2021-11-12T12:00:22-06:00 2020-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2020-01-01 821406555 Highmark Health Group % MATT PETERSON HIGH 4125446668 120 Fifth Avenue FAPHM-192B Pittsburgh PA 15222 SAURABH TRIPATHI TREASURER & CFO 4125446668 2021-11-11 true SAURABH TRIPATHI 999009999 ERIC M MCNEIL P00460263 2673303000 2021-11-05 2 2020 2022-09-23 18:48:47Z DAVID HOLMBERG 120 FIFTH AVENUE PITTSBURGH PA 15222 4420395764 true true 6169 X www.AHN.ORG X PROMOTE HEALTH & WELLNESS IN OUR COMMUNITIES BY PROVIDING SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT. 212 89 25609 992 5032357 111208 14508408 69279252 3737184630 3737490610 50291258 51736656 132212417 146718772 3934196713 4005225290 1140450 1045395 0 0 1891592268 2032562356 0 112865 948898 1956502102 2086504412 3849234820 4120225028 84961893 -114999738 3792772543 4274556698 2189461024 2512538677 1603311519 1762018021 X HIGHMARK HEALTH IS AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS. false false 2812737038 865189 2786018728 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. 384053324 63606 404944062 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. 262766536 0 305696160 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. 290516520 116600 235799303 Other Program Services 290516520 116600 235799303 3750073418 true true false true false false false false false true true false false true true true false true false false false false false true true false true true true true true true false false false false false false false false true true true false false false true true true true true false true 1319 0 true 25609 true true true false false false false true true false false false false true false X 212 89 true false false false true true true true true false false true true true true true true true true true true NY PA X MATT PETERSON 4123306090 120 FIFTH AVE Pittsburgh PA 15222 X DAVID HOLMBERG DIRECTOR 5.0 60.0 X 0 7763225 60342 Karen Hanlon Director 5.0 60.0 X 0 3212745 305633 Cynthia Hundorfean Director & President 60.0 0.0 X X 2876675 0 32020 Thomas Vankirk Director 5.0 60.0 X 0 2430750 36163 Tony Farah MD Director 5.0 60.0 X 0 2274839 46009 Donald Whiting MD Director/CHAIRMAN 60.0 0.0 X X 1907993 0 36443 EDWARD WESTRICK MD Physician 60.0 0.0 X 1834733 0 27869 James Benedict Director/COO 50.0 15.0 X X 1330581 440773 47473 Jeffrey Crudele Former Director & Treasurer 20.0 0.0 X 1689597 0 15708 Alexander Yu MD PHYSICIAN 60.0 0.0 X 1562034 0 11610 Gregory Altman MD Physician 60.0 0.0 X 1546920 0 26434 Daniel Altman MD Physician 60.0 0.0 X 1440425 0 26453 GEORGE EID MD Physician 60.0 0.0 X 1429767 0 22590 SRICHARAN CHALIKONDA MD CHIEF MEDICAL OPS OFFICER 60.0 0.0 X 1323675 0 112241 David Parda MD Director 60.0 0.0 X 1290395 0 28866 BRIAN PARKER MD DIRECTOR 60.0 0.0 X 1159165 0 86524 Robert White MD Chief Medical Info Officer 60.0 0.0 X 1194738 0 33993 Patrick Demeo MD Physician 60.0 0.0 X 1090857 0 25013 Kenyokee Crowell Sr. Vice President 60.0 0.0 X 539601 479357 93623 GENE G FINELY MD DIRECTOR 60.0 0.0 X 1050222 0 22174 G Scott Long MD Director & President 60.0 0.0 X X 975895 0 21727 Jacqueline Bauer Director & Secretary 60.0 0.0 X X 0 948196 45157 Ngoc Thai MD PHYSICIAN 60.0 0.0 X 927001 0 26160 Venkatraman Srinivasan MD Trustee 60.0 0.0 X 913039 0 23834 WILLIAM JOHNJULIO MD PHYSICIAN 60.0 0.0 X 846092 0 24982 Robert Lupo MD Director 60.0 0.0 X 840018 0 25503 DAVID BARTLETT PHYSICIAN 60.0 0.0 X 845513 0 18334 Srinavas Murali MD Physician 60.0 0.0 X 804752 0 17522 PETER LUND MD DIRECTOR 60.0 0.0 X 797232 0 22419 Claire Zangerle Chief Nursing Officer 60.0 0.0 X 793304 0 11711 Parminder Sharma MD Director 60.0 0.0 X 768593 0 24968 JOHN BALACKO MD DIRECTOR 60.0 0.0 X 726318 0 21795 George J Magovern Jr MD Physician 60.0 0.0 X 704856 0 23050 DENZIL RUPERT CHIEF OPERATING OFFICER - AGH 50.0 0.0 X 676572 0 24179 James Rohrbaugh Treasurer 50.0 0.0 X 646344 0 53318 Madhusudan Menon MD Director 60.0 0.0 X 684110 0 3886 Mark Rubino MD Director & President 50.0 0.0 X X 663447 0 21724 Susan Manzi MD Physician 60.0 0.0 X 664353 0 10304 John Lawrence MD Physician 60.0 0.0 X 624874 0 26106 Louise Urban Director & President 60.0 0.0 X X 626210 0 23023 Ronald Andro MD Director & President 60.0 0.0 X X 613954 0 25672 Richard Thompson Vice President 60.0 0.0 X 602650 0 26745 Beth Casagranda MD Physician 60.0 0.0 X 597675 0 26106 Chong Park MD Chief Medical Officer 60.0 0.0 X 594767 0 24829 Jeffrey McGovern MD Director 60.0 0.0 X 573134 0 25476 Mark Nussbaum Director & Vice President 60.0 0.0 X X 567326 0 28720 Christopher Clark DO Director & President 59.0 1.0 X X 540683 0 24865 JOSEPH ARACRI PHYSICIAN CHAIRPERSON 60.0 0.0 X 538944 0 19352 DANIEL MUCCIO MD DIRECTOR 60.0 0.0 X 524867 0 25480 KYMBERLE GYURE PHYSICIAN 60.0 0.0 X 524143 0 11928 Jason Roeback Director 49.0 1.0 X 508819 0 25411 VICENTA GASPAR-YOO MD DIRECTOR 50.0 0.0 X X 508904 0 4176 JAMES VALERIANO PHYSICIAN CHAIRPERSON 60.0 0.0 X 474087 0 22564 THOMAS CAMPBELL MD PHYSICIAN CHAIRPERSON 60.0 0.0 X 449448 0 26581 Paul Gausman DO Director 50.0 0.0 X 415257 0 24088 Allison Quick Director & President 50.0 0.0 X X 391285 0 42944 ALLAN KLAPPER MD PHYSICIAN 60.0 0.0 X 407051 0 20193 Keith LeJeune Director & Vice President 50.0 0.0 X X 379474 0 37324 Rand Levis Assistant Treasurer 49.0 1.0 X 372649 0 25804 Thomas Corkery DO Director 50.0 0.0 X 356149 0 18529 Jennifer Lewis MD Director 50.0 0.0 X 320681 0 24164 Mark Leone DO Director 50.0 0.0 X 318331 0 24675 Jeffrey Kim MD Director 50.0 0.0 X 301021 0 23967 THOMAS HIPKISS Chief Financial Officer 60.0 0.0 X 264197 0 25906 KELLY KASSAB VICE PRESIDENT & DIRECTOR 50.0 0.0 X X 262687 0 22691 Thomas Murphy DIRECTOR/SECRETARY/TREASURER 50.0 0.0 X X 261666 0 23059 Donald McNary Director 50.0 0.0 X 266008 0 10335 KAREN SURKALA PRESIDENT 60.0 0.0 X 257428 0 12817 Scott Hankinson Director 50.0 0.0 X 224846 0 16521 JOHN SMITH DIRECTOR & TREASURER 50.0 0.0 X X 205653 0 23066 Susan Moore MD Director 50.0 0.0 X 193227 0 22957 BETSY BLAZEK-O'NEILL DIRECTOR 50.0 0.0 X 174720 0 17173 HENRY WARD DIRECTOR 50.0 0.0 X 163547 0 21875 Dawn Karns DO Director 50.0 0.0 X 166983 0 2269 Joseph C Guyaux Director 5.0 10.0 X 0 155430 0 David Michael Matter Director 5.0 10.0 X 0 143566 0 Victor Roque Director 10.0 5.0 X 0 142566 0 PETE CICERO DIRECTOR & TREASURER 1.0 50.0 X X 1350 110695 20458 David Blandino MD Board Chair 5.0 15.0 X X 0 126466 0 David Celko MD Director 50.0 0.0 X 124957 0 1268 ALFRED MANSFIELD CHIEF FINANCIAL OFFICER 20.0 0.0 X 126188 0 0 Susan Barrett Assistant Secretary 50.0 0.0 X 99145 0 18530 David Malone Director 5.0 10.0 X 0 110550 0 Joseph Macerelli Board Chair 10.0 0.0 X X 0 0 0 Robin Bergstrom Board Chair 1.0 0.0 X X 0 0 0 Edward Little Board Chair 1.0 0.0 X X 0 0 0 Russell Livingston Board Chair 1.0 0.0 X X 0 0 0 Mark Webb Board Chair 1.0 0.0 X X 0 0 0 Sandra Usher Board Chair 1.0 0.0 X X 0 0 0 Edward Marasco Director & Chairman 1.0 0.0 X X 0 0 0 Jeffrey Szumigale Director & Vice Chair 1.0 0.0 X X 0 0 0 John Hamels PhD Director & Vice Chair 1.0 0.0 X X 0 0 0 James Graham Director 5.0 0.0 X 0 0 0 Michael Redlawsk Director 5.0 0.0 X 0 0 0 Pamela Lapczynski Director 1.0 0.0 X 0 0 0 Jason Ross Director 1.0 0.0 X 0 0 0 Michael Alterio Director 1.0 0.0 X 0 0 0 Carole Pankas Director 1.0 0.0 X 0 0 0 John Finnegan Director 1.0 0.0 X 0 0 0 LaDonna Fuge MD Director 1.0 0.0 X 0 0 0 William Richardson Director 1.0 0.0 X 0 0 0 Richard Talarico Director 1.0 0.0 X 0 0 0 Helen Baran Director 1.0 0.0 X 0 0 0 R Steven Jones Director 1.0 0.0 X 0 0 0 Kathryn Burns Director 1.0 0.0 X 0 0 0 Marne Roche Director 1.0 0.0 X 0 0 0 Chris Scott Director 1.0 0.0 X 0 0 0 David Lerberg MD Director 1.0 0.0 X 0 0 0 Jane Love MD Director 1.0 0.0 X 0 0 0 Wendy O'Brien Director 1.0 0.0 X 0 0 0 LP Gupta Director 1.0 0.0 X 0 0 0 Doris Carson Williams Director 1.0 5.0 X 0 0 0 Lauren McAndrews Director 1.0 0.0 X 0 0 0 Thomas Tarpley Director 1.0 0.0 X 0 0 0 Thomas Berkhouse Director 1.0 0.0 X 0 0 0 Robert Crane Director 1.0 0.0 X 0 0 0 Roberta Patterson Director 1.0 0.0 X 0 0 0 Jillian Roache Director 1.0 0.0 X 0 0 0 Gene Becker Trustee 1.0 0.0 X 0 0 0 Brian Jacob Trustee 1.0 0.0 X 0 0 0 Curt Marino Trustee 1.0 0.0 X 0 0 0 Robert Pacek Trustee 1.0 0.0 X 0 0 0 Kevin Snider Trustee 1.0 0.0 X 0 0 0 Marilyn Pesci Trustee 1.0 0.0 X 0 0 0 Diana Holt Director & Secretary 1.0 0.0 X X 0 0 0 Tracey Bennett Director & Treasurer 1.0 0.0 X X 0 0 0 Barbara VanKirk Director 1.0 0.0 X 0 0 0 DEBORAH SMITH DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH HALL DIRECTOR 1.0 0.0 X 0 0 0 MARK PERRY DIRECTOR 1.0 0.0 X 0 0 0 LEANNE ROBERTS DIRECTOR 1.0 0.0 X 0 0 0 RICHARD SULLIVAN MD DIRECTOR 1.0 0.0 X 0 0 0 BETH PATRI DIRECTOR 1.0 0.0 X 0 0 0 CATHERINE A CAPONI DIRECTOR 1.0 0.0 X 0 0 0 CHARLENE NEWKIRK DIRECTOR 1.0 0.0 X 0 0 0 GREGORY GUTTING DIRECTOR 1.0 0.0 X 0 0 0 TIMOTHY BONNER DIRECTOR 1.0 0.0 X 0 0 0 ROBERT GALBRAITH DIRECTOR 1.0 0.0 X 0 0 0 ROBERT POMPEANI DIRECTOR 1.0 0.0 X 0 0 0 MARY ECKERT DIRECTOR/SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 MICHAEL HELLER DIRECTOR 1.0 0.0 X 0 0 0 RICHARD OLINGER DIRECTOR 1.0 1.0 X 0 0 0 EARL BOHN DIRECTOR 1.0 0.0 X 0 0 0 ROBERT CINCALA DIRECTOR 1.0 0.0 X 0 0 0 MATTHEW COPPOLA 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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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true false false true 289070 false false 289070 false false 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. 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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. 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X X X X X X true true X X X true X See Section C X See Section C X See Section C X X X X X true X false X X X X true X false false SAINT VINCENT HEALTH CENTER 3 false false true X X X X X X X X X 18 true false false true X See Section C X true 18 true SEE SECTION C false true X 200. 0. X X X X X X true true X X X true X See Section C X See Section C X See Section C X X X X X true X false X X X X true X false false WESTFIELD MEMORIAL HOSPITAL INC 10 false false true X X X X X X X X X 18 true false false true X See Section C X true 18 true See Section C false true X 200. 0. X X X X true true X X X true X See Section C X See Section C X See Section C X X X X X true X false X X X X true X false false AHN EMERUS WESTMORELAND LLC 9 true false false false true X 200. 0. X X X X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false GROVE CITY MEDICAL CENTER 8 false false true X X X X X X X X X 18 true false false true X SEE SECTION C true 18 true SEE SECTION C false true X 200. 300. X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X true X false false 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. 52 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 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. true Alexis Joy D'Achille Foundation for PPD 2012 Lake Marshall Drive Gibsonia PA 15044 464212454 501(C)(3) 11000 N/A N/A SEE PART IV American Cancer Society 320 Bilmar Drive Pittsburgh PA 15205 131788491 501(C)(3) 12000 N/A N/A SEE PART IV American Diabetes Association Two Chatham Center 112 washington Pittsburgh PA 15219 131623888 501(C)(3) 10000 N/A N/A SEE PART IV American Heart Association 444 Liberty Avenue Suite 1300 Pittsburgh PA 15222 135613797 501(C)(3) 53500 N/A N/A SEE PART IV American Lung Association 810 River Avenue Pittsburgh PA 15212 131632524 501(C)(3) 6500 N/A N/A SEE PART IV Arthritis Foundation 790 Holiday Drive Pittsburgh PA 15220 581341679 501(C)(3) 12000 N/A N/A SEE PART IV Bayfront NATO Inc MLK JR Memorial Center 312 Chestnut Street Erie PA 16507 256085619 501(C)(3) 7500 N/A N/A SEE PART IV Bemus Bay Pops Inc PO BOX 9250 BEUMUS POINT NY 14712 050555451 501(C)(3) 10000 N/A N/A SEE PART IV City of Pittsburgh 310 Grant Street Pittsburgh PA 152190000 256000879 GOV'T 25000 N/A N/A SEE PART IV Community Blood Bank of Erie County 2646 Peach St Erie PA 16508 251181389 501(C)(3) 10000 N/A N/A SEE PART IV Community Food Warehouse of Mercer County 109 S Sharpsville Ave Sharon PA 16146 251446242 501(C)(3) 10000 N/A N/A SEE PART IV Crohn's & Colitis Foundation 5001 Baum Blvd Pittsburgh PA 15213 136193105 501(C)(3) 6000 N/A N/A SEE PART IV Cultures Arts Festivals & Events of Erie 626 State St Erie PA 16501 611428869 501(C)(3) 15000 N/A N/A SEE PART IV Dr Gertrude A Barber Foundation 100 Barber Place Erie PA 16507 251753149 501(C)(3) 7500 N/A N/A SEE PART IV Epilepsy Assoc of Western and Central PA 1501 Reedsdale Street Pittsburgh PA 15233 237241930 501(C)(3) 6000 N/A N/A SEE PART IV expERIEnce Children's Museum 420 French Street Erie PA 16507 251693861 501(C)(3) 10000 N/A N/A SEE PART IV JDRF International 501 Martindale Street Pittsburgh PA 15212 231907729 501(C)(3) 10000 N/A N/A SEE PART IV March of Dimes Inc 300 Cedar Ridge Drive Pittsburgh PA 15205 131846366 501(C)(3) 14000 N/A N/A SEE PART IV Mercy Center for Women 1039 East 27th St Erie PA 16504 251695659 501(C)(3) 20000 N/A N/A SEE PART IV National Kidney Foundation 2403 Sidney Street Pittsburgh PA 15203 131673104 501(C)(3) 6000 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) 6500 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) 7500 N/A N/A SEE PART IV Northside Chamber of Commerce 809 Middle Street Pittsburgh PA 15212 250696267 501(C)(6) 7000 N/A N/A SEE PART IV Pittsburgh Zoo & PPG Aquarium One Wild Place Pittsburgh PA 15206 251418766 501(C)(3) 12500 N/A N/A SEE PART IV Presque Isle Partnership 301 Peninsula Dr Erie PA 16505 251737521 501(C)(3) 20000 N/A N/A SEE PART IV Public Broadcasting of NW PA Inc 8425 Peach Street Erie PA 16509 251154116 501(C)(3) 9000 N/A N/A SEE PART IV Second Harvest Food Bank of NW PA 1507 Grimm Drive Erie PA 16501 251405798 501(C)(3) 25000 N/A N/A SEE PART IV Street Medicine Institute 1503 Abby Rose Ct Pittsburgh PA 15237 943489183 501(C)(3) 10000 N/A N/A SEE PART IV The Leukemia & Lymphoma Society 333 East Carson Street Pittsburgh PA 15219 135644916 501(C)(3) 6500 N/A N/A SEE PART IV Westfield Memorial Hosp Foundation INC 189 East Main Street Westfield NY 14787 222270533 501(C)(3) 50000 N/A N/A SEE PART IV 29 1 WEST PENN SCHOOL OF NURSING SCHOLARSHIPS 23 12988 AHN SCHOLARSHIPS 28 24818 AGH ALUMNAE SCHOLARSHIPS 14 17105 NEUBERT & SEYBOLD (AKMC TRUST) SCHOLARSHIPS 24 22250 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 X X X X true true X X X X X true true false false false false false true true true Scott Hankinson Director 39340 0 14153 0 171353 0 0 0 16521 0 241367 0 0 0 Tony Farah MD Director 0 928212 0 1129627 0 217000 0 9975 0 36034 0 2320848 0 0 David Parda MD Director 816800 0 395936 0 77659 0 2850 0 26016 0 1319261 0 0 0 Thomas Corkery DO Director 300000 0 15524 0 40625 0 2850 0 15679 0 374678 0 0 0 Jennifer Lewis MD Director 267010 0 51529 0 2142 0 2850 0 21314 0 344845 0 0 0 Jason Roeback Director 388392 0 97225 0 23202 0 2850 0 22561 0 534230 0 0 0 Thomas Murphy DIRECTOR/SECRETARY/TREASURER 119007 0 18368 0 124291 0 1060 0 21999 0 284725 0 0 0 Thomas Vankirk Director 0 685659 0 1587659 0 157432 0 24369 0 11794 0 2466913 0 0 Karen Hanlon Director 0 892909 0 2260477 0 59359 0 278559 0 27074 0 3518378 0 0 Paul Gausman DO Director 239513 0 174512 0 1232 0 2850 0 21238 0 439345 0 0 0 Jeffrey Kim MD Director 210631 0 90197 0 193 0 2850 0 21117 0 324988 0 0 0 Susan Moore MD Director 148000 0 44721 0 506 0 1927 0 21030 0 216184 0 0 0 Donald McNary Director 213639 0 51521 0 848 0 2136 0 8199 0 276343 0 0 0 Madhusudan Menon MD Director 329992 0 352673 0 1445 0 2850 0 1036 0 687996 0 0 0 Dawn Karns DO Director 123280 0 43515 0 188 0 1669 0 600 0 169252 0 0 0 Robert Lupo MD Director 611835 0 226625 0 1558 0 2850 0 22653 0 865521 0 0 0 Jeffrey McGovern MD Director 504423 0 58866 0 9845 0 2850 0 22626 0 598610 0 0 0 Donald Whiting MD Director/CHAIRMAN 1004968 0 528300 0 374725 0 9975 0 26468 0 1944436 0 0 0 Joseph C Guyaux Director 0 155430 0 0 0 0 0 0 0 0 0 155430 0 0 James Benedict Director/COO 439820 334231 825011 0 65750 106542 5755 4220 22737 14761 1359073 459754 0 0 Parminder Sharma MD Director 550000 0 210973 0 7620 0 2850 0 22118 0 793561 0 0 0 Venkatraman Srinivasan MD Trustee 629990 0 274210 0 8839 0 2850 0 20984 0 936873 0 0 0 Cynthia Hundorfean Director & President 1041464 0 1539335 0 295876 0 9975 0 22045 0 2908695 0 0 0 Louise Urban Director & President 480288 0 97577 0 48345 0 3924 0 19099 0 649233 0 0 0 Mark Rubino MD Director & President 474729 0 130092 0 58626 0 2850 0 18874 0 685171 0 0 0 Christopher Clark DO Director & President 428145 0 86171 0 26367 0 2850 0 22015 0 565548 0 0 0 Ronald Andro MD Director & President 452501 0 103250 0 58203 0 2850 0 22822 0 639626 0 0 0 G Scott Long MD Director & President 600000 0 363531 0 12364 0 2850 0 18877 0 997622 0 0 0 Allison Quick Director & President 297648 0 86854 0 6783 0 9975 0 32969 0 434229 0 0 0 Mark Nussbaum Director & Vice President 375857 0 165086 0 26383 0 11286 0 17434 0 596046 0 0 0 Keith LeJeune Director & Vice President 326041 0 44498 0 8935 0 9975 0 27349 0 416798 0 0 0 Jacqueline Bauer Director & Secretary 0 433528 0 438435 0 76233 0 26269 0 18888 0 993353 0 0 Jeffrey Crudele Former Director & Treasurer 17236 0 635099 0 1037262 0 0 0 15708 0 1705305 0 1036587 0 James Rohrbaugh Treasurer 456202 0 168336 0 21806 0 19679 0 33639 0 699662 0 0 0 Mark Leone DO Director 245000 0 72790 0 541 0 2850 0 21825 0 343006 0 0 0 Rand Levis Assistant Treasurer 334750 0 32500 0 5399 0 2850 0 22954 0 398453 0 0 0 Chong Park MD Chief Medical Officer 590166 0 0 0 4601 0 2850 0 21979 0 619596 0 0 0 Richard Thompson Vice President 365380 0 217884 0 19386 0 9975 0 16770 0 629395 0 0 0 George J Magovern Jr MD Physician 695011 0 0 0 9845 0 2850 0 20200 0 727906 0 0 0 Patrick Demeo MD Physician 700000 0 83333 0 307524 0 2850 0 22163 0 1115870 0 0 0 Susan Manzi MD Physician 599997 0 60000 0 4356 0 2850 0 7454 0 674657 0 0 0 Ngoc Thai MD PHYSICIAN 775000 0 150000 0 2001 0 2850 0 23310 0 953161 0 0 0 Robert White MD Chief Medical Info Officer 523460 0 535675 0 135603 0 9975 0 24018 0 1228731 0 0 0 Kenyokee Crowell Sr. Vice President 95391 415665 432958 0 11252 63692 9975 47676 6914 29058 556490 556091 0 0 Beth Casagranda MD Physician 549994 0 46781 0 900 0 2850 0 23256 0 623781 0 0 0 Claire Zangerle Chief Nursing Officer 440992 0 297947 0 54365 0 9975 0 1736 0 805015 0 0 0 SRICHARAN CHALIKONDA MD CHIEF MEDICAL OPS OFFICER 791355 0 491848 0 40472 0 80727 0 31514 0 1435916 0 0 0 John Lawrence MD Physician 549994 0 73500 0 1380 0 2850 0 23256 0 650980 0 0 0 DENZIL RUPERT CHIEF OPERATING OFFICER - AGH 467733 0 188820 0 20019 0 3996 0 20183 0 700751 0 0 0 Srinavas Murali MD Physician 562250 0 150000 0 92502 0 2850 0 14672 0 822274 0 0 0 EDWARD WESTRICK MD Physician 1050000 0 783593 0 1140 0 2850 0 25019 0 1862602 0 0 0 Daniel Altman MD Physician 1050000 0 385523 0 4902 0 2850 0 23603 0 1466878 0 0 0 Gregory Altman MD Physician 1050000 0 492018 0 4902 0 2850 0 23584 0 1573354 0 0 0 GEORGE EID MD Physician 899995 0 527426 0 2346 0 2850 0 19740 0 1452357 0 0 0 JOHN BALACKO MD DIRECTOR 480000 0 242913 0 3405 0 2850 0 18945 0 748113 0 0 0 Alexander Yu MD PHYSICIAN 719616 0 841607 0 811 0 2850 0 8760 0 1573644 0 0 0 GENE G FINELY MD DIRECTOR 550001 0 484586 0 15635 0 2850 0 19324 0 1072396 0 0 0 DAVID HOLMBERG DIRECTOR 0 1460577 0 5592104 0 710544 0 18669 0 41673 0 7823567 0 0 THOMAS CAMPBELL MD PHYSICIAN CHAIRPERSON 280001 0 46667 0 122780 0 2850 0 23731 0 476029 0 0 0 WILLIAM JOHNJULIO MD PHYSICIAN 700003 0 66972 0 79117 0 2850 0 22132 0 871074 0 0 0 JOSEPH ARACRI PHYSICIAN CHAIRPERSON 500000 0 36699 0 2245 0 2850 0 16502 0 558296 0 0 0 VICENTA GASPAR-YOO MD DIRECTOR 422334 0 42985 0 43585 0 2850 0 1326 0 513080 0 0 0 THOMAS HIPKISS Chief Financial Officer 235185 0 28500 0 512 0 2352 0 23554 0 290103 0 0 0 PETER LUND MD DIRECTOR 650000 0 138088 0 9144 0 2850 0 19569 0 819651 0 0 0 DANIEL MUCCIO MD DIRECTOR 521154 0 0 0 3713 0 2850 0 22630 0 550347 0 0 0 BRIAN PARKER MD DIRECTOR 581879 0 524965 0 52321 0 53099 0 33425 0 1245689 0 0 0 KAREN SURKALA PRESIDENT 243669 0 13224 0 535 0 2437 0 10380 0 270245 0 0 0 JAMES VALERIANO PHYSICIAN CHAIRPERSON 360000 0 109352 0 4735 0 2850 0 19714 0 496651 0 0 0 KELLY KASSAB VICE PRESIDENT & DIRECTOR 240001 0 22279 0 407 0 2400 0 20291 0 285378 0 0 0 DAVID BARTLETT PHYSICIAN 842308 0 0 0 3205 0 2850 0 15484 0 863847 0 0 0 KYMBERLE GYURE PHYSICIAN 498816 0 23000 0 2327 0 2850 0 9078 0 536071 0 0 0 HENRY WARD DIRECTOR 148835 0 14450 0 262 0 1488 0 20387 0 185422 0 0 0 BETSY BLAZEK-O'NEILL DIRECTOR 174720 0 0 0 0 0 1747 0 15426 0 191893 0 0 0 JOHN SMITH DIRECTOR & TREASURER 187623 0 17750 0 280 0 1876 0 21190 0 228719 0 0 0 ALLAN KLAPPER MD PHYSICIAN 115465 0 176121 0 115465 0 2850 0 17343 0 427244 0 0 0 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. A ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY 251327925 01728A4A1 2018-08-29 1000004532 NEW CONSTRUCTIONS/REFUND PRIOR ISS false false false A 0 0 1002911871 0 4532 0 0 0 0 196366686 896545185 0 true false true true A false true true true true true 0.01782 0.01782 false false true A false true false false true false 0 false 0 false true A false 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. CAITLIN CLARK FAMILY OF A BOARD MEMBER, CHRISTOPHER CLARK 300170 EMPLOYMENT false MARY BETH KROMER FAMILY OF A BOARD MEMBER, CHRISTOPHER CLARK 91680 EMPLOYMENT false KYUNG PARK FAMILY OF A BOARD MEMBER, CHONG PARK 647846 EMPLOYMENT false QUICK MED CLAIMS 35% CONTROLLED ENTITY 566130 SEE SCHEDULE L, PART V false WEST RIDGE MEDICAL PARTNERS 35% CONTROLLED ENTITY 842120 SEE SCHEDULE L, PART V false 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. X 328819 COST X 8 134935 FMV X 102 799317 COST X OTHER 32 46502 COST X GIFT CERTIFICATES 30 134184 COST X ENTERTAINMENT VOUCHERS 20 11655 COST X FESTIVELY DECORATED TREE 3 5733 COST X FOOD DONATIONS 219 370828 COST X CARE PACKAGES 11 94661 COST false true false Schedule M, Part I, Column B HIGHMARK HEALTH GROUP IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 AHN Surgery Center - Bethel Park LLC 1000 Higbee Drive Bethel Park PA 15102 473690355 Healthcare PA 6568065 1721942 AHN West Penn Allegheny Foundation LLC 4800 Friendship Avenue Pittsburgh PA 15224 201107650 Capital Acq. PA 3174836 25563939 WPAHS Peters Township ASC LLC 160 Gallery Drive McMurray PA 15317 273982341 Healthcare PA -4509 3291943 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 425328 260431 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 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 5148 Liberty Assoc 5989 Centre Avenue Pittsburgh PA 15206 251689871 Property Rental PA WPAHS Inc EXCLUDED 115836 624702 false false 0.50000 AHN Emerus LLC 30 Isabella St Pittsburgh PA 15212 823655381 Medical Practice PA AHN RELATED 10535380 39848788 false false 0.51000 AHN Home Infusion 312 West 25th Street Erie PA 16502 251736527 Medical Practice PA SVHS RELATED 34089099 13153388 false false 0.80000 Celtic Hospice 30 Isabella St Pittsburgh PA 15212 205661063 Medical Practice PA WPAHS Inc RELATED 6287528 25689927 false false 0.79900 JV Holdco LLC 30 Isabella St Pittsburgh PA 15212 472368587 Holding Company PA WPAHS Inc RELATED 9416833 29851318 false false 0.59610 Mccandles Endoscopy 4800 Friendship Ave Pittsburgh PA 15224 261284448 Medical Practice PA WPAHS Inc RELATED 530714 466890 false false 0.50000 N Shore Endoscopy 4800 Friendship Ave Pittsburgh PA 15224 251880238 Medical Practice PA WPAHS Inc RELATED 679718 390484 false false 0.50000 Provider PPI LLC 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 320429947 Group Purchasing PA HMPG RELATED 10609405 42167435 false false 0.99500 ST VINC PROF BLDG 312 West 25th Street Erie PA 16502 251578290 Property Mgmt PA CSI RELATED 355435 519086 false false 0.82660 Vantage HLDNG COMP 312 West 25th Street Erie PA 16502 030477182 Capital Mgmt PA CSI RELATED 325192 4847630 false false 0.50530 AHN-LECOM JV LLC 30 ISABELLA ST PITTSBURGH PA 15212 825500526 HEALTHCARE PA AHN RELATED 1778738 7058195 false false 0.50000 Clinical Services Inc 232 West 25th Street Erie PA 16544 251403846 Holding Company PA SVHS C Corp 3369688 7566021 1.00000 true Grandis Rubin Shanahan & Assoc 565 Coal Valley Rd Jefferson Hills PA 15025 453355906 Medical Practice PA JRMC C Corp -167888 95071 1.00000 true Health System Services Corp & Subs 565 Coal Valley Rd Jefferson Hills PA 15025 251403745 Real Estate Ops PA JRMC C Corp 3080457 15764725 1.00000 true HMPG Inc 120 Fifth Ave Suite 922 Pittsburgh PA 15222 453444325 Holding Company PA AHN C Corp 3889829 151533517 1.00000 true JRMC Physician Service Corp 565 Coal Valley Rd Jefferson Hills PA 15025 861159658 Medical Practice PA JRMC C Corp 305 0 1.00000 true Lake Erie Medical Group PC 120 Fifth Ave Suite 922 Pittsburgh PA 15222 453444157 Medical Practice PA AC C Corp 0 282956 1.00000 true Palladium Risk Retention Group 409 Broad St Ste 270 Sewickley PA 15143 463476730 Insurance VT WPAHS Inc C Corp 30303961 114512002 1.00000 true Physician Landing Zone PC 120 Fifth Ave Suite 922 Pittsburgh PA 15222 453913973 Health Care PA AC C Corp 2852305 458253 1.00000 true Premier Medical Associates PC 120 Fifth Ave Suite 922 Pittsburgh PA 15222 251742869 Medical Practice PA AC C Corp 64683922 29340011 1.00000 true Premier Women's Health 120 Fifth Ave Suite 922 Pittsburgh PA 15222 464682160 Medical Practice PA AC C Corp 2752398 460381 1.00000 true Primary Care Group 10 Inc 3726 Brownsville Rd Pittsburgh PA 15227 383807173 Medical Practice PA JRMC C Corp 0 0 1.00000 true West Penn Corporate Medical ServicesInc 4800 Friendship Avenue Pittsburgh PA 15224 251437405 Inactive PA WPAHS Inc C Corp 0 89483 1.00000 true West Penn Neurosurgery PC 4800 Friendship Avenue Pittsburgh PA 15224 251630719 Inactive PA WPAHS Inc C Corp 0 0 1.00000 true true true true true true false false false false true true true true true true true true true false Allegheny Clinic P 79041103 FMV Wexford Medical Mall LLC P 10566228 FMV Saint Vincent CIC Disease LLC P 1402148 FMV Osiris Properties P 263630 FMV Physician Partners of Western PA LLC P 70317 FMV Saint Vincent Rehab Solutions P 62358 FMV Allegheny Clinic Q 29303857 FMV Physician Landing Zone PC Q 4013812 FMV Monroeville Ambulatory Surgery Center LLC Q 3634580 FMV Wexford Medical Mall LLC Q 3311521 FMV Provider PPI LLC Q 1403371 FMV Gold Mist Advisors Q 337594 FMV Provider Supply Chain Services Q 205676 FMV AHN Home Infusion LLC Q 204341 FMV Summer Wind Management LLC Q 123081 FMV Principo Advisors LLC Q 93626 FMV HMPG Properties North Q 56725 FMV Highmark Health C 370000 FMV SCHEDULE R, PART V, LINE 2 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.