey results received from patients and the patient families as well as being connected to world-wide, national and local health trends and needs and acting accordingly to ensure our patients have the best care available to them.
Schedule H, PART V, SECTION B, LINE 6A	The following hospital facilities conducted a joint community health needs assessment: -Allegheny General Hospital -Alle-Kiski Medical Center -Canonsburg General Hospital -Forbes Regional Hospital -Highlands Hospital -Jefferson Regional Medical Center -Saint Vincent Health Center -Westfield Memorial Hospital -Western Pennsylvania Hospital
Schedule H, PART V, SECTION B, LINE 7 & 8	Our joint Community Health Needs Assessment can be found here: https://www.ahn.org/community-health-needs-assessments
Schedule H, Part V, Line 11	The Allegheny Health Network developed a Community Health Improvement Plan (CHIP) to guide community benefit and population health improvement activities across the Allegheny Health Network service area in accordance with needs identified through the Community Health Needs Assessment process. The CHIP aligns with the Allegheny County Health Departments plan for a Healthy Allegheny and Erie County Health Departments Community Health Improvement Plan to ensure ongoing collaboration with public health and other community partners to address the regions most pressing community health needs. The following details the health priority, goal, objectives and the target population associated with the Allegheny Health Network CHIP: Health Priority: Behavioral Health Goal: Reduce mortality and morbidity related to mental and substance use disorders. Objectives: -Increase utilization of outpatient behavioral health services, particularly for the most vulnerable populations; -Increase knowledge and skills of first responders and community members around behavioral health; -Increase the number of healthcare providers integrating behavioral health and physical health. Target Populations: Minority Groups, Low Income and Senior Populations. Health Priority: Cancer Goal: Reduce the number of cancer cases, as well as the illness, disability, and death caused by cancer. Objectives: -Increase the percentage of adults who receive timely age-appropriate cancer screenings based on the most recent guidelines; -Reduce the incidence rate for the top four most commonly diagnosed cancers: prostate (male), lung and bronchus, colon and rectum and breast (female) and the overall mortality rate by promoting healthy lifestyle behaviors related to tobacco use and diet and exercise; -Provide health screenings and education to high-risk populations. Target Populations: Minority Groups, Low Income and Senior Populations. Health Priority: Chronic Disease Goal: Decrease preventable chronic disease by ensuring access to resources, knowledge, and opportunities for residents to adopt healthy behaviors. Objectives: -Increase primary care provider (PCP) recommendations for preventive screenings per risk and age guidelines. -Provide health screenings and education to high-risk populations; -Partner with community organizations to promote healthy lifestyles. Goal: Improve management and outcomes for patients diagnosed with a chronic disease. Objectives: -Reduce hospital 30-day readmission rates for chronic disease; -Manage high risk populations through care coordination and partnership with social service partners; -Partner with community organizations to promote healthy lifestyles. Target Populations: Ethnic minority groups, individuals with behavior health or substance abuse comorbidity, low income individuals and families and senior populations. Health Priority: Maternal and Child Health Goal: Reduce morbidity and mortality by improving the health and quality of life of woman, infants, children, caretakers and their families, especially in vulnerable communities. Objectives: -Reduce the proportion of preterm and low birth weights and reduce the disparity between White, Black and Hispanic populations; -Reduce the disparity between White, Black and Hispanic mothers who receive prenatal care within the first trimester; -Reduce occurrence of Neonatal Abstinence Syndrome (NAS); -Increase the proportion of mothers who breastfeed for the first six months after birth and reduce the disparity between White, Black and Hispanic populations; -Reduce the disparity between White, Black and Hispanic births resulting in infant mortality; -Partner with community organizations to improve prenatal indicators (including not smoking during pregnancy, not drinking during pregnancy and prenatal care in the first trimester). Target Populations: Minority racial groups (especially Black and Hispanic women), low income families, single mothers and women with behavioral health or substance abuse conditions.
CHARGES EQUAL TO GROSS CHARGES FOR PATIENT SERVICES	Schedule H, PART V, LINE 22D THE WESTFIELD MEMORIAL HOSPITAL BOARD OF DIRECTORS APPROVED A FINANCIAL ASSISTANCE POLICY IN THE FOURTH QUARTER OF 2015. THIS POLICY WAS ADOPTED BY WMH. THE POLICY DOES NOT ALLOW ANY FACILITY TO REPORT TO A CREDIT AGENCY BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.THE HOSPITAL OFFERS A 100% OR 75% DISCOUNT TO ALL UNINSURED PATIENTS BASED ON FEDERAL POVERTY QUIDELINES.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	FINANCIAL ASSISTANCE AND COMMUNITY CARE BENEFITS WESTFIELD MEMORIAL HOSPITAL, Inc. (WMH) PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS UNDER THE POLICY.
Schedule H, Part I, Line 6a	Related Organization Report SAINT VINCENT HEALTH SYSTEM, THE SOLE CORPORATE MEMBER OF WMH, PREPARES THE COMMUNITY BENEFIT REPORT OF WMH.
Schedule H, Part I, Line 7	Costing Methodology The costs entered for Financial Assistance at Cost and Medicaid are calculated using the Hospital's cost to charge ratio derived from Worksheet 2. All Other Benefits are the actual expenses incurred by the Hospital.
Schedule H, Part II	Community Building Activities The community building activities are the Hospital's direct support of the local community organizations via its membership in these organizations. Westfield/Mayville Rotary Club, Chautauqua County Chamber of Commerce and the HealthCare Association of New York.
SCHEDULE H, PART III, LINE 3 AND LINE 4	BAD DEBT EXPENSE FINANCIAL STATEMENT FOOTNOTE AND COSTING METHODOLOGY WMH DOES NOT ISSUE SEPARATE AUDITED FINANCIAL STATEMENTS AND THEREFORE A FOOTNOTE DOES NOT EXIST. PATIENTS WHO ARE UNINSURED ARE SCREENED AS CLOSE TO TIME OF SERVICE AS POSSIBLE BY FINANCIAL COUNSELORS. UNINSURED IN-PATIENTS ARE USUALLY CONTACTED WITHIN A DAY OF ADMISSION (OR THEIR FAMILIES DEPENDING ON THE MEDICAL CIRCUMSTANCES) AS MANY UNINSURED EMERGENCY DEPARTMENT PATIENTS AS POSSIBLE ARE SEEN FOLLOWING MEDICAL SCREEN BY PHYSICIANS. DIAGNOSTIC OUT-PATIENTS AND THOSE WITH SCHEDULED PROCEDURES THAT ARE WITHOUT COVERAGE ARE OFTEN PRE-ADMITTED AND PART OF THE CALL INCLUDES CONVERSATION REGARDING PAYMENT EXPECTATIONS. IN ALL CASES, SCREENING INCLUDES SEARCHING FOR PAYMENT OPTIONS THROUGH INSURANCE CARRIERS OR IN LIABILITY SITUATIONS. FOR THOSE WHO REMAIN UNCOVERED, WE ATTEMPT TO ESTABLISH POTENTIAL QUALIFICATION FOR STATE MEDICAID COVERAGE. FAILING THAT, PATIENTS ARE GIVEN INFORMATION REGARDING OUR CHARITY CARE PROGRAM AND ARE GIVEN THE OPTION TO APPLY. ALL PATIENTS, WHETHER UNINSURED OR WHO OWE BALANCES AFTER INSURANCE PAYMENTS ARE RECEIVED, ARE BILLED AT THE SAME INCREMENTAL TIMES. ACTIVITIES DURING THIS PERIOD INCLUDE OUR SENDING REGULAR STATEMENTS WHICH INCLUDE REFERENCES TO OUR CHARITY CARE AND DISCOUNT POLICIES. ADDITIONALLY, PHONE CONTACT IS ATTEMPTED BASED ON ACCOUNT AGE AND AMOUNT DUE. DISCOUNTS ARE OFFERED TO THE UNINSURED IN THE SPIRIT OF EQUITY WITH THOSE WHO ARE INSURED. WE OFFER 50 PERCENT OFF OF CHARGES TO THIS GROUP AND ALSO OFFER A 10 PERCENT PROMPT PAY DISCOUNT FOR FULL PAYMENT WITHIN A TEN DAY TIME FRAME FROM CONTACT. AFTER NOTICE OF FINAL BILLING, THEY ARE CLASSIFIED AS BAD DEBT BY VIRTUE OF THEIR BEING WRITTEN OFF OF THE ACTIVE ACCOUNTS RECEIVABLES AND TRANSFERRED TO A BAD DEBT FILE WHERE THEY RESIDE UNTIL SUCH TIME AS THEY ARE PAID OR REMAIN UNCOLLECTIBLE. ANY PAYMENTS RECEIVED ON ACCOUNT AS WELL AS ANY DISCOUNTS TAKEN OVER THE LIFE OF THE ACCOUNT, EXCLUDING THOSE IN THE BAD DEBT FILE, ARE RECORDED AS SUCH WHEN THEY OCCUR AND WOULD THEREFORE NOT BE INCLUDED IN THE FINAL AMOUNTS DETERMINED TO BE BAD DEBT. HOWEVER, PAYMENTS MADE SUBSEQUENT TO BAD DEBT REPORTING ARE POSTED AGAINST THE ACCOUNTS AND WOULD OFFSET THE BAD DEBT EXPENSE WITHIN THAT PARTICULAR MONTH AS REPORTED ON THE FINANCIAL STATEMENTS. AS PART OF OUR CHARITY CARE POLICY PROCESS, WE TRY TO DETERMINE IF PATIENTS WHO ARE NOT PAYING AND/OR ARE NOT RESPONDING TO ANY ATTEMPTS FOR COMMUNICATION, MIGHT REASONABLY BE CONSIDERED AS CHARITY. A SECTION OF THE POLICY IS LABELED PRESUMPTIVE FINANCIAL ASSISTANCE POLICY AND ALLOWS US TO SCREEN FOR CHARITY CARE EVEN WITHOUT THE PATIENT"S APPLICATION. DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE.
Schedule H, Part III, Line 9b	Debt Collection Policy IN AN UNCERTAIN ECONOMIC ENVIROMENT, WMH FINANCIAL COUNSELORS REMAIN COMMITTED TO ASSISTING THOSE IN OUR COMMUNITY WHO ARE UNABLE TO AFFORD THEIR MEDICAL EXPENSE, YET SEEK EXPERT CARE. THE FINANCIAL COUNSELORS WORK WITH PATIENTS AND THEIR FAMILIES TO HELP THEM QUALIFY FOR THE COMMUNITY CARE PROGRAMS, ANSWERING THEIR QUESTIONS AND HELPING THEM THROUGH THE ENROLLMENT PROCESS. COMMUNITY CARE INFORMATION IS AVAILABLE IN THE WMH COMMUNITY CARE BROCHURE OR VISIT THE WEBSITE AT WWW.AHN.ORG. FOR PATIENTS WHO RECEIVE BILLS IN THE MAIL FOLLOWING THEIR TREATMENT, THE COMMUNITY CARE PROGRAM IS INTRODUCED ON THE BOTTOM OF THEIR BILL WITH THE APPROPRIATE CONTACT INFORMATION. FINANCIAL ADVISORS ARE AVAILABLE WEEKDAYS AND ARE CONVIENTLY LOCATED NEXT TO PATIENT REGISTRATION. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 2	Community Health Needs Assessment WMH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS SUPPORTS THE COMMITMENT OF A CROSS SECTION OF COMMUNITY AGENCIES, HOSPITAL AND ORGANIZATIONS WORKING TOGETHER TO ACHIEVE HEALTHIER COMMUNITIES. IN THIS PROCESS, THE IDENTIFIED OVERALL COMMUNITY NEEDS WERE SELECTED TO DRIVE WMH IMPLEMENTATION STRATEGIES. THE PROCESS HAS TAKEN INTO ACCOUNT INPUT FROM THOSE WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITIES SERVED BY WMH AS WELL AS OTHER HOSPITALS AND AGENCIES, INCLUDING THOSE WITH KNOWLEDGE OF PUBLIC HEALTH, THE MEDICALLY UNDER-SERVED, AND SPECIFIC POPULATIONS WITH KNOWN CHRONIC DISEASES. IN FEBRUARY 2013, WMH, ALONG WITH THE CHAUTAUQUA COUNT COMMUNITY HEALTH PLANNING TEAM WHICH INCLUDED BROOKS MEMORIAL HOSPITAL, CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, CHAUTAUQUA COUNT DEPARTMENT OF MENTAL HYGIENE, CHAUTAUQUA COUNTY HEALTH NETWORK, P2 COLLABORATIVE OF WESTER NEW YORK, THE CHAUTAUQUA CENTER, TLC HEALTH NETWORK AND WCA HOSPITAL FORMED A COLLABORATIVE STEERING COMMITTEE TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WMH, ALONG WITH THE OTHER PROJECT COLLABORATORS, CONSIDERS CHAUTAUQUA COUNTY AS ITS PRIMARY SERVICE TERRITORY.
Schedule H, Part VI, Line 3	PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE INFORMING THE PUBLIC THAT CHARITY CARE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR CHARITY CARE PROGRAM AND WMH CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF CHARITY CARE INFORMATION ABOUT THE CHARITY CARE POLICY. A SUMMARY DESCRIPTION OF THE CHARITY CARE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE.
Schedule H, Part VI, Line 4	COMMUNITY SERVED INFORMATION WMH SERVES RESIDENTS LOCATED IN CHAUTAUQUA COUNTY NEW YORK. CHAUTAUQUA COUNTY IS A RURAL AREA OF APPROXIMATELY 1500 SQUARE MILES AND HAS A POPULATION OF 133,000. THE COST OF LIVING INDEX IS LESS THAN AVERAGE AND THE PERCENT OF RESIDENTS LIVING IN POVERTY WAS 17.7%.
Schedule H, Part VI, Line 5	PROMOTION OF COMMUNITY HEALTH WMH GOVERNING BOARD IS MADE UP OF TWO MEMBERS FROM ITS SOLE MEMBER, SAINT VINCENT HEALTH SYSTEM, AND THE BALANCE FROM THE COMMUNITY AT LARGE WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF WMH DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO WMH AND ARE NOT COMPENSATED FOR THEIR SERVICES.
Schedule H, Part VI, Line 6	AFFILIATED HEALTH CARE SYSTEM WMH IS A HOSPITAL FACILITY OF THE COMBINED SAINT VINCENT HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF SAINT VINCENT HEALTH CENTER (SVHC), SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES, PHYSICIAN PRACTICE SITES, VAROIUS ANCILLARY SERVICES, OVER ONE HUNDRED EMPLOYED PHYSICIANS AND A VARIETY OF OTHER HEALTH-RELATED PROVIDERS. WMH IS A MEMBER OF AN INTEGRATED DELIVERY SYSTEM NAMED ALLEGHENY HEALTH NETWORK. IN ADDITION TO, THE ALLEGHENY HEALTH NETWORK ALSO INCLUDES SAINT VINCENT HEALTH SYSTEM, WEST PENN ALLEGHENY HEALTH SYSTEM AND JEFFERSON REGIONAL MEDICAL CENTER.
Schedule H, Part VI, Line 7	STATE FILING OF COMMUNITY BENEFIT REPORT SAINT VINCENT HEALTH CENTER FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK AS PART OF OUR OBLIGATION TO FURNISH THE STATE OF NEW YORK WITH A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
MAUREEN CHADWICK
DIRECTOR	$0	$226,770	$0	$0	$0	$26,967	$0	$33,828	$0	$10,951	$0	$298,516	$0	$17,834
SCOTT WHALEN
EX-OFFICIO DIRECTOR	$0	$606,416	$0	$0	$0	$124,319	$0	$348,671	$0	$13,496	$0	$1,092,902	$0	$118,808
PATRICIA BALLMAN
ADMINISTRATOR	$0	$142,705	$0	$0	$0	$4,647	$0	$7,572	$0	$4,857	$0	$159,781	$0	$0
PRAGNA SUTARIA MD
PHYSICIAN	$167,831	$0	$0	$0	$104	$0	$7,938	$0	$6,255	$0	$182,128	$0	$0	$0
RONALD FILIPPI MD
PHYSICIAN	$238,535	$0	$0	$0	$857	$0	$0	$0	$5,179	$0	$244,571	$0	$0	$0
BRADFORD BUEGE DO
PHYSICIAN	$272,567	$0	$0	$0	$417	$0	$10,910	$0	$5,441	$0	$289,335	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

TAX GROSS-UP PAYMENTS

Schedule J, Part I, Line 1B ONE KEY EMPLOYEE AND TWO OF THE HIGHEST PAID INDIVIDUALS LISTED IN FORM 990, PART VII RECEIVED TAX GROSS-UP PAYMENTS FROM THE ORGANIZATION. THESE WERE INCLUDED IN THEIR BOX 5 OF THE IRS FORM W-2.

Supplemental Nonqualified Retirement Plan

Part I, Line 4B The following individuals participated in a nonqualified retirement plan amounts below were included under a 457(f) plan. distributions from the plan are included in their box 5 of their IRS Form W-2. Scott Whalen: $118,991 of which $118,808 was reported as accrued in a prior period, and distributed as of 12/31/15. The following individuals recieved employer contributions to nonqualified plans that are currently nonvested: Scott Whalen: $320,966

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Westfield Memorial Hospital, Inc. (WMH) is a member of the Allegheny Health Network (AHN). The AHN is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities. In addition to WMH, the AHN consists of seven hospitals and numerous health and wellness entities dedicated to serving the community. You can visit the AHN at AHN.org. WMH is a not-for-profit acute care hospital located in Westfield, New York. WMH provides limited inpatient (4 beds), outpatient and emergency care services for residents of the northern Chautauqua County, New York area. Westfield was founded in 1942 as a way to provide patient care and improve the effectiveness of the remaining physicians not serving in World War II. Since then, WMH has evolved through new technologies, services and partnerships, offering patients the most sophisticated medical advancements, while keeping the ease and familiarity of a community hospital. In January 1999, Westfield became affiliated with Saint Vincent Health System which provides the hospital with a mechanism to share medical services and resources otherwise unavailable to a small rural hospital. Saint Vincent is the sole corporate sponsor of WMH. On July 1, 2013, Saint Vincent joined the Allegheny Health Network, a Pennsylvania not-for-profit corporation, designed to form an integrated delivery care system that focuses on preserving health care choice and providing affordable, high quality care. The Allegheny Health Network sole member is Highmark Health, the ultimate parent of an integrated delivery and financing system designed to provide superior healthcare outcomes for our customers while driving down healthcare costs. For the 12 months ending December 31, 2015, WMH served 16 inpatients, registered 22,694 outpatient visits (including outpatient emergency department visits), treated 7,340 patients in the emergency department, transferring 581 of those patients for further treatment at Saint Vincent and performed 1,112 surgeries. During the summer months of June, July and August, Westfield providers will staff a clinic at the Chautauqua Institution, a very popular resort community. This allows the hospital to provide immediate medical care to those individuals at the Institution versus having to travel to 10-15 miles away to receive medical attention. They had 489 clinic visits in 2015. MISSION Highmark Health is an interdependent system designed to deliver high quality, accessible, understandable and affordable experiences, outcomes and solutions for our customers. VISION Highmark Healths dedicated and respected employees will be leaders in the health care industry, working to improve the total healthcare experience of our customers. UNCOMPENSATED CARE To enhance the health status of the community in which it operates and consistent with its tax-exempt status, Westfield Memorial Hospital provides necessary health care services to individuals regardless of their ability to pay-for all or part of the services rendered. These services include both inpatient and outpatient services as well as an emergency room that remains available 24 hours a day. Consistent with the filing of Schedule H, the components of uncompensated care include charity care and unreimbursed Medicaid costs. Westfield Memorial Hospital included in the total charity care offsetting revenue Indigent Care payments. These payments are related to 2015 and prior years activities, for this reason, the 2015 charity care net costs for calendar year 2015 are reflected as $0. Westfield Memorial Hospital did incur unreimbursed Medicaid costs of $480,115 for calendar year 2015. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS Community health improvement services and community benefit operations include activities intended to improve health and wellness. They extend beyond patient care activities and are subsidized by the hospital. There were a number of programs and activities that the hospital was involved in. The hospital promoted a number of Diabetes/Nutrition Education programs such as "Childhood Obesity Preventiona community outreach program "Disease Prevention & Wellness Program". Additionally there were several smaller activities that the hospital was involved in including; the "Stepping on" program to promote better balance, fall prevention and increased safety in the elderly population, as well as sponsoring a number of Community Health Fairs & Blood Pressure Screenings that were put on by the Hospitals auxiliary. One item to note, even though there is no unreimbursed cost, the hospital provides mammograms and pap smears for a local population of Amish women. The county of Chautauqua reimburses the hospital at Medicare rates. Consistent with the filing of Schedule H, WMH provided $2,864 of community health services during calendar year 2015. Health Professions Education WMH provides aspiring health professionals with an opportunity to gain an understanding in the area of physical therapy. Consistent with the filing of Schedule H, WMH provided these services at a cost of $7,823 in calendar year 2015. Cash and In-Kind Contributions This category includes monetary and in-kind services donated to individuals and the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meetings, other space donated to not-for-profit community groups, and donations of food, equipment and supplies. Consistent with the filing of Schedule H, WMH provided financial contributions during calendar year 2015 totaling $591. Cash Donations WMH supports the community through cash contributions made at the discretion of the Hospital and its directors, benefiting not only the non-profit recipient but ultimately the community as a whole. The organization did not make any direct cash contributions in 2015. In-Kind Donations WMH also made in-kind donations of time and resources to help support various community functions. For Calendar year 2015, in-kind contributions amounted to $591 and consisted of the following: List of contributions: Donation of time by staff to direct employee charitable giving Grade School tours of the hospital Chautauqua County Health Network support of as well as contributed meeting space Color Burst Parade Breast Cancer Awareness donation as well as donated staff time Childhood Obesity Program COMMUNITY BUILDING ACTIVITIES Community Building Activities include activities specifically designated for the purpose of improving or protecting the health, future and well being of the community. WMH is a supporting member of the Westfield/Mayville Rotary Club and actively participates in the clubs community events and activities. Additionally, WMH is a member of the Healthcare Association of New York and a member of the Chautauqua County Chamber of Commerce. WMH also donates the use of the Hospital meeting areas to a number of community groups. Consistent with the filing of Schedule H, WMH provided these services at a cost of $8,141 in calendar year 2015. Schedule H, WMH provided these services at a cost of $8,141 in calendar year 2015.
Members Or Stockholders	Form 990, Part VI, Section A, Line 6 WMH HAS A BOARD OF DIRECTORS THAT ARE RESPONSIBLE FOR THE OVERSIGHT OF THE COMMUNITY ASSET - WMH. THE BOARD MEMBERS WILL SELECT MEMBERS OF THE COMMUNITY TO SERVE ON THE BOARD. THESE MEMBERS WILL HAVE VOTING RIGHTS TO THE ELECT OTHER GOVERNING BODY MEMBERS AS WELL AS APPROVING SIGNIFICANT DECISIONS MADE BY THE BOARD OF DIRECTORS. BOARD MEMBERS WILL NOT RECEIVE ANY SHARE OF THE ORGANIZATION'S PROFITS, EXCESS DUES, OR NET ASSETS UPON LIQUIDATION.
Members or Stockholders who may elect	Form 990, Part VI, Section A, Line 7A THERE ARE TWO TYPES OF BOARD MEMEBERS THAT CAN SERVE ON THE WMH BOARD OF DIRECTORS - VOTING AND NON-VOTING. VOTING MEMBERS CAN CAST THEIR VOTES FOR THE ELECTION OF OTHER BOARD MEMBERS AS WELL AS ADMINITRATIVE DECISIONS MADE BY THE BOARD. NON-VOTING MEMBERS PROVIDE THE BOARD WITH THEIR EXPERTISE AND KNOWLEDGE BUT DO NOT HAVE THE ABILITY TO VOTE ON THE ELECTION OF OTHER BOARD MEMBERS AND/OR ADMINISTRATIVE DECISIONS TAKEN BY THE BOARD.
Decisions Subject to Approval	Form 990, Part VI, Section A, Line 7B SAINT VINCENT HEALTH SYSTEM IS THE SOLE CORPORATE SPONSOR OF WMH WHO HAS THE AUTHORITY TO REVIEW/APPROVE THE DECISIONS MADE BY THE BOARD OF DIRECTORS OF WMH.
OPERATIONAL OVERSIGHT AND FORM 990 REVIEW PROCESS	Form 990, Part VI, Section B, Line 11b THE IRS FORM 990 OF Westfield Memorial Hospital Inc BY THE accounting firm of Grant Thornton. Accounting personnel in finance in the St Vincent Health System gather the information needed to complete the return and input the data into the Grant Thornton tax organizer, which is an excel-based system. When all data has been entered, the information is submitted to Grant Thornton for importation into their tax software. at this point Grant Thornton staff members review the data, ask for additional information if needed and prepare the tax return. Each return is reviewed at several levels at Grant Thornton Including the tax partner. After their review process, a draft return is sent to the accounting staff at St Vincent Health System and Highmark Health System for an in-house review. Prior to filing the final tax return with the internal revenue service, members of senior management reviewed components of the tax return and the voting members of the governing body received a copy of the tax return.
Conflict of Interest Policy Monitoring & Enforcement	Form 990, Part VI, Section B, Line 12C Highmark Health (HH), has a corporate compliance department that monitors and oversees complains 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 forms are completed on an annual basis by all board members, officers, and any person who has authority to act on behalf of the board of directors, key employees, managers 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 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.
PROCESS FOR DETERMINING EXECUTIVE COMPENSATION	Form 990, Part VI, Section B, Line 15 THE AHN CORPORATE FOLLOWS A PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE POSITIONS, (INCLUDING OFFICERS, KEY EMPLOYEES AND OTHER MANAGEMENT POSITIONS), AND ARE COVERED BY THE AHN EXECUTIVE COMPENSATION POLICY. THE POLICY WAS APPROVED BY THE HIGHMARK HEALTH BOARD OF DIRECTORS. IT IS THE POLICY OF AHN MANAGEMENT TO COMPENSATE ITS EXECUTIVES IN ACCORDANCE WITH THE MARKET AND IN RELATION TO THE EXPERIENCE, SERVICE AND ACCOMPLISHMENTS OF THE INDIVIDUAL BOTH PRIOR TO AND DURING THEIR SERVICE WITH AHN. THE PERSONNEL AND COMPENSATION COMMITTEE (PEC) APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO OF AHN AND ALL NON-HOSPITAL SENIOR EXECUTIVES WHO REPORT DIRECTLY TO THE PRESIDENT AND CEO OF AHN. THE PERSONNEL AND COMPENSATION COMMITTEE USES COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE EXTERNAL CONSULTANT PROVIDES A LETTER OF REASONABILITY FOR ALL OFFERS MADE TO NEW EXECUTIVES THAT REPORT TO THE AHN CEO. EACH PEC COMMITTEE MEMBER VOTING ON A SENIOR EXECUTIVE'S COMPENSATION ARRANGEMENT ENSURES THAT HE OR SHE HAS NO CONFLICT OF INTEREST, INCLUDING THAT HE OR SHE (A) DOES NOT ECONOMICALLY BENEFIT FROM THE PROPOSED EMPLOYMENT; (B) DOES NOT RECEIVE COMPENSATION SUBJECT TO THE APPROVAL OF THE PROPOSED EMPLOYEE; AND (C) HAS NO MATERIAL FINANCIAL INTEREST AFFECTED BY THE TRANSACTION. THE EXECUTIVE COMPENSATION PROGRAM FOR THE HOSPITAL ENTITIES WITHIN THE GROUP IS ADMINISTERED BY THE CEO OF ALLEGHENY HEALTH NETWORK WITH RESPECT TO THE CEOS, COOS AND CFOS OF EACH HOSPITAL, PURSUANT TO OVERALL GUIDELINES ESTABLISHED BY THE PERSONNEL AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF HIGHMARK HEALTH. IT IS THE POLICY OF AHN TO COMPENSATE ITS EXECUTIVES IN ACCORDANCE WITH COMPETITIVE MARKET PRACTICES, TAKING INTO ACCOUNT ORGANIZATIONAL PERFORMANCE AND THE SKILLS, EXPERIENCE, QUALIFICATIONS AND PERFORMANCE OF EACH EXECUTIVE. AHN GENERALLY TARGETS THE MEDIAN OF THE RELEVANT MARKET WITH REASONABLE VARIATION BASED ON EACH EXECUTIVES SKILLS, EXPERIENCE, PERFORMANCE AND CURRENT POSITIONING RELATIVE TO MARKET. THE HUMAN RESOURCES DEPARTMENT OF ALLEGHENY HEALTH NETWORK 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. THE HOSPITAL 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 LONG-TERM GOALS AND OBJECTIVES OF THE HOSPITAL. ALL ENTITIES WITHIN THE FILING FOLLOW THE REQUIREMENT IN THE REGULATIONS TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF COMPENSATION.
How Documents are Made Available to the Public	Form 990, Part VI, Section C, Line 19 The organization does not make its governing documents or conflict of interest policy available to the public. Financial statements are on a consolidated basis, and are available upon request and approval by the CFO of Highmark Health.
OTHER CHANGES IN NET ASSETS AND FUND BALANCES	Form 990, Part XI, Line 9 THE FOLLOWING IS A RECONCILIATION OF THE OTHER CHANGES IN NET ASSETS OF WMH FOR THE YEAR ENDED DECEMBER 31, 2015: Others $376,865

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 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
Allegheny Clinic
320 East North Avenue	Pittsburgh	PA	15212	251838458	HEALTHCARE	PA	501(c)(3)	03	WPAHS INC	false
Allegheny Clinic Medical Oncology
4800 Friendship Avenue	Pittsburgh	PA	15224	113683376	Healthcare	PA	501(c)(3)	11-TYPE III	WPAHS INC	false
Allegheny Health Network
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	453674924	Healthcare	PA	501(c)(3)	11-TYPE I	Highmark Hea	false
Allegheny Singer Research Institute
320 East North Avenue	Pittsburgh	PA	15212	251320493	Sci Research	PA	501(c)(3)	04	WPAHS INC	false
Alle-Kiski Medical Center
1301 Carlisle Street	Pittsburgh	PA	15065	251875178	Healthcare	PA	501(c)(3)	03	WPAHS INC	false
Alle-Kiski Medical Center Trust
1301 Carlisle Street	Pittsburgh	PA	15065	205855753	Fundraising	PA	501(c)(3)	11-Type I	AKMC	false
Canonsburg General Hospital
100 Medical Boulevard	Canonsburg	PA	15317	251737079	Healthcare	PA	501(c)(3)	03	WPAHS INC	false
Canonsburg General Hospital Ambulance Se
100 Medical Boulevard	Canonsburg	PA	15317	232939715	ER Response	PA	501(c)(3)	09	CGH	false
Canonsburg Hospital & Health Foundation
100 Medical Boulevard	Canonsburg	PA	15317	251818505	Inactive	PA	501(c)(3)	11-Type I	NA	false
Clinical Pathology Institute Cooperative
1526 Peach Street	Erie	PA	16501	251528055	Healthcare	PA	501(c)(3)	03	SVHC	false
Community Blood Bank
232 West 25th Street	Erie	PA	16544	251181389	Healthcare	PA	501(c)(3)	11-Type I	SVHC	false
Energycare Inc
232 West 25th Street	Erie	PA	16544	251430922	Healthcare	PA	501(c)(3)	09	SVHC	false
Forbes Health Foundation
2570 Haymaker Road	Monroeville	PA	15146	251798379	Fundraising	PA	501(c)(3)	07	WPAHS INC	false
Greater Canonsburg Health System
100 Medical Boulevard	Canonsburg	PA	15317	251488089	Inactive	PA	501(c)(3)	11-Type I	NA	false
Highmark Health Inc
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	453674900	Healthcare	PA	501(c)(3)	11-Type I	NA	false
Jefferson Regional Medical Center
565 Coal Valley Road	Jefferson Hills	PA	15236	251260215	Healthcare	PA	501(c)(3)	03	AHN	false
JRMCUPMC Cancer Associates
565 Coal Valley Road	Jefferson Hills	PA	15236	201634783	Healthcare	PA	501(c)(3)	03	JRMC	false
Regional Cancer Center
232 West 25th Street	Erie	PA	16544	251385705	Healthcare	PA	501(c)(3)	03	SVHS	false
Regional Heart Network
232 West 25th Street	Erie	PA	16544	251856341	Healthcare	PA	501(c)(3)	03	SVHC	false
Regional Home Health and Hospice
232 West 25th Street	Erie	PA	16544	830371265	Healthcare	PA	501(c)(3)	09	SVHC	false
Saint Vincent Affiliated Physicians
1910 Sassafras Street	Erie	PA	16502	203784338	Healthcare	PA	501(c)(3)	09	SVHS	false
Saint Vincent Foundation - HHS
232 West 25th Street	Erie	PA	16544	251669168	Fundraising	PA	501(c)(3)	11-Type I	SVHS	false
Saint Vincent Health Center
232 West 25th Street	Erie	PA	16544	250965547	Healthcare	PA	501(c)(3)	03	AHN	false
Saint Vincent Health System
232 West 25th Street	Erie	PA	16544	251406710	Healthcare	PA	501(c)(3)	11-Type I	AHN	false
Saint Vincent Med Ed & Research
1910 Sassafras Street	Erie	PA	16502	251679140	Healthcare	PA	501(c)(3)	09	SVHS	false
Suburban Health Foundation
100 South Jackson Ave	Pittsburgh	PA	15202	251472073	Fundraising	PA	501(c)(3)	11-Type I	WPAHS INC	false
The Western Pennsylvania Hospital Founda
4800 Friendship Avenue	Pittsburgh	PA	15224	251470766	Fundraising	PA	501(c)(3)	11-Type I	WPAHS INC	false
Vantage Health Group
232 West 25th Street	Erie	PA	16544	251498145	Healthcare	PA	501(c)(3)	03	SVHC	false
West Allegheny Hospital
100 Medical Boulevard	Pittsburgh	PA	15317	251054206	Inactive	PA	501(c)(3)	03	NA	false
West Penn Allegheny Health System Inc
Two Allegheny Center	Pittsburgh	PA	15212	250969492	Healthcare	PA	501(c)(3)	03	AHN	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)

Primary ActivitiesPrimaryActivitiesTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
5148 Liberty Avenue Associates
Medical Practice	NA	$0	$0	false	false
Allegheny Imaging of Mccandles
Medical Practice	NA	$0	$0	false	false
Associated Clinical Lab LP
Medical Practice	NA	$0	$0	false	false
Associated Clinical Lab of PA
Medical Practice	NA	$0	$0	false	false
Employee Benefit Data Services
Data Services	NA	$0	$0	false	false
Erie Medical Complex LLC
Medical Practice	NA	$0	$0	false	false
Forbes Regional Urologic
Medical Practice	NA	$0	$0	false	false
Gateway Health Plan LP
Insurance	NA	$0	$0	false	false
Jefferson Medical Associates L
Medical Practice	NA	$0	$0	false	false
Jenkins Empire Associates
Property Mgmt	NA	$0	$0	false	false
JV Holdco LLC
Medical Practice	NA	$0	$0	false	false
Mccandless Endoscopy Center
Medical Practice	NA	$0	$0	false	false
North Shore Endoscopy Center
Medical Practice	NA	$0	$0	false	false
Peters Ambulatory Surgical Center
Medical Practice	NA	$0	$0	false	false
Provider PPI LLC
Facilities Suppor	NA	$0	$0	false	false
Saint Vincent Professional Bld
Property Mgmt	NA	$0	$0	false	false
Silver Rain LP
Property Mgmt	NA	$0	$0	false	false
South Hills Surgery Center LL
Medical Practice	NA	$0	$0	false	false
Tri State Regional Assoc LLP
Medical Practice	NA	$0	$0	false	false
UPMC VNA Home Health LP
Medical Practice	NA	$0	$0	false	false
Upper Midwest Consol Services
Medical Practice	NA	$0	$0	false	false
Vantage Capital Management Ltd
Capital Mgmt	NA	$0	$0	false	false
Vantage Holding Company LLC
Capital Mgmt	NA	$0	$0	false	false
Waterfront Surgery Center LLC
Medical Practice	NA	$0	$0	false	false
West Penn Ambulatory Center
Medical Practice	NA	$0	$0	false	false
WSC Realty Partners LP
Property Mgmt	NA	$0	$0	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (93 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Clinical Services Inc
232 West 25th Street	Erie	PA	16544	251403846	Health Care	PA	SVHS	C Corp	false
Davis Vision IPA Inc
175 East Houston Street	San Antonio	TX	78205	112958041	TPA	TX	Highmark Inc	C Corp	false
Davis Vision Inc
175 East Houston Street	San Antonio	TX	78205	113051991	Vision Service	TX	Highmark Inc	C Corp	false
Delaware Ancillary Insurance Agency
800 Delaware Avenue	Wilmington	DE	198011368	510383213	Insurance Service	DE	Highmark Inc	C Corp	false
ECCA Managed Vision Care Inc
175 East Houston Street	San Antonio	TX	78205	742759084	Physician Service	TX	Highmark Inc	C Corp	false
Empire Vision Center Inc
175 East Houston Street	San Antonio	TX	78205	141586016	Retail Sales	TX	Highmark Inc	C Corp	false
Eye Drx Retail Management Inc
175 East Houston Street	San Antonio	TX	78205	742924030	Office Administra	TX	Highmark Inc	C Corp	false
Family Practice Medical Associates South
2414 Lytle Rd Ste 300	Bethel Park	PA	15102	251684735	Medical Practice	PA	JRMC	C Corp	false
Gateway Health Plan of Ohio Inc
444 Liberty Avenue Suite 2100	Pittsburgh	PA	15222	300282076	Insurance	PA	Highmark Inc	C Corp	false
Gateway Health Plan Inc
444 Liberty Avenue Suite 2100	Pittsburgh	PA	15222	251505506	Insurance	PA	Highmark Inc	C Corp	false
Grandis Rubin Shanahan & Assoc
565 Coal Valley Road	Jefferson Hills	PA	15025	453355906	Medical Practice	PA	JRMC	C Corp	false
HCI Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	753002215	Finance & Insuran	PA	Highmark Inc	C Corp	false
Health System Services Corp & Subs
565 Coal Valley Rd	Jefferson Hills	PA	15025	251403745	Medical Office Bl	PA	JRMC	C Corp	false
Highmark BCBSD Inc
800 Delaware Avenue	Wilmington	DE	198011368	510020405	Insurance	DE	Highmark Inc	C Corp	false
Highmark Benefits Group Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464763378	Insurance Sales	PA	Highmark Inc	C Corp	false
Highmark Casualty Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251334623	Insurance	PA	Highmark Inc	C Corp	false
Highmark Coverage Advantage Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464757476	Insurance Sales	PA	Highmark Inc	C Corp	false
Highmark Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	231294723	Insurance	PA	Highmark Inc	C Corp	false
Highmark Select Resources Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	202353206	Insurance Sales	PA	Highmark Inc	C Corp	false
Highmark Senior Health Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464156633	Insurance Sales	PA	Highmark Inc	C Corp	false
Highmark Senior Solutions Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464156854	Insurance Sales	PA	Highmark Inc	C Corp	false
Highmark Ventures Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251645888	Holding Company	PA	Highmark Inc	C Corp	false
Highmark West Virginia
PO Box 1948	Parkersburg	WV	26102	550624615	Insurance Sales	WV	Highmark Inc	C Corp	false
HM Benefits Administrators Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251128451	Funds Administrat	PA	Highmark Inc	C Corp	false
HM Broker Services Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	232384777	Marketing Agent	PA	Highmark Inc	C Corp	false
HM Captive Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	651274122	Insurance	PA	Highmark Inc	C Corp	false
HM Casualty Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	870807723	Insurance Sales	PA	Highmark Inc	C Corp	false
HM Health Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	541637426	Insurance Sales	PA	Highmark Inc	C Corp	false
HM Health Solutions Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	463823617	Info Technology	PA	Highmark Inc	C Corp	false
HM Insurance Group
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251646315	Mgmt Services	PA	Highmark Inc	C Corp	false
HM Life Insurance Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	061041332	Insurance Sales	PA	Highmark Inc	C Corp	false
HM Life Insurance Company of New York
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251800302	Insurance Sales	PA	Highmark Inc	C Corp	false
HMPG Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453444325	Holding Company	PA	AHN	C Corp	false
HSSC Diversified Services Inc
565 Coal Valley Rd	Jefferson Hills	PA	15025	251770047	Medical Practice	PA	JRMC	C Corp	false
HVHC Inc
175 East Houston Street	San Antonio	TX	78205	251801124	Holding Company	TX	Highmark Inc	C Corp	false
JEA Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251712017	Management Servic	PA	Highmark Inc	C Corp	false
Jefferson Hills Surgical Specialists PA
1200 Brooks Ln 150	Clairton	PA	15025	300477313	Medical Practice	PA	JRMC	C Corp	false
JRMC Health Pavilion
565 Coal Valley Rd	Jefferson Hills	PA	15025	251203449	Medical Practice	PA	JRMC	C Corp	false
JRMC Physician Service Corp
565 Coal Valley Road	Jefferson Hills	PA	15025	861159658	Medical Practice	PA	JRMC	C Corp	false
JRMC Specialty Group Practice
565 Coal Valley Road	Jefferson Hills	PA	15025	721529332	Medical Practice	PA	JRMC	C Corp	false
Highmark Choice Company
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251522457	Insurance Sales	PA	Highmark Inc	C Corp	false
Klingensmith Healthcare Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251375204	Health Care	PA	HMPG Inc	C Corp	false
Lake Erie Medical Group PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453444157	Health Care	PA	HMPG Inc	C Corp	false
Optima Imaging
4800 Friendship Avenue	Pittsburgh	PA	15224	251652874	Medical Practice	PA	WPAHS INC	C Corp
Palladium Risk Retention Group
409 Broad St Ste 270	Sewickley	PA	15143	463476730	Health Care	PA	HMPG Inc	C Corp	false
Park Cardiothoracic & Vascular Inst
565 Coal Valley Rd	Jefferson Hills	PA	15025	721529328	Medical Practice	PA	JRMC	C Corp	false
Parker Benefits
PO Box 1948	Parkersburg	WV	26102	550625743	TPA	PA	Highmark Inc	C Corp	false
Physician Landing Zone PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453913973	Health Care	WV	HMPG Inc	C Corp	false
Pittsburgh Bone Joint and Spine Inc
1200 Brooks Ln Ste G20	Jefferson Hills	PA	15025	251203449	Medical Practice	PA	JRMC	C Corp	false
Pittsburgh Pulmonary & Critical Care Ass
1200 Brooks Ln Ste 130	Clairton	PA	15025	463274101	Medical Practice	PA	JRMC	C Corp	false
Premier Medical Associates PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251742869	Health Care	PA	HMPG Inc	C Corp	false
Primary Care Group 10 Inc
3726 Brownsville Rd	Pittsburgh	PA	15227	383807173	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 11 Inc
455 Valley Brook Rd Ste 300	McMurray	PA	15317	800494617	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 12 Inc
17 Arentzen Blvd Ste 101	Charleroi	PA	15022	900614054	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 2 Inc
6011 Baptist Road Ste 220	Pittsburgh	PA	15236	900451375	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 3 Inc
5426 Mifflin Road	Pittsburgh	PA	15227	900451380	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 4 Inc
1907 Lebanon Church Road	West Mifflin	PA	15122	800403090	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 5 Inc
624 Monongahela Ave	Glassport	PA	15045	800403100	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 6 Inc
PO Box 333	West Mifflin	PA	15122	453684432	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 7 Inc
575 Coal Valley Road	Jefferson Hills	PA	15025	900503600	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 8 Inc
803 Miller Ave	Clairton	PA	15025	010927360	Medical Practice	PA	JRMC	C Corp	false
Primary Care Group 9 Inc
1200 Brooks Ln 270	Clairton	PA	15025	010929359	Medical Practice	PA	JRMC	C Corp	false
Prime Medical Group PCG 1
1200 Brooks Ln 110	Clairton	PA	15025	254194208	Medical Practice	PA	JRMC	C Corp	false
PWH Holdco
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464682160	Medical Practice	PA	Highmark Inc	C Corp	false
Remworks Sleep Store Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251411844	Rental & Sales	PA	Highmark Inc	C Corp	false
South Pittsburgh Urology Associates
1200 Brooks Ln Ste 220	Clairton	PA	15025	464954859	Medical Practice	PA	JRMC	C Corp	false
Specialty Group Practice 1 Inc
575 Coal Valley Road Street 365	Clairton	PA	15025	352367818	Medical Practice	PA	JRMC	C Corp	false
Standard Property Corporation
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251668093	Real Estate Opera	PA	Highmark Inc	C Corp	false
Steel Valley Orthopedics & Sports Medici
1200 Brooks Ln 240	Clairton	PA	15025	453540378	Medical Practice	PA	JRMC	C Corp	false
The Gateway Group Ltd
800 Delaware Avenue	Wilmington	DE	198011368	510293417	Benefit Administr	PA	Highmark Inc	C Corp	false
Union Benefit Management Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251845908	Benefit Plan Mgmt	DE	Highmark Inc	C Corp	false
United Concordia Companies Inc
4401 Deer Path Road	Harrisburg	PA	17110	251687586	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Corporation of A
4401 Deer Path Road	Harrisburg	PA	17110	631028262	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Plans of Califor
4401 Deer Path Road	Harrisburg	PA	17110	237328765	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Plans of Kentuck
4401 Deer Path Road	Harrisburg	PA	17110	611012900	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Plans of Pennsyl
4401 Deer Path Road	Harrisburg	PA	17110	232541529	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Plans of Texas
4401 Deer Path Road	Harrisburg	PA	17110	742489037	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Plans of The Mid
4401 Deer Path Road	Harrisburg	PA	17110	382289438	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Dental Plans Inc
4401 Deer Path Road	Harrisburg	PA	17110	521542269	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Insurance Company
4401 Deer Path Road	Harrisburg	PA	17110	860307623	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Insurance Company of NE
4401 Deer Path Road	Harrisburg	PA	17110	113008245	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Life and Health Insuran
4401 Deer Path Road	Harrisburg	PA	17110	231661402	Dental Insurance	PA	Highmark Inc	C Corp	false
United Concordia Services Inc
4401 Deer Path Road	Harrisburg	PA	17110	371494957	Dental Insurance	PA	Highmark Inc	C Corp	false
Visionary Properties Inc
175 East Houston Street	San Antonio	TX	18205	742849554	Leasing	PA	Highmark Inc	C Corp	false
Visionary Retail Management Inc
175 East Houston Street	San Antonio	TX	18205	742849552	Office Admin	TX	Highmark Inc	C Corp	false
Visionworks Distribution Services Inc
175 East Houston Street	San Antonio	TX	18205	043742989	Optical Retail	TX	Highmark Inc	C Corp	false
Visionworks Enterprises Inc
175 East Houston Street	San Antonio	TX	18205	352196998	Trademarks	TX	Highmark Inc	C Corp	false
Visionworks Lab Services Inc
175 East Houston Street	San Antonio	TX	18205	043742977	Optical Retail	TX	Highmark Inc	C Corp	false
Visionworks of America Inc
175 East Houston Street	San Antonio	TX	18205	742337775	Retail Sales	TX	Highmark Inc	C Corp	false
Visionworks Inc
175 East Houston Street	San Antonio	TX	18205	020677066	Optical Retail	TX	Highmark Inc	C Corp	false
West Penn Corporate Medical Servs Inc
4800 Friendship Avenue	Pittsburgh	PA	15224	251437405	Medical Practice	TX	WPAHS INC	C Corp	false
West Penn Neurosurgery PC
4800 Friendship Avenue	Pittsburgh	PA	15224	251630719	Medical Practice	PA	WPAHS INC	C Corp	false
West Virginia Family Health Plan Inc
1219 Virginia Street	East Charleston	WV	25301	452763165	Insurance	PA	Highmark Inc	C Corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
REGIONAL HEART NETWORK
m	$51,284	Invoicing
SAINT VINCENT HEALTH CENTER
p	$900,411	Invoicing