HIGHMARK HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: HIGHMARK HEALTH (EIN 82-1406555)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202133169349307558
Schema version: 2020v4.1
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 C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-12T12:00:22-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	821406555	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 Fifth Avenue FAPHM-192B	AddressLine1Txt
City	Pittsburgh	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SAURABH TRIPATHI	PersonNm
Person Title	TREASURER & CFO	PersonTitleTxt
Phone	4125446668	PhoneNum
Signature	2021-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	SAURABH	PersonFirstNm
Person Last	TRIPATHI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIC M MCNEIL	PreparerPersonNm
PTIN	P00460263	PTIN
Phone	2673303000	PhoneNum
Preparation	2021-11-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID HOLMBERG	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$4,420,395,764	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	6169	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.AHN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	PROMOTE HEALTH & WELLNESS IN OUR COMMUNITIES BY PROVIDING SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT.	ActivityOrMissionDesc
Voting Members Governing Body	212	VotingMembersGoverningBodyCnt
Voting Members Independent	89	VotingMembersIndependentCnt
Total Employee	25609	TotalEmployeeCnt
Total Volunteers	992	TotalVolunteersCnt
Total Gross UBI	$5,032,357	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$111,208	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,508,408	PYContributionsGrantsAmt
CY Contributions Grants	$69,279,252	CYContributionsGrantsAmt
PY Program Service Revenue	$3,737,184,630	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,737,490,610	CYProgramServiceRevenueAmt
PY Investment Income	$50,291,258	PYInvestmentIncomeAmt
CY Investment Income	$51,736,656	CYInvestmentIncomeAmt
PY Other Revenue	$132,212,417	PYOtherRevenueAmt
CY Other Revenue	$146,718,772	CYOtherRevenueAmt
PY Total Revenue	$3,934,196,713	PYTotalRevenueAmt
CY Total Revenue	$4,005,225,290	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,140,450	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,045,395	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,891,592,268	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,032,562,356	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$112,865	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$948,898	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,956,502,102	PYOtherExpensesAmt
CY Other Expenses	$2,086,504,412	CYOtherExpensesAmt
PY Total Expenses	$3,849,234,820	PYTotalExpensesAmt
CY Total Expenses	$4,120,225,028	CYTotalExpensesAmt
PY Revenues Less Expenses	$84,961,893	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$114,999,738	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,792,772,543	TotalAssetsBOYAmt
Total Assets EOY	$4,274,556,698	TotalAssetsEOYAmt
Total Liabilities BOY	$2,189,461,024	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,512,538,677	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,603,311,519	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,762,018,021	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HIGHMARK HEALTH IS AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,812,737,038	ExpenseAmt
Grant	$865,189	GrantAmt
Revenue	$2,786,018,728	RevenueAmt
Desc	THE ALLEGHENY HEALTH NETWORK (AHN) STRIVES TO PROVIDE HIGH QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. TO ACCOMPLISH THESE PROGRAM SERVICE OBJECTIVES, THE WEST PENN ALLEGHENY HEALTH SYSTEM EXISTS TO PROMOTE HEALTH AND WELLNESS FOR OUR PATIENTS AND OUR COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$384,053,324	ExpenseAmt
Grant	$63,606	GrantAmt
Revenue	$404,944,062	RevenueAmt
Desc	THE ALLEGHENY HEALTH NETWORK (AHN) STRIVES TO PROVIDE HIGH QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. TO ACCOMPLISH THESE PROGRAM SERVICE OBJECTIVES, THE SAINT VINCENT MEDICAL FAMILY EXISTS TO PROMOTE HEALTH AND WELLNESS FOR OUR PATIENTS AND OUR COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$262,766,536	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$305,696,160	RevenueAmt
Desc	THE ALLEGHENY HEALTH NETWORK (AHN) STRIVES TO PROVIDE HIGH QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. TO ACCOMPLISH THESE PROGRAM SERVICE OBJECTIVES, JEFFERSON REGIONAL MEDICAL CENTER EXISTS TO PROMOTE HEALTH AND WELLNESS FOR OUR PATIENTS AND OUR COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$290,516,520	ExpenseAmt
Grant	$116,600	GrantAmt
Revenue	$235,799,303	RevenueAmt
Desc	Other Program Services	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$290,516,520	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$116,600	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$235,799,303	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$3,750,073,418	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1319	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	25609	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	212	GoverningBodyVotingMembersCnt
Independent Voting Member	89	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MATT PETERSON	PersonNm
Phone	4123306090	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (151 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
DAVID HOLMBERG
DIRECTOR	5.0	60.0	Yes (X)	$0	$7,763,225	$60,342
Karen Hanlon
Director	5.0	60.0	Yes (X)	$0	$3,212,745	$305,633
Cynthia Hundorfean
Director & President	60.0	0.0	Yes (X)	$2,876,675	$0	$32,020	Yes (X)
Thomas Vankirk
Director	5.0	60.0	Yes (X)	$0	$2,430,750	$36,163
Tony Farah MD
Director	5.0	60.0	Yes (X)	$0	$2,274,839	$46,009
Donald Whiting MD
Director/CHAIRMAN	60.0	0.0	Yes (X)	$1,907,993	$0	$36,443	Yes (X)
EDWARD WESTRICK MD
Physician	60.0	0.0		$1,834,733	$0	$27,869		Yes (X)
James Benedict
Director/COO	50.0	15.0	Yes (X)	$1,330,581	$440,773	$47,473	Yes (X)
Jeffrey Crudele
Former Director & Treasurer	20.0	0.0		$1,689,597	$0	$15,708			Yes (X)
Alexander Yu MD
PHYSICIAN	60.0	0.0		$1,562,034	$0	$11,610		Yes (X)
Gregory Altman MD
Physician	60.0	0.0		$1,546,920	$0	$26,434		Yes (X)
Daniel Altman MD
Physician	60.0	0.0		$1,440,425	$0	$26,453		Yes (X)
GEORGE EID MD
Physician	60.0	0.0		$1,429,767	$0	$22,590		Yes (X)
SRICHARAN CHALIKONDA MD
CHIEF MEDICAL OPS OFFICER	60.0	0.0		$1,323,675	$0	$112,241				Yes (X)
David Parda MD
Director	60.0	0.0	Yes (X)	$1,290,395	$0	$28,866
BRIAN PARKER MD
DIRECTOR	60.0	0.0	Yes (X)	$1,159,165	$0	$86,524
Robert White MD
Chief Medical Info Officer	60.0	0.0		$1,194,738	$0	$33,993				Yes (X)
Patrick Demeo MD
Physician	60.0	0.0		$1,090,857	$0	$25,013				Yes (X)
Kenyokee Crowell
Sr. Vice President	60.0	0.0		$539,601	$479,357	$93,623				Yes (X)
GENE G FINELY MD
DIRECTOR	60.0	0.0	Yes (X)	$1,050,222	$0	$22,174
G Scott Long MD
Director & President	60.0	0.0	Yes (X)	$975,895	$0	$21,727	Yes (X)
Jacqueline Bauer
Director & Secretary	60.0	0.0	Yes (X)	$0	$948,196	$45,157	Yes (X)
Ngoc Thai MD
PHYSICIAN	60.0	0.0		$927,001	$0	$26,160				Yes (X)
Venkatraman Srinivasan MD
Trustee	60.0	0.0	Yes (X)	$913,039	$0	$23,834
WILLIAM JOHNJULIO MD
PHYSICIAN	60.0	0.0		$846,092	$0	$24,982				Yes (X)
Robert Lupo MD
Director	60.0	0.0	Yes (X)	$840,018	$0	$25,503
DAVID BARTLETT
PHYSICIAN	60.0	0.0		$845,513	$0	$18,334				Yes (X)
Srinavas Murali MD
Physician	60.0	0.0		$804,752	$0	$17,522				Yes (X)
PETER LUND MD
DIRECTOR	60.0	0.0	Yes (X)	$797,232	$0	$22,419
Claire Zangerle
Chief Nursing Officer	60.0	0.0		$793,304	$0	$11,711				Yes (X)
Parminder Sharma MD
Director	60.0	0.0	Yes (X)	$768,593	$0	$24,968
JOHN BALACKO MD
DIRECTOR	60.0	0.0	Yes (X)	$726,318	$0	$21,795
George J Magovern Jr MD
Physician	60.0	0.0		$704,856	$0	$23,050				Yes (X)
DENZIL RUPERT
CHIEF OPERATING OFFICER - AGH	50.0	0.0		$676,572	$0	$24,179				Yes (X)
James Rohrbaugh
Treasurer	50.0	0.0		$646,344	$0	$53,318	Yes (X)
Madhusudan Menon MD
Director	60.0	0.0	Yes (X)	$684,110	$0	$3,886
Mark Rubino MD
Director & President	50.0	0.0	Yes (X)	$663,447	$0	$21,724	Yes (X)
Susan Manzi MD
Physician	60.0	0.0		$664,353	$0	$10,304				Yes (X)
John Lawrence MD
Physician	60.0	0.0		$624,874	$0	$26,106				Yes (X)
Louise Urban
Director & President	60.0	0.0	Yes (X)	$626,210	$0	$23,023	Yes (X)
Ronald Andro MD
Director & President	60.0	0.0	Yes (X)	$613,954	$0	$25,672	Yes (X)
Richard Thompson
Vice President	60.0	0.0		$602,650	$0	$26,745				Yes (X)
Beth Casagranda MD
Physician	60.0	0.0		$597,675	$0	$26,106				Yes (X)
Chong Park MD
Chief Medical Officer	60.0	0.0		$594,767	$0	$24,829				Yes (X)
Jeffrey McGovern MD
Director	60.0	0.0	Yes (X)	$573,134	$0	$25,476
Mark Nussbaum
Director & Vice President	60.0	0.0	Yes (X)	$567,326	$0	$28,720	Yes (X)
Christopher Clark DO
Director & President	59.0	1.0	Yes (X)	$540,683	$0	$24,865	Yes (X)
JOSEPH ARACRI
PHYSICIAN CHAIRPERSON	60.0	0.0		$538,944	$0	$19,352				Yes (X)
DANIEL MUCCIO MD
DIRECTOR	60.0	0.0	Yes (X)	$524,867	$0	$25,480
KYMBERLE GYURE
PHYSICIAN	60.0	0.0		$524,143	$0	$11,928				Yes (X)
Jason Roeback
Director	49.0	1.0	Yes (X)	$508,819	$0	$25,411
VICENTA GASPAR-YOO MD
DIRECTOR	50.0	0.0	Yes (X)	$508,904	$0	$4,176	Yes (X)
JAMES VALERIANO
PHYSICIAN CHAIRPERSON	60.0	0.0		$474,087	$0	$22,564				Yes (X)
THOMAS CAMPBELL MD
PHYSICIAN CHAIRPERSON	60.0	0.0		$449,448	$0	$26,581				Yes (X)
Paul Gausman DO
Director	50.0	0.0	Yes (X)	$415,257	$0	$24,088
Allison Quick
Director & President	50.0	0.0	Yes (X)	$391,285	$0	$42,944	Yes (X)
ALLAN KLAPPER MD
PHYSICIAN	60.0	0.0		$407,051	$0	$20,193			Yes (X)
Keith LeJeune
Director & Vice President	50.0	0.0	Yes (X)	$379,474	$0	$37,324	Yes (X)
Rand Levis
Assistant Treasurer	49.0	1.0		$372,649	$0	$25,804	Yes (X)
Thomas Corkery DO
Director	50.0	0.0	Yes (X)	$356,149	$0	$18,529
Jennifer Lewis MD
Director	50.0	0.0	Yes (X)	$320,681	$0	$24,164
Mark Leone DO
Director	50.0	0.0	Yes (X)	$318,331	$0	$24,675
Jeffrey Kim MD
Director	50.0	0.0	Yes (X)	$301,021	$0	$23,967
THOMAS HIPKISS
Chief Financial Officer	60.0	0.0		$264,197	$0	$25,906	Yes (X)
KELLY KASSAB
VICE PRESIDENT & DIRECTOR	50.0	0.0	Yes (X)	$262,687	$0	$22,691	Yes (X)
Thomas Murphy
DIRECTOR/SECRETARY/TREASURER	50.0	0.0	Yes (X)	$261,666	$0	$23,059	Yes (X)
Donald McNary
Director	50.0	0.0	Yes (X)	$266,008	$0	$10,335
KAREN SURKALA
PRESIDENT	60.0	0.0		$257,428	$0	$12,817	Yes (X)
Scott Hankinson
Director	50.0	0.0	Yes (X)	$224,846	$0	$16,521
JOHN SMITH
DIRECTOR & TREASURER	50.0	0.0	Yes (X)	$205,653	$0	$23,066	Yes (X)
Susan Moore MD
Director	50.0	0.0	Yes (X)	$193,227	$0	$22,957
BETSY BLAZEK-O'NEILL
DIRECTOR	50.0	0.0	Yes (X)	$174,720	$0	$17,173
HENRY WARD
DIRECTOR	50.0	0.0	Yes (X)	$163,547	$0	$21,875
Dawn Karns DO
Director	50.0	0.0	Yes (X)	$166,983	$0	$2,269
Joseph C Guyaux
Director	5.0	10.0	Yes (X)	$0	$155,430	$0
David Michael Matter
Director	5.0	10.0	Yes (X)	$0	$143,566	$0
Victor Roque
Director	10.0	5.0	Yes (X)	$0	$142,566	$0
PETE CICERO
DIRECTOR & TREASURER	1.0	50.0	Yes (X)	$1,350	$110,695	$20,458	Yes (X)
David Blandino MD
Board Chair	5.0	15.0	Yes (X)	$0	$126,466	$0	Yes (X)
David Celko MD
Director	50.0	0.0	Yes (X)	$124,957	$0	$1,268
ALFRED MANSFIELD
CHIEF FINANCIAL OFFICER	20.0	0.0		$126,188	$0	$0	Yes (X)
Susan Barrett
Assistant Secretary	50.0	0.0		$99,145	$0	$18,530	Yes (X)
David Malone
Director	5.0	10.0	Yes (X)	$0	$110,550	$0
Joseph Macerelli
Board Chair	10.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Robin Bergstrom
Board Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Edward Little
Board Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Russell Livingston
Board Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Mark Webb
Board Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Sandra Usher
Board Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Edward Marasco
Director & Chairman	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Jeffrey Szumigale
Director & Vice Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
John Hamels PhD
Director & Vice Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
James Graham
Director	5.0	0.0	Yes (X)	$0	$0	$0
Michael Redlawsk
Director	5.0	0.0	Yes (X)	$0	$0	$0
Pamela Lapczynski
Director	1.0	0.0	Yes (X)	$0	$0	$0
Jason Ross
Director	1.0	0.0	Yes (X)	$0	$0	$0
Michael Alterio
Director	1.0	0.0	Yes (X)	$0	$0	$0
Carole Pankas
Director	1.0	0.0	Yes (X)	$0	$0	$0
John Finnegan
Director	1.0	0.0	Yes (X)	$0	$0	$0
LaDonna Fuge MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
William Richardson
Director	1.0	0.0	Yes (X)	$0	$0	$0
Richard Talarico
Director	1.0	0.0	Yes (X)	$0	$0	$0
Helen Baran
Director	1.0	0.0	Yes (X)	$0	$0	$0
R Steven Jones
Director	1.0	0.0	Yes (X)	$0	$0	$0
Kathryn Burns
Director	1.0	0.0	Yes (X)	$0	$0	$0
Marne Roche
Director	1.0	0.0	Yes (X)	$0	$0	$0
Chris Scott
Director	1.0	0.0	Yes (X)	$0	$0	$0
David Lerberg MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Jane Love MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Wendy O'Brien
Director	1.0	0.0	Yes (X)	$0	$0	$0
LP Gupta
Director	1.0	0.0	Yes (X)	$0	$0	$0
Doris Carson Williams
Director	1.0	5.0	Yes (X)	$0	$0	$0
Lauren McAndrews
Director	1.0	0.0	Yes (X)	$0	$0	$0
Thomas Tarpley
Director	1.0	0.0	Yes (X)	$0	$0	$0
Thomas Berkhouse
Director	1.0	0.0	Yes (X)	$0	$0	$0
Robert Crane
Director	1.0	0.0	Yes (X)	$0	$0	$0
Roberta Patterson
Director	1.0	0.0	Yes (X)	$0	$0	$0
Jillian Roache
Director	1.0	0.0	Yes (X)	$0	$0	$0
Gene Becker
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Brian Jacob
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Curt Marino
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Robert Pacek
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Kevin Snider
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Marilyn Pesci
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Diana Holt
Director & Secretary	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Tracey Bennett
Director & Treasurer	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Barbara VanKirk
Director	1.0	0.0	Yes (X)	$0	$0	$0
DEBORAH SMITH
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JOSEPH HALL
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MARK PERRY
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
LEANNE ROBERTS
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD SULLIVAN MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
BETH PATRI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CATHERINE A CAPONI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHARLENE NEWKIRK
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
GREGORY GUTTING
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
TIMOTHY BONNER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT GALBRAITH
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT POMPEANI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MARY ECKERT
DIRECTOR/SECRETARY/TREASURER	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL HELLER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD OLINGER
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
EARL BOHN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT CINCALA
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MATTHEW COPPOLA
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD HERCHENROETHER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DAWN LANDIS
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES PEREGO
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CRAIG MILLER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MATTHEW HOWARD
DIRECTOR (EX-OFFICIO)	1.0	0.0	Yes (X)	$0	$0	$0
ALEX SILIOUTSKI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,929,405	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$17,549,885	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,239,041	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2627	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
GILBANE BUILDING CO
7 JACKSON WALKWAY	PROVIDENCE	RI	029033694	Construction	$95,715,275
MASSARO CORP
120 DELTA DRIVE	PITTSBURGH	PA	15238	CONSTRUCTION	$22,487,768
MBM CONTRACTING INC
4999 OLD CLAIRTON RD	PITTSBURGH	PA	15236	CONSTRUCTION	$18,078,638
RYCON CONSTRUCTION INC
2501 SMALLMAN STREET SUITE 100	PITTSBURGH	PA	15222	CONSTRUCTION	$12,743,417
SHEARWATER HEALTH INC
20 BURTON HILLS BLVD SUITE 400	NASHVILLE	TN	37215	TEMP LABOR	$10,647,293

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	778	CntrctRcvdGreaterThan100KCnt
Fundraising	$177,381	FundraisingAmt
Related Organizations	$607,784	RelatedOrganizationsAmt
Government Grants	$15,267,288	GovernmentGrantsAmt
All Other Contributions	$53,226,799	AllOtherContributionsAmt
Noncash Contributions	$1,921,434	NoncashContributionsAmt
Total Contributions	$69,279,252	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621000	$3,244,356,065	$3,239,323,708	$5,032,357
AFFILIATE EXPENSE REIMBURSEMENT	900099	$424,417,731	$424,417,731
SCIENTIFIC RESEARCH	541712	$64,838,953	$64,838,953
MEDICAL EDUCATION	621111	$3,877,861	$3,877,861

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,737,490,610	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,598,866	TotalRevenueColumnAmt
Exclusion	$36,598,866	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,508	TotalRevenueColumnAmt
Exclusion	$151,508	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,684,888	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,684,888	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,684,888	TotalRevenueColumnAmt
Exclusion	$6,684,888	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$423,502,168	SecuritiesAmt
Other	$6,613,791	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$408,300,777	SecuritiesAmt
Other	$6,828,900	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,201,391	SecuritiesAmt
Other	-$215,109	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,986,282	TotalRevenueColumnAmt
Exclusion	$14,986,282	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$33,066	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$177,381	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$40,797	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$7,731	TotalRevenueColumnAmt
Exclusion	-$7,731	ExclusionAmt

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PHARMACY REVENUE	900099	$45,095,120	$45,095,120
CAFETERIA SALES	621110	$7,757,341	$7,757,341
PARKING	900099	$5,978,572	$5,978,572

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,210,582	TotalRevenueColumnAmt
Exclusion	$81,210,582	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$140,041,615	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,005,225,290	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,732,458,253	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,032,357	UnrelatedBusinessRevenueAmt
Exclusion	$198,455,428	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$968,234	TotalAmt
Program Services	$968,234	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$77,161	TotalAmt
Program Services	$77,161	ProgramServicesAmt

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	$72,709,140	TotalAmt
Program Services	$67,315,801	ProgramServicesAmt
Management And General	$5,375,913	ManagementAndGeneralAmt
Fundraising	$17,426	FundraisingAmt

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	$1,667,791,302	TotalAmt
Program Services	$1,551,324,804	ProgramServicesAmt
Management And General	$115,779,099	ManagementAndGeneralAmt
Fundraising	$687,399	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$23,726,902	TotalAmt
Program Services	-$21,886,017	ProgramServicesAmt
Management And General	-$1,840,885	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$217,278,891	TotalAmt
Program Services	$199,178,844	ProgramServicesAmt
Management And General	$18,091,459	ManagementAndGeneralAmt
Fundraising	$8,588	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$98,509,925	TotalAmt
Program Services	$90,628,112	ProgramServicesAmt
Management And General	$7,839,949	ManagementAndGeneralAmt
Fundraising	$41,864	FundraisingAmt

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	$2,193,847	TotalAmt
Program Services	$249,074	ProgramServicesAmt
Management And General	$1,944,773	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,519,097	TotalAmt
Program Services	$608	ProgramServicesAmt
Management And General	$1,518,489	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$245,866	TotalAmt
Program Services	$245,866	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$112,865	TotalAmt
Fundraising	$112,865	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,011,454	TotalAmt
Management And General	$2,011,454	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$343,302,551	TotalAmt
Program Services	$258,037,206	ProgramServicesAmt
Management And General	$85,237,408	ManagementAndGeneralAmt
Fundraising	$27,937	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,974,739	TotalAmt
Program Services	$1,801,848	ProgramServicesAmt
Management And General	$172,891	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,183,523	TotalAmt
Program Services	$29,238,279	ProgramServicesAmt
Management And General	$2,932,024	ManagementAndGeneralAmt
Fundraising	$13,220	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$39,249,539	TotalAmt
Program Services	$36,296,483	ProgramServicesAmt
Management And General	$2,952,563	ManagementAndGeneralAmt
Fundraising	$493	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$196,525,893	TotalAmt
Program Services	$180,880,873	ProgramServicesAmt
Management And General	$15,645,020	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,752,043	TotalAmt
Program Services	$2,519,550	ProgramServicesAmt
Management And General	$232,147	ManagementAndGeneralAmt
Fundraising	$346	FundraisingAmt

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	$2,926,389	TotalAmt
Program Services	$2,629,140	ProgramServicesAmt
Management And General	$296,799	ManagementAndGeneralAmt
Fundraising	$450	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,082,091	TotalAmt
Program Services	$20,774,321	ProgramServicesAmt
Management And General	$2,307,770	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$167,799,486	TotalAmt
Program Services	$150,881,626	ProgramServicesAmt
Management And General	$16,917,770	ManagementAndGeneralAmt
Fundraising	$90	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$38,145,789	TotalAmt
Program Services	$36,181,538	ProgramServicesAmt
Management And General	$1,964,251	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT CARE SUPPLIES & DRUGS	$734,573,247	$734,291,987	$281,260
REIMBURSEMENTS TO AFFILATES	$337,643,956	$253,702,889	$83,941,067
PATIENT BAD DEBT	$60,072,416	$60,072,416
FOOD/DIETARY PROVISIONS	$12,901,025	$11,621,221	$1,279,741	$63

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$87,401,461	TotalAmt
Program Services	$83,041,554	ProgramServicesAmt
Management And General	$4,321,750	ManagementAndGeneralAmt
Fundraising	$38,157	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,120,225,028	TotalAmt
Program Services	$3,750,073,418	ProgramServicesAmt
Management And General	$369,202,712	ManagementAndGeneralAmt
Fundraising	$948,898	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$429,074	BOYAmt
EOY	$405,878	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$171,756,184	BOYAmt
EOY	$199,859,762	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,371,467	BOYAmt
EOY	$15,433,578	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$394,247,623	BOYAmt
EOY	$426,230,498	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	$4,311,761	BOYAmt
EOY	$1,780,265	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$53,019,349	BOYAmt
EOY	$58,038,237	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$46,402,927	BOYAmt
EOY	$41,228,579	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,511,500,282	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$942,253,551	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,399,440,606	BOYAmt
EOY	$1,569,246,731	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$374,680,231	BOYAmt
EOY	$407,370,165	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$151,526	BOYAmt
EOY	$151,526	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	$138,842,986	BOYAmt
EOY	$146,101,028	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,201,118,809	BOYAmt
EOY	$1,408,710,451	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,792,772,543	BOYAmt
EOY	$4,274,556,698	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$436,827,517	BOYAmt
EOY	$541,008,803	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	$54,135,934	BOYAmt
EOY	$60,522,157	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$985,858,041	BOYAmt
EOY	$980,647,414	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	$2,826,193	BOYAmt
EOY	$3,437,277	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	$709,813,339	BOYAmt
EOY	$926,923,026	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,189,461,024	BOYAmt
EOY	$2,512,538,677	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,264,475,481	BOYAmt
EOY	$1,396,207,656	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$338,836,038	BOYAmt
EOY	$365,810,365	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,603,311,519	BOYAmt
EOY	$1,762,018,021	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,792,772,543	BOYAmt
EOY	$4,274,556,698	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$114,999,738	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$28,761,591	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$302,467,831	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	13	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (10 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
SAINT VINCENT HEALTH CENTER
250965547	3	Yes (true)	$8,755,235	$0
WEST PENN ALLEGHENY HEALTH SYSTEM INC
250969492	3	Yes (true)	$199,167,063	$0
ALLE-KISKI MEDICAL CENTER
251875178	3	Yes (true)	$0	$0
ALLEGHENY SINGER RESEARCH INSTITUTE
251320493	4	Yes (true)	$0	$0
CANONSBURG GENERAL HOSPITAL
251737079	3	Yes (true)	$0	$0
ALLEGHENY MEDICAL PRACTICE NETWORK
251838457	3	Yes (true)	$0	$0
ALLEGHENY CLINIC
251838458	3	Yes (true)	$0	$0
JEFFERSON REGIONAL MEDICAL CENTER
251260215	3	Yes (true)	$12,486,442	$0
WESTFIELD MEMORIAL HOSPITAL INC
160743222	3	Yes (true)	$0	$0
GROVE CITY MEDICAL CENTER
251340370	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	10	SupportedOrganizationsTotalCnt
Support Sum	$220,408,740	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$131,451	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,408,518	CurrentTaxYearAmt
Total	$1,549,469	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$52,834,545	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$56,873,470	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,994,907	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$63,984,739	CurrentTaxYearMinus1YearAmt
Current Tax Year	$57,627,712	CurrentTaxYearAmt
Total	$289,315,373	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$52,834,545	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$56,882,970	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$58,126,358	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$63,984,739	CurrentTaxYearMinus1YearAmt
Current Tax Year	$59,036,230	CurrentTaxYearAmt
Total	$290,864,842	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$290,864,842	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$86,253	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$97,896	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$146,400	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$391,552	CurrentTaxYearMinus1YearAmt
Current Tax Year	$392,135	CurrentTaxYearAmt
Total	$1,114,236	TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$86,253	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$97,896	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$146,400	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$391,552	CurrentTaxYearMinus1YearAmt
Current Tax Year	$392,135	CurrentTaxYearAmt
Total	$1,114,236	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,311,500	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,910,183	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,394,780	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,904,266	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,294,155	CurrentTaxYearAmt
Total	$32,814,884	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$61,232,298	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$63,891,049	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$63,667,538	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$70,280,557	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,722,520	CurrentTaxYearAmt
Total	$324,793,962	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.89554	PublicSupportCY509Pct
Public Support PY509	0.89860	PublicSupportPY509Pct
Investment Income CY	0.00343	InvestmentIncomeCYPct
Investment Income PY	0.00261	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr5	$0	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4	$0	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3	$0	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$0	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Carryover PY Not Applied	$0	CarryoverPYNotAppliedAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year5	$0	ExcessFromYear5Amt
Excess From Year4	$0	ExcessFromYear4Amt
Excess From Year3	$0	ExcessFromYear3Amt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MEMBERS OF HIGHMARK HEALTH GROUP (36)	PUBLIC CHARITY STATUS ALLEGHENY HEALTH NETWORK: STATUS 12, TYPE 1 ALLEGHENY SINGER RESEARCH INSTITUTE: STATUS 4 ALLEGHENY CLINIC: STATUS 3 ALLE-KISKI MEDICAL CENTER: STATUS 3 ALLE-KISKI MEDICAL CENTER TRUST: STATUS 12, TYPE 1 CANONSBURG GENERAL HOSPITAL: STATUS 3 CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE: STATUS 10 FORBES HEALTH FOUNDATION: STATUS 12, TYPE 1 THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION: STATUS 12, TYPE 1 WEST PENN ALLEGHENY HEALTH SYSTEM, INC: STATUS 3 ALLEGHENY CLINIC MEDICAL ONCOLOGY: STATUS 12, TYPE 1 JEFFERSON REGIONAL MEDICAL CENTER: STATUS 3 SAINT VINCENT FOUNDATION FOR HEALTH & HUMAN SERVICES: STATUS 12, TYPE 1 SAINT VINCENT HEALTH CENTER: STATUS 3 SAINT VINCENT HEALTH SYSTEM: STATUS 12, TYPE 1 SAINT VINCENT MEDICAL ED & RESEARCH INSTITUTE: STATUS 10 ALLEGHENY MEDICAL PRACTICE NETWORK: STATUS 3 SAINT VINCENT AFFILIATED PHYSICIANS: STATUS 10 WESTFIELD MEMORIAL HOSPITAL INC: STATUS 3 PRIME MEDICAL GROUP PCG 1: STATUS 12, TYPE 1 JEFFERSON HILLS SURGICAL SPECIALS: STATUS 12, TYPE 1 STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE: STATUS 12, TYPE 1 SOUTH PITTSBURGH UROLOGY ASSOCIATES: STATUS 12, TYPE 1 THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE: STATUS 12, TYPE 1 JRMC SPECIALTY GROUP PRACTICE, STATUS 12, TYPE 1 PRIMARY CARE GROUP 11, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 3, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 7, INC.: STATUS 12, TYPE 1 PITTSBURGH BONE, JOINT & SPINE, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 5, INC.: STATUS 12, TYPE 1 GROVE CITY MEDICAL CENTER: STATUS 3 WOLF CREEK MEDICAL ASSOCIATES: STATUS 10 SUBURBAN HEALTH FOUNDATION: STATUS 12, TYPE 1 PITT. PULMONARY AND CRITICAL CARE ASSOC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 8 INC.: STATUS 12, TYPE 1 FAMILY PRACTICE MED. ASSOC. SOUTH, INC.: STATUS 12, TYPE 1
SCHEDULE A, PART I	REASON FOR PUBLIC CHARITY STATUS NOTE THAT THE MAJORITY OF THE 36 ENTITIES WITHIN HIGHMARK HEALTH GROUP ARE REGISTERED AS section 509(a)(3) supporting organizations. however, some entities are also exempt as hospital entities; SECTION 509(A)(2) ORGANIZATIONS SUPPORTED BY CONTRIBUTIONS, DUES, AND CONDUCT OF EXEMPT FUNCTION ACTIVITIES; AND MEDICAL RESEARCH ORGANIZATIONS OPERATED IN CONJUNCTION WITH A HOSPITAL. ALL REQUIRED PARTS OF SCHEDULE A ARE COMPLETED FOR THE RESPECTIVE ENTITIES INVOLVED.
SCHEDULE A, PART IV	Supporting Organizations As per their respective governing documents, the following entities are Type 1 supporting organizations under Section 509(a)(3): - Allegheny Health Network - Alle-Kiske Medical Center Trust - Forbes Health Foundation - The Western Pennsylvania Hospital Foundation - Allegheny Clinic Medical Oncology - Saint Vincent Foundation for Health and Human Services - Saint Vincent Health System - Jefferson Hills Surgical Specialist - JRMC Specialty Group Practice - PRIME MEDICAL GROUP PCG 1 - JEFFERSON HILLS SURGICAL SPECIALS a - STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE - SOUTH PITTSBURGH UROLOGY ASSOCIATES - THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE - JRMC SPECIALTY GROUP PRACTICE - PRIMARY CARE GROUP 11, INC. - PRIMARY CARE GROUP 3, INC. - PRIMARY CARE GROUP 7, INC. - PITTSBURGH BONE, JOINT & SPINE, INC. - PRIMARY CARE GROUP 5, INC. - SUBURBAN HEALTH FOUNDATION - PITT. PULMONARY AND CRITICAL CARE ASSOC. - PRIMARY CARE GROUP 8 INC. - FAMILY PRACTICE MED. ASSOC. SOUTH, INC. PART IV, SECTION A, LINE 5A ADDITION OF SUPPORTED ORGANIZATION PURSUANT TO HIGHMARK HEALTH GROUP'S GOVERNING DOCUMENTS, GROVE CITY MEDICAL CENTER (EIN: 25-1340370) BECAME A HOSPITAL AFFILIATE OF HIGHMARK HEALTH GROUP DURING 2020. SO, UNDER THE ORGANIZING DOCUMENTS, GROVE CITY MEDICAL CENTER BECAME A SUPPORTED ORGANIZATION OF HIGHMARK HEALTH GROUP.
Part IV, Section A, Lines 1 and 2	Determination of Supported Organizations Highmark Health Group's governing documents provide that supported organizations include all Section 509(a)(2), Section 170(b)(1)(A)(iii), and hospital affiliates of Highmark Health Group as these entities have purposes consistent with those of the hospitals and the supporting organizations.

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$289,070	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$289,070	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LOBBYING ACTIVITY	SCHEDULE C, PART II-B, LINE 1D ALLEGHENY HEALTH NETWORK INCURRED INSUBSTANTIAL EXPENSES IN SENDING MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND HAVE ADVERSE CONSEQUENCES FOR THE COMMUNITIES WE SERVE.
SCHEDULE C, PART II-B, LINES 1B AND 1G	ALLEGHENY HEALTH NETWORK MANAGEMENT, AS NEEDED, WILL MAKE CONTACT WITH ELECTED AND APPOINTED OFFICIALS AT THE FEDERAL, STATE AND LOCAL LEVELS. THIS CONTACT IS NECESSARY TO PROMOTE LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND HAVE ADVERSE CONSEQUENCES FOR THE COMMUNITIES WE SERVE.

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	$356,617,611	BeginningYearBalanceAmt
Contributions	$7,933,664	ContributionsAmt
Investment Earnings Or Losses	$49,107,369	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,899,237	OtherExpendituresAmt
Administrative Expenses	$1,023,035	AdministrativeExpensesAmt
End Year Balance	$391,736,372	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$316,961,387	BeginningYearBalanceAmt
Contributions	$11,208,765	ContributionsAmt
Investment Earnings Or Losses	$45,810,701	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,995,604	OtherExpendituresAmt
Administrative Expenses	$1,367,638	AdministrativeExpensesAmt
End Year Balance	$356,617,611	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$338,653,894	BeginningYearBalanceAmt
Contributions	$10,466,540	ContributionsAmt
Investment Earnings Or Losses	-$15,453,352	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,302,712	OtherExpendituresAmt
Administrative Expenses	$402,983	AdministrativeExpensesAmt
End Year Balance	$316,961,387	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$314,504,019	BeginningYearBalanceAmt
Contributions	$2,378,887	ContributionsAmt
Investment Earnings Or Losses	$36,108,383	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,107,770	OtherExpendituresAmt
Administrative Expenses	$1,229,625	AdministrativeExpensesAmt
End Year Balance	$338,653,894	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$308,814,600	BeginningYearBalanceAmt
Contributions	$6,086,053	ContributionsAmt
Investment Earnings Or Losses	$15,032,444	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,618,247	OtherExpendituresAmt
Administrative Expenses	$810,831	AdministrativeExpensesAmt
End Year Balance	$314,504,019	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.06340	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.85890	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.07770	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,208,622	OtherCostOrOtherBasisAmt
Book Value	$46,208,622	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$949,335,854	OtherCostOrOtherBasisAmt
Depreciation	$322,135,708	DepreciationAmt
Book Value	$627,200,145	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,589,805	OtherCostOrOtherBasisAmt
Depreciation	$21,971,460	DepreciationAmt
Book Value	$20,618,345	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$920,445,196	OtherCostOrOtherBasisAmt
Depreciation	$576,968,806	DepreciationAmt
Book Value	$343,476,389	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$552,920,806	OtherCostOrOtherBasisAmt
Depreciation	$21,177,576	DepreciationAmt
Book Value	$531,743,230	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,569,246,731	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTERESTS	$479,656,507
EQUITY INVESTMENTS	$191,527,496
MALPRACTICE RECEIVABLE	$101,124,757
INTERCOMPANY RECEIVABLES	$104,604,371
OTHER ASSETS	$234,902,983
SELF INSURANCE CAPITALIZATION	$3,333
RIGHT TO USE ASSETS	$296,891,004

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,408,710,451	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PENSION FUNDING	$238,950,313
MEDICAL MALPRACTICE LIABILITY	$108,608,066
OTHER LIABILITIES	$275,514,890
LEASE LIABILITIES	$303,849,757

Field	Value	IRS element (for citing)
Total Liability	$926,923,026	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V	INTENDED USE OF ENDOWMENT FUNDS THE INTENDED USES OF THE PERMANENT AND TERM ENDOWMENTS ARE FOR BUT NOT EXCLUSIVE TO: CAPITAL IMPROVEMENTS, RESEARCH, EDUCATION, NURSING ACTIVITIES, DEPARTMENTAL NEEDS, OPERATING EFFICIENCIES, AND OVERALL PATIENT CARE. THE EARNINGS OFF OF THE PERMANENT ENDOWMENT ARE EXPENDABLE, BASED ON THE SPECIFIC USE OF THE FUND.
INCLUSION IN CONSOLIDATED AFS	HIGHMARK HEALTH GROUP DOES NOT ISSUE INDEPENDENT AUDITED FINANCIAL STATEMENTS. HIGHMARK HEALTH GROUP IS A COMPONENT OF A CONSOLIDATED AUDITED FINANCIAL STATEMENT.
SCHEDULE D, PART X, LINE 2	ASC 740 FOOTNOTE HIGHMARK HEALTH RECORDS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY DEFINING CRITERIA THAT A TAX POSITON ON AN INDIVIDUAL MATTER MUST MEET BEFORE THAT POSITION IS RECOGNIZED. ASC 740 ALSO PROVIDES GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND ACCOUNTING IN INTERIM PERIODS. BASED ON AN ANALYSIS PREPARED BY HIGHMARK HEALTH, IT WAS DETERMINED THAT THE APPLICATION OF FASB ASC 740 HAD NO MATERIAL EFFECT ON THE RECORDED ASSETS AND LIABILITIES OF HH ON A STANDALONE BASIS. AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED HIGHMARK SYSTEM LEVEL ONLY, INCLUDING HIGHMARK HEALTH AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	TUESENSE MARKETING	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 COMMERCE DRIVE	AddressLine1Txt
City	FREEDOM	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15042	ZIPCd

Field	Value	IRS element (for citing)
Activity	SOLICIT LTRS/CALLS	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$36,765	GrossReceiptsAmt
Retained By Contractor	$112,865	RetainedByContractorAmt
Net To Organization	-$76,100	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$36,765	TotalGrossReceiptsAmt
Total Retained By Contractors	$112,865	TotalRetainedByContractorsAmt
Total Net To Organization	-$76,100	TotalNetToOrganizationAmt
Licensed States	PA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FEST. OF TREES	Event1Nm
Gross Receipts Event1	$210,447	GrossReceiptsEvent1Amt
Charitable Contri Event1	$177,381	CharitableContriEvent1Amt
Gross Revenue Event1	$33,066	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$6,134	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$41	FoodAndBeverageEvent1Amt
Entertainment Event1	$17,224	EntertainmentEvent1Amt
Other Direct Expenses Event1	$17,398	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Other Events	$0	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$210,447	GrossReceiptsTotalAmt
Charitable Contributions Tot	$177,381	CharitableContributionsTotAmt
Gross Revenue Total Events	$33,066	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,134	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$41	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$17,224	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$17,398	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$40,797	DirectExpenseSummaryEventsAmt
Net Income Summary	-$7,731	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,613,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,942,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,671,114	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$210,699,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$181,887,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,811,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,313,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$198,830,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,482,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,741,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,741,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,443,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,346,656	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,096,465	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,302,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$143,227,111	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,075,731	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,181,848	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,181,848	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,712	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$318,685,994	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178,573,767	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$140,112,227	NetCommunityBenefitExpnsAmt
Total Expense	0.03460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$556,999,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$377,404,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$179,595,225	NetCommunityBenefitExpnsAmt
Total Expense	0.04430	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$268,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$268,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$384,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$384,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$41,568,821	BadDebtExpenseAmt
Bad Debt Expense Attributable	$9,127,019	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$292,692,915	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$398,406,165	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$105,713,250	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Jef Med Assoc LP
Physician Practice	0.897	0.103
N Shore Endosco Cent
ENDOSCOPY Services	0.5	0.5
McCand Endosco Cent
ENDOSCOPY Services	0.5	0.5
WSC Realty Partners
Medical Office Building	0.235	0.765
S Hills Surg Center
Surgery Center	0.419	0.581
Osteophilicity LLC
Medical Services	0.39	0.61

Field	Value	IRS element (for citing)
Hospital Facilities	10	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ALLEGHENY GENERAL HOSPITAL
1	320 EAST NORTH AVENUE	PITTSBURGH	PA	15224	See Section C for website	530101	ALIE-KISKI MEDCAL CENTER	251875178	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
THE WESTERN PENNSYLVANIA HOSPITAL
2	4800 FRIENDSHIP AVENUE	PITTSBURGH	PA	15224	See Section C for website	234401	CANONSBURG GENERAL HOSPITAL	251737079	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SAINT VINCENT HEALTH CENTER
3	232 WEST 25TH STREET	ERIE	PA	16544	See Section C for website	196001	JEFFERSON REGIONAL MED CTR	251260215	Yes (X)	Yes (X)	Yes (X)			Yes (X)
JEFFERSON REGIONAL MEDICAL CENTER
4	565 COAL VALLEY ROAD PO BOX 1811	PITTSBURGH	PA	15236	See Section C for website	711801	SAINT VINCENT HEALTH CENTER	250965547	Yes (X)	Yes (X)				Yes (X)	A
FORBES REGIONAL HOSPITAL
5	2570 HAYMAKER ROAD	MONROEVILLE	PA	15146	See Section C for website	311101	WEST PENN ALLEGHEY HEALTH	250969492	Yes (X)	Yes (X)	Yes (X)			Yes (X)	A
ALLEGHENY VALLEY HOSPITAL
6	1301 Carlisle Street	Natrona Heights	PA	15065	See Section C for website	790101	WEST PENN ALLEGHENY HEALTH	250969492	Yes (X)	Yes (X)				Yes (X)	A
CANONSBURG GENERAL HOSPITAL
7	100 MEDICAL BOULEVARD	CANONSBURG	PA	15317	See Section C for website	295301	WEST PENN ALLEGHENY HEALTH	250969492	Yes (X)	Yes (X)				Yes (X)	A
GROVE CITY MEDICAL CENTER
8	631 N BROAD STREET EXT	GROVE CITY	PA	16127	See Section C for website	210801	WESTFIELD MEMORIAL HOSPITAL	160743222	Yes (X)	Yes (X)				Yes (X)
AHN EMERUS WESTMORELAND LLC
9	6321 ROUTE 30 SUITE 100	GREENSBURG	PA	15601	SEE SECTION C FOR WEBSITE	50520101	GROVE CITY MEDICAL CENTER	251340370	Yes (X)					Yes (X)
WESTFIELD MEMORIAL HOSPITAL INC
10	189 East Main Street	Westfield	NY	14787	See Section C for website	0632000h	AHN EMERUS WESTMORELAND LLC	823697883	Yes (X)	Yes (X)				Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Income Level CriteriaIncomeLevelCriteriaInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Communtity Notified FAPCommuntityNotifiedFAPInd
A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	18	Yes (true)	SEE SECTION C	false	Yes (true)	Yes (X)	200.	0.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SAINT VINCENT HEALTH CENTER
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	18	Yes (true)	SEE SECTION C	false	Yes (true)	Yes (X)	200.	0.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	3
WESTFIELD MEMORIAL HOSPITAL INC
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	18	Yes (true)	See Section C	false	Yes (true)	Yes (X)	200.	0.		Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	10
AHN EMERUS WESTMORELAND LLC
Yes (true)	false	false																						false	Yes (true)	Yes (X)	200.	0.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	9
GROVE CITY MEDICAL CENTER
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	false	Yes (true)	Yes (X)	SEE SECTION C		Yes (true)	18	Yes (true)	SEE SECTION C	false	Yes (true)	Yes (X)	200.	300.		Yes (X)	Yes (X)	Yes (X)			Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	false	false	8	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A, LINE 9	AHN EMERUS WESTMORELAND, LLC MAINTAINS ONE HOSPITAL FACILITY AS IT HAS ONE STATE HOSPITAL LICENSE. IT OPERATES UNDER THIS LICENSE AT FOUR LOCATIONS: AHN HEMPFIELD, AHN BRENTWOOD, AHN MCCANDELESS, AND AHN HARMAR. FOR PURPOSES OF THE NARRATIVES IN SCHEDULE H AND SCHEDULE O THE ACTIVITIES AND ACCOMPLISHMENTS OF EACH LOCATION ARE SPECIFICALLY PROVIDED RATHER THAN CONSOLIDATED AT THE HOSPITAL FACILITY LEVEL. PART V, SECTION A, HOSPITAL FACILITIES ALL OF OUR HOSPITALS ARE PART OF THE ALLEGHENY HEALTH NETWORK (AHN) AND DESCRIPTIONS CAN BE FOUND AT THE FOLLOWING WEBSITES: AHN MAIN WEBSITE: HTTPS://WWW.AHN.ORG/LOCATIONS ALLEGHENY VALLEY HOSPITAL (AKMC): HTTPS://WWW.AHN.ORG/LOCATIONS/ALLEGHENY-VALLEY-HOSPITAL CANONSBURG GENERAL HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/CANONSBURG-HOSPITAL JEFFERSON REGIONAL MEDICAL CENTER: HTTPS://WWW.AHN.ORG/LOCATIONS/JEFFERSON-HOSPITAL SAINT VINCENT HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/SAINT-VINCENT-HOSPITAL ALLEGHENY GENERAL HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/ALLEGHENY-GENERAL-HOSPITAL WEST PENN HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/WEST-PENN-HOSPITAL FORBES REGIONAL HOSPITAL: HTTPS://WWW.AHN.ORG/LOCATIONS/FORBES-HOSPITAL WESTFIELD MEMORIAL HOSPITAL: https://www.ahn.org/locations/saint-vincent-hospital/westfield-memorial-ho spital GROVE CITY MEDICAL CENTER: https://grovecitymedical.org/ AHN EMERUS WESTMORELAND LLC https://www.ahnneighborhood.org/ PART V, SECTION B, GROUP A THIS REPORTING GROUP INCLUDES THE FACILITIES LISTED ON LINES 1, 2, 4, 5, 6, AND 7 OF PART V, SECTION A.
PART V, SECTION B, LINE 5	AS PART OF THE CHNA PROCESS FOR ALL HOSPITALS, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE PRIMARY SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. DURING THE PHONE INTERVIEWS, FEEDBACK ON THE PREVIOUS CHNA WAS SOLICITED TO EVALUATE THE PROGRESS OVER THE PRIOR THREE YEARS AND TO IMPROVE ANALYSIS AND REPORTING FOR THE CURRENT CHNA PROCESS. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED BETWEEN THE MONTHS OF JUNE 2018 AND SEPTEMBER OF 2018. COMMUNITY STAKEHOLDERS IDENTIFIED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; THE INTERVIEWS OFFERED COMMUNITY STAKEHOLDERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SECONDARY DATA RESOURCES, AND OTHER INFORMATION RELEVANT TO THE STUDY. AHN HIRED A FIRM (TRIPP UMBACH) WITH EXTENSIVE EXPERIENCE IN CONDUCTING CHNA'S WHO WORKED CLOSELY WITH THE INTERNAL STEERING COMMITTEE FOR ALL HOSPITALS TO IDENTIFY COMMUNITY LEADERS FROM VARIOUS SECTORS WHO ARE ENGAGED IN THE COMMUNITY AND HAVE A KNOWLEDGE OF THE COMMUNITY NEEDS. AN INTERVIEW WAS CONDUCTED AND EACH COMMUNITY STAKEHOLDER WAS ASKED THE SAME SET OF QUESTIONS. THE INTERVIEWS PROVIDED A PLATFORM FOR STAKEHOLDERS TO IDENTIFY HEALTH ISSUES AND CONCERNS AFFECTING RESIDENTS IN THE SERVICE AREA, AS WELL AS WAYS TO ADDRESS THOSE CONCERNS. IN ADDITION, THE PRESIDENT/CEO OF EACH FACILITY WAS INTERVIEWED. THESE INTERVIEWS ENSURED THAT THE SPECTRUM OF INTERVIEWEES INCLUDED EVERYONE FROM MEMBERS OF THE COMMUNITY TO THE INDIVIDUALS WHO OPERATE THE FACILITY ON A DAILY BASIS. FROM THE ONSET OF THE PROJECT, EACH HOSPITAL MADE IT A PRIORITY TO BE TRANSPARENT IN THE IDENTIFICATION OF THE NEEDS FOR EACH FACILITY. THE QUALITATIVE DATA COLLECTED FROM COMMUNITY STAKEHOLDERS ARE THE OPINIONS, PERCEPTIONS AND INSIGHTS OF THOSE WHO WERE INTERVIEWED AS PART OF THE CHNA PROCESS. THE INDIVIDUALS INTERVIEWED FOR THE PURPOSE OF CONDUCTING THE CHNA FOR ALL OF THE HOSPITALS INCLUDED THE FOLLOWING: 1. ANNETTE FETCHKO - ALLEGHENY HEALTH NETWORK CENTER FOR INCLUSION HEALTH 2. ASHLEY CARTER- NORTH SIDE CHRISTIAN HEALTH CENTER 3. SHARON WOLF- NORTH HILLS COMMUNITY OUTREACH 4. JERRY ALLEN- ALLEN PLACE COMMUNITY SERVICES 5. LORI SHOTTS- RN NURSE NAVIGATOR, COMMUNITY CARE NETWORK 6. RITA M. HORST, MANAGER PATIENT EXPERIENCE, AHN 7. KIM GIOVANNELLI, DIRECTOR COMMUNITY SERVICES, AHN 8. RAJI JAYAKRISHNAN M.S; M.H.A EXECUTIVE DIRECTOR COMMUNITY HEALTH CLINIC 9. DAVID RHOME - MAYOR OF CANONSBURG 10. PEGGY TSENG- DIRECTOR, FRANK SARRIS PUBLIC LIBRARY 11. ERICH CURNOW - DIRECTOR OF CLINICAL & CASE MANAGEMENT SERVICES, WASHINGTON DRUG & ALCOHOL COMMISSION 12. LORRAINE STARSKY - ALLEGHENY COUNTY HEALTH DEPARTMENT 13. EZZ ELDIN MOUKAMAL, VICE PRESIDENT, MEDICAL AFFAIRS, AHN 14. AMY CRAWFORD-FAUCHER, VICE CHAIR, DEPARTMENT OF FAMILY MEDICINE, AHN 15. JACOB KLEINMAN, VICE CHAIR, DEPARTMENT OF EMERGENCY MEDICINE, AHN 16. PETER NAMAN, EXECUTIVE VICE CHAIR, DEPARTMENT OF SURGERY, AHN 17. DANIEL MUCCIO, MD, VICE PRESIDENT OF MEDICAL AFFAIRS, AHN 18. MAUREEN MELIA CHADWICK PHD, MSN, RN, NE-BC, CHIEF NURSING OFFICER, AHN 19. WAYNE JONES, DO, EMERGENCY ROOM MEDICAL DIRECTOR, AHN 20. BILL HAGERTY, PRESIDENT/EXECUTIVE DIRECTOR, EMERGYCARE 21. CRAIG ULMER, EXECUTIVE DIRECTOR, COMMUNITY HEALTH NET 22. MARK KRESSE, HEALTHCARE MANAGER, GE TRANSPORTATION 23. RICHARD SWARTZ, EXECUTIVE DIRECTOR, BLOOMFIELD GARFIELD CORPORATION 24. CHRISTINA HOWELL, EXECUTIVE DIRECTOR BLOOMFIELD GARFIELD CORPORATION 25. HELEN BARAN, CHAIR WESTFIELD MEMORIAL HOSPITAL BOARD OF DIRECTORS 26. DOC HAMELS, VICE CHAIR WESTFIELD MEMORIAL HOSPITAL 27. ANN ABDELLA, EXECUTIVE DIRECTOR, CHAUTAUQUA COUNTY HEALTH NETWORK 28. BREE AGETT, CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH GROVE CITY MEDICAL CENTER When Preparing the Community Health Needs Assessment, local individuals were contacted and individual meetings were conducted to gather information relating to the community. Representatives of the following agencies were contacted for discussions: Mercer County Area Agency on Aging, Mercer County 211, Grove City YMCA, United Way, Pennsylvania Department of Health, Mercer County District Attorney, Grove City Schools, Community Health Partnership of Mercer County, Grove City Medical Center CEO, Grove City Medical Center CFO and Grove City Medical Center Board Member.
PART V, SECTION B, LINE 7	THE COMMUNITY HEALTH NEEDS ASSESSMENTS CAN BE FOUND HERE: HTTPS://WWW.AHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGIES CAN BE FOUND HERE: HTTPS://WWW.AHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART V, SECTION B, LINE 11	THE HOSPITALS OF THE AHN DEVELOPED AN IMPLEMENTATION PLAN TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS THEIR RESPECTIVE SERVICE AREAS. THE FOLLOWING ILLUSTRATES HOW EACH HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS WELL AS ANY NEED THAT IS NOT BEING ADDRESSED AND WHY: ALLEGHENY GENERAL HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: TRANSPORTATION STRATEGIES: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES (PCS) TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PCPS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; CONDUCT SCREENING FOR SOCIAL DETERMINANTS OF HEALTH TO DETERMINE TRANSPORTATION NEEDS. MEASURE: REDUCED MISSED APPOINTMENTS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES; REDUCED ED ADMISSIONS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES FOR MEDICAL APPOINTMENTS. IMPACT: INCREASED TRANSPORTATION SERVICES; INCREASED EDUCATION ON TRANSPORTATION SERVICES. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: WORKFORCE DEVELOPMENT STRATEGIES: INCREASE THE NUMBER OF PEOPLE THAT RECEIVE INFORMATION ON RELEVANT JOBS AND PRE-EMPLOYMENT CAREER READINESS. ACTION STEPS: PARTNER WITH LOCAL PUBLIC SCHOOLS AND COMMUNITY PARTNERS; PROVIDE EDUCATIONAL EVENTS, HOSPITAL TOURS AND OPEN HOUSES TO STUDENTS AND RESIDENTS IN OUR REGION; IDENTIFY HIGH-TURNOVER JOBS AND DEVELOP EMPLOYMENT PIPELINES SPECIFIC TO JOB OPENINGS. MEASURE: NUMBER OF COMMUNITY EVENTS PROVIDED; NUMBER OF INDIVIDUAL SCREENED FOR EMPLOYMENT; INCREASED NUMBER OF POSITIONS FILLED. IMPACT: INCREASED NUMBER OF COMMUNITY EVENTS; DECREASE NUMBER OF HIGH TURNOVER JOBS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER STRATEGIES: TO INCREASE ACCESS TO SERVICE IN THE ED FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: DEVELOP ED PATHWAY FOR INITIATION OF MEDICATION ASSISTED THERAPY (MAT) AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTERS IN AHN HOSPITALS. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS AT AHN HOSPITALS; A1C LEVELS FOR TARGET POPULATION. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT AGH. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGIES: INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES. ACTION STEPS: PARTNER WITH AHN CANCER INSTITUTE TO PROVIDE CANCER SCREENINGS FOR BREAST, COLON/RECTAL, PROSTATE AND LUNG CANCER. MEASURE: NUMBER OF SCREENINGS PERFORMED; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER. IMPACT: INCREASED NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. ALLEGHENY VALLEY HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: TRANSPORTATION STRATEGIES: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES (PCS) TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PCPS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; IMPLEMENT TRANSPORTATION PROTOCOL WITH COMMUNITY PARTNER; CONTINUE TO WORK TO IMPROVE CONNECTIVITY WITH ONE CALL SYSTEM. MEASURE: INCREASED NUMBER OF DOCUMENTED COMMUNITY BASED TRANSPORTATION RESOURCES; INCREASE THE NUMBER OF PATIENTS THAT UTILIZE TRANSPORTATION RESOURCES. IMPACT: INCREASED EDUCATION ON TRANSPORTATION SERVICES FOR STAFF; INCREASE TRANSPORTATION SERVICES FOR PATIENTS; IMPROVED DISCHARGE PROCESS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGY: IMPROVE QUALITY OUTCOMES FOR MENTAL HEALTH DOMAIN; COLLABORATE WITH AHN BEHAVIORAL HEALTH CONSULTANTS (BHC) IN THE PRIMARY CARE PRACTICES. ACTION STEPS: UTILIZE NEEDS ASSESSMENT COUNSELORS/SOCIAL SERVICES TO MONITOR PATIENT ENCOUNTERS IN ED; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; UTILIZE THE BHC TO PROVIDE SUPPORT FOR PATIENTS WITH MENTAL HEALTH ISSUES. MEASURE: NUMBER OF PATIENTS REFERRED TO INPATIENT OR OUTPATIENT FACILITIES. IMPACT: IMPROVED QUALITY OUTCOMES; INCREASE AWARENESS OF AVAILABLE RESOURCES; INCREASE NUMBER OF PATIENTS RECEIVING TREATMENT. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE ABUSE DISORDER STRATEGY: TO INCREASE ACCESS TO SERVICES IN THE ED FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: CONSULT WITH NEEDS ASSESSMENT COUNSELORS TO DISCUSS TREATMENT OPTIONS FOR ED PATIENTS; USE ED PATHWAY FOR INITIATION OF MAT AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER IN AVH; DEVELOP PARTNERSHIP WITH PRIMARY CARE REDESIGN; PREVENT THE ONSET AND DEVELOPMENT OF DIABETES. ACTION STEPS: DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; RECEIVE QUARTERLY DATA SUMMARY OF PRACTICE AND REGION PERFORMANCE ON DIABETES MEASURES; PROVIDE WORKFLOW REDESIGN SUPPORT FOR DIABETES QI EFFORT INITIATIVE; PROVIDE PATIENT EDUCATION ON RISK FACTORS AND DISEASE MANAGEMENT; PARTNER WITH COMMUNITY TO PROVIDE EDUCATION; CONNECT WITH DIABETES SUPPORT INITIATIVE; SCREEN FOR FOOD INSECURITIES BY COMMUNITY CARE NETWORK (CCN). MEASURE: A1C LEVELS FOR TARGET POPULATION; NUMBER OF COMMUNITY EVENTS; QUALITY OUTCOMES FROM PCP OFFICE INFORMATION; NUMBER OF COMMUNITY PROGRAMS; PERFORMANCE ON DIABETES MEASURES; RESULTS OF SCREENINGS FOR FOOD INSECURITIES. IMPACT: DECREASED A1C LEVELS AMONG TARGET POPULATION; INCREASED COMMUNITY PROGRAMS. IMPROVED OUTCOMES FOR DIABETES MEASURES; IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS; INCREASED COMMUNITY PROGRAMS; IMPROVED QUALITY MEASURES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGY: IMPROVE QUALITY OUTCOMES ASSOCIATED WITH HEART DISEASE. ACTION STEPS: COLLABORATE WITH STROKE TEAM TO PROVIDE STROKE AWARENESS COMMUNITY EVENTS; EXTEND PROVISION OF CURRENT CHF AT HOME SCALE FOR COMMUNITY CARE NETWORK (CCN) PATIENTS; PARTNER WITH LOCAL YMCA TO PROVIDE EXERCISE OPTIONS FOR CARDIAC REHAB PATIENTS. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF CCN CHF PATIENTS THAT UTILIZE A SCALE; READMISSIONS FOR CHF PATIENTS; NUMBER OF PATIENTS THAT SEEK EXERCISE PROGRAMS AT LOCAL YMCA. IMPACT: IMPROVED QUALITY OUTCOMES; INCREASED EDUCATION ON STROKE RISK FACTORS; INCREASED CCN CHF PATIENTS WITH A SCALE; DECREASED READMISSIONS FOR CCN CHF PATIENTS; INCREASED ROUTINE EXERCISE FOR CARDIAC REHAB PATIENTS. CANONSBURG GENERAL HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: ACCESS TO PRIMARY CARE STRATEGY: ENHANCE PCP AVAILABILITY; CONVERT CURRENT HOSPITALISTS BACK TO THE PCP OFFICE SETTING. ACTION STEPS: EXPAND PCP OFFICE HOURS TO INCLUDE WEEKENDS; MOVE HOSPITAL BASED PCPS BACK TO OFFICE BASE ONLY; UTILIZE CRNPS TO EXTEND OFFICE HOURS. HIRE ADDITIONAL PURE HOSPITALISTS TO BACKFILL OPEN POSITIONS AT THE HOSPITAL; UTILIZE CRNPS TO EXTEND OFFICE HOURS. MEASURE: NUMBER OF OFFICE VISITS WITH PCP. IMPACT: INCREASED ACCESS TO PCP; INCREASED PCP OFFICE VISITS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER STRATEGY: STRENGTHEN ED PATIENT ACCESS TO DRUG AND ALCOHOL SPECIALISTS; PROVIDE MEDICATION TO OVERDOSE PATIENTS IN THE ED.
ACTION STEPS: PROVIDE ACCESS FROM ED TO APPROPRIATE INPATIENT OR	OUTPATIENT TREATMENT PROGRAMS; COLLABORATE WITH WASHINGTON DRUG & ALCOHOL CENTER (WDAC) TO HAVE DRUG AND ALCOHOL COUNSELOR AVAILABLE TO THE ED OR OFFSITE. IDENTIFY PATIENTS WITH OVERDOSE OR SYMPTOMS OF DRUG USE; PROVIDE NARCAN AND EDUCATION TO THOSE PATIENTS WITH OVERDOSE OR SYMPTOMS OF DRUG USE. MEASURE: NUMBER OF PATIENTS SEEN ON SITE; NUMBER OF PATIENTS REFERRED OFF SITE; NUMBER OF NARCAN KITS ISSUED; NUMBER OF RETURN OVERDOSE PATIENTS IN THE ED; NUMBER OF RETURN PATIENTS SHOWING SYMPTOMS OF DRUG USE IN THE ED. IMPACT: INCREASED ACCESS TO DRUG AND ALCOHOL SPECIALIST; INCREASED NUMBER OF PATIENTS REFERRED TO APPROPRIATE TREATMENT; INCREASED EDUCATION ON NARCAN KIT USE; DECREASE NUMBER OF OVERDOSE DEATHS; DECREASE IN NUMBER OF PATIENTS WITH MULTIPLE OVERDOSE ENCOUNTERS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: REDUCE THE NUMBER OF HYPOGLYCEMIC EPISODES DUE TO THE USE OF OLDER DIABETES MEDICATIONS; DEVELOP CHRONIC DISEASE SPECIALTY CENTER IN CANONSBURG HOSPITAL. ACTION STEPS: SCREEN HOME MEDICATIONS LIST TO IDENTIFY PATIENTS FOR USE OF FIRST GENERATION (OLDER) ANTI-DIABETIC MEDICATIONS; CONDUCT INTERVIEW WITH ELIGIBLE PATIENTS REGARDING HYPOGLYCEMIC EPISODES; WHEN APPROPRIATE, CONVERT DIABETIC PATIENTS TO NEWER DIABETIC MEDICATIONS THAT HAVE LOWER POTENTIAL FOR HYPOGLYCEMIA; EMBED RN NAVIGATORS IN CANONSBURG HOSPITAL; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS. MEASURE: NUMBER OF PATIENTS IDENTIFIED AS USING OLDER MEDICATIONS; NUMBER OF PATIENTS CONVERTED TO NEW MEDICATIONS; NUMBER OF RN NAVIGATORS; A1C LEVELS FOR TARGET POPULATION. IMPACT: DECREASE IN THE USE OF OLDER DIABETES MEDICATIONS; DECREASE IN HYPOGLYCEMIC EPISODES; INCREASE NUMBER OF RN NAVIGATORS; DECREASED A1CLEVELS AMONG TARGET POPULATION. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGY: PROVIDE EDUCATION ON SITE AND IN THE COMMUNITY ON THE HEALTH RISKS OF HEART DISEASE; DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT CANONSBURG HOSPITAL. ACTION STEPS: PARTNER WITH THE COMMUNITY TO PROVIDE HEART DISEASE EDUCATION CLASSES; CONDUCT HEALTH FAIRS; EMBED RN NAVIGATORS AT CANONSBURG HOSPITAL; DEVELOP TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF EDUCATION CLASSES PROVIDED; NUMBER OF HEALTH FAIRS; NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED EDUCATION AND AWARENESS OF HEART DISEASE RISK FACTORS; INCREASE NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. FORBES HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: TRANSPORTATION STRATEGY: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PCPS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; CONDUCT SCREENING FOR SOCIAL DETERMINANTS OF HEALTH TO DETERMINE TRANSPORTATION NEEDS; ENHANCE THE HERITAGE BUS LINE TO CREATE A NEW BUS STOP AT THE AHN FORBES OUTPATIENT CENTER; WORK WITH PORT AUTHORITY (PAT) AND LOCAL MUNICIPALITY LEADERS TO ESTABLISH A PAT BUS STOP ON THE FORBES CAMPUS. MEASURE: REDUCED MISSED APPOINTMENTS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES; REDUCED ED ADMISSIONS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES FOR MEDICAL APPOINTMENTS. IMPACT: INCREASED TRANSPORTATION SERVICES; INCREASE EDUCATION ON TRANSPORTATION SERVICES; IMPROVE BUS ACCESS TO THE FORBES CAMPUS. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUESTIONING (LGBTQ) STRATEGY: TRAIN STAFF ON BASIC CULTURAL COMPETENCY MODULE; MODIFY CARE DELIVERY MODEL TO BE MORE AFFIRMING AND WELCOMING TO LGBTQ PATIENTS. ACTION STEPS: ESTABLISH GUIDELINES FOR IMPLEMENTATION, USING THE HEALTHCARE EQUALITY INDEX AS A METRIC; SHARE MODEL WITH OTHER AHN HOSPITALS; EVALUATE AND MODIFY POLICIES AND PROCEDURES, USING ESTABLISHED BEST PRACTICES AND PATIENT ADVOCACY. MEASURE: PRE- AND POST-TRAINING ASSESSMENTS; USE HEALTHCARE EQUALITY INDEX. IMPACT: INCREASED KNOWLEDGE CULTURAL. COMPETENCE; INCREASED KNOWLEDGE SYSTEM-WIDE; IMPROVE CARE DELIVERY. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGY: PROVIDE EDUCATION TO PUBLIC ABOUT MENTAL HEALTH ISSUES AND TREATMENT OPTIONS; COLLABORATE WITH BEHAVIORAL HEALTH CONSULTANTS (BHC) INTO PRIMARY CARE PRACTICES; DEVELOP AND IMPLEMENT OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES. ACTION STEPS: SPONSOR MENTAL HEALTH FIRST AID TRAIN-THE-TRAINER AND COMMUNITY MHFA TRAININGS TO THE PUBLIC; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; ADMINISTER THE PHQ-2 AT EVERY PRIMARY CARE VISIT AND PHQ-9 FOR PATIENTS WHO SCREEN POSITIVE ON THE PHQ-2; OFFER CONSULTATION AND TREATMENT WITH THE PRACTICES BHC; MONITOR PHQ-9 SCORES OVER TIME FOR IMPROVEMENT; COLLABORATE WITH PSYCHIATRIC AND BEHAVIORAL HEALTH INSTITUTE TO DEVELOP STRATEGIES AND FUNDING TO IMPLEMENT OUTPATIENT FACILITY. MEASURE: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS REFERRED TO INPATIENT OR OUTPATIENT FACILITIES; NUMBER OF CHILDREN REFERRED TO OUTPATIENT SERVICES. IMPACT: INCREASED AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASE AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASE NUMBER OF BHCS IN PRACTICES; IMPROVED PHQ9 SCORES; INCREASED ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE ABUSE DISORDER STRATEGY: TO INCREASE ACCESS TO SERVICES IN THE ED FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: DEVELOP ED PATHWAY FOR INITIATION OF MEDICATION ASSISTED THERAPY (MAT) AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER MAT AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER IN FORBES HOSPITAL; DEVELOP PARTNERSHIP WITH PRIMARY CARE REDESIGN. ACTION STEPS: EMBED RN NAVIGATORS FORBES HOSPITAL; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS; RECEIVE QUARTERLY DATA SUMMARY OF PRACTICE AND REGION PERFORMANCE ON DIABETES MEASURES; PROVIDE WORKFLOW REDESIGN SUPPORT FOR DIABETES QI EFFORTS INITIATIVE. MEASURE: NUMBER OF RN NAVIGATORS; A1C LEVELS FOR TARGET POPULATION; PERFORMANCE ON DIABETES MEASURES. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION; IMPROVE OUTCOMES FOR DIABETES MEASURES; IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT FORBES HOSPITAL. ACTION STEPS: EMBED RN NAVIGATORS AT FORBES HOSPITAL; DEVELOP TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. JEFFERSON HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: COST OF CARE (GOAL 1) STRATEGIES: IMPLEMENT AT LEAST ONE PROJECT AIMED AT REDUCING RX EXPENDITURES; REDUCE INCIDENCE OF NEGATIVE SIDE-AFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT FOR INFECTION; IMPLEMENT A PROJECT TO ADDRESS MEDICATION NEEDS OF DISCHARGED PATIENTS.
ACTION STEPS: REVIEW PATIENTS HIGH COST RX, TARGET RESTRICTING HIGH COST	GENERICS IN FAVOR OF LOWER COST MANUFACTURERS FOR THE IDENTICAL GENERIC MEDICATION; ENGAGE AHN QUALITY SPECIALISTS TO PROVIDE PCP AND SPECIALISTS WITH EDUCATIONAL CAMPAIGNS DESIGNED TO PROMOTE THE USE AND BENEFITS OF GENERICS AND OTHER LOWER COST OPTIONS TO PATIENTS; PHARMACISTS WILL BE INVOLVED IN CULTURE FOLLOW-UP PROCESS FOR ED VISITS FOR UTIS, WOUND INFECTIONS, THROAT CULTURES, AND STDS; DEVELOP AN ALGORITHM OR A STANDARDIZED PROTOCOL BY WHICH PHARMACISTS CAN RECOMMEND APPROPRIATE ACTIONS; REVIEW CULTURE ALERTS RECEIVED AFTER DISCHARGE FROM ED AND WHEN APPROPRIATE, MODIFY TREATMENT RECOMMENDATIONS BASED ON CONSULT BETWEEN ED PHARMACIST AND ED PROVIDER; DEVELOP MEDS TO BED PROGRAM TO IMPROVE PATIENT OUTCOMES WITH MEDICATION ADHERENCE THROUGH UPFRONT EDUCATION, CLARIFICATION OF QUESTIONS AND RESOLUTION OF INSURANCE ISSUES. MEASURES: THE COST SAVINGS OF MOVING THE PATIENTS TO THE LOWER COST MEDICATIONS; PERCENT OF APPROPRIATE ANTIBIOTIC BASED ON BACTERIA; PERCENT OF APPROPRIATE DURATION OF TREATMENT BASED ON TYPE OF INFECTION; PERCENT OF READMISSIONS RETURN VISITS TO ED FOR SAME ISSUE OR SIDE-AFFECT FROM TREATMENT DRUG; NUMBER OF PATIENTS UTILIZING THE MEDS TO BEDS PROGRAM; NUMBER OF PATIENTS UTILIZING MEDS TO BEDS WITH MEDICATION RELATED READMISSIONS. IMPACT: INCREASED USE IN GENERICS FROM LOWER COST MANUFACTURES; DECREASE OUT OF POCKET EXPENDITURES FOR MEDICATIONS; REDUCED READMISSIONS DUE TO INCIDENCE OF NEGATIVE SIDE EFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT; REDUCED ED VISITS DUE TO INCIDENCE OF NEGATIVE SIDE EFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT; DECREASE MEDICATION RELATED READMISSION RATES; REDUCED OUT OF POCKET EXPENSES TO THE PATIENT. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: COST OF CARE (GOAL 2) STRATEGIES: IMPLEMENT PHASE I OF FRONT DOOR INITIATIVE FOR SOCIAL EMERGENCY MEDICINE GRANT TO ADDRESS SOCIAL DETERMINANTS OF HEALTH; IMPLEMENT A PROGRAM DESIGNED TO ADDRESS FOOD INSECURITY AND LACK OF NUTRITION. ACTION STEPS: SCREEN/ASSESS SOCIAL FACTORS IMPACTING PATIENT HEALTH AND ACUTE PHYSICAL EMERGENCIES; ESTABLISH REFERRAL PROCESS WITH COMMUNITY PARTNERS FOR COORDINATED CARE OUTSIDE OF THE ED; REINFORCE A SENSE OF PRIDE AND TRUST OF THE ED BY THE COMMUNITY AS A CENTRAL ASSET; ESTABLISH ADVISORY COUNCIL INCLUSIVE OF INTERNAL STAFF, COMMUNITY ORGANIZATIONS AND VISIONARIES; REVIEW NATIONAL MODELS OF EXCELLENCE IN SOCIAL EMERGENCY MEDICINE; UNDERSTAND AND ANALYZE COMMUNITY AND ED POPULATION DATA; IMPROVE REFERRAL AND FOLLOW UP PROCESS; IMPLEMENT STAFF TRAINING ON CULTURAL COMPETENCY, SOCIAL DETERMINANTS OF HEALTH, ENCP; INTEGRATE SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL IN EPIC FOR ED PATIENTS; COLLABORATE WITH THE GREATER PITTSBURGH COMMUNITY FOOD BANK TO PROVIDE A MEDICALLY-TAILORED FOOD PACKAGE FOR PATIENTS AT DISCHARGE; SCREEN FOR FOOD INSECURITY; PROVIDE FOOD PACKAGES WITH FOOD ASSISTANCE RESOURCES. MEASURES: ED UTILIZATION FOR TARGET POPULATION; HOSPITAL READMISSIONS FOR TARGET POPULATION; REFERRALS TO NEEDED COMMUNITY SERVICES; 30-DAY UNPLANNED READMISSIONS; ADHERENCE TO MEDICAL TEST AND FOLLOW UP APPOINTMENTS; PATIENT REPORTED QUALITY OF LIFE IMPROVEMENT. IMPACT: DECREASED NON URGENT ED VISITS; DECREASED READMISSION RATES; INCREASE COMMUNITY REFERRALS; INCREASE NUMBER OF FOOD PACKAGES PROVIDED; REDUCED READMISSION RATES; IMPROVED ADHERENCE TO MEDICAL TEST AND FOLLOW-UP APPOINTMENTS; IMPROVED QUALITY OF LIFE. HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: COST OF CARE (GOAL 3) STRATEGIES: ENGAGE TRANSITIONAL CARE MANAGEMENT TEAM TO CONDUCT OUTREACH TO PATIENTS UPON DISCHARGE FROM HOSPITAL AND AFTER ED VISITS. ACTION STEPS: PCP OFFICE CONTACTS PATIENTS WITHIN 2 DAYS OF A HOSPITAL DISCHARGE TO REVIEW DISCHARGE INSTRUCTIONS AND MEDICATIONS; IDENTIFY BARRIERS TO PATIENTS FOLLOWING UP WITH THE CARE PLAN; SCHEDULE A TRANSITIONAL CARE MANAGEMENT VISIT WITH THE PCP; PLACE HIGH PRIORITY ON PATIENTS WITH FREQUENT ED UTILIZATION; PROVIDE PATIENT EDUCATION ON WHEN TO USE THE ED VS. PCP; SCHEDULE FOLLOW-UP PCP APPOINTMENTS. MEASURES: HOSPITAL 30 DAY READMISSIONS FOR TARGET POPULATION; ED UTILIZATION FOR TARGETED POPULATIONS. IMPACT: DECREASED READMISSION RATES; DECREASED NON URGENT ED UTILIZATION; INCREASE IN PCP UTILIZATION TO AVOID ESCALATION TO ACUTE HEALTH CONDITIONS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: PROVIDE EDUCATION TO PUBLIC ABOUT MENTAL HEALTH ISSUES AND TREATMENT OPTIONS; RECRUIT, HIRE, TRAIN AND INTEGRATE BEHAVIORAL HEALTH CONSULTANTS (BHC) INTO AMBULATORY PRACTICES. ACTION STEPS: COLLABORATE WITH JEFFERSON REGIONAL FOUNDATION TO SPONSOR MENTAL HEALTH FIRST AID TRAIN-THE-TRAINER AND COMMUNITY MHFA TRAININGS TO THE PUBLIC; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; ADMINISTER THE PHQ-2 AT EVERY PRIMARY CARE VISIT AND PHQ-9 FOR PATIENTS WHO SCREEN POSITIVE ON THE PHQ-2; OFFER CONSULTATION & TREATMENT WITH THE PRACTICES BHC; MONITOR PHQ-9 SCORES OVER TIME FOR IMPROVEMENT. MEASURES: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF BHCS INTEGRATED INTO PHYSICIAN & AMBULATORY PRACTICES; BEHAVIORAL HEALTH AND PSYCHO SOCIAL ISSUE REDUCTION BY MONITORING PHQ-9 SCORES. IMPACT: INCREASED AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASE AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASED NUMBER OF BHCS IN PRACTICES; IMPROVED PHQ9 SCORES. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTERS IN ALL AHN HOSPITALS; PROVIDE SUPPORT TO PRIMARY CARE PROVIDERS WITH DATA ABOUT PERFORMANCE ON DIABETES MEASURES AND SUPPORT FOR QUALITY IMPROVEMENT ACTIVITIES TO ENHANCE PERFORMANCE ON DIABETES CARE. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS; CONTINUE PARTNERSHIP WITH PRIMARY CARE REDESIGN; PROVIDE QUARTERLY DATA SUMMARY OF PRACTICE AND REGION PERFORMANCE ON DIABETES MEASURES AND ON-DEMAND PATIENT-LEVEL DATA VIA THE EMR TO GUIDE POPULATION HEALTH MANAGEMENT ACTIVITIES; PROVIDE TRAINING AND WORKFLOW REDESIGN SUPPORT FOR DIABETES QI EFFORTS VIA COACHING FROM A PRACTICE TRANSFORMATION SPECIALIST AND CONSULTATION WITH ENDOCRINOLOGISTS FROM THE AHN DIABETES PRIMARY CARE SUPPORT INITIATIVE. MEASURES: NUMBER OF RN NAVIGATORS AT AHN HOSPITALS; A1C LEVELS FOR TARGET POPULATION; PERFORMANCE ON DIABETES MEASURES: HBA1C AT GOAL, RETINAL EYE EXAM, STATIN THERAPY, BP CONTROL, ANNUAL URINE MICRO ALBUMIN RE: NEPHROPATHY, FOOT EXAM AND PERCENTAGE OF DIABETICS WHO ARE NON-SMOKERS. IMPACT: INCREASE NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION; IMPROVE OUTCOMES FOR DIABETES MEASURES; IMPROVE QUALITY OF LIFE FOR DIABETIC PATIENTS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER (GOAL 1) STRATEGIES: PROVIDE RESOURCE TO HELP INDIVIDUALS STOP THE USE OF TOBACCO PRODUCTS; INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES. ACTION STEPS: COLLABORATE WITH JEFFERSON REGIONAL FOUNDATION TO PROVIDE A GRANT TO CONSUMER HEALTH COALITION TO TRAIN TOBACCO CESSATION COUNSELORS AND ORGANIZE QUITTING WORKSHOPS; TRAIN HOSPITAL EMPLOYEES ON TOBACCO CESSATION COUNSELING; OFFER WORKSHOPS AT JEFFERSON HOSPITAL; PLAN FREE CANCER SCREENINGS FOR PROSTATE, BREAST, SKIN, CERVICAL, COLON/RECTAL, AND LUNG CANCER; DISTRIBUTE BOOKLET ON AGE-APPROPRIATE CANCER SCREENINGS. MEASURES: NUMBER OF EDUCATIONAL EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF SCREENINGS PERFORMED; NUMBER OF ABNORMAL SCREENINGS IDENTIFIED AND REFERRED FOR ADDITIONAL TESTING; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER. IMPACT: INCREASED NUMBER OF EDUCATION EVENTS AT AHN HOSPITAL SITES, ESPECIALLY HIGH -RISK AREAS; INCREASE NUMBER OF TRAINED HOSPITAL EMPLOYEES; INCREASED NUMBER OF TRAINED COMMUNITY PARTNERS; INCREASED NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER (GOAL 2) STRATEGIES: INCREASE THE VOLUME OF PATIENTS PARTICIPATING IN PROGRAMS THAT HELP PEOPLE DEALING WITH A CANCER DIAGNOSIS AND THE CHALLENGES RELATED TO TREATMENT.
ACTION STEPS: PROMOTE CANCER CARE CENTERS CANCER SUPPORT GROUP; PROMOTE	THE LOOK GOOD FEEL BETTER; PROMOTE AHN CANCER INSTITUTE HAS STARTED PRE-CHEMO TREATMENT VISITS FOR ALL PATIENTS UNDERGOING CHEMOTHERAPY AT THE JEFFERSON HOSPITAL; PARTNERS WITH OUR CLUBHOUSE, TO OFFER LIVING LIFE POST CANCER TREATMENT; PARTNER WITH THE AMERICAN CANCER SOCIETY TO PROMOTE A FREE WIG SALON; PROVIDE SATCHELS OF CARING FOR CANCER PATIENTS; PROVIDE FREE NUTRITION CONSULTATION TO ONCOLOGY PATIENTS; ENGAGE AN ONCOLOGY SOCIAL WORKER TO OFFER FREE ASSISTANCE TO ONCOLOGY PATIENTS WITH THEIR SOCIAL DETERMINANTS OF NEED; UTILIZE A NURSE NAVIGATOR TO PROVIDE COORDINATION OF THEIR CARE AS PATIENTS GO THROUGH THEIR CANCER JOURNEY. MEASURES: NUMBER OF PROGRAMS; NUMBER OF PARTICIPANTS. IMPACT: INCREASED NUMBER OF CANCER SUPPORT EVENTS; INCREASED NUMBER INDIVIDUALS ACCESSING SERVICES OF SUPPORT GROUPS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: OBESITY STRATEGIES: COLLABORATE WITH LOCAL SCHOOL, AFTER SCHOOL PROGRAM, AND PEDIATRIC PRACTICES TO ENCOURAGE CHILDREN TO BECOME MORE ACTIVE; IMPLEMENT A PROGRAM TO REDUCE OBESITY IN ADULTS; IMPROVE HEALTH LITERACY ON ISSUES RELATED TO OBESITY; OFFER SUPPORT TO INDIVIDUALS WORKING ON WEIGHT MANAGEMENT. ACTION STEPS: WORK WITH LOCAL SCHOOLS/AFTER SCHOOL PROGRAM TO IMPLEMENT CATCH KIDS CLUB (NIH PROGRAM) OR SIMILAR EVIDENCE-BASED CURRICULUM; OFFER EAT HEALTHY, BE ACTIVE COMMUNITY WORKSHOPS (OFFICE OF DISEASE PREVENTION AND HEALTH PROMOTION PROGRAM) OR SIMILAR PROGRAM; COLLABORATE WITH VENTURE OUTDOORS OR SIMILAR PROGRAMS TO GET PEOPLE ACTIVE; ESTABLISH A SPEAKERS BUREAU TO PROVIDE EDUCATION TO COMMUNITY ORGANIZATIONS ON TOPICS SUCH AS NUTRITION, DIABETES, AND EXERCISE; OFFER A MONTHLY SUPPORT GROUP FOR PEOPLE TO SHARE PERSONAL EXPERIENCES, FEELINGS, AND COPING STRATEGIES ON WEIGHT MANAGEMENT. MEASURES: NUMBER OF CHILDREN ENROLLED IN PROGRAMS; NUMBER PROGRAMS OFFERED; NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF ACTIVITIES; NUMBER OF PROGRAMS PROVIDED; NUMBER OF PARTICIPANTS; IMPACT: INCREASED AWARENESS OF HEALTHY BEHAVIORS FOR CHILDREN GRADES K-5; INCREASE NUMBER OF COMMUNITY-BASED EVENTS ON OBESITY; INCREASE NUMBER OF OPPORTUNITIES FOR PHYSICAL ACTIVITY, EDUCATION, AND NUTRITION; INCREASE NUMBER OF PEOPLE ENGAGED IN ACTIVITIES TO REDUCE OBESITY; IMPROVED ABILITY TO OBTAIN, PROCESS, AND UNDERSTAND HEALTH INFORMATION NEEDED TO MAKE INFORMED HEALTH DECISIONS; FILL THE GAP BETWEEN MEDICAL TREATMENT AND EMOTIONAL SUPPORT FOR THOSE WITH WEIGHT MANAGEMENT CHALLENGES. SAINT VINCENT HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: ACCESS TO PRIMARY CARE STRATEGIES: IDENTIFY AND EDUCATE PATIENTS THAT DO NOT HAVE A PCP; INCREASE THE NUMBER OF NEW PRIMARY CARE PATIENT VISITS; INCREASE NUMBER OF SCHEDULED PCP APPOINTMENTS. ACTION STEPS: IDENTIFY UNATTRIBUTED PATIENTS THROUGH SCHEDULING TOOL; IDENTIFY UNATTRIBUTED PATIENTS THROUGH BIOMETRIC SCREENING PROCESS; CREATE HANDOFF TO CALL CENTER; PARTNER WITH LOCAL BUSINESSES TO PROMOTE PCP ENGAGEMENT; UTILIZE MEET DR. RIGHT EVENTS; PARTNER WITH CLINICAL ACCESS TEAM; IMPLEMENT CENTRALIZED SCHEDULING; IMPLEMENT ONLINE SCHEDULING; INCREASE # OF SAME DAY SLOTS OFFERED; PARTNER WITH AHN TEMPLATE TEAM TO ACHIEVE TEMPLATE STANDARDIZATION AND OPTIMIZATION. MEASURE: NUMBER OF PATIENTS CONNECTED TO A PCP; NUMBER OF PARTICIPANTS AT COMMUNITY EVENTS; NUMBER OF NEW PATIENT VISITS; NUMBER OF ONLINE SCHEDULED CALLS; NUMBER OF SAME DAY APPOINTMENTS. IMPACT: INCREASE IN NUMBER OF PATIENTS ASSIGNED TO A PCP; INCREASE ACCESS TO PCP; NUMBER OF NEW PATIENTS; INCREASE IN NUMBER OF ONLINE APPOINTMENTS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: INCREASE ACCESS TO COMMUNITY-BASED MENTAL HEALTH EDUCATION SESSIONS; INCREASE PRIMARY CARE PROVIDER NETWORK AWARENESS OF GERIATRIC BEHAVIORAL HEALTH SERVICES. ACTION STEPS: PROVIDE COMMUNITY-BASED SEMINARS AND PROGRAMS ON SIGNS OF MENTAL HEALTH ILLNESS; PROVIDE COMMUNITY EVENTS ON AVAILABLE SERVICES TO SUPPORT RECOVERY; SCHEDULE GERIATRIC BEHAVIORAL HEALTH LIAISON TO MEET WITH EACH PRACTICE TO PROVIDE EDUCATION ON AVAILABLE SERVICES; PRIMARY CARE PROVIDERS WILL CALL GERIATRIC BEHAVIORAL HEALTH LIAISON FOR POTENTIAL ADMISSIONS. MEASURE: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF GERIATRIC ADMISSIONS FROM PRIMARY CARE PROVIDERS. IMPACT: INCREASE AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASED AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASED ADMISSIONS TO GERIATRIC BEHAVIORAL HEALTH UNIT. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE ABUSE DISORDER STRATEGIES: INCREASE ACCESS TO COMMUNITY-BASED EDUCATION SESSIONS; INCREASE NUMBER OF PATIENTS ELIGIBLE FOR THE WARM HAND OFF PROGRAM. ACTION STEPS: PROVIDE COMMUNITY-BASED SEMINARS AND PROGRAMS ON SUBSTANCE USE DISORDER; PROVIDE COMMUNITY EVENTS THAT INCREASE AWARENESS OF AVAILABLE SERVICES TO SUPPORT RECOVERY; SCREEN OVERDOSE PATIENTS COMING TO THE ED FOR CRITERIA MEETING MEDICATION ASSISTED TREATMENT (MAT); BEGIN MEDICATING PATIENTS THAT MEET CRITERIA AND TRANSITION TO GAUDENZIA FOR DETOX; EDUCATION TO EMS SERVICES OF THIS PROGRAM; PUBLIC EDUCATION FOR DETOX SERVICES. MEASURE: NUMBER OF EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS IN MAT; NUMBER OF PATIENTS IN WARM HAND OFF PROGRAM. IMPACT: INCREASE AWARENESS OF SIGNS OF MENTAL HEALTH ILLNESS; INCREASED AWARENESS OF AVAILABLE RESOURCES FOR RECOVERY; INCREASE IN NUMBER OF PATIENTS WHO RECEIVE MEDICATION FOR ADDICTION; INCREASED NUMBER OF PATIENTS IN WARM HAND OFF PROGRAM. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: PROMOTE DIABETES PREVENTION PROGRAMMING TO THE COMMUNITY; IMPROVE CARE MANAGEMENT OF RISING RISK PATIENTS WITH CHRONIC DISEASE. ACTION STEPS: CONDUCT SCREENINGS AND EDUCATION AT COMMUNITY EVENTS; IDENTIFY PARTICIPANTS THROUGH THE BIOMETRIC SCREENING PROCESS; IDENTIFY PATIENTS THROUGH RISK STRATIFICATION TOOLS; PARTNER WITH POPULATION HEALTH MANAGEMENT TEAMS; DEVELOP A TOOL WITHIN THE ELECTRONIC MEDICAL RECORDS. MEASURE: NUMBER OF PATIENTS COUNSELED ON RISK FACTORS; ED UTILIZATION; HOSPITAL ADMISSIONS; A1C LEVELS FOR TARGET POPULATION. IMPACT: INCREASE AWARENESS OF RISK FACTORS OF DIABETES; DECREASED ED UTILIZATION; DECREASED HOSPITAL ADMISSIONS FOR DIABETES RELATED ILLNESS; DECREASED A1C LEVELS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGIES: PROVIDE COMMUNITY-BASED CANCER SCREENING EVENTS; INCREASE CT LUNG CANCER SCREENING UTILIZATION; INCREASE SCREENINGS WITH ASYMPTOMATIC BREAST ULTRASOUND (ABUS). ACTION STEPS: PROVIDE COMMUNITY CANCER SCREENING AND EDUCATION EVENTS; IMPLEMENT LUNG CANCER SCREENING NAVIGATION; EXPAND CT LUNG SCREENING ACCESS/LOCATIONS; PROMOTE TO PUBLIC AND PROVIDERS; INCREASE SCREENING BREAST ULTRASOUND CAPACITY; EDUCATE PRIMARY CARE PROVIDERS ON SCREENING BREAST ULTRASOUND; EXPAND NUMBER OF SONOGRAPHERS TRAINED ON ABUS. MEASURE: NUMBER OF SCREENING EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF STUDIES PERFORMED; NUMBER OF SCREENING BREAST ULTRASOUNDS PERFORMED. IMPACT: INCREASED NUMBER OF CANCER SCREENING AND EDUCATION EVENTS; INCREASE NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF CT LUNG SCREENINGS; INCREASE NUMBER OF BREAST SCREENINGS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: OBESITY STRATEGIES: INCREASE COMMUNITY-BASED EDUCATION PROGRAMS; EDUCATE COMMUNITY ON CORRELATION BETWEEN WEIGHT AND HEALTH; INCREASE ACCESS TO BARIATRIC PROGRAM FOR TREATMENT OF OBESITY; PROVIDE OPPORTUNITIES FOR COMMUNITY MEMBERS TO BECOME INVOLVED IN EVENTS THAT ENCOURAGE PHYSICAL HEALTH AND WELLNESS. ACTION STEPS: WORK WITH LOCAL SCHOOL DISTRICTS ON CHILDHOOD OBESITY EDUCATION; COORDINATE PROGRAMMING AND BMI SCREENINGS FOR HEALTH FAIRS; PROVIDE NUTRITION FOCUSED LECTURES; IDENTIFY PARTICIPANTS THROUGH THE BIOMETRIC SCREENING PROCESS; PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE EDUCATION ON OBESITY; INCREASE PCP AWARENESS OF THE BARIATRIC PROGRAM; UTILIZE MEET DR. RIGHT EVENTS TO INCREASE ACCESS TO THE BARIATRIC PROGRAM; INCREASE EVENTS THAT ENCOURAGE HEALTH AND WELLNESS ACTIVITIES THAT INCLUDE PHYSICAL EXERCISE, NUTRITIONAL COUNSELING, STRESS MANAGEMENT AND PREDIABETES EDUCATION. MEASURE: NUMBER OF PATIENTS COUNSELED ON RISK FACTORS; NUMBER OF BMI SCREENINGS; NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS THAT SCHEDULE APPOINTMENTS AT MEET DR. RIGHT EVENTS. IMPACT: INCREASE IN AWARENESS OF RISK FACTORS OF OBESITY; INCREASE IN NUMBER OF PATIENTS SCREENED FOR BMI; INCREASE IN NUMBER OF COMMUNITY-BASED EVENTS; INCREASE NUMBER OF EVALUATIONS FOR BARIATRIC PROGRAM; INCREASE AWARENESS OF PHYSICAL HEALTH AND WELLNESS. WESTFIELD MEMORIAL HOSPITAL HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: PROVIDE PATIENTS PRESENTING TO THE ED WITH LOCAL OPTIONS FOR FOLLOW-UP CARE. ACTION STEPS: DEVELOP PARTNERSHIPS WITH AREA BEHAVIORAL HEALTH PROVIDERS; DEVELOP A REFERRAL PATHWAY FOR POST-ED FOLLOW-UP CARE OF ADDICTION AND OTHER MENTAL HEALTH ISSUES.
MEASURE: NUMBER OF PATIENTS REFERRED TO OUTPATIENT FACILITIES; NUMBER OF	LOCAL SERVICES IDENTIFIED. IMPACT: INCREASED REFERRALS TO SERVICES; INCREASED AWARENESS OF AVAILABLE RESOURCES. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER (GOAL 1) STRATEGIES: BEGIN MEDICATING PATIENTS THAT MEET CRITERIA WITH FIRST DOSE OF BUPRENORPHINE AND TRANSITION TO MEDICATION ASSISTED TREATMENT (MAT) FOR DETOX. ACTION STEPS: SCREEN OVERDOSE PATIENTS IN THE EMERGENCY DEPARTMENT FOR MAT CRITERIA; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; COLLABORATE WITH BUFFALO MATTERS TO DEVELOP PROTOCOLS FOR WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT; NUMBER OF PATIENTS THAT PARTICIPATE IN MAT PROGRAM. IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER (GOAL 2) STRATEGIES: INCREASE COMMUNITY KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER RESOURCES. ACTION STEPS: PARTNER WITH COMMUNITY BASED PROVIDERS; HOST PUBLIC INFORMATION SESSIONS WITH LOCAL PROVIDERS. MEASURE: NUMBER OF COMMUNITY EVENTS. IMPACT: INCREASED AWARENESS OF TREATMENT RESOURCES FOR SUBSTANCE USE DISORDER. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGIES: PROMOTE DIABETES PREVENTION IN THE COMMUNITY; PARTNER WITH LOCAL CHILDRENS DIABETIC CAMPS. ACTION STEPS: HOST SCREENING AND EDUCATION EVENTS; IDENTIFY AT RISK PATIENTS THROUGH BIOMETRIC SCREENINGS; PRESENT AT SCHOOLS AND COMMUNITY GROUP ON HEALTHY LIVING; INCLUDE DIABETES/WELLNESS EDUCATION ON SOCIAL MEDIA SITE MONTHLY; PROVIDE SUBJECT MATTER SUPPORT TO CHILDREN AT THE CAMP; EDUCATE CAMPERS ON DIABETES MANAGEMENT STRATEGIES. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF AT RISK PATIENTS IDENTIFIED THROUGH BIOMETRIC SCREENINGS; NUMBER OF SOCIAL MEDIA EDUCATION TOPICS POSTED; STAFF HOURS FOR PLANNING AND PRESENTING AT THE CAMP; NUMBER OF CAMPERS EDUCATED. IMPACT: INCREASED COMMUNITY PROGRAMS; INCREASE SCREENINGS; INCREASE PARTICIPATION IN CHILDRENS CAMP; INCREASE EDUCATION FOR CAMPERS; INCREASE SCREENINGS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: HEART DISEASE STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT WMH. ACTION STEPS: EMBED RN NAVIGATORS AT WMH; DEVELOP TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS. MEASURE: NUMBER OF RN NAVIGATORS EMBEDDED THROUGHOUT THE HOSPITAL; DEVELOPMENT OF CHRONIC DISEASE CARE MODEL. IMPACT: INCREASED NUMBER OF RN NAVIGATORS; INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGIES: DEVELOP CT LUNG CANCER SCREENING PROGRAM. ACTION STEPS: IMPLEMENT LUNG CANCER SCREENING PROTOCOLS; EDUCATE REFERRING PROVIDERS OF SERVICES. MEASURE: NUMBER OF STUDIES PERFORMED. IMPACT: INCREASED NUMBER OF CT LUNG SCREENINGS; INCREASED NUMBER OF EARLY LUNG CANCER DETECTIONS. WEST PENN HOSPITAL HEALTH PRIORITY: ACCESS TO CARE COMMUNITY NEED: FOOD INSECURITY, DIET, NUTRITION STRATEGY: INCREASE ACCESS TO THE HEALTHY FOOD CENTER. ACTION STEPS: UTILIZE THE HEALTHY FOOD CENTER TO EDUCATE ON CHRONIC DISEASES; PARTNER WITH THE HEALTHY FOOD CENTER TO PROVIDE EDUCATION ON HEALTHY CHOICES; PARTNER WITH PCP OFFICES TO UTILIZE THE SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL FOR FOOD INSECURITIES; REFER PATIENTS TO THE HEALTHY FOOD CENTER. MEASURE: NUMBER OF REFERRALS FROM PCP OFFICES; NUMBER OF REFERRALS THAT UTILIZE THE HEALTHY FOOD CENTER. IMPACT: INCREASED UTILIZATION OF THE HEALTHY FOOD CENTER; INCREASED EDUCATION AND AWARENESS OF FOOD INSECURITIES. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: POST-PARTUM DEPRESSION STRATEGY: IDENTIFY WOMEN AT RISK FOR PERINATAL OR POST-PARTUM DEPRESSION AND ANXIETY DISORDERS. ACTION STEPS: CONDUCT EARLY SCREENINGS FOR PERINATAL AND POST-PARTUM DEPRESSION; CONDUCT BEHAVIORAL HEALTH ASSESSMENT PRIOR TO DISCHARGE; PROVIDE ACCESS TO APPROPRIATE LEVEL CARE; DESTIGMATIZE POST-PARTUM DEPRESSION AND ANXIETY DISORDERS; CONDUCT BEHAVIORAL HEALTH ASSESSMENT AT FOLLOW UP VISITS. MEASURE: NUMBER OF WOMEN SCREENED; NUMBER OF WOMEN REFERRED TO ALEXIS JOY DACHILLE CENTER FOR PERINATAL MENTAL HEALTH; NUMBER OF WOMEN REFERRED TO OTHER LOCATIONS FOR APPROPRIATE CARE; NUMBER OF BEHAVIORAL HEALTH ASSESSMENTS. IMPACT: INCREASED AWARENESS OF SIGNS OF PERINATAL AND POST-PARTUM DEPRESSIONS; INCREASED USE OF APPROPRIATE BEHAVIORAL HEALTH SERVICES FOR WOMEN. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: DIABETES STRATEGY: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT WEST PENN HOSPITAL. ACTION STEPS: EMBED RN NAVIGATORS AT WEST PENN HOSPITAL; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; PROMOTE LIFESTYLE CHANGE INTERVENTIONS AND INTENSIVE CASE MANAGEMENT TO REDUCE RISK OF DIABETES AND CARDIOVASCULAR DISEASE IN HIGH-RISK INDIVIDUALS; REFER PATIENTS TO DIABETIC MEAL PILOT ALLOWING PATIENTS TO RECEIVE UPON DISCHARGE FOOD FOR 30 DAYS (2 MEALS/DAY). THIS ALSO WILL INCLUDE A FOLLOW UP REFERRAL TO THE HEALTHY FOOD CENTER. MEASURE: NUMBER OF RN NAVIGATORS AT WEST PENN HOSPITAL; A1C LEVELS FOR TARGET POPULATION; NUMBER OF EDUCATION PROGRAMS FOR PROVIDERS; NUMBER OF EDUCATION PROGRAMS FOR PATIENTS; NUMBER OF REFERRALS TO THE HEALTHY FOOD CENTER. IMPACT: INCREASE NUMBER OF RN NAVIGATORS; DECREASED A1C LEVELS AMONG TARGET POPULATION; IMPROVE OUTCOMES FOR DIABETES MEASURES; IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: CANCER STRATEGY: INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES; EDUCATE ADULTS ON THE IMPORTANCE OF EARLY DETECTION. ACTION STEPS: PLAN FREE CANCER SCREENINGS FOR PROSTATE, BREAST, SKIN, CERVICAL, COLON/RECTAL, AND LUNG CANCER; DISTRIBUTE BOOKLET ON AGE-APPROPRIATE CANCER SCREENINGS; COLLABORATE WITH COMMUNITY PARTNERS TO ENHANCE COMMUNITY OUTREACH AND EDUCATION; COLLABORATE WITH BREATH PA AMERICAN LUNG ASSOCIATION AND CONSUMER HEALTH COALITION ON SMOKING CESSATION; WORK WITH PCPS ON SMOKING CESSATION EDUCATION/COUNSELING; EDUCATE PCPS ON RECOMMENDING HOME COLON/RECTAL SCREENINGS KITS. MEASURE: NUMBER OF SCREENINGS PERFORMED; NUMBER OF ABNORMAL SCREENINGS IDENTIFIED AND REFERRED FOR ADDITIONAL TESTING; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER; NUMBER OF EDUCATIONAL EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF COLLABORATIONS; NUMBER OF PROGRAMS; NUMBER OF EDUCATIONS AND COUNSELING. IMPACT: INCREASED NUMBER OF CANCER SCREENINGS; INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. INCREASED EARLY DETECTION OF CANCER; INCREASED PCP EDUCATION; INCREASE COMMUNITY EDUCATION; INCREASE USE OF HOME CANCER SCREENING KITS. HEALTH PRIORITY: CHRONIC DISEASE COMMUNITY NEED: OBESITY STRATEGY: COLLABORATE WITH LOCAL SCHOOL, AFTER SCHOOL PROGRAM, AND PEDIATRIC PRACTICES TO ENCOURAGE CHILDREN TO BECOME MORE ACTIVE; IMPLEMENT PROGRAMS TO REDUCE OBESITY IN ADULTS.
ACTION STEPS: WORK WITH LOCAL SCHOOLS/AFTER SCHOOL PROGRAM TO ENCOURAGE	HEALTHY EATING AND PHYSICAL ACTIVITY. OFFER MEAL PLANNING AND NUTRITION COUNSELING; OFFER MEDICAL WEIGHT LOSS PROGRAMS; PROVIDE A COMPREHENSIVE MULTIDISCIPLINARY APPROACH TO SURGICAL INTERVENTION; PROVIDE EDUCATION SESSIONS ON SURGICAL INTERVENTIONS; PROVIDE SUPPORT GROUPS; PROVIDE WEB-BASED EDUCATION AND COOKING CLASSES. MEASURE: NUMBER OF CHILDREN ENROLLED IN PROGRAMS; NUMBER PROGRAMS OFFERED; NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF PATIENTS WITH SURGICAL INTERVENTIONS; NUMBER OF SUPPORT GROUP MEETINGS; NUMBER OF ATTENDEES. IMPACT: INCREASED AWARENESS OF HEALTHY BEHAVIORS FOR CHILDREN; INCREASED NUMBER OF COMMUNITY-BASED EVENTS ON OBESITY; INCREASED AWARENESS OF OPTIONS FOR WEIGHT MANAGEMENT; INCREASED NUMBER OF SURGICAL INTERVENTIONS. GROVE CITY MEDICAL CENTER THE IMPLEMENTATION PLAN WAS APPROVED AT A BOARD MEETING ON JUNE 24, 2019. THE THREE PRIORITY NEEDS IDENTIFIED AT THAT TIME INCLUDED ADULT OBESITY, HEART DISEASE, AND PHYSICAL FITNESS. OVER THE COURSE OF THIS PAST YEAR, GROVE CITY MEDICAL CENTER HAS PARTNERED WITH OTHER LOCAL GROUPS TO INITIATE AND CONDUCT VARIOUS PROGRAMS AND EDUCATIONAL SEMINARS AS WELL AS ATTENDING VARIOUS COMMUNITY ACTIVITIES TO BRING AWARENESS AND EDICATION TO THE COMMUNITY AT LARGE REGARDING THESE IDENTIFIED ISSUES. PART V, SECTION B, LINE 13H ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE ALL THE HOSPITALS LISTED IN PART V, SECTION A OF THIS SCHEDULE H ARE PART OF THE INTEGRATED DELIVERY SYSTEM AHN. All AHN hospitals use the uniform AHN financial assistance policy, the last to adopt being Westfield Memorial Hospital which made the adoption on 1/1/2018. AHN'S FINANCIAL ASSISTANCE POLICY USES A PRESUMPTIVE ELIGIBILITY PROGRAM THAT ENABLES AHN TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. THE HEALTH SYSTEM UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO-ECONOMIC AND FINANCIAL CAPACITY SCORE. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND IT IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR AHN FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY IS DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS AHN TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW CONSTITUTES ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THE AHN POLICY. WHEN ELECTRONIC ENROLLMENT IS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE PATIENT IS NOTIFIED OF THE DETERMINATION AND THE HIGHEST DISCOUNT OF FULL FREE CARE IS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY.
PART V, SECTION B, LINE 16A, B, AND C	OUR FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THE FOLLOWING WEBSITE: https://www.ahn.org/about/uninsured-financial-assistance
PART V, SECTION B, LINE 16I	PLAIN LANGUAGE SUMMARY AVAILABLE IN FOREIGN LANGUAGES THE HOSPITALS OF THE AHN have translated the Financial Assistance Policy into 19 languages. THE AVAILABILITY OF TRANSLATIONS IS BASED ON A COMPREHENSIVE STUDY CONDUCTED BY THE HOSPITALS. THE STUDY LEVERAGED U.S. CENSUS DATA TO IDENTIFY HOUSEHOLDS THAT SPOKE A FOREIGN LANGUAGE WITHIN AHN'S SERVICE AREA. THE FINANCIAL ASSISTANCE POLICIES ARE TRANSLATED INTO ALL NECESSARY FOREIGN LANGUAGES IN ACCORDANCE WITH THE STUDY AND PUBLISHED ON AHN'S WEBSITE AT https://www.ahn.org/about/uninsured-financial-assistance.

Field	Value	IRS element (for citing)
Facility	52	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WEXFORD MEDICAL MALLWHWP
12311 PERRY HWY	PINE TOWNSHIP	PA	15090	Medical Office
AGH SOUTH TOWER
320 E NORTH AVE	PITTSBURGH	PA	15212	Medical Office
WPH - MELLON PAVILION
4815 LIBERTY AVE	PITTSBURGH	PA	15225	Medical Office
SUBURBAN MOB - MAIN
100 SOUTH JACKSON AVENUE	BELLEVUE	PA	15202	Medical Office
SVH - HARDNER BUILDING
2315 MYRTLE ST	ERIE	PA	16544	Medical Office
FEDERAL NORTH BUILDING
1307 FEDERAL ST	PITTSBURGH	PA	15212	MIXED USE
JH - SOUTH HILLS MEDICAL BUILDING
575 Coal Valley Rd	Jefferson Hills	PA	15025	MEDICAL OFFICE
HEMLOCK BUILDING
491 HEMLOCK STREET	Pittsburgh	PA	15212	Medical Office
JH - BIBRO PAVILION
565 COAL VALLEY RD	JEFFERSON HILLS	PA	15025	MIXED USE
SVH - OUTPATIENT SURGERY CENTER
312 W 25TH ST	ERIE	PA	16502	MIXED USE
AGH ALLEGHENY PROFESS BLDG
490 E NORTH AVE	PITTSBURGH	PA	15212	Medical Office
AGH EAST WING OFFICE BUILDING
390 E NORTH AVE	McCandless	PA	15212	Medical Office
JMA BUILDING
1200 BROOKS LN	JEFFERSON HILLS	PA	15025	Medical Office
FORBES CANCER & IMAGINE CENTER
2626 HAYMAKER ROAD	MONREVILLE	PA	15146	Medical Office
BETHEL PARK HWPBHWP
1000 HIGBEE DRIVE	BETHEL PARK	PA	15102	Medical Office
FH - POB #1
2566 HAYMAKER RD	MONROEVILLE	PA	15146	MEDICAL OFFICE
FH - POB #2
1580 HAYMAKER RD	MONROEVILLE	PA	15146	MEDICAL OFFICE
WEST SIDE MOBEWHWP
4247 W RIDGE RD	MILLCREEK TOWNSHIP	PA	16506	Medical Office
YORKTOWN CENTER
2501 W 12TH ST	ERIE	PA	16505	Medical Office
JRMC - SURGERY CENTERBHWP
990 HUGBEE DRIVE	BETHEL PARK	PA	15102	SURGERY CENTER
BUTLER COMMUNITY CANCER CENTER
160 HOLLYWOOD DRIVE	BUTLER CITY	PA	16001	MEDICAL OFFICE
495 EAST WATERFRONT DRIVE
495 E WATERFRONT DR	HOMESTEAD	PA	15120	Medical Office
MONROEVILLE MEDICAL ARTS BLDG
2550 MOSSIDE BLVD	MONROEVILLE	PA	15146	MEDICAL OFFICE
MCCANDLESS MOB
9335 MCKNIGHT RD	MCCANDLESS	PA	15237	Medical Office
BRENTWOOD PROFESSIONAL PLAZA
3720 BROWNSVILLE RD	BRENTWOOD	PA	15227	Medical Office
CENTURY III MEDICAL BUILDING
2027 LEBANON CHURCH RD	WEST MIFFLIN	PA	15122	MEDICAL OFFICE
GROVE CITY HOSPITAL - MOB
647 N BROAD ST EXT	GROVE CITY	PA	16127	Medical Office
ALLEGHENY IMAGING AT ROBINSON
133 CHURCH HILL RD	ROBINSON	PA	15136	Medical Office
SUBURBAN MOB - LINCOLN
575 LINCOLN AVE	BELLEVUE	PA	15202	Medical Office
WILSON SQ PROFESSIONAL BLDG
224 LONGFELLOW STREET	VANDERGIFT	PA	15690	Medical Office
CERCONE BUILDING
4727 FRIENDSHIP AVE	PITTSBURGH	PA	15224	Medical Office
RTE 51 MED CTR
810 CLAIRTON BLVD	PLEASANT HILLS	PA	15236	Medical Office
MURRYSVILLE MEDICAL COMMONS
4262 OLD WILLIAM PENN HWY	MURRYSVILLE	PA	15065	Medical Office
2801 FREEPORT ROAD
2801 FREEPORT RD	HARRISON	PA	15065	Medical Office
RICHLAND MALL
5375 WILIAM FLYNN HWY	RICHLAND	PA	150449628	Medical Office
CRANBERRY INTERNAL MEDICINE ASSO
20826 ROUTE 19	CRANBERRY TOWNSHIP	PA	16066	Medical Office
THREE ROBINSON PLAZA
3 ROBINSON PLAZA	ROBINSON	PA	15205	Medical Office
HEIGHTS PLAZA 1624 PACIFIC
1624 PACIFIC AVE	HARRISON	PA	15065	Medical Office
FORT COUCH COMMONS
59 FORT COUCH ROAD	BETHEL PARK	PA	15102	Medical Office
CRANBERRY SHOPPES SUITE 101
20215 ROUTE 19	CRANBERRY TOWNSHIP	PA	16066	Medical Office
Dinnerbell Square
333 W Main St	Saxonburg	PA	16056	Medical Office
YADAGANI BUILDING
97 DELAWARE AVE	UNIONTOWN	PA	15401	Medical Office
5140 LIBERTY MOB
5140 LIBERTY AVE	PITTSBURGH	PA	15224	Medical Office
6041 WALLACE ROAD
6041 WALLACE ROAD	PINE TOWNSHIP	PA	15090	Medical Office
BEAVER COMMUNITY CANCER CENTER
81 WAGNER ROAD	CENTER TOWNSHIP	PA	15061	Medical Office
CHAUTAUGUA INSTITUTION
23 ROBERTS AVENUE	CHAUTUGUA	NY	14722	Medical Office
CITIZENS GENERAL
651 FOURTH AVE	NEW KENSINGTON	PA	15068	Medical Office
HEIGHTS PLAZA
1600-1719 UNION/PACIFIC AVE	HARRISON	PA	15065	Medical Office
HIGHPOINT TOWERS
2314 SASSAFRAS ST	ERIE	PA	16502	MIXED USE
ONE PELUSO PLACE
2692 LEECHBURG RD	NEW KENSINGTON	PA	15068	Medical Office
PAIN INSTITUTE
5124 LIBERTY AVE	PITTSBURGH	PA	15224	Medical Office
ROSTRAVER MEDICAL BUILDING
1533 BROAD AVE	ROSTRAVER TOWNSHIP	PA	15012	Medical Office

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ELIGIBILITY FOR FREE OR DISCOUNTED CARE	PART I, LINE 3C AHN'S FINANCIAL ASSISTANCE POLICY STATES THE CRITERIA FOR DETERMINING PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PATIENTS WHO MEET THE CRITERIA AS ESTABLISHED IN THE POLICY WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDING FREE OR DISCOUNTED CARE. A patient must be a citizen of the United States of America or a lawful permanent resident of the United States of America, and a resident of the Commonwealth of Pennsylvania, or New York State for Westfield Memorial Hospital. International patients or unauthorized immigrants may qualify for Financial Assistance if they are eligible for Medicaid. There may be special circumstances for out-of-state and international patients (e.g., auto accident, emergent illness) under which, at AHN's sole discretion, such individuals could be considered for qualification for Financial Assistance under the Policy. THE PATIENT/GUARANTOR MUST BE ABLE TO DEMONSTRATE A GOOD FAITH EFFORT IN HAVING APPLIED FOR AND COMPLIED WITH AVAILABLE AFFORDABLE HEALTHCARE BENEFIT ALTERNATIVES (E.G., MEDICAID ELIGIBILITY AND OTHER ACA SUBSIDIZED HEALTHCARE BENEFIT PROGRAMS), OR PROVIDE EVIDENCE THAT COVERAGE FOR MEDICAID OR OTHER PROGRAMS WOULD NOT BE GRANTED BEFORE BECOMING ELIGIBLE FOR CHARITY CARE. THE PATIENT MUST SUBMIT A COMPLETED APPLICATION FOR CHARITY CARE WITHIN THE APPLICATION PERIOD. AHN WILL MAKE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR OUTSIDE ASSISTANCE BEFORE ENGAGING AN EXTRAORDINARY COLLECTION ACTION (ECAS) AGAINST THE INDIVIDUAL. REASONABLE EFFORTS FOR PURPOSES OF MEETING THESE REQUIREMENTS INCLUDE, A NOTIFICATION PERIOD AND AN APPLICATION PERIOD. THE NOTIFICATION PERIOD IS THE PERIOD IN WHICH AHN MUST NOTIFY AN INDIVIDUAL ABOUT THIS POLICY, AND BEGINS ON THE DATE CARE IS PROVIDED TO THE INDIVIDUAL AND ENDS ON THE 120TH DAY AFTER AHN PROVIDES THE PATIENT WITH THE FIRST BILLING STATEMENT FOR THE CARE. IF THE INDIVIDUAL HAS FAILED TO SUBMIT AN APPLICATION BY THE END OF THE NOTIFICATION PERIOD, AHN MAY ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL. HOWEVER, AHN WILL ACCEPT AND PROCESS APPLICATIONS SUBMITTED BY AN INDIVIDUAL DURING THE LONGER APPLICATION PERIOD THAT ENDS ON THE 240TH DAY AFTER AHN PROVIDES THE INDIVIDUAL WITH THE FIRST BILLING STATEMENT FOR THE CARE. PATIENTS WHO FAIL TO SUBMIT A COMPLETE APPLICATION OR FAIL TO RETURN THE APPLICATION INCLUDING SUPPORTING DOCUMENTATION AFTER 240 DAYS MAY BE DENIED DUE TO FAILURE TO COMPLY. COVERAGE BY CHARITY CARE IS LIMITED TO BASIC MEDICAL CARE, AND WILL ONLY APPLY TO EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES. CHARITY CARE WILL NOT BE AVAILABLE TO A PATIENT THAT REFUSES DISCHARGE AND INCURS ADDITIONAL CHARGES THAT ARE CONSIDERED MEDICALLY UNNECESSARY. CHARITY CARE DISCOUNTS APPLY ONLY TO DRUGS THAT ARE ADMINISTERED DURING AN INPATIENT STAY OR OUTPATIENT SERVICE. THESE DISCOUNTS DO NOT APPLY TO ANY OTHER DRUGS OR MAIL ORDER PRESCRIPTIONS. CHARITY CARE WILL NOT APPLY TO SERVICES THAT ARE COVERED BY AN INSURANCE CARRIER THAT HAS DENIED SERVICES DUE TO LITIGATION, LACK OF COOPERATION FROM THE PATIENT OR ERRONEOUS INFORMATION FROM THE PATIENT. PENSION ACCOUNTS ARE EXCLUDED. Once a patient is approved, Charity Care is granted for a period of six months beginning on the date of approval. AHN will apply Charity Care adjustments to prior accounts that are within 240 days from the first post-discharge patient billing statement that triggered the Financial Assistance application. However, AHN reserves the right to limit retroactive application of Charity Care for time frames in excess of what is generally required under 501(r). Generally, this limitation would only apply when extraordinary differences exist between the patient's current financial condition and their financial condition in the six month period prior to approval and when such differences are also accompanied by a clear indication that sufficient funds or income were available in the prior period to pay outstanding medical bills. CHARITY CARE DISCOUNTS APPLY TO PATIENT LIABILITY AMOUNTS ONLY, AND NO INSURANCE AMOUNTS WILL BE CONSIDERED. APPROVED AMOUNTS MAY BE A RESULT OF THE FOLLOWING: (1) PATIENT DOES NOT HAVE MEDICAL ASSISTANCE OR ADEQUATE INSURANCE COVERAGE; (2) PATIENT HAS EXHAUSTED HIS/HER INSURANCE BENEFITS (E.G., EXCEEDED MAXIMUM COVERED DAYS/AMOUNT, EXCEEDED MEDICARE'S LIFETIME RESERVE DAYS); (3) PATIENT HAS A PRIMARY INSURANCE CARRIER WHO HAS RENDERED PAYMENT BUT A SECONDARY LIABILITY EXISTS FOR WHICH HE/SHE DOES NOT HAVE COVERAGE; (4) PATIENT IS CONSIDERED INDIGENT DUE TO THE AMOUNT OF MEDICAL DEBT INCURRED IN COMPARISON TO THE PATIENT'S FINANCIAL CIRCUMSTANCES; (5) DECEASED PATIENT'S ESTATE WILL EXHAUST PRIOR TO PAYMENT OF THE FULL PATIENT BALANCE; (6) PATIENT HAS PROVIDED A FORMAL BANKRUPTCY JUDGMENT THAT IMPACTS THE DATE ON WHICH SERVICES WERE PROVIDED ALONG WITH UNDATED INCOME/ASSET INFORMATION; (7) PATIENT IS HOMELESS OR HAS PROVEN TO BE A RESIDENT OF A HOMELESS SHELTER; (8) PATIENT HAS PROVIDED A FORMAL AFFIDAVIT OR DOCUMENTATION REGARDING INCOME/ASSET INFORMATION AND/OR HOMELESS STATUS THAT QUALIFIES THE PATIENT FOR CHARITY CARE; OR (9) THE PATIENT HAS MEDICAID PART PAY BALANCES AND QUALIFIES FOR CHARITY CARE. There are three principal financial criteria that are applied as follows in order to determine whether a patient has economic means to pay and whether that patient meets eligibility for Financial Assistance under this Policy, assuming other criteria in the Policy (such as residency) are also met. (1) First, a patient's liquid assets are determined (see earlier definition of liquid assets). If liquid assets exceed the calculated threshold level indicated in Appendix F, then all liquid assets above the threshold level must first be used to satisfy any outstanding balance owed to AHN by a patient. (2) Once step one has been completed, if the patient still owes a balance, then the patient will be evaluated on an income basis. If the patient and/or guarantor's household income is at or below 200% of the Federal Poverty Level (FPL) Guidelines, then 100% of the balance for which the patient is still responsible and for which Financial Assistance is available under this Policy, will be forgiven by AHN. No Financial Assistance is available for a patient or a guarantor whose Annual Income is greater than 200% of the FPL unless they qualify under Medical Hardship.(3) As an alternative to step 2, a patient may demonstrate Medical Hardship. Patients that meet Medical Hardship criteria qualify for the same Financial Assistance benefit as individuals whose income is at or below 200% of the FPL Guidelines. Generally AHN does not provide Financial Assistance to patients whose income exceeds 200% of the FPL unless they meet the criteria for Medical Hardship. AHN does not use any previous Financial Assistance eligibility determinations to presumptively approve a patient for Financial Assistance. When a patient's Financial Assistance has terminated, the patient must reapply for Financial Assistance. Generally, once qualified, an individual qualifies and remains eligible for Financial Assistance for a six month period before requiring re-qualification for Financial Assistance under the Policy. In addition, a Financial Assistance application filed and approved at any AHN hospital shall apply to all AHN hospitals with the exception of Westfield Memorial Hospital. HARDSHIP DOCUMENTATION MAY BE REQUIRED (I.E., CASES WITH EXCESSIVE MEDICATIONS, TERMINAL ILLNESS OR MULTIPLE HOSPITALIZATIONS). FOR A PATIENT THAT EXCEEDS 200% OF THE FEDERAL POVERTY GUIDELINES AND WHOSE ACCOUNT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, AHN MAY CLAIM THE EXCESS BALANCE AS A HARDSHIP PROVIDED THAT THE PATIENT PROVIDES DOCUMENTATION OF INCOME, OR INCOME CAN BE DERIVED FROM OUTSIDE DATABASE SOURCES.
FREE OR DISCOUNTED CARE BUDGET	PART 1, LINE 5B WESTFIELD MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE EXPENSES DID NOT EXCEED THE BUDGETED AMOUNT.
BAD DEBT	PART I, LINE 7, COLUMN F BAD DEBT WAS REMOVED FROM TOTAL FUNCTIONAL EXPENSES AS REPORTED IN PART IX OF FORM 990 IN ORDER TO COMPUTE THE PERCENTAGES FOR COLUMN F OF LINE 7.
BAD DEBT	PART III, SECTION A, LINE 2, 3, AND 4 THE AUDITED FINANCIAL STATEMENTS ARE ISSUED ON A CONSOLIDATED BASIS AND INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING. THEREFORE, THE FOOTNOTE REGARDING BAD DEBT IS NOT RELEVANT TO THIS RETURN. THE FIGURE REFLECTED ON LINE 2 IS THE SUMMATION OF ALL BAD DEBT EXPENSE FOR THE HOSPITALS INCLUDED IN SCHEDULE H. BAD DEBT EXPENSE IS ACCOUNTED FOR ON A CHARGE BASIS IN OUR INTERNAL FINANCIAL STATEMENTS.
SHORTFALL TREATMENT AS COMMUNITY BENEFIT	PART III, SECTION B, LINE 8 AHN RECEIVES OVERALL REIMBURSEMENT FROM MEDICARE LESS THAN THE COST OF THE SERVICES PROVIDED. AS SUCH, WE CONSIDER THE SHORTFALL A COMMUNITY BENEFIT. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE COST ACCOUNTING SYSTEM.
WRITTEN DEBT COLLECTION POLICY	PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE PROVIDED WITH AN APPROVAL LETTER WITH THE EFFECTIVE DATES FOR THE ASSISTANCE. AT ANY TIME THE INDIVIDUAL PRESENTS FOR SERVICES WITHIN 240 days from the first post-discharge patient billing statement PRECEDING AND 6 months FOLLOWING APPROVAL, THEY SHOW THE LETTER AND WILL BE REGISTERED AS A CHARITY CARE CASE. CHARITY CARE CASES ARE DESIGNATED IN THE INTERNAL COMPUTERIZED SYSTEMS WITH UNIQUE billing indicators THAT PREVENT BILLING TO THE PATIENT. REPORTS ARE RUN TO CAPTURE THE PATIENT ACCOUNTS REGISTERED WITH THE CHARITY CARE billing indicator SO THEY CAN BE WRITTEN OFF TO CHARITY CARE.
COMMUNITY HEALTH NEEDS ASSESSMENT	PART VI, LINE 2 IN ADDITION TO THE FORMAL CHNA, THE HOSPITALS 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 HOSPITALS ACT ON SPECIFIC REQUESTS RECEIVED FOR HEALTH RELATED MATTERS SUCH AS SCREENINGS, PROGRAMS AND RELATED EVENTS. THE 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. GROVE CITY MEDICAL CENTER BEGAN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN APRIL, 2018, AND COMPLETED IT IN JUNE, 2019. THE ASSESSMENT INCLUDED AN ANALYSIS OF OUTPATIENT DISCHARGE DATA BY ZIP CODE TO DETERMINE THE MEDICAL CENTER'S COMMUNITY. THE GEOGRAPHIC AREA OF THE DEFINED COMMUNITY BASED ON THIS ANALYSIS COVERED MOST OF MERCER COUNTY AND PARTS OF BUTLER, LAWRENCE, AND VENANGO COUNTIES. THE MEDICAL CENTER THEN GATHERED A SIGNIFICANT AMOUNT OF DATA RELATED TO THE COMMUNITY, SUCH AS POPULATION AND DEMOGRAPHICS, SOCIOECONOMIC CHARACTERISTICS, LEADING CAUSES OF DEATH AND OTHER HEALTH OUTCOMES AND FACTORS. THE ASSESSMENT ALSO DESCRIBED OTHER HEALTH CARE RESOURCES IN THE COMMUNITY AND AN ESTIMATE FOR DEMAND FOR PHYSICIAN SERVICES. TO GAIN INPUT FROM THE COMMUNITY THE MEDICAL CENTER DISTRIBUTED A COMMUNITY HEALTH SURVEY AND CONDUCTED KEY INFORMANT INTERVIEWS, WHICH TARGETED INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH AND INDIVIDUALS WITH KNOWLEDGE ABOUT PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS,LOW-INCOME PERSONS, AND MINORITY GROUPS. AFTER ALL OF THE DATA AND INPUT WAS GATHERED AND ANALYZED THE MEDICAL CENTER PRIORITIZED THE NEEDS. THE FOLLOWING LIST REPRESENTS THE TOP NEEDS IN ORDER: ADULT OBESITY, HEART DISEASE, AND PHYSICAL FITNESS.
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 AHN DISPLAYS SIGNAGE IN VARIOUS PATIENT ADMISSION, REGISTRATION, AND EMERGENCY DEPARTMENT AREAS THAT ALERT PATIENTS TO THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM AND CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. DURING THE PRE-SERVICE PROCESS, PATIENTS ARE EVALUATED TO DETERMINE FINANCIAL ASSISTANCE OPTIONS. EACH HOSPITAL OFFERS THE FINANCIAL ASSISTANCE PROGRAM, WHICH CONSISTS OF APPLICATION ASSISTANCE FOR GOVERNMENTAL ELIGIBILITY, CHARITY CARE APPLICATION COMPLETION AND SUBMISSION SUPPORT, AS WELL AS FINANCIAL ASSISTANCE FOR THE UNINSURED. AHN'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE AT EACH HOSPITAL, AND EACH HOSPITAL ALSO PROVIDES ON-SITE SUPPORT THROUGH FINANCIAL COUNSELORS, WHO ARE AVAILABLE TO WORK WITH PATIENTS. FINANCIAL COUNSELORS WORK DIRECTLY WITH THE PATIENTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, AS WELL AS TO PROVIDE GUIDANCE TO PATIENTS REGARDING MEDICAL ASSISTANCE ELIGIBILITY. BOTH WEEKDAY AND WEEKEND COVERAGE IS AVAILABLE TO THE PATIENTS, AS WELL AS FIELD SUPPORT NEEDED FOR POST-DISCHARGE FOLLOW UP NEEDED FOR FINANCIAL ASSISTANCE APPLICATION SUBMISSION. THE ABOVE SUPPORT IS AVAILABLE AT NO CHARGE TO THE PATIENT. INFORMATION ABOUT AHN'S FINANCIAL ASSISTANCE PROGRAM IS ALSO COMMUNICATED THROUGH BROCHURES THAT ARE AVAILABLE IN THE REGISTRATION DEPARTMENTS THAT EXPLAIN THE PROGRAMS. THE BROCHURES INCLUDE CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR ASSISTING PATIENTS WITH FINANCIAL ASSISTANCE DETERMINATIONS. THE BACK OF THE PATIENT STATEMENT INCLUDES A SECTION REGARDING THE FINANCIAL ASSISTANCE PROGRAM, AND CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR ADMINISTERING THE FINANCIAL ASSISTANCE PROGRAM IS LISTED THERE AS WELL. WESTFIELD MEMORIAL HOSPITAL: WMH PROVIDES A SUMMARY DESCRIPTION OF THE CHARITY CARE POLICY 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.
COMMUNITY INFORMATION	PART VI, LINE 4 THE FOURTEEN HOSPITALS (ALLEGHENY GENERAL, ALLEGHENY VALLEY, CANONSBURG, FORBES, GROVE CITY MEDICAL CENTER, JEFFERSON, SAINT VINCENT, WESTFIELD MEMORIAL, WEST PENN, AHN WEXFORD, AHN HEMPFIELD, AHN HARMAR, AHN MCCANDLESS, AND AHN BRENTWOOD), FIVE HEALTH + WELLNESS PAVILIONS, AND MORE THAN 300 CLINICAL SITES THAT COMPRISE ALLEGHENY HEALTH NETWORK SERVE ALL OF WESTERN PENNSYLVANIA, AND PARTS OF WEST VIRGINIA, OHIO AND NEW YORK. ITS PRIMARY SERVICE AREAS INCLUDE THE PITTSBURGH METROPOLITAN STATISTICAL AREA (ALLEGHENY, ARMSTRONG, BEAVER, BUTLER, FAYETTE, WASHINGTON, AND WESTMORELAND COUNTIES), THE ERIE MSA (ERIE COUNTY), AND MERCER COUNTY, PA (PART OF THE YOUNGSTOWN-WARREN-BOARDMAN, OH-PAMAS). TOGETHER, THESE AREAS HAVE A POPULATION OF MORE THAN 2.7 MILLION. THE MSAS ARE SIMILAR DEMOGRAPHICALLY, WITH A WHITE / CAUCASIAN POPULATION OF NEARLY 90 PERCENT, AND A BLACK / AFRICAN-AMERICAN POPULATION OF NEARLY 8 PERCENT. THE PITTSBURGH, ERIE AND YOUNGSTOWN MSAS SKEW OLDER THAN THE NATIONAL AVERAGE, MEANING HOSPITALS IN THOSE MSAS SEE HIGHER-THAN-AVERAGE PROPORTION OF MEDICARE PATIENTS. THE PITTSBURGH MSA'S 65-AND-OVER POPULATION IS MORE THAN 17 PERCENT; ERIE COUNTY'S PROPORTION OF SENIOR CITIZENS IS MORE THAN 16 PERCENT. MERCER COUNTY'S PROPORTION OF SENIOR CITIZENS IS MORE THAN 19 PERCENT. NATIONALLY, ABOUT 15 PERCENT OF AMERICANS ARE AGED 65 OR OLDER. HOUSEHOLDS WITHIN THE PITTSBURGH, ERIE, AND YOUNGSTOWN MSAS HAVE A LOWER-THAN-AVERAGE MEDIAN INCOME. IN THE PITTSBURGH MSA, THE MEDIAN HOUSEHOLD INCOME WAS ABOUT $62,600 IN 2019, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN THE ERIE REGION, MEDIAN HOUSEHOLD INCOME WAS ABOUT $51,500 IN 2019, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN MERCER COUNTY, THE MEDIAN HOUSEHOLD INCOME WAS $50,700 IN 2019. THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN 2019, THE U.S. MEDIAN HOUSECHOLD INCOME WAS $68,703, ACCORDING TO U.S. CENSUS ESTIMATES. NEW YORK'S CHAUTAUQUA COUNTY, HOME TO AHN'S WESTFIELD MEMORIAL HOSPITAL, HAS A POPULATION OF ABOUT 127,000, AND A MEDIAN HOUSEHOLD INCOME OF ABOUT $46,000 IN 2019, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 THE HOSPITALS OF AHN PROMOTE THE HEALTH AND WELL-BEING OF THEIR RESPECTIVE COMMUNITIES IN A VARIETY OF WAYS. FIRST AND FOREMOST, THEY DO SO THROUGH THE PROVISION OF EMERGENCY CARE AND TRAUMA CARE, OPERATING EMERGENCY DEPARTMENTS 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGHLY SKILLED AND TRAINED EMERGENCY MEDICINE PHYSICIANS AND NURSES. THE EMERGENCY DEPARTMENTS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, AND PROVIDE SPECIALIZED, LIFE-SAVING CARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENT'S RACE, CREED, GENDER EXPRESSION, SEXUAL ORIENTATION, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY. ADDITIONALLY, THE HOSPITALS AND CLINICS OF AHN SUPPORT A BROAD ARRAY OF CHARITABLE SERVICES AND PROGRAMS TO THE COMMUNITY BY PROVIDING SUBSIDIZED HEALTH CARE; SPONSORING COMMUNITY EVENTS (HEALTH FAIRS, CANCER SCREENINGS, WALKS, EDUCATIONAL SEMINARS, BENEFITS SEMINARS, SUPPORT GROUPS); AND MAKING CHARITABLE DONATIONS. THE SERVICES BENEFIT CHILDREN AND TEENS, ADULTS AND SENIORS, PATIENTS AND THEIR FAMILIES, AND THE COMMUNITY AT LARGE. SOME OF THOSE SERVICES AND INITIATIVES INCLUDE: THE AHN POSITIVE HEALTH CLINIC; THE BRADDOCK URGENT CARE CENTER; FREE CANCER SCREENINGS; A MEDICAL RESPITE PROGRAM; THE OPEN HEART SURGERY OBSERVATION PROGRAM; THE PERINATAL HOPE PROGRAM; AND MORE. (FOR ADDITIONAL DETAIL, SEE SCHEDULE O.) IN 2020, IN RESPONSE TO THE GLOBAL COVID-19 (CORONAVIRUS) PANDEMIC, AHN PARTICIAPATED IN AN UNPRECEDENTED PUBLIC HEALTH RESPONSE EFFORT, TO PROTECT AND EDUCATE THE COMMUNITY ABOUT THE THREATS POSED BY COVID-19, AND TO MITIGATE THE SPREAD OF THE VIRUS AND THE ILLNESS ASSOCIATED WITH IT. (FOR ADDITIONAL DETAIL, SEE SCHEDULE O.) IN 2018, AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AHN EMBARKED ON A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO COLLECT HEALTH AND SOCIO-ECONOMIC DATA TO DETERMINE THE COMMUNITY HEALTH NEEDS ACROSS AHN'S WESTERN PENNSYLVANIA SERVICE FOOTPRINT. IN TAKING A SYSTEM-WIDE APPROACH TO COMMUNITY HEALTH IMPROVEMENT, AHN SOUGHT TO IDENTIFY REGIONAL HEALTH TRENDS AND UNIQUE DISPARITIES WITHIN HOSPITAL SERVICE AREAS. (FOR ADDITIONAL DETAIL, SEE SCHEDULE O.) OTHER INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE MANY COMMUNITIES SERVED BY AHN INCLUDE: -HEALTHY FOOD CENTER: A FIRST OF ITS KIND IN THE REGION, AHN'S HEALTHY FOOD CENTER AS A "FOOD PHARMACY" WHERE PATIENTS WHO LACK ACCESS TO FOOD CAN RECEIVE NUTRITIOUS FOOD ITEMS, EDUCATION ON DISEASE-SPECIFIC DIETS, AND ADDITIONAL SERVICES FOR OTHER SOCIAL CHALLENGES THEY MIGHT FACE. ACCORDING TO THE GREATER PITTSBURGH COMMUNITY FOOD BANK, A PARTNER OF THE HEALTHY FOOD CENTER, FOOD INSECURITY AFFECTS MORE THAN 350,000 PEOPLE - OR ONE IN SEVEN ADULTS - IN THE PITTSBURGH REGION. FOOD INSECURITY REFERS TO A LACK OF AVAILABLE FINANCIAL RESOURCES FOR NUTRITIONALLY-ADEQUATE FOOD SUCH AS FRUITS, VEGETABLES, LEAN PROTEINS AND WHOLE GRAINS. THE HEALTHY FOOD CENTER PRIMARILY SERVES PATIENTS WITH DIABETES WHO ARE SCREENED BY THEIR DOCTOR AS BEING FOOD INSECURE. PATIENTS RECEIVE A REFERRAL TO THE HEALTHY FOOD CENTER WHERE THEY INITIALLY MEET WITH AN ONSITE DIETITIAN TO DISCUSS THEIR DIETARY NEEDS BASED ON THEIR CONDITION. AFTER SHOPPING AT THE CENTER FOR THE RECOMMENDED FOOD ITEMS, PATIENTS GO HOME WITH TWO TO THREE DAYS' WORTH OF FOOD FOR ALL MEMBERS OF THEIR HOUSEHOLD. THE FOOD CENTERS ARE HOUSED AT ALLEGHENY GENERAL, WEST PENN, JEFFERSON AND WEST PENN HOSPITALS. -HEALTHCARE@HOME: AHN MAKES IT EASIER FOR PATIENTS TO ACCESS A FULL RANGE OF CUSTOMIZED HEALTHCARE SERVICES IN THE PRIVACY AND COMFORT OF THEIR OWN HOMES. THROUGH AHN'S HEALTHCARE@HOME PROGRAM, AHN IS HELPING MANY PATIENTS MAINTAIN THEIR INDEPENDENCE AND CONTINUE THE HEALING PROCESS AT HOME AS LONG AS POSSIBLE. THE SERVICE ARRANGES FOR HOME HEALTH, HOSPICE, PALLIATIVE AND INFUSION THERAPY SERVICES, AS WELL AS THE DELIVERY OF MEDICAL EQUIPMENT AND SUPPLIES, ALLOWING PATIENTS TO REMAIN IN THEIR OWN HOMES, AND IN THEIR OWN COMMUNITIES, AND OUT OF THE HOSPITAL OR A SKILLED NURSING FACILITY. -COMMUNITY-BASED DIABETES CARE: AHN, WITH FINANCIAL SUPPORT FROM THE RICHARD KING MELLON FOUNDATION, IS ADVANCING A TRANSFORMATIONAL, COMMUNITY-BASED DIABETES CARE MODEL IN THE REGION. MORE THAN 29 MILLION PEOPLE IN THE UNITED STATES, OR NEARLY 10% OF THE POPULATION, ARE AFFECTED BY DIABETES. AT THE CURRENT PACE OF THE EPIDEMIC, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) ESTIMATES THAT AS MANY AS ONE IN THREE PEOPLE COULD HAVE DIABETES BY THE YEAR 2050. THE YEARLY ECONOMIC IMPACT OF THE DISEASE AND ITS COMPLICATIONS EXCEEDS $245 BILLION; TO BETTER ADDRESS THE GROWING INCIDENCE AND IMPACT OF DIABETES IN WESTERN PENNSYLVANIA, AHN HAS ESTABLISHED A PATIENT-CENTERED MODEL OF CARE TO MORE EFFECTIVELY MEET THE COMPREHENSIVE NEEDS OF THOSE LIVING WITH THE DISEASE. THE RICHARD KING MELLON FOUNDATION GRANT PROVIDES PATIENTS IN THE AHN PROGRAM WITH ACCESS TO A RANGE OF MEDICAL AND OTHER SUPPORT SERVICES IN THE COMMUNITY. AT THE CORE OF THE NEW CARE MODEL ARE PHYSICIAN-LED, HOLISTIC ASSESSMENTS TO UNDERSTAND A PATIENT'S INDIVIDUAL NEEDS AND TO UNCOVER POTENTIAL BARRIERS TO SUCCESSFUL DISEASE MANAGEMENT. CRUCIALLY, DIABETES CARE COORDINATORS ARE HELPING TO CONNECT PATIENTS WITH A VARIETY OF SPECIALISTS TO HELP THEM MANAGE THEIR DISEASE MORE EFFECTIVELY, INCLUDING NUTRITIONISTS, BEHAVIORAL HEALTH COUNSELORS AND SOCIAL WORKERS. IN ADDITION, PATIENTS ARE CONNECTED WITH SERVICES AND ORGANIZATIONS WITHIN THEIR COMMUNITIES TO HELP FURTHER IMPROVE AND ENHANCE THEIR OVERALL CARE, SUCH AS LOCAL FOOD BANKS OFFERING HEALTHY DIETARY OPTIONS, THE AMERICAN DIABETES ASSOCIATION AND JDRF. -CHILD SAFETY DAY: CANONSBURG HOSPITAL (PART OF AHN) SPONSORS A SPRING CHILD SAFETY DAY ON ITS HOSPITAL GROUNDS FOR A DAY OF FUN, EDUCATION, AND PRIZES. EACH FAMILY ATTENDING IS GIVEN A FREE FIRST-AID KIT, AND HOSPITAL STAFF WILL DISTRIBUTED MORE THAN 300 BICYCLE HELMETS. WHILE CHILD DEATHS RELATED TO UNINTENTIONAL INJURY OR TRAUMA HAVE DROPPED DRAMATICALLY OVER THE LAST 30 YEARS, UNINTENTIONAL INJURIES (MOTOR VEHICLE/TRAFFIC ACCIDENTS, SUFFOCATION, DROWNING, POISONING, AND FIRE/BURNING) ARE STILL THE LEADING CAUSE OF DEATH FOR CHILDREN, AND MANY TRAUMA-RELATED INJURIES INCREASE IN THE SUMMER AFTER SCHOOL LETS OUT. - OPIOIDS AND ADDICTION MEDICINE: OVER THE LAST SEVERAL YEARS, AHN HAS TAKEN NUMEROUS STEPS TO CURB PAINKILLER MISUSE AND ADDICTION, OPIOID USE DISORDER, AND OVERDOSE DEATHS RELATED TO FENTANYL, CARFENTANIL, AND OTHER SYNTHETIC OPIATES. IN 2019, AHN RECEIVED A $5 MILLION FEDERAL GRANT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TO WILL SUPPORT THE IMPLEMENTATION AND EVALUATION OF ENHANCED SUBSTANCE USE SCREENING AND INTERVENTION SERVICES IN THE PRIMARY CARE SETTING. ADDITIONALLY, AHN AND GATEWAY HEALTH HAVE PARTNERED TO LAUNCH AN ENHANCED PAIN MANAGEMENT PROGRAM WHICH TAKES A NOVEL, HOLISTIC APPROACH TO TREATING A PATIENT'S PAIN WITHOUT OPIOIDS. THE FIRST SUCH CLINIC HAS OPENED AT THE AHN INSTITUTE FOR PAIN MEDICINE NEAR WEST PENN HOSPITAL, WITH MORE LOCATIONS BEING PLANNED. AHN AND PARTNER ORGANIZATIONS OPENED A NEW 45-BED UNIT AT THE KANE COMMUNITY LIVING CENTER IN MCKEESPORT, PA.; IT HAS BEEN OPERATING SINCE 2018 AS A POST-ACUTE UNIT FOR PATIENTS WITH MEDICAL CONDITIONS AND CO-OCCURRING SUBSTANCE USE DISORDERS. AHN MAINTAINS SECURE, PERMANENT DRUG TAKE-BACK BOXES AT SIX AHN HOSPITALS, AS WELL AS AT THE WEXFORD HEALTH + WELLNESS PAVILION; THE BOXES HAVE ALLOWED PATIENTS AND VISITORS TO DISPOSE OF SURPLUS OR EXPIRED MEDICATIONS YEAR-ROUND SINCE 2018.
-SCHOOL PARTNERSHIPS: AHN IS INVOLVED IN NUMEROUS CAREER AND EDUCATIONAL	DEVELOPMENT PARTNERSHIPS, INCLUDING THE FUTURE IS MINE (STUDENTS TOUR VARIOUS AHN HOSPITAL DEPARTMENTS AND LEARN ABOUT CAREERS, EDUCATION, AND WORKING IN THE MEDICAL FIELD); DISABILITY MENTORING DAY (STUDENTS ARE ABLE TO TOUR PART HOSPITAL DEPARTMENTS AND LEARN ABOUT VARIOUS TASKS AND DUTIES ONE PERFORMS IN THEIR FIELD); WORKREADY (A SIX-WEEK MENTORING FOR WESTERN PENNSYLVANIA HIGH SCHOOL STUDENTS THAT GIVE STUDENTS REAL-WORK EXPERIENCE); CITY CONNECTIONS (A PROGRAM THAT HELPS HIGH SCHOOL STUDENTS WITH SEVERE DISABILITIES GAIN REAL WORK EXPERIENCE AND KNOWLEDGE FROM THEIR SELECTED DEPARTMENT MENTOR); PROJECT MOVE (AN EIGHT-WEEK MENTORING PROGRAM AT AGH); START ON SUCCESS (A COMMUNITY WORK PROGRAM THAT ASSIGNS STUDENTS TO WORK ALONGSIDE REGULAR STAFF AND COMPLETE ASSIGNED TASKS AND RESPONSIBILITIES; STUDENTS RECEIVE AN HOURLY WAGE AND ARE AT THE HOSPITAL M-F FOR TWO HOURS A DAY); STRANGER AWARENESS (AGH AND TWO HIGH SCHOOL STUDENTS CREATED THE STRANGER AWARENESS PROGRAM TO HELP YOUNGER STUDENTS PRACTICE WHAT TO DO WHEN A STRANGER APPROACHES THEM AND RECOGNIZE "SAFE" STRANGERS); IN SCHOOL YOUTH (A PROGRAM FOCUSED ON PITTSBURGH HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTHCARE); OUT OF SCHOOL YOUTH (A PROGRAM FOR PITTSBURGH HIGH SCHOOL STUDENTS WHO HAVE NOT DECIDED A CAREER PATH); SCIENCE, TECHNOLOGY, ENGINEERING, MATH, MEDICINE (A ONE-DAY STEMM SEMINAR IS DESIGNED FOR HIGH SCHOOL JUNIORS AND SENIORS); GATEWAY MEDICAL SOCIETY-JOURNEY INTO MEDICINE (AN EDUCATIONAL PROGRAM OFFERED TO STUDENTS WHO ARE INTERESTED PURSUING A CAREER IN THE ALLIED HEALTH FIELD FOR SIXTH- AND SEVENTH-GRADERS); AND SEVERAL OTHER PARTNERSHIPS. -CENTER FOR INCLUSION HEALTH: AHN'S CENTER FOR INCLUSION HEALTH SEEKS TO ADDRESS THE OBSTACLES THAT MAKE IT HARD FOR TRADITIONALLY UNDERSERVED PATIENTS AND POPULATIONS ACCESS CARE, HELPING TO IMPROVE PEOPLE'S HEALTH WHILE REDUCING COSTS. THE CENTER HOUSES PROGRAMS FOR ADDICTION MEDICINE; HOMELESS HEALTH CARE; POSITIVE (HIV) HEALTH CLINIC; FOOD INSECURITY; IMMIGRANT AND REFUGEE HEALTH; AND TRANSGENDER HEALTH CARE, AMONG OTHER PROGRAMS. - AHN EQUITABLE HEALTH INSTITUTE: THE EQUITABLE HEALTH INSTITUTE, WHICH WAS FORMED IN 2020, AIMS TO ADDRESS AND MITIGATE MANY OF THE HEALTH OUTCOMES DISPARITIES AFFECTING PEOPLE OF COLOR AND OTHER MARGINALIZED COMMUNITIES. ITS FIRST PROGRAMS WILL ADDRESS THE ISSUE OF INFANT MORTALITY AMONG AFRICAN AMERICANS;. PITTSBURGH'S RATE OF INFANT MORTALITY FOR BLACK BABIES IS MORE THAN SIX TIMES HIGHER THAN IT IS FOR WHITE BABIES - 13 DEATHS PER 1,000 BIRTHS, COMPARED TO TWO DEATHS FOR WHITE BABIES. THE INSTITUTE IS LED BY CHIEF CLINICAL DIVERSITY, EQUITY AND INCLUSION OFFICER DR. MARGARET LARKINS-PETTIGREW. -DIVERSITY IN EMPLOYMENT AND CONTRACTING: AHN IS COMMITTED TO DIVERSITY AND THE CREATION OF AN INCLUSIVE WORK ENVIRONMENT FOR NOT ONLY ITS EMPLOYEES, BUT ALSO VENDORS AND CONTRACTORS WHO SUPPORT THE NETWORK. AS AN EQUAL OPPORTUNITY EMPLOYER, AHN RECOGNIZES AND EMBRACES THE MANY DIVERSE PERSPECTIVES AND LIFE EXPERIENCES THAT EACH INDIVIDUAL BRINGS TO THE WORKPLACE; CREATING A DIVERSE WORKFORCE, AND PROVIDING OPPORTUNITIES FOR WOMEN-OWNED AND MINORITY-OWNED VENDORS, IS PART OF AHN'S EMPLOYMENT AND BUSINESS SUPPLY CHAIN STRATEGY. IN 2020, AHN CREATED A NEW DIVERSITY OFFICE, LED BY CHIEF CLINICAL DIVERSITY, EQUITY AND INCLUSION OFFICER DR. MARGARET LARKINS-PETTIGREW; THE GOAL OF THE OFFICE IS TO ADVANCE DIVERSITY AND INCLUSION AMONG THE CLINICAL AND CAREGIVING STAFF AT AHN, AND TO ADVOCATE FOR EQUITABLE HEALTH OUTCOMES AMONG ALL PATIENT POPULATIONS BY DEVELOPING PROGRAMS THAT TARGET DISPARITIES IN MEDICAL CARE, ACROSS AHN AND HH. - LIFEFLIGHT: LIFEFLIGHT, THE FIRST AIR MEDICAL TRANSPORT SERVICE IN THE NORTHEASTERN UNITED STATES, IS PART OF AHN AND HAS COMPLETED MORE THAN 70,000 MISSIONS IN MORE THAN 40 YEARS OF FLYING. HOSPITAL-BASED AIR-MEDICAL TRANSPORT PROGRAMS THAT FIRST TOOK FLIGHT IN THE LATE 1970S ARE CREDITED WITH SIGNIFICANTLY IMPROVING A CRITICALLY INJURED PATIENT'S CHANCE OF SURVIVAL. THEY PROVIDE TIMELY ACCESS TO SPECIALTY LIFE-SAVING INTERVENTIONS FOR PEOPLE SUFFERING FROM TRAUMA, HEART ATTACKS, STROKES, AND OTHER CRITICAL ILLNESSES. AHN'S LIFEFLIGHT HAS FIVE BASES THROUGHOUT THE REGION. -PERINATAL HEALTH: IN 2018, AHN OPENED THE ALEXIS JOY D'ACHILLE CENTER FOR PERINATAL MENTAL HEALTH AT WEST PENN HOSPITAL, AN INNOVATIVE NEW FACILITY THAT OFFERS WOMEN WITH PREGNANCY-RELATED DEPRESSION ACCESS TO A SPECTRUM OF FAMILY-FOCUSED CARE OPTIONS UNDER ONE ROOF. THE 7,300-SQUARE-FOOT, $2.5 MILLION CENTER IS DESIGNED SO THAT MOTHERS CAN STAY WITH THEIR BABIES WHILE UNDERGOING TREATMENT. THE FACILITY HOUSES ROOMS FOR INDIVIDUAL THERAPY AS WELL AS SPACE FOR INTENSIVE OUTPATIENT CARE - A THREE-HOURS-DAILY, THREE-DAYS-A-WEEK PROGRAM THAT FOCUSES ON GROUP THERAPY, MOTHER-CHILD BONDING AND COMPLEMENTARY MODALITIES FOR STRESS RELIEF, SUCH AS YOGA AND MEDIATION. THE CENTER WILL ALSO OFFER CHILD CARE SERVICES FOR OLDER CHILDREN, ADDRESSING A MAJOR BARRIER TO CARE FOR WOMEN. -VETERANS: AHN IS A PARTNER IN THE "WE HONOR VETERANS PROGRAM," A PROGRAM DEVELOPED BY THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) IN COLLABORATION WITH THE DEPARTMENT OF VETERANS AFFAIRS (VA) TO SPECIFICALLY RECOGNIZE THE UNIQUE NEEDS OF AMERICA'S VETERANS AND THEIR FAMILIES. AHN'S HEALTHCARE@HOME UNIT RECOGNIZES THAT VETERANS AND THEIR FAMILIES MAY FACE UNIQUE AND SPECIAL NEEDS AND CHALLENGES BECAUSE OF THEIR ILLNESS, ISOLATION OR TRAUMATIC LIFE EXPERIENCES. THE GOALS OF THE WE HONOR VETERANS PROGRAM FOCUS ON RESPECTFUL INQUIRY, COMPASSIONATE LISTENING AND GRATEFUL ACKNOWLEDGMENT. ADDITIONALLY, AHN SUPPORTS THE HEALTH OF WESTERN PENNSYLVANIA'S SUBSTANTIAL VETERANS COMMUNITY THROUGH THE INTEGRATION OF THE AHN AND VA ELECTRONIC MEDICAL RECORDS (EMR) PLATFORMS. THE TWO ORGANIZATIONS CAN NOW EXCHANGE VETERANS' HEALTH RECORDS SECURELY AND SEAMLESSLY FOR A MORE CONNECTED PATIENT-PROVIDER EXPERIENCE. -RESEARCH: AT THE ALLEGHENY HEALTH NETWORK RESEARCH INSTITUTE, THE PATH TO ADVANCING THE SCIENCE OF MEDICINE STARTS WITH DISCOVERY. AHN RESEARCH SCIENTISTS AND PHYSICIAN INVESTIGATORS ARE FORGING NEW MEDICAL FRONTIERS LOOKING FOR CURES TO SOME OF THE MOST COMPLEX CAUSES OF DISEASE. AHN OFFERS COMMUNITY ACCESS TO NEW DRUG THERAPIES, HONES REVOLUTIONARY SURGICAL PROCEDURES, AND HAS ADVANCED EXPERTISE WITH INNOVATIVE DEVICES AND WEARABLE TECHNOLOGIES THAT HELP REDUCE THE IMPACT OF CHRONIC DISEASE. AHN PARTNERS WITH LOCAL INDUSTRY, GOVERNMENT, ACADEMIA, AND HEALTH SYSTEMS ACROSS THE REGION TO WORK TOWARD A COMMON GOAL: DISCOVERING CURES AND DEVELOPING THE NEXT "BEST PRACTICES" IN MEDICINE. BY REDEFINING THE WAY AHN TREATS DISEASE, THE NETWORK IS IMPROVING THE HEALTH OF ITS COMMUNITY, AND ITS PATIENTS, WHILE ADVANCING THE SCIENCE OF MEDICINE. ADDITIONALLY, AHN PARTICIPATES IN HIGHMARK HEALTH'S "VITAL" (VERIFICATION OF INNOVATION BY TESTING, ANALYSIS AND LEARNING) PROGRAM, A CLINICAL INNOVATION PROGRAM THAT LEVERAGES HIGHMARK HEALTH'S SIZE AND MARKET POSITION, AND AHN'S PATIENTS AND CLINICIANS, TO ACCELERATE THE PACE AT WHICH NOVEL THERAPIES AND SERVICES ARE MADE AVAILABLE TO THE COMMUNITY CUSTOMERS. THE VITAL INNOVATION PROGRAM IS A TEST BED DESIGNED TO FACILITATE EARLY USE OF TECHNOLOGIES THAT HAVE RECEIVED REGULATORY APPROVAL, BUT ARE NOT YET COVERED BY MOST COMMERCIAL INSURERS. VITAL AND AHN CLINICIANS TEST THOSE TECHNOLOGIES AND THERAPIES, SEE HOW WELL THEY WORK ON AHN PATIENTS THROUGH CLINICAL TRIALS, AND DETERMINE WHETHER THEY ARE COST EFFECTIVE IN HOPES OF SPEEDING THOSE TECHNOLOGIES TO THE FULL WESTERN PENNSYLVANIA POPULATION.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 SEE SCHEDULE O.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7 WESTFIELD MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK AS PART OF ITS OBLIGATION TO FURNISH THE STATE OF NEW YORK WITH A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
Alexis Joy D'Achille Foundation for PPD
2012 Lake Marshall Drive	Gibsonia	PA	15044	464212454	501(C)(3)	$11,000	N/A	N/A	SEE PART IV
American Cancer Society
320 Bilmar Drive	Pittsburgh	PA	15205	131788491	501(C)(3)	$12,000	N/A	N/A	SEE PART IV
American Diabetes Association
Two Chatham Center 112 washington	Pittsburgh	PA	15219	131623888	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
American Heart Association
444 Liberty Avenue Suite 1300	Pittsburgh	PA	15222	135613797	501(C)(3)	$53,500	N/A	N/A	SEE PART IV
American Lung Association
810 River Avenue	Pittsburgh	PA	15212	131632524	501(C)(3)	$6,500	N/A	N/A	SEE PART IV
Arthritis Foundation
790 Holiday Drive	Pittsburgh	PA	15220	581341679	501(C)(3)	$12,000	N/A	N/A	SEE PART IV
Bayfront NATO Inc MLK JR Memorial Center
312 Chestnut Street	Erie	PA	16507	256085619	501(C)(3)	$7,500	N/A	N/A	SEE PART IV
Bemus Bay Pops Inc
PO BOX 9250	BEUMUS POINT	NY	14712	050555451	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
City of Pittsburgh
310 Grant Street	Pittsburgh	PA	152190000	256000879	GOV'T	$25,000	N/A	N/A	SEE PART IV
Community Blood Bank of Erie County
2646 Peach St	Erie	PA	16508	251181389	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
Community Food Warehouse of Mercer County
109 S Sharpsville Ave	Sharon	PA	16146	251446242	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
Crohn's & Colitis Foundation
5001 Baum Blvd	Pittsburgh	PA	15213	136193105	501(C)(3)	$6,000	N/A	N/A	SEE PART IV
Cultures Arts Festivals & Events of Erie
626 State St	Erie	PA	16501	611428869	501(C)(3)	$15,000	N/A	N/A	SEE PART IV
Dr Gertrude A Barber Foundation
100 Barber Place	Erie	PA	16507	251753149	501(C)(3)	$7,500	N/A	N/A	SEE PART IV
Epilepsy Assoc of Western and Central PA
1501 Reedsdale Street	Pittsburgh	PA	15233	237241930	501(C)(3)	$6,000	N/A	N/A	SEE PART IV
expERIEnce Children's Museum
420 French Street	Erie	PA	16507	251693861	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
JDRF International
501 Martindale Street	Pittsburgh	PA	15212	231907729	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
March of Dimes Inc
300 Cedar Ridge Drive	Pittsburgh	PA	15205	131846366	501(C)(3)	$14,000	N/A	N/A	SEE PART IV
Mercy Center for Women
1039 East 27th St	Erie	PA	16504	251695659	501(C)(3)	$20,000	N/A	N/A	SEE PART IV
National Kidney Foundation
2403 Sidney Street	Pittsburgh	PA	15203	131673104	501(C)(3)	$6,000	N/A	N/A	SEE PART IV
National MS Society PA Keystone Chapter
1501 Reedsdale St Suite 105	Pittsburgh	PA	15233	135661935	501(C)(3)	$6,500	N/A	N/A	SEE PART IV
Nat'l Ovarian Cancer Coalition-PGH Chapter
1310 Old Freeport Road	Pittsburgh	PA	15215	650628064	501(C)(3)	$7,500	N/A	N/A	SEE PART IV
Northside Chamber of Commerce
809 Middle Street	Pittsburgh	PA	15212	250696267	501(C)(6)	$7,000	N/A	N/A	SEE PART IV
Pittsburgh Zoo & PPG Aquarium
One Wild Place	Pittsburgh	PA	15206	251418766	501(C)(3)	$12,500	N/A	N/A	SEE PART IV
Presque Isle Partnership
301 Peninsula Dr	Erie	PA	16505	251737521	501(C)(3)	$20,000	N/A	N/A	SEE PART IV
Public Broadcasting of NW PA Inc
8425 Peach Street	Erie	PA	16509	251154116	501(C)(3)	$9,000	N/A	N/A	SEE PART IV
Second Harvest Food Bank of NW PA
1507 Grimm Drive	Erie	PA	16501	251405798	501(C)(3)	$25,000	N/A	N/A	SEE PART IV
Street Medicine Institute
1503 Abby Rose Ct	Pittsburgh	PA	15237	943489183	501(C)(3)	$10,000	N/A	N/A	SEE PART IV
The Leukemia & Lymphoma Society
333 East Carson Street	Pittsburgh	PA	15219	135644916	501(C)(3)	$6,500	N/A	N/A	SEE PART IV
Westfield Memorial Hosp Foundation INC
189 East Main Street	Westfield	NY	14787	222270533	501(C)(3)	$50,000	N/A	N/A	SEE PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	29	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
WEST PENN SCHOOL OF NURSING SCHOLARSHIPS	23	$12,988
AHN SCHOLARSHIPS	28	$24,818
AGH ALUMNAE SCHOLARSHIPS	14	$17,105
NEUBERT & SEYBOLD (AKMC TRUST) SCHOLARSHIPS	24	$22,250

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.	Schedule I, Part I, Line 2 ALLEGHENY HEALTH NETWORK UPPER MANAGEMENT ANALYZES REQUESTS FOR CHARITABLE DISBURSEMENTS ON AN ONGOING BASIS. DISBURSEMENTS ARE AWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE AND/OR A COMMUNITY BENEFIT AND WHO WILL PUT THE USE OF THE FUNDS TOWARDS THE CHARITABLE MISSION ON WHICH ALLEGHENY HEALTH NETWORK WAS FOUNDED. THE FUNDING REQUESTS ARE RECEIVED AND TRACKED THROUGH THE CHARITABLE GIVING PLATFORM AND MONITORED BY THE CORPORATE GIVING TEAM TO ENSURE ADHERENCE TO THE CHARITABLE MISSION.
SCHEDULE I, PART II - NON-CHARITABLE GRANTS	THE HIGHMARK HEALTH GROUP PROVIDES ASSISTANCE TO GOVERNMENTAL UNITS. THESE UNITS WERE PROVIDED ASSISTANCE TO SUPPORT THEIR CIVIC ENDEAVORS.
SCHEDULE I, PART II, COLUMN (H)	THE PURPOSE OF EACH GRANT IS AS FOLLOWS: ALEXIS JOY D'ACHILLE FOUNDATION FOR PPD: SPONSORSHIP: A NIGHT OF JOY 2020 AMERICAN CANCER SOCIETY: SPONSORSHIP: AMERICAN CANCER SOCIETY REQUEST FOR SUPPORT FOR PITTSBURGH AND ERIE AMERICAN DIABETES ASSOCIATION: SPONSORSHIP: 2020 IMAGINE CAMP AND COURAGE WEEK, 2020 VIRTUAL TOUR DE CURE AMERICAN HEART ASSOCIATION: SPONSORSHIP: 2020 WESTERN PENNSYLVANIA AMERICAN LUNG ASSOCIATION: SPONSORSHIP: AMERICAN LUNG ASSOCIATION FY20 EVENTS ARTHRITIS FOUNDATION: SPONSORSHIP: 2020 WALK TO CURE ARTHRITIS PITTSBURGH BAYFRONT NATO, INC. MLK, JR MEMORIAL CENTER: SPONSORSHIP: FAMILIES MATTER VOCATIONAL TRAINING PROGRAM BEMUS BAY POPS, INC.: SPONSORSHIP: AHN FLOATING STAGE SPONSORSHIP- 2020 CITY OF PITTSBURGH: 2020 RICHARD S. CALIGUIRI CITY OF PITTSBURGH GREAT RACE COMMUNITY BLOOD BANK OF ERIE COUNTY: SPONSORSHIP: ALYX INSTRUMENT COMMUNITY FOOD WAREHOUSE OF MERCER COUNTY: SPONSORSHIP: CORPORATE GIFT TO SUPPORT COVID-19 RESPONSE CROHN'S & COLITIS FOUNDATION: SPONSORSHIP: 2020 CROHN'S & COLITIS FOUNDATION CORPORATE SPONSORSHIP CULTURES, ARTS, FESTIVALS, & EVENTS OF ERIE: SPONSORSHIP: CELEBRATE ERIE PRESENTING SPONSORSHIP DR GERTRUDE A BARBER FOUNDATION: SPONSORSHIP: 2020 BARBER INSTITUTE EVENT SPONSORSHIPS EPILEPSY ASSOC. OF WESTERN AND CENTRAL PA: SPONSORSHIP: 26TH ANNUAL MARDI GRAS GALA EXPERIENCE CHILDREN'S MUSEUM: SPONSORSHIP: CULTURE CONNECTION JDRF INTERNATIONAL: SPONSORSHIP: JDRF WESTERN PA 2020 MARCH OF DIMES, INC.: SPONSORSHIP: 2020 MARCH OF DIMES PARTNERSHIP PROPOSAL MERCY CENTER FOR WOMEN: SPONSORSHIP: MERCY CENTER SOCIAL DETERMINANTS OF HEALTH SUPPORT NATIONAL KIDNEY FOUNDATION: SPONSORSHIP: NATIONAL KIDNEY FOUNDATION 2020 ANNUAL PARTNERSHIP NATIONAL MS SOCIETY, PA KEYSTONE CHAPTER: SPONSORSHIP: 2019 2018 WPA HIGHMARK AND MS SOCIETY PA KEYSTONE CHAPTER - PARTNERSHIP REQUEST NAT'L OVARIAN CANCER COALITION-PGH CHAPTER: SPONSORSHIP: NOCC PITTSBURGH PROGRAMMING 2020 NORTHSIDE CHAMBER OF COMMERCE: 2020 SPONSORSHIP PACKAGE PITTSBURGH ZOO & PPG AQUARIUM: SPONSORSHIP: ZOO BOO PRESQUE ISLE PARTNERSHIP: SPONSORSHIP: PRESQUE ISLE LIGHTS PUBLIC BROADCASTING OF NW PA INC.: SPONSORSHIP: LAKE ERIE CYCLEFEST SECOND HARVEST FOOD BANK OF NW PA: SPONSORSHIP: CORPORATE GIFT FOR COVID-19 RESPONSE STREET MEDICINE INSTITUTE: SPONSORSHIP: 15TH ANNUAL INTERNATIONAL STREET MEDICINE SYMPOSIUM THE LEUKEMIA & LYMPHOMA SOCIETY: SPONSORSHIP: THE LEUKEMIA & LYMPHOMA SOCIETY, WESTERN PA/WV CHAPTER WESTFIELD MEMORIAL HOSP FOUNDATION INC: GREATEST NEED

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (75 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
Scott Hankinson
Director	$39,340	$0	$14,153	$0	$171,353	$0	$0	$0	$16,521	$0	$241,367	$0	$0	$0
Tony Farah MD
Director	$0	$928,212	$0	$1,129,627	$0	$217,000	$0	$9,975	$0	$36,034	$0	$2,320,848	$0	$0
David Parda MD
Director	$816,800	$0	$395,936	$0	$77,659	$0	$2,850	$0	$26,016	$0	$1,319,261	$0	$0	$0
Thomas Corkery DO
Director	$300,000	$0	$15,524	$0	$40,625	$0	$2,850	$0	$15,679	$0	$374,678	$0	$0	$0
Jennifer Lewis MD
Director	$267,010	$0	$51,529	$0	$2,142	$0	$2,850	$0	$21,314	$0	$344,845	$0	$0	$0
Jason Roeback
Director	$388,392	$0	$97,225	$0	$23,202	$0	$2,850	$0	$22,561	$0	$534,230	$0	$0	$0
Thomas Murphy
DIRECTOR/SECRETARY/TREASURER	$119,007	$0	$18,368	$0	$124,291	$0	$1,060	$0	$21,999	$0	$284,725	$0	$0	$0
Thomas Vankirk
Director	$0	$685,659	$0	$1,587,659	$0	$157,432	$0	$24,369	$0	$11,794	$0	$2,466,913	$0	$0
Karen Hanlon
Director	$0	$892,909	$0	$2,260,477	$0	$59,359	$0	$278,559	$0	$27,074	$0	$3,518,378	$0	$0
Paul Gausman DO
Director	$239,513	$0	$174,512	$0	$1,232	$0	$2,850	$0	$21,238	$0	$439,345	$0	$0	$0
Jeffrey Kim MD
Director	$210,631	$0	$90,197	$0	$193	$0	$2,850	$0	$21,117	$0	$324,988	$0	$0	$0
Susan Moore MD
Director	$148,000	$0	$44,721	$0	$506	$0	$1,927	$0	$21,030	$0	$216,184	$0	$0	$0
Donald McNary
Director	$213,639	$0	$51,521	$0	$848	$0	$2,136	$0	$8,199	$0	$276,343	$0	$0	$0
Madhusudan Menon MD
Director	$329,992	$0	$352,673	$0	$1,445	$0	$2,850	$0	$1,036	$0	$687,996	$0	$0	$0
Dawn Karns DO
Director	$123,280	$0	$43,515	$0	$188	$0	$1,669	$0	$600	$0	$169,252	$0	$0	$0
Robert Lupo MD
Director	$611,835	$0	$226,625	$0	$1,558	$0	$2,850	$0	$22,653	$0	$865,521	$0	$0	$0
Jeffrey McGovern MD
Director	$504,423	$0	$58,866	$0	$9,845	$0	$2,850	$0	$22,626	$0	$598,610	$0	$0	$0
Donald Whiting MD
Director/CHAIRMAN	$1,004,968	$0	$528,300	$0	$374,725	$0	$9,975	$0	$26,468	$0	$1,944,436	$0	$0	$0
Joseph C Guyaux
Director	$0	$155,430	$0	$0	$0	$0	$0	$0	$0	$0	$0	$155,430	$0	$0
James Benedict
Director/COO	$439,820	$334,231	$825,011	$0	$65,750	$106,542	$5,755	$4,220	$22,737	$14,761	$1,359,073	$459,754	$0	$0
Parminder Sharma MD
Director	$550,000	$0	$210,973	$0	$7,620	$0	$2,850	$0	$22,118	$0	$793,561	$0	$0	$0
Venkatraman Srinivasan MD
Trustee	$629,990	$0	$274,210	$0	$8,839	$0	$2,850	$0	$20,984	$0	$936,873	$0	$0	$0
Cynthia Hundorfean
Director & President	$1,041,464	$0	$1,539,335	$0	$295,876	$0	$9,975	$0	$22,045	$0	$2,908,695	$0	$0	$0
Louise Urban
Director & President	$480,288	$0	$97,577	$0	$48,345	$0	$3,924	$0	$19,099	$0	$649,233	$0	$0	$0
Mark Rubino MD
Director & President	$474,729	$0	$130,092	$0	$58,626	$0	$2,850	$0	$18,874	$0	$685,171	$0	$0	$0
Christopher Clark DO
Director & President	$428,145	$0	$86,171	$0	$26,367	$0	$2,850	$0	$22,015	$0	$565,548	$0	$0	$0
Ronald Andro MD
Director & President	$452,501	$0	$103,250	$0	$58,203	$0	$2,850	$0	$22,822	$0	$639,626	$0	$0	$0
G Scott Long MD
Director & President	$600,000	$0	$363,531	$0	$12,364	$0	$2,850	$0	$18,877	$0	$997,622	$0	$0	$0
Allison Quick
Director & President	$297,648	$0	$86,854	$0	$6,783	$0	$9,975	$0	$32,969	$0	$434,229	$0	$0	$0
Mark Nussbaum
Director & Vice President	$375,857	$0	$165,086	$0	$26,383	$0	$11,286	$0	$17,434	$0	$596,046	$0	$0	$0
Keith LeJeune
Director & Vice President	$326,041	$0	$44,498	$0	$8,935	$0	$9,975	$0	$27,349	$0	$416,798	$0	$0	$0
Jacqueline Bauer
Director & Secretary	$0	$433,528	$0	$438,435	$0	$76,233	$0	$26,269	$0	$18,888	$0	$993,353	$0	$0
Jeffrey Crudele
Former Director & Treasurer	$17,236	$0	$635,099	$0	$1,037,262	$0	$0	$0	$15,708	$0	$1,705,305	$0	$1,036,587	$0
James Rohrbaugh
Treasurer	$456,202	$0	$168,336	$0	$21,806	$0	$19,679	$0	$33,639	$0	$699,662	$0	$0	$0
Mark Leone DO
Director	$245,000	$0	$72,790	$0	$541	$0	$2,850	$0	$21,825	$0	$343,006	$0	$0	$0
Rand Levis
Assistant Treasurer	$334,750	$0	$32,500	$0	$5,399	$0	$2,850	$0	$22,954	$0	$398,453	$0	$0	$0
Chong Park MD
Chief Medical Officer	$590,166	$0	$0	$0	$4,601	$0	$2,850	$0	$21,979	$0	$619,596	$0	$0	$0
Richard Thompson
Vice President	$365,380	$0	$217,884	$0	$19,386	$0	$9,975	$0	$16,770	$0	$629,395	$0	$0	$0
George J Magovern Jr MD
Physician	$695,011	$0	$0	$0	$9,845	$0	$2,850	$0	$20,200	$0	$727,906	$0	$0	$0
Patrick Demeo MD
Physician	$700,000	$0	$83,333	$0	$307,524	$0	$2,850	$0	$22,163	$0	$1,115,870	$0	$0	$0
Susan Manzi MD
Physician	$599,997	$0	$60,000	$0	$4,356	$0	$2,850	$0	$7,454	$0	$674,657	$0	$0	$0
Ngoc Thai MD
PHYSICIAN	$775,000	$0	$150,000	$0	$2,001	$0	$2,850	$0	$23,310	$0	$953,161	$0	$0	$0
Robert White MD
Chief Medical Info Officer	$523,460	$0	$535,675	$0	$135,603	$0	$9,975	$0	$24,018	$0	$1,228,731	$0	$0	$0
Kenyokee Crowell
Sr. Vice President	$95,391	$415,665	$432,958	$0	$11,252	$63,692	$9,975	$47,676	$6,914	$29,058	$556,490	$556,091	$0	$0
Beth Casagranda MD
Physician	$549,994	$0	$46,781	$0	$900	$0	$2,850	$0	$23,256	$0	$623,781	$0	$0	$0
Claire Zangerle
Chief Nursing Officer	$440,992	$0	$297,947	$0	$54,365	$0	$9,975	$0	$1,736	$0	$805,015	$0	$0	$0
SRICHARAN CHALIKONDA MD
CHIEF MEDICAL OPS OFFICER	$791,355	$0	$491,848	$0	$40,472	$0	$80,727	$0	$31,514	$0	$1,435,916	$0	$0	$0
John Lawrence MD
Physician	$549,994	$0	$73,500	$0	$1,380	$0	$2,850	$0	$23,256	$0	$650,980	$0	$0	$0
DENZIL RUPERT
CHIEF OPERATING OFFICER - AGH	$467,733	$0	$188,820	$0	$20,019	$0	$3,996	$0	$20,183	$0	$700,751	$0	$0	$0
Srinavas Murali MD
Physician	$562,250	$0	$150,000	$0	$92,502	$0	$2,850	$0	$14,672	$0	$822,274	$0	$0	$0
EDWARD WESTRICK MD
Physician	$1,050,000	$0	$783,593	$0	$1,140	$0	$2,850	$0	$25,019	$0	$1,862,602	$0	$0	$0
Daniel Altman MD
Physician	$1,050,000	$0	$385,523	$0	$4,902	$0	$2,850	$0	$23,603	$0	$1,466,878	$0	$0	$0
Gregory Altman MD
Physician	$1,050,000	$0	$492,018	$0	$4,902	$0	$2,850	$0	$23,584	$0	$1,573,354	$0	$0	$0
GEORGE EID MD
Physician	$899,995	$0	$527,426	$0	$2,346	$0	$2,850	$0	$19,740	$0	$1,452,357	$0	$0	$0
JOHN BALACKO MD
DIRECTOR	$480,000	$0	$242,913	$0	$3,405	$0	$2,850	$0	$18,945	$0	$748,113	$0	$0	$0
Alexander Yu MD
PHYSICIAN	$719,616	$0	$841,607	$0	$811	$0	$2,850	$0	$8,760	$0	$1,573,644	$0	$0	$0
GENE G FINELY MD
DIRECTOR	$550,001	$0	$484,586	$0	$15,635	$0	$2,850	$0	$19,324	$0	$1,072,396	$0	$0	$0
DAVID HOLMBERG
DIRECTOR	$0	$1,460,577	$0	$5,592,104	$0	$710,544	$0	$18,669	$0	$41,673	$0	$7,823,567	$0	$0
THOMAS CAMPBELL MD
PHYSICIAN CHAIRPERSON	$280,001	$0	$46,667	$0	$122,780	$0	$2,850	$0	$23,731	$0	$476,029	$0	$0	$0
WILLIAM JOHNJULIO MD
PHYSICIAN	$700,003	$0	$66,972	$0	$79,117	$0	$2,850	$0	$22,132	$0	$871,074	$0	$0	$0
JOSEPH ARACRI
PHYSICIAN CHAIRPERSON	$500,000	$0	$36,699	$0	$2,245	$0	$2,850	$0	$16,502	$0	$558,296	$0	$0	$0
VICENTA GASPAR-YOO MD
DIRECTOR	$422,334	$0	$42,985	$0	$43,585	$0	$2,850	$0	$1,326	$0	$513,080	$0	$0	$0
THOMAS HIPKISS
Chief Financial Officer	$235,185	$0	$28,500	$0	$512	$0	$2,352	$0	$23,554	$0	$290,103	$0	$0	$0
PETER LUND MD
DIRECTOR	$650,000	$0	$138,088	$0	$9,144	$0	$2,850	$0	$19,569	$0	$819,651	$0	$0	$0
DANIEL MUCCIO MD
DIRECTOR	$521,154	$0	$0	$0	$3,713	$0	$2,850	$0	$22,630	$0	$550,347	$0	$0	$0
BRIAN PARKER MD
DIRECTOR	$581,879	$0	$524,965	$0	$52,321	$0	$53,099	$0	$33,425	$0	$1,245,689	$0	$0	$0
KAREN SURKALA
PRESIDENT	$243,669	$0	$13,224	$0	$535	$0	$2,437	$0	$10,380	$0	$270,245	$0	$0	$0
JAMES VALERIANO
PHYSICIAN CHAIRPERSON	$360,000	$0	$109,352	$0	$4,735	$0	$2,850	$0	$19,714	$0	$496,651	$0	$0	$0
KELLY KASSAB
VICE PRESIDENT & DIRECTOR	$240,001	$0	$22,279	$0	$407	$0	$2,400	$0	$20,291	$0	$285,378	$0	$0	$0
DAVID BARTLETT
PHYSICIAN	$842,308	$0	$0	$0	$3,205	$0	$2,850	$0	$15,484	$0	$863,847	$0	$0	$0
KYMBERLE GYURE
PHYSICIAN	$498,816	$0	$23,000	$0	$2,327	$0	$2,850	$0	$9,078	$0	$536,071	$0	$0	$0
HENRY WARD
DIRECTOR	$148,835	$0	$14,450	$0	$262	$0	$1,488	$0	$20,387	$0	$185,422	$0	$0	$0
BETSY BLAZEK-O'NEILL
DIRECTOR	$174,720	$0	$0	$0	$0	$0	$1,747	$0	$15,426	$0	$191,893	$0	$0	$0
JOHN SMITH
DIRECTOR & TREASURER	$187,623	$0	$17,750	$0	$280	$0	$1,876	$0	$21,190	$0	$228,719	$0	$0	$0
ALLAN KLAPPER MD
PHYSICIAN	$115,465	$0	$176,121	$0	$115,465	$0	$2,850	$0	$17,343	$0	$427,244	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	A SELECT NUMBER OF EXECUTIVES LISTED IN FORM 990, PART VII RECEIVED TAX GROSS-UP PAYMENTS FROM THE ORGANIZATION. THESE WERE INCLUDED IN BOX 5 OF THEIR IRS FORM W-2.
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS OF DECEMBER 31, 2020. THESE AMOUNTS ARE INCLUDED IN THEIR BOX 5 OF THEIR IRS FORM W-2. SCOTT HANKINSON $158,432 THOMAS MURPHY $123,633 JEFFREY CRUDELE $642,232
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN HIGHMARK HEALTH HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE SUPPLEMENTAL RETIREMENT PLAN IS OFFERED TO ELIGIBLE EMPLOYEES WHOSE RETIREMENT BENEFITS IN QUALIFIED PLANS ARE LIMITED DUE TO IRS REGULATIONS. AMOUNTS IN THE PLAN ARE VESTED WHEN THE PARTICIPANT REACHES AGE 55 AND HAS 3 YEARS OF SERVICE. ONCE VESTED, THE 457F BALANCE IS PAID TO THE PARTICIPANT, BOTH INITIALLY AND THEN EVERY DECEMBER THEREAFTER (WHEN A NEW 457F CONTRIBUTION IS MADE). PARTICIPANTS WHO VOLUNTARILY LEAVE THE ORGANIZATION BEFORE AGE 55 OR 3 YEARS OF SERVICE FORFEIT THEIR ENTIRE 457F BENEFIT UPON TERMINATION. THE FOLLOWING INDIVIDUALS RECEIVED OR PROVIDED 457(F) CONTRIBUTIONS INCLUDED IN 2020 W-2 COMPENSATION: CLAIRE ZANGERLE $10,909 CYNTHIA HUNDORFEAN $152,985 DAVID PARDA, M.D. $23,044 DONALD WHITING, M.D. $273,111 ROBERT WHITE, M.D. $33,405 DAVID HOLMBERG $540,997 JAMES BENEDICT $85,426 TONY FARAH, M.D. $116,992 THOMAS VANKIRK $127,454 JACQUELINE BAUER $33,928 THE FOLLOWING INDIVIDUALS HAD 457(F) OR CONTRIBUTIONS DEFERRED IN 2020: BRIAN PARKER, MD $43,124 JAMES ROHRBAUGH $9,704 SRICHARAN CHALIKONDA, M.D. $70,753 KAREN HANLON $252,290
SCHEDULE J, PART I, LINE 7	NONFIXED PAYMENTS HIGHMARK HEALTH GROUP (HHG) PROVIDES BONUS COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. IN THE VAST MAJORITY OF ARRANGEMENTS, THIS COMPONENT IS BASED UPON ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES AND RESULTS IN FIXED PAYMENTS. CERTAIN ENTITIES WITHIN THE HIGHMARK HEALTH GROUP, HOWEVER, HAVE ENTERED INTO ARRANGEMENTS WHICH PROVIDE FOR OTHER BONUSES WHICH ARE DISCRETIONARY IN NATURE, TO A LIMITED NUMBER OF THOSE PERSONS LISTED IN THIS FORM 990, PART VII, SECTION A, LINE 1A. NOTWITHSTANDING SUCH DISCRETION AND ASSUMING FULL PAYOUT OF SUCH DISCRETIONARY PAYMENTS, THE TOTAL COMPENSATION PAID TO THOSE PERSONS FALLS WITHIN THE RANGE OF FAIR MARKET VALUE.
SCHEDULE J, PART I, LINES 8 AND 9	PAID OR ACCRUED COMPENSATION PURSUANT TO A CONTRACT SUBJECT TO THE INITIAL CONTRACT EXCEPTION HIGHMARK HEALTH GROUP (HHG) HAS CERTAIN EMPLOYMENT CONTRACTS WHICH MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION UNDER IRC REGULATION 53.4958-4(A)(3). IF SO QUALIFIED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN IRC REGULATION 53.4958-6(C) WERE FOLLOWED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	251327925	BondIssuerEIN
CUSIP	01728A4A1	CUSIPNum
Bond Issued	2018-08-29	BondIssuedDt
Issue Price	$1,000,004,532	IssuePriceAmt
Purpose	NEW CONSTRUCTIONS/REFUND PRIOR ISS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$1,002,911,871	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$4,532	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$196,366,686	CapitalExpendituresAmt
Other Spent Proceeds	$896,545,185	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.01782	PrivateBusUseByOthersPct
Total Private Business Use	0.01782	TotalPrivateBusinessUsePct
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 3	TOTAL PROCEEDS THE TOTAL AMOUNT OF PROCEEDS OF THE BOND ISSUE AS OF THE END OF YEAR 2020 INCLUDES THE PERIOD INVESTMENT EARNINGS OF $151,508 AND A PRIOR YEAR INVESTMENT EARNINGS OF $2,755,831.
PART VI	WRITTEN BOND PROCEDURES ALLEGHENY HEALTH NETWORK HAS NOT VIOLATED ANY APPLICABLE REQUIREMENTS FOR TAX EXEMPT BONDS BENEFITING THE NETWORK. AT THE TIME OF FILING OF YEAR 2020 FORM 990, WRITTEN PROCEDURES HAVE BEEN ESTABLISHED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CAITLIN CLARK
FAMILY OF A BOARD MEMBER, CHRISTOPHER CLARK	$300,170	EMPLOYMENT	false
MARY BETH KROMER
FAMILY OF A BOARD MEMBER, CHRISTOPHER CLARK	$91,680	EMPLOYMENT	false
KYUNG PARK
FAMILY OF A BOARD MEMBER, CHONG PARK	$647,846	EMPLOYMENT	false
QUICK MED CLAIMS
35% CONTROLLED ENTITY	$566,130	SEE SCHEDULE L, PART V	false
WEST RIDGE MEDICAL PARTNERS
35% CONTROLLED ENTITY	$842,120	SEE SCHEDULE L, PART V	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 4, COLUMN D	DESCRIPTION OF TRANSACTION MORE THAN 35% CONTROLLED ENTITY BY EDWARD MARASCO. ALL BUSINESS IS TRANSACTED AT ARMS LENGTH AND FAIR MARKET VALUE.
PART IV, LINE 5, COLUMN D	DESCRIPTION OF TRANSACTION MORE THAN 35% CONTROLLED ENTITY BY MICHAEL REDLAWSK. ALL BUSINESS IS TRANSACTED AT ARMS LENGTH AND FAIR MARKET VALUE.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$328,819	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$134,935	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	102	ContributionCnt
Noncash Contributions Rpt F990	$799,317	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	OTHER	32	$46,502	COST
Yes (X)	GIFT CERTIFICATES	30	$134,184	COST
Yes (X)	ENTERTAINMENT VOUCHERS	20	$11,655	COST
Yes (X)	FESTIVELY DECORATED TREE	3	$5,733	COST
Yes (X)	FOOD DONATIONS	219	$370,828	COST
Yes (X)	CARE PACKAGES	11	$94,661	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I, Column B	FormAndLineReferenceDesc
Explanation	HIGHMARK HEALTH GROUP IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INTRODUCTION TO AHN	ALLEGHENY HEALTH NETWORK (AHN), BASED IN PITTSBURGH, PENNSYLVANIA, IS A TAX-EXEMPT, PATIENT-CENTERED AND PHYSICIAN-LED ACADEMIC HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE CARE AND HIGH-QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO PATIENTS FROM WESTERN PENNSYLVANIA AND THE ADJACENT REGIONS OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. AHN COMPRISES 13 HOSPITALS AND MORE THAN 300 HEALTHCARE SITES, INCLUDING FIVE HEALTH + WELLNESS PAVILIONS, SURGICAL CENTERS AND OUTPATIENT CLINICS; A RESEARCH INSTITUTE; MORE THAN 2,500 EMPLOYED AND AFFILIATED PHYSICIANS; APPROXIMATELY 25,000 TOTAL EMPLOYEES; 1,000 VOLUNTEERS; A GROUP PURCHASING ORGANIZATION; AND A COMPLETE SPECTRUM OF HOME AND COMMUNITY BASED HEALTHCARE SERVICES. THE NETWORK'S HOSPITALS INCLUDE ONE QUATERNARY ACADEMIC MEDICAL CENTER (ALLEGHENY GENERAL HOSPITAL IN PITTSBURGH), EIGHT TERTIARY/COMMUNITY HOSPITALS THAT PROVIDE A WIDE ARRAY OF GENERAL AND ADVANCED CLINICAL SERVICES (ALLEGHENY VALLEY HOSPITAL, NATRONA HEIGHTS, PA; CANONSBURG HOSPITAL, CANONSBURG, PA; FORBES HOSPITAL, MONROEVILLE, PA; GROVE CITY MEDICAL CENTER, GROVE CITY, PA; JEFFERSON HOSPITAL, JEFFERSON HILLS, PA; SAINT VINCENT HOSPITAL, ERIE, PA; WEST PENN HOSPITAL, PITTSBURGH, PA; AND WESTFIELD MEMORIAL HOSPITAL, WESTFIELD, NY.), AND FOUR NEIGHBORHOOD HOSPITALS (AHN HEMPFIELD IN WESTMORELAND COUNTY; AHN McCANDLESS IN ALLEGHENY COUNTY; AHN HARMAR IN ALLEGHENY COUNTY; AND AHN BRENTWOOD IN ALLEGHENY COUNTY). AHN WAS ESTABLISHED IN 2013, BUT ITS MEMBER HOSPITALS SHARE LEGACIES OF CHARITABLE CARE THAT DATE BACK MORE THAN 170 YEARS (WEST PENN HOSPITAL WAS CHARTERED IN 1848). AHN WAS FORMED TO ACT AS THE PARENT COMPANY OF THE HOSPITALS OF THE WEST PENN ALLEGHENY HEALTH SYSTEM, INC. (WPAHS), AS WELL AS JEFFERSON HOSPITAL, SAINT VINCENT HOSPITAL AND WESTFIELD MEMORIAL HOSPITAL. HIGHMARK HEALTH (HH), IN TURN, SERVES AS THE ULTIMATE PARENT OF AHN AND ITS AFFILIATES. IN 2020, THE HOSPITALS AND CLINICS OF AHN TOGETHER REPORTED MORE THAN 112,000 PATIENT DISCHARGES AND OBSERVATIONS, LOGGED MORE THAN 260,000 EMERGENCY ROOM VISITS, AND DELIVERED NEARLY 8,000 BABIES; ITS PHYSICIANS SAW MORE THAN 3 MILLION PATIENTS. ANCHORED BY NATIONALLY AND INTERNATIONALLY RECOGNIZED CLINICAL AND RESEARCH PROGRAMS IN THE AREAS OF BONE AND JOINT CARE, SPORTS MEDICINE, CARDIOVASCULAR DISEASE, NEUROSURGERY AND NEUROLOGY, WOMEN'S HEALTH, CANCER, EMERGENCY MEDICINE, BARIATRIC AND METABOLIC DISEASE, AHN PROVIDES A COMPLETE SPECTRUM OF ADVANCED DIAGNOSTIC, MEDICAL AND SURGICAL CARE ACROSS ALL MEDICAL SPECIALTIES, INCLUDING PRIMARY CARE, TRAUMA AND BURN CARE, GENERAL SURGERY, DIABETES, AUTOIMMUNE DISEASES, CRITICAL CARE, DIGESTIVE DISEASES, MEN'S HEALTH/UROLOGY, LUNG AND ESOPHAGEAL DISEASES AND REHABILITATION SERVICES. AHN ALSO PLAYS A PIVOTAL ROLE IN THE TRAINING OF FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS BY OFFERING FOUR DOZEN GRADUATE MEDICAL PROGRAMS, AND BY MAINTAINING AFFILIATIONS WITH THREE MEDICAL SCHOOLS AND TWO NURSING SCHOOLS. THE NETWORK'S HOSPITALS SERVE AS CLINICAL CAMPUSES FOR THE MEDICAL SCHOOLS OF DREXEL UNIVERSITY AND THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM). NEARLY 250 STUDENTS ARE ENROLLED EACH YEAR IN NURSING PROGRAMS AT THE WEST PENN HOSPITAL SCHOOL OF NURSING AND THE CITIZENS SCHOOL OF NURSING IN NATRONA HEIGHTS, AND ABOUT 450 MEDICAL RESIDENTS AND FELLOWS RECEIVE ADVANCED TRAINING ON STAFF AT AHN HOSPITALS. AHN'S PLAN IS TO TRANSFORM THE CURRENT MODEL OF HEALTH CARE DELIVERY IN WESTERN PENNSYLVANIA BY ENCOURAGING HEALTH CARE PROVIDERS WITHIN AHN, WHETHER HOSPITALS OR PHYSICIANS, TO USE THE MOST COST-EFFECTIVE VENUE FOR CARE, ADHERE TO THE HIGHEST, EVIDENCE-BASED STANDARDS OF CARE, AND DELIVER SUPERIOR OUTCOMES BY REDUCING UNNECESSARY READMISSIONS AND HEALTHCARE ASSOCIATED COMPLICATIONS. PROVIDING COST-EFFICIENT, CONVENIENTLY ACCESSED CARE DELIVERS VALUE AND BENEFIT TO LOCAL COMMUNITIES, PARTNER HEALTH CARRIERS, AREA BUSINESSES, AND MOST OF ALL TO AHN'S PATIENTS. THE GOAL OF AHN IS TO PROMOTE HEALTH AND WELLNESS IN ITS COMMUNITIES BY PROVIDING SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENT'S RACE, CREED, GENDER IDENTITY OR SEXUAL ORIENTATION, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY, OR ABILITY TO PAY. MISSION AND VISION AHN'S MISSION, WHICH IS SHARED BY ITS PARENT COMPANY HIGHMARK HEALTH, IS TO CREATE A REMARKABLE HEALTH EXPERIENCE, FREEING PEOPLE TO BE THEIR BEST. OUR VISION IS A WORLD WHERE EVERYONE EMBRACES HEALTH.
COMMUNITY BENEFITS	AHN AND ITS TAX-EXEMPT SUBSIDIARY FACILITIES SUPPORT A BROAD ARRAY OF CHARITABLE SERVICES TO THE COMMUNITY BY PROVIDING SUBSIDIZED HEALTH CARE; SPONSORING COMMUNITY EVENTS (HEALTH FAIRS, CANCER SCREENINGS, WALKS, EDUCATIONAL SEMINARS, SUPPORT GROUPS); AND MAKING CHARITABLE DONATIONS. THE SERVICES BENEFIT CHILDREN AND TEENS, ADULTS AND SENIORS, PATIENTS AND THEIR FAMILIES, AND THE COMMUNITY AT LARGE. THE FOLLOWING IS NOT A TOTAL ACCOUNT OF ALL OF AHN'S CHARITABLE ACTIVITIES, BUT A SAMPLING OF AHN'S MANY CONTRIBUTIONS TO THE COMMUNITY, AND ITS COMMITMENT TO PROVIDE A WIDE RANGE OF QUALITY HEALTH SERVICES TO DIVERSE COMMUNITIES, AND TO ALL WHO SEEK AHN'S CARE: AIDS-FREE PITTSBURGH: IN 2020, AIDS FREE PITTSBURGH (AFP) RECEIVED FUNDING COMMITMENTS FROM AHN TO SUPPORT ITS WORK TOWARDS ENDING THE HIV/AIDS EPIDEMIC IN ALLEGHENY COUNTY DURING 2021-2025. AUNT BERTHA: ALLEGHENY HEALTH NETWORK PARTNERED WITH AUNT BERTHA TO PROVIDE A FREE RESOURCE TOOL FOR INDIVIDUALS FACING FOOD, HOUSING OR OTHER CRISES DURING THESE DIFFICULT TIMES. THE AUNT BERTHA DIRECTORY CONTAINS GEOGRAPHIC-SPECIFIC INFORMATION ON SOCIAL SERVICE AGENCIES AND COMMUNITY BENEFIT ORGANIZATIONS (CBOS) ACROSS THE UNITED STATES. ONLINE USERS WILL ONLY NEED TO ENTER THEIR ZIP CODE, FOLLOWED BY APPLICATION OF FILTERS TO ENCOMPASS THEIR SPECIFIC NEEDS, TO ACCESS LOCAL OPTIONS. THE SERVICE IS FREE AND HAS NO INCOME CONSTRAINTS FOR USERS. AUNT BERTHA'S MISSION IS TO CONNECT ALL PEOPLE IN NEED AND THE PROGRAMS THAT SERVE THEM WITH DIGNITY AND EASE. THE ONLINE TOOL ALLOWS USERS TO FIND NEARBY CBOS, MAKING IT EASIER FOR INDIVIDUALS TO ACCESS SOCIAL SERVICE OPTIONS IN THEIR NEIGHBORHOODS. THANKS TO AUNT BERTHA, NON-PROFITS HAVE AN EASIER TIME COORDINATING THEIR EFFORTS, WHILE HEALTHCARE PROVIDERS CAN INTEGRATE SOCIAL CARE INTO THEIR WORK MORE APPROPRIATELY. BRADDOCK URGENT CARE: AHN AND HH OPERATE THE AHN URGENT CARE CENTER, SUBSIDIZING HEALTH CARE ACCESS FOR THE UNDERSERVED BRADDOCK, PA., COMMUNITY, BY PROVIDING CARE ON A CHARITABLE BASIS AND SERVING A SIGNIFICANT SHARE OF MEDICARE AND MEDICAID PATIENTS. AHN HAS LAUNCHED A COMMUNITY HEALTH IMPROVEMENT PLAN, INTENDED TO EDUCATE AND IMPROVE OUTCOMES FOR BRADDOCK-AREA RESIDENTS IN FOUR KEY AREAS: BEHAVIORAL HEALTH, INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS; CANCER, PARTICULARLY OF THE PROSTATE, LUNG, COLON OR BREAST; CHRONIC DISEASE, WITH A FOCUS ON ASTHMA AND DIABETES, AND MATERNAL AND CHILD HEALTH, WITH A PARTICULAR FOCUS ON SEXUALLY TRANSMITTED DISEASE PREVENTION. THE AHN URGENT CARE CENTER WAS BUILT FOLLOWING THE CLOSURE OF BRADDOCK'S COMMUNITY HOSPITAL, WHICH HAD BEEN THE PRIMARY JOBS SOURCE AND HEALTH CARE ACCESS POINT FOR BRADDOCK RESIDENTS. THE AHN URGENT CARE CENTER IS STAFFED BY BOARD CERTIFIED PHYSICIANS, REGISTERED NURSES, MEDICAL ASSISTANTS AND RADIOLOGY TECHNICIANS, AND EQUIPPED WITH 12 PATIENT EXAM ROOMS AND DIAGNOSTIC CAPABILITIES SUCH AS X-RAY IMAGING AND BLOOD WORK. CENTER FOR INCLUSION HEALTH: AHN'S CENTER FOR INCLUSION HEALTH SEEKS TO ADDRESS THE OBSTACLES THAT MAKE IT HARD FOR TRADITIONALLY UNDERSERVED PATIENTS AND POPULATIONS TO ACCESS CARE, HELPING TO IMPROVE PEOPLE'S HEALTH WHILE REDUCING COSTS. THE CENTER HOUSES PROGRAMS FOR ADDICTION MEDICINE; HOMELESS HEALTH CARE; POSITIVE (HIV) HEALTH CLINIC; FOOD INSECURITY; IMMIGRANT AND REFUGEE HEALTH; AND TRANSGENDER HEALTH CARE, AMONG OTHER PROGRAMS. THE CENTER PROVIDES ITS PATIENT POPULATIONS WITH PRIMARY CARE ACCESS; A SUPPORT STAFF THAT INCLUDES PHYSICIANS, NURSES, MEDICAL ASSISTANTS, SOCIAL WORKERS, BEHAVIORAL HEALTH THERAPISTS, PSYCHIATRISTS AND PATIENT ADVOCATES; SPECIALIZED HIV CARE; MEDICATION ADHERENCE COUNSELING AND PHARMACY SUPPORT; GYNECOLOGIC CARE; NUTRITIONAL ASSESSMENT AND COUNSELING BY A REGISTERED DIETITIAN; SMOKING CESSATION PROGRAMS; MENTAL HEALTH ASSESSMENT, COUNSELING AND PSYCHIATRIC SUPPORT; AND CASE-MANAGEMENT FOR NON-MEDICAL NEEDS. THE STAFF ASSISTS WITH FINANCIAL OR SOCIAL ISSUES THAT MAY INTERFERE WITH THE PROVISION OF MEDICAL CARE. THE CENTER INCLUDES AHN'S STREET MEDICINE AND HOMELESS HEALTH CARE PROGRAM. PEOPLE EXPERIENCING HOMELESSNESS OR LIVING IN UNSTABLE HOUSING SITUATIONS OFTEN FIND IT HARD TO GET ROUTINE HEALTH CARE THAT IS SENSITIVE AND FLEXIBLE ENOUGH TO MEET THEIR NEEDS. AHN'S HOMELESS HEALTH CARE SERVICES REACH PEOPLE BY PROVIDING CARE WHEREVER THEY ARE: AT HOMELESS SHELTERS, ON THE STREETS, IN HOSPITALS, AND AT OTHER LOCATIONS. AHN'S ULTIMATE GOAL IS TO BREAK THE CYCLE OF HOMELESSNESS, POVERTY, AND POOR HEALTH THROUGH TRUSTING, RESPECTFUL, AND COMPASSIONATE HEALTH CARE RELATIONSHIPS. PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS, INCLUDING STREET MEDICINE, AT HOMELESS CAMPS, AT HOMELESS SHELTERS, AND "BRIDGE" SERVICES FOR THOSE EXPERIENCING HOUSING INSTABILITY AND WHO HAVE EXPERIENCED A RECENT ILLNESS, SURGERY, OR HOSPITALIZATION. CENTER ALSO HOUSES A NEW AHN PROGRAM FOR HOMELESS AND URBAN POVERTY MEDICINE. THE PROGRAM PUTS TRAINED SOCIAL WORKERS AND OTHER HELPERS ON THE STREETS BETWEEN 8 A.M. AND 5 P.M. IN DOWNTOWN PITTSBURGH AND SURROUNDING NEIGHBORHOODS. THE AHN IS A 'FIRST-RESPONDER' TEAM THAT RESPONDS WITH CITY POLICE TO CALLS FOR ASSISTANCE THAT INVOLVE THE HOMELESS, PEOPLE IN MENTAL CRISIS OR THOSE WHO HAVE OVERDOSED ON DRUGS, IN NONVIOLENT AND NONDANGEROUS SITUATIONS. CHARITY CARE: TOGETHER AS AN ENTERPRISE, AHN PROVIDED MORE THAN $174 MILLION IN CHARITY AND UNCOMPENSATED CARE IN 2020. CHILL: THE CHILL PROJECT USES MINDFULNESS-BASED EXERCISES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH A COMMON LANGUAGE AND UNIVERSAL SKILLS TO IDENTIFY, DISCUSS, AND REACT POSITIVELY TO STRESS. SCHOOL HAS ALWAYS BEEN A SOURCE OF STRESS, WHETHER ONE IS TAKING CLASSES, TEACHING, OR PARENTING A STUDENT. NEGATIVE REACTIONS TO STRESS CREATE A SIGNIFICANT BARRIER TO LEARNING AND GROWTH. THE CHILL PROJECT FEATURES DEDICATED PROFESSIONALS, A CALMING SPACE, AND REGULAR INSTRUCTION TO HELP EVERY MEMBER OF A SCHOOL'S COMMUNITY BETTER HANDLE PRESSURE AND ANXIETY. THE PROJECT STARTED IN BALDWIN-WHITEHALL SCHOOL DISTRICT AND WEST JEFFERSON HILLS SCHOOL DISTRICT. PARTICIPATING SCHOOLS HAVE EXPERIENCED: REDUCED NUMBER OF BEHAVIORAL HEALTH INCIDENTS FOR STUDENTS, LIKE CHRONIC ABSENCE, DISRUPTIVE BEHAVIOR, DROPPING OUT, AND FEELINGS OF HOPELESSNESS; INCREASED ACCESS TO RESOURCES AND SENSE OF PROFESSIONAL QUALITY OF LIFE FOR EDUCATORS AND ADMINISTRATORS AS WELL AS INCREASED WELL-BEING FOR PARENTS AND CAREGIVERS; ENHANCED MINDFUL AWARENESS AND RESILIENCY ACROSS THE SCHOOL COMMUNITY. PARTICIPANTS IN THE CHILL PROJECT HAVE ACCESS TO: ONE-TO-ONE COUNSELING; SUPPORT GROUPS; MEDICATION MANAGEMENT; SCHOOL-BASED OUTPATIENT SERVICES; SCHOOL-WIDE PREVENTIVE SERVICES; PROFESSIONAL DEVELOPMENT OPPORTUNITIES; A SOCIAL-EMOTIONAL CURRICULUM AND CLASSROOM CONSULTATIONS; EXERCISES AND CONSULTATIONS SPECIFICALLY DESIGNED FOR STUDENT ATHLETES. THE PROGRAM WAS DESIGNED IN COLLABORATION WITH THE PARTICIPATING SCHOOLS. COMMUNITY HEALTH NEEDS ASSESSMENT: IN 2018, AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AHN EMBARKED ON ANOTHER COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BUILDING UPON THE HOSPITALS' PREVIOUS CHNAS CONDUCTED IN 2013 AND 2015. AHN'S 2018 CHNA INCLUDED THE EIGHT HOSPITALS THAT WERE PART OF THE HIGHMARK HEALTH GROUP AT THAT TIME. GROVE CITY MEDICAL CENTER CONDUCTED ITS OWN CHNA IN 2018 AS OUTLINED IN SCHEDULE H. AHN'S NEIGHBORHOOD HOSPITALS BEGAN OPERATIONS IN 2020.
THE RESULTS OF THE CHNA ENABLE AHN AND ITS EIGHT HOSPITALS, ALONG	WITH OTHER COMMUNITY AGENCIES AND PROVIDERS, TO SET PRIORITIES, DEVELOP INTERVENTIONS, AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN WESTERN PENNSYLVANIA AND SOUTHWESTERN NEW YORK. THE CHNA PROVIDES A COMPREHENSIVE GUIDE FOR AHN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS; THE CHNA IDENTIFIES NEEDS WITHIN EACH OF AHN'S HOSPITAL COMMUNITIES AND ENABLES AHN TO WORK WITH LOCAL PARTNERS IN A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT, DIRECTING SYSTEM-WIDE RESOURCES TO IMPROVE ACCESS AND OUTCOMES AND REDUCE HEALTH DISPARITIES THROUGHOUT AHN'S SERVICE FOOTPRINT. THE CHNA INITIATIVE ALIGNS WITH ONGOING COMMUNITY HEALTH IMPROVEMENT ACTIVITIES IN AHN'S LOCAL HOSPITAL SERVICE AREAS, AS WELL AS PUBLIC HEALTH EFFORTS DIRECTED BY THE ALLEGHENY AND ERIE COUNTY HEALTH DEPARTMENTS; WHERE APPLICABLE, AHN HAS ALIGNED PRIORITIES AND PLANNING WITH THESE LOCAL AND REGIONAL INITIATIVES TO FOSTER COLLABORATION IN COMMUNITY HEALTH IMPROVEMENT. COMMUNITY SUPPORT, EVENTS AND SPONSORSHIPS: THROUGHOUT 2020, AHN PROVIDED OVER $1 MILLION IN FUNDING TO SUPPORT COMMUNITY HEALTH AND ECONOMIC DEVELOPMENT INITIATIVES TO IMPROVE THE OVERALL WELL-BEING OF THE COMMUNITIES SERVED BY AHN. COVID-19 RESPONSE: IN 2020, AS PART OF ITS UNPRECEDENTED PUBLIC HEALTH RESPONSE TO THE GLOBAL CORONAVIRUS PANDEMIC, AHN DEVELOPED NUMEROUS PUBLIC AND COMMUNITY-FACING HEALTH PROGRAMS TO MITIGATE THE SPREAD OF COVID-19 AND, LATER, TO VACCINATE THE PUBLIC. IN 2020, THOSE PROGRAMS INCLUDED: MOBILE COVID-19 TESTING CLINICS, INCLUDING CLINICS FOCUSING ON MINORITY POPULATIONS AND TRADITIONALLY UNDERSERVED COMMUNITIES; DONATING PPE (PERSONAL PROTECTIVE EQUIPMENT, SUCH AS MASKS) TO AREA EMS ORGANIZATIONS; DEVELOPING AND MANUFACTURING COVID-19 TEST-KITS IN HOUSE TO CONFRONT THE INITIAL TESTING SHORTAGE. FOR EXAMPLE: - ON MARCH 18, 2020, AHN ANNOUNCED THE OPENING OF FOUR DRIVE-UP COLLECTION SITES FOR COVID-19 TESTING ACROSS WESTERN PENNSYLVANIA; THREE SITES ARE IN ALLEGHENY COUNTY, AND ONE IS IN ERIE COUNTY. THE SITES WERE MEANT TO PROVIDE PEOPLE WITH "CLOSE-TO-HOME" TESTING OPTIONS, SO THEY DON'T HAVE TO TRAVEL INTO A CENTRAL DOWNTOWN COLLECTION LOCATION. IN APRIL 2020, AHN ADDED TWO-MORE DRIVE-UP TESTING LOCATIONS, ONE IN BRADDOCK AND ONE ON PITTSBURGH'S NORTH SIDE. ANOTHER WAS LATER ADDED IN THE ALLE-KISKI VALLEY, AND IN MAY 2020, AHN EXPANDED THE DRIVE-UP PROGRAM TO ACCOMMODATE NON-AHN AND NON-HIGHMARK PATIENTS AND MEMBERS. - ON MARCH 22, 2020, AHN, HH AND MSA SAFETY INC. SECURED A SHIPMENT OF 65,000 N95 PROTECTIVE MASKS FOR THE PITTSBURGH REGION; AHN'S CHIEF MEDICAL OFFICER WORKED WITH REGIONAL HEALTH LEADERS TO DEVELOP A DISTRIBUTION STRATEGY FOR THE MASKS, FOR BOTH CARE FACILITY-BASED PROVIDERS AS WELL AS FIRST RESPONDERS AND EMS. - ON MARCH 22, 2020, ALL AHN PCPS AND SPECIALISTS BEGAN PROACTIVELY TO TRANSITION UPCOMING APPOINTMENTS TO VIDEO VISITS. THE NETWORK EXPANDED THE CLINICAL TEAM SUPPORTING THE VIDEO VISIT INITIATIVE AS WELL AS ITS TECHNOLOGICAL CAPACITY IN ORDER TO ACCOMMODATE THE INCREASED VIDEO VISIT VOLUME. BY THE END OF 2020, AHN HAD CARRIED OUT NEARLY 500,000 TELEMEDICINE OR VIRTUAL ENCOUNTERS, REPRESENTING A 4,000% INCREASE OVER 2019. ABOUT 25% OF ALL AMBULATORY VOLUME FOR THE YEAR WAS VIRTUAL (BY PHONE OR BY VIDEO). 44% OF TELE ENCOUNTERS WERE IN PRIMARY CARE; PSYCHIATRY ACCOUNTED FOR 12% AND CVI FOR 6%. VIRTUAL URGENT CARE ACCOUNTED FOR 30,000 ENCOUNTERS, ALLOWING PATIENTS TO BE CARED FOR EFFECTIVELY AND CONVENIENTLY IN THEIR OWN HOMES. - ON APRIL 2, 2020, AHN AND HH LAUNCHED A COVID-19 TEST KIT PRODUCTION CENTER AT THE PAP AUDITORIUM, WITH A GOAL OF CREATING TENS OF THOUSANDS OF TEST KITS IN-HOUSE, SO THAT PATIENTS IN THE COMMUNITY COULD HAVE MORE CONVENIENT ACCESS TO TESTS. IN ALL, AHN AND HH VOLUNTEERS ASSEMBLED 137,000 COVID TEST KITS. - IN THE FIRST WEEK OF APRIL 2020, AHN ANNOUNCED A NEW PROCEDURE FOR STERILIZING DISPOSABLE N95 MASKS, SO THAT THEY CAN BE REUSED BY CAREGIVERS. THE NOVEL PROCESS ALLOWED AHN TO EXTEND THE LIFE OF ITS RESPIRATOR MASKS, WHICH WERE IN SCARCE SUPPLY DUE TO PRODUCT CONSTRAINTS, ALLOWING AHN TO CARE FOR PATIENTS MORE EFFECTIVELY AND SAFELY. - ON APRIL 16, 2020, AHN ANNOUNCED THAT IT WAS PROCURING 10,000 INDUSTRIAL-GRADE P100 RESPIRATOR MASKS FROM MSA SAFETY. THESE MASKS ARE NOT DISPOSABLE, AND CAN BE WORN AGAIN AND AGAIN BY CAREGIVERS. - IN APRIL 2020, VITALANT (FORMERLY CENTRAL BLOOD BANK) ANNOUNCED A PILOT PARTNERSHIP WITH AHN AND UPMC TO TREAT PATIENTS WITH ACTIVE, SEVERE CASES OF COVID-19 WITH BLOOD PLASMA DONATED BY PEOPLE WHO HAVE RECOVERED FROM THE DISEASE. KNOWN AS "CONVALESCENT PLASMA," THIS PLASMA CONTAINS ANTIBODIES THAT MAY GIVE PATIENTS AN EXTRA BOOST TO FIGHT THEIR ILLNESS. - IN MAY 2020, AHN ANNOUNCED THE LAUNCH OF A NEW MOBILE STRATEGY TO BRING COVID-19 TESTING INTO UNDERSERVED WESTERN PENNSYLVANIA COMMUNITIES, PROVIDING ENHANCED ACCESS TO CARE FOR A MORE DIVERSE RANGE OF PATIENTS. MADE POSSIBLE BY GRANTS FROM THE HEINZ ENDOWMENTS AND THE HENRY L. HILLMAN FAMILY FOUNDATION, AHN IS USING A MOBILE HEALTH VEHICLE TO CONDUCT TESTING IN PITTSBURGH'S HOMEWOOD NEIGHBORHOOD, DUQUESNE, PITTSBURGH'S HAZELWOOD NEIGHBORHOOD, PITTSBURGH'S HILL DISTRICT NEIGHBORHOODS, ETC. - THROUGHOUT 2020, AHN LEADERS COLLABORATED CLOSELY WITH LOCAL AND STATE HEALTH DEPARTMENTS AND OTHER PROVIDERS IN THE REGION TO ASSESS THE REGION'S OVERALL PREPAREDNESS AND CAPABILITIES, AND TO ESTABLISH A UNIFIED REGIONAL RESPONSE PLAN. AHN SPEARHEADED THE ESTABLISHMENT OF A CONSORTIUM OF LOCAL HOSPITAL AND HEALTH SYSTEM CHIEF MEDICAL OFFICERS WHO MET WEEKLY TO DISCUSS COVID-19 DEVELOPMENTS AND COLLECTIVE RESOURCES TO MANAGE THE PANDEMIC (INCLUDING UPMC, EXCELA, BUTLER, WASHINGTON, ST. CLAIR, HERITAGE AND WVU). THE ERIE AREA HAS ITS OWN SIMILAR CONSORTIUM. AHN ALSO SPEARHEADED SIMILAR CONSORTIUMS MADE UP OF CHIEF NURSING OFFICERS, AS WELL AS ONE MADE UP OF HOME-HEALTH PROVIDERS, IN ORDER TO BETTER SERVE THE COMMUNITY. - THROUGHOUT 2020, AHN WORKED WITH OTHER REGIONAL CAREGIVERS AND THE JEWISH HEALTHCARE FOUNDATION TO PREVENT THE SPREAD OF COVID-19 IN NURSING HOMES, PERSONAL CARE HOMES, AND OTHER LONG-TERM-CARE SETTINGS. AHN PLAYED A KEY ROLE IN THE PROGRAM, WHICH IS MEANT TO ASSIST FACILITIES IN PROTECTING THOSE WHO ARE MOST VULNERABLE TO THE VIRUS. IN TOTAL, AHN SPENT APPROXIMATELY $30 MILLION ON PANDEMIC RESPONSE ACTIVITIES IN 2020. DONATE LIFE MONTH: IN 2020, AHN'S COMMITMENT TO ORGAN, TISSUE, AND CORNEA DONATION RESULTED IN THOUSANDS OF LIVES SAVED OR IMPROVED, EITHER THROUGH TRANSPLANT PROCEDURES CARRIED OUT AT THE NETWORK'S HOSPITALS, OR BECAUSE OF THE GENEROSITY OF ORGAN AND TISSUE DONORS WHO WERE PATIENTS AT AHN HOSPITALS. AHN PROMOTES ORGAN AND TISSUE DONATION THROUGHOUT THE MONTH OF APRIL (NATIONAL DONATE LIFE MONTH) BY HOSTING A SERIES OF EVENTS ACROSS ITS HOSPITALS. THE EVENTS WILL PAY TRIBUTE TO THOSE WHO HAVE GIVEN THE GIFT OF LIFE WHILE ALSO ENCOURAGING STAFF, PATIENTS AND VISITORS TO LEARN MORE ABOUT ORGAN DONATION AND HOW TO BECOME A REGISTERED ORGAN DONOR. F.O.R.E. GRANT: THE FOUNDATION FOR OPIOID RESPONSE EFFORTS (F.O.R.E.) ANNOUNCED IN 2019 THAT AHN WOULD BE THE RECIPIENT OF A $600,000 GRANT IN SUPPORT OF A PROGRAM THAT WILL PROVIDE COMMUNITY-BASED, OPIOID USE DISORDER (OUD) OUTREACH, ENGAGEMENT, AND PATIENT RETENTION INTERVENTION. AS PART OF THE PROJECT, MULTIDISCIPLINARY TEAMS MADE UP OF A PROVIDER, ADDICTION RECOVERY SPECIALIST, AND COMMUNITY PARAMEDIC ARE MOBILIZING INTO THE COMMUNITY TO ASSIST PEOPLE WITH THEIR OUD-RELATED TREATMENT NEEDS. FRONT DOOR INITIATIVE: AHN'S JEFFERSON HOSPITAL IS UTILIZING A $1 MILLION, FOUR-YEAR GRANT TO ESTABLISH THE "FRONT DOOR INITIATIVE FOR EMERGENCY MEDICINE," A COMPREHENSIVE EFFORT TO BETTER UNDERSTAND AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AMONG PATIENTS WHO VISIT THE HOSPITAL'S EMERGENCY DEPARTMENT. PATIENTS WHO FREQUENTLY UTILIZE EMERGENCY DEPARTMENT OFTEN DO SO BECAUSE OF CHALLENGES FACED IN THEIR SOCIAL ENVIRONMENT. JEFFERSON HOSPITAL WILL APPLY THE GRANT TOWARD: EXTENSIVE ASSESSMENT OF COMMUNITY NEEDS RELATED TO ITS EMERGENCY SERVICES; IDENTIFICATION OF MODEL PRACTICES FOR SOCIAL EMERGENCY MEDICINE; WORKING WITH COMMUNITY PARTNERS ON THE DEVELOPMENT OF A FRONT DOOR VISION AND PLAN; IMPLEMENTATION OF A STRONG DATA SYSTEM; EDUCATIONAL INTERVENTIONS FOR STAFF; AND DEVELOPMENT OF AN INTEGRATED SUPPORT NETWORK AND ENSURING PATIENTS ARE PROPERLY CONNECTED TO IT.
HEALTHY FOOD CENTER: A FIRST OF ITS KIND IN THE REGION, AHN'S HEALTHY	FOOD CENTERS ACT AS A "FOOD PHARMACY" WHERE PATIENTS WHO LACK ACCESS TO FOOD CAN RECEIVE NUTRITIOUS FOOD ITEMS, EDUCATION ON DISEASE-SPECIFIC DIETS, AND ADDITIONAL SERVICES FOR OTHER SOCIAL CHALLENGES THEY MIGHT FACE. ACCORDING TO THE GREATER PITTSBURGH COMMUNITY FOOD BANK, A PARTNER OF THE HEALTHY FOOD CENTER, FOOD INSECURITY AFFECTS MORE THAN 350,000 PEOPLE - OR ONE IN SEVEN ADULTS - IN THE PITTSBURGH REGION. FOOD INSECURITY REFERS TO A LACK OF AVAILABLE FINANCIAL RESOURCES FOR NUTRITIONALLY ADEQUATE FOOD SUCH AS FRUITS, VEGETABLES, LEAN PROTEINS AND WHOLE GRAINS. THE HEALTHY FOOD CENTER PRIMARILY SERVES PATIENTS WITH DIABETES WHO ARE SCREENED BY THEIR DOCTOR AS BEING FOOD INSECURE. PATIENTS RECEIVE A REFERRAL TO THE HEALTHY FOOD CENTER AT WEST PENN AND ALLEGHENY GENERAL HOSPITALS WHERE THEY INITIALLY MEET WITH AN ONSITE DIETITIAN TO DISCUSS THEIR DIETARY NEEDS BASED ON THEIR CONDITION. AFTER SHOPPING AT THE CENTER FOR THE RECOMMENDED FOOD ITEMS, PATIENTS GO HOME WITH TWO TO THREE DAYS' WORTH OF FOOD FOR ALL MEMBERS OF THEIR HOUSEHOLD. THE HEALTHY FOOD CENTER OPENED IN 2018 AT WPH AND SUBSEQUENTLY EXPANDED TO AGH, JH, AND SVH. IMMIGRANT HEALTH PROGRAM: THE IMMIGRANT HEALTH PROGRAM AT AHN, PART OF THE AHN CENTER FOR INCLUSION HEALTH, WAS AWARDED A $250,000 GRANT FROM THE JEWISH HEALTHCARE FOUNDATION IN SUPPORT OF ITS EFFORTS TO DELIVER A NEW COMMUNITY HEALTH MODEL AIMED AT MEETING THE HEALTH CARE NEEDS OF IMMIGRANT WOMEN IN OUR REGION. FROM 2005-2015, THE NUMBER OF FOREIGN-BORN AREA RESIDENTS GREW FROM 48,266 TO 72,265, MORE THAN HALF OF WHOM ARE WOMEN. OVER THE NEXT THREE YEARS, AHN'S CENTER FOR INCLUSION HEALTH AND MORE THAN A DOZEN LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE PROVIDERS WILL CONVENE TO DELIVER THE "IMMIGRANT WOMEN-COMMUNITY HEALTH MODEL" AIMED AT PROVIDING IMMIGRANT WOMEN ACCESS TO CULTURALLY- COMPETENT AND QUALITY PERINATAL SERVICES, AS WELL AS OTHER WOMEN'S HEALTH AND SOCIAL SERVICES. OPEN HEART SURGERY OBSERVATION: SINCE 2008, HIGH SCHOOL STUDENTS FROM WESTERN PENNSYLVANIA, WEST VIRGINIA AND OHIO HAVE BEEN INVITED TO OBSERVE AHN'S CARDIOVASCULAR SURGEONS IN ACTION THROUGH THE CARDIOVASCULAR INSTITUTE'S (CVI) OPEN HEART SURGERY OBSERVATION PROGRAM. THE PROGRAM, WHICH HAS HOSTED MORE THAN 15,000 AREA STUDENTS FROM DOZENS OF SCHOOLS, IS SUPPORTED BY TWO PART-TIME POSITIONS, AND IS PART OF AHN'S AND THE CVI'S COMMITMENT TO COMMUNITY EDUCATION AND INSPIRING FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS. OPIOIDS AND ADDICTION MEDICINE: OVER THE LAST SEVERAL YEARS, AHN HAS TAKEN NUMEROUS STEPS TO CURB PAINKILLER MISUSE AND ADDICTION, OPIOID USE DISORDER, AND OVERDOSE DEATHS RELATED TO FENTANYL, CARFENTANIL, AND OTHER SYNTHETIC OPIATES. IN 2019, AHN RECEIVED A $5 MILLION FEDERAL GRANT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMSHA) TO SUPPORT THE IMPLEMENTATION AND EVALUATION OF ENHANCED SUBSTANCE USE SCREENING AND INTERVENTION SERVICES IN THE PRIMARY CARE SETTING. ADDITIONALLY, AHN AND GATEWAY HEALTH HAVE PARTNERED TO LAUNCH AN ENHANCED PAIN MANAGEMENT PROGRAM WHICH TAKES A NOVEL, HOLISTIC APPROACH TO TREATING A PATIENT'S PAIN WITHOUT OPIOIDS. THE FIRST SUCH CLINIC HAS OPENED AT THE AHN INSTITUTE FOR PAIN MEDICINE NEAR WEST PENN HOSPITAL, WITH MORE LOCATIONS BEING PLANNED. AHN AND PARTNER ORGANIZATIONS OPENED A NEW 45-BED UNIT AT THE KANE COMMUNITY LIVING CENTER IN MCKEESPORT, PA.; IT HAS BEEN OPERATING SINCE 2018 AS A POST-ACUTE UNIT FOR PATIENTS WITH MEDICAL CONDITIONS AND CO-OCCURRING SUBSTANCE USE DISORDERS. AHN MAINTAINS SECURE, PERMANENT DRUG TAKE-BACK BOXES AT SIX AHN HOSPITALS, AS WELL AS AT THE WEXFORD HEALTH + WELLNESS PAVILION; THE BOXES HAVE ALLOWED PATIENTS AND VISITORS TO DISPOSE OF SURPLUS OR EXPIRED MEDICATIONS YEAR-ROUND SINCE 2018. AHN HAS ESTABLISHED A NEW, COMPREHENSIVE PROGRAM DESIGNED TO HELP PATIENTS WITH OPIOID-RELATED SUBSTANCE USE DISORDERS RECEIVE THE HEALTH AND COMMUNITY-BASED CARE AND SUPPORT THEY NEED TO RECOVER FROM THEIR ILLNESS AND MAINTAIN LONG-TERM WELLNESS. CALLED THE AHN CENTER OF EXCELLENCE FOR OPIOID USE DISORDER, THE CENTER IS ONE OF 45 PROGRAMS IMPLEMENTED ACROSS PENNSYLVANIA, ALL OF WHICH ARE SUPPORTED BY A GRANT FROM THE STATE'S DEPARTMENT OF HEALTH AND HUMAN SERVICES. AHN WAS ALSO ONE OF THE FIRST HEALTH CARE ORGANIZATIONS IN PENNSYLVANIA TO PARTNER WITH LAW ENFORCEMENT TO HELP CURB THE DEADLY EFFECTS OF OPIOID OVERDOSES; EMERGENCY MEDICAL PROFESSIONALS AT FORBES HOSPITAL BEGAN TRAINING POLICE OFFICERS FROM THE PITCAIRN POLICE DEPARTMENT TO DISPENSE NARCAN, A NARCOTIC "ANTIDOTE" DRUG, TO OVERDOSE VICTIMS. SINCE THEN, AHN PROVIDED THE TRAINING TO OTHER POLICE DEPARTMENTS, INCLUDING MONROEVILLE, EAST MCKEESPORT AND THE WESTMORELAND COUNTY SHERIFF'S DEPARTMENT. AHN'S RESEARCH INSTITUTE IS STUDYING AND DEVELOPING SINGLE-DOSE, LONGER-LASTING OPIOID OVERDOSE ANTIDOTES. PERINATAL HOPE: THE PERINATAL HOPE PROGRAM IS A MEDICAL HOME CARE MODEL FOR MOTHERS-TO-BE WHO ARE ADDICTED TO DRUGS. THE PROGRAM PROVIDES COMPREHENSIVE AND COORDINATED TREATMENT THAT PUTS THE MOTHER AND BABY ON TRACK FOR A MORE HOPEFUL FUTURE. PERINATAL HOPE IS THE REGION'S FIRST ALL-INCLUSIVE PROGRAM FOR MATERNAL ADDICTION THAT COMBINES OBSTETRICAL CARE, AND DRUG AND ALCOHOL THERAPY AND MEDICATION-ASSISTED TREATMENT INTO ONE CLINIC VISIT. PERINATAL HOPE IS SUPPORTED IN PART BY GRANTS FROM THE MARCH OF DIMES FOUNDATION - WESTERN PENNSYLVANIA, THE HIGHMARK FOUNDATION AND THE JEWISH WOMEN'S FOUNDATION OF GREATER PITTSBURGH. ADDITIONALLY, AHN'S NEW WOMEN'S BEHAVIORAL HEALTH PROGRAM INCLUDES THE REGION'S FIRST INTENSIVE OUTPATIENT PROGRAM FOR WOMEN WITH PREGNANCY-RELATED DEPRESSION. STOP THE BLEED: AS PART OF THIS ONGOING COMMUNITY AWARENESS CAMPAIGN, AHN TRAUMA CENTER REPRESENTATIVES PARTNER WITH EMS PROFESSIONALS TO PROVIDE SCHOOL OFFICIALS WITH TRAINING ON HOW TO HELP CONTROL BLEEDING FROM INJURIES IN THE EVENT OF A MASS CAUSALLY INCIDENT. SIMILAR TO HOW HEALTH CARE PROVIDERS EDUCATE THE GENERAL PUBLIC IN CPR, THE "STOP THE BLEED" CAMPAIGN FOCUSES ON TRAINING THE GENERAL PUBLIC IN BLEEDING CONTROL TECHNIQUES. IN MASS CASUALTY INCIDENTS, INDIVIDUALS OFTEN SUFFER INJURIES THAT RESULT IN PREVENTABLE DEATHS. BY TRAINING THE GENERAL PUBLIC IN BASIC BLEEDING CONTROL TECHNIQUES, BYSTANDERS WILL BE ABLE TO INITIATE LIFESAVING MEASURES BEFORE THE FIRST RESPONDERS ARRIVE. SUMMER CAMP FOR BURN INJURED CHILDREN: IN 1986, WEST PENN BURN CENTER ESTABLISHED ITS SUMMER CAMP FOR BURN INJURED CHILDREN. THE CAMP GIVES CHILDREN WHO HAVE BEEN BURNED A CHANCE TO HEAL PHYSICALLY AND EMOTIONALLY IN A SUPPORTIVE ENVIRONMENT THAT OFFERED PLENTY OF OPPORTUNITIES FOR FUN. AT THE FREE, FIVE-DAY CAMP, KIDS AGES 7 TO 17 WHO HAVE BEEN TREATED AT THE WEST PENN BURN CENTER MEET TO SHARE THEIR STORIES AND ENJOY NEW EXPERIENCES. WITH THE GUIDANCE OF SKILLED PROFESSIONALS, CHILDREN ARE ENCOURAGED TO MEET NEW CHALLENGES AND TO TAKE POSITIVE RISKS BY PARTICIPATING IN ADVENTURES - SUCH AS ROPE CLIMBING - THAT HELPS BUILD CONFIDENCE WHILE ALSO BUILDING STRONG BODIES. THRIVE 18: THIS IS A NATIONAL PROGRAM THAT LEVERAGES MULTI-SECTOR COMMUNITY PARTNERSHIPS IN ORDER TO IMPROVE PUBLIC HEALTH IN PITTSBURGH'S NORTHERN NEIGHBORHOODS. AHN AND ITS FLAGSHIP HOSPITAL, ALLEGHENY GENERAL HOSPITAL, ALONG WITH PARENT COMPANY HIGHMARK HEALTH ARE WORKING WITH LOCAL ORGANIZATIONS INCLUDING PROJECT DESTINY, THE ALLEGHENY COUNTY HEALTH DEPARTMENT, AND THE BUHL FOUNDATION TO IMPLEMENT INNOVATIVE SOLUTIONS TO THE HEALTH CHALLENGES FACED BY RESIDENTS OF PITTSBURGH'S NORTHSIDE COMMUNITY. A $250,000 AWARD, COMBINED WITH MATCHING FUNDS FROM BOTH HIGHMARK AND THE BUHL FOUNDATION, ARE BEING USED TO CREATE THE "CENTER FOR LIFTING UP EVERYBODY" (CLUB) - A HEALTH AND WELLNESS MODEL AIMED AT REACHING THE NORTHSIDE'S MOST VULNERABLE RESIDENTS. HOSPITAL PROFILES AND HEALTH SYSTEM COMPONENTS ALLEGHENY GENERAL HOSPITAL: FOUNDED IN 1885, ALLEGHENY GENERAL HOSPITAL (AGH) IS AHN'S FLAGSHIP HOSPITAL, SERVING AS AHN'S PRIMARY TEACHING HOSPITAL, ITS PREMIER QUATERNARY CARE FACILITY, OFFERING HIGHLY ADVANCED SPECIALTIES SUCH AS ORGAN TRANSPLANTATION, NEUROSURGERY, SURGICAL ONCOLOGY AND CARDIOVASCULAR SURGERY. LOCATED IN PITTSBURGH'S NORTH SIDE, AGH IS ALSO A LEVEL I SHOCK TRAUMA CENTER, AND ITS LIFEFLIGHT AEROMEDICAL SERVICE WAS THE FIRST TO FLY IN THE NORTHEASTERN UNITED STATES. ALLEGHENY VALLEY HOSPITAL: ALLEGHENY VALLEY HOSPITAL (AVH) HAS SERVED NATRONA HEIGHTS, PA., AND THE SURROUNDING COMMUNITY FOR OVER 100 YEARS. AVH PROVIDES EMERGENCY CARE, SURGICAL CARE, REHABILITATION CARE AND OTHER QUALITY HEALTH CARE SERVICES FOR ITS PATIENTS.
CANONSBURG HOSPITAL: SINCE 1904, CANONSBURG HOSPITAL (CH), BASED IN	CANONSBURG, PA., HAS SERVED THE COMMUNITIES OF NORTHERN WASHINGTON AND SOUTHERN ALLEGHENY COUNTIES, PROVIDING QUALITY MEDICAL CARE AND IMPROVING THE HEALTH AND WELL-BEING OF ITS PATIENTS. FORBES HOSPITAL: SINCE 1978, MONROEVILLE'S FORBES HOSPITAL (FH) HAS BEEN PROVIDING HIGH-QUALITY CARE FOR THE COMMUNITIES OF EASTERN ALLEGHENY AND WESTMORELAND COUNTIES. FORBES FEATURES A LEVEL II TRAUMA CENTER, A TOP-RATED CARDIOVASCULAR SURGERY PROGRAM AND A COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICE AMONG ITS MANY CLINICAL OFFERINGS. GROVE CITY MEDICAL CENTER: GROVE CITY MEDICAL CENTER, NOW AHN GROVE CITY, WAS CREATED IN 1978, THROUGH THE MERGER OF TWO EXISTING GROVE CITY, PA., HOSPITALS. TODAY, THE HOSPITAL OPERATES SIX OUTPATIENT CLINICS AND LAB SITES THROUGHOUT ITS SERVICE FOOTPRINT. IT PROVIDES CANCER CARE, CARDIAC CARE, GENERAL SURGERY, LAB SERVICES, HOME HEALTH AND DIAGNOSTIC IMAGING, AMONG OTHER CLINICAL SERVICES. JEFFERSON HOSPITAL: JEFFERSON HOSPITAL (JH) WAS ORGANIZED IN 1973. LOCATED JUST SOUTH OF PITTSBURGH, THE HOSPITAL PROVIDES A WIDE SPECTRUM OF HIGH-QUALITY HEALTH CARE SERVICES, FROM EMERGENCY CARE AND INTENSIVE CARE, TO COMPREHENSIVE SURGICAL PROGRAMS AND REHABILITATION, CANCER CARE AND COMPREHENSIVE LABOR AND DELIVERY SERVICES INCLUDING A LEVEL II NEONATAL INTENSIVE CARE UNIT. SAINT VINCENT HOSPITAL: SAINT VINCENT HOSPITAL (SVH) PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWESTERN PENNSYLVANIA AND ADJACENT AREAS OF NEW YORK AND OHIO. FOUNDED BY THE SISTERS OF ST. JOSEPH IN 1875, SVH CONTINUES TO EXEMPLIFY THE VALUES OF THE SISTERS IN PROVIDING COMPASSIONATE CARE TO ALL. ADDITIONALLY, SVH'S FOUR-BED SATELLITE FACILITY, WESTFIELD MEMORIAL HOSPITAL, HAS PROVIDED HIGH QUALITY HEALTH CARE TO RESIDENTS OF WESTERN NEW YORK FOR MORE THAN HALF A CENTURY. IN 2019, THE HOSPITAL OPENED A NEW COMPREHENSIVE CANCER CENTER, A NEW, GREATLY EXPANDED EMERGENCY DEPARTMENT, NEW OPERATING ROOM SUITE AND A SECOND HEALTH & WELLNESS PAVILION ON THE CITY'S WESTSIDE. WEST PENN HOSPITAL: SERVING THE BLOOMFIELD AREA OF PITTSBURGH AND ITS SURROUNDING COMMUNITIES SINCE 1848, WEST PENN HOSPITAL (WPH) IS AN ACADEMIC MEDICAL CENTER WITH PRIVATE ACUTE-CARE PATIENT ROOMS AND ONE OF PENNSYLVANIA'S MOST ADVANCED OBSTETRICAL AND NEWBORN CARE PROGRAMS, INCLUDING A LEVEL III NEONATAL INTENSIVE CARE UNIT. WPH HAS A REPUTATION FOR OUTSTANDING CLINICAL CARE AND NURSING EXCELLENCE; AND WAS THE FIRST HOSPITAL IN WESTERN PENNSYLVANIA TO EARN MAGNET RECOGNITION' STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). WPH ALSO IS HOME TO THE WEST PENN BURN CENTER, THE ONLY FACILITY OF ITS KIND IN THE REGION CERTIFIED TO TREAT BOTH PEDIATRIC AND ADULT BURN PATIENTS. IN 2019, WPH WAS NAMED ONE OF THE NATION'S TOP 100 HOSPITALS BY IBM WATSON. NEIGHBORHOOD HOSPITALS: AHN OPENED FOUR SMALL-SCALE, NEIGHBORHOOD HOSPITALS OVER IN 2020: AHN HEMPFIELD, AHN MCCANDLESS, AHN BRENTWOOD, AND AHN HARMAR. AGH SUBURBAN: THE FORMER ACUTE-CARE HOSPITAL IN BELLEVUE, PA., IS BEING REDEVELOPED INTO A COMMUNITY INNOVATION HUB THAT SEEKS TO ADDRESS SOCIAL DETERMINENTS OF HEALTH AND OTHER CARE BARRIERS. AGH SUBURBAN IS NOW HOME TO ALPHALAB HEALTH, A HEALTH CARE BUSINESS ACCELERATOR THAT INVESTS IN EARLY-STAGE HEALTH TECHNOLOGIES, PRODUCTS, AND SERVICES. OUTPATIENT CARE FACILITIES: IN ADDITION TO ITS HUNDREDS OF CLINICAL OFFICES, AHN OPERATES FIVE LARGE, MULTI-SPECIALTY HEALTH + WELLNESS PAVILIONS (TWO IN ALLEGHENY COUNTY, ONE IN WASHINGTON COUNTY, AND TWO IN ERIE COUNTY), AS WELL AS SEVERAL URGENT CARE CLINICS AND SURGERY CENTERS. ALLEGHENY SINGER RESEARCH INSTITUTE: ALLEGHENY SINGER RESEARCH INSTITUTE OFFERS ACCESS TO NEW DRUG THERAPIES, HONES REVOLUTIONARY SURGICAL PROCEDURES, AND HAS ADVANCED EXPERTISE WITH INNOVATIVE DEVICES AND WEARABLE TECHNOLOGIES THAT HELP REDUCE THE IMPACT OF CHRONIC DISEASE. THE INSTITUTE PARTNERS WITH INDUSTRY, GOVERNMENT, ACADEMIA, AND HEALTH SYSTEMS ACROSS THE REGION TO WORK TOWARD A SERIES OF COMMON GOALS: DISCOVERING CURES, DEVELOPING THE NEXT CLINICAL "BEST PRACTICES" IMPROVING THE HEALTH OF PATIENTS AND ADVANCING THE SCIENCE OF MEDICINE. PHYSICIANS AND SCIENTISTS AT AHN ARE OFTEN ON THE CUTTING EDGE OF ADVANCED TREATMENTS AND NEW TECHNOLOGIES. INNOVATIVE MEDICAL RESEARCH ACROSS ALL OF THE NETWORK'S PROGRAMS IS A CRITICAL COMPONENT OF THE ORGANIZATION'S MISSION. THE NETWORK'S RESEARCH INSTITUTE COORDINATES PRIVATE AND FEDERALLY FUNDED INTERDISCIPLINARY PROGRAMS DESIGNED TO BETTER UNDERSTAND, TREAT AND PREVENT DISEASE, AND THE NETWORK'S HOSPITALS ARE FREQUENTLY INVOLVED IN CLINICAL TRIALS OF BREAST, PROSTATE AND BOWEL CANCER, BURN AND TRAUMATIC INJURIES, GENE THERAPY, CARDIOVASCULAR DISEASE, LEUKEMIA AND LYMPHOMA, AUTOIMMUNE DISEASES, NEUROLOGICAL DISEASES, AND MORE. THE NETWORK IS CURRENTLY HOME TO HUNDREDS OF ACTIVE CLINICAL RESEARCH TRIALS. ALLEGHENY CLINIC: THE ALLEGHENY CLINIC IS ONE OF WESTERN PENNSYLVANIA'S LARGEST PHYSICIAN GROUPS. SINCE THE FORMATION OF AHN, AHN HAS ADDED HUNDREDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SURGEONS TO THE ALLEGHENY CLINIC. THOSE PHYSICIANS AND ADMINISTRATIVE STAFF SUPPORT DOZENS OF SPECIALTY SERVICE LINES AND CLINICAL INSTITUTES, INCLUDING THE BARIATRIC AND METABOLIC INSTITUTE, THE CANCER INSTITUTE, THE CARDIOVASCULAR INSTITUTE, THE ESOPHAGEAL AND LUNG INSTITUTE, THE NEUROSCIENCE INSTITUTE, THE ORTHOPAEDIC INSTITUTE AND THE TRANSPLANT INSTITUTE. FOUNDATIONS: IN ADDITION TO THE AFOREMENTIONED ENTITIES, AHN ALSO INCLUDES A NUMBER OF AFFILIATED PHILANTHROPIC ORGANIZATIONS: THE ALLE-KISKI MEDICAL CENTER TRUST, FORBES HEALTH FOUNDATION, SUBURBAN HEALTH FOUNDATION, SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES, AND THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION. KEY INSTITUTES AND SERVICES LINES ALLEGHENY HEALTH NETWORK CANCER INSTITUTE: AHN'S CANCER INSTITUTE INCLUDES MORE THAN 50 CANCER INSTITUTE CLINICS, TWO DOZEN SEPARATE CLINICAL LOCATIONS AND A MULTIDISCIPLINARY TEAM OF MORE THAN 200 PHYSICIANS. THE INSTITUTE TREATS 10,000 PATIENTS ANNUALLY IN WESTERN PENNSYLVANIA, ERIE, WEST VIRGINIA, AND OHIO. IN 2019, AHN OPENED NEW COMMUNITY CANCER CENTERS IN BUTLER, BEAVER, ALLEGHENY, AND ERIE COUNTIES. AHN ALSO OPENED A NEW ACADEMIC CANCER INSTITUTE AND CANCER GENOME LABORATORY ON THE AGH CAMPUS IN 2020. ADDITIONALLY, AHN COLLABORATES WITH JOHNS HOPKINS KIMMEL CANCER CENTER, TO OFFER MORE STREAM-LINED ACCESS TO CLINICAL TRIALS AND PROVIDE ADDITIONAL TREATMENT OPTIONS AND SECOND OPINIONS FOR PATIENTS WITH RARE AND COMPLEX CANCERS, AMONG OTHER BENEFITS.
ALLEGHENY HEALTH NETWORK CARDIOVASCULAR INSTITUTE: ON THE	FRONTIER OF ADVANCED SPECIALTY HEART CARE, THE ALLEGHENY HEALTH NETWORK CARDIOVASCULAR INSTITUTE (CVI) IS ONE OF THE PREMIER CARDIAC PROGRAMS IN THE COUNTRY, PROVIDING SUPERIOR STATE-OF-THE-ART CARE FOR PATIENTS WITH HEART DISEASE AND ACCESS TO WESTERN PENNSYLVANIA'S MOST COMPREHENSIVE, MULTIDISCIPLINARY TEAM OF SPECIALISTS AND INNOVATIVE THERAPIES, INCLUDING MANY AVAILABLE ONLY THROUGH ADVANCED CLINICAL TRIALS. THE PHYSICIANS OF THE AHN CVI'S SEVEN HOSPITALS AND 20 OUTPATIENT PITTSBURGH- AND ERIE-AREA LOCATIONS HAVE HELPED TO PIONEER THE USE OF THE LATEST GENERATION OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; WERE AMONG THE FIRST IN THE NATION TO PERFORM TRANS-CATHETER AORTIC VALVE REPLACEMENT (TAVR), REPLACING DEFECTIVE AORTIC HEART VALVES VIA A MINIMALLY INVASIVE CATHETER PROCEDURE; INTRODUCED NEW TREATMENTS TO REPAIR DEFECTIVE MITRAL VALVES VIA ROBOT-ASSISTED MINIMALLY INVASIVE SURGERY; AND PLAYED AN INSTRUMENTAL ROLE IN THE DEVELOPMENT OF LEFT VENTRICULAR ASSIST DEVICES (LVAD), A MECHANICAL PUMP THAT IS SURGICALLY IMPLANTED TO ASSIST A WEAKENED HEART MUSCLE. CURRENTLY, THE PHYSICIANS AT THE CARDIOVASCULAR INSTITUTE ARE CONDUCTING RESEARCH THAT LEADS TO BETTER WAYS TO PREVENT, FIND AND TREAT HEART DISEASE. ADDITIONALLY, AHN'S WOMEN'S HEART CENTER, THE FIRST HEART CENTER OF ITS KIND IN ALLEGHENY COUNTY, TREATS COMPLEX CARDIOVASCULAR CONDITIONS FOR ADULT WOMEN OF ALL AGES. ALLEGHENY HEALTH NETWORK EQUITABLE HEALTH INSTITUTE: THE EQUITABLE HEALTH INSTITUTE, WHICH WAS FORMED IN 2020, AIMS TO ADDRESS AND MITIGATE MANY OF THE HEALTH OUTCOMES DISPARITIES AFFECTING PEOPLE OF COLOR AND OTHER MARGINALIZED COMMUNITIES. ITS FIRST PROGRAMS WILL ADDRESS THE ISSUE OF INFANT MORTALITY AMONG AFRICAN AMERICANS. PITTSBURGH'S RATE OF INFANT MORTALITY FOR BLACK BABIES IS MORE THAN SIX TIMES HIGHER THAN IT IS FOR WHITE BABIES - 13 DEATHS PER 1,000 BIRTHS, COMPARED TO TWO DEATHS FOR WHITE BABIES.THE INSTITUTE IS LED BY CHIEF CLINICAL DIVERSITY, EQUITY AND INCLUSION OFFICER DR. MARGARET LARKINS-PETTIGREW. ALLEGHENY HEALTH NETWORK MEDICINE INSTITUTE: AHN'S MEDICINE INSTITUTE'S HOUSES THE ONE-OF-A-KIND AUTOIMMUNITY INSTITUTE, WHICH OPENED A NEW FACILITY IN 2018 THAT COMBINES MULTISPECIALTY CARE WITH CUTTING-EDGE RESEARCH, PATIENT EDUCATION AND ADVOCACY TO ADVANCE THE TREATMENT OF AUTOIMMUNE DISEASES AND ACCELERATE DISCOVERY OF A CURE FOR MORE THAN 100 DIFFERENT DISEASE TYPES. THE AHN AUTOIMMUNITY INSTITUTE HOSTS FOUR "CENTERS OF EXCELLENCE" FOR THE TREATMENT OF COMMON AUTOIMMUNE DISEASES INCLUDING LUPUS, RHEUMATOID ARTHRITIS, INFLAMMATORY BOWEL DISEASE AND CELIAC DISEASE. THE INSTITUTE INCLUDES PHYSICIANS FROM AN ARRAY OF CLINICAL SUBSPECIALTIES SUCH AS RHEUMATOLOGY, ALLERGY AND CLINICAL IMMUNOLOGY, PULMONARY, DERMATOLOGY, GASTROENTEROLOGY, NEPHROLOGY, ENDOCRINOLOGY, CARDIOLOGY AND INFUSION THERAPY. THE MEDICINE INSTITUTE ALSO INCLUDES SPECIALTY PROGRAMS DEDICATED TO DERMATOLOGY, DENTISTRY, INFECTIOUS DISEASE, NEPHROLOGY, AND INCLUSION HEALTH. ALLEGHENY HEALTH NETWORK NEUROSCIENCE INSTITUTE: AHN'S NEUROSCIENCE INSTITUTE IS A NATIONAL LEADER IN PROVIDING INNOVATIVE, EXPERT CARE FOR COMPLEX BRAIN, SPINE, OR NEUROLOGICAL CONDITIONS. AHN'S RENOWNED NEUROSURGEONS HAVE DEVELOPED GROUNDBREAKING SURGERIES AND TREATMENT ADVANCEMENTS THAT LEAD TO IMPROVED CARE FOR PATIENTS EXPERIENCING THE SYMPTOMS OF PARKINSON'S DISEASE, TRIGEMINAL NEURALGIA, STROKE COMPLICATIONS, CONGENITAL SPINAL CONDITIONS, AND MORE. ADDITIONALLY, AGH HAS EARNED A "COMPREHENSIVE STROKE CENTER" DESIGNATION, THE HIGHEST DISTINCTION OF STROKE CARE AWARDED BY THE AMERICAN HEART ASSOCIATION'S JOINT COMMISSION. AHN'S NEUROSCIENCE PROGRAM INCLUDES RENOWNED EXPERTS IN THE SUBSPECIALTIES OF NEUROLOGY, NEURO-OTOLOGY, NEURORADIOLOGY, NEURO-CRITICAL CARE, AND NEUROSURGERY, AND THE INSTITUTE HAS BEEN IDENTIFIED AS A NEUROSCIENCES CENTER OF EXCELLENCE AND A SPINE CENTER OF EXCELLENCE, ENABLING AHN AND AGH TO SERVE AS A NATIONAL AND INTERNATIONAL REFERRAL CENTER FOR TREATMENT OF ALL TYPES OF NEUROLOGICAL CONDITIONS. ALLEGHENY HEALTH NETWORK ORTHOPAEDIC INSTITUTE: THE ORTHOPAEDIC INSTITUTE'S MULTIDISCIPLINARY TEAM OF SURGEONS, PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS AND REHABILITATION SPECIALISTS WORK TOGETHER TO DEVELOP A COORDINATED TREATMENT PLAN SPECIFICALLY DESIGNED FOR EACH PATIENT, SPECIALIZING IN PEDIATRIC ORTHOPAEDICS, JOINT REPLACEMENT, ORTHOPAEDIC SURGERY, SPINAL SURGERY, AND SPORTS MEDICINE. TOGETHER, AHN AND HH HAVE MADE SIGNIFICANT INVESTMENTS IN AHN'S ORTHOPAEDIC CAPABILITIES AND INFRASTRUCTURE, INCLUDING THE OPENING OF THE AHN SPORTS COMPLEX AT COOL SPRINGS, A LARGE MULTI-SPORT FACILITY SPECIALIZING IN ORTHOPAEDIC CARE AND SPORTS MEDICINE, AND THE OPENING OF THE STATE-OF-THE-ART PEDIATRIC ORTHOPAEDIC INSTITUTE, A GROUP OF ORTHOPAEDIC SPECIALISTS WHO TREAT A WIDE RANGE OF NEURO- AND MUSCULOSKELETAL INJURIES AND CONDITIONS. AHN'S SPORTS MEDICINE TEAM IS THE OFFICIAL MEDICAL PROVIDER FOR THE PITTSBURGH PIRATES AND THE PITTSBURGH RIVERHOUNDS, AND HAS BEEN DESIGNATED AS AN OFFICIAL U.S. OLYMPIC REGIONAL MEDICAL CENTER. AHN ALSO OFFERS SPORTS MEDICINE SERVICES FOR LOCAL COLLEGES AND DISTRICTS. ALLEGHENY HEALTH NETWORK TRANSPLANT INSTITUTE: THE AHN TRANSPLANT INSTITUTE PROVIDES PERSONALIZED, COMPASSIONATE CARE FROM A SPECIALIZED TEAM OF EXPERTS, INCLUDING TRANSPLANT SURGEONS, NEPHROLOGISTS, PSYCHIATRISTS, PHARMACISTS, SOCIAL WORKERS, DIETITIANS, TRANSPLANT NURSE COORDINATORS, AND OTHER HEALTHCARE PROFESSIONALS. THE TRANSPLANT INSTITUTE OFFERS HEART, KIDNEY, PANCREAS AND LIVER TRANSPLANTATION SERVICES, WITH A LEGACY OF TRANSPLANTATION CARE AND INNOVATION THAT DATES TO THE 1980S. IN ADDITION TO TRANSPLANTATION SERVICES, THE AHN TRANSPLANT INSTITUTE OFFERS PATIENTS ACCESS TO NOVEL IMMUNOSUPPRESSIVE AGENTS AND CLINICAL TRIALS. ADDITIONALLY, AHN AND ITS TRANSPLANT INSTITUTE ARE ADVOCATES FOR ORGAN DONATION EDUCATION AND AWARENESS. EMERGENCY MEDICINE AND TRAUMA CARE: IN 2020, AHN'S HOSPITALS RECORDED NEARLY 270,000 EMERGENCY DEPARTMENT VISITS AND AHN'S AFFILIATED TRAUMA CENTERS PROVIDE LIFE-SAVING CARE TO THOUSANDS OF PATIENTS ANNUALLY. AHN'S EXPERIENCED, MULTIDISCIPLINARY TEAMS OF PHYSICIANS, SPECIALISTS, NURSES, TRAUMA SURGEONS AND SUPPORT STAFF PROVIDE AROUND-THE-CLOCK, AWARD-WINNING CARE FOR THE REGION'S SICK AND WOUNDED. AHN'S EMERGENCY DEPARTMENTS HAVE SOME OF THE SHORTEST WAIT TIMES IN THE STATE. AHN'S HOSPITALS OPERATE EIGHT EMERGENCY DEPARTMENTS: AGH IS A LEVEL I TRAUMA CENTER, OFFERING TRAUMA SURGERY, SURGICAL CRITICAL CARE AND EMERGENCY GENERAL SURGERY, AS WELL AS A VARIETY OF RESEARCH AND EDUCATIONAL PROGRAMS; FH OPERATES A LEVEL II TRAUMA CENTER; AND WPH CARRIES A VERIFICATION FROM BOTH THE AMERICAN BURN ASSOCIATION AND THE AMERICAN COLLEGE OF SURGEONS, FOR THE TREATMENT OF BOTH PEDIATRIC AND ADULT BURN PATIENTS. ADDITIONALLY, AHN'S LIFEFLIGHT, WHICH PROVIDES REGIONAL EMERGENCY HELICOPTER AND CRITICAL CARE GROUND TRANSPORTATION SERVICES FOR CRITICALLY ILL AND INJURED PATIENTS WHO NEED IMMEDIATE SPECIALIZED CARE, OPERATES FIVE MEDICAL HELICOPTER BASES (AT CLARION HOSPITAL, CANONSBURG HOSPITAL, INDIANA REGIONAL MEDICAL CENTER, BUTLER AIRPORT, AND ROSTRAVER AIRPORT). AHN WOMEN'S INSTITUTE: AHN OFFERS COMPASSIONATE AND COMPREHENSIVE CARE THROUGH THE NETWORK OF MORE THAN 100 OBSTETRICIANS AND GYNECOLOGISTS, AND HUNDREDS OF OTHER SPECIALISTS WHO WORK TOGETHER TO CARE FOR WOMEN. AHN'S GROWING WOMEN'S HEALTH TEAM TREATS PATIENTS AT MORE THAN 50 WOMEN'S HEALTH OFFICE LOCATIONS, THROUGH EVERY LIFE STAGE: PREVENTION AND WELLNESS; LABOR AND DELIVERY SERVICES; ADVANCED GYNECOLOGIC SURGERIES; MIDLIFE CARE; SPECIALIZED CARDIOVASCULAR TREATMENTS; LEADING-EDGE BREAST CANCER DIAGNOSTIC AND THERAPEUTIC CAPABILITIES; MENOPAUSE AND OSTEOPOROSIS THERAPIES; AND INNOVATIVE CLINICAL TRIALS AND ADVANCED THERAPIES FOR GYNECOLOGIC CANCER. IN THE LAST THREE YEARS, AHN HAS MADE SIGNIFICANT UPGRADES TO ITS FACILITIES AND PROGRAMS FOR WOMEN, INCLUDING THE CONSTRUCTION OF A BRAND NEW MATERNITY UNIT AT JEFFERSON HOSPITAL, EXPANDED AND ENHANCED OBSTETRIC UNITS AT FORBES AND WEST PENN HOSPITALS, THE LAUNCH OF AN INTENSIVE OUTPATIENT PROGRAM FOR MOTHERS SUFFERING FROM SEVERE POSTPARTUM DEPRESSION, AND THE PLANNED CONSTRUCTION OF A NEW NEONATAL INTENSIVE CARE UNIT AT WEST PENN. IN 2018, AHN OPENED ITS ALEXIS JOY D'ACHILLE CENTER FOR PERINATAL MENTAL HEALTH, AN INNOVATIVE NEW FACILITY THAT OFFERS WOMEN WITH PREGNANCY-RELATED DEPRESSION ACCESS TO A SPECTRUM OF FAMILY-FOCUSED CARE OPTIONS UNDER ONE ROOF. IN 2020, AHN'S OBSTETRICAL UNITS DELIVERED NEARLY 8,000 BABIES.
ACCOMPLISHMENTS	OVER THE YEARS, AHN HAS BEEN RECOGNIZED FOR ITS ADVANCED TECHNOLOGIES, CLINICAL QUALITY, AND THE DEPTH AND BREADTH OF ITS PROFESSIONAL AND CLINICAL PROGRAMMING. IN 2020, IT RECEIVED THE FOLLOWING AWARDS, RECOGNITIONS AND ACCREDITATIONS, AMONG OTHERS: IN 2020, THE INTERNATIONAL BOARD OF LACTATION CONSULTANTS (IBCLC) AWARDED THE 2020 CARE AWARD, AN INDICATION OF ITS HIGHEST LEVEL OF SUPPORT TO BREASTFEEDING FAMILIES, TO THE AHN WOMEN AND INFANTS CENTER AT WEST PENN HOSPITAL FOR A SECOND CONSECUTIVE, TWO-YEAR TERM. In 2020, WEST PENN HOSPITAL WAS AGAIN NAMED ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON. PRESIDENT AND CEO OF ALLEGHENY HEALTH NETWORK WAS SELECTED BY MODERN HEALTHCARE MAGAZINE AS ONE OF 2020'S 100 MOST INFLUENTIAL PEOPLE IN HEALTH CARE. IN 2020, THE COMMISSION ON CANCER (COC) NAMED ALLEGHENY HEALTH NETWORK'S SYSTEM CHIEF OF COLON AND RECTAL SURGERY AND MEDICAL DIRECTOR OF THE RECTAL CANCER CENTER OF EXCELLENCE AT AHN CANCER INSTITUTE, AS RECIPIENT OF ITS STATE CHAIR OUTSTANDING PERFORMANCE AWARD. THE AHN ENDOSCOPY CENTER IN HEMPFIELD, WESTMORELAND COUNTY, WAS A 2020 RECIPIENT OF THE GUARDIAN OF EXCELLENCE AWARD FROM PRESS GANEY, EARNING AN HONOR IN THE PATIENT EXPERIENCE CATEGORY. THE ENDOSCOPY CENTER IS ONE OF JUST THREE FACILITIES IN THE PITTSBURGH AREA TO EARN THE DESIGNATION. IN 2020, SIX AHN HOSPITALS RECEIVED NATIONAL RECOGNITION FOR DELIVERING THE HIGHEST QUALITY OF HEART FAILURE TREATMENT. IN THIS YEAR'S AMERICAN HEART ASSOCIATION (AHA) GET WITH THE GUIDELINES- HEART FAILURE ACHIEVEMENT AWARDS, ALLEGHENY GENERAL, FORBES, JEFFERSON, ALLEGHENY VALLEY, SAINT VINCENT, AND WEST PENN HOSPITALS RECEIVED GOLD PLUS DESIGNATIONS, A MILESTONE FOR THE AHN CARDIOVASCULAR INSTITUTE WITH EACH HOSPITAL EARNING THE HIGHEST LEVEL OF ACHIEVEMENT. IN 2020, THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION (AHA/ASA) RECOGNIZED SIX AHN HOSPITALS FOR THE HIGH QUALITY OF THEIR STROKE PROGRAMS. ALLEGHENY GENERAL, ALLEGHENY VALLEY, FORBES, JEFFERSON AND SAINT VINCENT HOSPITAL EACH RECEIVED THE AHA/ASA GOLD PLUS ACHIEVEMENT AWARD WHILE WEST PENN HOSPITAL EARNED SILVER PLUS. IN 2020, THE AHN CANONSBURG AMBULANCE SERVICE RECEIVED THE AMERICAN HEART ASSOCIATION (AHA)'S MISSION: LIFELINE EMS SILVER PLUS AWARD FOR ITS REMARKABLE CARE AND TREATMENT FOR PATIENTS EXPERIENCING CARDIAC ARREST, SPECIFICALLY, ST ELEVATION MYOCARDIAL INFARCTION INCIDENTS. IN 2020, AHN SAINT VINCENT EMERGENCY MEDICINE PHYSICIAN WAS NAMED THE PENNSYLVANIA COLLEGE OF EMERGENCY PHYSICIANS (PACEP) 2020 EMERGENCY PHYSICIAN OF THE YEAR. DIRECTOR OF UNDERGRADUATE MEDICAL EDUCATION FOR THE AHN MEDICINE INSTITUTE AT ALLEGHENY HEALTH NETWORK WAS RECOGNIZED BY DREXEL UNIVERSITY COLLEGE OF MEDICINE WITH THE 2020 DEAN'S SPECIAL AWARD FOR EXCELLENCE IN CLINICAL TEACHING AT AHN.
VOTING MEMBERS OF GOVERNING BOARD	FORM 990, PART I, LINE 3 THE NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY REFLECTED IN IRS FORM 990, PAGE 1, PART I, LINE 3 WILL NOT CORRESPOND TO THE ACTUAL NUMBER OF VOTING MEMBERS LISTED IN IRS FORM 990, PAGE 7, PART VII BECAUSE CERTAIN VOTING MEMBERS OF THE GOVERNING BODY ARE VOTING MEMBERS FOR MORE THAN ONE OF THE ORGANIZATIONS INCLUDED IN THIS GROUP FILING. IN THESE INSTANCES, THE INDIVIDUAL IS COUNTED IN PART I, LINE 3 IN ACCORDANCE WITH THE NUMBER OF ORGANIZATIONS FOR WHICH THEY ARE VOTING MEMBERS BUT WILL ONLY BE LISTED IN PART VII ONCE. THE ULTIMATE PARENT ORGANIZATION, HIGHMARK HEALTH, IS GOVERNED BY A BOARD OF DIRECTORS THAT CONSIST OF A MAJORITY OF INDEPENDENT PERSONS. HIGHMARK HEALTH HAS ULTIMATE AUTHORITY AND CONTROL OF ALL ORGANIZATIONS INCLUDED IN THIS GROUP FILING.
CONTRIBUTIONS, GRANTS, AND SIMILAR AMOUNTS RECEIVED	FORM 990, PART I, LINE 8 PURSUANT TO TREASURY REGULATION SECTION 1 6033-2(D)(5) THE SPONSORING ENTITY OF HIGHMARK HEALTH GROUP, HIGHMARK HEALTH, HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GRANTS, AND SIMILAR AMOUNTS RECEIVED, INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN INDEPENDENT CONTRACTORS ON A CONSOLIDATED BASIS ALONG WITH ALL MEMBERS OF THE HIGHMARK HEALTH GROUP IN THE HIGHMARK HEALTH GROUP RETURN.
BUSINESS RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP THROUGH THEIR CONNECTION OF SERVING TOGETHER ON THE BOARD OF RELATED TAXABLE NON-PROFIT ORGANIZATIONS: JOSEPH GUYAUX, DAVID BLANDINO, M.D., VICTOR ROQUE, DAVID MALONE, DAVID MATTER, AND DAVID HOLMBERG. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 WEST PENN ALLEGHENY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - CANONSBURG GENERAL HOSPITAL - ALLEGHENY MEDICAL PRACTICE NETWORK - ALLEGHENY SINGER RESEARCH INSTITUTE - ALLE-KISKI MEDICAL CENTER - THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION - FORBES HEALTH FOUNDATION - ALLEGHENY CLINIC - ALLEGHENY CLINIC MEDICAL ONCOLOGY AHN IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - JEFFERSON REGIONAL MEDICAL CENTER - WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - SAINT VINCENT HEALTH SYSTEM - SAINT VINCENT HEALTH CENTER - GROVE CITY MEDICAL CENTER ALLE-KISKI MEDICAL CENTER IS THE SOLE MEMBER OF: - ALLE-KISKI MEDICAL CENTER TRUST HIGHMARK HEALTH IS THE SOLE MEMBER OF: - ALLEGHENY HEALTH NETWORK SAINT VINCENT HEALTH SYSTEM IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT AFFILIATED PHYSICIANS - SAINT VINCENT MEDICAL EDUCATION & RESEARCH INSTITUTE - Westfield Memorial Hospital CANONSBURG GENERAL HOSPITAL IS THE SOLE MEMBER OF: - CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE GROVE CITY MEDICAL CENTER IS THE SOLE MEMBER OF: - WOLF CREEK MEDICAL ASSOCIATES AHN EMERUS WESTMORELAND, LLC OWNED THROUGH ANH 51% MEMBERSHIP IN THE AHN EMERUS LLC JOINT VENTURE. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO MAY ELECT PURSUANT TO THE BYLAWS OF EACH ENTITY, EITHER HIGHMARK HEALTH OR THE ENTITY'S SOLE DIRECT MEMBER HAS THE AUTHORITY TO ELECT OR APPOINT ALL OR A SIGNIFICANT PORTION OF SUCH ENTITY'S BOARD OF DIRECTORS AND TO REMOVE OR REPLACE SUCH DIRECTORS.
DECISIONS SUBJECT TO APPROVAL	FORM 990, PART VI, SECTION A, LINE 7B For the following entities that comprise the group, Highmark Health, as the direct or indirect sole member, holds certain reserve powers pursuant to the bylaws of: - CANONSBURG GENERAL HOSPITAL - JEFFERSON REGIONAL MEDICAL CENTER - ALLEGHENY SINGER RESEARCH INSTITUTE - ALLE-KISKI MEDICAL CENTER - WEST PENN HOSPITAL FOUNDATION - ALLE-KISKI MEDICAL CENTER TRUST - FORBES HEALTH FOUNDATION - WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE - SAINT VINCENT HEALTH SYSTEM - SAINT VINCENT HEALTH CENTER - SAINT VINCENT AFFILIATED PHYSICIANS - CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE - ALLEGHENY CLINIC - ALLEGHENY CLINIC MEDICAL ONCOLOGY - ALLEGHENY MEDICAL PRACTICE NETWORK - GROVE CITY MEDICAL CENTER THE FOLLOWING ARE THE RESERVED POWERS OF HIGHMARK HEALTH: 1) TO APPROVE THE ELECTION, RE-ELECTION AND REMOVAL OF ALL OFFICERS, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, OF THE CORPORATION AND ITS SUBSIDIARIES; 2) TO AMEND, REVISE OR RESTATE THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS AND APPROVE ALL AMENDMENTS OR REVISIONS OF THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED OR APPROVED BY AHN, THE MEMBER OR BOARD OF DIRECTORS OF THE CORPORATION, SUBJECT TO CERTAIN EXCEPTIONS. 3) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION OR ITS SUBSIDIARIES; 4) TO CHANGE THE GENERAL STRUCTURE OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES AS A VOLUNTARY, NONPROFIT CORPORATION; 5) TO (A) DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE CORPORATION OR ITS SUBSIDIARIES, (B) CONSOLIDATE OR MERGE THE CORPORATION OR ITS SUBSIDIARIES WITH ANOTHER CORPORATION OR ENTITY, (C) SELL OR ACQUIRE ASSETS, WHETHER IN A SINGLE TRANSACTION OR SERIES OF TRANSACTIONS, WHERE THE CONSOLIDATION EXCEEDS 1% OF THE CORPORATION'S OR THE RELEVANT SUBSIDIARY'S TOTAL ASSETS, AND (D) APPROVE ANY OF THE FOREGOING ACTIONS THAT MAY BE PROPOSED BY AHN, THE MEMBER OR THE BOARD OF DIRECTORS OF THE CORPORATION BEFORE SUCH ACTION BECOMES EFFECTIVE; 6) TO APPROVE THE ANNUAL CONSOLIDATED CAPITAL AND OPERATING PLAN AND BUDGET OF THE CORPORATION AND ITS SUBSIDIARIES, AND ANY AMENDMENTS THERETO OR SIGNIFICANT VARIANCES THEREFROM; 7) APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS SUBSIDIARIES OR THE MAKING OF CAPITAL EXPENDITURES BY THE CORPORATION AND THE SUBSIDIARIES DURING ANY FISCAL YEAR OF THE CORPORATION, IN EITHER CASE IN EXCESS OF ONE QUARTER OF 1% OF THE CONSOLIDATED ANNUAL OPERATING BUDGET OF THE CORPORATION AND ITS SUBSIDIARIES FOR EACH FISCAL YEAR IF SUCH DEBT OR CAPITAL EXPENDITURES ARE NOT INCLUDED IN THE CORPORATION'S SUBSIDIARIES' APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS. 8) TO APPROVE ANY DONATION OR ANY OTHER TRANSFER OF THE CORPORATION'S OR ITS SUBSIDIARIES' ASSETS, OTHER THAN TO THE MEMBER OR TO THE CORPORATION BY ITS SUBSIDIARIES, IN EXCESS OF $10,000,000, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S OR ITS SUBSIDIARIES' APPROVED BUDGETS. 9) TO APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION AND ITS SUBSIDIARIES; 10) TO APPROVE INVESTMENT POLICIES OF THE CORPORATION AND SUBSIDIARIES; 11) TO APPROVE THE CLOSURE OR RELOCATION OF A LICENSED HEALTHCARE FACILITY OF THE CORPORATION AND ITS SUBSIDIARIES; 12) TO APPROVE THE FORMATION OF SUBSIDIARY CORPORATIONS, PARTNERSHIPS AND JOINT VENTURES OR TO MAKE NEW INVESTMENTS IN EXISTING SUBSIDIARY CORPORATIONS, PARTNERSHIPS AND JOINT VENTURES, IF THE NEW INVESTMENTS OF THE CORPORATION AND THE SUBSIDIARIES IN SUCH SUBSIDIARIES CORPORATIONS, PARTNERSHIPS, AND JOINT VENTURES DURING ANY FISCAL YEAR WOULD, IN THE AGGREGATE, EXCEED 1% OF THE CORPORATION'S CONSOLIDATED TOTAL ASSETS AT THE END OF THE PRIOR FISCAL YEAR OF THE CORPORATION; 13) TO ESTABLISH AND MANAGE THE CORPORATION'S PROGRAM FOR COMPLIANCE WITH ALL LEGAL REQUIREMENTS APPLICABLE TO THE CORPORATION, ALL ACCREDITATION AND LICENSING REQUIREMENTS AND THE CONDITIONS OF PARTICIPATION IN ALL GOVERNMENTAL PAYER PROGRAMS APPLICABLE TO THE CORPORATION; AND 14) TO SELECT AND APPOINT AUDITORS AND TO DESIGNATE THE FISCAL YEAR OF THE CORPORATION AND THE SUBSIDIARIES. 15) TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE NONPROFIT CORPORATION LAW.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11B HIGHMARK HEALTH GROUP IRS FORM 990 WAS PREPARED BY ITS EXTERNAL ADVISORS, PRICEWATERHOUSECOOPERS LLP AND REVIEWED BY THE HIGHMARK HEALTH TAX DEPARTMENT, SENIOR MANAGEMENT OF THE ORGANIZATION, AND THE AUDIT AND COMPLIANCE COMMITTEE. Before filing the tax return with the Internal Revenue Service, a final copy was provided to all members of the Boards of Directors.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT	FORM 990, PART VI, SECTION B, LINE 12C Highmark Health (HH) has a Integrated Risk Operations Department that monitors and oversees compliance with the Conflict of Interest Policy for all entities within the filing group. The following describes the manner in which the Integrated Risk Operations Department monitors and oversees compliance with the conflict of interest policy: CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE COMPLETED UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS BY ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, SUPERVISORS AND ABOVE, PERSONS WITH PURCHASING AND DECISION MAKING AUTHORITY, AND ANY OTHER EMPLOYEES AS DESIGNATED BY THE Integrated Risk Operations Department. INDIVIDUALS ARE REQUIRED TO REPORT TO THE Integrated Risk Operations Department THROUGHOUT THE YEAR IF CHANGES IN CIRCUMSTANCES ARISE THAT MAY GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST OR CHANGE A PREVIOUSLY-DISCLOSED CONFLICT. Upon completion of the above disclosure statement by all applicable individuals, the Integrated Risk Operations Department reviews all disclosures. Those disclosure statements that require additional information or clarification are contacted by the Integrated Risk Operations Department requesting such. Once received, the Integrated Risk Operations Department reviews the information to determine whether a real or potential conflict of interest exists. As applicable, Legal and Senior Management are consulted to determine whether a real or potential conflict of interest exists. When a conflict requires a mitigation plan, the mitigation plan is developed and approved in coordination with the respective responsible senior management. The senior managers are responsible for discussing the mitigation plan with the individual and monitoring compliance with the mitigation plan. A Conflict of Interest/Independence Disclosure Summary Report of all board members and officers with reportable disclosures is provided to the Audit and Compliance committee of the Board of Highmark Health as well as the Board of Directors of Highmark Health, AHN and any applicable hospital.
PROCESS FOR DETERMINING EXECUTIVE COMPENSATION	FORM 990, PART VI, SECTION B, LINES 15A AND 15B AHN follows a process for determining compensation for executive positions, including officers, key employees and other management positions, and is covered by the Highmark Health 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 Highmark Health personnel and compensation committee (P&C) of the Board of Directors 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 P&C committee member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. The executive compensation program for the hospital entities within the group is administered by the CEO of AHN 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 executive's skills, experience, performance and current positioning relative to market. Highmark Health management, in coordination with the independent consultant to the P&C committee obtains appropriate market comparability data for each position, 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 executive's 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. Typically, AHN and hospital executives can earn incentive compensation only if the organization achieves certain pre-determined goals as approved by the P&C Committee. The plans are intended to hold executives accountable for achieving performance that is consistent with the long-term goals and objectives of the organization. All entities within the filing follow the requirement in the regulations to comply with the rebuttable presumption of the reasonableness of compensation. THE P&C COMMITTEE COMPLETED A REVIEW AND APPROVAL OF THE ANNUAL COMPENSATION STUDY OF CORPORATE EXECUTIVES PREPARED BY THE INDEPENDENT COMPENSATION CONSULTANT IN JULY 2020.
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. INDEPENDENT CONTRACTORS PART VII, SECTION B, LINE 2 LISTED IN THIS FORM 990, PART VII ARE THE FIVE HIGHEST PAID THAT PROVIDED SERVICES TO THE HIGHMARK HEALTH GROUP. THE AMOUNT OF INDEPENDENT CONTRACTORS REPORTED ON LINE 2 INCLUDES THE TOTAL AMOUNT OF VENDORS PAID OVER $100,000.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 EQUITY TRANSFERS 264,125,295 PENSION LIABILITY ADJUSTMENTS (8,868,265) OTHER 47,210,801 ------------- TOTAL 302,467,831

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AHN Surgery Center - Bethel Park LLC
1000 Higbee Drive	Bethel Park	PA	15102	473690355	Healthcare	PA	$6,568,065	$1,721,942	AHN
West Penn Allegheny Foundation LLC
4800 Friendship Avenue	Pittsburgh	PA	15224	201107650	Capital Acq.	PA	$3,174,836	$25,563,939	WPAHS
Peters Township ASC LLC
160 Gallery Drive	McMurray	PA	15317	273982341	Healthcare	PA	-$4,509	$3,291,943	WPAHS
West Penn ASC LLC
4800 Friendship Avenue	Pittsburgh	PA	15224	272344847	Inactive	PA	$0	$0	WPAHS
JRMC Diagnostic Services LLC
565 Coal Valley Road	Pittsburgh	PA	15025	800069336	Healthcare	PA	$425,328	$260,431	JRMC
SV Shared Savings Program ACO LLC
232 West 25th Street	Erie	PA	16544	455550348	Inactive	PA	$0	$0	SVHC
SVEC LLC
232 West 25th Street	Erie	PA	16544	208572620	Inactive	PA	$0	$0	SVHC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Canonsburg Hospital & Health Foundation
100 Medical Boulevard	Canonsburg	PA	15317	251818505	Inactive	PA	501(C)(3)	12a-TYPE I	NA	false
Clinical Pathology Institute Cooperative
1526 Peach Street	Erie	PA	16501	251528055	Healthcare	PA	501(C)(3)	3	SVHC	false
Community Blood Bank
232 West 25th Street	Erie	PA	16544	251181389	Healthcare	PA	501(C)(3)	12a-TYPE I	SVHC	false
Emergycare Inc
232 West 25th Street	Erie	PA	16544	251430922	Healthcare	PA	501(C)(3)	10	SVHC	false
Greater Canonsburg Health System
100 Medical Boulevard	Canonsburg	PA	15317	251488089	Inactive	PA	501(C)(3)	12a-TYPE I	NA	false
Highmark Health
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	453674900	Healthcare	PA	501(C)(3)	12a-TYPE I	NA	false
Regional Cancer Center
232 West 25th Street	Erie	PA	16544	251385705	Healthcare	PA	501(C)(3)	3	SVHS	false
Regional Heart Network
232 West 25th Street	Erie	PA	16544	251856341	Healthcare	PA	501(C)(3)	3	SVHC	false
Vantage Health Group
232 West 25th Street	Erie	PA	16544	251498145	Healthcare	PA	501(C)(3)	3	SVHC	false
West Allegheny Hospital
100 Medical Boulevard	Pittsburgh	PA	15317	251054206	Inactive	PA	501(C)(3)	3	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
5148 Liberty Assoc
5989 Centre Avenue	Pittsburgh	PA	15206	251689871	Property Rental	PA	WPAHS Inc	EXCLUDED	$115,836	$624,702	false	false	0.50000
AHN Emerus LLC
30 Isabella St	Pittsburgh	PA	15212	823655381	Medical Practice	PA	AHN	RELATED	$10,535,380	$39,848,788	false	false	0.51000
AHN Home Infusion
312 West 25th Street	Erie	PA	16502	251736527	Medical Practice	PA	SVHS	RELATED	$34,089,099	$13,153,388	false	false	0.80000
Celtic Hospice
30 Isabella St	Pittsburgh	PA	15212	205661063	Medical Practice	PA	WPAHS Inc	RELATED	$6,287,528	$25,689,927	false	false	0.79900
JV Holdco LLC
30 Isabella St	Pittsburgh	PA	15212	472368587	Holding Company	PA	WPAHS Inc	RELATED	$9,416,833	$29,851,318	false	false	0.59610
Mccandles Endoscopy
4800 Friendship Ave	Pittsburgh	PA	15224	261284448	Medical Practice	PA	WPAHS Inc	RELATED	$530,714	$466,890	false	false	0.50000
N Shore Endoscopy
4800 Friendship Ave	Pittsburgh	PA	15224	251880238	Medical Practice	PA	WPAHS Inc	RELATED	$679,718	$390,484	false	false	0.50000
Provider PPI LLC
120 Fifth Avenue Suite 922	Pittsburgh	PA	15222	320429947	Group Purchasing	PA	HMPG	RELATED	$10,609,405	$42,167,435	false	false	0.99500
ST VINC PROF BLDG
312 West 25th Street	Erie	PA	16502	251578290	Property Mgmt	PA	CSI	RELATED	$355,435	$519,086	false	false	0.82660
Vantage HLDNG COMP
312 West 25th Street	Erie	PA	16502	030477182	Capital Mgmt	PA	CSI	RELATED	$325,192	$4,847,630	false	false	0.50530
AHN-LECOM JV LLC
30 ISABELLA ST	PITTSBURGH	PA	15212	825500526	HEALTHCARE	PA	AHN	RELATED	$1,778,738	$7,058,195	false	false	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Clinical Services Inc
232 West 25th Street	Erie	PA	16544	251403846	Holding Company	PA	SVHS	C Corp	$3,369,688	$7,566,021	1.00000	Yes (true)
Grandis Rubin Shanahan & Assoc
565 Coal Valley Rd	Jefferson Hills	PA	15025	453355906	Medical Practice	PA	JRMC	C Corp	-$167,888	$95,071	1.00000	Yes (true)
Health System Services Corp & Subs
565 Coal Valley Rd	Jefferson Hills	PA	15025	251403745	Real Estate Ops	PA	JRMC	C Corp	$3,080,457	$15,764,725	1.00000	Yes (true)
HMPG Inc
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453444325	Holding Company	PA	AHN	C Corp	$3,889,829	$151,533,517	1.00000	Yes (true)
JRMC Physician Service Corp
565 Coal Valley Rd	Jefferson Hills	PA	15025	861159658	Medical Practice	PA	JRMC	C Corp	$305	$0	1.00000	Yes (true)
Lake Erie Medical Group PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453444157	Medical Practice	PA	AC	C Corp	$0	$282,956	1.00000	Yes (true)
Palladium Risk Retention Group
409 Broad St Ste 270	Sewickley	PA	15143	463476730	Insurance	VT	WPAHS Inc	C Corp	$30,303,961	$114,512,002	1.00000	Yes (true)
Physician Landing Zone PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	453913973	Health Care	PA	AC	C Corp	$2,852,305	$458,253	1.00000	Yes (true)
Premier Medical Associates PC
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	251742869	Medical Practice	PA	AC	C Corp	$64,683,922	$29,340,011	1.00000	Yes (true)
Premier Women's Health
120 Fifth Ave Suite 922	Pittsburgh	PA	15222	464682160	Medical Practice	PA	AC	C Corp	$2,752,398	$460,381	1.00000	Yes (true)
Primary Care Group 10 Inc
3726 Brownsville Rd	Pittsburgh	PA	15227	383807173	Medical Practice	PA	JRMC	C Corp	$0	$0	1.00000	Yes (true)
West Penn Corporate Medical ServicesInc
4800 Friendship Avenue	Pittsburgh	PA	15224	251437405	Inactive	PA	WPAHS Inc	C Corp	$0	$89,483	1.00000	Yes (true)
West Penn Neurosurgery PC
4800 Friendship Avenue	Pittsburgh	PA	15224	251630719	Inactive	PA	WPAHS Inc	C Corp	$0	$0	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Allegheny Clinic
P	$79,041,103	FMV
Wexford Medical Mall LLC
P	$10,566,228	FMV
Saint Vincent CIC Disease LLC
P	$1,402,148	FMV
Osiris Properties
P	$263,630	FMV
Physician Partners of Western PA LLC
P	$70,317	FMV
Saint Vincent Rehab Solutions
P	$62,358	FMV
Allegheny Clinic
Q	$29,303,857	FMV
Physician Landing Zone PC
Q	$4,013,812	FMV
Monroeville Ambulatory Surgery Center LLC
Q	$3,634,580	FMV
Wexford Medical Mall LLC
Q	$3,311,521	FMV
Provider PPI LLC
Q	$1,403,371	FMV
Gold Mist Advisors
Q	$337,594	FMV
Provider Supply Chain Services
Q	$205,676	FMV
AHN Home Infusion LLC
Q	$204,341	FMV
Summer Wind Management LLC
Q	$123,081	FMV
Principo Advisors LLC
Q	$93,626	FMV
HMPG Properties North
Q	$56,725	FMV
Highmark Health
C	$370,000	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2	FormAndLineReferenceDesc
Explanation	HIGHMARK HEALTH GROUP TRANSACTS BUSINESS WITH THE LISTED RELATED ORGANIZATIONS IN THE MANNER IDENTIFIED IN COLUMN 2(B). HIGHMARK HEALTH GROUP HAS CHOSEN TO REFLECT THESE TRANSACTIONS COMBINED FOR PURPOSES OF DISCLOSURE ON SCHEDULE R, PART V, LINE 2.	ExplanationTxt