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61S A'Qt P/VSCHEDULE 0 Supplemental Information to Form 990 or 990-EZ

OMB No. 1545-0047

(Form 990 or 990-EZ) 2@1JC

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GROUP

Employerldentlfcadon number

_45 - 67f900

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 HEALTH SERVICES TO

PATIENTS THROUGHOUT WESTERN PENNSYLVANIA AND THE ADJACENT MULTI-STATE

REGION OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. PART OF HIGHMARK

HEALTH (HH), AHN COMPRISES EIGHT HOSPITALS AND MORE THAN 200 ADDITIONAL

HEALTHCARE SITES, INCLUDING HEALTH + WELLNESS PAVILIONS; A RESEARCH

INSTITUTE; MORE THAN 2,800 EMPLOYED AND AFFILIATED PHYSICIANS; 17,000

STAFF MEMBERS; 2,000 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, AND SEVEN TERTIARY/COMMUNITY

HOSPITALS THAT PROVIDE A COMPREHENSIVE ARRAY OF GENERAL AND ADVANCED

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.

AHN WAS ESTABLISHED IN 2013, BUT ITS MEMBER HOSPITALS SHARE LEGACIES OF

CHARITABLE CARE THAT DATE BACK MORE THAN 160 YEARS (WEST PENN HOSPITAL

WAS CHARTERED IN 1848). AHN WAS FORMED TO ACT

THE HOSPITALS OF THE FORMER WEST PENN ALLEGHEN

For Privacy Act and Paperwork Reduction Act Notice , see the

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HIGHMARK HEALTH GROUP 45-3674900

(WPAHS), AS WELL AS JEFFERSON HOSPITAL, SAINT VINCENT HOSPITAL AND

WESTFIELD MEMORIAL HOSPITAL. HIGHMARK HEALTH, IN TURN, SERVES AS THE

ULTIMATE PARENT OF AHN AND ITS AFFILIATES.

EACH YEAR, THE HOSPITALS AND CLINICS OF AHN TOGETHER ADMIT NEARLY 100,000

PATIENTS, LOG 300,000 EMERGENCY ROOM VISITS AND DELIVER 6,500 BABIES; AND

ITS PHYSICIANS PERFORM 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, 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 46 GRADUATE MEDICAL PROGRAMS, THREE

MEDICAL SCHOOL AFFILIATIONS AND TWO NURSING SCHOOLS. THE NETWORK'S

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 MORE THAN 500 MEDICAL RESIDENTS

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HIGHMARK HEALTH GROUP 45-36749 00

AND FELLOWS RECEIVE ADVANCED TRAINING ON STAFF AT AHN HOSPITALS.

ANN'S GOAL 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 OUR COMMUNITIES,

OUR PARTNER HEALTH CARRIERS, AREA BUSINESS, AND MOST OF ALL TO OUR

PATIENTS.

THE MISSION 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 PATIENT'S RACE, CREED, GENDER, NATIONAL ORIGIN,

PHYSICAL OR MENTAL DISABILITY, OR ABILITY TO PAY.

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. THIS STATEMENT IS NOT A TOTAL

ACCOUNT OF ALL OF AHN'S CHARITABLE ACTIVITIES, BUT A SUMMARY OF AHN'S

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HIGHMARK HEALTH GROU P 45-3674900

MANY CONTRIBUTIONS TO THE COMMUNITY, AND ITS COMMITMENT TO PROVIDE A WIDE

RANGE OF QUALITY HEALTH SERVICES TO ALL WHO SEEK AHN'S CARE:

AHN POSITIVE CLINIC: THE POSITIVE HEALTH CLINIC (PHC) IS A COMPREHENSIVE

HIV PRIMARY CARE CLINIC PROVIDING STATE-OF-THE-ART CARE TO HIV-POSITIVE

PERSONS; SUPPORT STAFF INCLUDE PHYSICIANS, NURSES, MEDICAL ASSISTANTS,

SOCIAL WORKERS, BEHAVIORAL HEALTH THERAPISTS, PSYCHIATRISTS AND PATIENT

ADVOCATES. OUR TEAM TREATS MORE THAN 750 PATIENTS AND HAS EXTENSIVE

EXPERIENCE WITH ALL ASPECTS OF HIV MANAGEMENT, PROVIDING A WIDE RANGE OF

PRIMARY AND SPECIALIZED HIV CARE, REGARDLESS OF AN INDIVIDUAL'S MEDICAL

INSURANCE COVERAGE OR ABILITY TO PAY. SERVICES AND PROGRAMS INCLUDE:

COMPREHENSIVE HIV CARE; RAPID HIV TESTING AND COUNSELING AND PARTNER

TESTING; MEDICATION ADHERENCE COUNSELING AND PHARMACY SUPPORT;

GYNECOLOGIC CARE; NUTRITIONAL ASSESSMENT AND COUNSELING BY A REGISTERED

DIETITIAN; TREATMENT FOR PERSONS CO-INFECTED WITH HIV AND HEPATITIS C;

SMOKING CESSATION PROGRAMS; MENTAL HEALTH ASSESSMENT, COUNSELING AND

PSYCHIATRIC SUPPORT; CASE-MANAGEMENT FOR NON-MEDICAL NEEDS. OUR STAFF

ASSISTS WITH FINANCIAL OR SOCIAL ISSUES THAT MAY INTERFERE WITH THE

PROVISION OF MEDICAL CARE. IN DECEMBER 2015, AHN AND OTHER ORGANIZATIONS

ANNOUNCED THE CREATION OF A REGIONAL AIDS-PREVENTION CAMPAIGN WITH A GOAL

OF ENDING NEW HIV INFECTIONS IN ALLEGHENY COUNTY BY 2020.

BRADDOCK URGENT CARE: IN 2015, AHN AND HH OPENED 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

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SIGNIFICANT SHARE OF MEDICARE AND MEDICAID PATIENTS. WITH THE HELP OF A

$200,000 HIGHMARK, INC. GRANT, ANN IS LAUNCHING A YEAR-LONG 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 CENTER AND HEALTH CARE ACCESS POINT FOR BRADDOCK

RESIDENTS; THE ANN 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.

CANCER SCREENINGS: MANY CANCERS CAN BE PREVENTED OR DETECTED AT EARLIER

AND MORE TREATABLE STAGES IF PATIENTS UNDERGO ROUTINE SCREENING TESTS. IN

THE FALL OF 2014, AHN LAUNCHED A FREE HEALTH SCREENING AND CANCER

EDUCATION PROGRAM AT JEFFERSON HOSPITAL, WITH SCREENINGS FOR CERVICAL,

BREAST, COLORECTAL, PROSTATE, LUNG, HEAD AND NECK, AND SKIN CANCER. IN

2015, THE SCREENING PROGRAM EXPANDED ACROSS THE NETWORK; DURING SIX

SCREENING EVENTS, MORE THAN 2,300 SCREENING TESTS DETECTED 427

ABNORMALITIES, FOR AN ABNORMALITY RATE OF NEARLY 20 PERCENT. THOSE WITH

ABNORMAL SCREENINGS WERE REFERRED FOR FOLLOW-UP TREATMENT OR TESTING. THE

SCREENINGS ARE ALL BEING PERFORMED BY ANN HEALTH PROFESSIONALS WHO ARE

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VOLUNTEERING THEIR TIME AT NO COST TO THE PATIENTS. PATIENT SURVEYS SHOW

A HIGH RATE OF SATISFACTION AND APPRECIATION FOR THIS AHN CANCER

INSTITUTE CANCER SCREENING AND EDUCATION PROGRAM. ADDITIONAL FREE

COMMUNITY CANCER SCREENINGS ARE SCHEDULED THROUGHOUT THE REGION AT ANN

FACILITIES THROUGH 2016 AND WILL REMAIN AN ANNUAL SERVICE TO THE

COMMUNITY PERFORMED BY THE AHN CANCER INSTITUTE.

COMMUNITY HEALTH NEEDS ASSESSMENT: IN 2015, AHN EMBARKED ON A

COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO COLLECT HEALTH

AND SOCIO-ECONOMIC DATA TO DETERMINE THE COMMUNITY HEALTH NEEDS ACROSS

ANN'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.

SYSTEM-WIDE PRIORITIES WERE DEVELOPED TO DELEGATE RESOURCES ACROSS THE

SYSTEM TO IMPACT THE REGION'S MOST PRESSING HEALTH NEEDS, WHILE

HOSPITAL-SPECIFIC STRATEGIES WERE OUTLINED TO GUIDE LOCAL EFFORTS AND

COLLABORATION WITH COMMUNITY PARTNERS TO ADDRESS THOSE PRIORITIZED NEEDS.

THE AHN CHNA STEERING AND ADVISORY COMMITTEES REVIEWED FINDINGS FROM THE

CHNA RESEARCH, INCLUDING PUBLIC HEALTH DATA, SOCIO-ECONOMIC MEASURES,

RESPONSES FROM THE KEY INFORMANT SURVEY, AND HOSPITAL UTILIZATION TRENDS

TO DETERMINE THE HIGHEST NEEDS IN EACH HOSPITAL COMMUNITY AND DEVELOP

SYSTEM-WIDE PRIORITIES TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS. THE

COMMITTEE MEMBERS RECOMMENDED THE FOLLOWING ISSUES BE ADOPTED AS PRIORITY

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HEALTH NEEDS ACROSS THE AHN SERVICE AREA: BEHAVIORAL HEALTH, CANCER,

CHRONIC DISEASE, AND MATERNAL & CHILD HEALTH. THE RATIONALE AND CRITERIA

USED TO SELECT THESE SYSTEM-WIDE PRIORITIES INCLUDED: PREVALENCE OF

DISEASE AND NUMBER OF COMMUNITY MEMBERS IMPACTED; RATE OF DISEASE IN

COMPARISON TO STATE AND NATIONAL BENCHMARKS; HEALTH DISPARITIES AMONG

RACIAL AND ETHNIC MINORITIES; EXISTING PROGRAMS, RESOURCES, AND EXPERTISE

TO ADDRESS THE ISSUES; AND INPUT FROM REPRESENTATIVES OF UNDERSERVED

POPULATIONS. SUBSEQUENTLY, THE CHNA DEVELOPED SEVERAL COMMUNITY HEALTH

GOALS AND INITIATIVES BASED ON THE IDENTIFICATION OF THE PRIORITY NEEDS.

THE 2015 CHNA BUILDS UPON OUR HOSPITALS' PREVIOUS CHNAS CONDUCTED, AND

PROVIDES A COMPREHENSIVE GUIDE FOR ALLEGHENY HEALTH NETWORK'S COMMUNITY

BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS. WE IDENTIFIED NEEDS

WITHIN EACH OF OUR HOSPITAL COMMUNITIES, AND WORK WITH OUR COMMUNITY

PARTNERS TO TAKE A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT

WHILE DIRECTING SYSTEM-WIDE RESOURCES TO IMPROVE POPULATION HEALTH

THROUGHOUT THE REGION. WHERE APPLICABLE, WE HAVE ALIGNED OUR PRIORITIES

AND PLANNING WITH EXISTING LOCAL AND REGIONAL INITIATIVES TO POSTER

COLLABORATION IN COMMUNITY HEALTH IMPROVEMENT.

IMPROVING THE HEALTH OF WESTERN PENNSYLVANIANS IS IN THE BEST INTEREST OF

OUR COMMUNITIES AND THE REGION, AND IT COMPORTS THE AHN MISSION OF

PROMOTING HEALTH IN WELLNESS IN OUR COMMUNITIES BY PROVIDING SAFE,

COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT, REGARDLESS OF A

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PATIENT'S RACE, CREED, GENDER, NATIONAL ORIGIN, PHYSICAL OR MENTAL

DISABILITY, OR ABILITY TO PAY. WE ARE PROUD TO BE PART OF THE COMMUNITIES

WE SERVE AND ARE COMMITTED TO BENEFITTING THE LIVES OF OUR PATIENTS.

STAFF, AND FRIENDS THROUGH THE WORK WE DO.

COMMUNITY SUPPORT, EVENTS AND SPONSORSHIPS: MAJOR PARTNERSHIPS INITIATED

IN 2015 INCLUDE A CARNEGIE SCIENCE CENTER SPONSORSHIP (A PARTNERSHIP TO

DEVELOP BODYTECH, A DYNAMIC, THREE-PRONGED HEALTH AND SCIENCE EDUCATIONAL

PROGRAM FOR THE REGION . THE INITIATIVE INCLUDES A NEW EXHIBIT AT THE

SCIENCE CENTER CALLED BODYWORKS, THE BODYSTAGE LIVE DEMONSTRATION

THEATER, AND A TRAVELING SCIENCE SHOW, ANATOMY ADVENTURE, WHICH VISITS

SYSTEM AND THAT PLACES 500 BICYCLES THROUGHOUT THE CITY OF PITTSBURGH,

FOR COMMUNITY USE, TO ENCOURAGE CYCLING AND HEALTHY LIFESTYLES.

THROUGHOUT 2015, AHN SPONSORED 44 WALKS AND 183 COMMUNITY EVENTS,

INCLUDING LUNCH-AND-LEARN EVENTS, HEALTH FAIRS, EMPLOYER WELLNESS EVENTS,

SCREENINGS, AND SCHOOL PROGRAMMING (CPR CERTIFICATION CLASSES, DISABILITY

MENTORING DAY, PROJECT MOVE, COLLEGE AND CAREER READINESS PROGRAMS,

SURGERY OBSERVATION PROGRAMS). AHN ALSO ISSUED GRANTS AND MONETARY

CONTRIBUTIONS TO 142 NON-PROFITS AND 19 COMMUNITY ORGANIZATIONS.

COMMUNITY SPONSORSHIPS IN 2015 TOTALED $859,000.

JEFFERSON HOSPITAL: ALSO KNOWN AS JEFFERSON REGIONAL MEDICAL CENTER,

JEFFERSON HOSPITAL (JH) WAS ORGANIZED IN 1973. LOCATED JUST SOUTH OF

PITTSBURGH, JH IS AN INTEGRATED SYSTEM OF HEALTH CARE SERVICES AND

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FACILITIES THAT PROVIDES QUALITY HEALTH CARE FROM EMERGENCY ADMISSIONS TO

INPATIENT HOSPITALIZATION AND LEADING EDGE SURGERY TO REHABILITATION AND

HOME CARE. FOR THE MOST RECENTLY COMPLETED TWELVE MONTH REPORTING PERIOD,

THE TOTAL INPATIENT DISCHARGES WERE 14 ,082, OUTPATIENT VISITS WERE

251,391, NUMBER OF EMPLOYEES WAS 2,091 AND NUMBER OF PHYSICIANS ON STAFF

WAS 580. TOTAL UNCOMPENSATED CARE AND COMMUNITY BENEFITS WAS $20,566,295

JH PROVIDES SAFE, COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK

IT, REGARDLESS OF A PATIENT'S RACE, CREED, GENDER, NATIONAL ORIGIN,

PHYSICAL OR MENTAL DISABILITY, OR ABILITY TO PAY.

SAINT VINCENT HOSPITAL: ALSO KNOWN AS THE SAINT VINCENT HEALTH CENTER,

SAINT VINCENT HOSPITAL (SVH) AND SAINT VINCENT HEALTH SYSTEM INCLUDE THE

REGIONAL HEART NETWORK, SAINT VINCENT MEDICAL EDUCATION AND RESEARCH

INSTITUTE, WESTFIELD MEMORIAL HOSPITAL, SAINT VINCENT FOUNDATION FOR

HEALTH AND HUMAN SERVICES, SAINT VINCENT AFFILIATED PHYSICIANS, REGIONAL

HOME HEALTH AND HOSPICE (55.48% CONTROLLED) AND REGIONAL CANCER CENTER

(50% CONTROLLED). SVH IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT

PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS

OF NORTHWESTERN PENNSYLVANIA AND ADJACENT AREAS OF NEW YORK AND OHIO.

FOUNDED BY THE SISTERS OF ST. JOSEPH IN 1875, SVH CONTINUES TO SUPPORT

THE CHARITABLE MISSION AND VALUES OF THE SISTERS, PROVIDING SAFE,

COMPASSIONATE, AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT, REGARDLESS OF A

PATIENT'S RACE, CREED, GENDER, NATIONAL ORIGIN, PHYSICAL OR MENTAL

DISABILITY, OR ABILITY TO PAY. FOR THE MOST RECENTLY COMPLETED TWELVE

MONTH REPORTING PERIOD, THE TOTAL INPATIENT DISCHARGES WERE 14,171,

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OUTPATIENT VISITS WERE 184,797, NUMBER OF EMPLOYEES WAS 1,993 AND NUMBER

OF PHYSICIANS ON STAFF WAS 394. TOTAL UNCOMPENSATED CARE AND COMMUNITY

BENEFITS WAS $26,839,324.

WEST PENN ALLEGHENY HEALTH SYSTEM: THE HOSPITALS OF THE FORMER WPAHS,

ORGANIZED IN 2000, INCLUDE ALLEGHENY GENERAL HOSPITAL, ALLEGHENY VALLEY

HOSPITAL (ALSO KNOWN AS ALLE-KISKI MEDICAL CENTER), CANONSBURG HOSPITAL

(ALSO KNOWN AS CANONSBURG GENERAL HOSPITAL), FORBES HOSPITAL (ALSO KNOWN

AS FORBES REGIONAL HOSPITAL), AND WEST PENN HOSPITAL (ALSO KNOWN AS THE

WESTERN PENNSYLVANIA HOSPITAL). IN ADDITION TO THE HOSPITALS, WPAHS

INCLUDES THE ALLEGHENY MEDICAL PRACTICE NETWORK (AMPN), ALLEGHENY CLINIC

(AC), ALLEGHENY-SINGER RESEARCH INSTITUTE (ASRI), WEST PENN ALLEGHENY

ONCOLOGY NETWORK (WPAON), CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE

(CGH AMBULANCE), ALLE-KISKI MEDICAL CENTER TRUST (AKMC TRUST), FORBES

HEALTH FOUNDATION (FHF), SUBURBAN HEALTH FOUNDATION (SHF), AND THE

WESTERN PENNSYLVANIA HOSPITAL FOUNDATION. FOR THE MOST RECENTLY COMPLETED

TWELVE-MONTH REPORTING PERIOD, TOTAL INPATIENT DISCHARGES FOR THE WPAHS

HOSPITALS WERE 57,191, OUTPATIENT VISITS WERE 834,471, NUMBER OF

EMPLOYEES WAS 12,837 AND TOTAL UNCOMPENSATED CARE AND COMMUNITY BENEFITS

WAS $134,397,027 THE HOSPITALS OF WPAHS PROVIDE SAFE, COMPASSIONATE,

AFFORDABLE HEALTH CARE TO ALL WHO SEEK IT, REGARDLESS OF A PATIENT'S

RACE, CREED, GENDER, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY. OR

ABILITY TO PAY.

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ACCOMPLISHMENTS

AHN IS A LEADING CENTER FOR ADVANCED HEART, LIVER, KIDNEY AND PANCREAS

TRANSPLANTATION. ACCORDING TO COMPARION MEDICAL ANALYTICS' 2016 CARECHEX

HOSPITAL QUALITY RATINGS, ALLEGHENY HEALTH NETWORK RANKS #1 IN

PENNSYLVANIA AND #8 NATIONALLY FOR OVERALL ORGAN TRANSPLANTATION QUALITY.

ALLEGHENY HEALTH NETWORK'S CANCER INSTITUTE PROVIDES ADVANCED,

MULTI-DISCIPLINARY CARE FOR THE TREATMENT OF ALL CANCERS, INCLUDING

BRAIN, BREAST, COLON AND RECTAL, HEAD AND NECK, LUNG, LIVER, OVARIAN,

CERVICAL, PROSTATE AND BLOOD/HEMATOLOGIC CANCERS. THE PROGRAM REACHES

PATIENTS AT MORE THAN 50 CLINIC LOCATIONS THROUGHOUT WESTERN PA AND

EMPLOYS MORE THAN 150 ONCOLOGISTS. THE INSTITUTE IS ALSO HOME TO ONE OF

PENNSYLVANIA'S LARGEST BONE MARROW AND CELL TRANSPLANT PROGRAMS AND HAS A

FORMAL AFFILIATION WITH THE JOHNS HOPKINS KIMMEL COMPREHENSIVE CANCER

CENTER FOR CLINICAL COLLABORATIONS, MEDICAL EDUCATION AND A BROAD RANGE

OF RESEARCH INITIATIVES.

THE HOSPITALS OF ALLEGHENY HEALTH NETWORK HAVE EARNED MANY ACCOLADES FOR

SUPERIOR QUALITY AND SERVICE EXCELLENCE, INCLUDING RECOGNITION FROM

RESPECTED INDEPENDENT ANALYSTS AND REGULATORY BODIES SUCH AS THE JOINT

COMMISSION, COMPARION MEDICAL ANALYTICS, US NEWS & WORLD REPORT, CONSUMER

REPORTS AND HEALTHGRADES. ACCORDING TO THE COMPARION MEDICAL ANALYTICS'

2016 CARECHEX HOSPITAL QUALITY RATINGS, ALLEGHENY HEALTH NETWORK PLACES

IN THE TOP 10% NATIONALLY FOR CANCER CARE QUALITY, IN THE TOP 5%

NATIONALLY FOR CARDIAC CARE, IN THE TOP 10% NATIONALLY AND #1 IN THE

REGION FOR STROKE CARE, #1 IN WESTERN PA FOR TRAUMA CARE QUALITY AND #1

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IN WESTERN PA FOR WOMEN'S HEALTH CARE.

PHYSICIANS AND SCIENTISTS AT ALLEGHENY HEALTH NETWORK 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 MORE

THAN 300 ACTIVE CLINICAL RESEARCH TRIALS.

FIVE AHN HOSPITALS ALSO CONTINUE TO RECEIVE NATIONAL RECOGNITION FOR THE

QUALITY OF THEIR HEART FAILURE PROGRAMS. AGH, AVH , CH, JH AND SVH EACH

HEART FAILURE ACHIEVEMENT AWARDS. THE AMERICAN HEART ASSOCIATION/AMERICAN

STROKE ASSOCIATION PRESENTS THE ANNUAL HONORS TO HOSPITALS THAT IMPLEMENT

SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART

ASSOCIATION/AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S SECONDARY

PREVENTION GUIDELINES FOR PATIENTS WITH HEART FAILURE.

INVESTMENTS

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C

Schedule O (Form 990 or 990-E2) 2015 page 2

Name of the oryenb; etcn Emptoyer Identifcatlon munber


NETWORK. WHEN AHN WAS CREATED, ITS MEMBER HOSPITALS WERE IN DIRE NEED OF

UPGRADES AND ENHANCEMENTS DUE TO YEARS OF DEFERRED MAINTENANCE. SINCE THE

CLOSING OF THE AFFILIATION IN 2013, AHN HAS MADE SIGNIFICANT INVESTMENTS

IN THESE FACILITIES TO IMPROVE THE QUALITY OF PATIENT CARE AND EXPAND

SERVICES AND CAPABILITIES FOR THE COMMUNITY. MANY OF THESE INVESTMENTS

HAVE LED TO NO FINANCIAL RETURN, BUT ARE REQUIRED TO SUSTAIN THE SYSTEM,

PROVIDE THE APPROPRIATE INFRASTRUCTURE, IMPROVE THE QUALITY AND PREPARE

IT FOR THE EXPECTED INFLUX OF FUTURE VOLUME. CAPITAL INVESTMENTS FROM

2015 THROUGH SUMMER 2016 HAVE INCLUDED, BUT ARE NOT LIMITED TO, THE

FOLLOWING: THE AHN SPORTS COMPLEX AT COOL SPRINGS, A LARGE MULTI-SPORT

FACILITY SPECIALIZING SPORTS MEDICINE AND SPORTS PERFORMANCE; THE CAHOUET

CENTER FOR COMPREHENSIVE PARKINSON'S CARE, DESIGNED TO HELP PATIENTS WITH

PARKINSON'S DISEASE AND THEIR FAMILIES MORE SEAMLESSLY ACCESS AND

COORDINATE THE CLINICAL AND SUPPORT SERVICES THEY REQUIRE BY COMBINING

AHN'S WORLD-CLASS MEDICAL EXPERTISE WITH THE INVALUABLE RESOURCES OF THE

PARKINSON FOUNDATION UNDER ONE ROOF, CREATING A MULTI-DISCIPLINARY

PROGRAM THAT ADDRESSES THE CHANGING NEEDS OF PARKINSON'S PATIENTS OVER

TIME; A NEW 48-BED CRITICAL CARE/TELEMETRY UNIT FOR CARDIOVASCULAR

PATIENTS AT AGH; NEW CT SCAN SERVICE AT WESTFIELD MEMORIAL HOSPITAL;

NEWLY REMODELED ORTHOPEDIC UNIT FLOOR AT SVH; NEW ISLET CELL ISOLATION

LAB FOR DIABETES AND PANCREAS TREATMENT AT AGH; NEW MAKO ROBOTIC

TECHNOLOGY FOR HIP AND KNEE REPLACEMENTS AT SVH, AGH AND WPH; AND A NEW

EMERGENCY OPERATIONS COMMAND CENTER FACILITY AT JH; NEW CARDIAC ICU AT

WPH, PART OF A LARGER $30 MILLION HOSPITAL INVESTMENT, EXPANDED

OBSTETRICAL FACILITIES AT FORBES HOSPITAL, THE IMPLEMENTATION OF THE EPIC

JSA0E1220 I 000

1549KO 649R


PAGE 192

Schedule 0 (Form 990 or 990-EZ) 2015 Page 2

Name of the or9e+dzetron Employer IdentHbcatbn number


ELECTRONIC HEALTH RECORD AT AGH AND WPH AND THE OPENING OF A NEW,

STATE-OF-THE- ART CENTER FOR SURGICAL ARTS TRAINING FACILITY AGH FOR

RESIDENTS, FELLOWS AND ATTENDING SURGEONS.

PART I, LINE 3 AND PART V, LINE 1A

VOTING MEMBERS OF GOVERING BOARD

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 MEMESERS LISTED IN IRS FORM 990, PAGE 7, PART VII. THE REASON

BEING IS THAT 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 THEY ARE VOTING MEMBERS

BUT WILL ONLY BE LISTED IN PART VII ONCE.

PART I, LINE 5 AND PART V, LINE 2A

INDIVIDUALS EMPLOYED

TOTAL NUMBER OF INDIVIDUALS EMPLOYED IN 2015 OF 18,030 IS REPRESENTATIVE

OF THE SUM OF ALL INDIVIDUALS EMPLOYED BY EACH OF THE 18 SEPARATE AND

DISTINCT LEGAL ENTITIES THAT ARE SUBSIDIARIES OF HIGHMARK HEALTH GROUP

AND ARE INCLUDED IN THE GROUP RETURN.

PART I, LINE 8

CONTRIBUTIONS, GRANTS, AND SIMILAR AMOUNTS RECEIVED

PURSUANT TO TREASURY REGULATION SECTION 1 6033-2(D)(5) THE SPONSORING

ENTITY OF HIGHMARK HEALTH GROUP, HIGHMARK HEALTH, HAS ELECTED TO REPORT

JSA5E1220 1 000

1549KO 649R

Schedule 0 (Form 990 or 990-EZ) 2015

PAGE 193

Sehedulc 0 (Form 990 or 990•EZ)2015 Pape 2

Name of the organizat ion Employer Identification number


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.

FORM 990, PART VI, LINE 11B

FORM 990 REVIEW PROCESS

HIGHMARK HEALTH GROUP IRS FORM 990 WAS PREPARED BY ITS EXTERNAL 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.

FORM 990, PART VI, LINE 12C

CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT

HIGHMARK HEALTH (HH), HAS A CORPORATE COMPLIANCE DEPARTMENT THAT MONITORS

AND OVERSEES COMPLAINS WITH THE CONFLICT OF INTEREST POLICY FOR ALL

ENTITIES WITHIN THE FILING GROUP. THE FOLLOWING DESCRIBES THE MANNER IN

WHICH THE CORPORATE COMPLIANCE DEPARTMENT MONITORS AND OVERSEES

COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY:

CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ON AN ANNUAL BASIS BY

ALL BOARD MEMBERS, OFFICERS, AND ANY PERSON WHO HAS AUTHORITY TO ACT ON

JSASchedule 0 (Form 990 or 990-M 2019

BM2E 1000

1549KO 649R PAGE 194

Y

Schedule 0 (Form 99D or 990-EZ) 2015 Pape 2

Name at the organization Employe r Identification number


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.

FORM 990, PART VI, LINE 15A AND 15B

PROCESS FOR DETERMINING EXECUTIVE COMPENSATION

JSASchedule 0 (Form 900 or 990.61) 2015

5E1220 1.000

1549KO 649R PAGE 195

Schedule 0 (Form 990 or 990-EZ) 2015 page 2

Name of the organttellon Employer Idendflcetbn number


THE AHN CORPORATE FOLLOWS A PROCESS FOR DETERMINING COMPENSATION FOR

EXECUTIVE POSITIONS, (INCLUDING OFFICERS, KEY EMPLOYEES AND OTHER

MANAGEMENT POSITIONS), AND ARE COVERED BY THE AHN EXECUTIVE COMPENSATION

POLICY. THE POLICY WAS APPROVED BY THE HIGHMARK HEALTH BOARD OF

DIRECTORS. IT IS THE POLICY OF AHN MANAGEMENT TO COMPENSATE ITS

EXECUTIVES IN ACCORDANCE WITH THE MARKET AND IN RELATION TO THE

EXPERIENCE, SERVICE AND ACCOMPLISHMENTS OF THE INDIVIDUAL BOTH PRIOR TO

AND DURING THEIR SERVICE WITH AHN.

THE PERSONNEL AND COMPENSATION COMMITTEE (PEC) APPROVES THE COMPENSATION

FOR THE PRESIDENT AND CEO OF AHN AND ALL NON-HOSPITAL SENIOR EXECUTIVES

WHO REPORT DIRECTLY TO THE PRESIDENT AND CEO OF AHN. THE PERSONNEL AND

COMPENSATION COMMITTEE USES COMPARABILITY DATA PROVIDED BY AN INDEPENDENT

COMPENSATION CONSULTANT. THE EXTERNAL CONSULTANT PROVIDES A LETTER OF

REASONABILITY FOR ALL OFFERS MADE TO NEW EXECUTIVES THAT REPORT TO THE

AHN CEO. EACH PEC COMMITTEE MEMBER VOTING ON A SENIOR EXECUTIVE'S

COMPENSATION ARRANGEMENT ENSURES THAT HE OR SHE HAS NO CONFLICT OF

INTEREST, INCLUDING THAT HE OR SHE (A) DOES NOT ECONOMICALLY BENEFIT FROM

THE PROPOSED EMPLOYMENT; (B) DOES NOT RECEIVE COMPENSATION SUBJECT TO THE

APPROVAL OF THE PROPOSED EMPLOYEE; AND (C) HAS NO MATERIAL FINANCIAL

INTEREST AFFECTED BY THE TRANSACTION.

THE EXECUTIVE COMPENSATION PROGRAM FOR THE HOSPITAL ENTITIES WITHIN THE

GROUP IS ADMINISTERED BY THE CEO OF ALLEGHENY HEALTH NETWORK WITH RESPECT

TO THE CEOS, COOS AND CFOS OF EACH HOSPITAL, PURSUANT TO OVERALL


6E1Y2e t000

1549KO 649R PAGE 196

Schedure 0 (Form 990 or99o-EZ 2015 page 2

Name of the organization Employer IdenUficatlon number


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.

THE HUMAN RESOURCES DEPARTMENT OF ALLEGHENY HEALTH NETWORK OBTAINS

APPROPRIATE MARKET COMPARABILITY DATA FOR EACH ENTITY, INCLUDING

NATIONALLY PUBLISHED COMPENSATION SURVEYS AND/OR SPECIFIC ORGANIZATION

PEER GROUPS, TO PREPARE COMPENSATION RECOMMENDATIONS FOR ALL KEY

EXECUTIVES, INCLUDING OFFICERS, KEY EMPLOYEES, AND OTHER DISQUALIFIED

PERSONS. RECOMMENDATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE THAT

IS INDEPENDENT WITH RESPECT TO THE COMPENSATION PROVIDED TO THE

EXECUTIVES.

COMPENSATION MAY INCLUDE SEVERAL FORMS OF CASH COMPENSATION, INCLUDING

BASE SALARY, PERFORMANCE-BASED INCENTIVE COMPENSATION, AND A COMPETITIVE

EMPLOYEE BENEFITS PROGRAM. BASE SALARY IS THE FIXED ELEMENT OF

COMPENSATION INTENDED TO ALIGN WITH EACH 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. THE


SE 1220 1 000

1549KO 649R PAGE 197

Schedule O (Form 990 or O9O-E2) 2015 Pepe 2

Name of the aryaNzetion - Employer ldend lcaUon number


HOSPITAL EXECUTIVES CAN EARN INCENTIVE COMPENSATION ONLY IF THE

ORGANIZATION ACHIEVES CERTAIN PRE-DETERMINED FINANCIAL GOALS. THE PLANS

ARE INTENDED TO HOLD EXECUTIVES ACCOUNTABLE FOR ACHIEVING PERFORMANCE

THAT IS CONSISTENT WITH THE LONG-TERM GOALS AND OBJECTIVES OF THE

HOSPITAL.

ALL ENTITIES WITHIN THE FILING FOLLOW THE REQUIREMENT IN THE REGULATIONS

TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF

COMPENSATION.

FORM 990, PART VI, LINE 19

HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC

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.

PART XI LINE 9

OTHER CHANGES IN NET ASSETS

EQUITY TRANSFERS AFFILIATES (71,708,048)

ADDITIONAL MINIMUM PENSION LIABILITY (9,180,997)

SWAP (8,281,734)

FAS 158 ADOPTION ADJUSTMENT (2.864,173)

OTHER (1,945,327)

TRANSFERS FROM/TO RESTRICTED ASSETS (1,292,606)

CHANGE IN MINORITY INTEREST 71,454

JSASE 1226 1,000

1549KO 649R

Schedule 0 (Form 990 or 900 2016

PAGE 198

Schedule 0 (Form 990 or 990-M 2015 Page 2

Name of the organization Employer Identi ficatlon number

HIGHMARK HEALTH GROUP 45- 3 674900

PETERS TOWNSHIP CHANGE IN PY

CAPITAL ACQUISITION

TOTAL

4,441,430

9,179,951

-------------

(81,580,050)

ATTACHMENT 1

990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS

NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION

ASTORINO DEVELOPMENT COMPANY CONSTRUCTION 25,676,905.

227 FORT PITT BLVD

PITTSBURGH, PA 15222

MBM CONTRACTING INC. CONSTRUCTION 19,560,514.

4999 OLD CLAIRTON RD


DELOITTE CONSULTING, LLP CONSULTING 16,000,743.

111 S WACKER DR

CHICAGO, IL 60606

ASTORINO AND ASSOCIATES, LTD. CONSTRUCTION 8,805,010.

227 FORT PITT BLVD


DONER PARTNERS, LLP ADVERTISING 6,268,396.

25900 NORTHWESTERN HIGHWAY

SOUTHFIELD, MI 48075

ATTACHMENT 2

FORM 990. PART IX - OTHER FEES

(A) (B) (C) (D)

TOTAL PROGRAM MANAGEMENT FUNDRAISING

DESCRIPTION FEES SERVICE EXP. AND GENERAL EXPENSES

OTHER PAID SERVICES 295,116,940. 236,682,812. 58,210,367. 223,761.

PURCHASED SERVICES 44,450,176. 40,219,220. 4,230,109. 847.


5E1?29 1 000

1549KO 649R PAGE 199

Schedule 0 (Form 990 or590-EZ) 2015

Name of the organttalton

HIGHMARK HEALTH GROUP

FORM 990, PART IX - OTHER FEES

DESCRIPTION

TOTALS

(A)

TOTAL

FEES

Pape 2

Emplvyar Iden00catlon number

45-3674900

ATTACHMENT 2 (CONT'D)

(B) (C) (D)

PROGRAM MANAGEMENT FUNDRAISING

SERVICE EXP. AND GENERAL EXPENSES

339,567,116. 276,902,032. 62,440,476. 224,608.


SEinle 1 000

1549KO 649R PAGE 200


SCHEDULE R Related Organizations and Unrelated PartnershipsOMB No. 1545 0047

(Form 990 ) ^©1 5If-^ ^ ^^ ^^ ^ / Complete If the organization answered "Yes" on Form 990. Part IV, line 33 , 34. 35b, 38, or 37.

1 ► Attach to Form 990. . , .tmv,Departmw

ue°»

7Sm"°vos"^

10- Information about Schedule R (Form 990) and its instruction is at www.irs.gov/lorm990.altemof

Name of the organization Employer Idondficatlon number


Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a)Name, address . and SIN (r1 epptcable) of d'ereparded entity

(b)Primary activity

(c)Legal dmnir3e (stateor foreig n coun try)

(d)Total Income

(e)End-of-year essW

(t)Direct controlling

ent ity

( 1 ) WEST PENN ALLEGHENY FOUNDATION LLC 20-1107650

4800 FRIENDSHIP AVENUE PITTSBURGH, PA 15224 CAPITAL ACQ. PA 1,081,991. 31,024,781. WPAHS, INC.

( 2 ) PETERS TOWNSHIP ASC 27-3982341

15305 DALLAS PKWY, STE 1600 ADDISION, TX 75001 RELATED TX -317,626. 3,334,863. WPAHS, INC.

( 3 ) JRMC DIAGNOSTIC SERVICES LLC 80- 0069336

565 COAL VALLEY ROAD PITTSBURGH, PA 15025 MEDICAL PRAC PA 2,574,289. 515,305. JRMC

(4 ) JEFFERSON MAGNETIC RESONANCE IMAGING LLC 25-1840696

565 COAL VALLEY ROAD PITTSBURGH, PA 15025 MEDICAL PRAC PA 0. 0. JRMC

( 5) ST. VINCENT SHARED SAVINGS PROG ACO LLC 45- 5550348

232 WEST 25TH STREET ERIE, PA 16544 MEDICARE PA 0. 0. SVHC

8 PETERS AMBLTRY SURG 27-3982341

4800 FRIENDSHIP AVE PITSBURGH, PA 15224 MEDICAL PRAC PA 2,779,703. 4,130,584. N/A

Identification of Related Tax-Exempt Organizations Complete it the organization answered "Yes" on corm eau, cart iv, line 4 because it naonnp nr mnre related tax-enaemot oroaniiattons durina the tax vear.

(a)Name. address , and EIN of felated organization

(b)Primary actMty

(c)

Legat domicile (slate

or foreign country)

(d)

E,empl Code senan

(a)

Public dtardy status

(if section 501(c)(3))

mOkect controldng

entity

(9)Section 512(bx13)

rAnlrolbdentrtfl

Yes No

CAPONSDUR0 HOSPITAL & HEALTH FOUNDATION 25-1818505

100 MEDIC BOULEVARD CANONSBURG, PA 15317 INACTIVE PA 501(C) (3) 11- TYPE I N/A X

Z CLINICAL PATHOLOGY INST12UTE COOPERATIVE 25-1528055

1526 PEACH STREET ERIE , PA 16501 HEALTHCARE PA 501(C)(3) 3 SVHC X

3 COIOmNITY BLOOD BANK 2 5-1181389232 WEST 25TH STREET ERIE , PA 16544 HEALTHCARE PA 501(C) (3) 11- TYPE I SVHC X

q E1EROTCARE, INC- 25-1430922

232 WEST 25TH STREET ERIE , PA 16544 HEALTHCARE PA 501(C)(3) 9 SVHC X

( 5 ) GREATER CAHONSDUXG HEALTH SYSTEM 25-1488089

100 MEDICAL BOULEVARD CJWONSSUBXI. PA 15317 INACTIVE PA 501 (C) (3) 11- TYPE I NA X

g HIawaRK HEATH 45-3674900120 PIP" AVERIB. SUITE 922 PITTSBURGH, PA 15222 HEALTHCARE PA 501(C) (3) 11- TYPE I NA X

( 7 ) JRxc/UPHC CANCER ASSOCIATES 20-1634783

565 COAL VALLEY ROAD JEFFERSON HILLS, PA 15236 HEALTHCARE PA 501(C)(3) 3 JRN(C X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

JSA

5E1307 1 000

1549KO 649R

Schedule R (Form 990) 2015

PAGE 201

57 7


SCHEDULE R Related Organizations and Unrelated Partnerships(Form 990)

" "Yes on Form 990 , Part IV, line 33 , 34, 35b , 36, or 37.► Complete if the organization answered

f Attach to Form 990.TraffLury

Internal Revenue Serv iceios Ili- Information about Schedule R (Form 990) and Its instructions Is at twvw.irs.gov/form990.

HEALTH

2015

45-3674900

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a)Name . address , and EIN (dapp6rable ) of disregarded entity

(b)PHmsry actmty

IC)Legal domicile (stateor foreign country)

(d)Total Income

(a)End-ol-year assets

(6)Direct controlling

ent rly

( 1 ) AHN SURGERY CENTER - BETHEL PARK LLC 47-3690355

1000 HIGBEE DR BETHEL PARK, PA 15102 RELATED PA 53,219. 53,219. AHN

( 2 )

( 3 )

( 4)

( 5 )

( 6 )

Identification of Related Tax-Exempt Organizations Complete it the organization answered "Yes" on Form 990, Part IV, line 34 because 4 hadone or more related tax-exempt organizations during the tax year.

(a)Name, address, and EIN of related organization

(b)Primary activity

(C)Legal domkde (state

or foreign country)

(d )E.empt coda seram

(a)Public charity status

( d section 501 ( c)(3))

(nDirect Controlling

entity

(9)Section S12 (b)(13)

controlledenmyt

Yes No

( 1 ) REGIONAL CANCER CExTER 25-1385705232 WEST 25TH STREET ERIE , PA 15544 HEALTHCARE PA 501(C) (3) 3 SVHS X

( 2 ) IONAL H'ART KETWORx 25-1856341232 WEST 25TH STREET ERIE , PA 16544 HEALTHCARE PA 501(C) (3) 3 SVHC X

( 3 ) REGIONAL HOME HEALTH AND HOSPICE 83-0371265

232 WEST 25TH STREET ERIE , PA 16544 HEALTHCARE PA 501(C) (3) 9 SVHC X

(4) SUBURBAN HEALTH r°UNDATION 25-1472073100 SOIYCH JACESON AVENUE PITTSBURGH , PA 15202 FUNDRAISING PA 501(C)(3) 11-TYPE I WPAHS, INC. X

5 VANTAGE HEALTH GROUP 25-1498145

232 WEST : 5TH STREET ERIE, PA 16S44 HEALTHCARE PA 501(C)(3) 3 SVHC X

( 6 ) WEST ALLEGHENY HOSPITAL 25-1054206

100 MEDICAL BOULEVARD PITTSBURGH , PA 15317 INACTIVE PA 501(C) (3) 3 N/A X

(7 ) HFSTPIR1G MEMORIAL HOSPITAL , INC 16-0743222

169 EAST MAIN STREET WPSTPIEU) , NY 14787 HEALTHCARE NY 501(C) (3) 3 SVHS X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

SSA

SE1307 1 000

1549KO 649R


PAGE 202


Schedule R (Farm 890 ) 2015 page 2

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34

because d had one or more related organizations trea ted as a partnership during the tax year.

(state or excluded from of Schedule K-1 P.vAaf7

foreign lea under (Farm 1085)

Y. No Yes No

( 3 ) MOO SORCERY CENTER 47-369 03 52

( 4 ) ALLECItD1T IMAOINO 30 - 0314897

( 5 ) ASSOC . CLINICAL LAS 25 - 1573746

312 N 25Th ST ERIE . PA 16502 MEDICAL PRAC PA N / A RELATED O. 0. X

(7 ) ERIE MHD CONPLER 20-1017545

Identification of Related Organizations Taxable as a Corporation orTrust Complete if the organization answered "Yes" on Form 990, Part IV,line 34 because it had one or more related organizations treated as a corporatio n or trust during the tax year.

country ) trust)tontirolled

r

( 2 ) DAVIS VISION IPA , INC 11-295804

( 3 ) DAVIS VISION , INC 11 -3051991

( 4 ) HCCA MANAOXD VISION CARE . INC. 74-2759084

( 5) EMPIRE VISION cEDrER INC . 14-1586016

( 6 ) EYE ORI RETAIL MANAGEMRW INC 74-2 92 4030

SSA Schedule R (Form 900) 2015to 1308 1 000

1549KO 649R PAGE 203

(a) (b) (e)l

(d)Di t lli

(e)Predominant

mShared total

(9)Share of end-o4

(h).ro

m181Cade V-11

mcairn or

(klPercentageName, address , and EIN of

related organlielbnPrimary actrvir Lega

domicilerect con ro ng

entity a pelated,meomun^^^

Sections 512-514)

income year easels..... ..rr...

.amount In box 20 mengYq ownership

country)

5148 LIBERTY 8.550 25.0969492

4800 PRIHZDSHIP AVE PITTSBURGH MEDICAL PRAC PA N A INRRLATEO 105 988 876 440 . X 1 30.0000

Z 8.107 NOME INFUSION 25-1736527

312 W 25TH ST ERIN PA 16 5 02 PROPERTY MOMT PA N A RELATED 194 , 902 2 , 62 5, 2 0 5 X 60 O liva

1000 HIGREE DR SHTNEL PARK PA HEALTH CARE SRVS PA X/A RELATED 0 0. X k

4800 PNIEROSHIP AVE PITS H MED PRAC PA N/A RELATED 207 975. 328 716 . X k 45.0000

312 5 25TH ST ERIE PA 16502 MEDICAL PRAC PA N/A RELATED 0. 0 X X

8 ASSOC CLINIC ]AB PA 45-3688292

_312 H 25TH ST ERIE PA 1 6 502 MED I CAL PRAC PA N/ A RELATED 0. 0 k

(a)Name, address, and EIN of related organization

(b)Primary ecUMy

(c)Legal domldiaruts or rore

(d)Direct Controlling

entity

(e)Type of entity

(C corp. S carp, or

(QShare of total

income

(9)Shared

end--year easels

(h)Pereentsgeownership

(l)Secden

512 (b )(13

0 No

CLINICAL SERVICES INC. 25-1403846

212 WEST 25TH STREET ERIB PA 16544 HEALTH CARE PA SVHS C CORP 16.5 7 2.54 6. 18 580 427. 100.0000 X

175 EAST HOUSTON STREET BAN ANTONIO , TX 70205 TPA TX HIGHMARk INC. C CORP 0 0

175 EAST HOUSTON STREET SAN ANTON IO . TX 78205 VISION SERVICE TX HIGHMARH INC. C CORP 0 0.

175 EAST HOUSTON STREET AN ANTON IO . TX 78205 PHYSICIAN SERVICE TX NIGHMARR INC. C CORP 0 0. X

175 EAST TON STREET SAN ANTONIO TX 78205 RETAIL SALES TX NIGHMARR INC. C CORP 0. 0. k

178 EAST HOUSTON STREET SAN ANTONIO TX 78205 OFFICE ADMIN TX HIGHNARH INC. CORPC 0. 0.

T FAMILY PRACTICE MEDICAL ASSOCIATES Scorn 25-1604135 1

2414 LTSLE RD 578 PARR PA 15102 IMED ICAL PRACTICE PA JRNC C W 8 920 615. _ 2 . 243 . 962. 100.0000

)


Schedule R (Form 990 ) 2015 Page 2

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related organizations trea ted as a partnership during the tax year.

In) (b) (C) (d) (e) IQ (o) (h) P) 0) (It)

( 2 ) GATEWAY HLTH PLAY 25-1691945

( 4 ) JF.NTINS EM? ASSOC . 25-1524692

IOranizations Taxable as a Co oratio r Trust Corn lete if the or anization answered "Yes" on Form 990, Part IV,Identification of Related g rp n o p gline 34 because it had one or more rel ated organizations treated as a corporation or trust during the tax year.

Ye s No

( 2) GATEWAY HEALTH PlA11 OF OHIO . INC . 30-0262076

MGATEWAY HEALTH PLAN , INC. 25 - 1505506

( 4 ) GRANDIS . ROBIN SHANAHAN R AS50C 45-3355906

( 5 ) HCI , INC. 75-3002215

( 6 ) HEALTH SYSTEM SERVICES CORP i SOBS 25-1403745

( 7 ) HIGHMAR BC85D HEALTH OPTIONS INC 47-1017274

SSA Schedule R (Form 990) 2015SE 1308 1 000

1549KO 649R PAGE 204

Emma

Name, address, and EIN ofrelated organltatlon

Pnmary sandy Legal

domicile

(State orforeign

countr )

Direct controllingentity

Predominantincome (wedunrelated.excluded tran

tax undersections 572-514>

Share 01 totalincome

Share of erMot-year assets

n,..........r.o

Cafe V-U81amount in box 2001 Schedule K-1(Form 1055)

Gw an ermenages

p°^n°n

Percentageownership

yYes No Yes No

FORBPS REG UROI.OIC 20-4949337

4800 FRIENDSHIP AVE PITTSBURGH MEDICAL PRAC PA N/A RELATED 0. 0. X X

444 LIBERTY AVE PITTSBURGH PA INSURANCE PA N/A RELATED 0. 0. % 7[

3 JEFPEasoN MED ASSOC 25-1740456

1200 BROOKS LN CLAIRTON PA MEDICAL PRAC PA NIA RELATED 255,471 5 , 095 , 393 % X 43.7900

120 FIFTH AVE PITTSBURGH , PA PROPERTY SORT PA N/ A RELATED 0 0. X S

5 JV HoLDCO LLC 47-2368587

120 FIFTH AVE PITTSBURGH , PA MEDICAL PRAC PA NIA RELATED 1 , 587,029 , 26 041 383. % X 59.6100

6 NCCANDLBS ENDOSCOPY 26-1284448

4800 FRIENDSHIP AVE PITTSBURGH M,SDICAL PRAC PA N A RELATED 397 143. 413 , 000

-

X X 50.0000

7 N SHORE ENDOSCOPY 25-1880238

4800 FRIENDSHIP AVE PITTSBURGH MEDICAL PRAC PA N A RELATED 540 973. 432 ,314, % 50.0000

(a)

Name, address, and SIN at related OrpanaUttOn

lb)Primary act,v@y

(e)

Leptl eanidr.

.f.ro a reie

^•,by)

)E)

DNec1 controlling

entity

(e)

Type of entity(C Corp. S corp. or

trust)

(nShare of total

income

(0)Share at

end-of-year assets

(h)Permnt

ownership

0)

5 12 (b) 113=Ercilcid

t

FIRST PRIORITY LIFE INSURANCE COMPANY 23-2905053

19 NORTH MAIN STREET WILXFS-BARRE PA 18711 INSURANCE PP. NIGHMARR INC. C CORP 0 0 X

444 LIBERTY AVENUE SUITE 2100 PITTSBURGH , PA 15222 INSURANCE PA HIGHMARR INC C CORP D. 0. %

444 LIBERTY AVENUESUITE 2100 PITTSBURGH , PA 15222 INSURANCE PA HIGHMARR INC. C CORP 0. 0. 1r

565 COAL VALLEY RD JEFFERSON HILLS , PA 15025 MEDI CAL PRACTICE PA .IP14C C CORP 4.S40.633. 75] 421. 100.0000 X

120 FIFTH AVE. SUITE 922 PITTSBURGH , PA 15222 VINO & INSURANCE PA HIGNMARK INC. C CORP 0. 0. X-

565 COAL VALLEY RD JEFFERSON RILLS, PA 1 5 02S MED OFFICE BLDG PA JRMC C CORP 3 , 202 ,93 3. 28 , 727 , 892 100 0000 X

800 DE AWARE AV@ NIIMINGTON DE 19801-1368 INSURANCES CE OS H7GHMARA INC C CORD 0 0,

)

X


Schedule R (Form 990) 2015 Page 2


because it had one or more related organizations treated as a partnership during the tax year.

(a) (b) (Cl (d) (a) (n (4) 11h) (I) li) (k)

sections 512514)coun try)Y. No Yee No

( 1 ) PROVIDE! PPI . LLC 32-0429 947

112 H 25TH ST ERIE , PA 16502 PROPERTY MGMT PA NJA RELATED 4 , 734 1 , 894. % 17.3400

( 3) SILVER RAIN LP 2-7- 3 0354 36

( 4 ) S HILLS SURQ CNTR 27.4011352

61 6 1 CLAIRTON RD H MIFFLIN PA KEDICAL C PA W/ A RELATED 153. 700 431 , 200 X X 41.9200

1 5) TRZ STATE ItEG ASSOC 23 - 2919277

( 6 ) OPMC VNA ROES HLTH 2 5 -1844485

220 FIFTH AVE P BURGH PA MEDICAL PRAC PA N / A RELATED 3 , 000 , 838. 231 098. X X 33.4200

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV,

line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(state or tonew entity ( C corp . S corp. or income end-all assets ownership 5 12 (b)(113)

800 DSLANARB AVENUE WILM INGTON , OR 19801-1368 NSURANCE DE XIGHMARK INC. C CORP 0. 0. X

( 3 ) HIGHMARR CASUALTY INSURAN MPANI 25.1334623

( 6 ) HICNMARX SELECT RESOURCES INC. -2353206

( 7 ) XI GUr V SENIOR TM COMPANY 46- 41566 3 3

^SA Schedule R (Form 990) 2015

SE 1306 1.000

1549KO 649R PAGE 205

i ll Predominant Share of total Share of endd. e. -- Code V-(1BI Gerard or PmoentogeName, address, and EIN ofrelated organization

Primary acttv8y Legaldomicile(state orforeign

D rect contro ingentity Income

1êtl d.excluded from

tax under

Income year assets,....a...> amount in box 20

of Schedule K-1(Form 1065)

managingPenn"

ownership

120 FIFTH AVE PITTSBURGH PA FACILITIES SUPPOR PA N/A RELATED 0. 0 %

2 ST VINE PROF BLDG 2 9 -15762 9 0

120 FIFTH AVE PITTSBURGH , PA PROPERTY MOHT PA N/A RELATED 0 0. X

312 N 25TH ST ERIE PA 16502 MEDICAL PRAC PA M/ A RELATED 1- 0. % %

UPPER MM CONSL SRI'S 26-3112347

7601 PRANCES AVE MINNEAPOLIS SUPPLY CHAIN MN M /A RELATED 0. 75 , 000 X X 1.2700

(a)Name, address. and EIN of related organization

(D)Primary activity

(c)Legal dome le

e«n>M

(d)Direct controlling

(6)T)^pe of entity

trust)

(nShare 01 total

(g)Share of

(D)Percentage

(nSection

o No

HIGHMABR BCBSD . C. 51-0020405

'^ HIOIMARK BENEFITS GROUP NC 46-4763378

120 PIPTH AVp SUITE 922 PITTSBURGH PA 15222 INSURANCE SALES PA HIOHMARK INC. C CORP 0 0. %

120 FIFTH AVB SUITE 922 PITTSBURGH PA 15222 NSURANCE PA HIGHMARX INC. C CORP 0 0. K

4 HIGHEARR COVERAGE ADVANTAGE INC 46-4757476

120 FI VS ITE 922 PITTSBURGH PA 15222 NSURANCE SALES PA HIGHMARI. INC. C CORP 0. 0. X

5 HIGHNARR INC 23-12 4723

120 PI I'6 SUITE 922 PITTSBURGH , PA 1S222 -ASURANt$ PA NIGHMAR% INC. C CDR 0. X -

120 FIFTH AVENUE. 922 PITTSBURGH, PA 15222 NSURANCE SALES PA HI X INC. C CORP 0 0.

120 FIFTH AVENUE SUITE 922 PITTSBURGH PA 15222 INSURANCE SALES HIGNNARK INC C CORP 0. 0. X


Schedule R (Form 990) 2015 page 2

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related organizations treated as a partnership during the tax year.

related apenaaton domicile entity income (related, Income year enseta ......, amount in box 20 m•neprp o+•nerst+lpunrated,

countr ) sections 512-514)y

( 2 ) VANTAGE NiDNG COMP 03-0477182

( 3 ) MATRFRONT 91R1G CNTR 25- 1 698-743

495 E WATERFRONT DR HOMESTEAD MEDICAL PRAC PA MIA -RELATED 411 699. 562 . 6S5. X X 26 2100

( 4) M PENN AMBLTRY CNTR 27-2344847

( 5) MSC REALTY PARTNERS 25-1874990

( 6 ) 6v PA 511RG OS-0591755

Yes] No

( 2) HIGHMARX VENTURES INC. 25-3645888

( 4 ) HM BENEFITS ADMINISTRATORS INC. 2S-1120 4 51

( 6 ) MM CASUALTY INSURANCE COMPANY 87-0807723

( 7 ) tot CENTERED HEALTH 20-5457337

JSA Schedule R (Form 990) 20155E1308 1 000

1549KO 649R PAGE 206

(a)Name address and EIN at

(5)Primar snarl

(c)Legal

(d)Direct controllin

t•) (I)Share of total

19)Share of end-d-

(h) 19Code V41B1

0)Gael at

lit)Percenta e,, y y

(State orforeign

g

dexclude d from

tax underof Schedule R-1(Form 1085)

Palmer?

g

Yea No Yes No

VANTAGE CAP MGNT 23-3099689

312 W 25TH ST ENIE, PA 16502 CAPITAL MONT PA N /A RELATED 0 0 X X

312 N 25TH ST ERIE PA 16502 CAPITAL MONT PA W/A RELATED 0 0. X X

15305 DALLAS NEWT PITTSBURGH MEDICAL PRAC PA N/A RE TRD 0 0. X X

495 E WATERFRONT DR. HOMESTEAD PROPERTY MGMT PA N / A RELATED 31 . 007. 420,000. X X 23 4900

312 WEST 25TH STREET ERIK PA MEDICAL PRACTICE PA N /A RELATED 0. 0 X

7

Identification of Relaline 34 because it had

ted Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV,one or more related organizations treated as a corporation or trust during the tax year.

(•)Name, address, end End of related mganaaton

(e)Primary actMy

(C)Legal am4dta(um or Favigi

country)


enllly

(a)Type of entity

(C corp. S carp. ortwit)

(0Share of total

income

(9)Share of

eid^Nyear aasetS

(h)Percentageownership

(1)Seri i

6ntvliiwl

HIGHMARX SENIOR SOLUTIONS COMPANY 46-4156654

120 FIFTH AVENUE SUITE 922 PITTSBURGH PA 1 222 INSURANCE SALES PA HIG104ARR INC C CORP 0 0

120 FIFTH AVENUE SUITE 92 2 PITTSBURGH PA 15222 HOLDING COMPANY PA HIGHMARK INC C CORP 0. 0. X

3 RIGHMARX WEST VIRGINIA 55-0624615

P.O. BOX 1946 PARXERSDVRG WV 26102 INSURANCE SALES WV HIG)O4AAR INC C CORP 0. 0. X

120 FIFTH AVENUE , SUITE 922 PITTSBURGH, PA 15222 FUNDS ADMIN PA HIGIDIAPE INC C RP 0. 0. X

5 HM CAPTIVE INSURANCE COMPANY 65-1274122

120 FIFTH AVENUE SUITE 922 PI'1TSBURGH PA 15222 INSURANCE PA HIGHMARX INC C CORP D. 0. X

120 FIFTH AVENUE , SUITE 92 2 PITTSBURGH PA 15222 INSURANCE SALES PA HIGItMARX INC. C CORP 0. 0. X

120 FIFTH AVENUE SUITE 922 PITTSBURGH , PA 15222 INSURANCE PA HIGIDtARR I NC C CORP 0. 0. X




unrelated( state or

.from Of Schedule K-1 Patndl

foreign tax undo (Fain 1085)

( 2)

( 3)

( 4 )

( 5)

( 6 )

( 7 )

Identification of Related Organizations Taxab le as a Corporation or Trust Complete if the organization answered "Yes"on Form 990, Part IV,line 34 because it had one or more rel ated organizations treated as a corporation or trust during the tax year.

Sea

country ) trust)

M HEALTH INSURANC E; COMPANY 54-1637426

120 I VEROII SUITE 9 2 2 P ITTSBURGH , PA 15222 IHSSIRANCE SALES PA H1CHHARR INC C CORP 0. X

( 2 ) 1D1 ulsALjv SOLUT IONS . 46-3823617

( 3 ) HR IH GROUP 25-1646315

220 FIFTH A 1T$ 23 PI?FSBIIRGH PA 15222 MGMT SERVICE PA HIGHMARK INC. C CORP 0. 0. 1 X

( 5 ) P01 LIFE INSURANCE COISPANY OF NEW YORE 25-1000302

^^ Schedule R )Form 990) 2015SE1260 1.000

1549KO 649R PAGE 207

(A)f

(b)P i iti

(C)ll

(d)t lliDi t

(e)Predomnem

(0Share of total

(9)Sham of andof-

(h)..^.e. .

(1)Ca1a V-US)

0)Gsi rJ a

(k)PercentageName, address. and EIN o

related organizationr mary act v y ega

domicilerec ro ngcon

entity income (related.

sections 512-514)

Income year assetsr ,.. ' amount In box 20 nw,pnp ownership

country)Yes No Yes No

1

(a)Name, address, and EIN of related arganeet 1

(b)Primary activity

(c)legal de mdta(stet. a t


entity

(e)Type of errtfy

(C Corp. S Corp, or

(t)Share of total

Income

(9)Share of

end-of-year assets

In)Percentageownership

(1)e^

5o2(a)

o No

170 FIF H AVPAOE e0IT6 922 PITTSBURGH PA 15222 INFO LOGY PA NIGHMAAE INC. C CORD 0. 0. X

4 tot LIPS INSURANCE COMPANY 06-1041339

PA 15222120 FIFTH AVENOS SUITS 912 PI TTSBURGH , INSURANCE SALES PA GHNARX INC. C CORP 0 0 X-

120 FIFTH AVENUE SOIT! R 2 2 P I TTSBURGH , PA 15222 INSURANCE SALES PA HIGHMARX INC C CORP 0. 0.

6 1010 Of VOMMASTERM PENN YANIA INC. 23-2413324

19 NORTH MAIN STRAST MLLES-RAR11C PA 18711 INSURANCE PA NICHNARK INC C CORP 0. 0.

itnPG INC. 45-3444325

120 PIPiH VBHOE T8 22 PITTSBURGH PA 15222 HOLDIN MP PA ANN C CORP 0 X



Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes on Form 990, Part IV, line 34

hoe-vii tca it had nna nr mnrP rpiateri nrnani7a ( inns treated as a oartnershin dunna the tax year.

(a) (b)P ht

(c)lL

(d)trDi t lli

(e)Predominant

(0Share of total

(9)Sham of end-oA-

1h)..-a

(I)Code V-UBI

NGen a a

(K )PercentageName. address . and EIN of

related organhatlonnmery act y ega

dom icile(state orforeign

rec con o ngentity incame (relat ed,

unrelated,excluded from

tax undersections 512.614)

Income year assets.,.,.-1 amount in box 20

of Schedule K-1(Form 1065)

m.n.pinppennM

ownership

country)Yes No Y. Ho

1

( 2 )

( 3 )

( 4 )

5

8

( 7 )

__, j Idpntificatlon of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV,'"X11illill Ii..e Qw F.o- tea it hari ono nr mnro rolnforl nrnnni7ahnnc freate 1 ac a rnrnnrmfinn nr trust during the tax vear_

a)Name, address, and EIN of related organization

(b)Primary activity

(C)Legal doii astate of limelp

counts)


entity

(a)Type of entity

(C corp. S Corp, ortrust)

(I)Share of tote!

income

(0)Share of

end-d-year assets

111)Percentageownership

(1)^

e512oniaMadantftl

e No

HVHC INC. 25-1801124

175 BAST HOUSTON STREET SAN ANTONIO T% 78205 HOLDING COMPANY TX HTOHMARS INC C CORP 0. 0. K

( 2 ) a"A INC 25-1712017

120 FIFTH AVENUE, SUITS 922 PITTSBURGH , PA 15222 MGMT SERVICE PA ,TGHMARY INC. C CORP 0. 0. K

3 JEFFERSON HILLS SURGICAL SPECIALISTS PA 30-0477313

1200 BROOKS LANE 150 CLAIATON. PA 1502 MEDICAL PRACTICE PA JRMC C CORP 3 ,840 ,9 291 624 429. 100.0000 X

( 4 ) .1RIC PHYSICIAN SERVICE CORP. 86-1159658

565 COAL VALLEY ROAD JEFFERSON HILLS A 15025 MEDICAL PRA ICE PA .WMC C Co" 280 . 969 72 , 226 100.0000 %

( 5 ) JRIVC SPECIALTY GROUP PRACTICE 72-1529332

565 COAL VALLEY ROAD JEFFERSON HILLS PA 15025 MEDICAL PRACTICE PA ,1RMC C CORP 901 733. 125 720. 100.0000 %

( 6 ) HIGHMARA CHOICE COMPANY 25-1522457

120 PIPTH AVENUE SUITE 922 PITTSBURGH , PA 15222 INSURANCE SALES PA HIGMMAR% INC. C CORP 0 0. %

( 7 ) RLINGEASMITM HEALTHCARE. INC. 25-1375204

120 FIFTH AVENUE SUITE 922 PITTSBURGH PA 15222 HEALTH CARE PA 1tMPG INC C CORP D. 01 X

JSA

5EI306 1 000

1549KO 649R

Scneauie m (l-OrR1 Hsu) zoo

PAGE 208


Schedule R (Form 990) 2015 page 2

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related organizations treated as a partnership during the tax year

( 2 )

( 3)

( 4)

( 6 )

( 7 )

LAM ERIN MEDICAL GROUP PC 4 5 -34441S?

( 3 ) PALLADIOM RISK RETENTION GROUP 46-3476730

( 4 ) PARE CARDIOTHORACIC & VASCULAR INST. 72 - 1529328

( 5) PARKER BENEFITS 55-0625743

( 6 ) PHYSICIAN LANDI LONE PC 45 -3913973

SSA Schedule R (Form 990) 20135E1306 1000

1549KO 649R PAGE 209

N d EIN fd(b)

iP t(c)

lL(d)

trollinect cD(6)

PredominantIt)

Share oftolul(9)

Share of end-all.Ihlwoti

0)Cood V1181

(0n1 or

(It)Percentageame, ad ress , an o

retaled Oryanltatbir mary ac Mty ega

domicile

(!tote or

foreign

t

ir on gentity income (related.

exeluddtramtax under

Sections 512-514)

income year assets..

...++ amount In box 20

of Schedule K-t

(Form 1065)

manapnp

pains?

ownenhlp

Coun ry)Yes Ho Yes No

S

5

. Identification of Relaline 34 because it ha

ted Organizations Taxable as a Corporation or Trust Complete d the organization answered "Yes" on Form 990, Part N,d one or more related organizations treated as a corporation or trust during the tax year.

(a)Name , address , and EIN of related organization

(b)Primary aUMty

(c)Ie9ai do housIsla.. 1910

countll^

(d)Direct controlinp

entity

(a)Type of entity

(C corp . S cap, ortrust)

(0Shared total

income

(g)share of

and4-ycor assets

(h)Petcentagownership

(I)ten

512(511t3)

CO 10I^

e No

120 FIFTH AVENITS, SUITE 922 PITTSBURGH PA 15222 HEALTH CARE PA AC CORP 7 , 206 . 74 9. 1 , 7 9 2 , 683 . 100.0000 X

OPTDIA IMAO NG 25 - 1652674

4800 FRI ENDSH IP AVENUE PITTSBURGH PA 15224 MEDICAL PRACTICE PA SPANS INC S CORP 2 , 994 0. X

409 BROAD STREET , SUITE 27 S I LSY PA 15143 HEALTH CARS PA 1mpG INC. C CORP 0. X

565 COAL VALLEY ROAD J6 HILLS , PA 15025 MEDICAL PRACTICE PA JRMC C CORP 1. 1 06. 526 120 148 . 100.0000 X

P.O. BOX 1948 PARR IWRO MV 76102 TPA NV HIGHMARX INC. C CORP 0 0. X

120 FIFTH AVENUE SUITE 9 22 PIITSBURCH PA 15222 HEALTH CARE PA AC C CORP 6 , 799 . 194 fl 635 634 . 100 0000 X

7 PITTSBURGH BONE JOINT Arp SPIRE INC 25-1203449

1200 BROOKS LAHR SUITE 020 JEFFERSON HI LLIS. PA 15075 MEDICAL PRACTI CE PA JRMC C CORP 5.494 .8 61 1 . 407 . 686 . 100 0000 X



Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related or anizations treated as a partnership during the tax year,

( 2 )

( 3)

( 4 )

( 7 )

Yes No

( 1 ) PITTSBURGH PULMONARY & CRITICAL CARE ASS 46-3274101

( 2) PREMIER MEDICAL ASSOCIATES PC 25-1742069

( 3 ) PREMIER MOMED'S HEALTH 46-4602160

( 4 ) PRIMARY CARE GROUP 2 INC. 9D-0451175

( 5) PRIMARY CARE GROUP 3 , INC. 90-0451380

( 6) PRIMARY CARE GROUP 4. INC. 80-0403090

( 7 ) PRIMARY CARE GROUPS INC 8D-0403100

Js Schedule R (Form 990) 20155B 1308 1 000

9KO 649R154 PAGE 210

u)Name, address . and EIN of

related organ ization

(b)Primary ecthMy

(c)Legal

domicile

(state or

foreign

cou t

(d)Owed controlling

en tity

(e)Predominant

Income (related ,unrelated,

axtax undoSections 512-514)

(1)Shared total

incomeSham of endcl•

year assets

(N)c...,.^.o..,

(1)Cade V11Bi

amount in box 20

of Schedule K•1

(Form 1065)

u)Gnarl ormarugngPaStel

(k)Percentageownership

n ry)Yea 140 Yes No

1

6

Identification of Relaline 34 because it ha

ted Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV,d one or more related organizations treated as a corporation or trust during the tax year.

(a)Name , address , and EIN of related organhatbn

(N)Primary actmty

(c)Leger denote

(slalomfm.g

CaunSy3

(d )Direct eontro9ing

enti t y

(e)Type of entry

( C corp. S Corp, orIfUS1)

(0Shore of total

income

(g)Sham of

etdd•year swats

(h)Pmwitagownership

p)Secoon

512(D){t^tonV a_.

1200 050015 LANE . SUITE 130 CLAIRTOIQ PA 15025 MEDICAL PRACTICE PA JRMC C CORP 3 . 524 . 263. 399 . 595 100 0000 X

120 FIFTH AVENUE , SUITE 922 PITTSRDRGH PA 15222 HEALTH CARE PA AC C CORP 57 340 595. 2a , 091 . 116 . 100.0000 X

120 PIPRM AVEDUE SUITE 922 PITTSBURGH , PA 15222 MEDICAL PRACTICE PA AC C CORP 5 , 927 , } 94, 1 , 728 , 549. 100 0000 X

6011 RAPTIST ROAD SUITE 220 PITTSBURGH , PA 15236 MEDICAL PRACTICE PA .IRMC C CORP 917 860 . 109 , 393 100.0000 X

5426 MIFFLIN ROAD PITTSBURGH, PA 15227 MEDICAL PRACTICE PA JRMC C CORP 704 056 . 100 867 . 100.0000 X

1907 LEBANON CHURCH ROAD WEST MIPPLIN PA 15122 MEDICAL PRACTICE PA JRMC C CORP 706 939. 76 , 510. 100.0000 x

624 MONONGABElA AVENUE GUISSPORT PA 15045MEDICAL

PRACTICE PA JRMC C CORP 730 610 . 164 157 . 100.0000 JI




related oryenâtlm domicile amity income (related ,unrelated

income year assets ..r... amount in box 20 manap n Ownership,

Y. No Yes No

( 2 )

( 3)

( 4 )

( 5)

( 7 )

o rga nizationIdentification of Related Organizations Taxable as a Corporation or Trust Complete if theline 34 because it had one or more rel ated organizations treated as a corporatio n or trust during the tax year.

Ye s No

( 4 ) PRIMARY CARE GROUP 9 , INC 01 - 0929359

( 5 ) PRIMARY CARE GROUP 10 , INC. 38-3807173

( 6 ) PRIMARY CARE GROUP 22 , INC. 0 0-04 9 4627

4 5 5 VALLEY BROOK ROAD SUITE 300 I9OIURRAY PA 15317 MEDICAL PRACTICE PA ,7RMC C CORP 0 0. X

SSA Schedule R (Form 990) 2015

Selma 1 000

1549KO 649R PAGE 211

N dm d EIN d(b)

tivitP i(c)

L l(d)

Dir t t llinIn)

Predominant(1)

Share dtotal(9)

Share of end-of-(h)

o . ^ .PI

151code v-1UI

Gmaml «(k)

Percentageeas, aname, a r mary ac y ega

(state atforeign

t

ec con ro g

exc lu ded p ,tax under

sections 512.514)

.. .. . .

of Schedule K-1(Farm 1085)

petndl

coun ry)

1

8

rganizaG'on answered "Yes" on Form 990, Part IV.

(n)Name, address, and EIN of related oiga featrilon

(b)Primary activity

(C)Legal danrrwhats «t

coutsy)

(d)Dyed Controlling

entity

(e)Type or entity

(C corp. S corp, ortrust)

(f)Share of total

income

(9)Shared

end-d- ew meets

INPercemopownership

S (I)^

512(e)(13tb^^

PRIMARY CARS, PM2 6 , INC. 45-3684432

P O. BOX 33 3 WEST MIFFLIN PA 15122 MEDICAL PRACTICE PA .IRMC C CORP 453.899 97.040. 100 0000 %

2 PR IMARY E GROUP 7 INC 90-0507600

575 COAL VALLEY ROAD JEFFERSON MISS. PA 15025 MED PRACTICE PA JRMC C CORP 566 ,204, J 1 3,5 07 , 100 0000 X

ARY CARE GROUP INC. 01-0927360IlI

803 MILLER AVENUE ClAIR79N PA 15025 MEDICAL PRACTICE PA ,1RMC C CORP 220 , 29 ). 217 779. 100.0000 X

1200 BROOKS LANE 270 CLAIRTOPPA 15025 MEDICAL PRACTICE PA .IRMC C CORP 16 . 736. 493. 100.00011 %

3726 BROMNSV11.LB ROAD PIrrSrnmG8 PA 15227 MEDICAL PRACTICE PA JAMC C CORP 4 3 7 ,3 51 , 127 773. 100 0000 X

7 PRIMARY CAR E GROUP 22 , INC 90-0611054

17 AREN1ZmI BLVD SUIT E 101 CHARLEROI . PA 15022 MEDICAL CE PA TRMC C CORD 1 422 B 8 B 0 100 0000 X

)




( 2 )

( 3 )

( 4)

( 6 )

( 7)

:FMline 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) (b) (c) (d) a) (n (9) (h) (I)

country) trust)con0a11e0

Ye s No

( 1 ) PRIME MEDICAL GROUP PCG 1 26 - 4194208

( 2) RPJSWORICS SLEEP STORE INC 25 - 1411844

( 3 ) SOUTH PITTSBURGH UROLOGY ASSOCIATES 46-4954659

( 5 ) STANDARD PROPERTY CORPORATION 25-1660093

( 6 ) STEBI. VALLEY ORTHOPEDICS & SPORTS MEDICI 49-3540378

( 7 ) UNITED CONCORDIA COMPANIES INC 25 - 1687586

SSA Schedule R (Form 990) 20155E 1309 1 000

1549KO 649R PAGE 212

(a)Nerve, address , and EIN of

related organtrstlon

(b)Primary activity

(C1legal

domicile(state orforeignCountry)


entity

(a )predominant

Income (related.

e xcluded^pvNtax under

sections 512-514)

IQShare of bola,

in come

te)Share of end-0f-

year 003015

(h)o,.n..^...^.,

OICode V-UBI

amount In box20of Schedule K-1(Forth 1065)

WGans, ormarl mpIwrmen

(wlPercentageownership

Yes No Yea No

1

6

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV,

Name , address , and EIN of related orpa eahat Primary activity 18051 east d.(state or taegn

Direct control l i ngentity

Type of emey(C Corp , S Corp or

Share of totalincome

Share ofend-01-year assets

PacPmagowner hip

SectionSt2(e)(t3)

env

1200 BROOKS LANE 110 C,AIRfON PA 15025 MEDICAL PRACTICE PA .IRHC C CORP 3 . 743 . 233 319 089. 100.0000 X

120 FIFTH AVt47p8 SUITE 922 PITTSBURGH PA 15222 RENTAL 4 SALES PA HIOHMARX INC. C CORP 0. 0. X

1200 BROOKS LANE , SUITE 220 CLAIRTON , PA 15025 MEDICAL PRACTICE PA JRIcC C CORP 1 ,134 , 74a. 328 Bea. 100.0000 X

'd SPECIALTY GROUP PRACTICE 1 , INC . 35-2367818

575 COAL VALLEY ROAD , SUIT! 365 ÂIRTON PA 15025 MEDICAL PRACTICE A mISC C CORP 0. O. X

120 FIFTH AVENUE , SUITE 922 PITTSBURGH , PA 15222 REAL ESTATE OPS PA HIGIBIAAX INC C CORP 0. 0. X

1200 BROOKS LANE 240 CIAIRTON PA 15025 MEDICAL PRACTICE PA JRMC C CORP 4 , 575 , 784, 791 030. 100.0000 X

4401 DEER PATH ROAD HARRISBURG PA 17110 DENTAL INSURANCE PA HIOHMARR INC C CORE 0 0. X



Identification of Related Organizations Taxab le as a Partnership Complete if the organization answered "Yes" on Form 990, Part N, line 34

because it had one or more related organizations treated as a partnership during the tax year.

sections 512-514)country)

( 2 )

( 3 )

( 4 )

( 7 )

Corporation o r Trust Com p lete if the or anization answered "Yes" on Form 990, Part IV,

IMIdentification of Related Organizations Taxable as a Corporatioo p 9

aaau line 34 because it had one or more related organizations treated as a corporation or trust during the tax yearI(a) (b) (C)

country )

(di (e)

trust)

(9 le) (h) ^(I

Y04 No

( 2 ) UNITED CONCORDIA DENTAL PLANS OF CAL FO 23 - 7328765

( 3 ) UNITED CONCORDIA DENTAL PLANS OF rJPMKK 61-1012900

(4 ) UNITED CONCORDIA DENTAL PLANS OF PF.R1ISYL 27-2561529

( 5 ) owIr CONCORDIA DENTAL pLANS OP TEXAS , 74 - 2{890)7

4401 DEER PATH ROAD NARRISDUI1G PA 17110 DENTAL INSURANCE PA HIGRMARI[ INC C CORP 0. X

( 6 ) UNITED CONCORDIA DENTAL PLANS of THE MID 38-2289438

JSASchedule R (Form 990) 2015

5E1308 1000

1549KO 649R PAGE 213

(b) (e) (d) (e)predominant

(I)share of trial

(g)Shared end- f-

(h)-o

(I)Code V-UBJ

U)Gmna.r or

(k)percentageName, address, and EIN of

related organizationPrmaty eclMty Legal

domicile(5181. orforeign

Direct controllingentity InCOnl (related.

excluded Eamtax under

income year assets..,....,..• amount in box 20

of Schedule M-1(Form 1065)

msrr9big981iir

ownership

Yes No Yes No

1

S

8

Name, address, and EM of related organization Primary actmty 11911dai eusslate a tore

Direct eontroSngentity

Type of entity(C corp. S corp. or

Shwa of trialInc*"

Share ofandQ- assets

Peomta9ownership 5121e)( n̂

1 cni1I CONCORDIII DENTAL CORPORATION OF A 63-1028262

4401 DRER PATH ROAD HARRISSVRG PA 17110 DENTAL INSURANCE PA HIGHMAR[ INC. C CORP 0 0.

4401 DEER PATH OAD HARRISBURG PA 17110 DENTAL INSURANCE PA HIGHMARR INC. C CORP O X

4401 DEER PATH ROAD HARRISBURG. PA 17110 DENTAL INSURANCE PA HIGRMARA INC. C CORP 0 0. X

4401 DEER PATH ROAD HARRISBDRG PA 17110 DENTAL INSURANCE PA HIGNMARRINC. C CORP O. 0 x

4401 DEER PATH ROAD HARRI SBURG , PA 17110 DENTAL INSURANCE PA UCHNAIre INC. C CORP 0. 0 X

UNITED DDNCORDIA DENT PlAN8 I/IC 52-1512269

4401 DENS PATH ROAD HARRISBURG P 7110 DENTAL INSURANCE I PA NIGHMARX INC C CORP O. 0. X


Schedule R (Form 990) 2015 Pap 2

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related organ izations trea ted as a partnership during the tax year

( 2 )

( 3 )

( 4 )

( 6 )

( 7)

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the orga a o ,line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

Y04 No

( 4 ) VISIONARY PROPERTIES INC. 74 - 2849554

( 7) VISIONNORXS ENTERPRISES INC 35 - 2196998

115 PAST HOUSTON STREET SAN ANTONIO TX 78205 SRADENARX8 TX HIGH II INC C CORP 0 0. X

SSA SchadSchedule R (Form 990) 20155E 1305 1.000

1549KO 649R PAGE 214

(a)Name, address, and EIN Of

related ago leatan

(b)Primary activity

(c)Legal

domicile(state orforeigncountr


entity

(a)Predînant

hie (col

occluded fitax under

sections 512-514)

(f)Share of total

income

(9)Share of end-of-

year souls

m1or....r......+

(nCode V-UBt

amount in box 20of Schedule K-1

(Farm 1085)

U)Gsrwy ormenaprpporn.?

(5)Percentageownership

y)Yes No Yes No

1

5

nization answered "Yes" n Form 990, Part IV

(a)Name, address, end EfN of re(aed uge titateln

(b)Primary activity

(c)Legaldmistate or reelseaa y)

(d)controlling

entity

Is)Type of entity

(C corp. S corp. ortrust)

(I)Share of total

Income

(g)Shared

andcl-yea assets

(h)Percentownership

glJ+

512(b)(13)^lydleaeon

UNITED CONCORDIA INSURANCE COMPANY 86-0307623

4401 DEER PATH ROAD HAP.RISDURG PA 17110 DENIAL INSURANCE PA HIGHHARE, INC. C CORP 0. 0. X

2 UNITED CONCORDIA INSURANCE COMPANY OP NE 11-7008245

4401 DEER PATH ROAD HARRISBURG PA 17110 DENTAL INSURANCE PA HIDHEARE, INC. C CORP 0. 0. X

.3 UNITED CONCORDIA LIPS AND HEALTH INSUEAN 23-1661402

4401 DEER PATH ROAD HARRISBURG PA 17110 DENTAL INSURANCE PA HIOHMARX INC. C CORP 0. 0. X

175 EAST HOUSTON STREET SAN ANTONIO TX 78205 LEASING TX HIONMARK. INC. C CORP 0 0. X

.5 VISIONARY RETAIL MANAGEMENT, INC. 74-2849552

175 EAST HOUSTON STREET SAN ANTONIO , TX 18205 OFFICE ADNIN TX HIGHMARK. INC. C CORP 0. 0. X

rf VISIONHOAKS DISTRIBUTION SERVICES , INC. 04-3742989

175 EAST HOUSTON STREET SAN ANTONIO , TX 78205 OPTICAL RETAIL TX HIGHNARR, NC C CORP 0. 0. X

HIGHI7ARK HEALTH GROUP 45-3674900

Pape 2Schedule R (Farm 990 ) 2015


because it had one or more related organizations treated as a partnership during the tax ear.

foreign tax undersections 512.514)

(Form 1085)

country)Y. N. Yea N.

( 2 )

( 3 )

( 4 )

( 5)

( 6 )

( 7 )

( 1 ) VIBIONMORRB IAN SERVICES , INC. 04 -1741977

( 2 ) V S RRS OF ANRRICA INC 74-233T775

( 4) WEST PENN RDoRATE MEDICAL SERVICsS IN 25 -1437405

Schedule R (Form 990) 2D15JSA5E 1300 1.000

1549KO 649R PAGE 215

le) (o) (C) Id) (e)Predorn5wu

InShare of total

lslShane of endof-

( h)a r .

mCode V-UBI

InOrw+t or

(klPercentageNana, address. and EIN of

related organ ' ati nPrimary activity Legal

domicile(stale or

Direct controllingentity in e ( °d•

excluded fromumdfr

henna year assets..... ...-.r amount In box 20

of Schedule K-1 pained

OW1Cf p

1

Identification of Related Organizations Taxable as a Corporation or Trust Complete If the or

line 34 because it had one or more related organizations treated as a corporation or trust duringanization answered "Yes" on Form 990 , Part IV,g the tax year.

(e)Name, address . and EIN dro tad organization

(b)Primary actMly

(c)Le9IIdwnede(caste of ro

wunby}


entity

(e)Type of

entity

(C corp . S corp . ortrust)

10Share oftetel

Income

(ii)Share of

end.d-year SSSet6

(h)Perownership

ACPIN55 12(b)( 13coR"W

o No

175 EAST HOUSTON STREET SAN ANTONIO , TX 70205 OPTICAL RETAIL TX HIGHMARX INC. C CORP 0. 0 if

175 EAST HOUSTON STREET SAN ANTONIO , TX 78205 RETAIL SALES TX HIGHMARR INC C CORP 0 0. X

.^ VI IOHNORIC9 INC. 02-0677066

17 EAST HOUS1O¢v STREET SAN ANTONIO , TX 70205 OPTICAL RETAIL TX NIOHMARR INC C CORP D. 0. X

4800 P IENDSHIP AVENUE PITfSR11RGH PA 15224 MEDICAL PRACTICE PA HPAHS INC C CORP 89 , 493 . 100.0000 X

3 ME N ERY PC 2S-16 3 0719

4800 PRIEEDSHIP AVENUE PITTSDURGH PA 15724 HEDICAL PRACT C PA WPAHS INC. C CORP 141. 100.0000

6 NEST VIRGINIA FAMILY HEALTH PIJW 45-2763165

1119 V A STREET EAST CHARLESTON WV 25301 IN CE WV HIOHNARK INC C CORP 0. 0. X

7

)


Schedule R (Fom On 7015 Page 3

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36

Note. Complete line 1 if any entity is listed in Parts II, 111, or IV of this schedule Yes No

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-lV'

a Receipt of (i) interest, (II) annuities, (iii) royalties, or (Iv) rent from a controlled I X

b Gift, grant, or capital contribution to related organization(s) ........................................................ 1b X

c Gift, grant, or capital contribution from related organization(s) . . ................................................. . . . . 7c X

d Loans or loan guarantees to or for related organization(s) ......................................................... 1d , X

e Loans or loan guarantees by related organization(s) ............................................................ 1e X

IF Dividends from related organization (s)...................... .. ......................................... ... if X

g Sale of assets to related organization( s) ................................................................... 1 x

h Purchase of assets from related organ ization(s ) ..... .......... . ............................................ ... 1 In X

I Exchange of assets with related organ ization(s)........................................................ .... ... 1 i X

j Lease of facilities , equipment, or other assets to related organization(s) . . . . . . . . . . .. ................................... .. . 7 X

k Lease of facilities, equipment, or other assets from related organization(s) ............................................... .

I Performance of services or membership or fundraising solicitations for related organization(s) .................................. .. .

m Performance of services or membership or fundraising solicitations by related organization(s)................................... .. .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ....................................... .

o Sharing of paid employees with related organization(s) ......................................................... .

p Reimbursement paid to related organization(s) for expenses....................................................... .

q Reimbursement paid by related organization(s) for expenses ...................................................... .

1 X

1 X

r Other transfer of cash or property to related organization (s) ................................................ . ...... . 1 r x

a Other transfer of cash or property from related organization (s),.

1s X2 If the encwor to nnu of the ahnvn k "Yes 11 CPA the insaructinns for information on who must comolete this line . includina covered relationships and transaction thresholds.

Name of related oryatisation(b)

Transactiontype (si)

(c)Amount invoked

(d)Method of determining

amount involved

( 1 ) ALLEGHENY GENERAL HOSPITAL SHARED SERVICES B 9,366,211. FMV

( 2 ) CLINICAL SERVICES, INC. B 1,855,000. FMV

( 3 ) ALLEGHENY CLINIC C 1,024,755. FMV

(4 ) ALLE-KISKI MEDICAL CENTER C 941,355. FMV

( 5 ) CANONBURG GENERAL HOSPITAL C 491,248. FMV

(6) ALLEGHENY CLINIC MEDICAL ONCOLOGY C 728,627. FMV

JSA5E 1309 1 DOD

1549KO 649R


PAGE 216


sGmdula R (Fam gaol 2015 Page 3

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part W. line 34, 35b, or 36.

Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. Yes No

1 During the tax year , did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV7

a Receipt of ( i) interest , ( II) annuities, (iii) royalties , or (Iv) rent from a controlled entity ........................................... 1a

b Gift, grant , or capital contribution to related organ ization(s) ........................................................ 1b

c Gift, grant , or capital contribution from related organization (s) ....................................................... Ic

d Loans or loan guarantees to or for related organization(s) ......................................................... id

e Loans or loan guarantees by related organization (s) ...... ........... ..................................... ...... 1e

f Dividends from related organization(s).................................................................... 1f

g Sale of assets to related organizatton(s) ................................................................... 1 ,

h Purchase of assets from related organization(s) ............................................................... 1 h

I Exchange of assets with related organization(s) . . . . . . .................................... ..................... II

J Lease of facilities, equipment, or other assets to related organization(s) . ................................................. 1


I Performance of services or membership or fundraising solicitations for related organization(s) .................................... .

m Performance of services or membership or fundraising solicitations by related organization(s)..................................... .

in Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ....................................... .




r Other transfer of cash or property to related organization(s) . . . ............................ . .......... . ............ .

2 If the answer to any of the above is "Yes." see the instructions for information an who must complete this line. including covered relationshies and transaction thresholds.

(alName of related organization

(b)Transedalype (e s)

(CIAmount involved


amount ImOWed

( 11 ) WEST PENN ALLEGHENY HEALTH SYSTEM, INC. C 12,541,482. FMV

( 2 ) WEST PENN ALLEGHENY HEALTH SYSTEM. INC. C 4,610,063. FMV

( 3) ALLEGHENY GENERAL HOSPITAL SHARED SERVICES C 726,426. FMV

(4) ALLEGHENY MEDICAL PRACTICE NETWORK J 1,004,741. FMV

( 5) THE WESTERN PENNSYLVANIA HOSPITAL N 207,598. FMV

(6) WEST PENN ALLEGHENY HEALTH SYSTEM BILLED SERV 0 267,672. FMV

JsA5E1309 1.000

1549KO 649R


PAGE 217


Schaduta R (Form 990) 2015 Pap e 3

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line I If any entity is listed in Parts II, III, or IV of this schedule.

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-N?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .......................................... .

b Gift, grant, or capital contribution to related organization(s) ............. ........... .. ............. ............. ... .

c Gift, grant, or capital contribution from related organization(s) ...................................................... .

d Loans or loan guarantees to or for related organization(s) ........................................................ .

e Loans or loan guarantees by related organization(s) ........................................................... .

f Dividends from related organization(s)................................................................... .

g Sale of assets to related organnabon(s) .................................................................. .

h Purchase of assets from related organization(s) .............................................................. .

I Exchange of assets with related organization(s)... . .......................................................... .

Lease of facilities, equipment, or other assets to related organization(s) ................................................. .

k Lease of facilities, equipment, or other assets from related organization(s) .............................. ................. .



n Sharing of facilities, equipment, mailing lists, or other assets with related organization( s) ....................................... .

o Sharing of paid employees with related organization(s) .... .. ......... ...................... .................... .



r Other transfer of cash or property to related organization(s) ....................................................... I r

is Other transfer of cash or property from related organization(s)•

.

ise If ,ti..-.- •.. n M #h. h..,,n ,a "V .. nn thn inatn,rfinne fnr infnrmatinn nn whn must rnrnnlete this ling includina covered relationshios and transaction thresholds.

(e)Nerve of related organization

(b)Transactiontype (a-.)

tc)Amount involved

(d)Method at determining

amount involved

S SYSTEM WIDE SERVICES P 293,668. FMV

( 2) THE WESTERN PENNSYLVANIA HOSPITAL P 7,208,992. FMV

( 3) ALLEGHENY SINGER RESEARCH INSTITUTE P 59,859. FMV

( 4 ) ALLEGHENY HEALTH NETWORK P 59,889. FMV

6 PWH HOLDCO P 100,985. FMV

(6) ALLEGHENY SINGER RESEARCH INSTITUTE P 221,203. FMV

5E1309 1 000

1549KO 649R

scneauta K ti-orm ssu) 1uia

PAGE 218


Schedule R Ifom 990) zo15Page 3


Note . Complete line 1 if any entity is listed in Paris II, III, or IV of this schedule.

I During the tax year. did the organization engage in any of the following transactions with one or more related organizations listed in Paris II-IV?

a Receipt of () interest, ( ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .................... ...................... .

b Gift, grant , or capital contribution to related organization( s) ........................ . .............................. .


d Loans or loan guarantees to or for related organization (s) ........................................................ .

a Loans or loan guarantees by related organization(s) ........................................................... .

f Dividends from related organization(s)............................ ........................................ 11

g Sale of assets to related organization(s) ................................................................... 1

h Purchase of assets from related organization(s) ............................................................... 1 h

I Exchange of assets with related organization(s) . . . . ........................................................... i i

j Lease of facilities. equipment, or other assets to related organization(s) . . . .............................................. .

It Lease of facilities , equipment, or other assets from related organization (s) ............................................... .



n Sharing of facilities, equipment, mailing lists , or other assets with related organization(s ) .................................... ... .

o Sharing of paid employees with related organization (s) ......................................................... .



r Other transfer of cash or property to related organization(s) ................................... ............ ......... r

s Other transfer of cash or pro p erty from related o anaation s . 1s_. .._ _1_....: •v,... " .. 4w.. s..^^,....b....^ f.. , ,nf^rmnt,nn n n u4- „at rmmnlotA this hnp ,ndtidinn rnvered reletinnshins and transaction thresholds.

Name of related orgenkation

bTransactiontype (e.e)

Amount inedved(d )

Method of determiningamount Involved

( 1 ) THE WESTERN PENNSYLVANIA HOSPITAL P 1,225,327. FMV

( 2 ) PREMIER MEDICAL ASSOCIATES P 2,189,792. FMV

WEST PENN ALLEGHENY HEALTH SYSTEM, INC. P 590,252. FMV

(4 ) FORBES HOSPICE (167) Q 427,453. FMV

( 5) WEST PENN ALLEGHENY HEALTH SYSTEM, INC. Q 3,062,299. FMV

(6) SYSTEM WIDE SERVICES 0 162,018. FMV

JSASE 1309 1.000

1549KO 649R

Schedule R (Form 9991 2015

PAGE 219


Schedule R (Farn Bao) 2015Pape 3


Note. Complete line 1 If any entity is listed in Parts II, III, or IV of this schedule.

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV7

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .......................................... .

It Gift, grant, or capital contribution to related organization(s) ....................................................... .

c Gift, grant, or capital contribution from related organization(s) . . . . .................................................. .


e Loans or loan guarantees by related organzation(s) ........................................................... .

f Dividends from related organ¢ation(s). .................................................................. .

g Sale of assets to related organization(s) .............................................. ........... .... ..... .

It Purchase of assets from related organization(s), • . . . ......................................................... .

I Exchange of assets with related organization(s), , , , ..... ................................................... .

j Lease of facilities, equipment, or other assets to related organization(s) ................................................. .

It Lease of facilities , equipment, or other assets from related organization(s) ............................................... .


m Performance of services or membership or fundraising solicitations by related organization(s).................................. ... .





r Other transfer of cash or property to related organization(s) . . .....................................................

s Other transfer of cash or property from related organization(s) ^s -..^_ ...... .. r... ...r,..... ^.^....... -h ... -t en elate this line inehidinn rnvwred relatinnehins and transaction thresholds.

No

(a)Name of related agan¢etion

(blTransactiontype (a-e)

klAmount Involved


amount involved

( 1 ) ALLEGHENY CLINIC Q 1,070,538. FMV

2 THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION Q 55,779. FMV

( 3 ) ALLEGHENY GENERAL HOSPITAL Q 95,025. FMV

(4) FORBES REGIONAL HOSPITAL Q 2,094,501. FMV

( 5) PHYSICIAN LANDING ZONE, PC Q 2,215,229. FMV

(6) THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION Q 19,090,607. FMV

JSA5E1300 1 000

1549KO 649R

`JCneauue n (corm 70U, cull

PAGE 220


acnedwe R (Fan e90q 2015 Page 3


Note . Complete line 1 if any entity is listed in Parts I ), 111, or IV of this schedule. Yes No

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? r<' ;

a Receipt of (1) interest , ( I1) annuities , ( i8) royalties , or (iv) rent from a controlled I a

b Gift, grant, or capital contribution to related organ ization(s ) ............... ......................................... 1 b

c Gift, grant, or capital contribution from related organization (s) . . ..................................................... Ic

d Loans or loan guarantees to or for related organ ization(s) ......................................................... d

e Loans or loan guarantees by related organization ( s) ............................................................ le

f Dividends from related organization(s).................................................................... 1r


h Purchase of assets from related organization(s) ............................................................... I

I Exchange of assets with related organization(s)........ . . ............... ..................................... I I

J Lease of facilities, equipment, or other assets to related organization(s) . . . . ............................................. .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . ............ . .. . ......................... fk

I Performance of services or membership or fundraising solicitations for related organization(s) ..................................... I I

m Performance of services or membership or fundraising solicitations by related organization(s)...................................... IM

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ........................................ In

o Sharing of paid employees with related organization(s) .......................................................... 10



r Other transfer of cash or property to related organization(s) ........................................................ 1r

e Other transfer of cash or property from related organization(s). , is9 If the renewer In nnv of the ahnva ie "YPQ " QPP the inctnirtinnc for information on.who must camolete this line including covered relationshios and transaction thresholds.

(a)Name of related organization

(b)Transactiontype (a e)

(C)Amount involved


amount Invoked

( 1 ) ALLEGHENY HEALTH NETWORK R 25,134,752. FMV

( 2 ) WEST PENN ALLEGHENY HEALTH SYSTEM HOSPITAL CO K 461,886. FMV

( 3) WEST PENN ALLEGHENY HEALTH SYSTEM HOSPITAL CO 0 8,637,311. FMV

(4 ) WEST PENN ALLEGHENY HEALTH SYSTEM HOSPITAL CO 0 1,256,013. FMV

(5) ALLEGHENY HEALTH NETWORK 0 145,602. FMV

6 CANONSBURG GENERAL HOSPITAL P 177,784. FMV

JSA5E1309 1.000

1549KO 649R


PAGE 221


Schedule R ( Form 550) 2015 Peg* 3


Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (u) annuities, (Iii) royalties, or (iv) rent from a controlled entity .......................................... .

b Gift, grant, or capital contribution to related organization(s) ....................................................... .

c Gift, grant, or capital contribution from related organization(s) ...................... . ....................... . ....... .

d Loans or loan guarantees to or for related organization(s) ................................................ ...... .. .

e Loans or loan guarantees by related organization (s) ............................................ . .............. .

f Dividends from related organaatan(s)................................................................... .

g Sale of assets to related organtzation(s) .................................................................. .

h Purchase of assets from related organization(s) .......................................................... . ... .

i Exchange of assets with related organization(s)................... .................. .... ................... .. .

) Lease of facilities, equipment, or other assets to related organization(s) . . . .............................................. .

fc Lease of facilities, equipment, or other assets from related organization (s) ............................................... .

I Performance of services or membership or fundraising solicitations for related organization(s ) .................................... .




p Reimbursement paid to related organization(s) for expenses....................................................... .q Reimbursement paid by related organization(s) for expenses ...................................................... .

r Other transfer of cash or property to related organization(s) ,

. . . . . . . . . . .

1r

a Other transfer of cash or property from related organization(s).. . 1s2 If the answer to any of the above is "Yes." see the instructions for information on who must camolete this line. including covered relationshlos and transaction thresholds.

{a)Name of related organization

(b)

Trensactwn

type (54 )

(c)Amount invofed

(d)

Method of determining

amount Invoked

( 1 ) ALLEGHENY SINGER RESEARCH INSTITUTE 0 51,626. FMV

( 2 ) ALLEGHENY SPECIALTY PRACTICE NETWORK K 96,838. FMV

( 3) ALLEGHENY SPECIALTY PRACTICE NETWORK Q 267,814. FMV

(4) ALLEGHENY SPECIALTY PRACTICE NETWORK 0 100,193. FMV

( 5 ) I/C PENSION PARENT P 558,500. FMV

6 REGIONAL HEART NETWORK N,O,P 4,395,037. FMV

JSA60301111 000

1549KO 649K


PAGE 222


Schtlula R (FOrIn eao 2015 Page 3

- j Transactions With Related Organizations Complete If the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts It, III, or N of this schedule

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts it-N?

a Receipt of (i) interest, (II) annuities, (ill) royalties, or (iv) rent from a controlled entity .............................. .... ...... . . .

to Gift, grant, or capital contribution to related organization(s) ....................................................... .

c Gift, grant, or capital contribution from related organization( s) ............ . . ........................................ .

d Loans or loan guarantees to or for related organization (s) .......................................... . . .... .. ...... .

e Loans or loan guarantees by related organ¢abon( s) .............. ............................................. .

if Dividends from related organization(s).................................................................... Ifg Sale of assets to related organization(s) ................................................................... 1 ,

h Purchase of assets from related organization( s) . ................ ............................................ . 1 h

i Exchange of assets with related organization (s) . . . ....................................... . .................... 11j Lease of facilities, equipment, or other assets to related IL

k Lease of facilities , equipment , or other assets from related organization (s) ............................................... .



n Sharing of facilities , equipment, mailing lists, or other assets with related organization(s) ....................................... .

o Sharing of paid employees with related organization(s ) .... ................ ............................... ...... .


r Other transfer of cash or property to related organization(s) ,

. . . . . . . .

1r

a Other transfer of cash or property from related organization(s). 1s2 If the answer to any of the above is "Yes." see the instructions for information on who must complete this line. including covered relationships and transaction thresholds.

(a)Name of related organization

(b)Transactiontype (a• s)

(e)Amount Invoked


amount involved

( 1 ) CLINICAL SERVICES INC B 1,000,000. FMV

( 2 ) SAINT VINCENT S 1,539,233. FMV

( 3 ) SAINT VINCENT S 116,879. FMV

(4 ) JEFFERSON REGIONAL MEDICAL CENTER S 635,180. FMV

( 5 ) ALLEGHENY HEALTH NETWORK S 75,845. FMV

( 6 ) ALLEGHENY HEALTH NETWORK S 4,021,249. FMV

Js,SE13M 1000

1549KO 649R


PAGE 223

HIGMARK HEALTH GROUP 45-3674900

Schet,i R ( Fan, NM 215 Page 3

Transactions With Related Organizations Complete it the organization answered "Yes" on Form 990, Part IV. line 34, 35b, or 36.

Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule Yes No

1 During the tax year. did the organ ization engage in any of the following transactions with one or more related organizations listed in Parts I)-IV? {

a Receipt of ( Q interest, ( Il) annuities , ( III) royalties , or (iv) rent from a controlled entity ........ .................. ............ .... 1a

b Gift, grant, or capital contribution to related organization(s) ................................................... ..... lbc Gift, grant, or cap ital contribution from related organization (s) .................................................. ..... 1c

d Loans or loan guarantees to or for related organization(s) .................................................... ..... 1d

e Loans or loan guarantees by related organization (s) ....................................................... ..... 7e

If Dividends from related organization(s) .............................................................. ..... 1f

g Sale of assets to related organization (s) .............................................................. ..... 1

h Purchase of assets from related organization (s) . . . . ...................................................... ..... 1h

I Exchange of assets with related organization(s) . . . ...................................................... ..... 1(

j Lease of facilities , equipment , or other assets to related organization (s) ............................................. .... . 1

k Lease of facilities , equipment , or other assets from related organization(s) ........................................... ..... 1k

I Performance of services or membership or fundraising solicitations for related organization(s ) ................................ ..... 1!

m Performance of serv ices or membership or fundrais ing solicitations by'related organization (s)................................. ..... 1 m

n Sharing of facilities , equipment , mailing lists, or other assets with related organization(s) ................................... ..... l n

o Sharing of paid employees with related organization(s ) ..................................................... ..... 10

p Reimbursement paid to related organization (s) for expenses................................................... ..... 1

q Reimbursement paid by related organization ( s) for expenses .................................................. ..... 1

r Other transfer of cash or property to rotated organization (s) . . ....................... . .................. . ...... ..... 1 r

s Other transfer of cash or property from related o anlzation s . 1s2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds

( 1 ) ALLEGHENY HEALTH NETWORK SURGERY CTR BETHEL R 398,124. FMV

( 2 ) ALLEGHENY GENERAL HOSPITAL R 7,077,545. FMV

(3 ) CORE LAB R 813,706. FMV

(4 ) WBS INSTITUTIONAL R 1,107,642. FMV

( 5) SYSTEM WIDE SERVICES - CORPORATE SERVICES S 12,418,056. FMV

Jy, Schedule R (Form 990) 2015ST 1 X09 1 000

1549KO 649R PAGE 224

(a)Name of rotated om,arrât n

(b)Transactiontype (a.0)

(c)Amount involved

(d)Method of detetmning

amount Involved

8 WEST PENN ALLEGHENY HEALTH SYSTEM, INC R 24,523,406. PMV


Schedule R (Fam NM 8HS Page 3


Note. Complete line 1 if any entity is listed in Parts II, 111, or IV of this schedule

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts It-N?

a Receipt of (I) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .......................................... .

b Gift, grant, or capital contribution to related organization(s) . . ....................................... .. ............ .




f Dividends from related organization(s).................................................................... 1 f

g Sale of assets to related organlzation(s) ................................................................... 1 ,

h Purchase of assets from related organization(s) ............ . .... .............................................. 1h

I Exchange of assets with related organization(s)............................................................... 11 I

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . .......................................... 1'

k Lease of facilities, equipment, or other assets from related organization(s) ...... . .. . . . . . ................................. .


m Performance of services or membership or fundraising solicitations by related organization( s)..................................... .

n Sharing of facilities , equipment, mailing lists, or other assets with related organization(s) .. ..................................... .


p Reimbursement paid to related organization(s) for expenses ........................................................ 12 1

q Reimbursement paid by related organization(s) for expenses ....................................................... 1

r Other transfer of cash or property to related organization(s) ........................................................ 1 r

a Other transfer of cash or p rop e E!y from related org anization(s ),•

is9 If tha one r In .nu of thn ^hnun K "Y " Boa rho inctn.ninnm for information onwhn must emmrilete this line .including covered relationshios and transaction thresholds

Name of related orgenka ion(b)

Transactiontype (a-s)

(c)Amount Involved


amount Involved

( 1 ) FRC S 7,915,031. FMV

( 2) FORBES HSPC R 587,063. FMV

( 3 ) ALLE-KISKI MEDICAL CENTER R 9,570,178. FMV

( 4 ) CANONSBURG GENERAL HOSPITAL R 3,336,375. FMV

( 5) CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE R 208,128. FMV

8 THE WESTERN PENNSYLVANIA HOSPITAL S 4,763,363. FMV

JSA5E1309 1.000

1549KO 649R


PAGE 225




Note . Complete line 1 if any entity is listed in Parts II , III, or IV of this schedule

1 During the tax year , did the organization engage in any of the following transactions with one or more related organizations listed In Parts ll -IV?

yes No

°

a Receipt of ( i) interest . ( ii) annuities, ( iii) royalties, or (lv) rent from a controlled entity .......................................... .

t , or capital contribution to related organization(s) ........................................................b Gift, gran

c Gift, grant , or capital contribution from related organization(s) . . . . ............................................... . ...

d Loans or loan guarantees to or for related organization(s ) .........................................................

e Loans or loan guarantees by related organization( s) ............................................................ 1e

f Dividends from related organization (s). ...................................................................ZîIf

g Sale of assets to related organ ization(s ) ................................................................... 1

h Purchase of assets from related organ ization(s ) .. . .................................................. ....... ... 1h

I Exchange of assets with related organization(s)............................................................... 1 i

Lease of facilities , equipment , or other assets to related organization(s) ...................................... ...... ..... . 1

k Lease of facilities , equipment , or other assets from related organization(s) .. . . ................. ..................... ...... lkA

I Performance of services or membership or fundraising solicitations for related organization(s) ..................................... 1I

m Performance of services or membership or fundraising solicitations by related organization (s)...................................... 1m

n Sharing of facilities , equipment , mailing lists , or other assets with related organization(s) ........................................ 1 n

o Sharing of paid employees with related organization (s) .......................................................... 1 a

p Reimbursement paid to related organization (s) for expenses ........................................................

py

1

Itt 416

q Reimbursement paid by related organization(s ) for expenses ............................ ..................... ... ...

rr Other transfer of cash or property to related organization (s) ................................................. . . . . . .

1

.:

1 r2:11--

s Other transfer of cash or p rope rty from related o antzation s , 1 si

( 3 ) ALLEGHENY SINGER RESEARCH INSTITUTE S 317,668. FMV

(4 ) WEXFORD HWP R 1,525,087. FMV

( 5 ) ALLEGH RAD ASSOC R 3,493,905. FMV

JSA Schedule R (Form 990) 2015

55130e 1 000

1549KO 649R PAGE 226

2 If the answer to any of the above is "Yes," see the instructions for information on who must complete t s.his line , including covered re ationsh ps and transaction thres h old

Name of related organization

lb)Tmnsaaimtype (af)

(C)Amount involved


amount involved

1 THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION R 76,155. FMV

2 PETERS TWP SURGERY CENTER R 795,721. FMV

6 PREMIER WOMEN'S HEALTH S 194,516. FMV


Schedule R (Fam "M 215 Page 3

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part N, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, Ill. or IV of this schedule. Yes No

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts tI-N?

a Receipt of (i) interest, (II) annuities, (Iii) royalties, or (iv) rent from a controlled entity ............. . ............................ !a

b Gift, grant, or capital contribution to related organization(s) ........................................................ 1 b

c Gift, grant, or capital contribution from related organization(s) ....................................................... 1c

d Loans or loan guarantees to or for related organization(s) ......................................................... 1 d

e Loans or loan guarantees by related organization(s) ............................................................ 1e

If Dividends from related organization(sk ................................................................... 1t

g Sale of assets to related orgen ization (s) ................................................................... 1

h Purchase of assets from related organization(s) . . . ............................................................ 1h

i Exchange of assets with related organ ization(s ) . . .......................................................... ... 11

Lease of facilities , equipment, or other assets to related organization (s).................................................. 1

k Lease of facilities, equipment , or other assets from related organization(s) ............................................... .


m Performance of services or membership or fundraising solicitations by related organization(s )..................................... .

n Sharing of facilities , equipment , mailing lists, or other assets with related organization(s) ....................................... .


p Reimbursement paid to related organization(s) for expenses ....................................................... .


r Other transfer of cash or property to related organization(s). . . . . . .

1 r

s Other transfer of cash or property from related organization(s). 1 18 12 If the answer to any of the above is "Yes-"Ape the Instructions for information on who must complete this line .includino covered relationshios and transaction thresholds.

(a)Name of related u5a izatlon

(b)Transactiontype (s-a)

letAmount Invoked


amount Involved

1 ALLEGHENY SPECIALTY PRACTICE NETWORK S 24,295,988. FMV

( 2) PHYSICIAN LANDING ZONE R 5,512,302. FMV

( 3) ACP R 1,085,658. FMV

(4 ) PWH HOLDCO S 93,457. FMV

(5 ) ALLEGHENY GENERAL HOSPITAL PHARMACY R 314,233. PMV

( 6 ) LPG R 1,754,636. FMV

JSASEt]09 1 000

1549KO 649R


PAGE 227


Schedule R (Fam isl 2015 page 3


Note . Complete line 1 it any entity Is listed in Parts II, Ill, or IV of this schedule. Yes No

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-M

a Receipt of (i) interest, (ii) annuities, (Ili) royalties, or (iv) rent from a controlled entity ......................... .................. 1a

b Gift, grant, or capital contribution to related organization(s) ........................................................ 1b

c Gift, grant, or capital contribution from related organization(s) .......................................... . ............ 1c

d Loans or loan guarantees to or for related organization(s) ...................................................... ... Id

e Loans or loan guarantees by related organization(s) ........................................................... . 1e

f Dividends from related organization(s). .................................................................. .

g Sale of assets to related organization(s) .................................................................. .

h Purchase of assets from related organization(s) ..... ......................................................... .

I Exchange of assets with related organization( s), , , , ,,,,,, , , , ,,,,, ,

) Lease of facilities, equipment, or other assets to related organization(s) . . ............................................... .

k Lease of facilities, equipment, or other assets from related organization(s)



n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ................... . ................... .

o Sharing of paid employees with related organization(s) . ........................................................ .


q Reimbursement paid by related organization(s) for expenses ......... ... ......... .. .. ............................. .

r Other transfer of cash or property to related organization(s) ,. .

1r

s Other transfer of cash or property from related organization(s). . 1 s2 If the answer to any of the above is "Yes." see the instructions for information on who must comolete this fine .including covered retationshios and transaction thresholds

(a)Name of related organcatan

(b)Transactiontype (e.n)

(e)Amount involved


amount Invoked

( 1 ) PRPPI S 5,796,278. FMV

( 2) PRSCS R 7,232,213. FMV

( 3 ) HMPRX R 241,872. F4V

( 4 ) PROMEDIX S 108,118. FMV

( 5 ) MSC S 841, 920. FMV

(6 ) HPN R 215,126. PMV

JSA551300 1 000

1549KO 649R


PAGE 228

e

HIGHKARK HEALTH GROUP 45-3674900

sered,ie a (ram veal is page 3


Note. Complete line 1 if any entity Is listed in Parts II, 111, or IV of this schedule Yes No

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-N7

a Receipt of (I) interest, (ii) annuities, (Ili) royalties, or (Iv) rent from a controlled entity ........................................... 1a

b Gift, grant, or capital contribution to related organization(s) ........................................................ 1b

c Gift, grant, or capital contribution from related organization(s) ....................................................... 1c

d Loans or loan guarantees to or for related organization(s) ......................................................... td

e Loans or loan guarantees by related organization( s) ............................................................ (?Q

f Dividends from related organization( s). ................................................................... 1f

g Sale of assets to related organization(s) ...................................................................

In Purchase of assets from related organzation(s) ............................................................... 1 h

i Exchange of assets with related orgamzatwn(s)............................................................... ti

Lease of facilities, equipment, or other assets to related organization(s) . . . . ....................................... ....... 1

k Lease of facilities , equipment , or other assets from related organization(s) ...... ........................................ .


m Performance of services or membership or fundraising solicitations by related organ ization(s)..................................... .

n Sharing of facilities , equipment , mailing lists, or other assets with related organization (s) ....................................... .

o Sharing of paid employees with related organ ization(s ) ......................................................... .



r Other transfer of cash or property to related organization (s) ..... .................................................. . 1 r

s Other transfer of cash or property from related organization(s).. 1 18 1 12 H ttw answer in anv of the aheve L% ^Yps " sae thin instrur_tinne for information on who must comolete this line. including covered relationships and transaction thresholds

(a)Name of related oryaneatbn

(b)Transactiontype (ae)

(c)Amount involved!

(dlMethod of determining

amount Involved

1 OPTMS R 1,590,868. FMV

( 2) GMA S 269,100. FMV

PRNAD R 59,399. FMV

4 St'iw R 169, 590. FMV

( 5 ) OSRS S 209,353. FMV

6 INSTITUTIONAL S 17,238,139. FMV

,A501309 1 000

1549KO 649R

Schedulo R (Form 990) 2015

PAGE 229


Schedule R (Fam QSO) 2015 Page 3


Note . Complete line 1 if any entity is listed in Parts II, lll, or IV of this schedule. Yes No

1 During the tax year , did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV's ^r •.a Receipt of (1) interest , ( ii) annuities, (iii) royalties, or ( Iv) rent from a controlled entity ................... ........................ 1a

b Gift, grant, or capital contribution to related organization (s) ....... . ................................................ 1b

c Gift, grant, or capital contribution from related organization ( s) ............. . ......................................... 1cd Loans or loan guarantees to or for related organ ization(s) .............................. ........................... 1d

e Loans or loan guarantees by related organization(s) ........................................................... 1e

f Dividends from related organization(s )................................................ .................... 1f

g Sale of assets to related organ ization(s) ................................................................... 1In Purchase of assets from related organ ization (s) ............................................................. . 1hi Exchange of assets with related organ ization(s ).............................................................. 1 ij Lease of facilities , equipment , or other assets to related organization(s) . . . . . ......... . ...................................

k Lease of facilities , equipment , or other assets from related organization(s) ........................................ ....... . 1 k

I Performance of services or membership or fundraising solicitations for related organization (s) ................................... . . I Iin Performance of services or membership or fundraising solicitations by related organization ( s)...................................... 1mn Sharing of facilities , equipment , mailing lists, or other assets with related organization (s) ........................................ 1 no Sharing of paid employees with related organization (s) .......................................................... 10

p Reimbursement paid to related organ ization(s) for expenses.... ........... .. ......... ....... ........... ........ .... 1

q Reimbursement paid by related organization (s) for expenses ... ........... ..................................... .... 1

r Other transfer of cash or property to related organization ( s) . . . . . . ........ . ......... . ..... . ........................ 1 rs Other transfer of cash or p roperty from related org anization (s).

.1s

2 If the answer to any of the above is "Yes," see the instructions for information on who must complete th is line , including covered relatio nships and transaction thresholds.

( 1 ) WEST PENN ALLEGHENY HEALTH SYSTEM, INC. R 486,975. 114V

( 2 ) BURN CARE S 50,549. FMV

( 3 ) ALLEGHENY SPECIALTY PRACTICE NETWORK R 69,931. FMV

( 4) PHYSICIAN LANDING ZONE R 3,180,720. FMV

( 5 ) LEMG S 307,119. FMV

JSA Schedule R (Form 990) 20155E 1308 1 000

1549KO 649R PAGE 230

(a)Name of related mgan¢atim

(b)Transactiontype (a-a'

k)Amount invoked


amount mvdwd

8 PMA R 2,189,792. FMV


Sd',edula R (Fe,a 9" 2015 Page 3


Note . Complete lute 1 if any entity is listed in Parts II, III, or IV of this schedule. Yes No

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts [I-IV' TLT,

a Receipt of (i) interest , ( II) annuities . ( 111) roya lties, or ( iv) rent from a controlled entity , , , , , . , , , ,,, , , , , , , , , , , , , , , , , , , , , , , ,,,,,, la

b Gift, grant, or capital contribution to related organization (s) ........................................................ 1b

c Gift, grant , or capital contribution from related organ¢atlon(s) .................... .................................. 1c

d Loans or loan guarantees to or for related organ ization(s) ......................................................... 1d

e Loans or loan guarantees by related organ ization(s) ............................................................ le

If Dividends from related organization(s) .................................................................. .

g Sate of assets to related organ¢atlon(s) .................................................................. .

h Purchase of assets from related organization(s ).............................................................. .

I Exchange of assets with related organ ization(s ).............................................................. .

j Lease of facilities , equipment , or other assets to related organization(s) . ................................................ .


I Performance of services or membership or fundraising solicitations for related organization(s) ................................. ... .




p Reimbursement paid to related organization(s) for expenses........................ .. .......................... ... .

q Reimbursement paid by related organization(s) for expenses .................... ............................... ... .

r Other transfer of cash or property to related organization(s) , 1 r

s Other transfer of cash or property from related organ iization(s).• • •

1s7 If the anuwer in any of the ahnva is "Yee " sea the instructions for information on who must comnlete this line includino covered retahonshios and transaction thresholds

(a)Name of related organhatbn

(b)Transactiontype (as)

(C)Amount Invdred

(d)Metnod at detarnn ng

amount Involved

( 1 ) PWM HOLDCO R 741,495. FMV

( 2 ) PITTS PULMONARY S 1,370,003. FMV

( 3 ) PITTS UROLOGY S 71,972. FMV

4 HSSC R 684,919. FMV

5 PARK S 828,470. FMV

( 6 ) JEFFERSON REGIONAL MEDICAL CENTER DIAGNOSTICS R 191,147. FMV


PAGE 231

JSAS1 309 1 000

1549KO 649R


Scnedule R (Fmn 5) 2055 pap 3


Note. Complete line 1 if any entity is listed in Parts It, 111, or IV of this schedule Yes No

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-N? p S

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .. . ................................... ..... 1a

b Gift, grant, or capital contribution to related organization(s) ................................................... ..... lb

c Gift, grant, or capital contribution from related organization(s) . . . ............................................... .... 1c

d Loans or loan guarantees to or for related organization(s) .................................................... ..... 1d

e Loans or loan guarantees by related organization(s) ....................................................... ..... 1e

f Dividends from related organization(s) .............................................................. ..... 1 f

g Sale of assets to related organization(s) .............................................................. ..... 1

..........................................h Purchase of assets from related organization(s) .. ... ... ... ..... 1h. . . ..

............................................ ...I Exchange of assets with related organization(s) ..... 1f.... ..... ..

Lease of facilities, equipment, or other assets to related organization(s) ..... . ....................................... ..... 7

It Lease of facilities, equipment, or other assets from related organization(s) ........................................... ..... 1k

I Performance of services or membership or fundraising solicitations for related organization(s) ................................ .... I I

m Performance of services or membership or fundraising solicitations by related organization(s)....................... .......... ..... 1 m

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ................................... ..... 1 n

o Sharing of paid employees with related organization(s) ..................................................... ..... 1o

p Reimbursement paid to related organization(s) for expenses................................................... ..... 1

q Reimbursement paid by related organization(s) for expenses .................................................. ..... 1

r Other transfer of cash or property to related organization(s) ................................................. . . . . . . .

s Other transfer of cash or p ro pe rty from related org anization(s ) . 1s

2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

( 2 ) JHSS S 407,698. FMV

( 3) PRIME MEDICAL GROUP S 361,519. FMV

( 4 ) PHYS SPEC SRVS S 1,077,400. FMV

( 5) STEEL VALLEY ORT S 682,946. FMV

( 6 ) PISS BONE AND JOINT S 2,911,426. FMV

^SA Schedute R (Form 990) 2015

SE1209 1 000

1549KO 649R PAGE 232

(a)Marne of related organization

(b)Transapbntype (a-a)

(C)Amount Involved


amount Invd d

1 JEFFERSON REGIONAL MEDICAL CENTER PHYSICAN S 1,332,837. FMV


Schedule R (Fam e9M 2MS Page 3


Note. Complete fine 1 if any entity is listed in Parts II, III, or IV of this schedule1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?a Receipt of (I) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .......... . ............................... .b Gift, grant, or capital contribution to related organization(s) ....................................................... .c Gift, grant, or capital contribution from related organization(s) . . . ................................ . .................. .d Loans or loan guarantees to or for related organization(s) ........................................................ .e Loans or loan guarantees by related organization(s) ........................................................... .

f Dividends from related organization (s).................................................................... 1 f


h Purchase of assets from related organization(s) ....................................... ...... .................. 1h

I Exchange of assets with related organization(s)............................................................. . 11

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . ................................... 1

k Lease of facilities, equipment, or other assets from related organization(s) ............................................... .I Performance of services or membership or fundraising solicitations for related organization(s) .................................... .


n Sharing of facildies, equipment, mailing lists, or other assets with related organization(s) ........... ......... ................... .



r Other transfer of cash or property to related organization(s) ................................ . . ... , 1r

s Other transfer of cash or property from related organization(s).. 1s2 If the answer to any of the above is 'Yes.' see the instructions for information on who must comolete this line .indudina covered retationshios and transaction thrashelds

(a)Name of related agantiatbn

(b)Transactiontype (a• s)

(c)Amount Involved

(d)Method of detmnnMg

amount involved

( 1 ) WPONC S 91,191. FMV

( 2 ) HIGHMARK S 1,676,355. FNIV

( 3 ) ALLEGHENY HEALTH NETWORK S 699,345. FMV

(4 ) ALLEGHENY HEALTH NETWORK R 450,293. FMV

S PSCP S 451,641. FMV

B JHSS R 422,249. FMV

!SA5E1309 1.000

1549KO 649R


PAGE 233


$eneduis R (Form 90012015 Page 3

M Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 If any entity is listed in Parts H. III, or IV of this schedule Yes No

1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts ll-IV?

a Receipt of (i) interest, (ii) annuities, (III) royalties, or (iv) rent from a controlled entity .............. ........... .................. 1 a

b Gift, grant, or capital contribution to related organization(s) ... ........... ....... ......................... ....... ... 1b

c Gift. grant, or capital contribution from related organization(s) . . . . . . . . . . ............................................. 1c

d Loans or loan guarantees to or for related organization(s) ......................................................... 1d

e Loans or loan guarantees by related organization(s) ............................................................ 1e

It Dividends from related organization(s) . ................................................................... If

g Sale of assets to related organization(s) ................................................................... 1........................................... .....h Purchase of assets from related organization(s) 1h...... ... ......

...................................................... .I Exchange of assets with related organization(s) 11.. ......

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . .......... ..................................

k Lease of facilities, equipment, or other assets from related organization(s) ................................................ 1 k

I Performance of services or membership or fundraising solicitations for related orgaruzaton(s) ..................................... Li-m Performance of services or membership or fundraising solicitations by related organization(s).................. .................... 1m

n Sharing of facilities, equipment, mailing tests, or other assets with related organization(s) ....................................... . 1 n

o Sharing of pad employees with related organization(s) .......................................................... 10

p Reimbursement paid to related organization(s) for expenses........................................................ 1

q Reimbursement paid by related organization(s) for expenses ....................................................... 7

r Other transfer of cash or property to related organization(s) . ...................................................... 1 r

s Other transfer of cash or property related org anization (s). 1s2 If the answer to any of the above is "Yes." see the instructions for information on who must comolete this line'inctudina covered relatlonshios and transaction thresholds

lo)Name of related organization

lb)Transactiontype (as )

(c)Amount invohyed


amount Involved

( 1 ) HSSC S 1,407,700. FMV

( 2) PREMIER WOMEN'S HEALTH P 194,516. FMV

( 3 ) ALLE-KISKI MEDICAL CENTER Q 9,424,972. FMV

( 4 ) CANONSBURG GENERAL HOSPITAL Q 3,257,824. FMV

( 5 ) CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE 198,134. FMV

( 6 ) PETERS TWP SURGERGY CENTER Q 814,465. FMV

iSA5E1709 1 000

1549KO 649R


PAGE 234


Schedule R (Form 6a0) 2015Page 3

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990. Part IV, line 34, 35b, or 36.

Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

I During the tax year. did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (I) interest , ( Ii) annuities . (iii) royalties, or (iv) rent from a controlled entity .................................... .... .. .

b Gift, grant, or capital contribution to related organization(s) .......... .......................... ................... .



o Loans or loan guarantees by related organization(s) ........................................................... .

No

I Dividends from related organization(s).................................................................... "

g Sale of assets to related organization(s) ...................................................................

It Purchase of assets from related organization(s) ............................................................... 1 h

i Exchange of assets with related organization(s)............................................................... 11 e,

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . .......................................... .

k Lease of facilities, equipment, or other assets from related organization( s) . .............................................. .



n Sharing of facilities, equipment, mailing lists, or other assets with related organization( s) ....................................... .

o Sharing of paid employees with related organization( s) ......................................................... .



r Other transfer of cash or property to related organization(s) . . ...................................................... 'r

s Other transfer of cash or property from related organization(s) • • • • • • • • • • • • • • • • • • • • to

r .^,...I... .. ws. 41 a fh fnr infnrmit,n„ nn whn must rmmnIPts this line .including covered relationships and transaction thresholds.

(a)

Name of related olgal ¢aien

(b)Transaction

type (as)

(C)Amount Ind


amount lnvdved

( 1 ) ALLEGHENY SPECIALTY PRACTICE NETWORK P 411,409. FMV

( 2 ) PHYSICIAN LANDING ZONE Q 5,192,057. FMV

( 3 ) ACP Q 1, 085, 658. F14V

4 PREMIER WOMEN'S HEALTH P 93,457. PMV

5 OPTMS P 3,246,948. FMV

161 MSC Q 1,617,506. FMV

JSA5E1309 1 000

1549KO 649R

Scneoule K (1-orm tltlu) Zulu

PAGE 235


Schedule R (Farm 990) 2015Pape 3


Note. Complete line 1 if any entity is listed in Parts II, )II, or IV of this schedule.

I During the tax year , did the organization engage in any of the following transactions with one or more related organizations listed in Parts I1-N9

a Receipt of ( i) interest , ( it) annuities , ( II)) royalties , or (iv) rent from a controlled entity .. .......................... .... .... ...... .

b Gift, grant , or capital contribution to related organization(s) ............ .................. ................... ...... .

c Gift, grant , or capital contribution from related organization(s) ...................................................... .

d Loans or loan guarantees to or for related organization(s ) ........................................................ .


f Dividends from related organization ( s)................................................................... .

g Sale of assets to related organization (s) .................................................................. .

h Purchase of assets from related organ ization(s ).............................................................. .

i Exchange of assets with related organ ization(s ).............................................................. .

j Lease of facilities , equipment , or other assets to related organization(s) ................................................. .


I Performance of services or membership or fundraising solicitations for related organization( s) .................................... .




p Reimbursement paid to related organization(s) for expenses.... .................... .. ....... .. .................... .

q Reimbursement paid by related organization(s) for expenses . .. ...................... ......... .................... .

No

r Other transfer of cash or property to related organization(s) ........................................................ r

s Other transfer of cash or property from related organization(s).

15

9 If #6'. ---cnr fn n of thu hnvn in "Nee " ens thn innirurfinna fnr infnrmatinn nn whn must rmmnlete this line .includino covered relationships and transaction thresholds.

ta)Name of related orgailxetbn

(b)Transactiontype (a.s)

(C)Amount in ota


amount Invoked

INSTITUTIONAL B 17,238,138. FMV

( 2 ) ALLEGHENY SPECIALTY PRACTICE NETWORK C 69,931. FMV

( 3 )

( 4 )

( 5 )

16)

JSA5E1309 1 000

1549KO 649R

scneaute it (rorm auut zuio

PAGE 236

to



Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assetsor gross revenue) that was not a related organization See instructions regarding exclusion for certain investment partnerships

Is) (b) (e) (d) (e) Cl) (a) (I') 0) U) (ti( p

( 4 )p

( 6)

( 9 )

( 12 )

^SA Schedule R (Form 9901 2016

5E 1310 1 000

1549KO 649R PAGE 237

Name. Godless . and EtN of a"Primary acflMy Legal avnide

(ifne or t .a fl000057)

Pr.dyn na1Income (reial

unntlma0 . excludedNam 10, under

Are all partner)secem501(c)n )

or anitallant!

Share oftotal Irlmnq

BAae tl

0, •yamen

)serail

Coos VV. UDIamount in boor 20of Schedule K•1

( Form 106

General atmanapit9

Partner?

Panxra apwnersAp

'amb"' 5101') Yes No Yes No Yes No

1

2

3

5

7

8

10

11

14

15


Schedule R (Form 990 ) 2015 Pape 5

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (seeinstructions).

SCHEDULE R, PART V, LINE 2

HIGHMARK HEALTH GROUP 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 N, 0, AND P, HIGHMARK HEALTH GROUP HAS CHOSEN TO REFLECT

THESE TRANSACTIONS COMBINED FOR PURPOSES OF DISCLOSURE ON SCHEDULE R,

PART V. LINE 2.

Schedule R ( Form 990) 2015

6E 1510 1 0001549KO 649R PAGE 238

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