2017-11-13T10:14:20-06:00 2016-12-31 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2016-01-01 453674900 Highmark Health % CALEB KNIER HIGH 4125446668 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 KAREN L HANLON TREASURER 4125446668 2017-06-27 true Frank Giardini P00532355 2155614200 38.84.128.189 36941220173175000001 2017-11-13 P 5EE52350D8064944997C917589F6340F18592CBD 22D7406747876A322039924BC13534D309B72991 2016 2017-02-10 21:41:12Z David Holmberg 120 Fifth Avenue922 Pittsburgh PA 15222 229805147 false 6169 X www.highmarkhealth.org X 2011 PA Highmark Health is the parent entity of an interdependent healthcare system. See Part III, line 1 for our mission, vision and values. 11 10 1256 0 0 0 0 124615758 229766938 48594 38209 5825942 0 130490294 229805147 1287117 1318266 0 0 91868396 134840994 0 0 0 71699475 119665863 164854988 255825123 -34364694 -26019976 127264139 179475778 178048822 251257148 -50784683 -71781370 X HIGHMARK HEALTH IS THE PARENT OF AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS. SEE SCHEDULE O FOR OUR MISSION, VISION AND VALUES false false 204034171 1318266 229766938 Introduction to Highmark Health Highmark Health (HH) is the parent organization of an integrated delivery and financing system that includes Highmark Inc. and the Allegheny Health Network. HH provides strategic leadership, stewardship and support to the Allegheny Health Network to enable it to execute on its charitable mission. HH together with the Allegheny Health Network and within our integrated delivery and financing system are dedicated to improving the quality of care and driving down healthcare costs. Introduction to the Allegheny Health Network 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 eight hospitals and more than 250 healthcare sites, including four Health + Wellness Pavilions, surgical centers and outpatient clinics; a research institute; more than 2,800 employed and affiliated physicians; approximately 18,000 total employees; 2,000 volunteers; a group purchasing organization; and a complete spectrum of home and community based healthcare services. The Networks hospitals include one quaternary academic medical center (Allegheny General Hospital in Pittsburgh) and seven 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; Jefferson Hospital, Jefferson Hills, PA; Saint Vincent Hospital, Erie, PA; West Penn Hospital, Pittsburgh; and Westfield Memorial Hospital, Westfield, NY.) In 2016, the hospitals and clinics of AHN together admitted nearly 90,000 patients, logged 300,000 emergency room visits and delivered more than 7,300 babies; and its physicians performed more than 100,000 surgical procedures. 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, womens 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, mens 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 Networks hospitals serve as clinical campuses for the medical schools of Drexel University, Temple 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. AHNs plan is to transform the current model of health care delivery in Western Pennsylvania by encouraging health care providers within AHN, whether hospitals or physicians, to use the most cost-effective venue for care, adhere to the highest, evidence-based standards of care, and deliver superior outcomes by reducing unnecessary readmissions and healthcare associated complications. Providing cost-efficient, conveniently accessed care delivers value and benefit to local communities, partner health carriers, area businesses, and most of all to AHNs patients. The goal of AHN is to promote health and wellness in our communities by providing safe, compassionate, affordable health care to all who seek it, regardless of a patients race, creed, gender, national origin, physical or mental disability, or ability to pay. Vision and Strategy HH and AHN are fully commitment to building a value-based system, requiring a full-scale cultural change in the way that clinical services are delivered. This involves moving care to lower-cost settings; redesigning care models to promote integration and clinical standardization and passing those benefits along to employers and members; realigning payment to quality-and cost-performance; and embracing novel forms of integration and partnerships among different providers and payers. HH and AHN believe this path holds promise of correcting many of the fundamental issues affecting the health care industry today. Transition to that model, requires substantial investment to build the capabilities and new processes to support the necessary type of care, and requires a new strategy: Customer Value Creation: AHN and HH are building services, capabilities and products that are aligned to patients demands for value (access, experience, and quality at an affordable cost). Sustainable Growth: Focusing on businesses and customers where HH-AHNs commitment to customer value most resonates. That includes building on HHs history of investing in diversified healthcare businesses that can add jobs and value to the community. Clinician-led Care Delivery Transformation: Creating care models and underlying products and services that improve the experience and outcomes of patients, and that are oriented toward reducing waste in the healthcare system, by putting clinicians in the drivers seat. Core business performance: Improving the core systems that are required for delivering health care. Unparalleled Execution: Building the right systems, processes and care teams to ensure transformational execution across the Network. 2016 was a year of acceleration for that strategy, and that value-based delivery system: AHN created a new standard for access by launching same-day appointments in a market that was averaging 19 days wait time for a primary care physician appointment and 38 days for a specialist appointment; a Living Proof marketing campaign highlighted the high degree of patient touch and caring that AHN provides for its patients; and AHN, its community hospital partners, and its clinically integrated network of physicians are working together to create a lower-cost network that collaborates to build new, consistent and more effective care models. 204034171 true false false true false false false false false false true false false true true true false true false false true false false false false false false true false true false false false false false false false false false false false false false true true true false false true 231 0 true 1256 true false false false false false false false false false false X 11 10 true false false false false false false true true false false true true true true true true true true false PA X CALEB KNIER 4125444238 120 FIFTH AVENUE SUITE 924 Pittsburgh PA 15222 X Joseph Guyaux Chairman 1.0 10.0 X 0 131024 0 David Blandino MD Director 1.0 10.0 X 0 143604 0 Victor Roque Director 1.0 3.0 X 0 102164 0 Thomas Donahue Director 1.0 3.0 X 0 76424 0 Steven Hoffman CPA Director 1.0 3.0 X 0 104664 0 Gregory Jordan Esq Director 1.0 3.0 X 0 80024 0 David Malone Director 1.0 3.0 X 0 74024 0 David Matter Director 1.0 3.0 X 0 102794 0 Terrence Cavanaugh Director 4.0 0.0 X 0 0 0 Susan Shoval Director 1.0 3.0 X 0 932 87500 David Holmberg Ex Officio Director and Pres 40.0 0.0 X X 2563842 0 43577 Thomas Vankirk Secretary 40.0 0.0 X 936000 0 23643 Dennis Cronin Assistant Treasurer 40.0 0.0 X 381040 0 55655 Karen Hanlon CFO & Treasurer 40.0 0.0 X 954508 0 134738 Michael Bennett EVP Chief Strat & Transf Ofc 40.0 0.0 X 520095 0 50782 Melissa Anderson EVP Chf Aud&Cmp Ofcr 40.0 0.0 X 562545 0 87394 Daniel Onorato EVP, Corporate Affairs 39.0 1.0 X 751047 0 45005 Larry Kleinman EVP Chief HR Officer 40.0 0.0 X 691537 0 54309 Cindy Donohoe EVP Chief Marketing Officer 40.0 0.0 X 182712 365776 35933 Matt Feczko SVP Corp Dev & Invest 40.0 0.0 X 403600 0 40105 Marcia Oglan VP Client Engagement Lead 40.0 0.0 X 446807 0 21773 William Cashion SVP Chief Actuary 40.0 0.0 X 412804 0 48335 Karl Sparre VP Talent Solutions 40.0 0.0 X 434964 0 39755 Thomas Sterling VP HR Service Operations 40.0 0.0 X 426154 0 16697 David Carter SVP Corporate Communications 40.0 0.0 X 171083 0 335 William Winkenwerder Jr MDMB Former President & CEO 0.0 0.0 X 707799 0 0 Ray Hunter Carson Jr Former EVP Chief HR Officer 0.0 0.0 X 87237 0 4109 10633774 1181430 789645 243 true true false Targetcast LLC 909 3rd Avenue 31st Floor NEW YORK NY 10022 Advertising Services 9203934 Doner Partners LLC 26410 Network Place CHICAGO IL 60673 Advertising services 4757520 The Rightthing LLC PO Box 674050 DETROIT MI 48267 Professional service 3728934 Deloitte Consulting LLP PO Box 844717 DALLAS TX 75284 Consulting services 3604148 Epic Systems Corporation PO Box 88314 MILWAUKEE WI 53288 Software services 2761012 123 0 AFFILIATE EXPENSE REIMBURSEMENT 900099 210637902 210637902 EPIC SOFTWARE INC FROM AFFIL 501(C)(3) 900099 19129036 19129036 229766938 38209 38209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229805147 229766938 38209 1318266 1318266 0 0 0 8440137 6154267 2285870 92692 67591 25101 102042418 74405926 27636492 5424625 3955456 1469169 12104085 8825895 3278190 6737037 4912423 1824614 0 717064 444580 272484 715082 715082 149609 149609 0 0 4431820 2747728 1684092 0 4074488 2970981 1103507 36596634 32936971 3659663 0 1011154 737300 273854 1498863 1092921 405942 0 825430 601876 223554 7986620 5823577 2163043 0 13323502 9715054 3608448 819218 597346 221872 AFFILIATE EXP. REIMBURSEMENT 42891762 42891762 EPIC EQUIPMENT 1383771 1245394 138377 CORPORATE DUES 1112945 811522 301423 SPONSORSHIPS 844974 616127 228847 1282927 1011599 271328 255825123 204034171 51790952 0 0 0 6423908 18218016 0 0 0 0 0 0 0 0 0 0 0 0 5608021 5840684 140774628 14777095 112374191 125997533 1252185 1352292 0 0 0 0 0 0 1605834 28067253 127264139 179475778 20747032 57859999 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157301790 193397149 178048822 251257148 X -50784683 -71781370 0 0 0 0 -50784683 -71781370 127264139 179475778 X -26019976 66416 4956873 X false true X true false X X X 4 WEST PENN ALLEGHENY HEALTH SYSTEM INC 453674924 3 true 1516889113 0 CANONSBURG GENERAL HOSPITAL 251737079 3 true 52594986 0 ALLE-KISKI MEDICAL CENTER 251875178 3 true 116355257 0 JEFFERSON REGIONAL MEDICAL CENTER 251260215 3 true 252862289 0 4 1938701645 true false false false false true false false false false false false false false false false false Schedule A, Part IV, Section A, Line 6 HIGHMARK HEALTH (HH) PROVIDES SERVICES TO HIGHMARK INC. HIGHMARK INC. IS A PENNSYLVANIA NONPROFIT CORPORATION AND AN INDEPENDENT LICENSEE OF THE BLUE CROSS AND BLUE SHIELD ASSOCIATION. HH IS THE SOLE VOTING MEMBER OF HIGHMARK INC. IN ADDITION TO THE SERVICES HH PROVIDES TO HIGHMARK INC., HH SUPPORTS THE CHARITABLE MISSION OF THE ALLEGHENY HEALTH NETWORK. REFER TO SCHEDULE O FOR INFORMATION ON THE ALLEGHENY HEALTH NETWORK AND HHS ROLE IS SUPPORTING ITS MISSION. Schedule A, Part IV, Section B, Line 1 The Highmark Health (HH) board broadly represents the community served by the health system. The HH board is a self perpetuating board; the HH board members will select their successors. Schedule A, Part I - Information about Supported organizations: Highmark Health provided administrative and other services to the supported organizations listed. false true false false false false true 149609 false false 149609 false LOBBYING ACTIVITY Schedule C, Part II-B, Line 1g Highmark Health management, as needed, will make contact with elected and appointed officials at the federal, state and local levels. This contact is necessary to promote legislative actions with respect to healthcare related issues that could impact the organization and have adverse consequences for the communities we serve. 3491 1288 2203 29668080 5557328 24110752 111103057 9218479 101884578 125997533 INTERCOMPANY RECEIVABLES 28067253 28067253 0 RELATED PARTY LINE OF CREDIT 193397149 193397149 X Inclusion in consolidated audited financial statement: Highmark Health (HH) does not issue independent audited financial statements. HH is a component of a consolidated audited financial statement. The following analysis represents the reconciliation between the net loss on the financial statements and the net loss as reflected on IRS Form 990, Part 1, Line 19: (Reported in thousands of dollars) Net GAIN PER FINANCIAL STATEMENTS $ 58,567 REMOVE: EQUITY GAIN OF SUBSIDIARIES $ 84,587 --------- Net loss $(26,020) ========== 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 position 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. false false true false false false true ALLEGHENY CONFERENCE COMMUNITY DEVELOPEMENT PITTSBURGH PA 15219 250965213 501(C)(3) 283500 General Support ALLEGHENY HEALTH NETWORK JAQ M BAUER PITTSBURGH PA 15212 453674924 501(C)(3) 15000 General Support ALLE-KISKI VALLEY SENIOR CITIZENS CENTER PROJECT SEED NEW KENSINGTON PA 15068 251268694 501(C)(3) 7500 General Support ALLISON PARK CHURCH OF THE ASSEMBLIES 2326 DUNCAN AVENUE ALLISON PARK PA 15101 251303579 501(C)(3) 25000 General Support AMERICAN HEART ASSOCIATION CAP REG DIV WORMLEYSBURG PA 17043 135613797 501(C)(3) 25000 General Support BENEDICTINE SOCIETY OF WESTMORELAND county 232 WEST 25 STREET ERIE PA 16544 250964126 501(C)(3) 10000 General Support BETHANY COLLEGE PO BOX 419 BETHANY WV 26032 550356985 501(C)(3) 50000 General Support CARING FOUNDATION 70 NORTH MAIN STREET WILKES BARRE PA 18711 251494238 501(C)(3) 10000 General Support CARNEGIE INSTITUTE 707 PENN AVENUE PITTSBURGH PA 15222 250965280 501(C)(3) 7000 Research grant CARNEGIE MUSEUMS OF PITTSBURGH ONE ALLEGHENY AVE PITTSBURGH PA 15212 250965280 501(C)(3) 70000 General Support CARSON SCHOLARS FUND INC 305 WEST CHESAPEAKE AVENUE TOWSON MD 21204 521851346 501(C)(3) 30000 General Support CATHOLIC CHARITIES DIOCESE OF PGH INC 212 NINTH STREET PITTSBURGH PA 15222 251326213 501(C)(3) 25000 General Support CENTRAL CATHOLIC HIGH SCHOOL PITTSBURGH PA 15213 752370503 501(C)(3) 10000 General Support CHILDREN'S HOME OF PITTSBURGH 5618 KENTUCKY AVE PITTSBURGH PA 15232 250965292 501(C)(3) 20000 General Support CHILDREN'S MUSEUM OF PITTSBURGH 10 CHILDRENS WAY PITTSBURGH PA 15212 251379704 501(C)(3) 10000 General Support CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714585 501(C)(3) 25000 General Support COMMISSION ON ECONOMIC OPPORTUNITY 165 AMBER LANE WILKESBARRE PA 187031127 231653093 501(C)(3) 15000 General Support DICKINSON COLLEGE OLD WEST BUILDING CARLISLE PA 17013 231365954 501(C)(3) 15000 General Support DUQUESNE UNIVERSITY SCHOOL OF EDUCATION PITTSBURGH PA 15282 251035663 501(C)(3) 20000 General Support ERIE CITY MISSION 1023 FRENCH STREET ERIE PA 16501 250987217 501(C)(3) 25000 General Support FAMILY HOUSE INC 233 MCKEE PLACE PITTSBURGH PA 15213 251519959 501(C)(3) 10000 General Support FIRST LUTHERAN CHURCH 615 GRANT STREET PITTSBURGH PA 15219 250987227 501(C)(3) 20000 General Support FRIENDSHIP COMMUNITY PRESBYTERIAN CHURCH 181 ROBINSON STREET PITTSBURGH PA 15213 251456898 501(C)(3) 25000 General Support GEORGETOWN UNIVERSITY 37TH AND 0 STREET NW WASHINGTON DC 20057 530196603 501(C)(3) 10000 General Support GREAT BARRINGTON LAND CONSERVANCY INC LAKE M ALL GREAT BARRINGTON MA 01230 043091536 501(C)(3) 7500 General Support GREATER PITTSBURGH LITERACY COUNCIL 100 SHERIDAN SQUARE PITTSBURGH PA 15206 251392652 501(C)(3) 25000 General Support JEWISH COMMUNITY ALLIANCE OF NEPA 60 S RIVER ST WILKES BARRE PA 18702 240796936 501(C)(3) 20000 General Support JUBILEE ASSOCIATION INC PO BOX 42251 PITTSBURGH PA 152030051 251394229 501(C)(3) 10000 General Support MANCHESTER BIDWELL CORPORATION 1815 METRO ST PITTSBURGH PA 15233 251842945 501(C)(3) 20000 General Support MEDICAL ONCOLOGY ASSOCIATES 382 PIERCE STREET KINGSTON PA 18704 233092746 501(C)(3) 10000 RX ASSISTANCE FUND MERCYHURST UNIVERSITY 501 WEST 38TH STREET ERIE PA 16546 250965430 501(C)(3) 25000 General Support PITTSBURGH CULTURAL TRUST 125 7TH ST PITTSBURGH PA 15222 251469002 501(C)(3) 20000 General Support PITTSBURGH PROMISE 1901 CENTRE AVE PITTSBURGH PA 15219 261982661 501(C)(3) 10000 General Support PITTSBURGH PUBLIC THEATER ALLEGHENY SQUARE PITTSBURGH PA 15212 237398683 501(C)(3) 25000 General Support PITTSBURGH URBAN CHRISTIAN SCHOOL INC 809 CENTER STREET PITTSBURGH PA 15221 251405301 501(C)(3) 20000 General Support ROBERT MORRIS UNIVERSITY Ctr MOON TOWNSHIP PA 151081189 251120678 501(C)(3) 10000 General Support THE FOUNDATION FOR ENHANCING COMMUNITIES 200 NORTH THIRD STREET HARRISBURG PA 17101 010564355 501(C)(3) 65000 General Support UNITED WAY FOUNDATION OF THE CAPITAL ATTN SUE WARD-DIORIO ENOLA PA 17025 251733405 501(C)(3) 15000 General Support UNITED WAY OF ALLEGHENY COUNTY PO BOX 64715P PITTSBURGH PA 152640716 251043578 501(C)(3) 20000 General Support UNITED WAY OF WYOMING VALLEY 693 MAIN STREET NEW MILFORD PA 18834 240831490 501(C)(3) 10000 General Support UNIVERSITY OF PITTSBURGH OFc OF RES/COST ACCTG PITTSBURGH PA 15260 250965591 501(C)(3) 10000 General Support VILLANOVA UNIVERSITY LAW LIBRARY VILLANOVA PA 190851682 231352688 501(C)(3) 25000 General Support VOLUNTEERS IN MEDICINE BERKSHIRES INC 777 MAIN GREAT BARRINGTON MA 01230 900140004 501(C)(3) 10000 General Support WESTERN PENNSYLVANIA POLICE BENEVOLENT PO BOX 444 SOUTH PARK PA 15129 453323457 501(C)(3) 7500 General Support WYOMING SEMINARY 201 NORTH SPRAQUE AVENUE KINGSTON PA 18704 240795509 501(C)(3) 7500 General Support 46 Procedures For Monitoring The Use of Grant Funds In The U.S. Schedule I, Part I, Line 2 Highmark Health analyzes requests for charitable disbursements on an ongoing basis. Disbursements are awarded to organizations that demonstrate a charitable purpose, a community benefit and who will put the use of the funds toward the charitable mission for which Highmark Health was founded. X X X true true X X X X X true true false false false false false true true true David Holmberg Ex Officio Director and Pres 1324258 0 900000 0 339584 0 17645 0 36501 0 2617988 0 0 0 Thomas Vankirk Secretary 587670 0 260000 0 88330 0 20295 0 11115 0 967410 0 0 0 Michael Bennett EVP Chief Strat & Transf Ofc 497235 0 0 0 22860 0 23596 0 27892 0 571583 0 0 0 Dennis Cronin Assistant Treasurer 318081 0 40000 0 22959 0 33545 0 28536 0 443121 0 0 0 Karen Hanlon CFO & Treasurer 556685 0 375000 0 22823 0 117795 0 23683 0 1095986 0 0 0 Melissa Anderson EVP Chf Aud&Cmp Ofcr 391513 0 150000 0 21032 0 66845 0 26544 0 655934 0 0 0 Daniel Onorato EVP, Corporate Affairs 440089 0 150000 0 160958 0 17645 0 34725 0 803417 0 0 0 Larry Kleinman EVP Chief HR Officer 402533 0 200000 0 89004 0 41230 0 21886 0 754653 0 0 0 David Carter SVP Corporate Communications 45110 0 125000 0 973 0 0 0 335 0 171418 0 0 0 Cindy Donohoe EVP Chief Marketing Officer 169748 195315 0 165000 12964 5461 21112 0 8997 10371 212821 376147 0 0 Matt Feczko SVP Corp Dev & Invest 278864 0 105000 0 19736 0 14995 0 30067 0 448662 0 0 0 Marcia Oglan VP Client Engagement Lead 195796 0 50000 0 201011 0 0 0 23750 0 470557 0 0 0 William Cashion SVP Chief Actuary 364692 0 0 0 48112 0 20295 0 38418 0 471517 0 0 0 Karl Sparre VP Talent Solutions 295484 0 115000 0 24480 0 17645 0 25381 0 477990 0 0 0 Thomas Sterling VP HR Service Operations 196221 0 225000 0 4933 0 0 0 18691 0 444845 0 0 0 William Winkenwerder Jr MDMB Former President & CEO 0 0 7799 0 700000 0 0 0 0 0 707799 0 0 0 Ray Hunter Carson Jr Former EVP Chief HR Officer 0 0 0 0 87237 0 0 0 4109 0 91346 0 0 0 Housing Allowance Schedule J, Part I, Line 1a A select number of executives listed in Form 990, Part VII received reimbursement for relocation expenses from the organization during the tax year ended December 31, 2016. These were included in box 5 of their IRS Form W-2. Tax Indemnification and Gross Ups Schedule J, Part I, Line 1a A select number of executives listed in Form 990, Part VII received tax gross-up payments from the organization. These were included in box 5 of their IRS Form W-2. Health or Social Club Dues Schedule J, Part I, Line 1a A select number of executives listed in Form 990, Part VII received membership dues from the organization during the year ended December 31, 2016. These dues were included in that individuals box 5 of the IRS Form W-2. Severance Payment Schedule J, Part I, Line 4a The following individuals received severance payments as of December 31, 2016. These amounts are included in box 5 of their IRS Form W-2. William Winkenwerder Jr., MDMB $700,000 Ray Hunter Carson Jr. $87,237 Supplemental Nonqualified Retirement Plan Schedule J, Part I, Line 4b The following individuals participated in a supplemental nonqualified 457(f) retirement plan. Distributions from the plan, listed below, are included in box 5 of their IRS Form W-2. David Holmberg $308,440 Daniel Onorato $62,684 Thomas VanKirk $58,346 William Cashion $23,306 Nonfixed Payments Schedule J, Part I, Line 7 Highmark Health (HH) provides bonus compensation as part of its total compensation program for officers and key employees. In the vast majority of arrangements, this component is based upon accomplishment of predetermined performance goals and objectives and results in fixed payments. However, Highmark Health has entered into arrangements which provide for other bonuses which are discretionary in nature, to a limited number of those persons listed in this Form 990, Part VII, Section A, line 1A. Notwithstanding such discretion and assuming full payout of such discretionary payments, the total compensation paid to those persons falls within the range of fair market value. Paid/Accrued Comp Pursuant to a Contract Subj to the Initial Contract Excp Schedule J, Part I, Lines 8 and 9 Highmark Health (HH) have 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. Related Hours and Compensation Schedule J, Part II, Line 10 Cindy Donohoe transferred from Highmark, Inc. (a related entity) to Highmark Health on 7/2/2016, and worked 40 hours while in each role. Mission, Vision and Values Form 990, Part III, Line 1 MISSION HIGHMARK HEALTH IS THE PARENT OF AN INTERDEPENDENT SYSTEM DESIGNED TO DELIVER HIGH QUALITY, ACCESSIBLE, UNDERSTANDABLE AND AFFORDABLE EXPERIENCES, OUTCOMES AND SOLUTIONS FOR OUR CUSTOMERS. VISION HIGHMARK HEALTH'S DEDICATED AND RESPECTED EMPLOYEES WILL BE LEADERS IN THE HEALTH CARE INDUSTRY, WORKING TO IMPROVE THE TOTAL HEALTH CARE EXPERIENCE OF OUR CUSTOMERS. VALUES PEOPLE MATTER - EVERY PERSON CONTRIBUTES TO OUR SUCCESS. WE STRIVE FOR AN INCLUSIVE CULTURE, REGARDING PEOPLE AS PROFESSIONALS AND RESPECTING INDIVIDUAL DIFFERENCES WHILE FOCUSING ON THE COLLECTIVE WHOLE. STEWARDSHIP - WORKING TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND WISELY MANAGING THE ASSETS WHICH HAVE BEEN ENTRUSTED TO OUR CARE. TRUST - EARNING TRUST BY DELIVERING ON OUR COMMITMENTS AND LEADING BY EXAMPLE. INTEGRITY - COMMITTING TO THE HIGHEST STANDARDS ENCOMPASSING EVERY ASPECT OF OUR BEHAVIOR INCLUDING HIGH MORAL CHARACTER, RESPECT, HONESTY AND PERSONAL RESPONSIBILITY. CUSTOMER-FOCUSED COLLABORATION - BECAUSE NO ONE PERSON HAS ALL THE ANSWERS, WE ACTIVELY SEEK TO COLLABORATE WITH EACH OTHER TO ACHIEVE THE RIGHT OUTCOMES FOR OUR CUSTOMERS. COURAGE - EMPOWERING EACH OTHER TO ACT IN A PRINCIPLED MANNER AND TO TAKE APPROPRIATE RISKS TO DO WHAT IS RIGHT TO FULFILL OUR MISSION. INNOVATION - COMMITTING TO CONTINUOUS LEARNING AND EXPLORING NEW, BETTER, AND CREATIVE WAYS TO ACHIEVE OUR VISION. EXCELLENCE - BEING ACCOUNTABLE FOR CONSISTENTLY EXCEEDING THE EXPECTATIONS OF THOSE WE SERVE. Business Relationships Form 990, Part VI, Line 2 The following Board members have a business relationship through their connection of serving together on the Board of related taxable non-profit organizations: David Malone, David Blandino, David Matter, Steven Hoffman, Thomas Donahue, Victor Roque, Joseph Guyaux, Gregory Jordan, Susan Shoval. David Holmberg and Dennis Cronin have a business relationship. Review Process Form 990, Part VI, Line 11b The Highmark Health IRS Form 990 was prepared by its external tax advisors, Grant Thornton, LLP and reviewed by the Highmark Health Tax Department, Senior Management of the organization and the Audit and Compliance Committee. Before filing the tax return with the Internal Revenue Service, a final copy was provided to all members of the Board of Directors. Conflict Of Interest Policy Monitoring And Enforcement Form 990, Part VI, Line 12c Highmark Health (HH), has a corporate compliance department that monitors and oversees compliance with the Conflict of Interest Policy for all entities within the filing group. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy: Conflict of interest disclosure forms are completed on an annual basis by all board members, officers, and any person who has authority to act on behalf of the board of directors, key employees, managers and above, persons with purchasing authority including procurement department employees and committee which may influence purchasing decisions, and any other employees as designated by the compliance department. Upon completion of the above disclosure statement by all applicable individuals, the integrity and compliance department reviews all disclosures. Those that require additional information or clarification are contacted by the integrity and compliance department requesting such. Once received, all information is evaluated in consultation with the legal department and senior management as applicable to determine whether a real or potential conflict of interest exists. Those conflicts that require a mitigation plan are developed and approved in coordination with the respective responsible senior management. The senior managers are responsible for discussing the mitigation plan with the individual as needed and monitoring compliance with the mitigation plan. A final report of all board and executive level management disclosures is submitted for review to the audit and compliance subcommittee of the board, as well as by the board of directors. Process used to determine executive compensation Form 990, Part VI, Line 15a and 15B The Highmark Health (HH) corporate follows a process for determining compensation for executive positions, (including officers, key employees and other management positions), and are covered by the HH executive compensation policy. The policy was approved by the Highmark Health board of directors. It is the policy of HH management to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with HH. The personnel and compensation committee (P&C) recommends and the HH Board approves the compensation for the president and CEO of HH. The P&C committee approves the compensation of all senior executives who report directly to the president and CEO of HH, the compensation of the President and CEO of AHN and the compensation of all non-hospital senior executives who report directly to the CEO of AHN. The P&C committee uses comparability data provided by an independent compensation consultant. The external consultant provides a letter of reasonability for all offers made to new executives that report to the HH CEO, AHN CEO and the direct reports of each. Each P&C committee member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. HH management, in coordination with the independent consultant to the HH P&C committee obtains appropriate market comparability data for each entity, including nationally published compensation surveys and/or specific organization peer groups, to prepare compensation recommendations for all key executives, including officers, key employees, and other disqualified persons. Recommendations are reviewed and approved by a committee that is independent with respect to the compensation provided to the executives. Compensation may include several forms of cash compensation, including base salary, performance-based incentive compensation, and a competitive employee benefits program. Base salary is the fixed element of compensation intended to align with each executives role, responsibilities, overall performance and other contributions. Incentive compensation is used to provide variable, or "at risk" compensation based on the performance of both the executive and the organization. Executives can earn incentive compensation only if the organization achieves certain pre-determined financial goals. The plans are intended to hold executives accountable for achieving performance that is consistent with the short-term and long-term goals and objectives of the organization. All entities within the filing follow the requirement in the regulations to comply with the rebuttable presumption of the reasonableness of compensation. Public availability of organizational documents Form 990, Part VI, Line 19 Highmark Health (HH) does not make its governing documents available to the public. The audited financial statements of HH are included in a consolidated financial statement for the health system. It is available upon request and approval by the CFO of Highmark Health. HH has adopted a conflict of interest policy that is uniformly applied to all HH organizations. This policy is not made available to the public. Independent Contractors Part VII, Section B, Line 1 The expenditures of Highmark Health are paid by affiliated organizations and reimbursed by Highmark Health. The affiliate organizations issue Forms 990 separate from Highmark Health. Listed in this Form 990, Part VII are the five highest paid independent contractors that provided services to Highmark Health for which Highmark Health reimbursed the affiliated organizations. Other changes in net assets or fund Form 990, Part IX, Line 9 Equity transfers to subsidiaries $4,956,873 Allegheny Clinic 320 East North Ave Pittsburgh PA 15212 251838458 Healthcare PA 501(c)(3) 03 WPAHS INC false Allegheny Clinic Medical Oncology 4800 Friendship Ave Pittsburgh PA 15224 113683376 Healthcare PA 501(c)(3) 12-TYPE III WPAHS INC false Allegheny Health Network 120 Fifth Ave Suite 922 Pittsburgh PA 15222 453674924 Healthcare PA 501(c)(3) 12-TYPE I Highmark Hea true Allegheny Singer Research Institute 320 East North Ave Pittsburgh PA 15212 251320493 Sci Research PA 501(c)(3) 04 WPAHS INC false Alle-Kiski Medical Center 1301 Carlisle Street Pittsburgh PA 15065 251875178 Healthcare PA 501(c)(3) 03 WPAHS INC false Alle-Kiski Medical Center Trust 1301 Carlisle Street Pittsburgh PA 15065 205855753 Fundraising PA 501(c)(3) 12-TYPE I AKMC false Canonsburg General Hospital 100 Medical Boulevard Canonsburg PA 15317 251737079 Healthcare PA 501(c)(3) 03 WPAHS INC false Canonsburg General Hospital Ambulance Se 100 Medical Boulevard Canonsburg PA 15317 232939715 ER Response PA 501(c)(3) 10 CGH false Canonsburg Hospital & Health Foundation 100 Medical Boulevard Canonsburg PA 15317 251818505 Inactive PA 501(c)(3) 12-TYPE I NA false Clinical Pathology Institute Cooperative 1526 Peach Street Erie PA 16501 251528055 Healthcare PA 501(c)(3) 03 SVHC false Community Blood Bank 232 West 25th Street Erie PA 16544 251181389 Healthcare PA 501(c)(3) 12-TYPE I SVHC false Energycare Inc 232 West 25th Street Erie PA 16544 251430922 Healthcare PA 501(c)(3) 10 SVHC false Forbes Health Foundation 2570 Haymaker Rd Monroeville PA 15146 251798379 Fundraising PA 501(c)(3) 07 WPAHS INC false Greater Canonsburg Health System 100 Medical Boulevard Canonsburg PA 15317 251488089 Inactive PA 501(c)(3) 12-TYPE I NA false Jefferson Regional Medical Center 565 Coal Valley Rd Jefferson Hills PA 15236 251260215 Healthcare PA 501(c)(3) 03 AHN false Regional Cancer Center 232 West 25th Street Erie PA 16544 251385705 Healthcare PA 501(c)(3) 03 SVHS false Regional Heart Network 232 West 25th Street Erie PA 16544 251856341 Healthcare PA 501(c)(3) 03 SVHC false Regional Home Health and Hospice 232 West 25th Street Erie PA 16544 830371265 Healthcare PA 501(c)(3) 10 SVHC false Saint Vincent Affiliated Physicians 1910 Sassafras Street Erie PA 16502 203784338 Healthcare PA 501(c)(3) 10 SVHS false Saint Vincent Foundation - HHS 232 West 25th Street Erie PA 16544 251669168 Fundraising PA 501(c)(3) 12-TYPE I SVHS false Saint Vincent Health Center 232 West 25th Street Erie PA 16544 250965547 Healthcare PA 501(c)(3) 03 AHN false Saint Vincent Health System 232 West 25th Street Erie PA 16544 251406710 Healthcare PA 501(c)(3) 12-TYPE I AHN false Saint Vincent Med Ed & Research 1910 Sassafras Street Erie PA 16502 251679140 Healthcare PA 501(c)(3) 10 SVHS false Suburban Health Foundation 100 South Jackson Ave Pittsburgh PA 15202 251472073 Fundraising PA 501(c)(3) 12-TYPE I WPAHS INC false The Western Pennsylvania Hospital Founda 4800 Friendship Ave Pittsburgh PA 15224 251470766 Fundraising PA 501(c)(3) 12-TYPE I WPAHS INC false Vantage Health Group 232 West 25th Street Erie PA 16544 251498145 Healthcare PA 501(c)(3) 03 SVHC false West Allegheny Hospital 100 Medical Boulevard Pittsburgh PA 15317 251054206 Inactive PA 501(c)(3) 03 NA false West Penn Allegheny Health System Inc 4800 friendship ave Pittsburgh PA 15224 250969492 Healthcare PA 501(c)(3) 03 AHN false Westfield Memorial Hospital Inc 189 East Main Street Westfield NY 14787 160743222 Healthcare NY 501(c)(3) 03 SVHS false Allegheny Medical Practice Network 4800 friendship ave Pittsburgh PA 15224 251838457 healthcare PA 501(c)(3) 03 WPAHS INC false Gateway Health Foundation 444 Liberty Avenue pittsburgh PA 15222 811343916 fundraising PA 501(c)(3) 12a Gateway LP false 5148 Liberty Avenue Associates 5989 Centre Avenue Pittsburgh PA 15206 251689871 Property Rental PA NA 0 0 false false Allegheny Imaging of Mccandles 4800 Friendship Ave Pittsburgh PA 15224 300314897 Medical Practice PA NA 0 0 false false Associated Clinical Lab LP 312 West 25th Street Erie PA 16502 251533746 Medical Practice PA NA 0 0 false false Associated Clinical Lab of PA 312 West 25th Street Erie PA 16502 453688292 Medical Practice PA NA 0 0 false false Erie Medical Complex LLC 312 West 25th Street Erie PA 16502 201017545 Medical Practice PA NA 0 0 false false Gateway Health Plan LP 444 Liberty Avenue Suite 2100 Pittsburgh PA 15222 251691945 Health Plan PA NA 0 0 false false Jefferson Medical Associates L 565 Coal Valley Rd Jefferson Hills PA 15236 251740456 Medical Practice PA NA 0 0 false false Jenkins Empire Associates 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251524682 Property Mgmt PA NA 0 0 false false JV Holdco LLC 30 Isabella St Pittsburgh PA 15212 472368587 holding company PA NA 0 0 false false Mccandless Endoscopy Center 4800 Friendship Ave Pittsburgh PA 15224 261284448 Medical Practice PA NA 0 0 false false North Shore Endoscopy Center 4800 Friendship Ave Pittsburgh PA 15224 251880238 Medical Practice PA NA 0 0 false false Provider PPI LLC 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 320429947 Facilities Suppor PA NA 0 0 false false Saint Vincent Professional Bld 312 West 25th Street Pittsburgh PA 16502 320429947 Property Mgmt PA NA 0 0 false false Silver Rain LP 30 isabella st pittsburgh PA 15212 273035436 Property Mgmt PA NA 0 0 false false South Hills Surgery Center LL 6161 Clairton Rd Pittsburgh PA 15122 274011352 Medical Practice PA NA 0 0 false false Tri State Regional Assoc LLP 312 West 25th Street erie PA 16502 232919277 Medical Practice PA NA 0 0 false false UPMC VNA Home Health LP 565 coal valley rd jeffeson hills PA 15236 251844485 Medical Practice PA NA 0 0 false false Upper Midwest Consol Services 565 coal valley rd jeffeson hills PA 15236 263112347 Medical Practice PA NA 0 0 false false Vantage Capital Management Ltd 312 West 25th Street erie PA 16502 233099689 Capital Mgmt PA NA 0 0 false false Vantage Holding Company LLC 312 West 25th Street Erie PA 16502 030477182 Capital Mgmt PA NA 0 0 false false Waterfront Surgery Center LLC 565 Coal Valley Rd Jefferson Hills PA 15236 251898743 Medical Practice PA NA 0 0 false false WSC Realty Partners LP 565 Coal Valley Rd Jefferson Hills PA 15236 251874990 Property Mgmt PA NA 0 0 false false Allegheny Health Network Home Infusion 312 West 25th Street Erie PA 16502 251736527 Medical Practice PA na 0 0 false false Thryve Digital Health LLP 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 981311003 Info Tech IN na 0 0 false false AHN Emergency Medicine Mgmt 30 Isabella St Pittsburgh PA 15212 465705484 Medical Practice PA NA 0 0 false false Healthcare Supply Chain Innovations 30 Isabella St Pittsburgh PA 15212 472509307 Group Purch. DE NA 0 0 false false Celtic Hospice and Palliative Care LLC 30 Isabella St Pittsburgh PA 15212 205661063 Medical Practice PA na 0 0 false false Clinical Services Inc 232 West 25th Street Erie PA 16544 251403846 Holding Company PA SVHS C Corp false Davis Vision IPA Inc 175 East Houston Street San Antonio TX 78205 112958041 TPA NY Davis Vision C Corp false Davis Vision Inc 175 East Houston Street San Antonio TX 78205 113051991 Vision Servic NY HVHC C Corp false ECCA Managed Vision Care Inc 175 East Houston Street San Antonio TX 78205 742759084 Physician Ser TX VW of Amer C Corp false Empire Vision Center Inc 175 East Houston Street San Antonio TX 78205 141586016 Retail Sales NY VW of Amer C Corp false Eye Drx Retail Management Inc 175 East Houston Street San Antonio TX 78205 742924030 Office Admini DE VW of Amer C Corp false Family Practice Medical Associates South 2414 Lytle Road Suite 300 Bethel Park PA 15102 251684735 Medical Pract PA JRMC C Corp false Gateway Health Plan of Ohio Inc 444 Liberty Avenue Suite 2100 Pittsburgh PA 15222 300282076 Insurance PA Gateway LP C Corp false Gateway Health Plan Inc 444 Liberty Avenue Suite 2100 Pittsburgh PA 15222 251505506 Insurance PA Gateway LP C Corp false Grandis Rubin Shanahan & Assoc 565 Coal Valley Road Jefferson Hills PA 15025 453355906 Medical Pract PA JRMC C Corp false HCI Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 753002215 Insurance VT Highmark Inc C Corp false Health System Services Corp & Subs 565 Coal Valley Road Jefferson Hills PA 15025 251403745 Medical Office PA JRMC C Corp false Highmark BCBSD Inc 800 Delaware Avenue Wilmington DE 198011368 510020405 Insurance DE Highmark Inc C Corp false Highmark Benefits Group Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 464763378 Insurance PA Highmark Inc C Corp false Highmark Casualty Insurance Company 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251334623 Insurance PA HMIG C Corp false Highmark Coverage Advantage Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 464757476 Insurance PA Highmark Inc C Corp false Highmark Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 231294723 Insurance PA HM Health C Corp false Highmark Select Resources Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 202353206 Insurance PA Highmark Inc C Corp false Highmark Senior Health Company 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 464156633 Insurance Sal PA Highmark Inc C Corp false Highmark Senior Solutions Company 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 464156854 Insurance WA Highmark WV C Corp false Highmark Ventures Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251645888 Holding Compa PA Highmark Inc C Corp false Highmark West Virginia PO Box 1948 Parkersburg WV 26102 550624615 Insurance WV Highmark Inc C Corp false HM Benefits Administrators Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251128451 Funds Adminis PA HMIG C Corp false HM Casualty Insurance Company 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 870807723 Insurance PA HMIG C Corp false HM Health Solutions Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 463823617 Info Technology PA Highmark Inc C Corp 721335000 119531703 1.00000 false HM Insurance Group 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251646315 Holding Company PA Highmark Inc C Corp false HM Life Insurance Company 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 061041332 Insurance PA HMIG C Corp false HM Life Insurance Company of New York 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251800302 Insurance NY HMIG C Corp false HMPG Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 453444325 Holding Compa PA AHN C Corp false HVHC Inc 175 East Houston Street San Antonio TX 78205 251801124 Holding Compa DE Highmark Inc C Corp false JEA Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251712017 RE Operations PA Highmark Inc C Corp false Jefferson Hills Surgical Specialists PA 1200 Brooks Lane 150 Clairton PA 15025 300477313 Medical Practice PA JRMC C Corp false JRMC Physician Service Corp 565 Coal Valley Road Jefferson Hills PA 15025 861159658 Medical Practice PA JRMC C Corp false JRMC Specialty Group Practice 565 Coal Valley Road Jefferson Hills PA 15025 721529332 Medical Practice PA JRMC C Corp false Klingensmith Healthcare Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251375204 Health Care PA HMPG Inc C Corp false Lake Erie Medical Group PC 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 453444157 Health Care PA AC C Corp false Optima Imaging 4800 Friendship Avenue Pittsburgh PA 15224 251652874 Medical Practice PA WPAHS INC S Corp false Palladium Risk Retention Group 409 Broad Street Suite 270 Sewickley PA 15143 463476730 Insurance VT WPAHS Inc C Corp false Park Cardiothoracic & Vascular Inst 565 Coal Valley Road Jefferson Hills PA 15025 721529328 Medical Practice PA JRMC C Corp false Parker Benefits PO Box 1948 Parkersburg WV 26102 550625743 TPA WV Highmark WV C Corp false Physician Landing Zone PC 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 453913973 Health Care PA AC C Corp false Pittsburgh Bone Joint and Spine Inc 1200 Brooks Lane Suite G20 Jefferson Hills PA 15025 900925581 Medical Practice PA JRMC C Corp false Pittsburgh Pulmonary & Critical Care Ass 1200 Brooks Lane Suite 130 Clairton PA 15025 463274101 Medical Practice PA JRMC C Corp false Premier Medical Associates PC 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251742869 Health Care PA AC C Corp false Primary Care Group 10 Inc 3726 Brownsville Road Pittsburgh PA 15227 383807173 Medical Practice PA JRMC C Corp false Primary Care Group 11 Inc 455 Valley Brook Road Suite 300 McMurray PA 15317 800494617 Medical Practice PA JRMC C Corp false Primary Care Group 12 Inc 17 Arentzen Blvd Suite 101 Charleroi PA 15022 900614054 Medical Practice PA JRMC C Corp false Primary Care Group 2 Inc 6011 Baptist Road Suite 220 Pittsburgh PA 15236 900451375 Medical Practice PA JRMC C Corp false Primary Care Group 3 Inc 5426 Mifflin Road Pittsburgh PA 15227 900451380 Medical Practice PA JRMC C Corp false Primary Care Group 4 Inc 1907 Lebanon Church Road West Mifflin PA 15122 800403090 Medical Practice PA JRMC C Corp false Primary Care Group 5 Inc 624 Monongahela Avenue Glassport PA 15045 800403100 Medical Practice PA JRMC C Corp false Primary Care Group 6 Inc PO Box 333 West Mifflin PA 15122 900503600 Medical Practice PA JRMC C Corp false Primary Care Group 7 Inc 575 Coal Valley Road Jefferson Hills PA 15025 251287041 Medical Practice PA JRMC C Corp false Primary Care Group 8 Inc 803 Miller Avenue Clairton PA 15025 010927360 Medical Practice PA JRMC C Corp false Prime Medical Group PCG 1 1200 Brooks Lane 110 Clairton PA 15025 264194208 Medical Practice PA JRMC C Corp false Remworks Sleep Store Inc 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251411844 Rental & Sales PA Highmark Inc C Corp false South Pittsburgh Urology Associates 1200 Brooks Lane Suite 220 Clairton PA 15025 464954859 Medical Practice PA JRMC C Corp false Specialty Group Practice 1 Inc 575 Coal Valley Road Street 365 Clairton PA 15025 352367818 Medical Practice PA JRMC C Corp false Standard Property Corporation 120 Fifth Avenue Suite 922 Pittsburgh PA 15222 251668093 RE Operations PA Highmark Inc C Corp false Steel Valley Orthopedics & Sports Medici 1200 Brooks Lane 240 Clairton PA 15025 453540378 Medical Practice PA JRMC C Corp false United Concordia Companies Inc 4401 Deer Path Road Harrisburg PA 17110 251687586 Dental Insurance PA Highmark Inc C Corp false United Concordia Dental Corporation of A 4401 Deer Path Road Harrisburg PA 17110 631028262 Dental Insurance AL UCCI C Corp false United Concordia Dental Plans of Califor 4401 Deer Path Road Harrisburg PA 17110 237328765 Dental Insurance CA UCCI C Corp false United Concordia Dental Plans of Kentuck 4401 Deer Path Road Harrisburg PA 17110 611012900 Dental Insurance KY UCCI C Corp false United Concordia Dental Plans of Pennsyl 4401 Deer Path Road Harrisburg PA 17110 232541529 Dental Insurance PA UCCI C Corp false United Concordia Dental Plans of Texas 4401 Deer Path Road Harrisburg PA 17110 742489037 Dental Insurance TX UCCI C Corp false United Concordia Dental Plans of The Mid 4401 Deer Path Road Harrisburg PA 17110 382289438 Dental Insurance MI UCCI C Corp false United Concordia Dental Plans Inc 4401 Deer Path Road Harrisburg PA 17110 521542269 Dental Insurance MD UCCI C Corp false United Concordia Insurance Company 4401 Deer Path Road Harrisburg PA 17110 860307623 Dental Insurance AZ UCL&H C Corp false United Concordia Insurance Company of NE 4401 Deer Path Road Harrisburg PA 17110 113008245 Dental Insurance NY UCCI C Corp false United Concordia Life and Health Insuran 4401 Deer Path Road Harrisburg PA 17110 231661402 Dental Insurance PA UCCI C Corp false Visionary Properties Inc 175 East Houston Street San Antonio TX 78205 742849554 Leasing DE VW of Amer C Corp false Visionary Retail Management Inc 175 East Houston Street San Antonio TX 78205 742849552 Office Admin DE VW of Amer C Corp false Visionworks Enterprises Inc 175 East Houston Street San Antonio TX 78205 352196998 Trademarks DE VW of Amer C Corp false Visionworks Lab Services Inc 175 East Houston Street San Antonio TX 78205 043742977 Optical Retail TX VW of Amer C Corp false Visionworks of America Inc 175 East Houston Street San Antonio TX 78205 742337775 Retail Sales TX HVHC C Corp false Visionworks Inc 175 East Houston Street San Antonio TX 78205 020677066 Optical Retail DE VW of Amer C Corp false West Penn Corporate Medical Servs Inc 4800 Friendship Avenue Pittsburgh PA 15224 251437405 Medical Practice PA WPAHS INC C Corp false West Penn Neurosurgery PC 4800 Friendship Avenue Pittsburgh PA 15224 251630719 Medical Practice PA WPAHS INC C Corp false West Virginia Family Health Plan Inc 1219 Virginia Street East Charleston WV 25301 452763165 Insurance WV Highmark WV C Corp false First Priority Life Insurance Company I 19 North Main Street WilkesBarre PA 18711 232905083 Insurance TX Highmark Inc C Corp false HM Centered Health 120 Fifth Ave Suite 922 Pittsburgh PA 15222 205457337 Insurance PA Highmark Inc C Corp false HM Health Holdings Company 120 Fifth Ave Suite 922 Pittsburgh PA 15222 810919390 Holding Company PA HM Health C Corp 101223 143997 1.00000 true HMO of Northeastern Pennsylvania Inc 19 North Main Street WilkesBarre PA 18711 232413324 Insurance PA Highmark Inc C Corp false Highmark Choice Company 120 Fifth Ave Suite 922 Pittsburgh PA 15222 251522457 insurance PA highmark inc c corp false Premier Women's Health 120 Fifth Ave Suite 922 Pittsburgh PA 15222 464682160 medical practice PA AC C Corp false First Priority Life Insurance Company I 19 North Main Street WilkesBarre PA 18711 232905083 Insurance PA Highmark Inc C Corp false Highmark BCBSD Health Options Inc 800 Delaware Avenue Wilmington DE 19801 471817274 Insurance DE HM DE C Corp false HM Health Insurance Company 120 Fifth Ave Suite 922 Pittsburgh PA 15222 541637426 Insurance PA Highmark Inc C Corp false Visionworks Distribution Services Inc 175 East Houston Street San Antonio TX 78205 043742989 Optical Retail TX VW of Amer C Corp false false true false false false true false false false false false true true false false true true false false HM Health Holding Co B 250000 FMV Allegheny Health Network B 553500 FMV HM Health Solutions F 5756000 FMV Allegheny Health Network L, Q 66435849 FMV HM Home and Community Services L, Q 688807 FMV Highmark Inc l, m, 713070626 FMV HM Health Solutions l, m, 107374268 FMV Schedule R, Part V, Line 2 Highmark Health transacts business with the listed related organizations in the manner identified in column 2(b). Due to the administrative difficulties associated with a detailed breakdown of transaction type L, M, P and Q, Highmark Health has chosen to reflect these transactions combined for purposes of disclosure on Schedule R, Part V, Line 2.