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      <Form990PartVIISectionAGrp>
        <PersonNm>James Benedict</PersonNm>
        <TitleTxt>DIRECTOR &amp; PRESIDENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John J Smith</PersonNm>
        <TitleTxt>DIRECTOR, TREAS, SECR, &amp; JRMC/CGH CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Macerelli Esq</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHIARMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Keith Lejeune</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE PRESIDENT</TitleTxt>
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        <PersonNm>Kelly Kassab</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Nussbaum</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE PRESIDENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Rubino MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PRESIDENT</TitleTxt>
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        <PersonNm>Matthew Portz MD</PersonNm>
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        <PersonNm>Mitch Beckman</PersonNm>
        <TitleTxt>DIRECTOR, PRES &amp; CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Pete Cicero</PersonNm>
        <TitleTxt>DIRECTOR &amp; TREASURER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Bergstrom</PersonNm>
        <TitleTxt>BOARD CHAIR &amp; TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Russell Livingston</PersonNm>
        <TitleTxt>DIRECTOR &amp; BOARD CHAIR</TitleTxt>
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        <PersonNm>Wendy O'Brien</PersonNm>
        <TitleTxt>DIRECTOR &amp; BOARD CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Sims</PersonNm>
        <TitleTxt>DIRECTOR &amp; PRESIDENT - END 5/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Angela Costa</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHIEF NURSING EXECUTIVE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ashis Barad MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; Chief Digital Information Officer - END 9/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Barbara Vankirk</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Betsy Blazek-O'Neill MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bradley Smith</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>Brian Jacob</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Parker MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; Chief Quality and Learning Officer - END 9/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bruce Meyer MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; EVP WPA PROVIDER PRESIDENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Perego Esq</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Chris Scott</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Pastor MD</PersonNm>
        <TitleTxt>EX-OFFICIO DIRECTOR &amp; PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David Blandino MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHAIRPERSON</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David Malone</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Debra Demchak</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Debra Panucci</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Doris Carson Williams</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Little</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Marasco</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHAIRMAN - END 7/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Emil Deliere</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Farnam Jahanian</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Frank Perryman</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gene Becker</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gene G Finley MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN - END 2/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Jordan ESQ</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Heidi Fowler</PersonNm>
        <TitleTxt>EX-OFFICIO DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Helen Baran</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Henry Galaska MD</PersonNm>
        <TitleTxt>EX-OFFICIO DIRECTOR &amp; PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James M Deakin</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Perryman</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Shanahan MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN- END 4/24</TitleTxt>
        <AverageHoursPerWeekRt>60.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Sherrod</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Roeback</PersonNm>
        <TitleTxt>DIRECTOR &amp; COO- END 7/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Ross</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Szumigale</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE CHAIR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Lewis MD</PersonNm>
        <TitleTxt>EX-OFFICIO DIRECTOR &amp; PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jillian Roache</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Balacko MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Finnegan Esq</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Guyaux</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHAIRMAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Hall</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Julie Pelkowski</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Surkala</PersonNm>
        <TitleTxt>DIRECTOR &amp; COO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kathryn Burns</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathy Pape ESQ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kelly Waldman</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin Walker</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ladonna Fuge MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lauren Mcandrews</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Leanne Roberts PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Louis Komer MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN- END 4/24</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marcia Klein-Patel MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN CHAIRPERSON</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marilyn Pesci</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Webb</PersonNm>
        <TitleTxt>DIRECTOR &amp; BOARD CHAIR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marne Roche</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Coppola MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Smith MD</PersonNm>
        <TitleTxt>EX-OFFICIO DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Redlawsk</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mohammed Syed MD</PersonNm>
        <TitleTxt>DIRECTOR - END 5/24</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nishan Vartanian</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nupur Dashottar MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN- END 4/24</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pamela Lapczynski</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Gagianas MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN- END 4/24</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>36653</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Lund MD</PersonNm>
        <TitleTxt>DIRECTOR &amp; PHYSICIAN- END 7/24</TitleTxt>
        <AverageHoursPerWeekRt>60.0</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>5937</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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        <PersonNm>Peter Naman MD</PersonNm>
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        <PersonNm>R Steven Jones</PersonNm>
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        <PersonNm>Richard Talarico</PersonNm>
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        <PersonNm>Richard W Fries</PersonNm>
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        <PersonNm>Robert Cincala DO</PersonNm>
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        <PersonNm>Robert Crane</PersonNm>
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        <PersonNm>Robert Galbraith</PersonNm>
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        <PersonNm>Robert Pompeani</PersonNm>
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        <PersonNm>Roberta Patterson</PersonNm>
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        <PersonNm>Sabrina Saunders-Mosby</PersonNm>
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        <PersonNm>Sallie Piazza</PersonNm>
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        <PersonNm>Sricharan Chalikonda MD</PersonNm>
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        <PersonNm>Steven Hoffman NACDDC</PersonNm>
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        <PersonNm>Susan Moore MD</PersonNm>
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        <PersonNm>Terrence Cavanaugh</PersonNm>
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        <PersonNm>Thomas Berkhouse</PersonNm>
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        <PersonNm>Thomas Corkery DO</PersonNm>
        <TitleTxt>DIRECTOR &amp; Physician</TitleTxt>
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        <PersonNm>Timothy Sauber MD</PersonNm>
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        <PersonNm>Tony Farah MD</PersonNm>
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        <PersonNm>Tracey Bennett</PersonNm>
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        <PersonNm>Venkatraman Srinivasan MD</PersonNm>
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        <PersonNm>Vicenta Gaspar-Yoo MD</PersonNm>
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        <PersonNm>Walter Iwanenko Jr</PersonNm>
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        <PersonNm>Will Allen</PersonNm>
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        <PersonNm>Allan Klapper MD</PersonNm>
        <TitleTxt>PRESIDENT - WEXFORD HOSPITAL</TitleTxt>
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        <PersonNm>Anthony Duco</PersonNm>
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        <PersonNm>Carleton Daley</PersonNm>
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        <PersonNm>Carolyn Duronio</PersonNm>
        <TitleTxt>EVP Chief Legal Officer and Secretary</TitleTxt>
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        <PersonNm>David Bartlett MD</PersonNm>
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        <PersonNm>Donald Jaffee</PersonNm>
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        <PersonNm>Imran Qadeer MD</PersonNm>
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        <PersonNm>John Orner</PersonNm>
        <TitleTxt>Chief Investment Officer &amp; Assistant Treasurer</TitleTxt>
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        <PersonNm>Karen Hanlon</PersonNm>
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        <PersonNm>Kelly Herrera</PersonNm>
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        <PersonNm>Kevin Kusic</PersonNm>
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        <PersonNm>Kimberly Semelsberger</PersonNm>
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        <PersonNm>Lindsay Turner MD</PersonNm>
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        <PersonNm>Michael Michetti</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <PersonNm>Rand Levis</PersonNm>
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        <PersonNm>Susan Barrett</PersonNm>
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        <PersonNm>Tariq Cheema MD</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <PersonNm>Thomas Hipkiss</PersonNm>
        <TitleTxt>WEXFORD CFO</TitleTxt>
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        <PersonNm>Brian Ice</PersonNm>
        <TitleTxt>AHN CHIEF REVENUE CYCLE OFFICER</TitleTxt>
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        <PersonNm>Cindy Donohoe</PersonNm>
        <TitleTxt>EVP CHIEF MARKETING OFFICER- END 3/24</TitleTxt>
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        <PersonNm>Craig Riner</PersonNm>
        <TitleTxt>EVP CHIEF MARKETING OFFICER</TitleTxt>
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        <PersonNm>Daniel Onorato</PersonNm>
        <TitleTxt>EVP CHIEF CORPORATE AFFAIRS OFFICER</TitleTxt>
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        <PersonNm>Krista Bragg</PersonNm>
        <TitleTxt>AHN COO - END 9/24</TitleTxt>
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        <PersonNm>Larry Kleinman</PersonNm>
        <TitleTxt>EVP CHIEF HR OFFICER</TitleTxt>
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        <PersonNm>Melissa Anderson</PersonNm>
        <TitleTxt>EVP CHIEF RISK, AUDIT &amp; COMPLIANCE OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Manzi MD</PersonNm>
        <TitleTxt>PHYSICIAN CHAIRPERSON</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Johnjulio MD</PersonNm>
        <TitleTxt>PHYSICIAN CHAIRPERSON</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alexander Yu MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Westrick MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>George Eid MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>Michael Bennett</PersonNm>
        <TitleTxt>EVP CHIEF STRATEGY &amp; TRANSFORMATION OFFICER</TitleTxt>
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        <PersonNm>Richard Clarke</PersonNm>
        <TitleTxt>SVP CHIEF ANALYTICS OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Allie Quick</PersonNm>
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        <PersonNm>Claire Zangerle</PersonNm>
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        <PersonNm>Cynthia Hundorfean</PersonNm>
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        <PersonNm>David Tupponce MD</PersonNm>
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        <PersonNm>Denzil Rupert</PersonNm>
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        <PersonNm>James Kanuch</PersonNm>
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        <PersonNm>James Rohrbaugh</PersonNm>
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        <PersonNm>Kenyokee Crowell</PersonNm>
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        <PersonNm>Saurabh Tripathi</PersonNm>
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          <BusinessName>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>Google</BusinessNameLine1Txt>
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        <CurrentTaxYearMinus1YearAmt>4879143</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I PUBLIC CHARITY STATUS</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLEGHENY HEALTH NETWORK: STATUS 12, TYPE 3 ALLEGHENY SINGER RESEARCH INSTITUTE: STATUS 4 ALLEGHENY CLINIC: STATUS 3 ALLE-KISKI MEDICAL CENTER: STATUS 3 ALLE-KISKI MEDICAL CENTER TRUST: STATUS 12, TYPE 1 CANONSBURG GENERAL HOSPITAL: STATUS 3 CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE: STATUS 10 FORBES HEALTH FOUNDATION: STATUS 12, TYPE 1 WEST PENN HOSPITAL FOUNDATION: STATUS 12, TYPE 1 WEST PENN ALLEGHENY HEALTH SYSTEM, INC: STATUS 3 ALLEGHENY CLINIC MEDICAL ONCOLOGY: STATUS 12, TYPE 1 JEFFERSON REGIONAL MEDICAL CENTER: STATUS 3 SAINT VINCENT FOUNDATION FOR HEALTH &amp; HUMAN SERVICES: STATUS 12, TYPE 1 SAINT VINCENT HEALTH CENTER: STATUS 3 SAINT VINCENT HEALTH SYSTEM: STATUS 12, TYPE 1 SAINT VINCENT MEDICAL ED &amp; RESEARCH INSTITUTE: STATUS 10 ALLEGHENY MEDICAL PRACTICE NETWORK: STATUS 3 WESTFIELD MEMORIAL HOSPITAL, INC.: STATUS 3 PRIME MEDICAL GROUP PCG 1: STATUS 12, TYPE 1 JEFFERSON HILLS SURGICAL SPECIALISTS: STATUS 12, TYPE 1 STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE: STATUS 12, TYPE 1 SOUTH PITTSBURGH UROLOGY ASSOCIATES: STATUS 12, TYPE 1 THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE: STATUS 12, TYPE 1 JRMC SPECIALTY GROUP PRACTICE: STATUS 12, TYPE 1 PRIMARY CARE GROUP 11, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 3, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 7, INC.: STATUS 12, TYPE 1 PITTSBURGH BONE, JOINT &amp; SPINE, INC.: STATUS 12, TYPE 1 PRIMARY CARE GROUP 5, INC.: STATUS 12, TYPE 1 GROVE CITY MEDICAL CENTER: STATUS 3 SUBURBAN HEALTH FOUNDATION: STATUS 12, TYPE 1 PRIMARY CARE GROUP 8 INC.: STATUS 12, TYPE 1 FAMILY PRACTICE MED. ASSOC. SOUTH, INC.: STATUS 12, TYPE 1 GRANDIS RUBIN SHANAHAN &amp; ASSOCIATES: STATUS 12, TYPE 1</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I REASON FOR PUBLIC CHARITY STATUS</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTE THAT THE MAJORITY OF THE 34 ENTITIES WITHIN HIGHMARK HEALTH GROUP ARE REGISTERED AS SECTION 509(A)(3) SUPPORTING ORGANIZATIONS. HOWEVER, SOME ENTITIES ARE ALSO EXEMPT AS HOSPITAL ENTITIES; SECTION 509(A)(2) ORGANIZATIONS SUPPORTED BY CONTRIBUTIONS, DUES, AND CONDUCT OF EXEMPT FUNCTION ACTIVITIES; AND MEDICAL RESEARCH ORGANIZATIONS OPERATED IN CONJUNCTION WITH A HOSPITAL. ALL REQUIRED PARTS OF SCHEDULE A ARE COMPLETED FOR THE RESPECTIVE ENTITIES INVOLVED.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORTING ORGANIZATIONS AS PER THEIR RESPECTIVE GOVERNING DOCUMENTS, THE FOLLOWING ENTITIES ARE TYPE 1 SUPPORTING ORGANIZATIONS UNDER SECTION 509(A)(3): - ALLE-KISKI MEDICAL CENTER TRUST - FORBES HEALTH FOUNDATION - THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION - ALLEGHENY CLINIC MEDICAL ONCOLOGY - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT HEALTH SYSTEM - JEFFERSON HILLS SURGICAL SPECIALISTS - JRMC SPECIALTY GROUP PRACTICE - PRIME MEDICAL GROUP PCG 1 - STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE - SOUTH PITTSBURGH UROLOGY ASSOCIATES - THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE - JRMC SPECIALTY GROUP PRACTICE - PRIMARY CARE GROUP 11, INC. - PRIMARY CARE GROUP 3, INC. - PRIMARY CARE GROUP 7, INC. - PITTSBURGH BONE, JOINT &amp; SPINE, INC. - PRIMARY CARE GROUP 5, INC. - SUBURBAN HEALTH FOUNDATION - PRIMARY CARE GROUP 8 INC. - FAMILY PRACTICE MED. ASSOC. SOUTH, INC. - GRANDIS RUBIN SHANAHAN &amp; ASSOCIATES</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF HIGHMARK HEALTH GROUP'S SUBORDINATE ORGANIZATIONS SPECIFY THAT THEY PROVIDE SUPPORT TO ORGANIZATIONS CLASSIFIED UNDER SECTIONS 509(A)(2) AND 170(B)(1)(A)(III), IN ADDITION TO THEIR AFFILIATED HOSPITALS. THESE ENTITIES HAVE PURPOSES CONSISTENT WITH THOSE OF THE HOSPITALS AND THE SUPPORTING ORGANIZATIONS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2024, THE ALLEGHENY HEALTH NETWORK BOARD APPROVED AMENDMENTS TO THE ORGANIZING DOCUMENTS TO ADD SAINT VINCENT HEALTH CENTER (EIN: 25-0965547) AND GROVE CITY MEDICAL CENTER (EIN: 25-1340370) AS SUPPORTED ORGANIZATIONS. THESE ADDITIONS WERE MADE TO FURTHER ALLEGHENY HEALTH NETWORK'S MISSION OF PROMOTING, SUPPORTING, AND FURTHERING THESE ORGANIZATIONS' CHARITABLE PURPOSES THROUGH THE PROVISION OF STRATEGIC, OPERATIONAL, AND ADMINISTRATIVE LEADERSHIP. THE AUTHORITY FOR THESE ACTIONS IS DERIVED FROM THE ORGANIZATION'S ORGANIZING DOCUMENT, AND THE CHANGES WERE ACCOMPLISHED THROUGH FORMAL AMENDMENTS APPROVED BY THE BOARD. ADDITIONALLY, SAINT VINCENT HEALTH SYSTEM (EIN: 25-1406710) WAS REMOVED AS A SUPPORTED ORGANIZATION BECAUSE IT DOES NOT OPERATE AS A HOSPITAL AND NO LONGER MEETS THE DEFINED CRITERIA FOR A SUPPORTED ORGANIZATION.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>MANY OF THE SUPPORTED ORGANIZATIONS' BOARD MEMBERS ALSO SERVE ON ALLEGHENY HEALTH NETWORK'S BOARD. THE OVERLAP OF DIRECTORS AND OFFICERS, AS WELL AS THE STRUCTURAL RELATIONSHIP OF THE ENTITIES, CAUSES THE SUPPORTED ORGANIZATIONS TO HAVE A SIGNIFICANT VOICE IN THE USE OF THE INCOME AND ASSETS OF ALLEGHENY HEALTH NETWORK.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLEGHENY HEALTH NETWORK (AHN) PROVIDES SUPPORT TO WEST PENN ALLEGHENY HEALTH SYSTEM INC, CANONSBURG GENERAL HOSPITAL, ALLE-KISKI MEDICAL CENTER, JEFFERSON REGIONAL MEDICAL CENTER, GROVE CITY MEDICAL CENTER, AND SAINT VINCENT HEALTH CENTER. AHN PROVIDES STRATEGIC, OPERATIONAL, AND ADMINISTRATIVE LEADERSHIP TO ITS SUPPORTED ORGANIZATIONS TO ENABLE THEM TO EXECUTE ON THEIR CHARITABLE MISSIONS. IF AHN DID NOT PROVIDE THESE ACTIVITIES, EACH SUPPORTED ORGANIZATION WOULD HAVE TO UNDERTAKE THESE ACTIVITIES THEMSELVES.</ExplanationTxt>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.AHN.ORG/ABOUT/CARING-FOR-OUR-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.AHN.ORG/ABOUT/CARING-FOR-OUR-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0.0</FPGFamilyIncmLmtDscntCarePct>
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        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
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        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
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        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - THIS REPORTING GROUP INCLUDES THE FACILITIES LISTED ON LINES 1-11 OF PART V, SECTION A.. ALLEGHENY HEALTH NETWORK (AHN) EXECUTED A CHNA PROCESS THAT INCLUDED COLLECTING PRIMARY AND SECONDARY DATA. A FORMATION OF A WORKING GROUP CONSISTING OF MEMBERS FROM AHN'S COMMUNITY AFFAIRS OVERSAW THE CHNA ALONG WITH THE PROJECT CONSULTANT, TRIPP UMBACH. REPRESENTATIVES FROM EACH AHN HOSPITAL FACILITY AND REPRESENTATIVES FROM DEPARTMENTS WITHIN AHN FORMED A STEERING COMMITTEE THAT PROVIDED HIGH-LEVEL FEEDBACK AND INPUT ON PRIMARY AND SECONDARY DATA COLLECTED. ORGANIZATIONS AND COMMUNITY STAKEHOLDERS WITHIN THE PRIMARY SERVICE AREA WERE ENGAGED IN IDENTIFYING THE NEEDS OF THE COMMUNITY. COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN CONTRIBUTIONS FROM A MULTITUDE OF REGIONAL COMMUNITY STAKEHOLDERS FROM ORGANIZATIONS. INPUT FROM THE COMMUNITY WAS SOUGHT THROUGH A CUSTOMIZED MULTI-LANGUAGE COMMUNITY SURVEY, STAKEHOLDER INTERVIEWS, AND A PROVIDER SURVEY. THE COMMUNITY SURVEY WAS EMPLOYED TO COLLECT INPUT FROM POPULATIONS WITHIN ALLEGHENY HEALTH NETWORK'S SERVICE AREA TO IDENTIFY HEALTH RISK FACTORS AND HEALTH NEEDS IN THE COMMUNITY. WORKING WITH LEADERSHIP FROM COMMUNITY AFFAIRS, THE COMMUNITY SURVEY WAS PROMOTED ON SOCIAL MEDIA PLATFORMS, HOSPITAL WEBSITES, RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND CLINICS. COLLECTING SURVEYS FROM COMMUNITY RESIDENTS WHOSE PRIMARY LANGUAGE WAS NOT ENGLISH WAS AN ESSENTIAL DRIVER OF THE INITIATIVE. THE COMMUNITY SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, HAITIAN-CREOLE, MANDARIN CHINESE, ARABIC, AND NEPALESE. THE TELEPHONE INTERVIEWS COMPLETED WITH COMMUNITY STAKEHOLDERS AS PART OF THE CHNA PHASE HELPED TO UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED STAKEHOLDERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE REGION THEY SERVE AND OTHER INFORMATION RELEVANT TO THE STUDY. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS, INCLUDING: 1. BUSINESSES 2. COUNTY AND STATE GOVERNMENT REPRESENTATIVES 3. ECONOMIC DEVELOPMENT 4. EDUCATION 5. FAITH-BASED COMMUNITIES 6. FOUNDATIONS/PHILANTHROPIC 7. HEALTH CARE REPRESENTATIVES 8. LAW ENFORCEMENT 9. NON-PROFITS 10. REPRESENTATIVES OF UNDERSERVED POPULATIONS 11. SOCIAL SERVICE REPRESENTATIVES WITHIN THE INTERVIEW AND DISCUSSION PROCESS, OVERALL HEALTH NEEDS, THEMES, AND CONCERNS WERE PRESENTED. THE QUALITATIVE DATA COLLECTED ARE THE PERCEPTIONS AND OPINIONS FROM COMMUNITY STAKEHOLDERS AS PART OF THE CHNA PROCESS. THE INFORMATION PROVIDES INSIGHT AND ADDS GREAT DEPTH TO THE QUALITATIVE DATA. COMMUNITY STAKEHOLDERS INTERVIEWED REPRESENTED THE FOLLOWING ORGANIZATIONS: * AHN CANCER INSTITUTE * ALLEGHENY COUNTY HEALTH DEPARTMENT * ALLEGHENY FAMILY NETWORK * ALLEN PLACE COMMUNITY SERVICES, INC * ALLIANCE FOR NONPROFIT RESOURCES, INC * CANONSBURG BOROUGH * CHAUTAUQUA HEALTH DEPARTMENT * CITY MISSION, HOPE FOR THE HOMELESS * COMMUNITY HEALTH CLINIC INC. - GREENSBURG * ERIE COUNTY HEALTH DEPARTMENT * GROVE CITY AREA UNITED WAY * GROVE CITY CHAMBER OF COMMERCE * GROVE CITY POLICE DEPARTMENT * GROVE CITY SCHOOL DISTRICT * JEANNETTE CITY SCHOOLS * JEFFERSON REGIONAL FOUNDATION * LIFE OPTIONS PITTSBURGH * MUNICIPALITY OF MONROEVILLE * NEIGHBORHOOD RESILIENCE PROJECT * NORTH SIDE/SHORE CHAMBER * SHEEP HEALTH CARE CENTER * THE MONROEVILLE FOUNDATION * WESTFIELD MEMORIAL HOSPITAL BOARD * WESTFIELD MEMORIAL HOSPITAL FOUNDATION * WESTMORELAND CHAMBER OF COMMERCE * WESTMORELAND TRANSIT IN ADDITION, A PROVIDER SURVEY WAS IMPLEMENTED TO COLLECT DATA FROM PROVIDERS FROM THE HOSPITAL'S SERVICE AREAS AND REGION TO IDENTIFY THE COMMUNITY'S NEEDS AND VULNERABLE POPULATIONS AND THOSE PARTNERS/ORGANIZATIONS THAT WILL BE INSTRUMENTAL IN ADDRESSING PRIORITIZED NEEDS. PROVIDERS INTERNAL AND EXTERNAL TO ALLEGHENY HEALTH NETWORK RECEIVED A SURVEY LINK. COMMUNITY INPUT WAS ALIGNED WITH SECONDARY DATA AND PRESENTED TO THE CHNA STEERING COMMITTEE AS A FRAMEWORK FOR ASSESSING CURRENT COMMUNITY NEEDS, IDENTIFYING NEW/EMERGING HEALTH ISSUES, AND ADVANCING HEALTH IMPROVEMENT EFFORTS TO ADDRESS IDENTIFIED NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - AHN ALLEGHENY GENERAL HOSPITAL (PART I). THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS PRIORITIES FOR THE ALLEGHENY HEALTH NETWORK HOSPITAL FACILITIES DURING THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT: TRANSPORTATION, WORKFORCE DEVELOPMENT, COST OF CARE, ACCESS TO CARE, FOOD INSECURITY, DIET &amp; NUTRITION, SUBSTANCE USE DISORDER, MENTAL HEALTH SERVICES, POSTPARTUM DEPRESSION, DIABETES, HEART DISEASE, CANCER, OBESITY, AGING AND SOCIAL AND WORKFORCE PROGRAMS. THE HOSPITALS OF AHN DEVELOPED AN IMPLEMENTATION STRATEGY TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS THEIR RESPECTIVE SERVICE AREAS. THE FOLLOWING ILLUSTRATES HOW EACH HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS WELL AS ANY NEEDS THAT ARE NOT CURRENTLY BEING ADDRESSED AND WHY: HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: TRANSPORTATION GOAL: TO TRANSFORM TRANSPORTATION SERVICES FOR AHN AGH PATIENTS AND FAMILIES. STRATEGIES: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES (PCS) TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PRIMARY CARE PHYSICIANS ON TRANSPORTATION SERVICES; EDUCATE PATIENTS ON TRANSPORTATION SERVICES; CONDUCT SCREENING FOR SDOH TO DETERMINE TRANSPORTATION NEEDS. MEASURE: PERCENTAGE OF REDUCED MISSED APPOINTMENTS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES; PERCENTAGE OF REDUCED ED ADMISSIONS DUE TO INABILITY TO ACCESS TRANSPORTATION SERVICES FOR MEDICAL APPOINTMENTS. IMPACT: (1) INCREASED TRANSPORTATION SERVICES FOR PATIENTS; AND (2) INCREASED AWARENESS OF TRANSPORTATION SERVICES. 2024 PROGRESS: IN 2024 AHN ALLEGHENY GENERAL HOSPITAL PROVIDED 2,397 LYFT RIDES AND 2,158 Z-TRIP AND COMMUNITY EMS WHEELCHAIR VAN RIDES TO PATIENTS. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: WORKFORCE DEVELOPMENT GOAL: INCREASE NUMBER OF PEOPLE THAT RECEIVE INFORMATION ON JOB OPPORTUNITIES AND PRE-EMPLOYMENT CAREER READINESS. STRATEGIES: INCREASE THE NUMBER OF PEOPLE THAT RECEIVE INFORMATION ON RELEVANT JOBS AND PRE-EMPLOYMENT CAREER READINESS. ACTION STEPS: PARTNER WITH LOCAL PUBLIC SCHOOLS AND COMMUNITY PARTNERS; PROVIDE EDUCATIONAL EVENTS, HOSPITAL TOURS AND OPEN HOUSES TO STUDENTS AND RESIDENTS IN OUR REGION; IDENTIFY HIGH-TURNOVER JOBS AND DEVELOP EMPLOYMENT PIPELINES SPECIFIC TO JOB OPENINGS. MEASURE: NUMBER OF COMMUNITY EVENTS PROVIDED; NUMBER OF INDIVIDUALS SCREENED FOR EMPLOYMENT; INCREASED NUMBER OF POSITIONS FILLED. IMPACT: (1) INCREASED NUMBER OF EMPLOYMENT SCREENING AND EDUCATION EVENTS; AND (2) INCREASED NUMBER OF PREPARED HEALTH PROFESSIONALS ENTERING THE HEALTH CARE WORKFORCE. 2024 PROGRESS: IN 2024 AHN ALLEGHENY GENERAL HOSPITAL HOSTED ALLEGHENY HEALTH NETWORK'S YOUNG SCHOLARS PROGRAM WITH DE&amp;I THAT TARGETS 8TH GRADERS INTERESTED IN PHYSICIAN CAREERS. STUDENTS FROM PPS CITY CONNECTIONS AND PPS START ON SUCCESS PROGRAMS COMPLETED ABOUT 1,000 HOURS OF SHADOWING IN THE SECOND HALF OF THE SCHOOL YEAR. 65 TOTAL STUDENTS INVOLVED IN AHN TAP PROGRAM AT THE HOSPITAL FOR FALL SEMESTER. NAZARETH PREP STUDENTS STARTED THEIR HIGH SCHOOL INTERNSHIP EXPERIENCE IN SEPTEMBER. 18 HOURS OF EXPERIENCE BY END OF QUARTER. HOSTED HEALTHCARE CAREER EXPLORATION FAIR TO ATTRACT ADULTS CHANGING CAREERS AND ENTRY LEVEL CANDIDATES IN OCTOBER AND REACHED 215 PEOPLE. TAP TABLED AN EVENT IN NORTHVIEW HEIGHTS. TAP HAD 3 GRADUATES IN SPRING/WINTER OF 2024. 2 PITTSBURGH PUBLIC SCHOOLS PROGRAMS (START ON SUCCESS AND CITY CONNECTIONS) STARTED IN OCTOBER. COMBINING THEIR EXPERIENCES WITH NAZARETH PREP LED TO 683 HOURS OF EXPERIENCE BY THE END OF Q4. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: COST OF CARE GOAL: REDUCE COSTS THAT MAY HAVE A DIRECT BENEFIT TO REDUCING PATIENTS' OUT-OF-POCKET AND RISK-ADJUSTED PER MEMBER PER MONTH INSURANCE HEALTH CARE EXPENSES. STRATEGIES: REDUCE INCIDENCE OF NEGATIVE SIDE EFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT FOR INFECTION; UTILIZE A PROJECT TO ADDRESS THE MEDICATION NEEDS OF DISCHARGED PATIENTS. ACTION STEPS: INVOLVE PHARMACISTS IN THE FOLLOW-UP PROCESS FOR EMERGENCY DEPARTMENT (ED) VISITS RELATED TO URINARY TRACT INFECTIONS (UTIS), WOUND INFECTIONS, THROAT CULTURES, AND SEXUALLY TRANSMITTED DISEASES (STDS); UTILIZE THE MEDS TO BED PROGRAM TO IMPROVE PATIENT OUTCOMES WITH MEDICATION ADHERENCE THROUGH UP-FRONT EDUCATION, CLARIFICATION OF QUESTIONS, AND RESOLUTION OF INSURANCE ISSUES. MEASURE: PERCENT OF APPROPRIATE ANTIBIOTICS BASED ON BACTERIA; PERCENT OF APPROPRIATE DURATION OF TREATMENT BASED ON TYPE OF INFECTION; PERCENT OF READMISSIONS/RETURN VISITS TO ED FOR THE SAME ISSUE/SIDE EFFECTS FROM TREATMENT; NUMBER OF PATIENTS UTILIZING THE MEDS TO BEDS PROGRAM; NUMBER OF PATIENTS UTILIZING MEDS TO BEDS WITH MEDICATION-RELATED ADMISSIONS. IMPACT: (1) ELIMINATED INEFFICIENT PRESCRIBING PROCESS; (2) DECREASED OUT-OF-POCKET COSTS FOR PATIENTS' MEDICATION; (3) REDUCED READMISSION RATES; AND (4) REDUCED EMERGENCY DEPARTMENT (ED) VISITS DUE TO NEGATIVE SIDE EFFECTS OR INEFFECTIVE ANTIBIOTIC TREATMENT. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: IMPROVE ACCESS TO HEALTHY FOODS. STRATEGIES: IMPROVE ACCESS TO HEALTHY FOODS THROUGH THE HEALTH FOOD CENTER. ACTION STEPS: COMMUNITY EVENTS WITH NUTRITION AND INFORMATION ON HEALTHY FOOD CENTER (NORTHSIDE FARMERS' MARKET PROGRAM WITH NORTHSIDE LEADERSHIP) - UP TO 1,000 MARKET ATTENDEES ON FRIDAYS (MAY-NOVEMBER). MEASURE: NUMBER OF PEOPLE SERVED. IMPACT: (1) INCREASED UNDERSERVED POPULATIONS TO GAIN BETTER ACCESS TO HEALTHY FOODS; AND (2) INCREASED KNOWLEDGE ON HEALTHY DIETS. 2024 PROGRESS: IN 2024 THE HOSPITAL IMPROVED ACCESS TO HEALTHY FOODS THROUGH THE HEALTHY FOOD CENTER, THERE WERE 995 EPIC REFERRALS, 244 CSP REFERRALS, 254 NEW PATIENT VISITS, 2,396 FOLLOW-UP PATIENT VISITS, 2,650 TOTAL PATIENT VISITS, 5,363 TOTAL NUMBER OF PEOPLE IN HOUSEHOLDS SERVED, AND 53,630 MEALS PROVIDED. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER GOAL: INCREASE KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER PROGRAMS AND SERVICES. STRATEGIES: INCREASE ACCESS TO SERVICES IN THE EMERGENCY DEPARTMENT (ED) FOR POST OVERDOSE MANAGEMENT. ACTION STEPS: DEVELOP ED PATHWAY FOR INITIATION OF MEDICATION-ASSISTED TREATMENT; (MAT) AND WARM HAND-OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MAT AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: (1) INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; AND (2) INCREASED SERVICES FOR OVERDOSE CASES. 2024 PROGRESS: IN 2024 AHN ALLEGHENY GENERAL HOSPITAL INCREASED ACCESS TO SERVICE IN THE ED FOR POST OVERDOSE MANAGEMENT. THERE WERE 1,252 ED ENCOUNTERS WHERE PATIENT WAS SEEN BY A NAVIGATOR FOR ANY REASON, 178 ED ENCOUNTERS WHERE A PATIENT WAS DIAGNOSED WITH AN OUD, 115 ED ENCOUNTERS WHERE A PATIENT WAS TREATED WITH BUPRENORPHINE, 110 ED ENCOUNTERS WHERE PATIENTS WERE DIAGNOSED WITH AN OVERDOSE AND SEEN BY A NAVIGATOR.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - AHN ALLEGHENY GENERAL HOSPITAL (PART II). HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: CANCER STRATEGIES: INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE-APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES. GOAL: INCREASE THE NUMBER OF ADULTS WHO RECEIVE AGE-APPROPRIATE CANCER SCREENINGS. ACTION STEPS: PARTNER WITH AHN CANCER INSTITUTE TO PROVIDE CANCER SCREENINGS FOR BREAST, COLON/RECTAL, PROSTATE AND LUNG CANCER. MEASURE: NUMBER OF SCREENINGS PERFORMED; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER. IMPACT: (1) INCREASED NUMBER OF CANCER SCREENINGS; AND (2) INCREASED NUMBER OF PATIENTS DIAGNOSED EARLY FOR BETTER OUTCOME. 2024 PROGRESS: IN 2024 AHN ALLEGHENY GENERAL HOSPITAL INCREASED THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE-APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES. CANCER INSTITUTE HOSTED A SCREENING EVENT AT AGH. 66 PATIENTS RECEIVED A TOTAL OF 223 SCREENINGS. 42 ABNORMAL RESULTS WERE FLAGGED AND PATIENTS WERE ADVISED TO RECEIVE FURTHER TESTING. 4 MAMMOGRAMS AND 12 SKIN EXAMS WERE PROVIDED BY EEHI THROUGH WOMEN'S WELLNESS DAY EVENT IN AUGUST. STRIKE OUT CANCER SCREENING EVENT AT PNC PARK THROUGH CANCER INSTITUTE. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: DIABETES STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTERS IN AHN HOSPITALS. GOAL: TO IMPROVE QUALITY OUTCOMES ASSOCIATED WITH DIABETES. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP DIABETES TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON DIABETES MANAGEMENT; EDUCATE PATIENTS MEASURE: NUMBER OF REGISTERED NURSES (RN) NAVIGATORS AT AHN HOSPITALS; A1C LEVELS FOR TARGET POPULATION IMPACT: (1) INCREASED NUMBER OF RN NAVIGATORS; (2) DECREASED A1C LEVELS IN THE MANAGED POPULATION; (3) IMPROVED OUTCOMES FOR DIABETES MEASURES. 2024 PROGRESS: IN 2024, THE HOSPITAL PROVIDED 314 BIOMETRIC SCREENINGS AND 41 BLOOD PRESSURE SCREENINGS ON NORTH SIDE PROVIDED THROUGH EEHI (ENTERPRISE EQUITABLE HEALTH INSTITUTE). THROUGHOUT THE YEAR EEHI WORKED WITH MANY NORTH SIDE COMMUNITY ORGANIZATIONS AND CHURCHES LIKE NORTH SIDE CHRISTIAN HEALTH CENTER, ALLEN PLACE COMMUNITY SERVICES. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: HEART DISEASE STRATEGIES: DEVELOP CHRONIC DISEASE SPECIALTY CENTER AT AHN AGH. GOAL: TO IMPROVE QUALITY OUTCOMES ASSOCIATED WITH HEART DISEASE. ACTION STEPS: EMBED RN NAVIGATORS AT ALL AHN HOSPITALS; DEVELOP HEART DISEASE TRANSITION OF CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT; EDUCATE PATIENTS MEASURE: NUMBER OF RN NAVIGATORS AT AHN HOSPITALS; DEVELOPMENT OF CHRONIC DISEASE MODEL IMPACT: (1) INCREASED NUMBER OF RN NAVIGATORS; AND (2) INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. 2024 PROGRESS: AHN ALLEGHENY GENERAL HOSPITAL PROVIDED 41 BLOOD PRESSURE SCREENINGS AND 37 ECHOCARDIOGRAM THROUGH EEHI ON THE NORTH SIDE. NORTHSIDE HEART PROGRAM HAS 500 PATIENTS AND 260 PATIENTS WERE SCREENED FOR HEART DISEASE THROUGH THE EVERY HEART MATTERS PROGRAM - THESE PROGRAM NUMBERS ARE FROM THE BEGINNING OF THE PROGRAM UNTIL NOW AND CANNOT BE PULLED FOR PREVIOUS QUARTERS. 250 RECEIVED VIDEO EDUCATION IN OUTPATIENT CLINIC. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS STRATEGIES: INCREASE PATIENT UNDERSTANDING PREVENTATIVE MEASURES AND HOW TO ACCESS SERVICES (PCP, VACCINES, SAFETY TRAINING ETC.) GOAL: INCREASE KNOWLEDGE AND ACCESS TO HEALTH PROVIDERS AND SERVICES. ACTION STEPS: CONTINUE TRAININGS AND EXPAND ON PROGRAMS: (STOP THE BLEED/BIKE HELMETS/SAFETY TRAINING, NARCAN/OD EDUCATION TRAINING, ETC.) HEALTH LITERACY - IDENTIFY PCP. MEASURE: NUMBER OF TRAININGS; NUMBER OF PARTICIPANTS IMPACT: (1) INCREASED AWARENESS OF PROVIDERS; (2) INCREASED NUMBER OF PATIENTS WITH A PCP; AND (3) INCREASED EDUCATION ON LIFE SAVING SKILLS. 2024 PROGRESS: NO RECORDED PROGRESS WAS MADE IN 2024, BUT THE FACILITY REMAINS FOCUSED ON THIS COMMUNITY NEED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 3 - AHN WESTERN PENNSYLVANIA HOSPITAL. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: COST OF CARE GOAL: STRENGTHEN ACCESS TO AFFORDABLE MEDICATIONS. STRATEGIES: INCREASE ACCESS TO AFFORDABLE MEDICATIONS. ACTION STEPS: GAIN SUPPORT FROM PHARMACEUTICAL ASSISTANCE PROGRAMS THROUGH AHN SPECIALTY AND INFUSION CENTERS; GAIN SUPPORT FROM PHARMACEUTICAL GRANT FOUNDATION APPLICATION ASSISTANCE. MEASURE: NUMBER OF SPECIALTY PHARMACY GRANTS - BOTH ONCOLOGY AND AHN FOR WEST PENN PATIENTS; NUMBER OF FREE DRUG APPLICATIONS FOR INFUSIONS AND THROUGH AHN SPECIALTY RX (PRESCRIPTIONS) (FREE DRUG THROUGH MANUFACTURER PATIENT ASSISTANT PROGRAMS). IMPACT: (1) INCREASED UTILIZATION OF CARE PARTNER CLINIC AND (2) INCREASED EDUCATION AND AWARENESS. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: STRENGTHEN ACCESS TO SPECIALTY PROVIDER SERVICES AND INCREASE UTILIZATION OF SERVICES. STRATEGIES: INCREASE ACCESS TO THE HEALTHY FOOD CENTER (HFC). ACTION STEPS: UTILIZE THE HEALTHY FOOD CENTER TO EDUCATE ON CHRONIC DISEASES; PARTNER WITH THE HEALTHY FOOD CENTER TO PROVIDE EDUCATION ON HEALTHY CHOICES; PARTNER WITH PCP OFFICES TO UTILIZE THE SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL FOR FOOD INSECURITIES; REFER PATIENTS TO THE HEALTH FOOD CENTER. MEASURE: NUMBER OF REFERRALS FROM PCP OFFICES; NUMBER OF REFERRALS THAT UTILIZE THE HEALTHY FOOD CENTER. IMPACT: (1) INCREASED UTILIZATION OF THE HEALTHY FOOD CENTER; AND (2) INCREASED EDUCATION AND AWARENESS. 2024 PROGRESS: IN 2024, THE WEST PENN HOSPITAL HEALTHY FOOD CENTER (HFC) SIGNIFICANTLY IMPACTED THE COMMUNITY BY SERVING 3,077 INDIVIDUALS AND PROVIDING 30,770 MEALS THROUGH 1,264 VISITS AND 663 REFERRALS. THE HFC ALSO FOCUSED ON EDUCATION, REACHING 151 INDIVIDUALS WITH HEALTHY SHOPPING EDUCATION AND TRAINING 66 CCAC DIETETIC STUDENTS. THE HFC FURTHER PRODUCED 426.1 POUNDS OF PRODUCE IN ITS GARDEN AND ENGAGED IN NUMEROUS COMMUNITY EVENTS, INCLUDING HOSTING STUDENTS FOR SHADOWING, PARTICIPATING IN THE MOTHER OF ALL BABY SHOWERS, AND PARTNERING WITH LOCAL ORGANIZATIONS LIKE THE GREATER PITTSBURGH COMMUNITY FOOD BANK AND PGH URBAN FARM. THE HFC'S COMMUNITY ENGAGEMENT EXTENDED BEYOND ITS WALLS THROUGH DIVERSE INITIATIVES LIKE A GARDEN CLUB, ADDITIONAL GARDEN PLANTINGS, AND A GARDEN TOUR SHOWCASING THE HFC'S SUSTAINABILITY EFFORTS. THESE EFFORTS DEMONSTRATE THE HFC'S COMMITMENT TO IMPROVING COMMUNITY HEALTH BY PROVIDING ACCESS TO NUTRITIOUS FOOD AND PROMOTING SUSTAINABLE PRACTICES, ULTIMATELY CONTRIBUTING TO A HEALTHIER WESTERN PENNSYLVANIA. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: OBESITY GOAL: REDUCE RATE OF OBESITY IN THE SERVICE AREA. STRATEGIES: IMPLEMENT PROGRAMS TO REDUCE OBESITY IN ADULTS. ACTION STEPS: OFFER MEAL PLANNING AND NUTRITION COUNSELING; OFFER MEDICAL WEIGHT LOSS PROGRAMS; PROVIDE A COMPREHENSIVE MULTIDISCIPLINARY APPROACH TO SURGICAL INTERVENTION; PROVIDE EDUCATION SESSIONS ON SURGICAL INTERVENTIONS. PROVIDE SUPPORT GROUPS; PROVIDE WEB-BASED EDUCATION AND COOKING CLASSES. MEASURE: NUMBER OF COMMUNITY-BASED EDUCATION EVENTS; NUMBER OF PARTICIPANTS MEDICAL WEIGHT LOSS; NUMBER OF PATIENTS WITH SURGICAL INTERVENTIONS; NUMBER OF SUPPORT GROUP MEETINGS; NUMBER OF ATTENDEES. IMPACT: (1) INCREASED AWARENESS OF HEALTHY BEHAVIORS AMONG CHILDREN; (2) INCREASED NUMBER OF COMMUNITY EVENTS; AND (3) INCREASED AWARENESS OF OPTIONS FOR WEIGHT MANAGEMENT. 2024 PROGRESS: IN 2024. AHN WEST PENN HOSPITAL HOSTED 8 SUPPORT GROUPS, 78 INFORMATION SESSIONS, AND HOSTED THE 3RD ANNUAL DIABETES AND OBESITY CARE SYMPOSIUM WHERE 78 PARTICIPANTS REGISTERED TO LEARN HOW TO CARE/ TREAT PATIENTS WITH DIABETES AND OBESITY. 308 STAPLING INTERVENTIONS WERE PERFORMED, AND 26 NON-STAPLING INTERVENTIONS. OF REPORTED MEDICAL WEIGHT LOSS PATIENTS, THE YEAR SAW 751 NEW PATIENTS, 3,769 ESTABLISHED PATIENTS. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS GOAL: INCREASE ACCESS TO CARE FOR WOMEN. STRATEGIES: WORKING WITH WOMEN'S INSTITUTE ON ACCESS TO CARE EVALUATE BARRIERS; OPPORTUNITIES TO DECREASE BARRIERS TO CARE. ACTION STEPS: PARTNER WITH MOBILE MOMS-PART OF TRAVELERS AID MEDICAL ASSISTANCE TRANSPORTATION PROGRAM; PROVIDE SUPPORT TO PATIENTS ONE DAY PER WEEK FROM A SOCIAL WORKER AT OB/GYN RESIDENCY PROGRAM. MEASURE: NUMBER OF PATIENTS REQUIRING INTERPRETER SERVICES; NUMBER OF INTERPRETER SERVICES PROVIDED; NUMBER OF PATIENTS BENEFITTING DOCUMENTS BEING TRANSLATED; NUMBER OF DOCUMENTS TRANSLATED. IMPACT: (1) ACCESSED TO CARE; (2) EDUCATED ON RESOURCES AVAILABLE. 2024 PROGRESS: IN 2024, AHN WEST PENN HOSPITAL'S MOBILE MOMS PROGRAM SERVED 161 CLIENTS, COMPLEMENTING THE HOSPITAL'S BROADER COMMUNITY OUTREACH EFFORTS. THESE EFFORTS INCLUDED SUPPORTING AND HOSTING SEVERAL KEY EVENTS. DURING THE SECOND QUARTER, THE HOSPITAL SUPPORTED BEV'S COMMUNITY BABY SHOWERS AND THE MOTHER OF ALL BABY SHOWERS. IN PARTNERSHIP WITH BEVERLY'S, A COMMUNITY SHOWER WAS ALSO HELD IN CHARLEROI, SPECIFICALLY CATERING TO HAITIAN-SPEAKING PREGNANT WOMEN RECEIVING GENERAL CARE AT JEFFERSON BUT HIGH-RISK PREGNANCY CARE AT WEST PENN HOSPITAL, WITH 33 INDIVIDUALS IN ATTENDANCE. PERINATAL HOPE PARTICIPATED IN TWO OF BEVERLY'S COMMUNITY BABY SHOWERS. LATER IN THE YEAR, THE FRIENDS OF WEST PENN EVENT IN NOVEMBER FEATURED A PRESENTATION BY ALYSSA WIELD, MD, AN AHN GYNECOLOGIC ONCOLOGIST, ON ADVANCES IN OVARIAN CANCER, FOLLOWED BY AN UPDATE FROM PRESIDENT AND CEO DR. BRIAN JOHNSON ON WEST PENN INITIATIVES AND A REVIEW OF COMMUNITY SURVEY DATA FOR THE UPCOMING CHNA CYCLE. SOCIAL WORKERS AT WEST PENN HOSPITAL PROVIDE CRUCIAL SUPPORT TO PATIENTS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH THROUGH ASSESSMENTS, CARE COORDINATION, AND REFERRALS TO COMMUNITY RESOURCES. THEY ALSO EMPOWER PATIENTS AND OFFER ASSISTANCE WITH FOOD, HOUSING, TRANSPORTATION, SUBSTANCE USE, MENTAL HEALTH, AND UTILITIES. FURTHERMORE, THEY PROVIDE REFERRALS AND SUPPORT FOR WIC, ASSIST IN OBTAINING BABY ITEMS, AND OFFER MATERIAL GOODS SUCH AS DIAPERS, WIPES, AND CLOTHING.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 4 - AHN ST. VINCENT HOSPITAL. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: COST OF CARE GOAL: TO HELP PROVIDE MORE COMPREHENSIVE CARE TO LOW-INCOME AND UNINSURED PATIENTS BY ENABLING THEM TO PURCHASE OUTPATIENT DRUGS AT DISCOUNTED PRICES. STRATEGIES: INCREASE ACCESS TO AFFORDABLE MEDICATIONS. ACTION STEPS: GAIN SUPPORT FROM PHARMACEUTICAL ASSISTANCE PROGRAMS THROUGH AHN CLINIC, SPECIALTY, AND INFUSION CENTERS; GAIN SUPPORT FROM PHARMACEUTICAL GRANT FOUNDATION APPLICATION ASSISTANCE. MEASURE: NUMBER OF SPECIALTY PHARMACY GRANTS - FOR BOTH ONCOLOGY AND AHN SAINT VINCENT PATIENTS; NUMBER OF FREE DRUG APPLICATIONS FOR INFUSIONS AND THROUGH AHN SPECIALTY RX (PRESCRIPTIONS) (FREE DRUG THROUGH MANUFACTURER PATIENT ASSISTANT PROGRAMS); NUMBER OF PATIENTS WHO UTILIZE PRESCRIPTION COST REDUCTION PROGRAM(S). IMPACT: PROVIDE MORE AFFORDABLE CARE TO PATIENTS AND THE COMMUNITY. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: IDENTIFY AND ADDRESS FOOD INSECURITY FOR AHN HOSPITALS/COMMUNITY. STRATEGIES: EDUCATE PROVIDERS AND COMMUNITY- BASED ORGANIZATIONS (CBOS) ON FOOD INSECURITY SCREENING AND REFERRAL PROCESS; IDENTIFY FOOD INSECURE PATIENTS AND COMMUNITY MEMBERS THROUGH SDOH SCREENING TOOL. ACTION STEPS: PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY WILL RECEIVE REFERRAL TO THE HEALTHY FOOD CENTER; ASSESS NEEDS OF POPULATION SERVED (I.E., FOOD ACCESS, TRANSPORTATION, UTENSILS, EDUCATION, RECIPES, OTHER SDOH NEEDS); PROVIDE HEALTHY FOODS BASED ON INDIVIDUAL NEEDS- CHRONIC DISEASE/PREFERENCE/CULTURAL, PROVIDE TAILORED EDUCATION, CONNECTIONS TO COMMUNITY RESOURCES, WRAP AROUND SERVICES (I.E., SNAP, WIC). MEASURE: NUMBER OF PATIENTS REFERRED TO THE HEALTHY FOOD CENTER; NUMBER OF PATIENTS WHO COMPLETE REFERRALS AND VISITS (NEW VS. FOLLOW-UP); TOTAL NUMBER OF PEOPLE SERVED; TOTAL NUMBER OF MEALS PROVIDED. IMPACT: (1) NUMBER OF PATIENTS REFERRED TO HEALTHY FOOD CENTER; (2) NUMBER OF VISITS NEW VS FOLLOW UP AND TOTAL SERVED; AND (3) TOTAL MEALS PROVIDED. 2024 PROGRESS: IN 2024, AHN ST. VINCENT HOSPITAL RECORDED OVER 100 NEW PATIENTS AND CONDUCTED 723 FOLLOW-UP VISITS; SIMULTANEOUSLY, THE ORGANIZATION ADDRESSED NUTRITIONAL NEEDS BY MAKING 412 REFERRALS TO THE HEALTHY FOOD CENTER, SERVING 1,935 INDIVIDUALS AND DISTRIBUTING A TOTAL OF 19,350 MEALS. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: WORKFORCE DEVELOPMENT GOAL: WORK WITH COMMUNITY PARTNERS TO DEVELOP NEW AND INNOVATIVE WORKFORCE INITIATIVES. STRATEGIES: EXPAND PROJECT SEARCH PROGRAM WITH A GOAL OF RECRUITING 12 STUDENTS EACH YEAR; DEVELOP A PARTNERSHIP WITH EDINBORO UNIVERSITY FOR A MEDICAL ASSISTANT PROGRAM. ACTION STEPS: CONTINUE TO WORK WITH ERIE CITY SCHOOLS TO IDENTIFY CANDIDATES; EXPLORE EXPANSION INTO NEIGHBORING SCHOOL DISTRICTS; WORK WITH EDINBORO UNIVERSITY TO DEVELOP THE PROGRAM; MEET WITH UNIVERSITY STAFF TO DEFINE PROGRAM PARAMETERS; IDENTIFY INTERESTED STUDENTS (TARGET POPULATION). MEASURE: NUMBER OF STUDENTS IN PROJECT SEARCH PROGRAM; NUMBER OF STUDENTS ENROLLED IN PROGRAM. IMPACT: STRENGTHEN WORKFORCE WITHIN HOSPITAL. 2024 PROGRESS: IN 2024, AHN SAINT VINCENT HOSPITAL'S PROJECT SEARCH ENDED THE YEAR WITH 9 ENROLLED STUDENTS, WITH ONE STUDENT SECURING A FULL-TIME PHARMACY POSITION; THE TAP PROGRAM STARTED WITH 20 STUDENTS FROM ERIE AND WESTFIELD DISTRICTS AND ENROLLED 22 IN THE FALL. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES GOAL: INCREASE KNOWLEDGE AND ACCESS TO MENTAL HEALTH PROGRAMS AND SERVICES. STRATEGIES: INCREASE ACCESS TO BH PROGRAMS AND SERVICES THROUGH COMMUNITY- BASED SEMINARS AND PROGRAMMING; INCREASE AWARENESS AND ENGAGEMENT OF BH SERVICES THROUGH VARIOUS, MEDIA, TV, RADIO, AND SOCIAL MEDIA INITIATIVES. ACTION STEPS: PROVIDE BH PROGRAMMING AND EDUCATION IN THE COMMUNITY; DEVELOP LIST OF BH PROGRAM AND SERVICES OFFERED IN COMMUNITY; DEVELOP LIST OF COMMUNITY BH PROGRAMS AND SERVICES TO MARKET; DEVELOP MARKETING STRATEGY FOR THESE SERVICES; DEVELOP CONTENT TO BE DISTRIBUTED THROUGH VARIOUS MEDIA PLATFORMS. MEASURE: NUMBER OF OUTREACH EVENTS AND PROGRAMMING THAT OCCURS IN COMMUNITY; NUMBER OF PEOPLE ADDRESSED; NUMBER OF NEW MARKETING INITIATIVES; ATTENDANCE AT COMMUNITY OUTREACH EVENTS. IMPACT: (1) INCREASED ACCESS TO BH PROGRAMS; (2) INCREASED AWARENESS OF BEHAVIORAL HEALTH (BH) SERVICES. 2024 PROGRESS: IN 2024, THE HOSPITAL'S AHN BEHAVIORAL HEALTH FACILITATED 8,703 NEW AND ESTABLISHED PATIENT APPOINTMENTS, PARTICIPATED IN COMMUNITY HEALTH EVENTS AT GROVE CITY COLLEGE AND BROCTON SCHOOL DISTRICT, AND INCREASED VISIBILITY THROUGH THREE MEDIA EVENTS WITH LOCAL TELEVISION STATIONS SHOWCASING THE HOSPITAL'S SERVICES. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: CANCER GOAL: INCREASE THE NUMBER OF ADULTS WHO RECEIVE AGE-APPROPRIATE SCREENINGS. STRATEGIES: PROVIDE COMMUNITY- BASED CANCER SCREENING EVENTS; INCREASE CT LUNG CANCER SCREENING UTILIZATION. ACTION STEPS: PROVIDE COMMUNITY CANCER SCREENING AND EDUCATION EVENTS; IMPLEMENT LUNG CANCER SCREENING NAVIGATION; EXPAND CT LUNG SCREENING ACCESS/LOCATIONS. MEASURE: NUMBER OF SCREENING EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF STUDIES PERFORMED. IMPACT: (1) INCREASED NUMBER OF SCREENINGS IN HIGH-RISK COMMUNITIES; (2) INCREASED NUMBER OF LUNG CANCER STUDIES PERFORMED. 2024 PROGRESS: IN 2024, LUNG CANCER SCREENING EFFORTS AT AHN SAINT VINCENT HOSPITAL REACHED 169 PATIENTS, WHILE WESTSIDE PAVILION AND EASTSIDE PAVILION SCREENED 365 AND 199 PATIENTS, RESPECTIVELY; ADDITIONALLY, A COMMUNITY SCREENING EVENT WAS HELD ON APRIL 13TH AT THE SVH CANCER CENTER. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS GOAL: INCREASE ACCESS TO CARE FOR PATIENTS IN NEED OF INTERPRETER AND TRANSLATION SERVICES. STRATEGIES: DEVELOP SYSTEM FOR PATIENTS CALLING THE HOSPITAL WHO REQUIRE INTERPRETER SERVICES; PROVIDE PATIENTS WITH TRANSLATED DOCUMENTS. ACTION STEPS: WORK WITH TELEPHONE OPERATORS AND INTERPRETERS TO SET-UP PROCESS WHEN PATIENTS CALL THE HOSPITAL WITH INTERPRETATION NEEDS; REVIEW THE CURRENT PROGRAM FOR TRANSLATION OF HOSPITAL MENUS; EXPAND PROGRAM TO IDENTIFY AND INCLUDE ADDITIONAL DOCUMENTS FOR TRANSLATION. MEASURE: NUMBER OF PATIENTS REQUIRING INTERPRETER SERVICES; NUMBER OF INTERPRETER SERVICES PROVIDED; NUMBER OF PATIENTS BENEFITTING DOCUMENTS BEING TRANSLATED; NUMBER OF DOCUMENTS TRANSLATED. IMPACT: GIVE PATIENTS WITH INTERPRETATION AND TRANSLATION NEEDS ACCESS TO MORE IMMEDIATE AND HIGHER QUALITY OF CARE. 2024 PROGRESS: IN 2024, AHN SAINT VINCENT HOSPITAL SERVED APPROXIMATELY 3,195 PATIENTS WITH LANGUAGE SERVICES, TRANSLATING OVER 29 LANGUAGES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 5 - AHN JEFFERSON HOSPITAL. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: WORKFORCE DEVELOPMENT GOAL: PROVIDE SUPPORT AND CAREER OPPORTUNITIES TO PROSPECTIVE AND CURRENT AHN JEFFERSON HOSPITAL EMPLOYEES. STRATEGIES: INCREASE INTERNAL OUTREACH EFFORTS TO INCREASE ALLIED HEALTH CAREER PATHS; PARTNER WITH LITERACY PITTSBURGH TO IMPLEMENT ESL COURSES FOR THE ENVIRONMENTAL SERVICES DEPARTMENT. ACTION STEPS: CONDUCT INTERNAL MEETINGS FOR AHN JEFFERSON HOSPITAL EMPLOYEES; IMPLEMENT COMMUNITY EVENTS; DETERMINE LEVEL OF ENGLISH FOR CURRENT EMPLOYEES WHO ARE NON-ENGLISH SPEAKERS; ESTABLISH CURRICULUM AND CLASS CADENCE; ESTABLISH CLASS START DATE AND TIMING. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF INTERNAL MEETINGS; NUMBER OF PARTICIPANTS; NUMBER OF EVS EMPLOYEES ENROLLED IN COURSES; NUMBER OF SUPERVISORS PARTICIPATING IN ESL CULTURAL COMPETENCY TRAININGS; NUMBER OF CLASSES HELD THROUGHOUT THE YEAR. IMPACT: (1) NUMBER OF ENVIRONMENTAL SERVICES (EVS) EMPLOYEES AND SUPERVISORS PARTICIPATING IN ENGLISH AS A SECOND LANGUAGE (ESL) CLASSES; (2) RESULTS OF PRE-EVALUATION AND POST-EVALUATION FOR ESL CLASSES; (3) ENGAGED CURRENT AND POTENTIAL TALENT. 2024 PROGRESS: IN 2024, AHN JEFFERSON HOSPITAL HELD 45 COMMUNITY EVENTS AND 87 INTERNAL MEETINGS. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH. COMMUNITY NEED: FOOD INSECURITY, DIET AND NUTRITION GOAL: IDENTIFY AND ADDRESS FOOD INSECURITY FOR AHN JEFFERSON PATIENTS. STRATEGIES: CONNECT FOOD INSECURE PATIENTS TO HEALTH FOOD CENTER AND OTHER REGIONAL FOOD RESOURCES; INCREASE UTILIZATION OF FOOD SCREENINGS AND REFERRAL PROCESS. ACTION STEPS: IDENTIFY FOOD INSECURE PATIENTS; PARTNER WITH THE HEALTHY FOOD CENTER, FOOD DISTRIBUTION SITES, AND GREATER PITTSBURGH AREA FOOD BANK; REFER PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY TO HEALTH FOOD CENTER OR FOOD DISTRIBUTION SITES THROUGH THE GREATER PITTSBURGH AREA FOOD BANK; EDUCATE PROVIDERS AND CBOS ON FOOD INSECURITY SCREENING AND REFERRAL PROCESS; IDENTIFY FOOD INSECURE PATIENTS AND COMMUNITY MEMBERS THROUGH SDOH SCREENING TOOL; SCREEN PATIENTS FOR FOOD INSECURITY; REFER PATIENTS TO HEALTH FOOD CENTER WHO SCREEN POSITIVE; ASSESS NEEDS OF POPULATION SERVED (FOOD ACCESS, TRANSPORTATION, UTENSILS, EDUCATION, RECIPES, OTHER SDOH NEEDS); PROVIDE HEALTHY FOODS BASED ON INDIVIDUAL NEEDS (CHRONIC DISEASE/PREFERENCE/CULTURAL, EDUCATION, COMMUNITY RESOURCES, SNAP, WIC). MEASURE: NUMBER OF PATIENTS REFERRED TO THE HEALTHY FOOD CENTER THROUGH THE FRONT DOOR INITIATIVE; NUMBER OF PATIENTS REFERRED TO FOOD DISTRIBUTION SITES; NUMBER OF PATIENTS WHO RECEIVE FOOD BAGS THROUGH THE ED; NUMBER OF PATIENTS REFERRED TO HEALTH FOOD CENTER; NUMBER OF PATIENTS WHO COMPLETE REFERRAL PROCESS AND VISITS NEW VS. FOLLOW UP; NUMBER OF PEOPLE SERVED; NUMBER OF MEALS PROVIDED. IMPACT: (1) NUMBER OF PATIENTS REFERRED TO FOOD DISTRIBUTION SITES; (2) PATIENT CONSULTATIONS AT AHN JEFFERSON HEALTHY FOOD CENTER; (3) PATIENTS RECEIVE FOOD BAGS THROUGH INPATIENT OR EMERGENCY DEPARTMENT (ED). 2024 PROGRESS: IN 2024, AHN JEFFERSON HOSPITAL REFERRED 716 PATIENTS TO THE HEALTHY FOOD CENTER AND 5 TO OTHER SITES. 190 NEW PATIENTS COMPLETED THE REFERRAL PROCESS AND VISITED WITH 1,229 FOLLOW-UP VISITS COMPLETE. 2,934 PEOPLE WERE SERVED AT THE HEALTHY FOOD CENTER, AND 32,340 MEALS WERE PROVIDED. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES GOAL: PROVIDE BEHAVIORAL HEALTH PROGRAMMING TO LOCAL HIGH SCHOOLS. STRATEGIES: IMPLEMENT AHN CHILL PROJECT AT LOCAL HIGH SCHOOLS. ACTION STEPS: ENGAGE AND PROMOTE THE USE OF PREVENTIVE INTERVENTIONS TO STUDENTS; PROMOTE SCHOOL-BASED THERAPY OPTIONS FOR STUDENTS. MEASURE: NUMBER OF STUDENTS SERVED; NUMBER OF TOTAL ENCOUNTERS; NUMBER OF FUNDAMENTAL LESSONS; NUMBER OF STUDENTS IN ACTIVE SCHOOL-BASED THERAPY. IMPACT: STRENGTHEN AND SUPPORT OUR YOUTH IN REGARDS TO THEIR BEHAVIORAL HEALTH. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: CANCER STRATEGIES: PROVIDE RESOURCES TO HELP INDIVIDUALS STOP THE USE OF TOBACCO PRODUCTS; INCREASE THE NUMBER OF ADULTS WHO RECEIVE TIMELY AGE-APPROPRIATE CANCER SCREENINGS BASED ON THE MOST RECENT GUIDELINES; INCREASE THE VOLUME OF PATIENTS PARTICIPATING IN PROGRAMS THAT HELP PEOPLE DEALING WITH A CANCER DIAGNOSIS AND THE CHALLENGES RELATED TO TREATMENT. GOAL: REDUCE THE NUMBER OF CANCER RELATED DEATHS; IMPROVE THE LIFE OF THOSE DIAGNOSED WITH CANCER. ACTION STEPS: COLLABORATE WITH ADAGIO HEALTH TO PROVIDE PATHWAYS FOR PATIENTS TO ACCESS TOBACCO CESSATION WORKSHOP; TRAIN HOSPITAL EMPLOYEES ON MOTIVATIONAL INTERVIEWING FOR TOBACCO CESSATION; OFFER WORKSHOPS AT AHN JEFFERSON HOSPITAL; PLAN FREE CANCER SCREENINGS FOR PROSTATE, BREAST, SKIN, CERVICAL, COLON/RECTAL, AND LUNG CANCER; DISTRIBUTE BOOKLET ON AGE-APPROPRIATE CANCER SCREENINGS; PROMOTE CANCER BRIDGES CANCER SUPPORT GROUP; PROMOTE CANCER BRIDGES LIVING LIFE POST CANCER TREATMENT PROGRAM; PROMOTE THE AHN CARE AND COSMETICS PROGRAM; PROMOTE AHN CANCER INSTITUTE PRE-CHEMO TREATMENT VISITS FOR ALL PATIENTS UNDERGOING CHEMOTHERAPY AT AHN JEFFERSON; PARTNER WITH EBEAUTY TO PROVIDE A FREE WIG SALON; PROVIDE SATCHELS OF CARING FOR CANCER PATIENTS; PROVIDE FREE NUTRITION CONSULTATION TO ONCOLOGY PATIENTS; ENGAGE AN ONCOLOGY SOCIAL WORKER TO OFFER FREE ASSISTANCE TO ONCOLOGY PATIENTS WITH THEIR SDOH NEED; UTILIZE A NURSE NAVIGATOR TO PROVIDE COORDINATION OF THEIR CARE AS PATIENTS GO THROUGH THEIR CANCER JOURNEY. MEASURE: NUMBER OF EDUCATIONAL EVENTS; NUMBER OF PARTICIPANTS IN TOBACCO CESSATION PROGRAMS; NUMBER OF PARTICIPANTS IN TOBACCO CESSATION PROGRAMS WITH ADAGIO (INSIDE AND OUTSIDE THE HOSPITAL); NUMBER OF SCREENINGS PERFORMED; NUMBER OF ABNORMAL SCREENINGS IDENTIFIED AND REFERRED FOR ADDITIONAL TESTING; NUMBER OF INDIVIDUALS SCREENED FOR AT LEAST ONE CANCER; NUMBER OF PROGRAMS; NUMBER OF PARTICIPANTS. IMPACT: (1) INCREASED NUMBER OF EDUCATION EVENTS AT AHN HOSPITALS; (2) INCREASED NUMBER OF HOSPITAL EMPLOYEES TRAINED ON TOBACCO CESSATION COUNSELING; (3) INCREASED NUMBER OF TRAINED COMMUNITY PARTNERS; (4) INCREASED NUMBER OF CANCER SCREENINGS; AND (5) INCREASED NUMBER OF EARLY CANCER DIAGNOSES. 2024 PROGRESS: IN 2024, AHN JEFFERSON HOSPITAL HOSTED 4 EDUCATIONAL EVENTS TO HELP INDIVIDUALS STOP USING TOBACCO, AND AN ESTIMATED 664 PATIENTS PARTICIPATED IN IN TOBACCO CESSATION PROGRAMS WITH ADAGIO. 2,036 CANCER SCREENINGS WERE PERFORMED AND 435 ABNORMAL SCREENINGS WERE IDENTIFIED AND REFERRED FOR ADDITIONAL TESTING. 797 INDIVIDUALS WERE SCREENED FOR AT LEAST ONE CANCER. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS STRATEGIES: IMPLEMENT TALENT ATTRACTION PROGRAM AT AHN JEFFERSON. GOAL: DEVELOPMENT OF WORKFORCE THAT REFLECTS JEFFERSON COMMUNITY. ACTION STEPS: IDENTIFY BARRIERS IN EDUCATION AND HIRING PRACTICES; COLLABORATE WITH ALLIED HEALTH TRAINING PARTNERS AND COMMUNITY ORGANIZATIONS TO PROVIDE EDUCATIONAL OPPORTUNITIES; SEEK CANDIDATES FOR THE PROGRAM; IDENTIFY CONTINUED CAREER ADVANCEMENT PATHWAYS. MEASURE: NUMBER OF STUDENTS ENROLLED; NUMBER OF STUDENTS GRADUATING AND ONBOARDING INTO FULL-TIME CAREERS AT AHN. IMPACT: (1) PATIENTS WILL FEEL MORE WELL-CARED FOR; (2) VIABLE CAREER PATHWAYS; (3) HIGHER EMPLOYEE RETENTION RATES. 2024 PROGRESS: IN 2024 JEFFERSON HOSPITAL HAD 204 PARTICIPANTS IN THE TALENT ATTRACTION PROGRAM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 6 - AHN FORBES REGIONAL HOSPITAL. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: WORKFORCE DEVELOPMENT GOAL: INCREASE KNOWLEDGE AND ACCESS TO CAREERS IN HEALTH CARE. STRATEGIES: PROVIDE ADEQUATE EMPLOYMENT IDENTIFIED AS A COMMUNITY NEED TO IMPROVE QUALITY OF LIFE AND HEALTH; FILL EMPLOYMENT GAPS, CURRENT AND FUTURE. ACTION STEPS: PARTNER WITH FRANKLIN REGIONAL SCHOOL DISTRICT AND COMMUNITY HEALTH CENTER WITH ACCESS TO HEALTH CARE CAREER TRAINING AND AHN OUTPATIENT CLINICS (I.E., FM/PEDS, ATHLETIC TRAINING); ASSESS GROWTH AND RETENTION OF TALENT ATTRACTION PROGRAM (TAP). MEASURE: NUMBER OF PERSONS ATTENDED/ENROLLED IN CAREER TRAINING; NUMBER OF CAREER EXPLORATION AND TRAINING EVENTS; NUMBER OF PERSONS ENROLLED IN TAP; NUMBER OF PERSONS WHO SUCCESSFULLY COMPLETED TAP; PERCENTAGE OF TAP GRADUATES EMPLOYED AT FORBES. IMPACT: (1) IMPROVE EMPLOYMENT GAPS CURRENT AND FUTURE IN HEALTH CARE CAREERS. (2) IMPROVE QUALITY OF LIFE AND HEALTH WITHIN THE COMMUNITY. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: ACCESS TO CARE GOAL: IMPROVE ACCESS TO CARE AND WAIT TIMES BASED ON GROWTH SEEN IN EMS ARRIVALS AND SPECIALTY CARE SERVICES. STRATEGIES: IDENTIFY AREAS THAT HAVE SEEN AN INCREASE IN PATIENT CARE TO SUPPORT THAT GROWTH; IMPROVE ACCESS TO SECURING APPOINTMENTS FOR CARE. ACTION STEPS: EXPANSION OF FORBES EMERGENCY DEPARTMENT TO SUPPORT EMS ARRIVALS, TRAUMA CARE, AND REDUCE WAITING TIMES; EXPANSION OF DIGITAL NURSING; EXPANSION OF SPECIALTY CARE ACCESS. MEASURE: EMERGENCY DEPARTMENT EXPANSION STAGES OF COMPLETION; NUMBER OF UNITS THAT PROVIDE DIGITAL NURSING SERVICE; NUMBER AND TYPE OF SPECIALTY CARE SERVICES THAT ARE IDENTIFIED IN NEED OF EXPANSION DUE TO GROWTH. IMPACT: (1) REDUCTION IN WAIT TIME IN FORBES HOSPITAL EMERGENCY DEPARTMENT (ED); AND (2) INCREASED ACCESS TO SPECIALTY CARE SERVICES. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: IDENTIFY AND ADDRESS FOOD INSECURITY PATIENTS. STRATEGIES: IDENTIFY AND ADDRESS FOOD INSECURITY FOR PATIENTS AND PROVIDE ACCESS TO HEALTHY MEALS AND NUTRITIONAL EDUCATION. ACTION STEPS: IDENTIFY FOOD-INSECURE PATIENTS USING SDOH SCREENING TOOLS AND PROVIDER REFERRALS. MEASURE: NUMBER OF PATIENTS SERVED; NUMBER OF MEALS PROVIDED; NUMBER OF TRANSPORTATION AID TO FOOD-INSECURE PATIENTS; POUNDS OF FRESH FRUIT &amp; VEGETABLES HARVESTED FROM THE HEALTHY FOOD GARDEN. IMPACT: PROVIDE HEALTHY MEALS, NUTRITION EDUCATION &amp; SERVICES AND TRANSPORTATION TO FOOD-INSECURE PATIENTS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: PROVIDE EDUCATION TO PUBLIC ABOUT MENTAL HEALTH ISSUES AND TREATMENT OPTIONS; COLLABORATE WITH BEHAVIORAL HEALTH CONSULTANTS INTO PRIMARY CARE PRACTICES; DEVELOP AND IMPLEMENT OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES; DEVELOPMENT OF INTENSIVE OUTPATIENT CENTER FOR BEHAVIORAL HEALTH; DEVELOPMENT OF ENCLOSED BH UNIT WITHIN THE ED OPERATED BY BEHAVIORAL HEALTH STAFF. GOAL: IMPROVE MENTAL HEALTH CONDITIONS AND TREATMENT OPTIONS. ACTION STEPS: SPONSOR MENTAL HEALTH FIRST AID TRAIN-THE-TRAINER AND COMMUNITY MHFA TRAININGS TO THE PUBLIC; IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; ADMINISTER THE PHQ-2 AT EVERY PRIMARY CARE VISIT AND PHQ-9 FOR PATIENTS WHO SCREEN POSITIVE; OFFER CONSULTATION AND TREATMENT WITH THE PRACTICE'S BHC; MONITOR PHQ-9 SCORES OVER TIME FOR IMPROVEMENT; COLLABORATE WITH PSYCHIATRIC AND BEHAVIORAL HEALTH INSTITUTE TO DEVELOP STRATEGIES AND FUNDING TO IMPLEMENT OUTPATIENT FACILITY; ASSESS CURRENT MENTAL HEALTH AND BEHAVIORAL HEALTH NEEDS WITHIN THE ED. MEASURE: NUMBER OF EVENTS, PARTICIPANTS, PATIENTS REFERRED TO INPATIENT OR OUTPATIENT FACILITIES; REDUCTION IN CRISIS RESPONSE EVENTS. IMPACT: INCREASED NUMBER OF PATIENTS THAT ATTEND EDUCATION SESSIONS, INCREASED AWARENESS OF AVAILABLE RESOURCES TO SUPPORT RECOVERY, INCREASED NUMBER OF BEHAVIORAL HEALTH CONSULTANTS IN PRACTICES, AND IMPROVED PHQ9 SCORE AND INCREASED ACCESS TO ADOLESCENT MENTAL HEALTH SERVICES. 2024 PROGRESS: IN 2024, AHN FORBES HOSPITAL PROVIDED MATERNITY SERVICES TO 3,011 PATIENTS IN THE HOSPITAL AND 345 IN THE EMERGENCY DEPARTMENT, WHILE ALSO PRIORITIZING STAFF MENTAL HEALTH BY TRAINING 30 EMPLOYEES IN MENTAL HEALTH FIRST AID, RECOGNIZING KEY MENTAL HEALTH AWARENESS DAYS AND MONTHS, AND PARTICIPATING IN AHN WELLNESS'S ST. PATRICK'S DAY INITIATIVE; FURTHERMORE, THE HOSPITAL UTILIZED AVASURE TELESITTER TECHNOLOGY TO SUPPORT 1,013 PATIENTS OVER 66,708 HOURS AND TRAINED 244 STAFF MEMBERS IN CRISIS RESPONSE, WITH CRISIS RESPONSE LEVELS IN THE ED AND BHU RECORDED AS LEVEL 1=0, LEVEL 2=8, LEVEL 3=94, AND LEVEL 4=0. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDERS STRATEGIES: TO INCREASE ACCESS TO SERVICES IN THE ED FOR POST OVERDOSE MANAGEMENT; STRENGTHEN PARTNERSHIP WITH MONROEVILLE RECOVERY CENTER OF AMERICA; CONTINUE COLLABORATION WITH AHN ADDICTION SERVICES; DEVELOPMENT OF AN ENCLOSED BH UNIT WITHIN THE ED THAT IS OPERATED BY BEHAVIORAL HEALTH STAFF. GOAL: INCREASE KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER PROGRAMS AND SERVICES. ACTION STEPS: RE-ASSESS ED PATHWAY FOR INITIATION OF MEDICATION ASSISTED THERAPY (MAT) AND WARM HAND OFF PROGRAMS; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER MAT AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; RE-ASSESS WARM HAND-OFF TO MAT TREATMENT SERVICES; IDENTIFY PATIENTS NEEDING SUPPORT; ASSESS CURRENT BEHAVIORAL HEALTH NEEDS WITHIN THE ED. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT; NUMBER OF REFERRALS; WARM HAND-OFFS; REDUCTION IN CRISIS RESPONSE EVENTS; NUMBER OF INDIVIDUALS SERVED IMPACT: INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; INCREASED SERVICES FOR OVERDOSE CASES. 2024 PROGRESS: IN 2024, AHN FORBES HOSPITAL SERVED 1,013 PATIENTS SUPPORTED BY AVASURE TELESITTER, WITH 66,708 TOTAL AVASURE HOURS HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: CANCER GOAL: IMPROVE ACCESS TO HEALTH SCREENINGS AND SPECIALTY CARE. STRATEGIES: PROVIDE ACCESS TO HEALTH SCREENINGS. ACTION STEPS: PROVIDE COMPREHENSIVE CANCER SCREENING CLINICS; EXPAND MULTIDISCIPLINARY LUNG CLINIC; EXPAND OF CANCER TREATMENT MODALITIES RADIATION ONCOLOGY. MEASURE: NUMBER OF CANCER SCREENING CLINICS; NUMBER OF PEOPLE ATTEND CANCER SCREENING EVENTS; NUMBER OF PATIENTS TREATED. IMPACT: EARLY DETECTION OF CHRONIC DISEASES. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS STRATEGIES: TRAIN STAFF TO IDENTIFY AND UNDERSTAND UNIQUE NEEDS OR EACH PATIENT GOAL: INCREASE THE NUMBER OF PROVIDERS THAT CAN EFFECTIVELY, COMPETENTLY, AND COMPASSIONATELY CARE FOR ALL PATIENTS. ACTION STEPS: ESTABLISH GUIDELINES FOR IMPLEMENTATION, USING THE HEALTHCARE EQUALITY INDEX AS A METRIC; SHARE MODEL WITH OTHER AHN HOSPITALS; EVALUATE AND MODIFY POLICIES AND PROCEDURES, USING ESTABLISHED BEST PRACTICES AND PATIENT ADVOCACY. MEASURE: PRE AND POST-TRAINING ASSESSMENTS; USE HEALTHCARE EQUALITY INDEX; TRAINING PROVIDED TO STAFF IMPACT: ADVANCE HEALTH EQUITY, DECREASE HEALTH CARE DISPARITIES, AND IMPROVE OUR OVERALL QUALITY OF CARE OUTCOMES. 2024 PROGRESS: IN 2024, AHN FORBES HOSPITAL SIGNIFICANTLY ADVANCED ITS HEALTH EQUITY EFFORTS THROUGH VARIOUS INITIATIVES, INCLUDING TRAINING 154 NEW HIRES AND PROVIDING SPECIALIZED EDUCATION TO 41 STAFF MEMBERS. THROUGHOUT THE YEAR, THE HOSPITAL ORGANIZED EVENTS AND PROVIDED EDUCATIONAL RESOURCES TO CELEBRATE THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 7 - AHN ALLEGHENY VALLEY HOSPITAL (PART I). HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: TRANSPORTATION STRATEGIES: IMPROVE ACCESS TO TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES. GOAL: TO DEVELOP AN IMPROVED TRANSPORTATION SYSTEM FOR AVH PATIENTS AND FAMILIES. ACTION STEPS: ASSESS CURRENT TRANSPORTATION SERVICES; COLLABORATE WITH PREHOSPITAL CARE SERVICES TO UTILIZE A CENTRALIZED COORDINATION CENTER; EDUCATE PRIMARY CARE PHYSICIANS (PCPS) AND PATIENTS ON TRANSPORTATION SERVICES; IMPLEMENT TRANSPORTATION PROTOCOL WITH COMMUNITY PARTNERS; CONTINUE TO WORK TO IMPROVE CONNECTIVITY WITH ONE CALL SYSTEM; COLLABORATE WITH DISCHARGE PLANNING TEAM. MEASURE: AMOUNT OF CURRENT KNOWN TRANSPORTATION SERVICES; PERCENTAGE OF INCREASED COMMUNITY-BASED TRANSPORTATION PROVIDED; NUMBER OF PATIENTS THAT UTILIZE TRANSPORTATION RESOURCES; NUMBER OF PATIENTS THAT HAVE IDENTIFIED THEY NEED TRANSPORTATION DURING 2X DAILY DISCHARGE HUDDLE. IMPACT: (1) INCREASED AWARENESS OF AVAILABLE PATIENT TRANSPORTATION RESOURCES; (2) INCREASED PATIENT TRANSPORTATION SERVICES; AND (3) IMPROVED DISCHARGE PROCESS. 2024 PROGRESS: IN 2024, AHN ALLEGHENY VALLEY HOSPITAL PROVIDED 812 LYFT TRIPS AND REPORTED 659 ZTRIP RIDES. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: IDENTIFY AND ADDRESS FOOD INSECURITY FOR AHN ALLEGHENY VALLEY HOSPITAL PATIENTS. STRATEGIES: IDENTIFY AND ADDRESS FOOD INSECURITY FOR AVH PATIENTS AND PROVIDE ACCESS TO HEALTHY MEALS AND NUTRITIONAL EDUCATION. ACTION STEPS: IDENTIFY FOOD-INSECURE PATIENTS USING SDOH SCREENING TOOLS AND PROVIDER REFERRALS. MEASURE: NUMBER OF PATIENTS REFERRED TO AVH HEALTHY FOOD CENTER; NUMBER OF PATIENTS SERVED; NUMBER OF MEALS PROVIDED; NUMBER OF HEALTHY EATING &amp; NUTRITION RESOURCES DISTRIBUTED. IMPACT: INCREASE SERVICES TO FOOD-INSECURE CLIENTS - ACCESS TO HEALTHY MEALS, NUTRITION EDUCATION &amp; SERVICES, AND TRANSPORTATION. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDERS STRATEGIES: TO INCREASE ACCESS TO SERVICES IN THE ED FOR POST OVERDOSE MANAGEMENT. GOAL: INCREASE KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER PROGRAMS AND SERVICES. ACTION STEPS: CONSULT WITH NEEDS ASSESSMENT COUNSELORS TO DISCUSS TREATMENT OPTIONS FOR ED PATIENTS; USE ED PATHWAY FOR INITIATION OF MAT AND WARM HAND OFF PROGRAM; EDUCATE ED PROVIDERS ON SUBSTANCE USE DISORDER AND MEDICATION ASSISTED THERAPY (MAT) AS AN EFFECTIVE TREATMENT FOR POST OVERDOSE MANAGEMENT; PROVIDE WARM HAND-OFF TO MAT TREATMENT SERVICES. MEASURE: NUMBER OF TRAININGS FOR HOSPITAL STAFF; NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT. IMPACT: (1) INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; AND (2) INCREASED SERVICES FOR OVERDOSE CASES. 2024 PROGRESS: IN 2024 AHN ALLEGHENY VALLEY HOSPITAL SERVED 418 MEDICATION ASSISTED THERAPY PATIENTS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: IMPROVE QUALITY OUTCOMES FOR MENTAL HEALTH DOMAIN; COLLABORATE WITH AHN BEHAVIORAL HEALTH CONSULTANTS (BHC) IN THE PRIMARY CARE PRACTICES. GOAL: TRANSFORM THE TREATMENT AND CARE CONTINUUM FOR MENTAL HEALTH SERVICES AT AHN ALLEGHENY VALLEY HOSPITAL. ACTION STEPS: UTILIZE NEEDS ASSESSMENT COUNSELORS/SOCIAL SERVICES TO MONITOR PATIENT ENCOUNTERS IN EMERGENCY DEPARTMENT (ED); IDENTIFY PATIENTS WHO MAY BE IN NEED OF BEHAVIORAL HEALTH SUPPORT; UTILIZE THE BHC TO PROVIDE SUPPORT FOR PATIENTS WITH MENTAL HEALTH ISSUES. MEASURE: NUMBER OF PATIENTS REFERRED TO INPATIENT OR OUTPATIENT FACILITIES; NUMBER OF TRAININGS FOR STAFF; NUMBER OF STAFF TRAINED; NUMBER OF BHC CONSULTATIONS. IMPACT: (1) IMPROVED QUALITY OUTCOMES FOR PATIENTS WITH MENTAL HEALTH, (2) INCREASED AWARENESS OF AVAILABLE RESOURCES; AND (3) INCREASED NUMBER OF PATIENTS RECEIVING TREATMENT. 2024 PROGRESS: THE CHILL MOBILE BUS SERVED MARTIN ELEMENTARY SCHOOL IN NEW KENSINGTON ARNOLD SCHOOL DISTRICT FOR 3 WEEKS IN SEPTEMBER. MARTIN IS A KINDERGARTEN ONLY SCHOOL SERVING 201 STUDENTS AND 10 STAFF MEMBERS. CAREER OBSERVATION: AVH HOSTED STUDENTS FROM CHATHAM UNIVERSITY, PITT AND LOCAL HIGH SCHOOLS, 17 IN TOTAL. THE CHILL MOBILE RV MADE 3 STOPS AT THE EAST UNION INTERMEDIATE CENTER (DEER LAKES SCHOOL DISTRICT) WHICH SERVES PR-TEEN AGE STUDENTS IN QUARTER 2. 23 PATIENTS ADMITTED TO 2E FROM ED REPORTED IN QUARTER 4. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: DIABETES STRATEGIES: EDUCATE COMMUNITY MEMBERS ON THE PREVENTION, DIAGNOSIS, AND TREATMENT (MANAGEMENT) OF DIABETES; OFFER BLOOD SUGAR SCREENINGS TO PARTICIPANTS AT LOCAL HEALTH FAIRS AND COMMUNITY EVENTS; PROVIDE EDUCATION AND RESOURCES INFORMATION ON HEALTHY EATING AS A TOOL TO MANAGE DIABETES. GOAL: TO IMPROVE QUALITY OUTCOMES ASSOCIATED WITH DIABETES. ACTION STEPS: PROVIDE EDUCATION PROGRAM(S) AT HOSPITAL AND IN COMMUNITY; COLLABORATE WITH AHN SERVICE LINE TO PROMOTE AWARENESS OF AND PARTICIPATION IN DIABETES EDUCATION CLASSES (VIRTUAL AND IN-PERSON); IDENTIFY OPPORTUNITIES TO PARTICIPATE IN COMMUNITY EVENTS AND FOCUS ON DIABETES AWARENESS; PARTICIPATE IN LOCAL STATE REP'S COMMUNITY HEALTH DAY; LINK PARTICIPANTS WITH APPROPRIATE CARE RESOURCES (PCP, ETC.).; COORDINATE EDUCATION OPPORTUNITIES WITH AVH'S DIABETES SUPPORT GROUP, THE LOCAL CENTER FOR ENDOCRINOLOGY &amp; DIABETES AND THE DIABETES NAVIGATOR ASSIGNED TO AVH. MEASURE: NUMBER OF PARTICIPANTS; NUMBER OF COMMUNITY EVENTS; NUMBER OF COMMUNITY PROGRAMS; PERFORMANCE ON DIABETES MEASURES; RESULTS OF SCREENINGS FOR FOOD INSECURITIES. IMPACT: (1) IMPROVED AWARENESS OF DIABETES AND ITS MANAGEMENT; (2) INCREASED COMMUNITY PROGRAMS; (3) IMPROVED OUTCOMES FOR DIABETES MEASURES; (4) IMPROVED QUALITY OF LIFE FOR DIABETIC PATIENTS; (5) IMPROVED QUALITY MEASURES. 2024 PROGRESS: IN 2024, AHN ALLEGHENY VALLEY HOSPITAL REFERRED 418 PATIENTS TO THE HEALTHY FOOD CENTER FROM EPIC AND 72 FROM THE COMMUNITY SUPPORT PLATFORM, FINDHELP. 87 NEW PATIENTS COMPLETED REFERRALS. THERE WERE 394 FOLLOW UP VISITS, AND THERE WERE A TOTAL OF 490 VISITS. 3,571 PEOPLE WERE SERVED BY THE HEALTHY FOOD CENTER AND 153,730 MEALS WERE SERVED. IN Q3, IT WAS REPORTED THAT THE HEALTHY FOOD CENTER REAPED 402 POUNDS OF FRESH PRODUCE IN SUMMER 2024. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: HEART DISEASE STRATEGIES: IMPROVE QUALITY OUTCOMES ASSOCIATED WITH HEART DISEASE. GOAL: TO IMPROVE QUALITY OUTCOMES ASSOCIATED WITH HEART DISEASE. ACTION STEPS: COLLABORATE WITH STROKE TEAM TO PROVIDE STROKE AWARENESS COMMUNITY EVENTS; EXTEND PROVISION OF CURRENT CHF AT HOME SCALE FOR COMMUNITY CARE NETWORK (CCN) PATIENTS; PARTNER WITH CONGESTIVE HEART FAILURE (CHF) NAVIGATION TEAM'S 30 POST-DISCHARGE FOLLOW-UP PROGRAM. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF PARTICIPANTS; NUMBER OF CCN CHF PATIENTS THAT UTILIZE A SCALE; READMISSIONS FOR CHF PATIENTS; NUMBER OF PATIENTS SERVED VIA THE NAVIGATION TEAM 30-DAY FOLLOW-UP. IMPACT: (1) IMPROVED QUALITY OUTCOMES FOR CONGESTIVE HEART FAILURE AND STROKE PATIENTS; (2) INCREASED COMMUNITY EDUCATION; (3) REDUCED HOSPITAL READMISSIONS FOR COMMUNITY CARE NETWORK (CCN) CONGESTIVE HEART FAILURE (CHF) PATIENTS; AND (4) INCREASED ROUTINE EXERCISE FOR CARDIAC REHABILITATION PATIENTS (5) INCREASED (CCN) (CHF) PATIENTS WITH A SCALE. 2024 PROGRESS: IN 2024, AHN ALLEGHENY VALLEY HOSPITAL DEMONSTRATED STRONG PERFORMANCE IN ITS HEART FAILURE PROGRAM BY CONSISTENTLY SCHEDULING AND DOCUMENTING FOLLOW-UP APPOINTMENTS, WITH A HIGH PERCENTAGE OF PATIENTS RECEIVING FOLLOW-UP WITHIN 72 HOURS OF DISCHARGE, THOUGH FOLLOW-UP WITHIN 7 DAYS SHOWED MORE VARIABILITY. THE STROKE PROGRAM ACTIVELY ENGAGED IN COMMUNITY EDUCATION, PARTICULARLY DURING STROKE AWARENESS MONTH IN MAY, THROUGH A VARIETY OF OUTREACH EVENTS INCLUDING PARTNERSHIPS WITH LOCAL SPORTS TEAMS AND COMMUNITY ORGANIZATIONS AND EXTENDED ITS REACH INTO Q4 WITH ADDITIONAL EDUCATIONAL EVENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 8 - AHN CANONSBURG GENERAL HOSPITAL. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: WORKFORCE DEVELOPMENT GOAL: PROVIDE SUPPORT AND CAREER OPPORTUNITIES TO COMMUNITY MEMBERS. STRATEGIES: FURTHER DEVELOP AND STRENGTHEN THE TALENT ATTRACTION PROGRAM (TAP). ACTION STEPS: PROMOTE TAP AT LOCAL HIGH SCHOOLS, COMMUNITY ORGANIZATIONS, AND AHN CGH ENTRY-LEVEL DEPARTMENTS; SUPPORT TAP STUDENTS WITH MENTORS, GAS CARDS, ACADEMIC BONUSES, ACCESS TO FOOD, ETC., AS NEEDED THROUGHOUT THEIR TRAINING. MEASURE: NUMBER OF STUDENTS ENROLLED BY CALENDAR YEAR; NUMBER OF STUDENTS GRADUATING FROM TAP AND ONBOARDING INTO FULL-TIME CAREERS. IMPACT: (1) ONBOARDING OF TRAINED NURSING AND ALLIED HEALTH PROFESSIONALS FROM THE COMMUNITY INTO POSITIONS WITHIN THE HOSPITAL THAT ARE AT FAMILY-SUSTAINING WAGES. (2) ENGAGED CURRENT AND POTENTIAL TALENT. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: ACCESS TO CARE STRATEGIES: ENHANCE PCP AVAILABILITY. GOAL: IMPROVE ACCESS TO PRIMARY CARE PHYSICIANS (PCPS). ACTION STEPS: EXPAND PCP OFFICE HOURS TO INCLUDE WEEKENDS; MOVE HOSPITAL-BASED PCPS BACK TO OFFICE BASE ONLY; UTILIZE CRNPS MEASURE: NUMBER OF OFFICE VISITS WITH PCP; NUMBER OF CERTIFIED REGISTERED NURSE PRACTITIONER (CRNP) VISITS. IMPACT: INCREASED NUMBER OF PATIENTS THAT HAVE A PCP. 2024 PROGRESS: IN 2024, AHN CANONSBURG GENERAL HOSPITAL CONDUCTED 26,820 OFFICE VISITS AND 2,192 TELE-VISITS. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS STRATEGIES: DETERMINE THE HEALTH NEEDS OF OUR LOCAL COMMUNITY MEMBERS GOAL: TO INCREASE HEALTH NEEDS/SERVICES/RESOURCES TO COMMUNITY MEMBERS. ACTION STEPS: WORK CLOSELY WITH A LOCAL COMMUNITY CHURCH TO HELP DETERMINE THE HEALTH NEEDS; CONDUCT ASSESSMENTS TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS; PRIORITIZE HEALTH NEEDS; CONNECT WITH COMMUNITY RESOURCES TO ADDRESS NEEDS. MEASURE: NUMBER OF NEEDS/TYPES OF NEEDS IDENTIFIED; NUMBER OF PEOPLE TO CONNECT WITH RESOURCES; NUMBER OF COMMUNITY PARTNERS; NUMBER OF REFERRALS AND CONNECTIONS TO COMMUNITY AGENCIES AND RESOURCES. IMPACT: (1) INCREASED ACCESS TO HEALTH CARE TO THE COMMUNITY. 2024 PROGRESS: IN 2024, AHN CANONSBURG HELD A COMMUNITY FAIR FOR THE STAFF AND VISITORS AND IT WAS ESTIMATED THAT THERE WERE ABOUT 100 PARTICIPANTS. IN ADDITION, AHN CANONSBURG GENERAL HOSPITAL WAS INVOLVED WITH CANONSBURGH OKTOBERFEST.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 9 - AHN GROVE CITY. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: ADDRESS FOOD INSECURITY WITHIN THE GROVE CITY AREA AND SURROUNDING COMMUNITIES. STRATEGIES: HOST MONTHLY HEALTHY POP-UP FOOD DISTRIBUTION. ACTION STEPS: DEVELOP PLAN WITH HEALTHY FOOD CENTER &amp; MERCER COUNTY FOOD BANK FOR UPCOMING DISTRIBUTION EVENTS. MEASURE: NUMBER OF FOOD DISTRIBUTION EVENTS. IMPACT: INCREASE EDUCATIONAL AWARENESS OF HEALTHY FOOD OPTIONS. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER (SUD) GOAL: PROVIDE BETTER AWARENESS OF LOCAL RESOURCES FOR SUBSTANCE ABUSE AND PREVENTION. STRATEGIES: PARTNER WITH LOCAL COMMUNITY ORGANIZATIONS TO BRING AWARENESS OF ADDICTION PREVENTION AND PATIENT SERVICES. ACTION STEPS: SPONSOR NARCAN DELIVERY KITS WITH EDUCATIONAL MATERIALS. MEASURE: NUMBER OF NARCAN KITS DISTRIBUTED. IMPACT: IMPROVE PATIENT OUTCOMES AND PROVIDE PREVENTION EDUCATION. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES STRATEGIES: COLLABORATE WITH YMCA &amp; GROVE CITY AREA SCHOOL DISTRICT TO ESTABLISH BEHAVIORAL HEALTH CARE CENTER AT HIGHLAND ELEMENTARY. GOAL: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES IN GROVE CITY AREA SCHOOL DISTRICT. ACTION STEPS: ACQUIRE FUNDING AND OPEN AHN FACILITY AT HIGHLAND ELEMENTARY; DEVELOP AND IMPLEMENT BEHAVIORAL HEALTH SERVICES AND GROUP THERAPY PROGRAMS FOR ELEMENTARY STUDENTS. MEASURE: OPENING OF BEHAVIORAL HEALTH CENTER; NUMBER OF BEHAVIORAL SERVICES AND GROUP THERAPY PROGRAMS PROVIDED; NUMBER OF SCHOOL AGED CHILDREN AND FAMILIES SERVED. IMPACT: INCREASE PERCENTAGE OF CHILDREN IN GROVE CITY AREA SCHOOL DISTRICT WITH ACCESS TO BEHAVIORAL HEALTH SERVICES. 2024 PROGRESS: IN SEPTEMBER 2024, AHN GROVE CITY MEDICAL CENTER ACTIVELY ENGAGED WITH THE COMMUNITY THROUGH TWO EVENTS: SUICIDE AWARENESS DAY, WHERE THEY PROVIDED EDUCATIONAL RESOURCES AND PREVENTION INFORMATION TO STAFF AND PATIENTS, AND THE GROVE CITY FIRE DEPARTMENT FAMILY DAY, WHERE THEY PROMOTED CHILDREN'S SERVICES AND OFFERED A POPULAR "WORRY FURRY" CRAFT ACTIVITY ALONGSIDE INFORMATION ABOUT KAI AND CATE PROGRAMS. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: DIABETES STRATEGIES: SUPPORT COMMUNITY MEMBERS IN IMPROVING ACCESS TO DIABETES EDUCATION. GOAL: SUPPORT COMMUNITY MEMBERS IN ACHIEVING A HEALTHY WEIGHT AND IMPROVING LIFESTYLE CHOICES. ACTION STEPS: PARTNER WITH PRIMARY CARE INSTITUTE TO ADD ADDITIONAL SERVICES AND EDUCATIONAL OPPORTUNITIES; PROMOTE ONDUO PROGRAM. MEASURE: NUMBER OF COMMUNITY RESIDENTS SERVED; NUMBER OF DIABETES EDUCATION EVENTS; NUMBER OF ONDUO PROGRAM PARTICIPANTS. IMPACT: IMPROVE DIABETES EDUCATION OPPORTUNITIES AND DIABETES PATIENTS ABLE TO BETTER MANAGE THEIR HEALTH. 2024 PROGRESS: IN 2024, AHN GROVE CITY MEDICAL CENTER ACTIVELY ENGAGED IN COMMUNITY WELLNESS INITIATIVES BY PARTICIPATING IN BOTH THE GROVE CITY COLLEGE WELLNESS EVENT, WHERE THEY PROMOTED THEIR WELLNESS SERVICES AS PART OF AHN GROVE CITY, AND THE GROVE CITY CHAMBER OF COMMERCE WELLNESS EXPO, SPONSORED BY HIGHMARK AND AHN, WHERE THEY DISTRIBUTED EDUCATIONAL MATERIALS ON PREVENTIVE HEALTHCARE SERVICES. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: HEART DISEASE STRATEGIES: INCREASE AWARENESS OF RISKS OF CARDIOVASCULAR DISEASES WITH HEALTHY LIFESTYLE CHANGES. GOAL: INCREASE AWARENESS AND EDUCATION ON CARDIOVASCULAR DISEASES. ACTION STEPS: PARTNER WITH AHN GROVE CITY CARDIOVASCULAR INSTITUTE AND PRIMARY CARE INSTITUTE TO CREATE COMMUNITY EDUCATIONAL EVENTS. MEASURE: NUMBER OF EDUCATION EVENTS PROVIDED; NUMBER OF ATTENDEES. IMPACT: CREATE ADDITIONAL LOCAL AWARENESS OF CARDIOVASCULAR SERVICES OFFERED AND HEALTHIER LIFESTYLE CHOICES. 2024 PROGRESS: IN 2024, AHN GROVE CITY MEDICAL CENTER ACTIVELY ENGAGED IN COMMUNITY HEALTH INITIATIVES, INCLUDING PLANNING AND EXECUTING STROKE AWARENESS OUTREACH IN MAY, HOSTING A HEALTHY HEART MONTH EVENT ON FEBRUARY 14 OFFERING BLOOD PRESSURE SCREENINGS AND STROKE AWARENESS ACTIVITIES TO 30 PARTICIPANTS, EDUCATING GROVE CITY COLLEGE FACULTY ON CARDIOLOGY SERVICES, CONDUCTING A STROKE AWARENESS COMMUNITY EDUCATION EVENT, PROVIDING STROKE EDUCATION AND BLOOD PRESSURE SCREENINGS AT A WELLNESS EXPO, AND OFFERING BLOOD PRESSURE SCREENINGS AT PRIMARY CARE FOOD DISTRIBUTION EVENTS. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: OBESITY STRATEGIES: ENCOURAGE HEALTHY LIFESTYLES AMONG COMMUNITY MEMBERS OF ALL AGES. GOAL: IMPROVE HEALTHY LIFESTYLE ACROSS THE COMMUNITY. ACTION STEPS: IMPLEMENT COMMUNITY FITNESS PROGRAMS PARTNERING WITH YMCA AND OTHER COMMUNITY PARTNERS. MEASURE: FITNESS PROGRAM IMPLEMENTED; NUMBER OF FITNESS PROGRAMS PROVIDED; NUMBER OF COMMUNITY MEMBERS PARTICIPATING IN FITNESS PROGRAMS. IMPACT: INCREASED AWARENESS AND PARTICIPATION OF COMMUNITY IN PHYSICAL ACTIVITY AND IMPACT ON OVERALL HEALTH. 2024 PROGRESS: IN 2024, AHN GROVE CITY MEDICAL CENTER SIGNIFICANTLY CONTRIBUTED TO FOOD SECURITY BY PROVIDING 1,971 FAMILIES WITH HEALTHY FOOD. THROUGH A PARTNERSHIP WITH THE MERCER COUNTY FOOD WAREHOUSE AND HEALTHY FOOD CENTERS, THE MEDICAL CENTER ORGANIZED MONTHLY POP-UP FOOD DISTRIBUTIONS, BEGINNING IN MAY AND CONTINUING THROUGHOUT THE YEAR. THESE DISTRIBUTIONS, SUPPORTED BY AHN GROVE CITY AND HIGHMARK HEALTHY FOOD CENTER DIETITIANS WHO PROVIDED HEART-HEALTHY RECIPES, SERVED A TOTAL OF 1,236 FAMILIES DIRECTLY, WITH AN ADDITIONAL 600 FAMILIES RECEIVING PRODUCE, MEAT, AND READY-MADE MEALS DURING THE THIRD QUARTER. BEYOND FOOD DISTRIBUTION, AHN GROVE CITY MEDICAL CENTER ALSO PROMOTED HEALTH AWARENESS BY PROVIDING INFORMATION TO GROVE CITY COLLEGE STUDENTS ON WOMEN'S HEALTH, SUBSTANCE ABUSE, AND MENTAL HEALTH DURING THE COLLEGE'S SAFETY DAY. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: CANCER GOAL: COMPLETE CANCER CENTER CONSTRUCTION BY FIRST QUARTER OF 2026 STRATEGIES: COMPLETE CONSTRUCTION FOR THE GROVE CITY CANCER CENTER RELOCATION. ACTION STEPS: EXPAND CANCER CENTER TO INCLUDE MORE PATIENT ROOMS AND INFUSION STATIONS. MEASURE: CANCER CENTER CONSTRUCTION STATUS. IMPACT: IMPROVING PATIENT CARE AND THE BENEFIT TO THE COMMUNITY OF NEW SERVICES AND PROVIDERS. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SPECIAL AND WORKFORCE PROGRAMS STRATEGIES: IMPROVE ACCESS TO HEALTH CARE SERVICES. GOAL: FACILITATE ACCESS AND CONNECT COMMUNITY TO HEALTH CARE SERVICES. ACTION STEPS: PARTNER WITH COMMUNITY ORGANIZATIONS TO PROMOTE ESTABLISHED PROGRAMS; INCREASE MARKETING OF CURRENT AHN INITIATIVES IN MERCER COUNTY. MEASURE: NUMBER OF COMMUNITY PARTNERS; NUMBER OF FAMILIES CONNECTED TO AVAILABLE SERVICES AND RESOURCES IMPACT: INCREASE HEALTH AND IMPROVE PREVENTIVE CARE CHOICES FOR FAMILIES. 2024 PROGRESS: IN 2024, AHN GROVE CITY MEDICAL CENTER ACTIVELY ENGAGED WITH THE COMMUNITY THROUGH SEVERAL OUTREACH INITIATIVES. THESE INCLUDED PARTICIPATION IN THE AHN GROVE CITY FAIR, OFFERING EDUCATIONAL MATERIALS TO STAFF, AND COLLABORATING WITH HIGHMARK WHOLECARE AT FOOD DISTRIBUTION EVENTS TO CONNECT INDIVIDUALS WITH HEALTHCARE OPTIONS. FURTHERMORE, THE MEDICAL CENTER HOSTED A CANCER SCREENING EVENT, PROVIDING VARIOUS SCREENINGS FOR COMMON CANCERS, AND ORGANIZED A TRUNK OR TREAT EVENT WHERE PATIENT ENGAGEMENT GUIDES WERE DISTRIBUTED. THEY ALSO PARTICIPATED IN GROVE CITY'S LIGHT-UP NIGHT, RAISING AWARENESS OF AHN SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 10 - AHN WEXFORD HOSPITAL (PART I). HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: WORKFORCE DEVELOPMENT GOAL: TO INCREASE THE DEVELOPMENT OF THE HOSPITAL'S WORKFORCE WHILE IMPROVING THE RATES OF EMPLOYMENT ACROSS ALLIED HEALTH CARE FIELDS. STRATEGIES: PROMOTE TALENT ATTRACTION PROGRAM (TAP) IN ORDER TO FINANCIALLY ASSIST STUDENTS BY PROVIDING TUITION ASSISTANCE, TRANSPORTATION, UNIFORMS, AND MENTORS. ACTION STEPS: PROMOTE THE TAP PROGRAM TO ALL STAFF INTERNALLY THROUGH LITERATURE, EVENTS, AND DEPARTMENTS; PROMOTE TAP EXTERNALLY AT TRADE SCHOOLS, UNIVERSITIES, AND OTHER EDUCATIONAL INSTITUTES. MEASURE: NUMBER OF STUDENTS CURRENTLY ENROLLED IN THE PROGRAM; NUMBER OF STUDENTS COMPLETING THE PROGRAM. IMPACT: RECRUIT OF TOP TALENT, IMPROVE STAFF SATISFACTION, AND REDUCE TURNOVER. INCREASE STAFFING IN ENTRY LEVEL POSITIONS TO HELP WITH CURRENT SHORTAGES. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: IMPROVE ACCESS TO FOOD FOR UNDERSERVED INDIVIDUALS AND FAMILIES. STRATEGIES: IMPROVE NUTRITION AND PROVIDE HEALTHY FOOD TO FAMILIES WHO ARE FOOD INSECURE; OFFER HEALTHY OPTIONS THAT THEY CAN AFFORD; COACH NEW MOTHERS REGARDING THE BENEFITS OF BREASTFEEDING ALONG WITH STRATEGIES TO IMPROVE SUCCESS; OFFER LACTATION CONSULTATIONS TO NEW MOTHERS TO ACHIEVE SUCCESSFUL BREAST FEEDING; COUNSEL OUTPATIENTS REGARDING OPTIONS AND BENEFITS. ACTION STEPS: CONDUCT ASSESSMENTS OF FOOD AND OVERAGES BY DIETARY STAFF IN THE WEXFORD HOSPITAL CAFETERIA; COLLABORATE WITH 412 FOOD RESCUE, A NON-PROFIT THAT HELPS IDENTIFY FOOD INSECURITIES WITHIN OUR COMMUNITY; PACKAGE FOOD MAKE READY FOR PICKUP AND DELIVERY TO THOSE IN NEED BASED ON DATA FROM THEIR PROGRAM; OFFER DISCHARGE MEAL FOR PATIENTS WHO ARE DISCHARGED PRIOR TO 11 AM TO ENSURE THEY HAVE A HEALTHY 1ST MEAL AT HOME; DISCHARGE ALL MOMS WITH A MEAL TO ENSURE A HEALTHY 1ST MEAL AT HOME; ENCOURAGE BREASTFEEDING TO NEW MOMS; ASSESS ALL PATIENTS ON ADMISSION FOR FOOD INSECURITY AND APPROPRIATE DIET AT HOME IN LINE WITH THEIR MEDICAL NEEDS; INITIATE PRENATAL BREASTFEEDING CLASSES FOR THE COMMUNITY; DEVELOP A VIRTUAL "BREASTFEEDING CAFE" - TRANSITION TO IN-PERSON SESSIONS POST DISCHARGE; LACTATION CONSULTANTS TO CONDUCT DAILY ROUNDS ON BREASTFEEDING; BEGIN FOLLOW-UP PHONE CALLS WITH BREASTFEEDING MOTHERS; BEGIN SUBMISSION FOR KEYSTONE 10 INITIATIVE. MEASURE: AMOUNT OF FOOD AND MEALS PROVIDED TO 412 RESCUE MONTHLY; NUMBER OF MEALS DISTRIBUTED TO PATIENTS WHO ARE DISCHARGED; NUMBER OF ASSESSMENTS COMPLETED ON NUTRITIONAL COMPLIANCE AT ADMISSION; METRICS WILL BE TRACKED BY CONSULTATIONS AND VISIT WITH A LACTATION CONSULTANT; NUMBER OF CONSULTATIONS; NUMBER OF NEW MOTHERS SERVED; NUMBER OF LACTATION CONSULTATIONS; NUMBER OF FOLLOW-UP CALLS CONDUCTED. IMPACT: CONTINUE TO PROVIDE MEALS TO 412 FOOD RESCUE. 2024 PROGRESS: IN 2024, AHN WEXFORD HOSPITAL DEMONSTRATED ITS COMMITMENT TO COMMUNITY HEALTH AND WELL-BEING BY DONATING $18,297.19 WORTH OF FOOD TO 412 FOOD RESCUE AND PROVIDING 988.5 MEALS FOR TAKE-HOME MEALS FOR NEW MOTHERS; THE HOSPITAL FURTHER ADDRESSED FOOD INSECURITY BY SCREENING 8,394 PATIENTS AND OFFERING 7,460 MEALS AND WATER THROUGH THE SNOE FRIDGE. THE HOSPITAL ALSO SUPPORTED NEW FAMILIES WITH 1,491.41 GUEST/CELEBRATION TRAYS FOR LABOR AND DELIVERY, 2,912 LACTATION CONSULTS, A BREASTFEEDING CAFE UTILIZED BY 118 INDIVIDUALS, AND BREASTFEEDING PARENT CLASSES FOR 104 COUPLES; TRACKED CALLS RELATED TO THESE SERVICES IN Q3 AND Q4 TOTALED 150 AND THE HOSPITAL ACHIEVED 10/10 KEYSTONE STEPS, UNDERSCORING ITS DEDICATION TO MATERNAL AND INFANT HEALTH. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES GOAL: IMPROVE TRIAGE OF BH PATIENTS AND CONNECT TO APPROPRIATE RESOURCES. STRATEGIES: PRIORITIZE SCREENING PROCESS IN THE WEXFORD HOSPITAL ED AND IMPLEMENT EARLY DETECTION PLAN. ACTION STEPS: SCREEN ALL PATIENTS PRESENTING TO THE WEXFORD ED FOR BH AND SUICIDE RISK; SUPPORT OVERALL MANAGEMENT OF BEHAVIORAL HEALTH NEEDS; ED NEEDS ASSESSMENT COORDINATORS (NAC) WORK WITH BH PHYSICIANS TO ASSESS AND COORDINATE BH CARE; CONDUCT BASIC INTAKE PROCESS ON GENERAL POPULATION OF ED PATIENTS; CONDUCT FORMAL MH ASSESSMENTS FOR EARLY DETECTION AND DEVELOP EARLY DETECTION PLANS. MEASURE: NUMBER OF BH SCREENINGS CONDUCTED IN ED; NUMBER OF NAC VISITS PER MONTH; NUMBER OF BH CARE PLANS DEVELOPED. IMPACT: MORE EFFICIENT TRIAGE OF PATIENTS AND CONNECTIVITY TO APPROPRIATE RESOURCES. 2024 PROGRESS: IN 2024, AHN WEXFORD HOSPITAL SCREENED 112 NAC/CL VISITS IN THE ED. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: POSTPARTUM DEPRESSION GOAL: IMPROVE MANAGEMENT OF PERINATAL BH CARE. STRATEGIES: CONDUCT EARLY SCREENINGS FOR DEPRESSION OR ANXIETY DISORDERS; PROVIDE ACCESS TO APPROPRIATE LEVELS OF CARE. ACTION STEPS: CONDUCT BH RISK ASSESSMENTS DURING THE ANTEPARTUM PERIOD IN PHYSICIANS' OFFICES; PROVIDE APPROPRIATE ASSESSMENTS BY NAC OR ON-CALL BH PHYSICIANS FOR IMMEDIATE MANAGEMENT AND FOLLOW-UP; CONDUCT ASSESSMENT PRIOR TO DISCHARGE; USE ASSESSMENT TO DETERMINE APPROPRIATE LEVELS OF CARE; DE-STIGMATIZE POST- PARTUM DEPRESSION AND ANXIETY DISORDERS; CONDUCT ASSESSMENTS AT FOLLOW-UP VISITS. MEASURE: NUMBER OF SCREENINGS ON ADMISSION AND POSTPARTUM; NUMBER OF REFERRALS TO BH / ALEXIS JOY CENTER; DATE OF OPENING (EDC) OF THE CRANBERRY INSTITUTE; DATE OF COMPLETION OF EPIC BUILD FOR MARCH 2022; NUMBER OF ASSESSMENTS AND REFERRALS FOR CARE; NUMBER OF PATIENTS SERVED; NUMBER OF FOLLOW-UP ASSESSMENTS. IMPACT: (1) SUICIDE RISK REDUCTION AS WELL AS IMPROVED IDENTIFICATION AND MANAGEMENT OF PERINATAL BH DISORDERS (2) IMPROVED ACCESS TO CARE IN THE COMMUNITY FOR PERINATAL PATIENTS. 2024 PROGRESS: IN 2024, AHN WEXFORD HOSPITAL SCREENED 2,247 LABOR AND DELIVERY PATIENTS FOR DEPRESSION AND ANXIETY. 9 UNDERWENT PSYCHIATRIC EVALUATIONS AND WERE PROVIDED REFERRAL INFORMATION. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: HEART DISEASE GOAL: ENHANCE MANAGEMENT OF CHRONIC DISEASES. STRATEGIES: ENHANCE CHRONIC DISEASE MANAGEMENT SERVICES AT WEXFORD HOSPITAL; BUILD COMPREHENSIVE CARDIOVASCULAR INSTITUTE (CV) SERVICES AT WEXFORD; LAUNCH MEDS TO BEDS PROGRAM. ACTION STEPS: EMBED RN CARE NAVIGATORS FOR DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND HEART FAILURE INTO THE HOSPITAL; PARTNER WITH PHYSICIAN ADVISOR AND NAVIGATORS TO EFFICIENTLY COORDINATE AND MANAGE CARE OF THIS SUBSET OF PATIENTS; DEVELOP DIABETES CARE MODELS; DEVELOP INPATIENT CARE PATHWAYS FOR CHRONIC DISEASE PATIENTS; LAUNCH OUTPATIENT DIAGNOSTIC TREATMENT CENTER IN WHWP. MEASURE: NUMBER OF CARE NAVIGATORS; NUMBER OF PATIENTS SERVED; NUMBER OF OUTPATIENT (OP) SCREENINGS CONDUCTED; NUMBER OF FOLLOW UPS IN CONGESTIVE HEART FAILURE (CHF) CLINIC WITHIN 7 DAYS FOLLOW UP. IMPACT: (1) INITIATED PRESENCE OF NAVIGATOR TEAM IN NEW HOSPITAL 2) IMPROVED COMPLIANCE WITH CHF FOLLOW-UP VISITS 3) READMISSION INDEX 1.0 4. PG DISCHARGE CORE 60TH PERCENTILE. 2024 PROGRESS: NO RECORDED PROGRESS WAS MADE IN THIS AREA IN 2024, BUT WXH REMAINS FOCUSED ON THIS COMMUNITY NEED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 11 - AHN WEXFORD HOSPITAL (PART II). HEALTH PRIORITY: CHRONIC DISEASES AND AGING COMMUNITY NEED: AGING GOAL: INCREASE STAFF EDUCATION ON THE DISEASES OF AGING, PARTICULARLY DEMENTIA AND PATIENTS WITH FALL RISKS. STRATEGIES: INCREASE EDUCATION FOR STAFF ON AGING. ACTION STEPS: IMPLEMENT EDUCATIONAL SESSIONS AND RESOURCES TO STAFF ON AGING TOPICS; PROVIDE ADDITIONAL EDUCATION TO PATIENTS AND FAMILIES; POSSIBLE HIRING OF A GERONTOLOGIST TO ASSIST IN THE DISEASES OF AGING; WORK WITH PARTNERS IN THE COMMUNITY TO PROVIDE WORKSHOPS. MEASURE: TRACK NUMBER OF CLASSES AND EDUCATIONAL OPPORTUNITIES PROVIDED TO STAFF; REDUCE (OR MAINTAIN) THE LOW PERCENTAGE OF FALLS. IMPACT: 1) IMPROVE THE WELL-BEING OF OLDER ADULTS, 2) INCREASE SAFETY AND EDUCATION TO THOSE THAT HAVE HIGHER FALL RISKS, 3) INCREASE THE DETECTION OF DISEASES OF AGING WITH STAFF. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS GOAL: ENHANCED HEALTH EQUITY OF THOSE WE SERVE. STRATEGIES: CREATE A PATIENT FAMILY ADVISORY COUNCIL TO PROVIDE INSIGHT ON COMMUNITY NEEDS AND GAPS IMPLEMENT EDUCATIONAL STRATEGIES FOR ALL EMPLOYEES. ACTION STEPS: RECRUIT/PURPOSEFUL SELECTION OF MEMBERS FOR THE PFAC COUNCIL; HOST BI-MONTHLY MEETINGS TO GATHER FEEDBACK, SHARE MILESTONES AND INITIATIVES WITH COMMUNITY MEMBERS; PROVIDE EDUCATION TO PFAC ON CHALLENGES FACING HEALTH CARE AND PARTNER ON SOLUTIONS; IMPLEMENT HOSPITAL AND UNIT ENGAGEMENT COUNCILS; COMPLETE HM EQUITY SURVEY; CREATE UNIT ENGAGEMENT COUNCILS; CREATE HOSPITAL ENGAGEMENT COUNCIL. MEASURE: NUMBER OF MEMBERS RECRUITED TO PFAC; NUMBER OF ISSUES IDENTIFIED AND ADDRESSED BY PFAC; TRACK PERFORMANCE OF HOSPITAL AND UNIT ENGAGEMENT COUNCILS. IMPACT: (1) TRACK ATTENDANCE AND PARTICIPATION OF COMMITTEES (2) TRACK RECORDED NUMBER OF INITIATIVES DISCUSSED, AND INPUT GATHERED. 2024 PROGRESS: IN 2024, AHN WEXFORD HOSPITAL ACTIVELY ENGAGED WITH ITS EMPLOYEES, PATIENTS, AND THE WIDER COMMUNITY THROUGH A DIVERSE RANGE OF INITIATIVES. EMPLOYEE ENGAGEMENT WAS A KEY FOCUS, WITH CAMPUS-WIDE EVENTS HELD THROUGHOUT THE YEAR. THESE INCLUDED CELEBRATIONS LIKE THE GO RED EVENT, EMPLOYEE APPRECIATION DAY, A SUMMER KICK-OFF WITH FREE ICE CREAM AND PRIZES, AND A FALL PICNIC. RECOGNITION AND AWARENESS EVENTS WERE ALSO PROMINENT, SUCH AS NATIONAL DONOR DAY, A DONATE LIFE FLAG RAISING CEREMONY, NURSES WEEK ACTIVITIES, HOSPITAL WEEK LUNCH, AND MORE. BEYOND INTERNAL EVENTS, AHN WEXFORD HOSPITAL DEMONSTRATED ITS COMMITMENT TO THE COMMUNITY THROUGH VARIOUS OUTREACH EFFORTS. THESE INCLUDED PARTICIPATION IN THE AHN FAIRS, THE MORAINE STATE PARK REGATTA, AND THE SENATOR MERCURI SENIOR HEALTH FAIR. THE HOSPITAL ALSO ORGANIZED DONATION DRIVES, SUCH AS A BLANKET DRIVE FOR PATIENTS, A GIVING TREE THAT SUPPORTED THREE COMMUNITY ORGANIZATIONS WITH NEARLY $12,000 IN HOLIDAY GIFTS, A FOOD DONATION TO THE NORTH HILLS FOOD BANK, AND A COLLECTION OF BABY ITEMS FOR CODY'S COMMUNITY CLOSET.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 12 - AHN EMERUS WESTMORELAND LLC. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: COST OF CARE GOAL: INCREASE COMMUNITY AND PATIENT AWARENESS OF AVAILABLE RESOURCES. STRATEGIES: PROVIDING COMMUNITY EDUCATION AND PROMOTING THE AHN NEIGHBORHOOD HOSPITALS BRAND TO BUILD A POSITIVE LOCAL REPUTATION AND PROVIDE COMMUNITY/PATIENT AWARENESS. ACTION STEPS: IMPLEMENT CLINICAL EDUCATION INITIATIVES- WEBINAR SERIES; PARTNER PHYSICIAN ALIGNMENT (UPSTREAM &amp; DOWNSTREAM REFERRALS); CONDUCT COMMUNITY ENGAGEMENT OUTREACH EVENTS &amp; LOCAL SPONSORSHIPS; PROVIDE NH PRIVATE TOURS AND MEET AND GREET EVENTS; BUILD PATIENT CONSUMER AWARENESS ENGAGEMENTS; CREATE AN ALIGNED JOINT STRATEGIC MARKETING PLANS &amp; EDUCATION WITH AHN/HIGHMARK; CLINICAL EDUCATION INITIATIVES; SNF, ASSISTED LIVING, SENIOR LIVING, HOSPICE, HOME HEALTH ENGAGEMENT. MEASURE: IDENTIFY 1X/MONTHLY PARTICIPATION IN COMMUNITY EVENTS, NH PRESENTATIONS, NH ONSITE TOURS-TRACKED IN SALESFORCE; HOST 1-3/MONTHLY NH TOURS &amp; ONSITE MEETINGS-TRACKED IN SALESFORCE. IMPACT: PROVIDE MORE COMMUNITY AWARENESS AROUND THE AHN NEIGHBORHOOD HOSPITALS SERVICES, CAPABILITIES, AND OVERALL CLINICAL ACCESS POINTS INTO THE AHN HEALTH SYSTEM. 2024 PROGRESS: IN 2024, AHN NEIGHBORHOOD HOSPITALS PARTICIPATED IN 53 COMMUNITY EVENTS AND HELD 8 MEDICONNECT SEMINARS FOR THE MEDICARE ADVANTAGE COMMUNITY. COST PER VISIT TO NEIGHBORHOOD HOSPITALS IS $740 VS. AVERAGE COST OF EMERGENCY DEPARTMENT VISIT IN THE STATE OF PENNSYLVANIA OF $1,800. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: ACCESS TO CARE GOAL: INCREASE COMMUNITY AND PATIENT AWARENESS OF AVAILABLE RESOURCES. STRATEGIES: CONTINUE TO BUILD COLLABORATIVE RELATIONSHIPS WITH AHN PARTNERS TO DRIVE PARTNERSHIP AND PRODUCE OUTSTANDING PATIENT QUALITY OF CARE WHILE ATTRACTING (NEW PATIENTS) &amp; RETAINING (CURRENT PATIENTS)- UPSTREAM &amp; DOWNSTREAM. ACTION STEPS: UTILIZE HIGHMARK MEMBER MARKET DATA &amp; ANALYTICS; AHN PARTNER LIAISON TEAM INTEGRATION WITH: PREHOSPITAL CARE (EMS), PHYSICIAN RELATIONS, MARKETING, COMMUNITY AFFAIRS, SOCIAL MEDIA, FOUNDATION ETC.; ENGAGEMENT WITH AHN SERVICE-LINE STRATEGY; IMPLEMENT PATIENT CONCIERGE SERVICE PROGRAM; NH STAFF PATIENT SPECIFIC METRICS- ACCOUNTABILITY. MEASURE: 15-20 CLINICAL &amp; OUTREACH VISITS WEEKLY - TRACKED IN SALESFORCE 3-5 EMS WEEKLY VISITS AND MEETINGS - TRACKED IN SALESFORCE; QUARTERLY REPORTING OF THE PATIENT ONLINE REGISTRATION USAGE; QUARTERLY REPORTING FROM BI DASHBOARDS ON KPI'S-PRESS GANEY &amp; NH STAFF METRICS. IMPACT: CONTINUE TO PROVIDE TOP PATIENT EXPERIENCE &amp; QUALITY OF CARE WITHIN THE AHN NEIGHBORHOOD HOSPITALS. 2024 PROGRESS: IN 2024, AHN NEIGHBORHOOD HOSPITALS DEMONSTRATED A STRONG COMMITMENT TO COMMUNITY ENGAGEMENT THROUGH PARTICIPATION IN 237 CLINICAL AND OUTREACH EVENTS. THESE INCLUDED WELLNESS EVENTS WITH ALLEGHENY COUNTY SCHOOLS HEALTH INSURANCE CONSORTIUM, REACHING OVER 150 ATTENDEES PER EVENT, AND PARTICIPATION IN SENIOR RESOURCE FAIRS AND EDUCATIONAL EVENTS. ALONGSIDE COMMUNITY OUTREACH, NEIGHBORHOOD HOSPITALS PROVIDED SIGNIFICANT EMERGENCY MEDICAL CARE, EVIDENCED BY OVER 72 EMS VISITS AND A TOTAL OF 2,162 EMS INBOUND ARRIVALS. OVERALL, THE HOSPITALS HANDLED A CONSIDERABLE PATIENT VOLUME, WITH 17,175 PATIENT ARRIVALS THROUGHOUT THE YEAR. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS GOAL: IMPROVE CULTURAL AND LINGUISTIC SERVICES WITHIN OUR HEALTH CARE ORGANIZATION. STRATEGIES: INCREASE UTILIZATION OF INTERPRETIVE SERVICES FOR THE MULTICULTURAL PATIENT BASE IN THE PITTSBURGH REGION. ACTION STEPS: REVIEW QUARTERLY REPORTS OF LANGUAGE UTILIZATION DATA FROM INSTITUTE FOR STRATEGIC SOCIAL AND WORKFORCE PROGRAMS; ENSURE ALL EMPLOYEES ARE TRAINED* AND PREPARED TO ENGAGE LANGUAGE SERVICES; IMPLEMENT I-SPEAK CARD PROGRAM AND LANGUAGE BINDER. MEASURE: NUMBER OF EMPLOYEES TRAINED; INCREASE IN UTILIZATION OF LANGUAGE SERVICES (VENDOR REPORTS PROVIDED); NUMBER OF COMPLAINTS RELATED TO LANGUAGE SERVICES. ALL AHN EMPLOYEES RECEIVE ANNUAL MANDATORY CLAS STANDARD TRAINING IN HEALTH CARE ENVIRONMENT TRAINING. IMPACT: ADVANCE HEALTH EQUITY, DECREASE HEALTH CARE DISPARITIES, AND IMPROVE OVERALL QUALITY OF CARE OUTCOMES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 13 - AHN WESTFIELD MEMORIAL HOSPITAL, INC.. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: ACCESS TO CARE GOAL: PROVIDE OB-GYN OUTPATIENT SERVICES TO THE COMMUNITY. STRATEGIES: BEGIN OFFERING OFFICE HOURS FOR OB-GYN SERVICES IN WESTFIELD. ACTION STEPS: ESTABLISH CONSISTENT OFFICE HOURS; MARKET THE NEW SERVICE IN THE WESTFIELD MARKET. MEASURE: NUMBER OF PATIENTS SEEN IN THE OFFICE. IMPACT: WOMEN HAVE MORE LOCAL OPTIONS TO SEEK MEDICAL CARE. HEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH COMMUNITY NEED: FOOD INSECURITY, DIET, AND NUTRITION GOAL: GROW AND COLLECT FOOD DONATIONS THAT CAN BE USED IN THE LOCAL COMMUNITY AND SUPPORT THE CURRENT FOOD BANK THAT RELIES 100% ON COMMUNITY DONATIONS FOR FOOD. STRATEGIES: DEVELOP COMMUNITY GARDEN; SET UP A FOOD DONATION PROGRAM. ACTION STEPS: USING A STATE GRANT, FINISH THE DEVELOPMENT OF THE COMMUNITY GARDEN; WORK WITH BOARD MEMBERS AND EMPLOYEES TO MAINTAIN THE GARDEN; DEVELOP A DONATION PROCESS AND SAFE STORAGE OF FOOD; PARTNER WITH LOCAL FOOD BANK. MEASURE: WEIGHT OF FOOD GROWN; NUMBER OF DONATIONS TO LOCAL FOOD BANK. IMPACT: FULFILL THE NEED OF FEEDING INDIVIDUALS AND FAMILIES THAT NEED SUPPORT WITH OBTAINING FOOD. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: SUBSTANCE USE DISORDER GOAL: ESTABLISH PROTOCOL TO TREAT ELIGIBLE OVERDOSE PATIENTS WITH MEDICATION ASSISTED THERAPY (MAT); INCREASE KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER PROGRAMS AND SERVICES. STRATEGIES: BEGIN MEDICATING PATIENTS THAT MEET CRITERIA WITH FIRST DOSE OF BUPRENORPHINE AND TRANSITION TO MEDICATION ASSISTED TREATMENT (MAT) FOR DETOX; INCREASE COMMUNITY KNOWLEDGE AND ACCESS TO SUBSTANCE USE DISORDER RESOURCES. ACTION STEPS: SCREEN OVERDOSE PATIENTS IN THE EMERGENCY DEPARTMENT FOR MAT CRITERIA; COLLABORATE CHAUTAUQUA COUNTY MOBILE CRISIS SERVICES; PARTNER WITH COMMUNITY- BASED PROVIDERS. MEASURE: NUMBER OF PATIENTS SCREENED FOR ELIGIBILITY FOR MAT; NUMBER OF PATIENTS THAT PARTICIPATE IN MAT PROGRAM; NUMBER OF COMMUNITY EVENTS. IMPACT: (1) INCREASED AWARENESS OF TREATMENT FOR OVERDOSE COMPLICATIONS; (2) INCREASED SERVICES FOR OVERDOSE CASES; AND (3) INCREASED AWARENESS OF TREATMENT RESOURCES FOR SUBSTANCE USE DISORDER. 2024 PROGRESS: IN 2024, AHN WESTFIELD MEMORIAL HOSPITAL TREATED 17 PATIENTS WITH MEDICATION ASSISTED TREATMENT (MAT) FOR DETOX. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: MENTAL HEALTH SERVICES GOAL: INCREASE REFERRALS FROM EMERGENCY DEPARTMENT (ED) TO OUTPATIENT TREATMENT OPTIONS. STRATEGIES: PROVIDE PATIENTS PRESENTING TO THE ED WITH LOCAL OPTIONS FOR FOLLOW-UP CARE. ACTION STEPS: DEVELOP PARTNERSHIPS WITH AREA BEHAVIORAL HEALTH PROVIDERS; DEVELOP A REFERRAL PATHWAY FOR POST- ED FOLLOW-UP CARE OF ADDICTION AND OTHER MENTAL HEALTH ISSUES. MEASURE: NUMBER OF PATIENTS REFERRED TO MOBILE CRISIS SERVICES; NUMBER OF LOCAL SERVICES IDENTIFIED. IMPACT: (1) INCREASED NUMBER OF PATIENTS RECEIVING TREATMENT; AND (2) INCREASED AWARENESS OF AVAILABLE RESOURCES. 2024 PROGRESS: IN 2024. AHN WESTFIELD MEMORIAL HOSPITAL REFERRED TWO PATIENTS TO MOBILE CRISIS. THE FACILITY DID HAVE INCREASED MEETINGS WITH THE COUNTY OFFICE OF MENTAL HEALTH TO GIVE RESOURCES FOR BEHAVIORAL HEALTH PATIENTS IN THE EMERGENCY DEPARTMENT. HEALTH PRIORITY: BEHAVIORAL HEALTH COMMUNITY NEED: POSTPARTUM DEPRESSION GOAL: INCREASE KNOWLEDGE AND ACCESS TO POST-PARTUM DEPRESSION RESOURCES. STRATEGIES: INCREASE COMMUNITY KNOWLEDGE OF POSTPARTUM DEPRESSION PROGRAM. ACTION STEPS: PARTNER WITH OB GROUP TO ESTABLISH A REFERRAL PATTERN FOR POSTPARTUM DEPRESSION SERVICES. MEASURE: NUMBER OF PATIENTS REFERRED TO POSTPARTUM DEPRESSION PROGRAM; NUMBER OF PATIENTS THAT ATTEND A POSTPARTUM DEPRESSION PROGRAM; NUMBER OF POSTPARTUM DEPRESSION PROGRAMS. IMPACT: INCREASED AWARENESS OF TREATMENT RESOURCES FOR POST-PARTUM DEPRESSION. 2024 PROGRESS: NO RECORDED PROGRESS WAS MADE IN THIS AREA IN 2024, BUT WMH REMAINS FOCUSED ON THIS COMMUNITY NEED. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: CANCER GOAL: INCREASE THE NUMBER OF ADULTS WHO RECEIVE AGE-APPROPRIATE SCREENINGS. STRATEGIES: CONTINUE CT LUNG CANCER SCREENING PROGRAM. ACTION STEPS: CONTINUE LUNG CANCER SCREENING PROTOCOLS; EDUCATE REFERRING PROVIDERS OF SERVICE; BEGIN COMMUNITY LUNG CANCER SCREENING. MEASURE: NUMBER OF PATIENT SCREENING AT COMMUNITY EVENTS; NUMBER OF STUDIES PERFORMED. IMPACT: (1) INCREASED NUMBER OF SCREENINGS; (2) INCREASED NUMBER OF EARLY LUNG CANCER DETECTIONS. 2024 PROGRESS: IN 2024, AHN WESTFIELD MEMORIAL HOSPITAL COMPLETED 313 CANCER SCREENINGS, FINDING 1 INSTANCE OF CANCER, NOTING 27 SIGNIFICANT FINDINGS. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: DIABETES GOAL: IMPROVE QUALITY OUTCOMES ASSOCIATED WITH DIABETES. STRATEGIES: PROMOTE DIABETES PREVENTION IN THE COMMUNITY; PARTNER WITH LOCAL CHILDREN'S DIABETIC CAMP. ACTION STEPS HOST SCREENING AND EDUCATION EVENTS; IDENTIFY AT RISK PATIENTS THROUGH BIOMETRIC SCREENINGS; PRESENT AT SCHOOLS AND COMMUNITY GROUP ON HEALTHY LIVING; PROVIDE SUBJECT MATTER SUPPORT TO CHILDREN AT THE CAMP; EDUCATE CAMPERS ON DIABETES MANAGEMENT STRATEGIES. MEASURE: NUMBER OF COMMUNITY EVENTS; NUMBER OF AT-RISK PATIENTS IDENTIFIED THROUGH BIOMETRIC SCREENINGS; STAFF HOURS FOR PLANNING AND PRESENTING AT THE CAMP; NUMBER OF CAMPERS EDUCATED. IMPACT: (1) INCREASED PARTICIPATION IN CHILDREN'S CAMP; AND (2) INCREASE EDUCATION FOR CAMPERS. 2024 PROGRESS: IN 2024, AHN WESTFIELD MEMORIAL HOSPITAL HELD FIVE EVENTS REGARDING DIABETES RISK AND BMI, SCREENING 44 PATIENTS FOR BMI AND BLOOD PRESSURE. A SECOND DIABETES CAMP WAS HELD IN Q2, SERVING 14 ADOLESCENTS. HEALTH PRIORITY: CHRONIC DISEASES COMMUNITY NEED: HEART DISEASE GOAL: IMPROVE QUALITY OUTCOMES ASSOCIATED WITH HEART DISEASE. STRATEGIES: BEGIN OFFERING CONSISTENT CARDIAC ECHO SERVICES AT AHN WESTFIELD MEMORIAL HOSPITAL. ACTION STEPS: USE INPATIENT CARE PATHWAYS ESTABLISHED BY THE NETWORK; EDUCATE PCPS AND PATIENTS ON HEART DISEASE MANAGEMENT. MEASURE: NUMBER OF INPATIENT ORDER SETS USED TO REQUIRE AN ECHO; NUMBER PCP REFERRALS FOR OUTPATIENT ECHO. IMPACT: (1) INCREASED NUMBER OF ECHO STUDIES; AND (2) INCREASED UTILIZATION OF A CHRONIC DISEASE CARE MODEL. 2024 PROGRESS: IN 2024, AHN WESTFIELD MEMORIAL HOSPITAL COMPLETED 640 ECHO STUDIES. HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS GOAL: IDENTIFY COMMUNITY LEADERS TO IMPROVE PREVENTATIVE CARE FOR ALL POPULATION. STRATEGIES: IDENTIFY COMMUNITY LEADERS. ACTION STEPS: PROVIDE OPPORTUNITY FOR PREVENTATIVE HEALTH SCREENINGS. MEASURE: NUMBER OF POPULATION HEALTH SCREENINGS. IMPACT: IMPROVED PREVENTATIVE HEALTH MAINTENANCE. 2024 PROGRESS: IN 2024, AHN WESTFIELD MEMORIAL HOSPITAL HELD 6 COMMUNITY EVENTS, SCREENING 163 FOR PREVENTATIVE CARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 14</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 14 - AHN ALLEGHENY VALLEY HOSPITAL (PART II). HEALTH PRIORITY: HEALTH EQUITY COMMUNITY NEED: SOCIAL AND WORKFORCE PROGRAMS STRATEGIES: INCORPORATE INTO EACH PRIORITY NEED ACTIONS. GOAL: IMPROVE ACCESS TO CARE FOR ALL POPULATIONS. ACTION STEPS: EVALUATE EACH PRIORITY NEED. MEASURE: NUMBER OF PATIENTS. IMPACT: IMPROVE HEALTH CONDITIONS AND ACCESS TO CARE TO ALL. 2024 PROGRESS: IN 2024, AHN ALLEGHENY VALLEY HOSPITAL ACTIVELY ENGAGED IN COMMUNITY HEALTH INITIATIVES, PRIMARILY FOCUSING ON CAREER DEVELOPMENT FOR STUDENTS IN RURAL SCHOOL DISTRICTS. MULTIPLE CAREER DAYS WERE HELD AT FREEPORT MIDDLE SCHOOL, APOLLO RIDGE HIGH SCHOOL, AND FREEPORT SENIOR HIGH SCHOOL, REACHING A TOTAL OF 746 STUDENTS WITH HEALTHCARE PROFESSIONALS FROM NURSING, BIOMEDICAL ENGINEERING, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY SHARING CAREER INFORMATION. AN APOLLO RIDGE HIGH SCHOOL SENIOR CAREER PORTFOLIO PRESENTATION INVOLVED PROFESSIONALS INTERVIEWING 80 STUDENTS ABOUT THEIR CAREER EXPLORATIONS. AVH HOSTED ITS FIRST CAREER INTEREST ACADEMY, EXPOSING STUDENTS TO MULTIPLE HEALTHCARE DISCIPLINES, INCLUDING NURSING, THERAPY, AND IMAGING. THE INTIMATE PARTNER VIOLENCE (IPV) PROGRAM, A COLLABORATION WITH THE AHN ALLE-KISKI HOPE CENTER, CONTINUED WITH AWARENESS MEETINGS AND STAFF TRAINING, ALTHOUGH NO REFERRALS WERE RECEIVED IN THE INITIAL QUARTERS. FINALLY, THE ORGANIZATION PROVIDED EDUCATIONAL TRAINING TO 407 STAFF MEMBERS, NEW HIRE ORIENTATION, AND CRISIS RESPONSE IN HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - ALL HOSPITALS LISTED IN PART V, SECTION A. ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE ALL THE HOSPITALS LISTED IN PART V, SECTION A OF THIS SCHEDULE H ARE PART OF THE INTEGRATED DELIVERY SYSTEM AHN. AHN'S FINANCIAL ASSISTANCE POLICY USES A PRESUMPTIVE ELIGIBILITY PROGRAM THAT ENABLES AHN TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. THE HEALTH SYSTEM UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO-ECONOMIC AND FINANCIAL CAPACITY SCORE. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND I T IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR AHN FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY IS DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS AHN TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW CONSTITUTES ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THE AHN POLICY. WHEN ELECTRONIC ENROLLMENT IS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE PATIENT IS NOTIFIED OF THE DETERMINATION AND THE HIGHEST DISCOUNT OF FULL FREE CARE IS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>51</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Wexford Medical MallWHWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12311 Perry Hwy</AddressLine1Txt>
            <CityNm>Pine Township</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15090</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AGH South Tower</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>320 E North Ave</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WPH - Mellon Pavilion</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4815 Liberty Ave</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15224</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SVH - Hardner Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2315 Myrtle St</AddressLine1Txt>
            <CityNm>Erie</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16544</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Federal North Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1307 Federal St</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
          <FacilityTxt>Mixed Use</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 Allegheny Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4 Allegheny Center</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
          <FacilityTxt>Mixed Use</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>JH -South Hills Medical Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>575 Coal Valley Rd</AddressLine1Txt>
            <CityNm>Jefferson Hills</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15025</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Hemlock Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>491 Hemlock Street</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>JH - Bibro Pavilion</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>565 Coal Valley Rd</AddressLine1Txt>
            <CityNm>Jefferson Hills</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15025</ZIPCd>
          </USAddress>
          <FacilityTxt>Mixed Use</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SVH - Outpatient Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>312 W 25th St</AddressLine1Txt>
            <CityNm>Erie</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16502</ZIPCd>
          </USAddress>
          <FacilityTxt>Mixed Use</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AGH Allegheny Profess Bldg</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>490 E North Ave</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AGH East Wing Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>390 E North Ave</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>JMA Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 Brooks Ln</AddressLine1Txt>
            <CityNm>Jefferson Hills</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15025</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Forbes Cancer&amp; Imaging Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2626 Haymaker Road</AddressLine1Txt>
            <CityNm>Monroeville</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15146</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bethel Park HWPBHWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 Higbee Drive</AddressLine1Txt>
            <CityNm>Bethel Park</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15102</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FH - POB #1</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2566 Haymaker Rd</AddressLine1Txt>
            <CityNm>Monroeville</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15146</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Hempfield Micro Hospital MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6321 Route 30</AddressLine1Txt>
            <CityNm>Hempfield</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15601</ZIPCd>
          </USAddress>
          <FacilityTxt>Mixed Use</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FH - POB # 2</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2580 Haymaker Rd</AddressLine1Txt>
            <CityNm>Monroeville</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15146</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>West Side MOBEWHWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4247 W Ridge Rd</AddressLine1Txt>
            <CityNm>Millcreek Township</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16506</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Vincent Union City MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>130 N Main St</AddressLine1Txt>
            <CityNm>Union City</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16438</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Monroeville Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4121 Monroeville Blvd</AddressLine1Txt>
            <CityNm>Monroeville</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15146</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Yorktown Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2501 W 12th St</AddressLine1Txt>
            <CityNm>Erie</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16505</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>JRMC - Surgery CenterBHWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>990 Higbee Drive</AddressLine1Txt>
            <CityNm>Bethel Park</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15102</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Butler Community Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>160 Hollywood Drive</AddressLine1Txt>
            <CityNm>Butler City</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16001</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>495 East Waterfront Drive</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>495 E Waterfront Dr</AddressLine1Txt>
            <CityNm>Homestead</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15120</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Monroeville Medical Arts Bldg</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2550 Mosside Blvd</AddressLine1Txt>
            <CityNm>Monroeville</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15146</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>McCandless MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9335 McKnight Rd</AddressLine1Txt>
            <CityNm>McCandless</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15237</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Brentwood Professional Plaza</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3720 Brownsville Rd</AddressLine1Txt>
            <CityNm>Brentwood</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15227</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>McCandless Micro Hospital MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8590 Duncan Ave</AddressLine1Txt>
            <CityNm>McCandless</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15237</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grove City Hospital - MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>647 N Broad St Ext</AddressLine1Txt>
            <CityNm>Grove City</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16127</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Montour Sports HealthWellness</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2419 State Avenue</AddressLine1Txt>
            <CityNm>Coraopolis</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15108</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Wilson Sq Professional Bldg</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>224 Longfellow Street</AddressLine1Txt>
            <CityNm>Vandergrift</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15690</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rte 51 Med Ctr</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>810 Clairton Blvd</AddressLine1Txt>
            <CityNm>Pleasant HIlls</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15236</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Murrysville Medical Commons</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4262 Old William Penn Hwy</AddressLine1Txt>
            <CityNm>Murrysville</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15668</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2801 Freeport Road</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2801 Freeport Rd</AddressLine1Txt>
            <CityNm>Harrison</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15065</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Richland Mall</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5375 William Flynn Hwy</AddressLine1Txt>
            <CityNm>Richland</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15044</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Three Robinson Plaza</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 Robinson Plaza</AddressLine1Txt>
            <CityNm>Robinson</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15205</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heights Plaza 1624 Pacific</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1624 Pacific Ave</AddressLine1Txt>
            <CityNm>Harrison</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15065</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Fort Couch Commons</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>59 Fort Couch Road</AddressLine1Txt>
            <CityNm>Bethel Park</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15102</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Cranberry Shoppes Suite 101</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20215 Route 19</AddressLine1Txt>
            <CityNm>Cranberry Township</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16066</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Beaver Outpatient Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>103 Pleasant Dr</AddressLine1Txt>
            <CityNm>Aliquippa</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15001</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Worthington Outpatient Lab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1482 Butler Road</AddressLine1Txt>
            <CityNm>Worthington</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16262</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Dinnerbell Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>333 W Main St</AddressLine1Txt>
            <CityNm>Saxonburg</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16056</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Yadagani Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>97 Delaware Ave</AddressLine1Txt>
            <CityNm>Uniontown</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Beaver Community Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>81 Wagner Road</AddressLine1Txt>
            <CityNm>Center Township</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15061</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Chautauqua Institution</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 Roberts Avenue</AddressLine1Txt>
            <CityNm>Chautauqua</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>14722</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>One Peluso Place</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2692 Leechburg Rd</AddressLine1Txt>
            <CityNm>New Kensington</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15068</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rostraver Medical Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1533 Broad Ave</AddressLine1Txt>
            <CityNm>Rostraver Township</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15012</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>One Kensington Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 Kensington Sq</AddressLine1Txt>
            <CityNm>New Kensington</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15068</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Pain Institute</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5124 Liberty Avenue</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15224</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>North Fayette Health Wellness</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Quinn Drive</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15217</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>- CENTERINGPREGNANCY: IN 2023, THE AHN WOMEN'S INSTITUTE AND HIGHMARK HEALTH'S EQUITABLE HEALTH INSTITUTE LAUNCHED CENTERINGPREGNANCY, A NATIONALLY-RECOGNIZED MODEL OF GROUP PRENATAL CARE SHOWN TO IMPROVE A WIDE RANGE OF BIRTH OUTCOMES, INCLUDING LOWERING THE RISK OF PRETERM BIRTHS, REDUCING LOW BIRTH WEIGHTS AND INCREASING BREASTFEEDING RATES. THE PROGRAM IS BASED AT AHN WEST PENN, HOME TO THE NETWORK'S BUSIEST LABOR AND DELIVERY PROGRAM. THE CENTERINGPREGNANCY MODEL BRINGS TOGETHER BETWEEN 8 AND 12 PATIENTS WITH SIMILAR DUE DATES, AS WELL AS THEIR PARTNERS, SUPPORT PEOPLE, AND HEALTHCARE TEAM. THEY MEET FOR 10 PRENATAL VISITS FOLLOWING THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG) AND AMERICAN COLLEGE OF NURSE MIDWIVES (ACNM) PRACTICE GUIDELINES, BUT EACH VISIT IS 90 MINUTES TO TWO HOURS LONG - GIVING PATIENTS SIGNIFICANTLY MORE TIME WITH THEIR PROVIDER TEAM WHEN COMPARED TO INDIVIDUAL VISITS. THE MODEL HAS SHOWN TO BE PARTICULARLY SUCCESSFUL IN IMPROVING OUTCOMES AMONG WOMEN AND BABIES, WHO HAVE HIGHER RATES OF PREGNANCY- AND BIRTH-RELATED COMPLICATIONS THAN OTHER POPULATIONS. CENTERINGPREGNANCY'S GROUP-CARE MODEL HELPS TO ADDRESS THOSE LONGSTANDING DISPARITIES. IN 2024, THE MODEL EXPANDED TO PITTSBURGH'S NORTH SIDE NEIGHBORHOOD. -CENTER FOR INCLUSION HEALTH: IN 2024, AHN CONTINUED TO OPERATE THE CENTER FOR INCLUSION HEALTH. THE CENTER FOR INCLUSION HEALTH SEEKS TO ADDRESS THE OBSTACLES THAT MAKE IT HARDER FOR PATIENTS AND POPULATIONS TO ACCESS CARE, HELPING TO IMPROVE PEOPLE'S HEALTH WHILE REDUCING COSTS. THE CENTER HOUSES PROGRAMS FOR ADDICTION MEDICINE; HOMELESS HEALTHCARE; POSITIVE (HIV) HEALTH CLINIC; FOOD INSECURITY; AND OTHER PROGRAMS. THE CENTER PROVIDES ITS PATIENT POPULATIONS WITH PRIMARY CARE ACCESS; A SUPPORT STAFF THAT INCLUDES PHYSICIANS, NURSES, MEDICAL ASSISTANTS, SOCIAL WORKERS, BEHAVIORAL HEALTH THERAPISTS, PSYCHIATRISTS AND PATIENT ADVOCATES; SPECIALIZED HIV CARE; MEDICATION ADHERENCE COUNSELING AND PHARMACY SUPPORT; GYNECOLOGIC CARE; NUTRITIONAL ASSESSMENT AND COUNSELING BY A REGISTERED DIETITIAN; SMOKING CESSATION PROGRAMS; MENTAL HEALTH ASSESSMENT, COUNSELING AND PSYCHIATRIC SUPPORT; AND CASE-MANAGEMENT FOR NONMEDICAL NEEDS. THE STAFF ASSISTS WITH FINANCIAL OR SOCIAL ISSUES THAT MAY INTERFERE WITH THE PROVISION OF MEDICAL CARE. THE CENTER INCLUDES AHN'S STREET MEDICINE AND HOMELESS HEALTHCARE PROGRAM. PEOPLE EXPERIENCING HOMELESSNESS OR LIVING IN UNSTABLE HOUSING SITUATIONS OFTEN FIND IT HARD TO GET ROUTINE HEALTHCARE THAT IS SENSITIVE AND FLEXIBLE ENOUGH TO MEET THEIR NEEDS. AHN'S HOMELESS HEALTHCARE SERVICES REACH PEOPLE BY PROVIDING CARE WHEREVER THEY ARE: AT HOMELESS SHELTERS, ON THE STREETS, IN HOSPITALS, AND AT OTHER LOCATIONS. AHN'S ULTIMATE GOAL IS TO BREAK THE CYCLE OF HOMELESSNESS, POVERTY, AND POOR HEALTH THROUGH TRUSTING, RESPECTFUL AND COMPASSIONATE HEALTHCARE RELATIONSHIPS. PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS, INCLUDING STREET MEDICINE, AT HOMELESS CAMPS, AT HOMELESS SHELTERS, AND "BRIDGE" SERVICES FOR THOSE EXPERIENCING HOUSING INSTABILITY AND WHO HAVE EXPERIENCED A RECENT ILLNESS, SURGERY, OR HOSPITALIZATION. CENTER ALSO HOUSES A NEW AHN PROGRAM FOR HOMELESS AND URBAN POVERTY MEDICINE. THE PROGRAM PUTS TRAINED SOCIAL WORKERS AND OTHER HELPERS ON THE STREETS BETWEEN 8 A.M. AND 5 P.M. IN DOWNTOWN PITTSBURGH AND SURROUNDING NEIGHBORHOODS. AHN HAS ALSO CREATED A 'FIRST-RESPONDER' TEAM THAT RESPONDS WITH CITY POLICE TO CALLS FOR ASSISTANCE THAT INVOLVE THE HOMELESS, PEOPLE IN MENTAL CRISIS OR THOSE WHO HAVE OVERDOSED ON DRUGS, IN NONVIOLENT AND NONDANGEROUS SITUATIONS, TO PROVIDE BEHAVIORAL HEALTH SUPPORT AND OTHER SOCIAL SERVICES. -CHILL: THE CHILL PROJECT USES MINDFULNESS-BASED EXERCISES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH A COMMON LANGUAGE AND UNIVERSAL SKILLS TO IDENTIFY, DISCUSS, AND REACT POSITIVELY TO STRESS. SCHOOL HAS ALWAYS BEEN A SOURCE OF STRESS, WHETHER ONE IS TAKING CLASSES, TEACHING OR PARENTING A STUDENT. NEGATIVE REACTIONS TO STRESS CREATE A SIGNIFICANT BARRIER TO LEARNING AND GROWTH. THE CHILL PROJECT FEATURES DEDICATED PROFESSIONALS, A CALMING SPACE, AND REGULAR INSTRUCTION TO HELP EVERY MEMBER OF A SCHOOL'S COMMUNITY BETTER HANDLE PRESSURE AND ANXIETY. THE PROJECT STARTED IN BALDWIN-WHITEHALL SCHOOL DISTRICT AND WEST JEFFERSON HILLS SCHOOL DISTRICT AND AS OF 2024 HAS EXPANDED TO MORE THAN 42 SCHOOLS WITHIN WESTERN PENNSYLVANIA TO SERVE OVER 50,000 STUDENTS, 3,000 EDUCATORS, AND THOUSANDS OF PARENTS AND CAREGIVERS. PARTICIPATING SCHOOLS HAVE EXPERIENCED: REDUCED NUMBER OF BEHAVIORAL HEALTH INCIDENTS FOR STUDENTS, LIKE CHRONIC ABSENCE, DISRUPTIVE BEHAVIOR, DROPPING OUT AND FEELINGS OF HOPELESSNESS; INCREASED ACCESS TO RESOURCES AND SENSE OF PROFESSIONAL QUALITY OF LIFE FOR EDUCATORS AND ADMINISTRATORS AS WELL AS INCREASED WELL-BEING FOR PARENTS AND CAREGIVERS; ENHANCED MINDFUL AWARENESS AND RESILIENCY ACROSS THE SCHOOL COMMUNITY. PARTICIPANTS IN THE CHILL PROJECT HAVE ACCESS TO: ONE-TO-ONE COUNSELING; SUPPORT GROUPS; MEDICATION MANAGEMENT; SCHOOL-BASED OUTPATIENT SERVICES; SCHOOL-WIDE PREVENTIVE SERVICES; PROFESSIONAL DEVELOPMENT OPPORTUNITIES; A SOCIAL-EMOTIONAL CURRICULUM AND CLASSROOM CONSULTATIONS; EXERCISES AND CONSULTATIONS SPECIFICALLY DESIGNED FOR STUDENT ATHLETES. THE PROGRAM WAS DESIGNED IN COLLABORATION WITH THE PARTICIPATING SCHOOLS. IN 2024, THE CHILL PROJECT CELEBRATED ITS FIFTH YEAR AND EXPANDED ITS PROGRAMMING TO INCLUDE SOUTH COLLEGE PITTSBURGH AND AHN'S NURSING SCHOOLS. -CHILL MOBILE: IN 2022, AHN AND PIRATES CHARITIES, THE PHILANTHROPIC ARM OF THE PITTSBURGH PIRATES BASEBALL CLUB, LAUNCHED A MOBILIZED VERSION OF AHN'S INNOVATIVE CHILL PROJECT, WHICH PROVIDES BEHAVIORAL HEALTH SERVICES AND MINDFULNESS TRAINING TO SCHOOL DISTRICTS THROUGHOUT WESTERN PENNSYLVANIA. RECOGNIZING THE IMMEDIATE NEED, AHN AND PIRATES CHARITIES WORKED TOGETHER TO DEVELOP THE CHILL MOBILE PROGRAM IN AN EFFORT TO POSITIVELY IMPACT TENS OF THOUSANDS OF AREA YOUTH PER YEAR. THE TWO PARTNERED TO PURCHASE AND CUSTOMIZE THE CHILL MOBILE VEHICLE THAT WILL TRAVEL TO SCHOOL DISTRICTS, WORKPLACES, AND COMMUNITY ORGANIZATIONS, GREATLY EXPANDING THE REACH OF AHN'S PROGRAM. OTHER SUPPORTERS OF CHILL MOBILE INCLUDE THE REDEVELOPMENT AUTHORITY OF ALLEGHENY COUNTY, PNC, AND THE PALUMBO CHARITABLE TRUST. OFFERED THROUGH AHN'S PSYCHIATRY &amp; BEHAVIORAL HEALTH INSTITUTE AND LED BY A TEAM OF BEHAVIORAL HEALTH SPECIALISTS, THE CHILL PROJECT USES MINDFULNESS-BASED EXERCISES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH AN EVIDENCE-BASED, STANDARDIZED APPROACH TO IDENTIFYING, DISCUSSING, AND MANAGING STRESS, ANXIETY AND OTHER MENTAL HEALTH CONCERNS. IN 2024, AHN CONTINUED TO OPERATE THE CHILL MOBILE TO PROVIDE BEHAVIORIAL SERVICES AND MINDFULNESS TRAINING TO STUDENTS IN NEED. -DONATE LIFE MONTH: IN 2024, AHN'S COMMITMENT TO ORGAN, TISSUE, AND CORNEA DONATION RESULTED IN THOUSANDS OF LIVES SAVED OR IMPROVED, EITHER THROUGH TRANSPLANT PROCEDURES CARRIED OUT AT THE NETWORK'S HOSPITALS, OR BECAUSE OF THE GENEROSITY OF ORGAN AND TISSUE DONORS WHO WERE PATIENTS AT AHN HOSPITALS. AHN PROMOTES ORGAN AND TISSUE DONATION THROUGHOUT THE MONTH OF APRIL (NATIONAL DONATE LIFE MONTH) BY HOSTING A SERIES OF EVENTS ACROSS ITS HOSPITALS. THE EVENTS WILL PAY TRIBUTE TO THOSE WHO HAVE GIVEN THE GIFT OF LIFE WHILE ALSO ENCOURAGING STAFF, PATIENTS AND VISITORS TO LEARN MORE ABOUT ORGAN DONATION AND HOW TO BECOME A REGISTERED ORGAN DONOR. IN 2024, AHN'S DONATE LIFE MONTH AWARENESS EFFORTS RESULTED IN HUNDREDS OF INDIVIDUALS SIGNING UP TO BE ORGAN DONORS, EARNING THE NETWORK THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA'S HIGHEST SERVICE AWARD. IN 2024, AHN ALSO PERFORMED 275 ORGAN AND TISSUE TRANSPLANTS. -FIRST STEPS AND BEYOND: IN 2024, AHN CONTINUED TO OPERATE "FIRST STEPS AND BEYOND" PROGRAM DESIGNED TO DECREASE INFANT MORTALITY RATES, REDUCE PRETERM BIRTH RATES AND INCREASE KNOWLEDGE ABOUT SAFE SLEEP. THIS PIVOTAL PROGRAM AIMS TO EXPAND PRENATAL, PERINATAL, BIRTH DOULA AND FATHERHOOD SERVICES AS WELL AS DEVELOP INTERVENTIONS FOR FAMILIES EXPERIENCING OPPRESSION AND HARDSHIP. FETAL DEATHS ARE TWO TIMES MORE LIKELY AMONG CERTAIN WOMEN COMPARED TO OTHER WOMEN. THIS PROGRAM IS SUPPORTED BY THE HEINZ ENDOWMENTS AND THE HIGHMARK FOUNDATION. IN 2024, FIRST STEPS AND BEYOND TEAMED UP WITH THE LOCAL CHAPTER OF THE AMERICAN HEART ASSOCIATION (AHA) TO LAUNCH A "FOOD AS MEDICINE" PILOT PROGRAM FOR BIRTHING PEOPLE IN THE PITTSBURGH REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>WESTFIELD MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK AS PART OF ITS OBLIGATION TO FURNISH THE STATE OF NEW YORK WITH A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7f BAD DEBT</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT WAS REMOVED FROM TOTAL FUNCTIONAL EXPENSES AS REPORTED IN PART IX OF FORM 990 IN ORDER TO COMPUTE THE PERCENTAGES FOR COLUMN F OF LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN'S FINANCIAL ASSISTANCE POLICY STATES THE CRITERIA FOR DETERMINING PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PATIENTS WHO MEET THE CRITERIA AS ESTABLISHED IN THE POLICY WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDING FREE OR DISCOUNTED CARE. A PATIENT MUST BE A CITIZEN OF THE UNITED STATES OF AMERICA OR A LAWFUL PERMANENT RESIDENT OF THE UNITED STATES OF AMERICA, AND A RESIDENT OF THE COMMONWEALTH OF PENNSYLVANIA, OR NEW YORK STATE FOR WESTFIELD MEMORIAL HOSPITAL. INTERNATIONAL PATIENTS OR UNAUTHORIZED IMMIGRANTS MAY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY ARE ELIGIBLE FOR MEDICAID. THERE MAY BE SPECIAL CIRCUMSTANCES FOR OUT-OF-STATE AND INTERNATIONAL PATIENTS (E.G., AUTO ACCIDENT, EMERGENT ILLNESS) UNDER WHICH, AT AHN'S SOLE DISCRETION, SUCH INDIVIDUALS COULD BE CONSIDERED FOR QUALIFICATION FOR FINANCIAL ASSISTANCE UNDER THE POLICY. THE PATIENT/GUARANTOR MUST BE ABLE TO DEMONSTRATE A GOOD FAITH EFFORT IN HAVING APPLIED FOR AND COMPLIED WITH AVAILABLE AFFORDABLE HEALTHCARE BENEFIT ALTERNATIVES (E.G., MEDICAID ELIGIBILITY AND OTHER ACA SUBSIDIZED HEALTHCARE BENEFIT PROGRAMS), OR PROVIDE EVIDENCE THAT COVERAGE FOR MEDICAID OR OTHER PROGRAMS WOULD NOT BE GRANTED BEFORE BECOMING ELIGIBLE FOR CHARITY CARE. THE PATIENT MUST SUBMIT A COMPLETED APPLICATION FOR CHARITY CARE WITHIN THE APPLICATION PERIOD. AHN WILL MAKE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR OUTSIDE ASSISTANCE BEFORE ENGAGING AN EXTRAORDINARY COLLECTION ACTION (ECAS) AGAINST THE INDIVIDUAL. REASONABLE EFFORTS FOR PURPOSES OF MEETING THESE REQUIREMENTS INCLUDE, A NOTIFICATION PERIOD AND AN APPLICATION PERIOD. THE NOTIFICATION PERIOD IS THE PERIOD IN WHICH AHN MUST NOTIFY AN INDIVIDUAL ABOUT THIS POLICY AND BEGINS ON THE DATE CARE IS PROVIDED TO THE INDIVIDUAL AND ENDS ON THE 120TH DAY AFTER AHN PROVIDES THE PATIENT WITH THE FIRST BILLING STATEMENT FOR THE CARE. IF THE INDIVIDUAL HAS FAILED TO SUBMIT AN APPLICATION BY THE END OF THE NOTIFICATION PERIOD, AHN MAY ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL. HOWEVER, AHN WILL ACCEPT AND PROCESS APPLICATIONS SUBMITTED BY AN INDIVIDUAL DURING THE LONGER APPLICATION PERIOD THAT ENDS ON THE 240TH DAY AFTER AHN PROVIDES THE INDIVIDUAL WITH THE FIRST BILLING STATEMENT FOR THE CARE. PATIENTS WHO FAIL TO SUBMIT A COMPLETE APPLICATION OR FAIL TO RETURN THE APPLICATION INCLUDING SUPPORTING DOCUMENTATION AFTER 240 DAYS MAY BE DENIED DUE TO FAILURE TO COMPLY. COVERAGE BY CHARITY CARE IS LIMITED TO BASIC MEDICAL CARE AND WILL ONLY APPLY TO EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES. CHARITY CARE WILL NOT BE AVAILABLE TO A PATIENT THAT REFUSES DISCHARGE AND INCURS ADDITIONAL CHARGES THAT ARE CONSIDERED MEDICALLY UNNECESSARY. CHARITY CARE DISCOUNTS APPLY ONLY TO DRUGS THAT ARE ADMINISTERED DURING AN INPATIENT STAY OR OUTPATIENT SERVICE. THESE DISCOUNTS DO NOT APPLY TO ANY OTHER DRUGS OR MAIL ORDER PRESCRIPTIONS. CHARITY CARE WILL NOT APPLY TO SERVICES THAT ARE COVERED BY AN INSURANCE CARRIER THAT HAS DENIED SERVICES DUE TO LITIGATION, LACK OF COOPERATION FROM THE PATIENT OR ERRONEOUS INFORMATION FROM THE PATIENT. PENSION ACCOUNTS ARE EXCLUDED. ONCE A PATIENT IS APPROVED, CHARITY CARE IS GRANTED FOR A PERIOD OF SIX MONTHS BEGINNING ON THE DATE OF APPROVAL. AHN WILL APPLY CHARITY CARE ADJUSTMENTS TO PRIOR ACCOUNTS THAT ARE WITHIN 240 DAYS FROM THE FIRST POST-DISCHARGE PATIENT BILLING STATEMENT THAT TRIGGERED THE FINANCIAL ASSISTANCE APPLICATION. HOWEVER, AHN RESERVES THE RIGHT TO LIMIT RETROACTIVE APPLICATION OF CHARITY CARE FOR TIME FRAMES IN EXCESS OF WHAT IS GENERALLY REQUIRED UNDER 501(R). GENERALLY, THIS LIMITATION WOULD ONLY APPLY WHEN EXTRAORDINARY DIFFERENCES EXIST BETWEEN THE PATIENT'S CURRENT FINANCIAL CONDITION AND THEIR FINANCIAL CONDITION IN THE SIX-MONTH PERIOD PRIOR TO APPROVAL AND WHEN SUCH DIFFERENCES ARE ALSO ACCOMPANIED BY A CLEAR INDICATION THAT SUFFICIENT FUNDS OR INCOME WERE AVAILABLE IN THE PRIOR PERIOD TO PAY OUTSTANDING MEDICAL BILLS. CHARITY CARE DISCOUNTS APPLY TO PATIENT LIABILITY AMOUNTS ONLY, AND NO INSURANCE AMOUNTS WILL BE CONSIDERED. APPROVED AMOUNTS MAY BE A RESULT OF THE FOLLOWING: (1) PATIENT DOES NOT HAVE MEDICAL ASSISTANCE OR ADEQUATE INSURANCE COVERAGE; (2) PATIENT HAS EXHAUSTED HIS/HER INSURANCE BENEFITS (E.G., EXCEEDED MAXIMUM COVERED DAYS/AMOUNT, EXCEEDED MEDICARE'S LIFETIME RESERVE DAYS); (3) PATIENT HAS A PRIMARY INSURANCE CARRIER WHO HAS RENDERED PAYMENT BUT A SECONDARY LIABILITY EXISTS FOR WHICH HE/SHE DOES NOT HAVE COVERAGE; (4) PATIENT IS CONSIDERED INDIGENT DUE TO THE AMOUNT OF MEDICAL DEBT INCURRED IN COMPARISON TO THE PATIENT'S FINANCIAL CIRCUMSTANCES; (5) DECEASED PATIENT'S ESTATE WILL EXHAUST PRIOR TO PAYMENT OF THE FULL PATIENT BALANCE; (6) PATIENT HAS PROVIDED A FORMAL BANKRUPTCY JUDGMENT THAT IMPACTS THE DATE ON WHICH SERVICES WERE PROVIDED ALONG WITH UNDATED INCOME/ASSET INFORMATION; (7) PATIENT IS HOMELESS OR HAS PROVEN TO BE A RESIDENT OF A HOMELESS SHELTER; (8) PATIENT HAS PROVIDED A FORMAL AFFIDAVIT OR DOCUMENTATION REGARDING INCOME/ASSET INFORMATION AND/OR HOMELESS STATUS THAT QUALIFIES THE PATIENT FOR CHARITY CARE; OR (9) THE PATIENT HAS MEDICAID PART PAY BALANCES AND QUALIFIES FOR CHARITY CARE. THERE ARE THREE PRINCIPAL FINANCIAL CRITERIA THAT ARE APPLIED AS FOLLOWS IN ORDER TO DETERMINE WHETHER A PATIENT HAS ECONOMIC MEANS TO PAY AND WHETHER THAT PATIENT MEETS ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, ASSUMING OTHER CRITERIA IN THE POLICY (SUCH AS RESIDENCY) ARE ALSO MET. (1) FIRST, A PATIENT'S LIQUID ASSETS ARE DETERMINED (SEE EARLIER DEFINITION OF LIQUID ASSETS). IF LIQUID ASSETS EXCEED THE CALCULATED THRESHOLD LEVEL INDICATED IN APPENDIX F, THEN ALL LIQUID ASSETS ABOVE THE THRESHOLD LEVEL MUST FIRST BE USED TO SATISFY ANY OUTSTANDING BALANCE OWED TO AHN BY A PATIENT. (2) ONCE STEP ONE HAS BEEN COMPLETED, IF THE PATIENT STILL OWES A BALANCE, THEN THE PATIENT WILL BE EVALUATED ON AN INCOME BASIS. IF THE PATIENT AND/OR GUARANTOR'S HOUSEHOLD INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES, THEN 100% OF THE BALANCE FOR WHICH THE PATIENT IS STILL RESPONSIBLE AND FOR WHICH FINANCIAL ASSISTANCE IS AVAILABLE UNDER THIS POLICY, WILL BE FORGIVEN BY AHN. NO FINANCIAL ASSISTANCE IS AVAILABLE FOR A PATIENT OR A GUARANTOR WHOSE ANNUAL INCOME IS GREATER THAN 200% OF THE FPL UNLESS THEY QUALIFY UNDER MEDICAL HARDSHIP. (3) AS AN ALTERNATIVE TO STEP 2, A PATIENT MAY DEMONSTRATE MEDICAL HARDSHIP. PATIENTS THAT MEET MEDICAL HARDSHIP CRITERIA QUALIFY FOR THE SAME FINANCIAL ASSISTANCE BENEFIT AS INDIVIDUALS WHOSE INCOME IS AT OR BELOW 200% OF THE FPL GUIDELINES. GENERALLY, AHN DOES NOT PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHOSE INCOME EXCEEDS 200% OF THE FPL UNLESS THEY MEET THE CRITERIA FOR MEDICAL HARDSHIP. AHN DOES NOT USE ANY PREVIOUS FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATIONS TO PRESUMPTIVELY APPROVE A PATIENT FOR FINANCIAL ASSISTANCE. WHEN A PATIENT'S FINANCIAL ASSISTANCE HAS TERMINATED, THE PATIENT MUST REAPPLY FOR FINANCIAL ASSISTANCE. GENERALLY, ONCE QUALIFIED, AN INDIVIDUAL QUALIFIES AND REMAINS ELIGIBLE FOR FINANCIAL ASSISTANCE FOR A SIX-MONTH PERIOD BEFORE REQUIRING RE-QUALIFICATION FOR FINANCIAL ASSISTANCE UNDER THE POLICY. IN ADDITION, A FINANCIAL ASSISTANCE APPLICATION FILED AND APPROVED AT ANY AHN HOSPITAL SHALL APPLY TO ALL AHN HOSPITALS WITH THE EXCEPTION OF WESTFIELD MEMORIAL HOSPITAL. HARDSHIP DOCUMENTATION MAY BE REQUIRED (I.E., CASES WITH EXCESSIVE MEDICATIONS, TERMINAL ILLNESS OR MULTIPLE HOSPITALIZATIONS). FOR A PATIENT THAT EXCEEDS 200% OF THE FEDERAL POVERTY GUIDELINES AND WHOSE ACCOUNT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, AHN MAY CLAIM THE EXCESS BALANCE AS A HARDSHIP PROVIDED THAT THE PATIENT PROVIDES DOCUMENTATION OF INCOME, OR INCOME CAN BE DERIVED FROM OUTSIDE DATABASE SOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>72026626</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS ARE ISSUED ON A CONSOLIDATED BASIS AND INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING. THEREFORE, THE FOOTNOTE REGARDING BAD DEBT IS NOT RELEVANT TO THIS RETURN. THE FIGURE REFLECTED ON LINE 2 IS THE SUMMATION OF ALL BAD DEBT EXPENSE FOR THE HOSPITALS INCLUDED IN SCHEDULE H. BAD DEBT EXPENSE IS ACCOUNTED FOR ON A CHARGE BASIS IN OUR INTERNAL FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS ARE ISSUED ON A CONSOLIDATED BASIS AND INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING. THEREFORE, THE FOOTNOTE REGARDING BAD DEBT IS NOT RELEVANT TO THIS RETURN. THE FIGURE REFLECTED ON LINE 2 IS THE SUMMATION OF ALL BAD DEBT EXPENSE FOR THE HOSPITALS INCLUDED IN SCHEDULE H. BAD DEBT EXPENSE IS ACCOUNTED FOR ON A CHARGE BASIS IN OUR INTERNAL FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS ARE ISSUED ON A CONSOLIDATED BASIS AND INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING. THEREFORE, THE FOOTNOTE REGARDING BAD DEBT IS NOT RELEVANT TO THIS RETURN. THE FIGURE REFLECTED ON LINE 2 IS THE SUMMATION OF ALL BAD DEBT EXPENSE FOR THE HOSPITALS INCLUDED IN SCHEDULE H. BAD DEBT EXPENSE IS ACCOUNTED FOR ON A CHARGE BASIS IN OUR INTERNAL FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN RECEIVES OVERALL REIMBURSEMENT FROM MEDICARE LESS THAN THE COST OF THE SERVICES PROVIDED. AS SUCH, WE CONSIDER THE SHORTFALL A COMMUNITY BENEFIT. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE COST ACCOUNTING SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN DEBT COLLECTION POLICY PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE PROVIDED WITH AN APPROVAL LETTER WITH THE EFFECTIVE DATES FOR THE ASSISTANCE. AT ANY TIME, THE INDIVIDUAL PRESENTS FOR SERVICES WITHIN 240 DAYS FROM THE FIRST POST-DISCHARGE PATIENT BILLING STATEMENT PRECEDING AND 6 MONTHS FOLLOWING APPROVAL, THEY SHOW THE LETTER AND WILL BE REGISTERED AS A CHARITY CARE CASE. CHARITY CARE CASES ARE DESIGNATED IN THE INTERNAL COMPUTERIZED SYSTEMS WITH UNIQUE BILLING INDICATORS THAT PREVENT BILLING TO THE PATIENT. REPORTS ARE RUN TO CAPTURE THE PATIENT ACCOUNTS REGISTERED WITH THE CHARITY CARE BILLING INDICATOR SO THEY CAN BE WRITTEN OFF TO CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - AHN ALLEGHENY GENERAL HOSPITAL: Line 16a URL: HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE; A - AHN WESTFIELD MEMORIAL HOSPITAL: Line 16a URL: HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - AHN ALLEGHENY GENERAL HOSPITAL: Line 16b URL: HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE; A - AHN WESTFIELD MEMORIAL HOSPITAL: Line 16b URL: HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - AHN ALLEGHENY GENERAL HOSPITAL: Line 16c URL: HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE; A - AHN WESTFIELD MEMORIAL HOSPITAL: Line 16c URL: HTTPS://WWW.AHN.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/UNINSURED-FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE FORMAL CHNA, THE HOSPITALS MANAGEMENT AND STAFF UTILIZE MULTIPLE STRATEGIES TO CONTINUALLY MONITOR AND ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THIS INCLUDES OUTREACH TO COMMUNITY MEMBERS IN AN EFFORT TO RECEIVE INPUT RELATED TO CURRENT HEALTH NEEDS AND TRENDS. THE HOSPITALS ACT ON SPECIFIC REQUESTS RECEIVED FOR HEALTH-RELATED MATTERS SUCH AS SCREENINGS, PROGRAMS AND RELATED EVENTS. THE HOSPITAL PARTICIPATES IN AREA GROUPS AND PARTNERSHIPS IN AN EFFORT TO UNDERSTAND THE COMMUNITY AND OBTAIN A SENSE OF SPECIFIC ISSUES. THE HOSPITAL ALSO ACTS ON SURVEY RESULTS RECEIVED FROM PATIENTS AND THE PATIENT FAMILIES AS WELL AS BEING CONNECTED TO WORLD-WIDE, NATIONAL AND LOCAL HEALTH TRENDS AND NEEDS AND ACTING ACCORDINGLY TO ENSURE OUR PATIENTS HAVE THE BEST CARE AVAILABLE TO THEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN DISPLAYS SIGNAGE IN VARIOUS PATIENT ADMISSION, REGISTRATION, AND EMERGENCY DEPARTMENT AREAS THAT ALERT PATIENTS TO THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM AND CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. DURING THE PRE-SERVICE PROCESS, PATIENTS ARE EVALUATED TO DETERMINE FINANCIAL ASSISTANCE OPTIONS. EACH HOSPITAL OFFERS THE FINANCIAL ASSISTANCE PROGRAM, WHICH CONSISTS OF APPLICATION ASSISTANCE FOR GOVERNMENTAL ELIGIBILITY, CHARITY CARE APPLICATION COMPLETION AND SUBMISSION SUPPORT, AS WELL AS FINANCIAL ASSISTANCE FOR THE UNINSURED. AHN'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE AT EACH HOSPITAL, AND EACH HOSPITAL ALSO PROVIDES ON-SITE SUPPORT THROUGH FINANCIAL COUNSELORS, WHO ARE AVAILABLE TO WORK WITH PATIENTS. FINANCIAL COUNSELORS WORK DIRECTLY WITH THE PATIENTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, AS WELL AS TO PROVIDE GUIDANCE TO PATIENTS REGARDING MEDICAL ASSISTANCE ELIGIBILITY. BOTH WEEKDAY AND WEEKEND COVERAGE IS AVAILABLE TO THE PATIENTS, AS WELL AS FIELD SUPPORT NEEDED FOR POST-DISCHARGE FOLLOW UP NEEDED FOR FINANCIAL ASSISTANCE APPLICATION SUBMISSION. THE ABOVE SUPPORT IS AVAILABLE AT NO CHARGE TO THE PATIENT. INFORMATION ABOUT AHN'S FINANCIAL ASSISTANCE PROGRAM IS ALSO COMMUNICATED THROUGH BROCHURES THAT ARE AVAILABLE IN THE REGISTRATION DEPARTMENTS THAT EXPLAIN THE PROGRAMS. THE BROCHURES INCLUDE CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR ASSISTING PATIENTS WITH FINANCIAL ASSISTANCE DETERMINATIONS. THE BACK OF THE PATIENT STATEMENT INCLUDES A SECTION REGARDING THE FINANCIAL ASSISTANCE PROGRAM, AND CONTACT INFORMATION FOR THE OFFICE RESPONSIBLE FOR ADMINISTERING THE FINANCIAL ASSISTANCE PROGRAM IS LISTED THERE AS WELL. WESTFIELD MEMORIAL HOSPITAL: WMH PROVIDES A SUMMARY DESCRIPTION OF THE CHARITY CARE POLICY IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOURTEEN HOSPITALS (AHN ALLEGHENY GENERAL, AHN ALLEGHENY VALLEY, AHN CANONSBURG, AHN FORBES, AHN GROVE CITY MEDICAL CENTER, AHN JEFFERSON, AHN SAINT VINCENT, AHN WESTFIELD MEMORIAL, AHN WEST PENN, AHN WEXFORD, AHN HEMPFIELD, AHN HARMAR, AHN MCCANDLESS, AND AHN BRENTWOOD), FIVE HEALTH AND WELLNESS PAVILIONS, AND MORE THAN 300 CLINICAL SITES THAT COMPRISE ALLEGHENY HEALTH NETWORK SERVE ALL OF WESTERN PENNSYLVANIA, AND PARTS OF WEST VIRGINIA, OHIO, AND NEW YORK. ITS PRIMARY SERVICE AREAS INCLUDE THE PITTSBURGH METROPOLITAN STATISTICAL AREA (ALLEGHENY, ARMSTRONG, BEAVER, BUTLER, FAYETTE, WASHINGTON, AND WESTMORELAND COUNTIES), THE ERIE MSA (ERIE COUNTY), AND MERCER COUNTY, PA (PART OF THE YOUNGSTOWN-WARREN-BOARDMAN, OH-PAMAS). TOGETHER, THESE AREAS HAVE A POPULATION OF MORE THAN 2.7 MILLION. THE PITTSBURGH, ERIE AND YOUNGSTOWN MSAS SKEW OLDER THAN THE NATIONAL AVERAGE, MEANING HOSPITALS IN THOSE MSAS SEE HIGHER-THAN-AVERAGE PROPORTION OF MEDICARE PATIENTS. THE PITTSBURGH MSA'S 65-AND-OVER POPULATION IS MORE THAN 16 PERCENT; ERIE COUNTY'S PROPORTION OF SENIOR CITIZENS IS MORE THAN 20 PERCENT. MERCER COUNTY'S PROPORTION OF SENIOR CITIZENS IS MORE THAN 23 PERCENT. NATIONALLY, ABOUT 17 PERCENT OF AMERICANS ARE AGED 65 OR OLDER. HOUSEHOLDS WITHIN THE PITTSBURGH, ERIE, AND YOUNGSTOWN MSAS HAVE A LOWER-THAN-AVERAGE MEDIAN INCOME. IN THE PITTSBURGH MSA, THE MEDIAN HOUSEHOLD INCOME WAS ABOUT $66,219 IN 2023, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN THE ERIE REGION, MEDIAN HOUSEHOLD INCOME WAS ABOUT $60,663 IN 2023, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN MERCER COUNTY, THE MEDIAN HOUSEHOLD INCOME WAS $61,669 IN 2023, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE. IN 2023, THE U.S. MEDIAN HOUSEHOLD INCOME WAS $77,719, ACCORDING TO U.S. CENSUS ESTIMATES. NEW YORK'S CHAUTAUQUA COUNTY, HOME TO AHN'S WESTFIELD MEMORIAL HOSPITAL, HAS A POPULATION OF ABOUT 127,600, AND A MEDIAN HOUSEHOLD INCOME OF ABOUT $55,234 IN 2023, THE LATEST YEAR FOR WHICH DATA IS AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITALS OF AHN PROMOTE THE HEALTH AND WELL-BEING OF THEIR RESPECTIVE COMMUNITIES IN A VARIETY OF WAYS. FIRST AND FOREMOST, THEY DO SO THROUGH THE PROVISION OF EMERGENCY CARE AND TRAUMA CARE, OPERATING EMERGENCY DEPARTMENTS 24 HOURS A DAY, 7 DAYS A WEEK, WITH HIGHLY SKILLED AND TRAINED EMERGENCY MEDICINE PHYSICIANS AND NURSES. THE EMERGENCY DEPARTMENTS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, AND PROVIDE SPECIALIZED, LIFE-SAVING CARE TO ALL WHO SEEK IT. ADDITIONALLY, THE HOSPITALS AND CLINICS OF AHN SUPPORT A BROAD ARRAY OF CHARITABLE SERVICES AND PROGRAMS TO THE COMMUNITY BY PROVIDING SUBSIDIZED HEALTH CARE; SPONSORING COMMUNITY EVENTS (HEALTH FAIRS, CANCER SCREENINGS, WALKS, EDUCATIONAL SEMINARS, BENEFITS SEMINARS, SUPPORT GROUPS); AND MAKING CHARITABLE DONATIONS. THE SERVICES BENEFIT CHILDREN AND TEENS, ADULTS AND SENIORS, PATIENTS AND THEIR FAMILIES, AND THE COMMUNITY AT LARGE. SOME OF THOSE SERVICES AND INITIATIVES INCLUDE: THE AHN POSITIVE HEALTH CLINIC; THE BRADDOCK URGENT CARE CENTER; FREE CANCER SCREENINGS; A MEDICAL RESPITE PROGRAM; THE OPEN-HEART SURGERY OBSERVATION PROGRAM; THE PERINATAL HOPE PROGRAM; AND MORE. (FOR ADDITIONAL DETAIL, SEE SCHEDULE O.) OTHER INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE MANY COMMUNITIES SERVED BY AHN INCLUDE: -AIDS-FREE PITTSBURGH: IN 2024, AHN CONTINUES TO BE INVOLVED WITH AIDS FREE PITTSBURGH (AFP). AFP RECEIVES FUNDING COMMITMENTS FROM AHN TO SUPPORT ITS WORK TOWARDS ENDING THE HIV/AIDS EPIDEMIC IN ALLEGHENY COUNTY DURING 2021-2025. TO REACH MORE PATIENTS IN SOUTHWESTERN PENNSYLVANIA WHO ARE POSITIVE FOR HUMAN IMMUNODEFICIENCY VIRUS (HIV), AHN'S POSITIVE HEALTH CLINIC LAUNCHED A REGIONAL MOBILE CARE PROGRAM. STAFFED BY A REGISTERED NURSE OR OTHER MEDICAL PROVIDER AND A MEDICAL ASSISTANT, THE NEW AHN MOBILE UNIT TRAVELS THROUGHOUT ALLEGHENY COUNTY AND SURROUNDING COUNTIES, PARTICULARLY IN RURAL AREAS, TO PROVIDE CARE TO INDIVIDUALS WITH HIV. THE UNIT IS EQUIPPED WITH THE MEDICAL SUPPLIES AND EQUIPMENT NECESSARY FOR THE CAREGIVERS TO CONDUCT PHYSICAL EXAMS, COLLECT BLOOD SAMPLES FOR LABORATORY TESTING, AND ADMINISTER MEDICATIONS AND VACCINES AS NEEDED. DURING THE VISIT, PATIENTS HAVE THE OPPORTUNITY TO CONNECT VIRTUALLY WITH A PRIMARY CARE PROVIDER AT THE POSITIVE HEALTH CLINIC (PHC) BASED AT AHN'S FEDERAL NORTH MEDICAL BUILDING NEAR ALLEGHENY GENERAL HOSPITAL. PATIENTS CAN ALSO BE REFERRED TO OTHER HEALTH CARE SPECIALISTS, AS WELL AS COMMUNITY-BASED SUPPORTIVE SERVICES TO HELP ADDRESS ANY OTHER SOCIAL BARRIERS TO GOOD HEALTH THAT THEY MIGHT FACE. -FIND HELP: IN 2020, ALLEGHENY HEALTH NETWORK AND HIGHMARK LAUNCHED A FREE RESOURCE TOOL FOR INDIVIDUALS FACING FOOD, HOUSING OR OTHER CRISES (AHN.FINDHELP.COM AND HIGHMARK.FINDHELP.COM). THE FIND HELP DIRECTORY CONTAINS GEOGRAPHIC-SPECIFIC INFORMATION ON SOCIAL SERVICE AGENCIES AND COMMUNITY BENEFIT ORGANIZATIONS (CBOS) ACROSS THE UNITED STATES. ONLINE USERS WILL ONLY NEED TO ENTER THEIR ZIP CODE, FOLLOWED BY APPLICATION OF FILTERS TO ENCOMPASS THEIR SPECIFIC NEEDS, TO ACCESS LOCAL OPTIONS. THE SERVICE IS FREE AND HAS NO INCOME CONSTRAINTS FOR USERS. AUNT BERTHA'S MISSION IS TO CONNECT ALL PEOPLE IN NEED AND THE PROGRAMS THAT SERVE THEM WITH DIGNITY AND EASE. THE ONLINE TOOL ALLOWS USERS TO FIND NEARBY CBOS, MAKING IT EASIER FOR INDIVIDUALS TO ACCESS SOCIAL SERVICE OPTIONS IN THEIR NEIGHBORHOODS. IN 2022, HIGHMARK HEALTH AND AHN ALSO ANNOUNCED THE LAUNCH OF A MULTI-YEAR INITIATIVE TO CREATE A HIGH-PERFORMING SOCIAL CARE NETWORK THAT WILL COMPENSATE NON-PROFITS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH, SUCH AS FOOD INSECURITY, TRANSPORTATION BARRIERS, AND HOUSING, FOR PATIENTS REFERRED BY THE HEALTHCARE SYSTEM. IN THE FIRST YEAR OF THE PILOT, 20 NON-PROFITS THAT SERVE ALLEGHENY AND WESTMORELAND COUNTIES PARTICIPATED IN THE PROGRAM AND HAVE THE POTENTIAL TO EARN VALUE-BASED REIMBURSEMENT. IN 2024, AHN CONTINUED TO PARTNER WITH THE FIND HELP PROGRAM TO ASSIST THOSE IN NEED. -BEHAVIORAL HEALTH SUITE: IN 2023, AHN FORBES HOSPITAL OPENED A NEW FACILITY IN ITS EMERGENCY DEPARTMENT (ED) UNIQUELY DESIGNED AND EQUIPPED TO BETTER CARE FOR A GROWING NUMBER OF PATIENTS COMING TO THE HOSPITAL WITH BEHAVIORAL HEALTH NEEDS. FORBES' NEW 2,000-SQUARE-FOOT BEHAVIORAL HEALTH SUITE WAS CREATED TO PROVIDE A SAFE, QUIET, AND CALMING ENVIRONMENT FOR PATIENTS EXPERIENCING AN ACUTE BEHAVIORAL HEALTH EPISODE TO BE EVALUATED AND CARED FOR. THE SUITE PROVIDES MORE PRIVACY, SECURITY, AND PROTECTION FROM THE EMERGENCY DEPARTMENT'S BUSTLING, HIGHER-TRAFFIC AREAS. NATIONALLY, MENTAL AND BEHAVIORAL HEALTH-RELATED ED VISITS ACCOUNT FOR ABOUT 12 PERCENT OF ALL ADULT ED TRIPS. AND FROM 2011 TO 2020, THE PROPORTION OF EMERGENCY ROOM VISITS FOR MENTAL HEALTH REASONS DOUBLED FOR CHILD AND ADOLESCENT PATIENTS. BEHAVIORAL HEALTH PATIENTS ALSO TEND TO HAVE LONGER STAYS IN EDS THAN NON-PSYCHIATRIC PATIENTS, HEIGHTENING THE NEED FOR DEDICATED BEHAVIORAL HEALTH OBSERVATION AND TREATMENT SPACES. IN 2024, AHN MAINTAINED ITS COMMITMENT TO ADDRESSING BEHAVIORAL HEALTH BY DEDICATING RESOURCES TO SUPPORT THOSE IN NEED. -BUTTERFLY SUITE: IN 2022, AHN OPENED ITS FIRST "BUTTERFLY SUITE," A DESIGNATED LABOR &amp; DELIVERY ROOM WITH ADJACENT, PRIVATE WAITING AREA FOR FAMILIES COPING WITH BABIES BORN STILL OR BABIES WHOSE LIVES WILL BE BRIEF. THE BUTTERFLY SUITE IS A FIRST-OF-ITS KIND FOR PATIENTS IN WESTERN PENNSYLVANIA AS IT'S A FULLY EQUIPPED CLINICAL SPACE STAFFED BY AHN CAREGIVERS TRAINED IN PERINATAL LOSS AND BEREAVEMENT. THE OPENING OF THE SUITE WAS MADE POSSIBLE THROUGH THE WEST PENN HOSPITAL FOUNDATION AND TWO PARENTS WHOSE SON, CALEB, WHO WAS BORN STILL ON MEMORIAL DAY WEEKEND IN 2020. THE OPENING OF THE BUTTERFLY SUITE AT AHN WEST PENN IS AN EXPANSION OF OLIVIA'S ANGELS, ONE OF THE REGION'S MOST COMPREHENSIVE PERINATAL PALLIATIVE AND MISCARRIAGE SUPPORT PROGRAMS. THROUGH THE PROGRAM, A TEAM OF AHN PHYSICIANS AND CAREGIVERS SUPPORT AND CARE FOR PATIENTS WHO HAVE EXPERIENCED A SUDDEN PERINATAL LOSS OR RECEIVE A DIAGNOSIS THAT THEIR CHILD'S LIFE WILL BE LIMITED. IN CERTAIN INSTANCES, OLIVIA'S ANGELS CAN SCHEDULE ELECTIVE C-SECTIONS SO MOM CAN SPEND MORE TIME WITH BABY WHILE STILL ALIVE OR ALTERNATIVELY, ASSIST WOMEN IN THEIR DELIVERY OF BABIES BORN STILL. IN 2024, AHN CONTINUED TO OPERATE THE BUTTERFLY SUITE TO ASSIST FAMILIES IN NEED. -CAI AND KATE: IN 2023, AHN PREMIERED A NEW YOUTUBE SHOW FOCUSING ON THE EMOTIONAL WELL-BEING OF CHILDREN AGES 3 TO 6 YEARS OLD. CAI &amp; KATE FEATURES CAI, A CHAMELEON PUPPET WHOSE COLOR CHANGES DEPENDING ON HIS EMOTIONS AND FEELINGS, AND KATE, CAI'S HUMAN FRIEND WHO PROVIDES COMMENTARY ON THE VARIOUS EMOTIONS PORTRAYED IN THE SHOW. KATE IS PLAYED BY KATLYN KOHNE, A SUPERVISOR FOR AHN'S CHILL PROJECT TEAM. CAI &amp; KATE AIMS TO BUILD KNOWLEDGE RELATED TO EMOTIONAL WELLNESS FOR CHILDREN AND THEIR FAMILIES. PUPPETRY, MUSIC, AND EDUCATION ARE BLENDED TO FOSTER A SENSE OF WONDER AS KIDS EXPAND THEIR ABILITY TO IDENTIFY AND TALK ABOUT EMOTIONS. THE PREMIERE EPISODE IS THE FIRST IN A SERIES BEING PRODUCED BY CHILL PROJECT PRODUCTIONS, AN INITIATIVE OF THE AHN CHILL PROJECT. OFFERED THROUGH AHN'S PSYCHIATRY &amp; BEHAVIORAL HEALTH INSTITUTE AND LED BY A TEAM OF BEHAVIORAL HEALTH SPECIALISTS, THE CHILL PROJECT TEACHES EVIDENCE-BASED COPING TECHNIQUES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH A STANDARDIZED APPROACH TO MANAGING STRESS, ANXIETY AND OTHER MENTAL HEALTH CONCERNS. AS THE CHILL PROJECT EXPANDED TO INCLUDE GRADES K-12 AS WELL AS COLLEGE STUDENTS SINCE ITS 2019 LAUNCH, THE PROJECT'S STAKEHOLDERS ALSO IDENTIFIED A NEED FOR HIGHLY CUSTOMIZED AND TARGETED CURRICULUM THAT IS EMOTIONALLY AND DEVELOPMENTALLY APPROPRIATE FOR PRESCHOOLERS. IN 2024, CAI AND KATE RELEASED ITS SECOND SEASON AND CONTINUED TO FILM EPISODES THROUGHOUT THE PITTSBURGH REGION. THE A. J. AND SIGISMUNDA PALUMBO CHARITABLE TRUST - WHICH WAS THE PRIMARY FUNDER BEHIND THE LAUNCH OF CAI AND KATE A YEAR AGO - HAS COMMITTED ADDITIONAL FUNDING TO SUPPORT CAI AND KATE IN ITS SECOND SEASON, HELPING TO EXPAND THE REACH OF THE SHOW AND THE IMPACT OF ITS EARLY CHILDHOOD SOCIAL-EMOTIONAL LEARNING LESSONS, TO AUDIENCES IN PITTSBURGH AND BEYOND.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
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        <PersonNm>Daniel Rubin MD</PersonNm>
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        <PersonNm>Mark Rubino MD</PersonNm>
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        <PersonNm>Angela Costa</PersonNm>
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        <PersonNm>Joseph Guyaux</PersonNm>
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        <PersonNm>Steven Hoffman NACDDC</PersonNm>
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        <PersonNm>Brian Parker MD</PersonNm>
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        <PersonNm>Doris Carson Williams</PersonNm>
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        <PersonNm>David Bartlett MD</PersonNm>
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        <PersonNm>Donald Jaffee</PersonNm>
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        <PersonNm>Allan Klapper MD</PersonNm>
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        <PersonNm>John Orner</PersonNm>
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        <PersonNm>Imran Qadeer MD</PersonNm>
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        <PersonNm>Krista Bragg</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Bennett</PersonNm>
        <TitleTxt>EVP CHIEF STRATEGY &amp; TRANSFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>653767</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1045283</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>52506</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>74489</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36937</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1862982</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Clarke</PersonNm>
        <TitleTxt>SVP CHIEF ANALYTICS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>556136</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1254955</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>38624</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>49690</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34250</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1933655</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>George Eid MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1085156</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>848462</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2622</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>39591</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1979281</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edward Westrick MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1806972</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>284710</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1140</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>45764</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2142036</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alexander Yu MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>894575</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>753105</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1532</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>40728</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1693390</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kenyokee Crowell</PersonNm>
        <TitleTxt>Former - SVP Patient Access</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1024662</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>90769</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1115431</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cynthia Hundorfean</PersonNm>
        <TitleTxt>FORMER Chief Living Health Dev. Officer, PRES. &amp; ceo</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2523609</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>177825</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2701434</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Kanuch</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>13669</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>172210</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>377732</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13669</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1797</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>579077</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Allie Quick</PersonNm>
        <TitleTxt>Former Chief Philanthropy Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>435623</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>435623</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Rohrbaugh</PersonNm>
        <TitleTxt>FORMER TREASURER &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>21202</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>520501</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>599526</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>322139</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1208</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1464576</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Denzil Rupert</PersonNm>
        <TitleTxt>FORMER CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>679709</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>679709</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Saurabh Tripathi</PersonNm>
        <TitleTxt>FORMER EVP CFO AND TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>904026</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>208621</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1112647</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Tupponce MD</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>55321</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>75919</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>404320</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>264615</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5720</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>805895</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Claire Zangerle</PersonNm>
        <TitleTxt>FORMER CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>619525</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>619525</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a First-class or charter travel</FormAndLineReferenceDesc>
        <ExplanationTxt>A SELECT NUMBER OF INDIVIDUALS LISTED IN FORM 990 UTILIZED CHARTER TRAVEL AND TRAVEL FOR COMPANIONS DURING THE YEAR ENDED DECEMBER 31, 2024. THESE VALUES WERE INCLUDED IN BOX 5 OF THE IRS FORM W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>A SELECT NUMBER OF INDIVIDUAL LISTED IN FORM 990 UTILIZED CHARTER TRAVEL AND TRAVEL FOR COMPANIONS DURING THE YEAR ENDED DECEMBER 31, 2024. THESE VALUES WERE INCLUDED IN BOX 5 OF THE IRS FORM W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>A SELECT NUMBER OF INDIVIDUALS LISTED IN FORM 990, PART VII RECEIVED TAX GROSS-UP PAYMENTS FROM THE ORGANIZATION. THESE WERE INCLUDED IN BOX 5 OF THEIR IRS FORM W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDED SOCIAL CLUB DUES FOR A SELECT NUMBER OF INDIVIDUALS LISTED IN FORM 990, PART VII DURING THE YEAR ENDED DECEMBER 31, 2024. THESE VALUES WERE BUSINESS RELATED AND NOT INCLUDED IN TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS OF DECEMBER 31, 2024. THESE AMOUNTS ARE INCLUDED IN BOX 5 OF THEIR IRS FORM W-2. CYNTHIA HUNDORFEAN $2,523,609 KENYOKEE CROWELL $1,024,662 SAURABH TRIPATHI $904,026 CINDY DONOHOE $800,00 DENZIL RUPERT $679,709 CLAIRE ZANGERLE $619,525 JAMES ROHRBAUGH $599,422 ALLIE QUICK $435,623 DAVID TUPPONCE, M.D. $380,385 JAMES KANUCH $377,732 KRISTA BRAGG $179,530 DONALD JAFFEE $166,128</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE SUPPLEMENTAL RETIREMENT PLAN IS OFFERED TO ELIGIBLE EMPLOYEES WHOSE RETIREMENT BENEFITS IN QUALIFIED PLANS ARE LIMITED DUE TO IRS REGULATIONS. AMOUNTS IN THE PLAN ARE VESTED WHEN THE PARTICIPANT REACHES AGE 55 AND HAS 3 YEARS OF SERVICE. ONCE VESTED, THE 457(F) BALANCE IS PAID TO THE PARTICIPANT, BOTH INITIALLY AND THEN EVERY DECEMBER THEREAFTER (WHEN A NEW 457(F) CONTRIBUTION IS MADE). PARTICIPANTS WHO VOLUNTARILY LEAVE THE ORGANIZATION BEFORE AGE 55 OR 3 YEARS OF SERVICE FORFEIT THEIR ENTIRE 457(F) BENEFIT UPON TERMINATION. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) CONTRIBUTIONS THAT WERE INCLUDED IN 2024 W-2 COMPENSATION: DAVID HOLMBERG $599,579 JAMES BENEDICT $126,666 TONY FARAH, M.D. $123,960 CAROLYN DURONIO $110,476 DONALD WHITING, M.D. $97,522 LARRY KLEINMAN $88,170 DANIEL ONORATO $83,781 MELISSA ANDERSON $62,718 JACQUELINE BAUER $24,547 BRIAN PARKER, M.D. $22,647 MARK RUBINO, M.D. $11,277 ALLAN KLAPPER, M.D. $10,793 CHONG PARK, M.D. $10,143 CHRISTOPHER CLARK, D.O. $7,604 JOHN ORNER $1,667 THE FOLLOWING INDIVIDUALS HAD 457(F) CONTRIBUTIONS DEFERRED IN 2024: KAREN HANLON $287,448 BRUCE MEYER, M.D. $222,409 MICHAEL BENNETT $62,414 RICHARD CLARKE $37,615 CARLETON DALEY $36,215 IMRAN QADEER, M.D. $11,549 BRIAN DEVINE $5,513 CINDY DONOHOE $2,601 CRAIG RINER $1,580 BRIAN JOHNSON, M.D. $1,063 ASHIS BARAD, M.D. $398</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH GROUP PROVIDES BONUS COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. IN THE VAST MAJORITY OF ARRANGEMENTS, THE COMPONENT IS BASED UPON ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES AND RESULTS IN FIXED PAYMENTS. CERTAIN ENTITIES WITHIN THE HIGHMARK HEALTH GROUP, HOWEVER, HAVE ENTERED INTO ARRANGEMENT WHICH PROVIDE FOR OTHER BONUSES WHICH ARE DISCRETIONARY IN NATURE, TO A LIMITED NUMBER OF THOSE PERSONS LISTED IN THIS FORM 990, PART VII, SECTION A, LINE 1A. NOTWITHSTANDING SUCH DISCRETION AND ASSUMING FULL PAYOUT OF SUCH DISCRETIONARY PAYMENTS, THE TOTAL COMPENSATION PAID TO THOSE PERSONS FALLS WITHIN THE RANGE OF FAIR MARKET VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exception</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH GROUP HAS CERTAIN EMPLOYMENT CONTRACTS WHICH MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION UNDER IRC REGULATION 53.4958-4(A)(3). IF SO QUALIFIED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN IRC REGULATION 53.4958-6(C) WERE FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="24020961" softwareVersionNum="2024v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>251327925</BondIssuerEIN>
        <CUSIPNum>01728A4A1</CUSIPNum>
        <BondIssuedDt>2018-08-29</BondIssuedDt>
        <IssuePriceAmt>1000004532</IssuePriceAmt>
        <PurposeDesc>NEW CONSTRUCTION/REFUND PRIOR ISSUE</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>60070000</RetiredAmt>
        <TotalProceedsAmt>1002911871</TotalProceedsAmt>
        <CapitalizedInterestAmt>4532</CapitalizedInterestAmt>
        <CapitalExpendituresAmt>1002907339</CapitalExpendituresAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.0183</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0183</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 TOTAL PROCEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL AMOUNT OF PROCEEDS OF THE BOND ISSUE AS OF THE END OF YEAR 2024 INCLUDES PRIOR YEARS INVESTMENT EARNINGS OF $2,907,339.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 08/29/2023</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="24020961" softwareVersionNum="2024v5.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CAITLIN CLARK DO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER/BOARD MEMBER, CHRISTOPHER CLARK, DO</RelationshipDescriptionTxt>
        <TransactionAmt>332028</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KATIE FARAH MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF A BOARD MEMBER, TONY FARAH, MD</RelationshipDescriptionTxt>
        <TransactionAmt>513754</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>STEPHEN JAFFEE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER, DONALD JAFFEE</RelationshipDescriptionTxt>
        <TransactionAmt>67337</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARGOT PENN (JAFFEE)</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER, DONALD JAFFEE</RelationshipDescriptionTxt>
        <TransactionAmt>110283</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ALEXANDER WHITING MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER/BOARD MEMBER, DONALD WHITING, MD</RelationshipDescriptionTxt>
        <TransactionAmt>929600</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JAYA MEHTA</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER/BOARD MEMBER, DONALD WHITING, MD</RelationshipDescriptionTxt>
        <TransactionAmt>130075</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BENJAMIN WHITING</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER/BOARD MEMBER, DONALD WHITING, MD</RelationshipDescriptionTxt>
        <TransactionAmt>223678</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JESSICA RUBINO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER, MARK RUBINO, MD</RelationshipDescriptionTxt>
        <TransactionAmt>90321</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JARED MACERELLI</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER/BOARD MEMBER, JOSEPH MACERELLI, ESQ.</RelationshipDescriptionTxt>
        <TransactionAmt>38957</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>STEPHANIE CHALIKONDA</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF A BOARD MEMBER, SRICHARAN CHALIKONDA</RelationshipDescriptionTxt>
        <TransactionAmt>36820</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>TREVOR HIPKISS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF AN OFFICER, THOMAS HIPKISS</RelationshipDescriptionTxt>
        <TransactionAmt>35829</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>66933</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <SecuritiesPubliclyTradedGrp>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>2130589</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Certificates/Admissions</Desc>
        <ContributionCnt>89</ContributionCnt>
        <NoncashContributionsRptF990Amt>3492145</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Food Donations</Desc>
        <ContributionCnt>21</ContributionCnt>
        <NoncashContributionsRptF990Amt>132434</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Baskets</Desc>
        <ContributionCnt>26</ContributionCnt>
        <NoncashContributionsRptF990Amt>21855</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Equipment</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>19570</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Toys, books, games</Desc>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>2343</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Event supplies</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>1740</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Car Decals</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>499</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Flowers and Plants</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>175</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - Number of contributions Other - Gift Certificates/Admissions Number of contributions Other - Food Donations Number of contributions Other - Gift Baskets Number of contributions Other - Equipment Number of contributions Other - Toys, books, games Number of contributions Other - Event supplies Number of contributions Other - Car Decals Number of contributions Other - Flowers and Plants Number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
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      <LiquidationOfAssetsTableGrp>
        <LiquidationOfAssetsDetail>
          <AssetsDistriOrExpnssPaidDesc>ALL ASSETS OF PITTSBURGH PULMONARY AND CRITICAL CARE ASSOCIATES</AssetsDistriOrExpnssPaidDesc>
          <DistributionDt>2024-05-01</DistributionDt>
          <FairMarketValueOfAssetAmt>19082</FairMarketValueOfAssetAmt>
          <MethodOfFMVDeterminationTxt>BOOK VALUE</MethodOfFMVDeterminationTxt>
          <EIN>251260215</EIN>
          <PersonNm>JEFFERSON REGIONAL MEDICAL CENTER</PersonNm>
          <USAddress>
            <AddressLine1Txt>TAX DEPT 120 FIFTH AVENUE TAX</AddressLine1Txt>
            <CityNm>PIITSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15222</ZIPCd>
          </USAddress>
          <IRCSectionTxt>501(C)(3)</IRCSectionTxt>
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      </LiquidationOfAssetsTableGrp>
      <DirectorOfSuccessorInd>false</DirectorOfSuccessorInd>
      <EmployeeOfSuccessorInd>false</EmployeeOfSuccessorInd>
      <OwnerOfSuccessorInd>false</OwnerOfSuccessorInd>
      <ReceiveCompensationInd>false</ReceiveCompensationInd>
      <AssetsDistributedInd>true</AssetsDistributedInd>
      <RequiredToNotifyAGInd>true</RequiredToNotifyAGInd>
      <AttorneyGeneralNotifiedInd>true</AttorneyGeneralNotifiedInd>
      <LiabilitiesPaidInd>true</LiabilitiesPaidInd>
      <BondsOutstandingInd>false</BondsOutstandingInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule N, Part I, Line 1 MERGER</FormAndLineReferenceDesc>
        <ExplanationTxt>ON 5/1/2024, PITTSBURGH PULMONARY AND CRITICAL CARE ASSOCIATES MERGED INTO JEFFERSON REGIONAL MEDICAL CENTER (JRMC) ITS PARENT ORGANIZATION WITH JRMC SURVIVING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleN>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>INTRODUCTION TO AHN ALLEGHENY HEALTH NETWORK (AHN), BASED IN PITTSBURGH, PENNSYLVANIA, IS A TAX-EXEMPT, PATIENT-CENTERED AND PHYSICIAN-LED ACADEMIC HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE CARE AND HIGH-QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO PATIENTS FROM WESTERN PENNSYLVANIA AND THE ADJACENT REGIONS OF OHIO, WEST VIRGINIA, NEW YORK AND MARYLAND. AHN COMPRISES 14 HOSPITALS AND MORE THAN 200 PRIMARY- AND SPECIALTY- CARE PRACTICES IN MORE THAN 300 HEALTHCARE SITES, INCLUDING SIX HEALTH + WELLNESS PAVILIONS; SURGICAL CENTERS AND OUTPATIENT CLINICS; A RESEARCH INSTITUTE; ABOUT 2,500 EMPLOYED AND AFFILIATED PHYSICIANS; APPROXIMATELY 23,000 TOTAL EMPLOYEES; HUNDREDS OF 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 (AHN ALLEGHENY GENERAL HOSPITAL IN PITTSBURGH), NINE TERTIARY/COMMUNITY HOSPITALS THAT PROVIDE A WIDE ARRAY OF GENERAL AND ADVANCED CLINICAL SERVICES (AHN ALLEGHENY VALLEY HOSPITAL, NATRONA HEIGHTS, PA; AHN CANONSBURG HOSPITAL, CANONSBURG, PA; AHN FORBES HOSPITAL, MONROEVILLE, PA; AHN GROVE CITY HOSPITAL, GROVE CITY, PA; AHN JEFFERSON HOSPITAL, JEFFERSON HILLS, PA; AHN SAINT VINCENT HOSPITAL, ERIE, PA; AHN WEST PENN HOSPITAL, PITTSBURGH, PA; AHN WESTFIELD MEMORIAL HOSPITAL, WESTFIELD, NY; AND AHN WEXFORD HOSPITAL, WEXFORD, PA), AND FOUR NEIGHBORHOOD HOSPITALS (AHN HEMPFIELD, GREENSBURG, PA; AHN MCCANDLESS, PITTSBURGH, PA; AHN HARMAR, PITTSBURGH, PA; AND AHN BRENTWOOD, PITTSBURGH, PA). AHN WAS ESTABLISHED IN 2013, BUT ITS MEMBER HOSPITALS SHARE LEGACIES OF CHARITABLE CARE THAT DATE BACK MORE THAN 175 YEARS (WEST PENN HOSPITAL WAS CHARTERED IN 1848). AHN IS AN INTEGRATED DELIVERY SYSTEM SERVING AS THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM IN WESTERN PENNSYLVANIA. AHN IS THE SOLE MEMBER OF WEST PENN ALLEGHENY HEALTH SYSTEM, CANONSBURG GENERAL HOSPITAL, ALLE-KISKI MEDICAL CENTER, JEFFERSON REGIONAL MEDICAL CENTER, SAINT VINCENT HEALTH CENTER, AND GROVE CITY MEDICAL CENTER. HIGHMARK HEALTH SERVES AS THE ULTIMATE PARENT OF THE AHN AFFILIATES THROUGH ITS POSITION AS THE SOLE MEMBER OF AHN. IN 2024, THE HOSPITALS AND CLINICS OF AHN TOGETHER REPORTED 130,000 PATIENT DISCHARGES AND OBSERVATIONS, LOGGED MORE THAN 380,000 EMERGENCY ROOM VISITS, AND DELIVERED 8,400 BABIES; ITS PHYSICIANS SAW 3.9 MILLION PATIENTS. ANCHORED BY NATIONALLY AND INTERNATIONALLY RECOGNIZED CLINICAL AND RESEARCH PROGRAMS IN THE AREAS OF BONE AND JOINT CARE, SPORTS MEDICINE, CARDIOVASCULAR DISEASE, NEUROSURGERY AND NEUROLOGY, WOMEN'S HEALTH, CANCER, EMERGENCY MEDICINE, BARIATRIC AND METABOLIC DISEASE, AHN PROVIDES A COMPLETE SPECTRUM OF ADVANCED DIAGNOSTIC, MEDICAL AND SURGICAL CARE ACROSS ALL MEDICAL SPECIALTIES, INCLUDING PRIMARY CARE, TRAUMA AND BURN CARE, GENERAL SURGERY, DIABETES, AUTOIMMUNE DISEASES, CRITICAL CARE, DIGESTIVE DISEASES, MEN'S HEALTH/UROLOGY, LUNG AND ESOPHAGEAL DISEASES AND REHABILITATION SERVICES. AHN ALSO PLAYS A PIVOTAL ROLE IN THE TRAINING OF FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS BY OFFERING FOUR DOZEN GRADUATE MEDICAL PROGRAMS, AND BY MAINTAINING AFFILIATIONS WITH TWO MEDICAL SCHOOLS AND TWO NURSING SCHOOLS. THE NETWORK'S HOSPITALS SERVE AS CLINICAL CAMPUSES FOR THE MEDICAL SCHOOLS OF DREXEL UNIVERSITY AND THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM). ABOUT 250 STUDENTS ARE ENROLLED EACH YEAR IN NURSING PROGRAMS AT THE WEST PENN HOSPITAL SCHOOL OF NURSING (PITTSBURGH) AND THE CITIZENS SCHOOL OF NURSING (TARENTUM), AND ABOUT 550 MEDICAL RESIDENTS AND FELLOWS RECEIVE ADVANCED TRAINING ON STAFF AT AHN HOSPITALS. AHN'S PLAN IS TO TRANSFORM THE CURRENT MODEL OF HEALTHCARE DELIVERY IN WESTERN PENNSYLVANIA BY ENCOURAGING HEALTHCARE PROVIDERS TO USE THE MOST APPROPRIATE, COST-EFFECTIVE VENUE FOR CARE; ADHERE TO THE HIGHEST, EVIDENCE-BASED STANDARDS OF CARE; AND DELIVER SUPERIOR OUTCOMES BY REDUCING UNNECESSARY READMISSIONS AND HEALTHCARE-ASSOCIATED COMPLICATIONS. PROVIDING COST-EFFICIENT, CONVENIENTLY ACCESSED CARE DELIVERS VALUE AND BENEFIT TO LOCAL COMMUNITIES, PARTNER HEALTH CARRIERS, AREA BUSINESSES, AND MOST OF ALL TO AHN'S PATIENTS. OUR "LIVING HEALTH" MODEL OF CARE IS A BLENDED APPROACH THAT CONNECTS PAYERS, PROVIDERS, TECH INNOVATORS, AND COMMUNITY ORGANIZATIONS TO BUILD A HEALTH ECOSYSTEM THAT WORKS BETTER FOR EVERYONE. IN PARTNERSHIP WITH PARENT COMPANY HIGHMARK HEALTH, THE LIVING HEALTH MODEL IS DESIGNED TO CREATE BETTER HEALTHCARE SOLUTIONS, PROGRAMS AND PRODUCTS THAT PROVIDE 360 SUPPORT FOR PHYSICAL, MENTAL, AND SOCIAL HEALTH. TOGETHER WE ARE FOCUSED ON REDESIGNING CARE DELIVERY THROUGH PURPOSEFUL, MEANINGFUL PAYER-PROVIDER PARTNERSHIPS, JOINT VENTURES AND VALUE-BASED COLLABORATIONS IN EACH OF OUR MARKETS. THE GOAL OF AHN IS TO PROMOTE HEALTH AND WELLNESS IN ITS COMMUNITIES BY PROVIDING HIGH-QUALITY, SAFE, COMPASSIONATE, AFFORDABLE HEALTHCARE TO ALL WHO SEEK IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSION AND VISION AHN'S MISSION, WHICH IS SHARED BY ITS PARENT COMPANY HIGHMARK HEALTH, IS TO CREATE A REMARKABLE HEALTH EXPERIENCE, FREEING PEOPLE TO BE THEIR BEST. OUR VISION IS A WORLD WHERE EVERYONE EMBRACES HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFITS AHN AND ITS TAX-EXEMPT SUBSIDIARY FACILITIES SUPPORT A BROAD ARRAY OF CHARITABLE SERVICES TO THE COMMUNITY BY PROVIDING SUBSIDIZED HEALTHCARE; SPONSORING COMMUNITY EVENTS (HEALTH FAIRS, CANCER SCREENINGS, WALKS, EDUCATIONAL SEMINARS, SUPPORT GROUPS); AND MAKING CHARITABLE DONATIONS. THE SERVICES BENEFIT CHILDREN AND TEENS, ADULTS AND SENIORS, PATIENTS AND THEIR FAMILIES AND THE COMMUNITY AT LARGE. THE FOLLOWING IS NOT A TOTAL ACCOUNT OF ALL OF AHN'S CHARITABLE ACTIVITIES, BUT A SAMPLING OF AHN'S MANY CONTRIBUTIONS TO THE COMMUNITY AND ITS COMMITMENT TO PROVIDE A WIDE RANGE OF QUALITY HEALTH SERVICES TO DIVERSE COMMUNITIES AND TO ALL WHO SEEK AHN'S CARE: AIDS-FREE PITTSBURGH: IN 2024, AHN CONTINUES TO BE INVOLVED WITH AIDS FREE PITTSBURGH (AFP). AFP RECEIVES FUNDING COMMITMENTS FROM AHN TO SUPPORT ITS WORK TOWARDS ENDING THE HIV/AIDS EPIDEMIC IN ALLEGHENY COUNTY DURING 2021-2025. TO REACH MORE PATIENTS IN SOUTHWESTERN PENNSYLVANIA WHO ARE POSITIVE FOR HUMAN IMMUNODEFICIENCY VIRUS (HIV), AHN'S POSITIVE HEALTH CLINIC LAUNCHED A REGIONAL MOBILE CARE PROGRAM. STAFFED BY A REGISTERED NURSE OR OTHER MEDICAL PROVIDER AND A MEDICAL ASSISTANT, THE NEW AHN MOBILE UNIT TRAVELS THROUGHOUT ALLEGHENY COUNTY AND SURROUNDING COUNTIES, PARTICULARLY IN RURAL AREAS, TO PROVIDE CARE TO INDIVIDUALS WITH HIV. THE UNIT IS EQUIPPED WITH THE MEDICAL SUPPLIES AND EQUIPMENT NECESSARY FOR THE CAREGIVERS TO CONDUCT PHYSICAL EXAMS, COLLECT BLOOD SAMPLES FOR LABORATORY TESTING, AND ADMINISTER MEDICATIONS AND VACCINES AS NEEDED. DURING THE VISIT, PATIENTS HAVE THE OPPORTUNITY TO CONNECT VIRTUALLY WITH A PRIMARY CARE PROVIDER AT THE POSITIVE HEALTH CLINIC (PHC) BASED AT AHN'S FEDERAL NORTH MEDICAL BUILDING NEAR ALLEGHENY GENERAL HOSPITAL. PATIENTS CAN ALSO BE REFERRED TO OTHER HEALTH CARE SPECIALISTS, AS WELL AS COMMUNITY-BASED SUPPORTIVE SERVICES TO HELP ADDRESS ANY OTHER SOCIAL BARRIERS TO GOOD HEALTH THAT THEY MIGHT FACE. FIND HELP: IN 2020, ALLEGHENY HEALTH NETWORK AND HIGHMARK LAUNCHED A FREE RESOURCE TOOL FOR INDIVIDUALS FACING FOOD, HOUSING OR OTHER CRISES (AHN.FINDHELP.COM AND HIGHMARK.FINDHELP.COM). THE FIND HELP DIRECTORY CONTAINS GEOGRAPHIC-SPECIFIC INFORMATION ON SOCIAL SERVICE AGENCIES AND COMMUNITY BENEFIT ORGANIZATIONS (CBOS) ACROSS THE UNITED STATES. ONLINE USERS WILL ONLY NEED TO ENTER THEIR ZIP CODE, FOLLOWED BY APPLICATION OF FILTERS TO ENCOMPASS THEIR SPECIFIC NEEDS, TO ACCESS LOCAL OPTIONS. THE SERVICE IS FREE AND HAS NO INCOME CONSTRAINTS FOR USERS. AUNT BERTHA'S MISSION IS TO CONNECT ALL PEOPLE IN NEED AND THE PROGRAMS THAT SERVE THEM WITH DIGNITY AND EASE. THE ONLINE TOOL ALLOWS USERS TO FIND NEARBY CBOS, MAKING IT EASIER FOR INDIVIDUALS TO ACCESS SOCIAL SERVICE OPTIONS IN THEIR NEIGHBORHOODS. IN 2022, HIGHMARK HEALTH AND AHN ALSO ANNOUNCED THE LAUNCH OF A MULTI-YEAR INITIATIVE TO CREATE A HIGH-PERFORMING SOCIAL CARE NETWORK THAT WILL COMPENSATE NON-PROFITS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH, SUCH AS FOOD INSECURITY, TRANSPORTATION BARRIERS, AND HOUSING, FOR PATIENTS REFERRED BY THE HEALTHCARE SYSTEM. IN THE FIRST YEAR OF THE PILOT, 20 NON-PROFITS THAT SERVE ALLEGHENY AND WESTMORELAND COUNTIES PARTICIPATED IN THE PROGRAM AND HAVE THE POTENTIAL TO EARN VALUE-BASED REIMBURSEMENT. IN 2024, AHN CONTINUED TO PARTNER WITH THE FIND HELP PROGRAM TO ASSIST THOSE IN NEED. BEHAVIORAL HEALTH SUITE: IN 2023, AHN FORBES HOSPITAL OPENED A NEW FACILITY IN ITS EMERGENCY DEPARTMENT (ED) UNIQUELY DESIGNED AND EQUIPPED TO BETTER CARE FOR A GROWING NUMBER OF PATIENTS COMING TO THE HOSPITAL WITH BEHAVIORAL HEALTH NEEDS. FORBES' NEW 2,000-SQUARE-FOOT BEHAVIORAL HEALTH SUITE WAS CREATED TO PROVIDE A SAFE, QUIET, AND CALMING ENVIRONMENT FOR PATIENTS EXPERIENCING AN ACUTE BEHAVIORAL HEALTH EPISODE TO BE EVALUATED AND CARED FOR. THE SUITE PROVIDES MORE PRIVACY, SECURITY, AND PROTECTION FROM THE EMERGENCY DEPARTMENT'S BUSTLING, HIGHER-TRAFFIC AREAS. NATIONALLY, MENTAL AND BEHAVIORAL HEALTH-RELATED ED VISITS ACCOUNT FOR ABOUT 12 PERCENT OF ALL ADULT ED TRIPS. AND FROM 2011 TO 2020, THE PROPORTION OF EMERGENCY ROOM VISITS FOR MENTAL HEALTH REASONS DOUBLED FOR CHILD AND ADOLESCENT PATIENTS. BEHAVIORAL HEALTH PATIENTS ALSO TEND TO HAVE LONGER STAYS IN EDS THAN NON-PSYCHIATRIC PATIENTS, HEIGHTENING THE NEED FOR DEDICATED BEHAVIORAL HEALTH OBSERVATION AND TREATMENT SPACES. IN 2024, AHN MAINTAINED ITS COMMITMENT TO ADDRESSING BEHAVIORAL HEALTH BY DEDICATING RESOURCES TO SUPPORT THOSE IN NEED. BRADDOCK URGENT CARE: IN 2024, AHN AND HH CONTINUE TO OPERATE THE AHN URGENT CARE CENTER, SUBSIDIZING HEALTHCARE ACCESS FOR THE UNDERSERVED BRADDOCK, PA. COMMUNITY, BY PROVIDING CARE ON A CHARITABLE BASIS AND SERVING A SIGNIFICANT SHARE OF MEDICARE AND MEDICAID PATIENTS FOR THE TENTH STRAIGHT YEAR. AHN HAS LAUNCHED A COMMUNITY HEALTH IMPROVEMENT PLAN, INTENDED TO EDUCATE AND IMPROVE OUTCOMES FOR BRADDOCK-AREA RESIDENTS IN FOUR KEY AREAS: BEHAVIORAL HEALTH, INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS; CANCER, PARTICULARLY OF THE PROSTATE, LUNG, COLON OR BREAST; CHRONIC DISEASE, WITH A FOCUS ON ASTHMA AND DIABETES; AND MATERNAL AND CHILD HEALTH, WITH A PARTICULAR FOCUS ON SEXUALLY TRANSMITTED DISEASE PREVENTION. THE AHN URGENT CARE CENTER WAS BUILT FOLLOWING THE CLOSURE OF BRADDOCK'S COMMUNITY HOSPITAL WHICH HAD BEEN THE PRIMARY JOBS SOURCE AND HEALTHCARE ACCESS POINT FOR BRADDOCK RESIDENTS. THE AHN URGENT CARE CENTER IS STAFFED BY BOARD CERTIFIED PHYSICIANS, REGISTERED NURSES, MEDICAL ASSISTANTS AND RADIOLOGY TECHNICIANS AND EQUIPPED WITH 12 PATIENT EXAM ROOMS AND DIAGNOSTIC CAPABILITIES SUCH AS X-RAY IMAGING AND BLOOD WORK. BUTTERFLY SUITE: IN 2022, AHN OPENED ITS FIRST "BUTTERFLY SUITE," A DESIGNATED LABOR &amp; DELIVERY ROOM WITH ADJACENT, PRIVATE WAITING AREA FOR FAMILIES COPING WITH BABIES BORN STILL OR BABIES WHOSE LIVES WILL BE BRIEF. THE BUTTERFLY SUITE IS A FIRST-OF-ITS KIND FOR PATIENTS IN WESTERN PENNSYLVANIA AS IT'S A FULLY EQUIPPED CLINICAL SPACE STAFFED BY AHN CAREGIVERS TRAINED IN PERINATAL LOSS AND BEREAVEMENT. THE OPENING OF THE SUITE WAS MADE POSSIBLE THROUGH THE WEST PENN HOSPITAL FOUNDATION AND TWO PARENTS WHOSE SON, CALEB, WHO WAS BORN STILL ON MEMORIAL DAY WEEKEND IN 2020. THE OPENING OF THE BUTTERFLY SUITE AT AHN WEST PENN IS AN EXPANSION OF OLIVIA'S ANGELS, ONE OF THE REGION'S MOST COMPREHENSIVE PERINATAL PALLIATIVE AND MISCARRIAGE SUPPORT PROGRAMS. THROUGH THE PROGRAM, A TEAM OF AHN PHYSICIANS AND CAREGIVERS SUPPORT AND CARE FOR PATIENTS WHO HAVE EXPERIENCED A SUDDEN PERINATAL LOSS OR RECEIVE A DIAGNOSIS THAT THEIR CHILD'S LIFE WILL BE LIMITED. IN CERTAIN INSTANCES, OLIVIA'S ANGELS CAN SCHEDULE ELECTIVE C-SECTIONS SO MOM CAN SPEND MORE TIME WITH BABY WHILE STILL ALIVE OR ALTERNATIVELY, ASSIST WOMEN IN THEIR DELIVERY OF BABIES BORN STILL. IN 2024, AHN CONTINUED TO OPERATE THE BUTTERFLY SUITE TO ASSIST FAMILIES IN NEED. CAI AND KATE: IN 2023, AHN PREMIERED A NEW YOUTUBE SHOW FOCUSING ON THE EMOTIONAL WELL-BEING OF CHILDREN AGES 3 TO 6 YEARS OLD. CAI &amp; KATE FEATURES CAI, A CHAMELEON PUPPET WHOSE COLOR CHANGES DEPENDING ON HIS EMOTIONS AND FEELINGS, AND KATE, CAI'S HUMAN FRIEND WHO PROVIDES COMMENTARY ON THE VARIOUS EMOTIONS PORTRAYED IN THE SHOW. KATE IS PLAYED BY KATLYN KOHNE, A SUPERVISOR FOR AHN'S CHILL PROJECT TEAM. CAI &amp; KATE AIMS TO BUILD KNOWLEDGE RELATED TO EMOTIONAL WELLNESS FOR CHILDREN AND THEIR FAMILIES. PUPPETRY, MUSIC, AND EDUCATION ARE BLENDED TO FOSTER A SENSE OF WONDER AS KIDS EXPAND THEIR ABILITY TO IDENTIFY AND TALK ABOUT EMOTIONS. THE PREMIERE EPISODE IS THE FIRST IN A SERIES BEING PRODUCED BY CHILL PROJECT PRODUCTIONS, AN INITIATIVE OF THE AHN CHILL PROJECT. OFFERED THROUGH AHN'S PSYCHIATRY &amp; BEHAVIORAL HEALTH INSTITUTE AND LED BY A TEAM OF BEHAVIORAL HEALTH SPECIALISTS, THE CHILL PROJECT TEACHES EVIDENCED-BASED COPING TECHNIQUES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH A STANDARDIZED APPROACH TO MANAGING STRESS, ANXIETY AND OTHER MENTAL HEALTH CONCERNS. AS THE CHILL PROJECT EXPANDED TO INCLUDE GRADES K-12 AS WELL AS COLLEGE STUDENTS SINCE ITS 2019 LAUNCH, THE PROJECT'S STAKEHOLDERS ALSO IDENTIFIED A NEED FOR HIGHLY CUSTOMIZED AND TARGETED CURRICULUM THAT IS EMOTIONALLY AND DEVELOPMENTALLY APPROPRIATE FOR PRESCHOOLERS. IN 2024, CAI AND KATE RELEASED ITS SECOND SEASON AND CONTINUED TO FILM EPISODES THROUGHOUT THE PITTSBURGH REGION. THE A. J. AND SIGISMUNDA PALUMBO CHARITABLE TRUST - WHICH WAS THE PRIMARY FUNDER BEHIND THE LAUNCH OF CAI AND KATE A YEAR AGO - HAS COMMITTED ADDITIONAL FUNDING TO SUPPORT CAI AND KATE IN ITS SECOND SEASON, HELPING TO EXPAND THE REACH OF THE SHOW AND THE IMPACT OF ITS EARLY CHILDHOOD SOCIAL-EMOTIONAL LEARNING LESSONS, TO AUDIENCES IN PITTSBURGH AND BEYOND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CANCER SCREENINGS: IN 2024, AHN CONTINUED ITS ANNUAL NO-COST CANCER SCREENING SERIES. SCREENINGS TAKE PLACE AT EACH OF AHN'S ACUTE-CARE HOSPITALS. IN 2024, THE SATURDAY CANCER SCREENING EVENTS SERVED A TOTAL OF 808 PATIENTS-2,077 SCREENINGS WERE PERFORMED TOTAL. 1,620 (78%) HAD NORMAL RESULTS, AND 457 (22%) HAD ABNORMAL RESULTS AND WERE RECOMMENDED FOR FOLLOW-UP TESTING. THE EVENT IS OPEN TO BOTH AHN AND NON-AHN PATIENTS, AND HEALTH INSURANCE IS NOT REQUIRED. CENTERINGPREGNANCY: IN 2023, THE AHN WOMEN'S INSTITUTE AND HIGHMARK HEALTH'S EQUITABLE HEALTH INSTITUTE LAUNCHED CENTERINGPREGNANCY, A NATIONALLY-RECOGNIZED MODEL OF GROUP PRENATAL CARE SHOWN TO IMPROVE A WIDE RANGE OF BIRTH OUTCOMES, INCLUDING LOWERING THE RISK OF PRETERM BIRTHS, REDUCING LOW BIRTH WEIGHTS AND INCREASING BREASTFEEDING RATES. THE PROGRAM IS BASED AT AHN WEST PENN, HOME TO THE NETWORK'S BUSIEST LABOR AND DELIVERY PROGRAM. THE CENTERINGPREGNANCY MODEL BRINGS TOGETHER BETWEEN 8 AND 12 PATIENTS WITH SIMILAR DUE DATES, AS WELL AS THEIR PARTNERS, SUPPORT PEOPLE, AND HEALTHCARE TEAM. THEY MEET FOR 10 PRENATAL VISITS FOLLOWING THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG) AND AMERICAN COLLEGE OF NURSE MIDWIVES (ACNM) PRACTICE GUIDELINES, BUT EACH VISIT IS 90 MINUTES TO TWO HOURS LONG - GIVING PATIENTS SIGNIFICANTLY MORE TIME WITH THEIR PROVIDER TEAM WHEN COMPARED TO INDIVIDUAL VISITS. THE MODEL HAS SHOWN TO BE PARTICULARLY SUCCESSFUL IN IMPROVING OUTCOMES AMONG WOMEN AND BABIES, WHO HAVE HIGHER RATES OF PREGNANCY- AND BIRTH-RELATED COMPLICATIONS. IN 2024, THE MODEL EXPANDED TO PITTSBURGH'S NORTH SIDE NEIGHBORHOOD. CENTER FOR INCLUSION HEALTH: IN 2024, AHN CONTINUED TO OPERATE THE CENTER FOR INCLUSION HEALTH. THE CENTER FOR INCLUSION HEALTH SEEKS TO ADDRESS THE OBSTACLES THAT MAKE IT HARDER FOR TRADITIONALLY UNDERSERVED PATIENTS AND POPULATIONS TO ACCESS CARE, HELPING TO IMPROVE PEOPLE'S HEALTH WHILE REDUCING COSTS. THE CENTER HOUSES PROGRAMS FOR ADDICTION MEDICINE; HOMELESS HEALTHCARE; POSITIVE (HIV) HEALTH CLINIC; FOOD INSECURITY; AND AMONG OTHER PROGRAMS. THE CENTER PROVIDES ITS PATIENT POPULATIONS WITH PRIMARY CARE ACCESS; A SUPPORT STAFF THAT INCLUDES PHYSICIANS, NURSES, MEDICAL ASSISTANTS, SOCIAL WORKERS, BEHAVIORAL HEALTH THERAPISTS, PSYCHIATRISTS AND PATIENT ADVOCATES; SPECIALIZED HIV CARE; MEDICATION ADHERENCE COUNSELING AND PHARMACY SUPPORT; GYNECOLOGIC CARE; NUTRITIONAL ASSESSMENT AND COUNSELING BY A REGISTERED DIETITIAN; SMOKING CESSATION PROGRAMS; MENTAL HEALTH ASSESSMENT, COUNSELING AND PSYCHIATRIC SUPPORT; AND CASE-MANAGEMENT FOR NONMEDICAL NEEDS. THE STAFF ASSISTS WITH FINANCIAL OR SOCIAL ISSUES THAT MAY INTERFERE WITH THE PROVISION OF MEDICAL CARE. THE CENTER INCLUDES AHN'S STREET MEDICINE AND HOMELESS HEALTHCARE PROGRAM. PEOPLE EXPERIENCING HOMELESSNESS OR LIVING IN UNSTABLE HOUSING SITUATIONS OFTEN FIND IT HARD TO GET ROUTINE HEALTHCARE THAT IS SENSITIVE AND FLEXIBLE ENOUGH TO MEET THEIR NEEDS. AHN'S HOMELESS HEALTHCARE SERVICES REACH PEOPLE BY PROVIDING CARE WHEREVER THEY ARE: AT HOMELESS SHELTERS, ON THE STREETS, IN HOSPITALS, AND AT OTHER LOCATIONS. AHN'S ULTIMATE GOAL IS TO BREAK THE CYCLE OF HOMELESSNESS, POVERTY, AND POOR HEALTH THROUGH TRUSTING, RESPECTFUL AND COMPASSIONATE HEALTHCARE RELATIONSHIPS. PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS, INCLUDING STREET MEDICINE, AT HOMELESS CAMPS, AT HOMELESS SHELTERS, AND "BRIDGE" SERVICES FOR THOSE EXPERIENCING HOUSING INSTABILITY AND WHO HAVE EXPERIENCED A RECENT ILLNESS, SURGERY, OR HOSPITALIZATION. CENTER ALSO HOUSES A NEW AHN PROGRAM FOR HOMELESS AND URBAN POVERTY MEDICINE. THE PROGRAM PUTS TRAINED SOCIAL WORKERS AND OTHER HELPERS ON THE STREETS BETWEEN 8 A.M. AND 5 P.M. IN DOWNTOWN PITTSBURGH AND SURROUNDING NEIGHBORHOODS. AHN HAS ALSO CREATED A 'FIRST-RESPONDER' TEAM THAT RESPONDS WITH CITY POLICE TO CALLS FOR ASSISTANCE THAT INVOLVE THE HOMELESS, PEOPLE IN MENTAL CRISIS OR THOSE WHO HAVE OVERDOSED ON DRUGS, IN NONVIOLENT AND NONDANGEROUS SITUATIONS, TO PROVIDE BEHAVIORAL HEALTH SUPPORT AND OTHER SOCIAL SERVICES. CHILL: THE CHILL PROJECT USES MINDFULNESS-BASED EXERCISES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH A COMMON LANGUAGE AND UNIVERSAL SKILLS TO IDENTIFY, DISCUSS, AND REACT POSITIVELY TO STRESS. SCHOOL HAS ALWAYS BEEN A SOURCE OF STRESS, WHETHER ONE IS TAKING CLASSES, TEACHING OR PARENTING A STUDENT. NEGATIVE REACTIONS TO STRESS CREATE A SIGNIFICANT BARRIER TO LEARNING AND GROWTH. THE CHILL PROJECT FEATURES DEDICATED PROFESSIONALS, A CALMING SPACE, AND REGULAR INSTRUCTION TO HELP EVERY MEMBER OF A SCHOOL'S COMMUNITY BETTER HANDLE PRESSURE AND ANXIETY. THE PROJECT STARTED IN BALDWIN-WHITEHALL SCHOOL DISTRICT AND WEST JEFFERSON HILLS SCHOOL DISTRICT AND AS OF 2024 HAS EXPANDED TO MORE THAN 42 SCHOOLS WITHIN WESTERN PENNSYLVANIA TO SERVE OVER 50,000 STUDENTS, 3,000 EDUCATORS, AND THOUSANDS OF PARENTS AND CAREGIVERS. PARTICIPATING SCHOOLS HAVE EXPERIENCED: REDUCED NUMBER OF BEHAVIORAL HEALTH INCIDENTS FOR STUDENTS, LIKE CHRONIC ABSENCE, DISRUPTIVE BEHAVIOR, DROPPING OUT AND FEELINGS OF HOPELESSNESS; INCREASED ACCESS TO RESOURCES AND SENSE OF PROFESSIONAL QUALITY OF LIFE FOR EDUCATORS AND ADMINISTRATORS AS WELL AS INCREASED WELL-BEING FOR PARENTS AND CAREGIVERS; ENHANCED MINDFUL AWARENESS AND RESILIENCY ACROSS THE SCHOOL COMMUNITY. PARTICIPANTS IN THE CHILL PROJECT HAVE ACCESS TO: ONE-TO-ONE COUNSELING; SUPPORT GROUPS; MEDICATION MANAGEMENT; SCHOOL-BASED OUTPATIENT SERVICES; SCHOOL-WIDE PREVENTIVE SERVICES; PROFESSIONAL DEVELOPMENT OPPORTUNITIES; A SOCIAL-EMOTIONAL CURRICULUM AND CLASSROOM CONSULTATIONS; EXERCISES AND CONSULTATIONS SPECIFICALLY DESIGNED FOR STUDENT ATHLETES. THE PROGRAM WAS DESIGNED IN COLLABORATION WITH THE PARTICIPATING SCHOOLS. IN 2024, THE CHILL PROJECT CELEBRATED ITS FIFTH YEAR AND EXPANDED ITS PROGRAMMING TO INCLUDE SOUTH COLLEGE PITTSBURGH AND AHN'S NURSING SCHOOLS. CHILL MOBILE: IN 2022, AHN AND PIRATES CHARITIES, THE PHILANTHROPIC ARM OF THE PITTSBURGH PIRATES BASEBALL CLUB, LAUNCHED A MOBILIZED VERSION OF AHN'S INNOVATIVE CHILL PROJECT, WHICH PROVIDES BEHAVIORAL HEALTH SERVICES AND MINDFULNESS TRAINING TO SCHOOL DISTRICTS THROUGHOUT WESTERN PENNSYLVANIA. RECOGNIZING THE IMMEDIATE NEED, AHN AND PIRATES CHARITIES WORKED TOGETHER TO DEVELOP THE CHILL MOBILE PROGRAM IN AN EFFORT TO POSITIVELY IMPACT TENS OF THOUSANDS OF AREA YOUTH PER YEAR. THE TWO PARTNERED TO PURCHASE AND CUSTOMIZE THE CHILL MOBILE VEHICLE THAT WILL TRAVEL TO SCHOOL DISTRICTS, WORKPLACES, AND COMMUNITY ORGANIZATIONS, GREATLY EXPANDING THE REACH OF AHN'S PROGRAM. OTHER SUPPORTERS OF CHILL MOBILE INCLUDE THE REDEVELOPMENT AUTHORITY OF ALLEGHENY COUNTY, PNC, AND THE PALUMBO CHARITABLE TRUST. OFFERED THROUGH AHN'S PSYCHIATRY &amp; BEHAVIORAL HEALTH INSTITUTE AND LED BY A TEAM OF BEHAVIORAL HEALTH SPECIALISTS, THE CHILL PROJECT USES MINDFULNESS-BASED EXERCISES TO EQUIP STUDENTS, TEACHERS, AND PARENTS WITH AN EVIDENCE-BASED, STANDARDIZED APPROACH TO IDENTIFYING, DISCUSSING, AND MANAGING STRESS, ANXIETY AND OTHER MENTAL HEALTH CONCERNS. IN 2024, AHN CONTINUED TO OPERATE THE CHILL MOBILE TO PROVIDE BEHAVIORAL SERVICES AND MINDFULNESS TRAINING TO STUDENTS IN NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt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xplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>OPIOIDS AND ADDICTION MEDICINE: OVER THE LAST SEVERAL YEARS, AHN HAS TAKEN NUMEROUS STEPS TO CURB PAINKILLER MISUSE AND ADDICTION, OPIOID USE DISORDER, AND OVERDOSE DEATHS RELATED TO FENTANYL, CARFENTANIL, AND OTHER SYNTHETIC OPIATES. AHN SUPPORTS THE IMPLEMENTATION AND EVALUATION OF ENHANCED SUBSTANCE USE SCREENING AND INTERVENTION SERVICES IN THE PRIMARY CARE SETTING. ADDITIONALLY, AHN AND GATEWAY HEALTH (NOW HIGHMARK WHOLECARE) HAVE PARTNERED TO LAUNCH AN ENHANCED PAIN MANAGEMENT PROGRAM WHICH TAKES A NOVEL, HOLISTIC APPROACH TO TREATING A PATIENT'S PAIN WITHOUT OPIOIDS. THE FIRST SUCH CLINIC HAS OPENED AT THE AHN INSTITUTE FOR PAIN MEDICINE NEAR WEST PENN HOSPITAL. AHN HAS ESTABLISHED A NEW, COMPREHENSIVE PROGRAM DESIGNED TO HELP PATIENTS WITH OPIOID-RELATED SUBSTANCE USE DISORDERS RECEIVE THE HEALTH AND COMMUNITY-BASED CARE AND SUPPORT THEY NEED TO RECOVER FROM THEIR ILLNESS AND MAINTAIN LONG-TERM WELLNESS. CALLED THE AHN CENTER OF EXCELLENCE FOR OPIOID USE DISORDER, THE CENTER IS ONE OF SEVERAL DOZEN PROGRAMS IMPLEMENTED ACROSS PENNSYLVANIA, ALL OF WHICH ARE SUPPORTED BY A GRANT FROM THE STATE'S DEPARTMENT OF HEALTH AND HUMAN SERVICES. AHN WAS ALSO ONE OF THE FIRST HEALTHCARE ORGANIZATIONS IN PENNSYLVANIA TO PARTNER WITH LAW ENFORCEMENT TO HELP CURB THE DEADLY EFFECTS OF OPIOID OVERDOSES; EMERGENCY MEDICAL PROFESSIONALS AT FORBES HOSPITAL BEGAN TRAINING POLICE OFFICERS FROM THE PITCAIRN POLICE DEPARTMENT TO DISPENSE NARCAN, A NARCOTIC "ANTIDOTE" DRUG, TO OVERDOSE VICTIMS. SINCE THEN, AHN PROVIDED THE TRAINING TO OTHER POLICE DEPARTMENTS, INCLUDING MONROEVILLE, EAST MCKEESPORT AND THE WESTMORELAND COUNTY SHERIFF'S DEPARTMENT. IN 2022, A TEAM OF PHYSICIANS AT AHN ANNOUNCED THE LAUNCH OF AN IMPORTANT PILOT STUDY EXPLORING THE USE OF DEEP BRAIN STIMULATION (DBS) THERAPY TO TREAT OPIOID ADDICTION. IN 2024, AHN CONTINUES TO OPERATE THIS PROGRAM IN THE CURRENT YEAR TO ASSIST THOSE IN NEED. PERINATAL HOPE: THE PERINATAL HOPE PROGRAM IS A MEDICAL HOME CARE MODEL FOR MOTHERS-TO-BE WHO ARE ADDICTED TO DRUGS. THE PROGRAM PROVIDES COMPREHENSIVE AND COORDINATED TREATMENT THAT PUTS THE MOTHER AND BABY ON TRACK FOR A MORE HOPEFUL FUTURE. PERINATAL HOPE IS THE REGION'S FIRST ALL-INCLUSIVE PROGRAM FOR MATERNAL ADDICTION THAT COMBINES OBSTETRICAL CARE, AND DRUG AND ALCOHOL THERAPY AND MEDICATION-ASSISTED TREATMENT INTO ONE CLINIC VISIT. PERINATAL HOPE IS SUPPORTED IN PART BY GRANTS FROM THE MARCH OF DIMES FOUNDATION - WESTERN PENNSYLVANIA, THE HIGHMARK FOUNDATION AND THE JEWISH WOMEN'S FOUNDATION OF GREATER PITTSBURGH. ADDITIONALLY, AHN'S NEW WOMEN'S BEHAVIORAL HEALTH PROGRAM INCLUDES THE REGION'S FIRST INTENSIVE OUTPATIENT PROGRAM FOR WOMEN WITH PREGNANCY-RELATED DEPRESSION. IN 2021, THE PERINATAL HOPE PROGRAM EXPANDED INTO BUTLER AND ERIE COUNTIES. ALSO IN 2021, WPH, FH AND SVH WERE DESIGNATED AS "VERMONT OXFORD CENTERS OF EXCELLENCE IN NEONATAL ABSTINENCE SYNDROME CARE." AHN CONTINUES TO OPERATE PERINATAL HOPE IN 2024 TO ASSIST THOSE IN NEED. RIVER CLINIC: AHN'S 'RETHINKING INCARCERATION AND EMPOWERING RECOVERY' (RIVER) CLINIC IS THE ONLY IN THE GREATER PITTSBURGH REGION WHERE PEOPLE WHO WERE FORMERLY INCARCERATED CAN RECEIVE CARE, REGARDLESS OF THEIR ABILITY TO PAY, IMMEDIATELY FOLLOWING DISCHARGE FROM JAIL. SINCE LAUNCHING IN THE SPRING OF 2021, THE CLINIC'S CAREGIVERS HAVE ENGAGED WITH HUNDREDS OF INDIVIDUALS. THE PROGRAM IS SUPPORTED BY GENEROUS GRANTS FROM THE HIGHMARK FOUNDATION AND THE PITTSBURGH FOUNDATION. OTHER SUPPORTING ORGANIZATIONS INCLUDE VITAL STRATEGIES, ALLEGHENY COUNTY DEPARTMENT OF HUMAN SERVICES, PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES AND THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). IN 2024, AHN CONTINUES TO OPERATE THE RIVER CLINIC FOR THOSE IN NEED. SAFE DRIVING: THROUGHOUT THE 2024-2025 ACADEMIC YEAR, AHN TEAMED UP WITH CBS PITTSBURGH, FORD MOTOR COMPANY FUND, NEIGHBORHOOD FORD STORE, ALLEGHENY COUNTY PRETRIAL SERVICES, AND PENNSYLVANIA STATE POLICE TO EDUCATE HIGH SCHOOL STUDENTS IN THE PITTSBURGH REGION ON SAFE DRIVING, BEYOND THE SKILLS THEY LEARN IN STANDARD DRIVER EDUCATION PROGRAMS. "FORD DRIVING SKILLS FOR LIFE" IS A GLOBAL PROGRAM THAT FOCUSES ON ACCIDENT PREVENTION AND EDUCATES TEEN DRIVERS ON THE ISSUES AND OBSTACLES THEY WILL FACE WHEN BEHIND THE WHEEL, INCLUDING HAZARD RECOGNITION, VEHICLE HANDLING, SPEED MANAGEMENT, SPACE MANAGEMENT, AND DISTRACTED AND IMPAIRED DRIVING. AHN CLINICIANS ARE SUPPORTING THE PROGRAM AT LOCAL SCHOOL DISTRICTS THIS YEAR BY EMPHASIZING THE IMPORTANCE OF SAFE DRIVING, AND PROVIDING FIRST-HAND INSIGHT INTO THE PHYSICAL AND EMOTIONAL TRAUMA THAT CAN BE EXPERIENCED BY TEENS, THEIR FRIENDS, AND THEIR FAMILIES BECAUSE OF DRIVING ACCIDENTS. PHYSICIANS AND NURSES SPECIALIZING IN EMERGENCY MEDICINE, TRAUMA MEDICINE, TRANSPLANTATION, AND PREHOSPITAL CARE, AS WELL AS CLINICIANS FROM AHN'S LIFEFLIGHT PROGRAM, SPEAK AT A DIFFERENT LOCAL SCHOOL EACH MONTH ALONGSIDE REPRESENTATIVES FROM FORD MOTOR COMPANY, PENNSYLVANIA STATE POLICE AND ALLEGHENY COUNTY PRETRIAL SERVICES. STOP THE BLEED: AS PART OF THIS ONGOING COMMUNITY AWARENESS CAMPAIGN, AHN TRAUMA CENTER REPRESENTATIVES PARTNER WITH EMS PROFESSIONALS TO PROVIDE SCHOOL OFFICIALS WITH TRAINING ON HOW TO HELP CONTROL BLEEDING FROM INJURIES IN THE EVENT OF A MASS CASUALTY INCIDENT. SIMILAR TO HOW HEALTHCARE PROVIDERS EDUCATE THE GENERAL PUBLIC IN CPR, THE "STOP THE BLEED" CAMPAIGN FOCUSES ON TRAINING THE GENERAL PUBLIC IN BLEEDING CONTROL TECHNIQUES. IN MASS CASUALTY INCIDENTS, INDIVIDUALS OFTEN SUFFER INJURIES THAT RESULT IN PREVENTABLE DEATHS. BY TRAINING THE GENERAL PUBLIC IN BASIC BLEEDING CONTROL TECHNIQUES, BYSTANDERS WILL BE ABLE TO INITIATE LIFESAVING MEASURES BEFORE THE FIRST RESPONDERS ARRIVE. IN 2024, AHN, HIGHMARK HEALTH AND CITY OF PITTSBURGH'S BUREAU OF EMERGENCY MEDICAL SERVICES HOSTED A STOP THE BLEED AND CPR/AED TRAINING CLINIC FOR 30 YOUTH FOOTBALL COACHES WITHIN THE CITY. SUMMER CAMP FOR BURN INJURED CHILDREN: IN 1986, WEST PENN BURN CENTER ESTABLISHED ITS SUMMER CAMP FOR BURN INJURED CHILDREN. THE CAMP GIVES CHILDREN WHO HAVE BEEN BURNED A CHANCE TO HEAL PHYSICALLY AND EMOTIONALLY IN A SUPPORTIVE ENVIRONMENT THAT OFFERED PLENTY OF OPPORTUNITIES FOR FUN. AT THE FREE, FIVE-DAY CAMP, KIDS AGES 7 TO 17 WHO HAVE BEEN TREATED AT THE WEST PENN BURN CENTER MEET TO SHARE THEIR STORIES AND ENJOY NEW EXPERIENCES. WITH THE GUIDANCE OF SKILLED PROFESSIONALS, CHILDREN ARE ENCOURAGED TO MEET NEW CHALLENGES AND TO TAKE POSITIVE RISKS BY PARTICIPATING IN ADVENTURES - SUCH AS ROPE CLIMBING - THAT HELPS BUILD CONFIDENCE WHILE ALSO BUILDING STRONG BODIES. TALENT ATTRACTION PROGRAM (TAP): IN 2022, ALLEGHENY HEALTH NETWORK (AHN) JEFFERSON HOSPITAL, IN COLLABORATION WITH THE JEFFERSON REGIONAL FOUNDATION, LAUNCHED THE "TALENT ATTRACTION PROGRAM" (TAP). THIS INNOVATIVE WORK-STUDY INITIATIVE AIMS TO INCREASE THE QUALIFICATIONS OF HEALTHCARE CANDIDATES ACROSS AHN AND WESTERN PENNSYLVANIA. TAP OFFERS TRAINEES IN AHN-SPONSORED ALLIED HEALTH PROGRAMS THE OPPORTUNITY TO GAIN PRACTICAL EXPERIENCE AND FINANCIAL SUPPORT WHILE PURSUING THEIR EDUCATION. IN EXCHANGE, PARTICIPANTS AGREE TO BEGIN THEIR CAREERS AT AHN JEFFERSON HOSPITAL UPON PROGRAM COMPLETION. THE PROGRAM IS OPEN TO HIGH SCHOOL STUDENTS IN THE LOWER MON VALLEY AND SURROUNDING AREAS, AS WELL AS ANY COMMUNITY MEMBERS INTERESTED IN A HEALTHCARE CAREER. PARTICIPANTS CAN CHOOSE FROM A VARIETY OF ALLIED HEALTHCARE ROLES, INCLUDING CENTRAL STERILE TECHNICIAN, PHLEBOTOMIST, PATIENT CARE TECHNICIAN, PHARMACEUTICAL TECHNICIAN, MEDICAL LAB TECHNOLOGIST, IMAGING TECHNOLOGIST, RESPIRATORY THERAPIST, AND NURSING. IN 2023, AHN EXPANDED TAP TO ALL FULL-SERVICE HOSPITALS WITHIN ITS WESTERN PENNSYLVANIA NETWORK, FURTHER EXPANDING ITS REACH AND IMPACT. IN 2024, AHN CONTINUES TO OPERATE THIS PROGRAM. THRIVE 18: THIS IS A NATIONAL PROGRAM THAT LEVERAGES MULTI-SECTOR COMMUNITY PARTNERSHIPS IN ORDER TO IMPROVE PUBLIC HEALTH IN PITTSBURGH'S NORTHERN NEIGHBORHOODS. AHN AND ITS FLAGSHIP HOSPITAL, ALLEGHENY GENERAL HOSPITAL, ALONG WITH PARENT COMPANY HIGHMARK HEALTH ARE WORKING WITH LOCAL ORGANIZATIONS INCLUDING PROJECT DESTINY, THE ALLEGHENY COUNTY HEALTH DEPARTMENT, AND THE BUHL FOUNDATION TO IMPLEMENT INNOVATIVE SOLUTIONS TO THE HEALTH CHALLENGES FACED BY RESIDENTS OF PITTSBURGH'S NORTHSIDE COMMUNITY. A $250,000 AWARD, COMBINED WITH MATCHING FUNDS FROM BOTH HIGHMARK AND THE BUHL FOUNDATION, ARE BEING USED TO CREATE THE "CENTER FOR LIFTING UP EVERYBODY" (CLUB) - A HEALTH AND WELLNESS MODEL AIMED AT REACHING THE NORTHSIDE'S MOST VULNERABLE RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAUMA INFORMED OBSTETRICAL CARE: IN 2024, AHN'S WOMEN'S BEHAVIORAL HEALTH PROGRAM, A PART OF THE AHN PSYCHIATRY AND BEHAVIORAL HEALTH INSTITUTE, CONTINUED TO OPERATE ONE OF THE COUNTRY'S FIRST TRAUMA-INFORMED CARE (TIC) CLINICS FOR OBSTETRIC (OB) PATIENTS WHO HAVE EXPERIENCED A PREVIOUS TRAUMATIC EXPERIENCE. IN CLOSE COLLABORATION WITH THE AHN WOMEN'S INSTITUTE, THE CLINIC WORKS ALONGSIDE OB PATIENTS TO CREATE OPTIMAL BIRTHING EXPERIENCES BY MOBILIZING CLINICIANS TO BETTER SCREEN FOR AND MANAGE THE CARE OF WOMEN WITH PRE-EXISTING TRAUMATIC STRESS, POST TRAUMATIC STRESS DISORDER (PTSD), OR PREVIOUS POSTPARTUM TRAUMA. OBSTETRIC TRAUMA, OR A TRAUMATIC BIRTH EXPERIENCE, IS AN ISSUE CURRENTLY RECOGNIZED AS A SIGNIFICANT CONTRIBUTOR TO POSTPARTUM DEPRESSION AND PTSD. EXAMPLES OF TRAUMATIC INCIDENTS CAN RANGE FROM PRE-EXISTING EVENTS LIKE DOMESTIC VIOLENCE, PHYSICAL, EMOTIONAL OR SEXUAL ABUSE AND/OR STRUCTURAL/CULTURAL RACISM; POST-BIRTH TRAUMA CAN INCLUDE EMERGENCY CESAREAN DELIVERY, MAJOR LOSS OF BLOOD AT THE TIME OF DELIVERY, AN EXTENDED NICU STAY OR EVEN PERINATAL LOSS. WIG PROGRAM: THE ALLEGHENY HEALTH NETWORK CANCER INSTITUTE (AHNCI) OPERATES A WIG PROGRAM, A PROGRAM DESIGNED TO HELP PATIENTS WHO LOSE THEIR HAIR DUE TO CANCER TREATMENT. WIG FITTINGS ARE HOSTED ON-SITE IN A PRIVATE ROOM BY STAFF WHO RECEIVE SPECIAL TRAINING. CANCER PATIENTS SCHEDULE AN APPOINTMENT IN ADVANCE FOR A DAY AND TIME THAT WORK BEST WITH THEIR SCHEDULE. WHEN PATIENTS ARRIVE ON SITE, FOR THEIR APPOINTMENT, THEY CAN REVIEW AND TRY ON FREE WIGS OF VARIOUS STYLES, LENGTHS, AND COLORS. THEY ARE ALSO EDUCATED ON HOW TO CARE FOR THEIR WIG AND GIVEN TIPS ON ACCESSORIZING. EACH PATIENT IS ABLE TO LEAVE WITH THEIR WIG, ALONG WITH OTHER ITEMS TO HELP THEM CARE FOR THEIR WIG AND FEEL CONFIDENT. IN 2024, AHN OPENED ITS SEVENTH WIG PROGRAM AT FORBES HOSPITAL'S CANCER INSTITUTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL PROFILES AND HEALTH SYSTEM COMPONENTS AHN WEXFORD HOSPITAL: AHN WEXFORD IS A 160-BED, $313 MILLION, 345,000-SQUARE-FOOT HOSPITAL BUILT ALONG ROUTE 19, NORTH OF PITTSBURGH. OPENED IN THE FALL OF 2021, AHN WEXFORD IS THE NETWORK'S NEWEST FULL-SERVICE HOSPITAL, AND INCLUDES A 24-BED EMERGENCY DEPARTMENT WITH SPECIALIZED PEDIATRIC AND BEHAVIORAL HEALTH ROOMS; OPERATING ROOMS WITH MINIMALLY INVASIVE ROBOTIC SURGERY CAPABILITIES; A CARDIAC CATHETERIZATION LAB AND HYBRID OR FOR ADVANCED SURGICAL PROCEDURES; A SHORT-STAY OBSERVATION UNIT; AN ADULT INTENSIVE CARE UNIT; AND COMPREHENSIVE WOMEN'S AND INFANTS' CARE. AHN BRENTWOOD, AHN MCCANDLESS, AHN HARMAR AND AHN HEMPFIELD NEIGHBORHOOD HOSPITALS: THESE SMALL-SCALE HOSPITALS WERE OPENED IN 2020. THE HOSPITALS ARE JOINTLY OWNED AND OPERATED BY EMERUS; THEY EACH HAVE A 24-HOUR EMERGENCY ROOM, AS WELL AS 10-12 INPATIENT BEDS, IMAGING SERVICES, AND A VARIETY OF OUTPATIENT SERVICES. THE HEMPFIELD HOSPITAL IS ALSO ATTACHED TO A NEWLY BUILT CANCER CENTER. AHN ALLEGHENY GENERAL HOSPITAL: FOUNDED IN 1885, ALLEGHENY GENERAL HOSPITAL (AGH) IS AHN'S FLAGSHIP HOSPITAL, SERVING AS AHN'S PRIMARY TEACHING HOSPITAL, ITS PREMIER QUATERNARY CARE FACILITY, OFFERING HIGHLY ADVANCED SPECIALTIES SUCH AS ORGAN TRANSPLANTATION, NEUROSURGERY, SURGICAL ONCOLOGY AND CARDIOVASCULAR SURGERY. LOCATED IN PITTSBURGH'S NORTH SIDE, AGH IS ALSO A LEVEL I SHOCK TRAUMA CENTER, AND ITS LIFEFLIGHT AEROMEDICAL SERVICE WAS THE FIRST TO FLY IN THE NORTHEASTERN UNITED STATES. AHN ALLEGHENY VALLEY HOSPITAL: ALLEGHENY VALLEY HOSPITAL (AVH) HAS SERVED NATRONA HEIGHTS, PA., AND THE SURROUNDING COMMUNITY FOR OVER 100 YEARS. AVH PROVIDES EMERGENCY CARE, SURGICAL CARE, REHABILITATION CARE AND OTHER QUALITY HEALTHCARE SERVICES FOR ITS PATIENTS. AHN CANONSBURG HOSPITAL: SINCE 1904, CANONSBURG HOSPITAL (CH), BASED IN CANONSBURG, PA., HAS SERVED THE COMMUNITIES OF NORTHERN WASHINGTON AND SOUTHERN ALLEGHENY COUNTIES, PROVIDING QUALITY MEDICAL CARE AND IMPROVING THE HEALTH AND WELL-BEING OF ITS PATIENTS. IN 2023, AHN ANNOUNCED PLANS TO BUILD A NEW CANONSBURG HOSPITAL ON THE SAME CAMPUS. AHN FORBES HOSPITAL: SINCE 1978, MONROEVILLE'S FORBES HOSPITAL (FH) HAS BEEN PROVIDING HIGH-QUALITY CARE FOR THE COMMUNITIES OF EASTERN ALLEGHENY AND WESTMORELAND COUNTIES. FORBES FEATURES A LEVEL II TRAUMA CENTER, A TOP-RATED CARDIOVASCULAR SURGERY PROGRAM AND A COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICE AMONG ITS MANY CLINICAL OFFERINGS. AHN GROVE CITY HOSPITAL, WAS CREATED IN 1978, THROUGH THE MERGER OF TWO EXISTING GROVE CITY, PA., HOSPITALS. TODAY, THE HOSPITAL OPERATES SIX OUTPATIENT CLINICS AND LAB SITES THROUGHOUT ITS SERVICE FOOTPRINT. IT PROVIDES CANCER CARE, CARDIAC CARE, GENERAL SURGERY, LAB SERVICES, HOME HEALTH AND DIAGNOSTIC IMAGING, AMONG OTHER CLINICAL SERVICES. AHN JEFFERSON HOSPITAL: WAS ORGANIZED IN 1973. LOCATED JUST SOUTH OF PITTSBURGH, THE HOSPITAL PROVIDES A WIDE SPECTRUM OF HIGH-QUALITY HEALTH CARE SERVICES, FROM EMERGENCY CARE AND INTENSIVE CARE, TO COMPREHENSIVE SURGICAL PROGRAMS AND REHABILITATION, CANCER CARE AND COMPREHENSIVE LABOR AND DELIVERY SERVICES INCLUDING A LEVEL II NEONATAL INTENSIVE CARE UNIT. AHN SAINT VINCENT HOSPITAL: PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWESTERN PENNSYLVANIA AND ADJACENT AREAS OF NEW YORK AND OHIO. FOUNDED BY THE SISTERS OF ST. JOSEPH IN 1875, SVH CONTINUES TO EXEMPLIFY THE VALUES OF THE SISTERS IN PROVIDING COMPASSIONATE CARE TO ALL. ADDITIONALLY, SVH'S FOUR-BED SATELLITE FACILITY, WESTFIELD MEMORIAL HOSPITAL, HAS PROVIDED HIGH QUALITY HEALTHCARE TO RESIDENTS OF WESTERN NEW YORK FOR MORE THAN HALF A CENTURY. IN 2019, THE HOSPITAL OPENED A NEW COMPREHENSIVE CANCER CENTER, A NEW, GREATLY EXPANDED EMERGENCY DEPARTMENT, NEW OPERATING ROOM SUITE AND A SECOND HEALTH &amp; WELLNESS PAVILION ON THE CITY'S WESTSIDE. AHN WEST PENN HOSPITAL: SERVING THE BLOOMFIELD AREA OF PITTSBURGH AND ITS SURROUNDING COMMUNITIES SINCE 1848, WEST PENN HOSPITAL (WPH) IS AN ACADEMIC MEDICAL CENTER WITH PRIVATE ACUTE-CARE PATIENT ROOMS AND ONE OF PENNSYLVANIA'S MOST ADVANCED OBSTETRICAL AND NEWBORN CARE PROGRAMS, INCLUDING A LEVEL III NEONATAL INTENSIVE CARE UNIT. WPH HAS A REPUTATION FOR OUTSTANDING CLINICAL CARE AND NURSING EXCELLENCE; AND WAS THE FIRST HOSPITAL IN WESTERN PENNSYLVANIA TO EARN MAGNET RECOGNITION STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). WPH ALSO IS HOME TO THE WEST PENN BURN CENTER, THE ONLY FACILITY OF ITS KIND IN THE REGION CERTIFIED TO TREAT BOTH PEDIATRIC AND ADULT BURN PATIENTS. AHN SUBURBAN: THE FORMER ACUTE-CARE HOSPITAL IN BELLEVUE, PA, HAS BEEN REDEVELOPED INTO A COMMUNITY INNOVATION HUB THAT SEEKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND OTHER CARE BARRIERS. AHN SUBURBAN IS NOW HOME TO ALPHALAB HEALTH, A HEALTHCARE BUSINESS ACCELERATOR THAT INVESTS IN EARLY-STAGE HEALTH TECHNOLOGIES, PRODUCTS, AND SERVICES. OUTPATIENT CARE FACILITIES: IN ADDITION TO ITS HUNDREDS OF CLINICAL OFFICES, AHN OPERATES SIX LARGE, MULTI-SPECIALTY HEALTH + WELLNESS PAVILIONS (THREE IN ALLEGHENY COUNTY, ONE IN WASHINGTON COUNTY, AND TWO IN ERIE COUNTY), AS WELL AS SEVERAL URGENT CARE CLINICS AND SURGERY CENTERS. IN 2023, AHN OPENED ITS NEWEST H+WP, IN NORTH FAYETTE, ALLEGHENY COUNTY. ALLEGHENY (SINGER) RESEARCH INSTITUTE: THE AHN RESEARCH INSTITUTE OFFERS ACCESS TO NEW DRUG THERAPIES, HONES REVOLUTIONARY SURGICAL PROCEDURES, AND HAS ADVANCED EXPERTISE WITH INNOVATIVE DEVICES AND WEARABLE TECHNOLOGIES THAT HELP REDUCE THE IMPACT OF CHRONIC DISEASE. THE INSTITUTE PARTNERS WITH INDUSTRY, GOVERNMENT, ACADEMIA, AND HEALTH SYSTEMS ACROSS THE REGION TO WORK TOWARD A SERIES OF COMMON GOALS: DISCOVERING CURES, DEVELOPING THE NEXT CLINICAL "BEST PRACTICES" IMPROVING THE HEALTH OF PATIENTS AND ADVANCING THE SCIENCE OF MEDICINE. PHYSICIANS AND SCIENTISTS AT AHN ARE OFTEN ON THE CUTTING EDGE OF ADVANCED TREATMENTS AND NEW TECHNOLOGIES. INNOVATIVE MEDICAL RESEARCH ACROSS ALL OF THE NETWORK'S PROGRAMS IS A CRITICAL COMPONENT OF THE ORGANIZATION'S MISSION. THE NETWORK'S RESEARCH INSTITUTE COORDINATES PRIVATE AND FEDERALLY FUNDED INTERDISCIPLINARY PROGRAMS DESIGNED TO BETTER UNDERSTAND, TREAT AND PREVENT DISEASE, AND THE NETWORK'S HOSPITALS ARE FREQUENTLY INVOLVED IN CLINICAL TRIALS OF BREAST, PROSTATE AND BOWEL CANCER, BURN AND TRAUMATIC INJURIES, GENE THERAPY, CARDIOVASCULAR DISEASE, LEUKEMIA AND LYMPHOMA, AUTOIMMUNE DISEASES, NEUROLOGICAL DISEASES, AND MORE. THE NETWORK IS CURRENTLY HOME TO HUNDREDS OF ACTIVE CLINICAL RESEARCH TRIALS. ALLEGHENY CLINIC: THE ALLEGHENY CLINIC IS ONE OF WESTERN PENNSYLVANIA'S LARGEST PHYSICIAN GROUPS. SINCE THE FORMATION OF AHN, AHN HAS ADDED HUNDREDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SURGEONS TO THE ALLEGHENY CLINIC. THOSE PHYSICIANS AND ADMINISTRATIVE STAFF SUPPORT DOZENS OF SPECIALTY SERVICE LINES AND CLINICAL INSTITUTES, INCLUDING THE BARIATRIC AND METABOLIC INSTITUTE, THE CANCER INSTITUTE, THE CARDIOVASCULAR INSTITUTE, THE ESOPHAGEAL AND LUNG INSTITUTE, THE NEUROSCIENCE INSTITUTE, THE ORTHOPAEDIC INSTITUTE AND THE TRANSPLANT INSTITUTE. FOUNDATIONS: IN ADDITION TO THE AFOREMENTIONED ENTITIES, AHN ALSO INCLUDES A NUMBER OF AFFILIATED PHILANTHROPIC ORGANIZATIONS: THE ALLE-KISKI MEDICAL CENTER TRUST, FORBES HEALTH FOUNDATION, SUBURBAN HEALTH FOUNDATION, SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES, AND THE WESTERN PENNSYLVANIA HOSPITAL FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>KEY INSTITUTES AND SERVICES LINES ALLEGHENY HEALTH NETWORK CANCER INSTITUTE: AHN'S CANCER INSTITUTE INCLUDES MORE THAN 50 CANCER INSTITUTE CLINICS, TWO DOZEN SEPARATE CLINICAL LOCATIONS AND A MULTIDISCIPLINARY TEAM OF MORE THAN 200 PHYSICIANS. THE INSTITUTE TREATS MORE THAN 15,000 PATIENTS ANNUALLY IN WESTERN PENNSYLVANIA, ERIE, WEST VIRGINIA, AND OHIO. ADDITIONALLY, AHN COLLABORATES WITH JOHNS HOPKINS KIMMEL CANCER CENTER, TO OFFER MORE STREAM-LINED ACCESS TO CLINICAL TRIALS AND PROVIDE ADDITIONAL TREATMENT OPTIONS AND SECOND OPINIONS FOR PATIENTS WITH RARE AND COMPLEX CANCERS, AMONG OTHER BENEFITS. ALLEGHENY HEALTH NETWORK CARDIOVASCULAR INSTITUTE: ON THE FRONTIER OF ADVANCED SPECIALTY HEART CARE, THE ALLEGHENY HEALTH NETWORK CARDIOVASCULAR INSTITUTE (CVI) IS ONE OF THE PREMIER CARDIAC PROGRAMS IN THE COUNTRY, PROVIDING SUPERIOR STATE-OF-THE-ART CARE FOR PATIENTS WITH HEART DISEASE AND ACCESS TO WESTERN PENNSYLVANIA'S MOST COMPREHENSIVE, MULTIDISCIPLINARY TEAM OF SPECIALISTS AND INNOVATIVE THERAPIES, INCLUDING MANY AVAILABLE ONLY THROUGH ADVANCED CLINICAL TRIALS. THE PHYSICIANS OF THE AHN CVI'S SEVEN HOSPITALS AND 20 OUTPATIENT PITTSBURGH AND ERIE-AREA LOCATIONS HAVE HELPED TO PIONEER THE USE OF THE LATEST GENERATION OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; WERE AMONG THE FIRST IN THE NATION TO PERFORM TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), REPLACING DEFECTIVE AORTIC HEART VALVES VIA A MINIMALLY INVASIVE CATHETER PROCEDURE; INTRODUCED NEW TREATMENTS TO REPAIR DEFECTIVE MITRAL VALVES VIA ROBOT-ASSISTED MINIMALLY INVASIVE SURGERY; AND PLAYED AN INSTRUMENTAL ROLE IN THE DEVELOPMENT OF LEFT VENTRICULAR ASSIST DEVICES (LVAD), A MECHANICAL PUMP THAT IS SURGICALLY IMPLANTED TO ASSIST A WEAKENED HEART MUSCLE. CURRENTLY, THE PHYSICIANS AT THE CARDIOVASCULAR INSTITUTE ARE CONDUCTING RESEARCH THAT LEADS TO BETTER WAYS TO PREVENT, FIND AND TREAT HEART DISEASE. ADDITIONALLY, AHN'S WOMEN'S HEART CENTER, THE FIRST HEART CENTER OF ITS KIND IN ALLEGHENY COUNTY, TREATS COMPLEX CARDIOVASCULAR CONDITIONS FOR ADULT WOMEN OF ALL AGES. ALLEGHENY HEALTH NETWORK MEDICINE INSTITUTE: AHN'S MEDICINE INSTITUTE'S HOUSES THE ONE-OF-A-KIND AUTOIMMUNITY INSTITUTE, WHICH OPENED A NEW FACILITY IN 2018 THAT COMBINES MULTISPECIALTY CARE WITH CUTTING-EDGE RESEARCH, PATIENT EDUCATION AND ADVOCACY TO ADVANCE THE TREATMENT OF AUTOIMMUNE DISEASES AND ACCELERATE DISCOVERY OF A CURE FOR MORE THAN 100 DIFFERENT DISEASE TYPES. THE AHN AUTOIMMUNITY INSTITUTE HOSTS FOUR "CENTERS OF EXCELLENCE" FOR THE TREATMENT OF COMMON AUTOIMMUNE DISEASES INCLUDING LUPUS, RHEUMATOID ARTHRITIS, INFLAMMATORY BOWEL DISEASE AND CELIAC DISEASE. THE INSTITUTE INCLUDES PHYSICIANS FROM AN ARRAY OF CLINICAL SUBSPECIALTIES SUCH AS RHEUMATOLOGY, ALLERGY AND CLINICAL IMMUNOLOGY, PULMONARY, DERMATOLOGY, GASTROENTEROLOGY, NEPHROLOGY, ENDOCRINOLOGY, CARDIOLOGY AND INFUSION THERAPY. THE MEDICINE INSTITUTE ALSO INCLUDES SPECIALTY PROGRAMS DEDICATED TO DERMATOLOGY, DENTISTRY, INFECTIOUS DISEASE, NEPHROLOGY, AND INCLUSION HEALTH. ALLEGHENY HEALTH NETWORK NEUROSCIENCE INSTITUTE: AHN'S NEUROSCIENCE INSTITUTE IS A NATIONAL LEADER IN PROVIDING INNOVATIVE, EXPERT CARE FOR COMPLEX BRAIN, SPINE, OR NEUROLOGICAL CONDITIONS. AHN'S RENOWNED NEUROSURGEONS HAVE DEVELOPED GROUNDBREAKING SURGERIES AND TREATMENT ADVANCEMENTS THAT LEAD TO IMPROVED CARE FOR PATIENTS EXPERIENCING THE SYMPTOMS OF PARKINSON'S DISEASE, TRIGEMINAL NEURALGIA, STROKE COMPLICATIONS, CONGENITAL SPINAL CONDITIONS, AND MORE. ADDITIONALLY, AGH HAS EARNED A "COMPREHENSIVE STROKE CENTER" DESIGNATION, THE HIGHEST DISTINCTION OF STROKE CARE AWARDED BY THE AMERICAN HEART ASSOCIATION'S JOINT COMMISSION. AHN'S NEUROSCIENCE PROGRAM INCLUDES RENOWNED EXPERTS IN THE SUBSPECIALTIES OF NEUROLOGY, NEURO-OTOLOGY, NEURORADIOLOGY, NEURO-CRITICAL CARE, AND NEUROSURGERY, AND THE INSTITUTE HAS BEEN IDENTIFIED AS A NEUROSCIENCES CENTER OF EXCELLENCE AND A SPINE CENTER OF EXCELLENCE, ENABLING AHN AND AGH TO SERVE AS A NATIONAL AND INTERNATIONAL REFERRAL CENTER FOR TREATMENT OF ALL TYPES OF NEUROLOGICAL CONDITIONS. ALLEGHENY HEALTH NETWORK ORTHOPAEDIC INSTITUTE: THE ORTHOPAEDIC INSTITUTE'S MULTIDISCIPLINARY TEAM OF SURGEONS, PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS AND REHABILITATION SPECIALISTS WORK TOGETHER TO DEVELOP A COORDINATED TREATMENT PLAN SPECIFICALLY DESIGNED FOR EACH PATIENT, SPECIALIZING IN PEDIATRIC ORTHOPAEDICS, JOINT REPLACEMENT, ORTHOPAEDIC SURGERY, SPINAL SURGERY, AND SPORTS MEDICINE. TOGETHER, AHN AND HH HAVE MADE SIGNIFICANT INVESTMENTS IN AHN'S ORTHOPAEDIC CAPABILITIES AND INFRASTRUCTURE, INCLUDING THE OPENING OF THE AHN SPORTS COMPLEX AT COOL SPRINGS, A LARGE MULTI-SPORT FACILITY SPECIALIZING IN ORTHOPAEDIC CARE AND SPORTS MEDICINE, AND THE OPENING OF THE STATE-OF-THE-ART PEDIATRIC ORTHOPAEDIC INSTITUTE, A GROUP OF ORTHOPAEDIC SPECIALISTS WHO TREAT A WIDE RANGE OF NEURO- AND MUSCULOSKELETAL INJURIES AND CONDITIONS. AHN'S SPORTS MEDICINE TEAM IS THE OFFICIAL MEDICAL PROVIDER FOR THE PITTSBURGH PIRATES AND THE PITTSBURGH RIVERHOUNDS AND HAS BEEN DESIGNATED AS AN OFFICIAL U.S. OLYMPIC REGIONAL MEDICAL CENTER. AHN ALSO OFFERS SPORTS MEDICINE SERVICES FOR LOCAL COLLEGES AND DISTRICTS. ALLEGHENY HEALTH NETWORK TRANSPLANT INSTITUTE: THE AHN TRANSPLANT INSTITUTE PROVIDES PERSONALIZED, COMPASSIONATE CARE FROM A SPECIALIZED TEAM OF EXPERTS, INCLUDING TRANSPLANT SURGEONS, NEPHROLOGISTS, PSYCHIATRISTS, PHARMACISTS, SOCIAL WORKERS, DIETITIANS, TRANSPLANT NURSE COORDINATORS, AND OTHER HEALTHCARE PROFESSIONALS. THE TRANSPLANT INSTITUTE OFFERS HEART, KIDNEY, PANCREAS AND LIVER TRANSPLANTATION SERVICES, WITH A LEGACY OF TRANSPLANTATION CARE AND INNOVATION THAT DATES TO THE 1980S. IN ADDITION TO TRANSPLANTATION SERVICES, THE AHN TRANSPLANT INSTITUTE OFFERS PATIENTS ACCESS TO NOVEL IMMUNOSUPPRESSIVE AGENTS AND CLINICAL TRIALS. ADDITIONALLY, AHN AND ITS TRANSPLANT INSTITUTE ARE ADVOCATES FOR ORGAN DONATION EDUCATION AND AWARENESS. EMERGENCY MEDICINE AND TRAUMA CARE: IN 2024, AHN'S HOSPITALS RECORDED 380,000 EMERGENCY DEPARTMENT VISITS AND AHN'S AFFILIATED TRAUMA CENTERS PROVIDE LIFESAVING CARE TO THOUSANDS OF PATIENTS ANNUALLY. AHN'S EXPERIENCED, MULTIDISCIPLINARY TEAMS OF PHYSICIANS, SPECIALISTS, NURSES, TRAUMA SURGEONS AND SUPPORT STAFF PROVIDE AROUND-THE-CLOCK, AWARD-WINNING CARE FOR THE REGION'S SICK AND WOUNDED. AHN'S EMERGENCY DEPARTMENTS HAVE SOME OF THE SHORTEST WAIT TIMES IN THE STATE. AHN'S HOSPITALS OPERATE EIGHT EMERGENCY DEPARTMENTS: AGH IS A LEVEL I TRAUMA CENTER, OFFERING TRAUMA SURGERY, SURGICAL CRITICAL CARE AND EMERGENCY GENERAL SURGERY, AS WELL AS A VARIETY OF RESEARCH AND EDUCATIONAL PROGRAMS; FH OPERATES A LEVEL II TRAUMA CENTER; AND WPH CARRIES A VERIFICATION FROM BOTH THE AMERICAN BURN ASSOCIATION AND THE AMERICAN COLLEGE OF SURGEONS, FOR THE TREATMENT OF BOTH PEDIATRIC AND ADULT BURN PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN WOMEN'S INSTITUTE: AHN OFFERS COMPASSIONATE AND COMPREHENSIVE CARE THROUGH THE NETWORK OF MORE THAN 100 OBSTETRICIANS AND GYNECOLOGISTS, AND HUNDREDS OF OTHER SPECIALISTS WHO WORK TOGETHER TO CARE FOR WOMEN. AHN'S GROWING WOMEN'S HEALTH TEAM TREATS PATIENTS AT MORE THAN 50 WOMEN'S HEALTH OFFICE LOCATIONS, THROUGH EVERY LIFE STAGE: PREVENTION AND WELLNESS; LABOR AND DELIVERY SERVICES; ADVANCED GYNECOLOGIC SURGERIES; MIDLIFE CARE; SPECIALIZED CARDIOVASCULAR TREATMENTS; LEADING-EDGE BREAST CANCER DIAGNOSTIC AND THERAPEUTIC CAPABILITIES; MENOPAUSE AND OSTEOPOROSIS THERAPIES; AND INNOVATIVE CLINICAL TRIALS AND ADVANCED THERAPIES FOR GYNECOLOGIC CANCER. IN THE LAST THREE YEARS, AHN HAS MADE SIGNIFICANT UPGRADES TO ITS FACILITIES AND PROGRAMS FOR WOMEN, INCLUDING THE CONSTRUCTION OF A BRAND NEW MATERNITY UNIT AT JEFFERSON HOSPITAL, EXPANDED AND ENHANCED OBSTETRIC UNITS AT FORBES AND WEST PENN HOSPITALS, THE LAUNCH OF AN INTENSIVE OUTPATIENT PROGRAM FOR MOTHERS SUFFERING FROM SEVERE POSTPARTUM DEPRESSION, AND THE PLANNED CONSTRUCTION OF A NEW NEONATAL INTENSIVE CARE UNIT AT WEST PENN. AHN OPENED ITS ALEXIS JOY D'ACHILLE CENTER FOR PERINATAL MENTAL HEALTH, AN INNOVATIVE NEW FACILITY THAT OFFERS WOMEN WITH PREGNANCY-RELATED DEPRESSION ACCESS TO A SPECTRUM OF FAMILY-FOCUSED CARE OPTIONS UNDER ONE ROOF. IN 2024, AHN'S OBSTETRICAL UNITS DELIVERED NEARLY 8,400 BABIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4 - PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOMPLISHMENTS OVER THE YEARS, AHN HAS BEEN RECOGNIZED FOR ITS ADVANCED TECHNOLOGIES, CLINICAL QUALITY, AND THE DEPTH AND BREADTH OF ITS PROFESSIONAL AND CLINICAL PROGRAMMING. IN 2024, IT RECEIVED THE FOLLOWING AWARDS, RECOGNITIONS AND ACCREDITATIONS, AMONG OTHERS: IN JANUARY 2024, AHN CANONSBURG HOSPITAL ANNOUNCED THAT IT HAS JOINED A PREMIER GROUP OF ORGANIZATIONS THAT HAVE RECEIVED THE PATHWAY TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). IT IS THE FIRST HOSPITAL IN WESTERN PENNSYLVANIA TO ACHIEVE THIS PRESTIGIOUS DESIGNATION. IN JANUARY 2024, AHN WEXFORD WAS RECOGNIZED WITH PATIENT EXPERIENCE AWARD FROM PRESS GANEY. AS PART OF PRESS GANEY'S ANNUAL RANKING OF THE TOP HOSPITALS AND HEALTH SYSTEMS IN THE COUNTRY FOR PERFORMANCE IN PATIENT EXPERIENCE, THIS AWARD RECOGNIZES THESE AHN FACILITIES FOR RANKING IN THE TOP FIVE PERCENT IN 2023. IN JANUARY 2024, AHN ALLEGHENY GENERAL HOSPITAL ACHIEVED THE PRESTIGIOUS MAGNET DESIGNATION FOR NURSING EXCELLENCE. AGH IS THE FOURTH AHN HOSPITAL TO RECEIVE MAGNET RECOGNITION. IN FEBRUARY 2024, AHN HOSPITALS WERE RECOGNIZED BY HEALTHGRADES FOR PATIENT EXPERIENCE, SPECIALTY CARE EXCELLENCE. WEST PENN RANKED AMONG THE TOP HOSPITALS IN THE NATION FOR OVERALL PATIENT EXPERIENCE, AND ALLEGHENY GENERAL WAS AMONG AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY. IN MARCH 2024, AHN JEFFERSON HOSPITAL EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR JOINT REPLACEMENT. THE HOSPITAL EARNED THE TWO-YEAR DESIGNATION FOR ADVANCED TOTAL HIP AND TOTAL KNEE REPLACEMENT. IN MARCH 2024, AHN WAS RECOGNIZED AS A 2024 WELLBEING FIRST CHAMPION, FOR SUPPORTING HEALTH WORKER WELL-BEING AND DESTIGMATIZING MENTAL HEALTH ACCESS. AHN IS THE FIRST AND ONLY HEALTH SYSTEM IN PENNSYLVANIA, AND ONE OF 18 NATIONALLY, VERIFIED BY 'ALL IN: WELLBEING FIRST FOR HEALTHCARE,' ENSURING NO INTRUSIVE MENTAL HEALTH QUESTIONS ON APPLICATIONS. IN APRIL 2024, NEARLY 230 AHN PHYSICIANS WERE RECOGNIZED AS "TOP DOCTORS" BY PITTSBURGH MAGAZINE. THROUGH CASTLE CONNOLLY'S RESEARCH PROCESS, ABOUT 67,000 BOARD-CERTIFIED PHYSICIANS OUT OF 985,000 PRACTICING DOCTORS ACROSS THE UNITED STATES HAVE BEEN AWARDED 2024 "TOP DOCTOR" STATUS, REPRESENTING LESS THAN 7 PERCENT OF THE NATION'S PHYSICIANS. IN THE SPRING AND AGAIN IN THE FALL OF 2024, ALLEGHENY HEALTH NETWORK'S ALLEGHENY VALLEY, FORBES, GROVE CITY AND WEXFORD HOSPITALS WERE LAUDED BY LEAPFROG GROUP WITH "A" GRADES FOR CAREGIVING QUALITY AND SAFETY. IN JUNE 2024, THE ASSOCIATION OF PERIOPERATIVE REGISTERED NURSES, REPRESENTING MORE THAN 200,000 OPERATING ROOM NURSES ACROSS THE COUNTRY, NAMED AHN JEFFERSON HOSPITAL AS A CENTER OF EXCELLENCE IN SURGICAL SAFETY: SMOKE EVACUATION. IN AUGUST 2024, AHN ANNOUNCED THAT AHN WEXFORD HOSPITAL HAD BEEN AWARDED A 5-STAR RATING BY THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES (CMS). THIS PRESTIGIOUS DESIGNATION RECOGNIZES THE HOSPITAL'S COMMITMENT TO EXCELLENCE AND ITS DEDICATION TO PROVIDING SAFE, EFFECTIVE AND PATIENT-CENTERED CARE AT THE HIGHEST LEVEL. WEXFORD HOSPITAL IS THE ONLY HOSPITAL IN WESTERN PENNSYLVANIA TO RECEIVE A 5-STAR RATING. IN AUGUST 2024, AHN JEFFERSON AND WEXFORD HOSPITALS WERE RECOGNIZED FOR EXCELLENCE IN EMERGENCY CARE WITH EMERGENCY NURSES ASSOCIATION 'LANTERN AWARD.' THE LANTERN AWARD REFLECTS AHN JEFFERSON'S AND AHN WEXFORD'S SUCCESS IN INCORPORATING EVIDENCE-BASED CLINICAL PRACTICE AND INNOVATION INTO EMERGENCY CARE. IT SERVES AS A VISIBLE SYMBOL OF THEIR COMMITMENT TO HIGH-QUALITY, SAFE PATIENT CARE, AS WELL AS A HEALTHY WORK ENVIRONMENT FOR NURSING STAFF. IN AUGUST 2024, AHN ONCE AGAIN RECEIVED STATEWIDE RECOGNITION FOR ITS EFFORTS TO SUPPORT AND RAISE AWARENESS ABOUT ORGAN, EYE AND TISSUE DONATION AS THE TOP-PERFORMING HEALTH SYSTEM IN WESTERN PA FOR HAP'S 2024 DONATE LIFE PENNSYLVANIA HOSPITAL CHALLENGE. AHN ALLEGHENY GENERAL HOSPITAL AND AHN JEFFERSON HOSPITAL WERE ALSO NAMED TOP-PERFORMING HOSPITALS IN THE REGION. IN SEPTEMBER 2024, THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION RECOGNIZED NINE ALLEGHENY HEALTH NETWORK HOSPITALS FOR THE HIGH QUALITY OF THEIR HEART FAILURE, ATRIAL FIBRILLATION, CORONARY ARTERY DISEASE, AND STROKE CARE PROGRAMS. IN NOVEMBER 2024, AHN'S MONROEVILLE SURGERY CENTER WAS ONCE AGAIN RANKED FIRST IN PENNSYLVANIA IN NEWSWEEK'S LATEST LIST OF 'AMERICA'S BEST AMBULATORY SURGERY CENTERS'. AHN'S WESTMORELAND OUTPATIENT CENTER, BETHEL PARK SURGERY CENTER, WEXFORD HEALTH + WELLNESS PAVILION SURGERY CENTER AND NORTH SHORE ENDOSCOPY CENTER ALSO MADE THE ANNUAL LIST. IN NOVEMBER 2024, AHN GROVE CITY HOSPITAL ANNOUNCED THAT IT HAD RECEIVED THE 'PENNSYLVANIA RURAL HEALTH COMMUNITY PROGRAM OF THE YEAR AWARD,' PRESENTED BY THE PENNSYLVANIA OFFICE OF RURAL HEALTH (PORH), FOR THE QUALITY OF ITS TELE-STROKE PROGRAM. IN DECEMBER 2024, AHN ANNOUNCED THAT THREE OF ITS HOSPITALS - WEXFORD, JEFFERSON, AND WEST PENN - ACHIEVED A "HIGH PERFORMING" DESIGNATION FOR MATERNITY AND PERINATAL CARE IN THE 2025 U.S. NEWS &amp; WORLD REPORT BEST HOSPITALS FOR MATERNITY CARE RATINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 645,671,767 including grants of $ 184,475)(Revenue $ 2,687,634,630) OTHER PROGRAM SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>JOSEPH GUYAUX, DAVID BLANDINO, M.D., STEVEN HOFFMAN, NACD.DC, GREGORY JORDAN, ESQ., DAVID MALONE, DORIS CARSON WILLIAMS, AND DAVID HOLMBERG - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLEGHENY HEALTH NETWORK BYLAWS WERE AMENDED IN FEBRUARY 2024. THESE AMENDMENTS INCLUDED UPDATING THE LIST OF SUPPORTED ORGANIZATIONS BY ADDING GROVE CITY MEDICAL CENTER AND SAINT VINCENT HEALTH CENTER AND REMOVING SAINT VINCENT HEALTH SYSTEM. IN ADDITION, THE CRITERIA FOR BOARD MEMBERSHIP WERE REVISED. SPECIFICALLY, THE REQUIREMENT THAT CERTAIN DIRECTORS BE COMMON TO OTHER AFFILIATED ORGANIZATIONS WAS REMOVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>WEST PENN ALLEGHENY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - CANONSBURG GENERAL HOSPITAL - ALLEGHENY MEDICAL PRACTICE NETWORK - ALLEGHENY SINGER RESEARCH INSTITUTE - ALLE-KISKI MEDICAL CENTER - WEST PENN HOSPITAL FOUNDATION - FORBES HEALTH FOUNDATION - ALLEGHENY CLINIC - ALLEGHENY CLINIC MEDICAL ONCOLOGY - WEST PENN ALLEGHENY FOUNDATION, LLC - SUBURBAN HEALTH FOUNDATION AHN IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - JEFFERSON REGIONAL MEDICAL CENTER - WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - SAINT VINCENT HEALTH SYSTEM - SAINT VINCENT HEALTH CENTER - GROVE CITY MEDICAL CENTER ALLE-KISKI MEDICAL CENTER IS THE SOLE MEMBER OF: - ALLE-KISKI MEDICAL CENTER TRUST - ALLE-KISKI PARAMEDIC UNIT FOR LIFE SUPPORT EMERGENCY RESPONSE HIGHMARK HEALTH IS THE SOLE MEMBER OF: - ALLEGHENY HEALTH NETWORK SAINT VINCENT HEALTH SYSTEM IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT MEDICAL ED &amp; RESEARCH INSTITUTE - WESTFIELD MEMORIAL HOSPITAL, INC. SAINT VINCENT HEALTH CENTER OWNED 76.5% OF REGIONAL HEALTH NETWORK CANONSBURG GENERAL HOSPITAL IS THE SOLE MEMBER OF: - CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE JEFFERSON REGIONAL MEDICAL CENTER IS THE SOLE MEMBER OF THE FOLLOWING ENTITIES: - JEFFERSON HILLS SURGICAL SPECIALIST - JRMC SPECIALTY GROUP PRACTICE - PRIME MEDICAL GROUP PCG 1 - STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE - SOUTH PITTSBURGH UROLOGY ASSOCIATES - THE PARK CARDIOTHORACIC AND VASCULAR INSTITUTE - PRIMARY CARE GROUP 11, INC. - PRIMARY CARE GROUP 3, INC. - PRIMARY CARE GROUP 7, INC. - PITTSBURGH BONE, JOINT &amp; SPINE, INC. - PRIMARY CARE GROUP 5, INC. - PITTSBURGH PULMONARY AND CRITICAL CARE ASSOCIATES (MERGED INTO JRMC 5/24) - PRIMARY CARE GROUP 8 INC. - FAMILY PRACTICE MEDICAL ASSOCIATES SOUTH, INC. - GRANDIS RUBIN SHANAHAN &amp; ASSOCIATES JEFFERSON REGIONAL MEDICAL CENTER OWNED 89.738% OF JEFFERSON MEDICAL ASSOCIATES. AHN EMERUS WESTMORELAND, LLC OWNED THROUGH AHN 51% MEMBERSHIP IN THE AHN EMERUS LLC JOINT VENTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE FOLLOWING ENTITIES THAT COMPRISE THE GROUP, HIGHMARK HEALTH, AS THE DIRECT OR INDIRECT SOLE MEMBER, HOLDS CERTAIN RESERVE POWERS PURSUANT TO THE BYLAWS OF: - CANONSBURG GENERAL HOSPITAL - JEFFERSON REGIONAL MEDICAL CENTER - ALLEGHENY SINGER RESEARCH INSTITUTE - ALLE-KISKI MEDICAL CENTER - WEST PENN HOSPITAL FOUNDATION - ALLE-KISKI MEDICAL CENTER TRUST - FORBES HEALTH FOUNDATION - WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES - SAINT VINCENT MEDICAL ED &amp; RESEARCH INSTITUTE - SAINT VINCENT HEALTH SYSTEM - SAINT VINCENT HEALTH CENTER - CANONSBURG GENERAL HOSPITAL AMBULANCE SERVICE - ALLEGHENY CLINIC - ALLEGHENY CLINIC MEDICAL ONCOLOGY - ALLEGHENY MEDICAL PRACTICE NETWORK - GROVE CITY MEDICAL CENTER THE FOLLOWING ARE THE RESERVED POWERS OF HIGHMARK HEALTH: 1) TO APPROVE THE ELECTION, RE-ELECTION AND REMOVAL OF ALL OFFICERS, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, OF THE CORPORATION AND ITS SUBSIDIARIES; 2) TO AMEND, REVISE OR RESTATE THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS AND APPROVE ALL AMENDMENTS OR REVISIONS OF THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED OR APPROVED BY AHN, THE MEMBER OR BOARD OF DIRECTORS OF THE CORPORATION, SUBJECT TO CERTAIN EXCEPTIONS. 3) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION OR ITS SUBSIDIARIES; 4) TO CHANGE THE GENERAL STRUCTURE OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES AS A VOLUNTARY, NONPROFIT CORPORATION; 5) TO (A) DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE CORPORATION OR ITS SUBSIDIARIES, (B) CONSOLIDATE OR MERGE THE CORPORATION OR ITS SUBSIDIARIES WITH ANOTHER CORPORATION OR ENTITY, (C) SELL OR ACQUIRE ASSETS, WHETHER IN A SINGLE TRANSACTION OR SERIES OF TRANSACTIONS, WHERE THE CONSOLIDATION EXCEEDS 1% OF THE CORPORATION'S OR THE RELEVANT SUBSIDIARY'S TOTAL ASSETS, AND (D) APPROVE ANY OF THE FOREGOING ACTIONS THAT MAY BE PROPOSED BY AHN, THE MEMBER OR THE BOARD OF DIRECTORS OF THE CORPORATION BEFORE SUCH ACTION BECOMES EFFECTIVE; 6) TO APPROVE THE ANNUAL CONSOLIDATED CAPITAL AND OPERATING PLAN AND BUDGET OF THE CORPORATION AND ITS SUBSIDIARIES, AND ANY AMENDMENTS THERETO OR SIGNIFICANT VARIANCES THEREFROM; 7) APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS SUBSIDIARIES OR THE MAKING OF CAPITAL EXPENDITURES BY THE CORPORATION AND THE SUBSIDIARIES DURING ANY FISCAL YEAR OF THE CORPORATION, IN EITHER CASE IN EXCESS OF ONE QUARTER OF 1% OF THE CONSOLIDATED ANNUAL OPERATING BUDGET OF THE CORPORATION AND ITS SUBSIDIARIES FOR EACH FISCAL YEAR IF SUCH DEBT OR CAPITAL EXPENDITURES ARE NOT INCLUDED IN THE CORPORATION'S SUBSIDIARIES' APPROVED BUDGETS, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS. 8) TO APPROVE ANY DONATION OR ANY OTHER TRANSFER OF THE CORPORATION'S OR ITS SUBSIDIARIES' ASSETS, OTHER THAN TO THE MEMBER OR TO THE CORPORATION BY ITS SUBSIDIARIES, IN EXCESS OF $10,000,000, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S OR ITS SUBSIDIARIES' APPROVED BUDGETS. 9) TO APPROVE STRATEGIC PLANS AND MISSION STATEMENTS OF THE CORPORATION AND ITS SUBSIDIARIES; 10) TO APPROVE INVESTMENT POLICIES OF THE CORPORATION AND SUBSIDIARIES; 11) TO APPROVE THE CLOSURE OR RELOCATION OF A LICENSED HEALTHCARE FACILITY OF THE CORPORATION AND ITS SUBSIDIARIES; 12) TO APPROVE THE FORMATION OF SUBSIDIARY CORPORATIONS, PARTNERSHIPS AND JOINT VENTURES OR TO MAKE NEW INVESTMENTS IN EXISTING SUBSIDIARY CORPORATIONS, PARTNERSHIPS AND JOINT VENTURES, IF THE NEW INVESTMENTS OF THE CORPORATION AND THE SUBSIDIARIES IN SUCH SUBSIDIARIES CORPORATIONS, PARTNERSHIPS, AND JOINT VENTURES DURING ANY FISCAL YEAR WOULD, IN THE AGGREGATE, EXCEED 1% OF THE CORPORATION'S CONSOLIDATED TOTAL ASSETS AT THE END OF THE PRIOR FISCAL YEAR OF THE CORPORATION; 13) TO ESTABLISH AND MANAGE THE CORPORATION'S PROGRAM FOR COMPLIANCE WITH ALL LEGAL REQUIREMENTS APPLICABLE TO THE CORPORATION, ALL ACCREDITATION AND LICENSING REQUIREMENTS AND THE CONDITIONS OF PARTICIPATION IN ALL GOVERNMENTAL PAYER PROGRAMS APPLICABLE TO THE CORPORATION; AND 14) TO SELECT AND APPOINT AUDITORS AND TO DESIGNATE THE FISCAL YEAR OF THE CORPORATION AND THE SUBSIDIARIES. 15) TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE NONPROFIT CORPORATION LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HIGHMARK HEALTH GROUP IRS FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT, THE AUDIT AND COMPLIANCE COMMITTEE, AND EXTERNAL TAX ADVISORS, AND THEN PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH HAS A INTEGRATED RISK OPERATIONS DEPARTMENT THAT MONITORS AND OVERSEES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL ENTITIES WITHIN THE FILING GROUP. THE FOLLOWING DESCRIBES THE MANNER IN WHICH THE INTEGRATED RISK OPERATIONS DEPARTMENT MONITORS AND OVERSEES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE COMPLETED UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS BY ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, SUPERVISORS AND ABOVE, PERSONS WITH PURCHASING AND DECISION MAKING AUTHORITY, AND ANY OTHER EMPLOYEES AS DESIGNATED BY THE INTEGRATED RISK OPERATIONS DEPARTMENT. INDIVIDUALS ARE REQUIRED TO REPORT TO THE INTEGRATED RISK OPERATIONS DEPARTMENT THROUGHOUT THE YEAR IF CHANGES IN CIRCUMSTANCES ARISE THAT MAY GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST OR CHANGE A PREVIOUSLY-DISCLOSED CONFLICT. UPON COMPLETION OF THE ABOVE DISCLOSURE STATEMENT BY ALL APPLICABLE INDIVIDUALS, THE INTEGRATED RISK OPERATIONS DEPARTMENT REVIEWS ALL DISCLOSURES. THOSE DISCLOSURE STATEMENTS THAT REQUIRE ADDITIONAL INFORMATION OR CLARIFICATION ARE CONTACTED BY THE INTEGRATED RISK OPERATIONS DEPARTMENT REQUESTING SUCH. ONCE RECEIVED, THE INTEGRATED RISK OPERATIONS DEPARTMENT REVIEWS THE INFORMATION TO DETERMINE WHETHER A REAL OR POTENTIAL CONFLICT OF INTEREST EXISTS. AS APPLICABLE, LEGAL AND SENIOR MANAGEMENT ARE CONSULTED TO DETERMINE WHETHER A REAL OR POTENTIAL CONFLICT OF INTEREST EXISTS. WHEN A CONFLICT REQUIRES A MITIGATION PLAN, THE MITIGATION PLAN IS DEVELOPED AND APPROVED IN COORDINATION WITH THE RESPECTIVE RESPONSIBLE SENIOR MANAGEMENT. THE SENIOR MANAGERS ARE RESPONSIBLE FOR DISCUSSING THE MITIGATION PLAN WITH THE INDIVIDUAL AND MONITORING COMPLIANCE WITH THE MITIGATION PLAN. A CONFLICT OF INTEREST/INDEPENDENCE DISCLOSURE SUMMARY REPORT OF ALL BOARD MEMBERS AND OFFICERS WITH REPORTABLE DISCLOSURES IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF HIGHMARK HEALTH AS WELL AS THE BOARD OF DIRECTORS OF HIGHMARK HEALTH, AHN AND ANY APPLICABLE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN FOLLOWS A PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE POSITIONS (INCLUDING OFFICERS, KEY EMPLOYEES AND OTHER MANAGEMENT POSITIONS) AND ARE COVERED BY THE HIGHMARK HEALTH EXECUTIVE COMPENSATION POLICY. THE POLICY WAS APPROVED BY THE HIGHMARK HEALTH BOARD OF DIRECTORS. IT IS THE POLICY OF AHN MANAGEMENT TO COMPENSATE ITS EXECUTIVES IN ACCORDANCE WITH THE MARKET AND IN RELATION TO THE EXPERIENCE, SERVICE AND ACCOMPLISHMENTS OF THE INDIVIDUAL BOTH PRIOR TO AND DURING THEIR SERVICE WITH AHN. THE HIGHMARK HEALTH COMPENSATION AND HUMAN RESOURCES COMMITTEE (C&amp;HR) APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO OF AHN THE C&amp;HR COMMITTEE USES COMPARABLE DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS AND/OR SPECIFIC ORGANIZATION PEER GROUPS. THE EXTERNAL CONSULTANT PROVIDES A LETTER OF REASONABILITY FOR ALL OFFERS MADE TO NEW EXECUTIVES THAT REPORT TO THE AHN CEO. EACH C&amp;HR COMMITTEE MEMBER VOTING ON THE PRESIDENT AND CEO OF AHN'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 EXECUTIVES THAT REPORT TO THE PRESIDENT AND CEO OF AHN IS ADMINISTERED BY HIGHMARK HEALTH EXECUTIVE COMPENSATION MANAGEMENT. THE SENIOR EXECUTIVES IN THE HOSPITAL ENTITIES WITHIN THE GROUP IS ADMINISTERED BY THE CEO OF AHN WITH RESPECT TO THE CEOS, COOS AND CFOS OF EACH HOSPITAL, PURSUANT TO OVERALL GUIDELINES ESTABLISHED BY THE C&amp;HR COMMITTEE OF THE BOARD OF DIRECTORS OF HIGHMARK HEALTH. IT IS THE POLICY OF AHN TO COMPENSATE ITS EXECUTIVES IN ACCORDANCE WITH COMPETITIVE MARKET PRACTICES, TAKING INTO ACCOUNT ORGANIZATIONAL PERFORMANCE AND THE SKILLS, EXPERIENCE, QUALIFICATIONS AND PERFORMANCE OF EACH EXECUTIVE. AHN GENERALLY TARGETS THE MEDIAN OF THE RELEVANT MARKET WITH REASONABLE VARIATION BASED ON EACH EXECUTIVE'S SKILLS, EXPERIENCE, PERFORMANCE AND CURRENT POSITIONING RELATIVE TO MARKET. HIGHMARK HEALTH MANAGEMENT, IN COORDINATION WITH AN INDEPENDENT COMPENSATION CONSULTANT OBTAINS APPROPRIATE MARKET COMPARABILITY DATA FOR EACH POSITION, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS, TO PREPARE COMPENSATION RECOMMENDATIONS FOR ALL KEY EXECUTIVES, INCLUDING OFFICERS, KEY EMPLOYEES, AND OTHER DISQUALIFIED PERSONS. RECOMMENDATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE THAT IS INDEPENDENT WITH RESPECT TO THE COMPENSATION PROVIDED TO THE EXECUTIVES. COMPENSATION MAY INCLUDE SEVERAL FORMS OF CASH COMPENSATION, INCLUDING BASE SALARY, PERFORMANCE-BASED INCENTIVE COMPENSATION, AND A COMPETITIVE EMPLOYEE BENEFITS PROGRAM. BASE SALARY IS THE FIXED ELEMENT OF COMPENSATION INTENDED TO ALIGN WITH EACH EXECUTIVE'S ROLE, RESPONSIBILITIES, OVERALL PERFORMANCE AND OTHER CONTRIBUTIONS. INCENTIVE COMPENSATION IS USED TO PROVIDE VARIABLE, OR "AT RISK" COMPENSATION, BASED ON THE PERFORMANCE OF BOTH THE EXECUTIVE AND THE ORGANIZATION. TYPICALLY, AHN AND HOSPITAL EXECUTIVES CAN EARN INCENTIVE COMPENSATION ONLY IF THE ORGANIZATION ACHIEVES CERTAIN PRE-DETERMINED GOALS AS APPROVED BY THE C&amp;HR COMMITTEE. THE PLANS ARE INTENDED TO HOLD EXECUTIVES ACCOUNTABLE FOR ACHIEVING PERFORMANCE THAT IS CONSISTENT WITH THE LONG-TERM GOALS AND OBJECTIVES OF THE ORGANIZATION. ALL ENTITIES WITHIN THE FILING FOLLOW THE REQUIREMENT IN THE REGULATIONS TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF COMPENSATION. THE C&amp;HR COMMITTEE COMPLETED A REVIEW AND APPROVAL OF THE ANNUAL COMPENSATION STUDY PREPARED BY THE INDEPENDENT COMPENSATION CONSULTANT THAT INCLUDED THE CEO &amp; PRESIDENT OF AHN IN DECEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN FOLLOWS A PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE POSITIONS (INCLUDING OFFICERS, KEY EMPLOYEES AND OTHER MANAGEMENT POSITIONS) AND ARE COVERED BY THE HIGHMARK HEALTH EXECUTIVE COMPENSATION POLICY. THE POLICY WAS APPROVED BY THE HIGHMARK HEALTH BOARD OF DIRECTORS. IT IS THE POLICY OF AHN MANAGEMENT TO COMPENSATE ITS EXECUTIVES IN ACCORDANCE WITH THE MARKET AND IN RELATION TO THE EXPERIENCE, SERVICE AND ACCOMPLISHMENTS OF THE INDIVIDUAL BOTH PRIOR TO AND DURING THEIR SERVICE WITH AHN. THE HIGHMARK HEALTH COMPENSATION AND HUMAN RESOURCES COMMITTEE (C&amp;HR) APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO OF AHN THE C&amp;HR COMMITTEE USES COMPARABLE DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS AND/OR SPECIFIC ORGANIZATION PEER GROUPS. THE EXTERNAL CONSULTANT PROVIDES A LETTER OF REASONABILITY FOR ALL OFFERS MADE TO NEW EXECUTIVES THAT REPORT TO THE AHN CEO. EACH C&amp;HR COMMITTEE MEMBER VOTING ON THE PRESIDENT AND CEO OF AHN'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 EXECUTIVES THAT REPORT TO THE PRESIDENT AND CEO OF AHN IS ADMINISTERED BY HIGHMARK HEALTH EXECUTIVE COMPENSATION MANAGEMENT. THE SENIOR EXECUTIVES IN THE HOSPITAL ENTITIES WITHIN THE GROUP IS ADMINISTERED BY THE CEO OF AHN WITH RESPECT TO THE CEOS, COOS AND CFOS OF EACH HOSPITAL, PURSUANT TO OVERALL GUIDELINES ESTABLISHED BY THE C&amp;HR COMMITTEE OF THE BOARD OF DIRECTORS OF HIGHMARK HEALTH. IT IS THE POLICY OF AHN TO COMPENSATE ITS EXECUTIVES IN ACCORDANCE WITH COMPETITIVE MARKET PRACTICES, TAKING INTO ACCOUNT ORGANIZATIONAL PERFORMANCE AND THE SKILLS, EXPERIENCE, QUALIFICATIONS AND PERFORMANCE OF EACH EXECUTIVE. AHN GENERALLY TARGETS THE MEDIAN OF THE RELEVANT MARKET WITH REASONABLE VARIATION BASED ON EACH EXECUTIVE'S SKILLS, EXPERIENCE, PERFORMANCE AND CURRENT POSITIONING RELATIVE TO MARKET. HIGHMARK HEALTH MANAGEMENT, IN COORDINATION WITH AN INDEPENDENT COMPENSATION CONSULTANT OBTAINS APPROPRIATE MARKET COMPARABILITY DATA FOR EACH POSITION, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS, TO PREPARE COMPENSATION RECOMMENDATIONS FOR ALL KEY EXECUTIVES, INCLUDING OFFICERS, KEY EMPLOYEES, AND OTHER DISQUALIFIED PERSONS. RECOMMENDATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE THAT IS INDEPENDENT WITH RESPECT TO THE COMPENSATION PROVIDED TO THE EXECUTIVES. COMPENSATION MAY INCLUDE SEVERAL FORMS OF CASH COMPENSATION, INCLUDING BASE SALARY, PERFORMANCE-BASED INCENTIVE COMPENSATION, AND A COMPETITIVE EMPLOYEE BENEFITS PROGRAM. BASE SALARY IS THE FIXED ELEMENT OF COMPENSATION INTENDED TO ALIGN WITH EACH EXECUTIVE'S ROLE, RESPONSIBILITIES, OVERALL PERFORMANCE AND OTHER CONTRIBUTIONS. INCENTIVE COMPENSATION IS USED TO PROVIDE VARIABLE, OR "AT RISK" COMPENSATION, BASED ON THE PERFORMANCE OF BOTH THE EXECUTIVE AND THE ORGANIZATION. TYPICALLY, AHN AND HOSPITAL EXECUTIVES CAN EARN INCENTIVE COMPENSATION ONLY IF THE ORGANIZATION ACHIEVES CERTAIN PRE-DETERMINED GOALS AS APPROVED BY THE C&amp;HR COMMITTEE. THE PLANS ARE INTENDED TO HOLD EXECUTIVES ACCOUNTABLE FOR ACHIEVING PERFORMANCE THAT IS CONSISTENT WITH THE LONG-TERM GOALS AND OBJECTIVES OF THE ORGANIZATION. ALL ENTITIES WITHIN THE FILING FOLLOW THE REQUIREMENT IN THE REGULATIONS TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF COMPENSATION. THE C&amp;HR COMMITTEE COMPLETED A REVIEW AND APPROVAL OF THE ANNUAL COMPENSATION STUDY PREPARED BY THE INDEPENDENT COMPENSATION CONSULTANT THAT INCLUDED THE CEO &amp; PRESIDENT OF AHN IN DECEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE ON A CONSOLIDATED BASIS AND ARE AVAILABLE UPON REQUEST AND WITH CFO APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A AND B</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS STATEMENT SERVES AS A REQUEST FOR CONSENT PURSUANT TO REGULATION SECTION 1.6033-2(D)(5). DUE TO THE LACK OF AN ESTABLISHED PROCESS, THE TAXPAYER IS NOTIFYING THE COMMISSIONER IN THIS MANNER. PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), THE SPONSORING ENTITY OF HIGHMARK HEALTH GROUP, HIGHMARK HEALTH, HAS ELECTED TO REPORT COMPENSATION AND SCHEDULE J OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER HIGHLY PAID EMPLOYEES; CERTAIN PROFESSIONAL CONTRACTORS; AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS ALONG WITH ALL MEMBERS OF THE GROUP IN THE HIGHMARK HEALTH GROUP RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COLUMN D AND F</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), THE SPONSORING ENTITY OF HIGHMARK HEALTH GROUP, HIGHMARK HEALTH, HAS ELECTED TO REPORT INFORMATION ABOUT OFFICERS, DIRECTORS, KEY EMPLOYEES AND CERTAIN HIGHEST COMPENSATED EMPLOYEES ON A CONSOLIDATED BASIS ALONG WITH ALL MEMBERS OF THE GROUP IN THE HIGHMARK HEALTH GROUP RETURN. COMPENSATION RELATED TO HIGHMARK HEALTH IS REPORTED IN PART VII, COLUMN D AND F.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bauer, Esq., Jacqueline ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Primary Care Group 5, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Allegheny Clinic, Title: Secretary, AverageHours: 0.000; Officer Organization Name: Allegheny Medical Practice Network, Title: EX-OFFICIO DIRECTOR &amp; SECRETARY, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Allegheny Singer Research Institute, Title: DIRECTOR &amp; SECRETARY, AverageHours: 0.000; Officer Organization Name: Canonsburg General Hospital Ambulance Service, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Family Practice Medical Associates South, Inc, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Forbes Health Foundation, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Jefferson Regional Medical Center, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: SECRETARY - END 5/24, AverageHours: 0.000; Officer Organization Name: Primary Care Group 8, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health Center, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health System, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Suburban Health Foundation, Title: DIRECTOR &amp; SECRETARY, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: West Penn Allegheny Health System, Inc., Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: West Penn Hospital Foundation, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center Trust, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Allegheny Clinic Medical Oncology, Title: SECRETARY &amp; DIRECTOR - END 2/24, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Canonsburg General Hospital, Title: SECRETARY, AverageHours: 0.000; Officer Organization Name: Grove City Medical Center, Title: SECRETARY, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Beckman, Mitch ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, PRES &amp; CEO, AverageHours: 60.000; IndividualTrusteeOrDirectorOfficer Organization Name: Alle-Kiski Medical Center Trust, Title: EX-OFFICIO TRUSTEE, PRESIDENT &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Suburban Health Foundation, Title: PRES, CEO &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: West Penn Hospital Foundation, Title: EX-OFFICIO DIRECTOR, PRES, &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Forbes Health Foundation, Title: DIRECTOR, PRES &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Benedict, James ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: PRESIDENT, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Alle-Kiski Medical Center Trust, Title: EX-OFFICIO TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Clinic(Former), Title: FORMER DIRECTOR &amp; SECRETARY, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Clinic Medical Oncology, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Medical Practice Network, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Singer Research Institute, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital Ambulance Service, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Forbes Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Grove City Medical Center, Title: DIRECTOR &amp; CHAIRMAN, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: West Penn Hospital Foundation, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bergstrom, Robin ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center Trust, Title: BOARD CHAIR &amp; TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bohn, Earl ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Suburban Health Foundation, Title: DIRECTOR &amp; BOARD CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Cicero, Pete ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR &amp; TREASURER, AverageHours: 55.000; IndividualTrusteeOrDirectorOfficer Organization Name: Suburban Health Foundation, Title: DIRECTOR &amp; TREASURER, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Clark, Christopher, D.O. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grove City Medical Center, Title: PRESIDENT, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health Center, Title: EX-OFFICIO DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Saint Vincent Health System, Title: EX-OFFICIO DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: EX-OFFICIO DIRECTOR, CHAIRPERSON, PRES &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Westfield Memorial Hospital, Inc., Title: PRESIDENT, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Devine, Brian ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: CFO &amp; TREASURER, AverageHours: 0.000; Officer Organization Name: Primary Care Group 5, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center Trust, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Clinic, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Clinic Medical Oncology, Title: TREASURER, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Allegheny Medical Practice Network, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Singer Research Institute, Title: DIRECTOR &amp; TREASURER, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Canonsburg General Hospital, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Canonsburg General Hospital Ambulance Service, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Forbes Health Foundation, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Grove City Medical Center, Title: DIRECTOR &amp; TREASURER , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Regional Medical Center, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Primary Care Group 8, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health Center, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health System, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: West Penn Allegheny Health System, Inc., Title: CFO &amp; TREASURER, AverageHours: 0.000; Officer Organization Name: West Penn Hospital Foundation, Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Westfield Memorial Hospital, Inc., Title: TREASURER, AverageHours: 0.000; Officer Organization Name: Family Practice Medical Associates South, Inc, Title: TREASURER, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Holmberg, David ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: CEO, PRESIDENT, &amp; EX OFFICIO DIRECTOR, AverageHours: 60.000; IndividualTrusteeOrDirectorOfficer Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Holt, Diana ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: EX-OFFICIO DIRECTOR &amp; SECRETARY, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Johnson, Brian, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: PRESIDENT - WEST PENN HOSPITAL, AverageHours: 0.000; Officer Organization Name: West Penn Hospital Foundation, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kassab, Kelly ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Primary Care Group 5, Title: VICE PRESIDENT &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Family Practice Medical Associates South, Inc, Title: VICE PRESIDENT &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Hills Surgical Specialists, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: JRMC Specialty Group Practice, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Pittsburgh Bone, Joint &amp; Spine, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: VICE PRESIDENT &amp; DIRECTOR - END 5/24, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 11, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Primary Care Group 3, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Primary Care Group 7, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Primary Care Group 8, Title: VICE PRESIDENT &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Prime Medical Group, PCG 1, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: South Pittsburgh Urology Associates, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Steel Valley Orthopaedic and Sports Medicine, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: The Park Cardiothoracic and Vascular Institute, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: VICE PRESIDENT &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Landis, Dawn ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Suburban Health Foundation, Title: DIRECTOR &amp; VICE CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Lejeune, Keith ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector Organization Name: Allegheny Clinic, Title: VICE PRESIDENT, AverageHours: 0.000; Officer Organization Name: Allegheny Singer Research Institute, Title: DIRECTOR &amp; VICE PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Little, Edward ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Forbes Health Foundation, Title: DIRECTOR &amp; CHAIRMAN, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Livingston, Russell ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR &amp; BOARD CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Macerelli, Joseph, Esq. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Alle-Kiski Medical Center, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital, Title: EX-OFFICIO DIRECTOR &amp; CHAIRMAN, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR &amp; CHAIRMAN, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR &amp; CHAIRMAN, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Canonsburg General Hospital Ambulance Service, Title: EX-OFFICIO DIRECTOR &amp; CHAIRMAN, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Nussbaum, Mark ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic Medical Oncology, Title: DIRECTOR - END 2/24, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Medical Practice Network, Title: DIRECTOR &amp; VICE PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Allegheny Singer Research Institute, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A O'Brien, Wendy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Hospital Foundation, Title: DIRECTOR &amp; BOARD CHAIR , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Park, Chong, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Primary Care Group 5, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital, Title: DIRECTOR &amp; PRES, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Canonsburg General Hospital Ambulance Service, Title: EX-OFFICIO DIRECTOR, PRES &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Family Practice Medical Associates South, Inc, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Hills Surgical Specialists, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Regional Medical Center, Title: EX-OFFICIO DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: JRMC Specialty Group Practice, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pittsburgh Bone, Joint &amp; Spine, Inc., Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 11, Inc., Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 3, Inc., Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 7, Inc., Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 8, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Prime Medical Group, PCG 1, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: South Pittsburgh Urology Associates, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Steel Valley Orthopaedic and Sports Medicine, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: The Park Cardiothoracic and Vascular Institute, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Patri, Beth ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR &amp; VICE CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Portz, Matthew, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Family Practice Medical Associates South, Inc, Title: DIRECTOR &amp; PRESIDENT - END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Rubin, Daniel, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: DIRECTOR &amp; PRESIDENT END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Rubino, Mark, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR &amp; PRESIDENT, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Alle-Kiski Medical Center Trust, Title: EX-OFFICIO TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Forbes Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: PRESIDENT - FORBES HOSPITAL, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Sims, William ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: DIRECTOR &amp; PRESIDENT - END 5/24, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Smith, John J. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Canonsburg General Hospital, Title: CFO, AverageHours: 0.000; Officer Organization Name: Family Practice Medical Associates South, Inc, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Primary Care Group 5, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Jefferson Hills Surgical Specialists, Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Jefferson Regional Medical Center, Title: CFO &amp; ASSISTANT SECRETARY, AverageHours: 0.000; Officer Organization Name: JRMC Specialty Group Practice, Title: DIRECTOR, TREASURER &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pittsburgh Bone, Joint &amp; Spine, Inc., Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 11, Inc., Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 3, Inc., Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 7, Inc., Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Primary Care Group 8, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Prime Medical Group, PCG 1, Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: South Pittsburgh Urology Associates, Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Steel Valley Orthopaedic and Sports Medicine, Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: The Park Cardiothoracic and Vascular Institute, Title: DIRECTOR, TREASURER, &amp; SECRETARY , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Turner, Lindsay, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Whiting, Donald, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic, Title: DIRECTOR, CHARIMAN, PRES &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Allegheny Clinic Medical Oncology, Title: DIRECTOR &amp; CHAIRPERSON, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Allegheny Singer Research Institute, Title: DIRECTOR, CHARIMAN, PRES &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Grove City Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Medical Practice Network, Title: EX-OFFICIO DIRECTOR, CHARIMAN, PRES &amp; CEO, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Allen, Will ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Balacko, John, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Barad, Ashis, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic, Title: DIRECTOR - END 9/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Baran, Helen ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR &amp; BOARD CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Becker, Gene ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center Trust, Title: TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bennett, Tracey ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Berkhouse, Thomas ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Blandino, David, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector Organization Name: Allegheny Health Network, Title: DIRECTOR &amp; CHAIRPERSON, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital Ambulance Service, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Blazek-O'Neill, Betsy, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Suburban Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Burns, Kathryn ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Cavanaugh, Terrence ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Chalikonda, Sricharan, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Cincala, Robert, D.O. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Suburban Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Coppola, Matthew, M.D ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Suburban Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Corkery, Thomas, D.O. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Canonsburg General Hospital, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Canonsburg General Hospital Ambulance Service, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Costa, Angela ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Crane, Robert ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Dashottar, Nupur, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Family Practice Medical Associates South, Inc, Title: DIRECTOR - END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Deakin, James M. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Deliere, Emil ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: DIRECTOR - END 5/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Demchak, Debra ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Farah, Tony, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grove City Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Finley, Gene G., M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic Medical Oncology, Title: DIRECTOR - END 2/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Finnegan, John, Esq. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Forbes Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Fowler, Heidi ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Fries, Richard W. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic Medical Oncology, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: DIRECTOR - END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: DIRECTOR - END 5/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Fuge, Ladonna, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Forbes Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Gagianas, Peter, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Family Practice Medical Associates South, Inc, Title: DIRECTOR - END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Galaska, Henry, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Jefferson Regional Medical Center, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Galbraith, Robert ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Gaspar-Yoo, Vicenta, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center(Former), Title: FORMER DIRECTOR &amp; PRES., AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Alle-Kiski Medical Center Trust(Former), Title: FORMER TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Suburban Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Guyaux, Joseph ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR &amp; CHAIRMAN, AverageHours: 5.000; IndividualTrusteeOrDirector Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Hall, Joseph ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Hoffman, Steven, NACD.DC ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Iwanenko, Walter, Jr. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Jacob, Brian ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center Trust, Title: TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Jahanian, Farnam ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Jones, R. Steven ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Jordan, Gregory, ESQ. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR &amp; VICE CHAIR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Klein-Patel, Marcia, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Hospital Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Komer, Louis, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Family Practice Medical Associates South, Inc, Title: DIRECTOR - END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Lapczynski, Pamela ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Lewis, Jennifer, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Canonsburg General Hospital Ambulance Service, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Lund, Peter, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: DIRECTOR - END 7/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Malone, David ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Marasco, Edward ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR &amp; CHAIRMAN - END 7/24, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR - END 6/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Mcandrews, Lauren ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Meyer, Bruce, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Moore, Susan, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Naman, Peter, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Forbes Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Panucci, Debra ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Canonsburg General Hospital, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Pape, Kathy, ESQ. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Parker, Brian, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic, Title: DIRECTOR - END 9/24, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Allegheny Clinic Medical Oncology, Title: DIRECTOR - END 2/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Pastor, Christopher, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Patterson, Roberta ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Pelkowski, Julie ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Perego, Charles, Esq. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Suburban Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Perryman, Frank ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Perryman, James ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Canonsburg General Hospital, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Pesci, Marilyn ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center Trust, Title: TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Piazza, Sallie ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Pompeani, Robert ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Canonsburg General Hospital, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Redlawsk, Michael ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Roache, Jillian ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Roberts, Leanne, PHD ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Roche, Marne ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Roeback, Jason ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: DIRECTOR - END 7/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Ross, Jason ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Sauber, Timothy, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Saunders-Mosby, Sabrina ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Scott, Chris ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Shanahan, James, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grandis, Rubin, Shanahan &amp; Associates, Title: DIRECTOR END 4/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Sherrod, James ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Smith, Bradley ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Grove City Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Smith, Matthew, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Jefferson Regional Medical Center, Title: EX-OFFICIO DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Srinivasan, Venkatraman, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center Trust, Title: TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Surkala, Karen ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Westfield Memorial Hospital, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Syed, Mohammed, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: DIRECTOR - END 5/24, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Szumigale, Jeffrey ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR &amp; VICE CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR &amp; VICE CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Talarico, Richard ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Jefferson Regional Medical Center, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Vankirk, Barbara ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Forbes Health Foundation, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Vartanian, Nishan ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Waldman, Kelly ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Walker, Kevin ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: DIRECTOR, AverageHours: 5.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Webb, Mark ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Saint Vincent Health Center, Title: DIRECTOR &amp; BOARD CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Saint Vincent Health System, Title: DIRECTOR &amp; BOARD CHAIR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Williams, Doris Carson ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network, Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: West Penn Allegheny Health System, Inc., Title: DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Barrett, Susan ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Jefferson Regional Medical Center, Title: ASSISTANT SECRETARY - END 1/24, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bartlett, David, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic Medical Oncology, Title: PRESIDENT &amp; CEO, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Cheema, Tariq, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Singer Research Institute, Title: VICE PRESIDENT, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Daley, Carleton ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CFO AND TREASURER, AverageHours: 60.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Duco, Anthony ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: WPH CFO, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Duronio, Carolyn ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP Chief Legal Officer and Secretary, AverageHours: 60.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Hanlon, Karen ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF OPERATING OFFICER, AverageHours: 60.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Heller, Beth ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Pittsburgh Pulmonary and Critical Care Associates, Title: ASSISTANT SECRETARY - END 5/24, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Herrera, Kelly ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: AGH CFO, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Hipkiss, Thomas ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: WEXFORD CFO , AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Klapper, Allan, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: PRESIDENT - WEXFORD HOSPITAL, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kusic, Kevin ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: WPH CFO - END 2/24, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Levis, Rand ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grove City Medical Center, Title: CFO, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health Center, Title: CFO &amp; ASSISTANT TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health System, Title: CFO &amp; ASSISTANT TREASURER, AverageHours: 0.000; Officer Organization Name: The Saint Vincent Foundation for Health and Human Services, Title: CFO &amp; TREASURER , AverageHours: 0.000; Officer Organization Name: Saint Vincent Medical Education &amp; Research Institute, Title: CFO, AverageHours: 0.000; Officer</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Michetti, Michael ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic Medical Oncology, Title: VICE PRESIDENT, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Orner, John ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: Chief Investment Officer &amp; Assistant Treasurer, AverageHours: 60.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Qadeer, Imran, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: West Penn Allegheny Health System, Inc., Title: PRESIDENT - ALLEGHENY GENERAL HOSPITAL, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Semelsberger, Kimberly ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center, Title: CFO, AverageHours: 0.000; Officer Organization Name: West Penn Allegheny Health System, Inc., Title: FORBES CFO, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Anderson, Melissa ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF RISK, AUDIT &amp; COMPLIANCE OFFICER, AverageHours: 60.000; KeyEmployee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Donohoe, Cindy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF MARKETING OFFICER- END 3/24, AverageHours: 60.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kleinman, Larry ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF HR OFFICER, AverageHours: 60.000; KeyEmployee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Onorato, Daniel ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF CORPORATE AFFAIRS OFFICER, AverageHours: 60.000; KeyEmployee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Riner, Craig ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF MARKETING OFFICER, AverageHours: 60.000; KeyEmployee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bennett, Michael ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: EVP CHIEF STRATEGY &amp; TRANSFORMATION OFFICER, AverageHours: 60.000; HighestCompensatedEmployee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Clarke, Richard ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health, Title: SVP CHIEF ANALYTICS OFFICER, AverageHours: 60.000; HighestCompensatedEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Crowell, Kenyokee ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health(Former), Title: Former - SVP Patient Access, AverageHours: ; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Hundorfean, Cynthia ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health(Former), Title: Former Chief Living Health Development Officer, AverageHours: 0.000; KeyEmployee Organization Name: Allegheny Health Network(Former), Title: FORMER PRESIDENT &amp; CEO, AverageHours: 0.000; Officer Organization Name: West Penn Allegheny Health System, Inc.(Former), Title: Former PRES &amp; CEO, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kanuch, James ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Clinic(Former), Title: FORMER CFO, AverageHours: 0.000; Officer Organization Name: Grove City Medical Center(Former), Title: FORMER - CFO, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Quick, Allie ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Alle-Kiski Medical Center Trust(Former), Title: FORMER PRES, CEO, EXEC DIRECTOR, TRUSTEE, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Forbes Health Foundation(Former), Title: FORMER PRES, CEO &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Suburban Health Foundation(Former), Title: FORMER PRES, CEO &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: West Penn Hospital Foundation(Former), Title: FORMER PRES, CEO &amp; DIRECTOR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Rohrbaugh, James ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Allegheny Health Network(Former), Title: FORMER CFO &amp; TREASURER, AverageHours: 0.000; Officer Organization Name: Primary Care Group 5(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Alle-Kiski Medical Center Trust(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Clinic(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Clinic Medical Oncology(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Medical Practice Network(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Allegheny Singer Research Institute(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Canonsburg General Hospital(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Canonsburg General Hospital Ambulance Service(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Family Practice Medical Associates South, Inc(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Forbes Health Foundation(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Grandis, Rubin, Shanahan &amp; Associates(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Grove City Medical Center(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Jefferson Regional Medical Center(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Primary Care Group 8(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health Center(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Health System(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Saint Vincent Medical Education &amp; Research Institute(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: West Penn Allegheny Health System, Inc.(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: West Penn Hospital Foundation(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Westfield Memorial Hospital, Inc.(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer Organization Name: Pittsburgh Pulmonary and Critical Care Associates(Former), Title: FORMER TREASURER, AverageHours: 0.000; Officer</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Rupert, Denzil ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grove City Medical Center(Former), Title: FORMER CHAIRMAN, AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Tripathi, Saurabh ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Highmark Health(Former), Title: FORMER EVP CFO AND TREASURER, AverageHours: 0.000; Officer</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Tupponce, David, M.D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Grove City Medical Center(Former), Title: FORMER PRESIDENT , AverageHours: 0.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF PROGRAM SERVICE REVENUE REPORTED INCLUDES PAYMENTS OF $239,286,058 FROM HIGHMARK HEALTH TO AHN UNDER AN EXISTING CLINICAL AFFILIATION AGREEMENT (CAA) ENTERED INTO BY THE TWO ORGANIZATIONS. THESE PAYMENTS ARE CONSIDERATION FOR (I) AHN PROVISION OF ACCESS AND CAPACITY TO AID HIGHMARK'S EXISTING AND FUTURE CUSTOMERS, (II) AHN CLOSING CERTAIN CARE AND/OR SERVICE LINE GAPS IN ORDER TO ENSURE THAT HIGHMARK MEMBERS HAVE ACCESS TO HIGH-QUALITY AFFORDABLE HEALTH CARE IN THE COMMUNITY, AND (III) AHN INVESTMENT TO BUILD OUT NEW CLINICAL INNOVATIONS, CARE MODELS, CLINICAL PATHWAYS AND OTHER POPULATION HEALTH INFRASTRUCTURE AND CAPABILITIES TO ACHIEVE VALUE-BASED CARE. FOR GAAP PURPOSES THE CAA PAYMENTS IS REPORTED AS A CHANGE IN NET ASSETS, BUT FOR TAX PURPOSES THE CAA PAYMENTS ARE CONSIDERED PROGRAM SERVICE REVENUE TO OUR ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE 2024 TAX YEAR, THE ORGANIZATION RECLASSIFIED REVENUE FROM LINE 11 TO LINE 2. THE ACTIVITIES ASSOCIATED WITH THIS REVENUE ARE DEEMED TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE AND ARE CLASSIFIED AS PROGRAM SERVICE REVENUE. ACTIVITIES REPORTED CONSISTENT WITH PRIOR YEAR APPROACH: LINE 2A PATIENT SERVICE REVENUE $4,691,433,994 LINE 2B AFFILIATE EXPENSE REIMBURSEMENT $682,818,307 LINE 2C CLINICAL AFFILIATION PAYMENTS $239,286,058 LINE 2D SCIENTIFIC RESEARCH $31,602,573 LINE 2E MEDICAL EDUCATION $5,247,827 LINE 11A PHARMACY REVENUE $218,017,420 LINE 11B CAFETERIA SALES $11,915,386 LINE 11C PARKING $8,024,779 LINE 11D OTHER REVENUE $66,115,554 ACTIVITIES REPORTED CONSISTENT WITH CURRENT YEAR APPROACH: LINE 2A PATIENT SERVICE REVENUE $4,748,205,212 LINE 2B AFFILIATE EXPENSE REIMBURSEMENT $682,818,307 LINE 2C CLINICAL AFFILIATION PAYMENTS $239,286,058 LINE 2D PHARMACY REVENUE $218,017,420 LINE 2E SCIENTIFIC RESEARCH $31,602,573 LINE 2F OTHER PROGRAM SERVICE REVENUE $34,532,328</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII Statement of revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1 CONTRIBUTIONS AND GRANTS: PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), THE SPONSORING ENTITY OF HIGHMARK HEALTH GROUP, HIGHMARK HEALTH, HAS ELECTED TO REPORT INFORMATION RELATED TO ITS CONTRIBUTIONS AND GRANTS RECEIVED ON A CONSOLIDATED BASIS FOR ALL THE MEMBERS OF THE HIGHMARK HEALTH GROUP, INCLUDING THIS PARENT ORGANIZATION THAT IS THE SPONSOR ORGANIZATION OF THE GROUP, ON THE RETURN OF HIGHMARK HEALTH GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>other program - Total Revenue: 34532328, Related or Exempt Function Revenue: 13437000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 21095328;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION LIABILITY ADJUSTMENTS - -34339590; OTHER - -10031600; Total - -44371190;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARITY CARE: TOGETHER AS AN ENTERPRISE, AHN PROVIDED MORE THAN $310 MILLION IN CHARITY AND UNCOMPENSATED CARE IN 2024.</ExplanationTxt>
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          <BusinessNameLine1Txt>CLINICAL PATHOLOGY INSTITUTE COOPERATIVE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1526 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16501</ZIPCd>
        </USAddress>
        <EIN>251528055</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY BLOOD BANK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16544</ZIPCd>
        </USAddress>
        <EIN>251181389</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMERGYCARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16544</ZIPCd>
        </USAddress>
        <EIN>251430922</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVHC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GREATER CANONSBURG HEALTH SYSTEM</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 MEDICAL BOULEVARD</AddressLine1Txt>
          <CityNm>CANONSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15317</ZIPCd>
        </USAddress>
        <EIN>251488089</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HIGHMARK HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120 FIFTH AVENUE</AddressLine1Txt>
          <AddressLine2Txt>TAX</AddressLine2Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <EIN>453674900</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REGIONAL CANCER CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16544</ZIPCd>
        </USAddress>
        <EIN>251385705</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REGIONAL HEART NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16544</ZIPCd>
        </USAddress>
        <EIN>251856341</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VANTAGE HEALTH GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16544</ZIPCd>
        </USAddress>
        <EIN>251498145</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WEST ALLEGHENY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 MEDICAL BOULEVARD</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15317</ZIPCd>
        </USAddress>
        <EIN>251054206</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>5148 LIBERTY AVENUE ASSOCIATES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5989 CENTRE AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>251689871</EIN>
        <PrimaryActivitiesTxt>PROPERTY RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WPAHS Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Excluded</PredominantIncomeTypeTxt>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AHN EMERUS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 ISABELLA ST</AddressLine1Txt>
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          <BusinessNameLine1Txt>AHN</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AHN EMERGENCY MEDICINE MGMT</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>30 ISABELLA ST</AddressLine1Txt>
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        <PrimaryActivitiesTxt>MEDICAL PRACTICE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CELTIC HOSPICE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 ISABELLA ST</AddressLine1Txt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WPAHS Inc</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>17191938</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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        <OwnershipPct>0.799</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>JEFFERSON MEDICAL ASSOCIATES LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>600 RUGH STREET</AddressLine1Txt>
          <CityNm>GREENSBURG</CityNm>
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          <ZIPCd>15601</ZIPCd>
        </USAddress>
        <EIN>251740456</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JRMC</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>667047</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>12604723</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>JV HOLDCO LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 ISABELLA ST</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROVIDER PPI LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 FIFTH AVENUE</AddressLine1Txt>
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        <EIN>320429947</EIN>
        <PrimaryActivitiesTxt>GROUP PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT VINCENT NWPA SURGERY CENTER LTD</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>120 FIFTH AVENUE</AddressLine1Txt>
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          <CityNm>PITTSBURGH</CityNm>
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        <EIN>050591755</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT VINCENT PROFESSIONAL BLD</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>312 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
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          <ZIPCd>16502</ZIPCd>
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        <EIN>251578290</EIN>
        <PrimaryActivitiesTxt>PROPERTY MGMT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SILVER RAIN LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 ISABELLA ST</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15212</ZIPCd>
        </USAddress>
        <EIN>273035436</EIN>
        <PrimaryActivitiesTxt>PROPERTY MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VANTAGE HOLDING COMPANY LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>312 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16502</ZIPCd>
        </USAddress>
        <EIN>030477182</EIN>
        <PrimaryActivitiesTxt>CAPITAL MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CLINICAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>232 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16544</ZIPCd>
        </USAddress>
        <EIN>251403846</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>6625703</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>67754200</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH SYSTEM SERVICES CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>312 WEST 25TH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16502</ZIPCd>
        </USAddress>
        <EIN>251403745</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE OPS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CSI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2936298</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>21945069</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HMPG Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>120 FIFTH AVENUE</AddressLine1Txt>
          <AddressLine2Txt>TAX</AddressLine2Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <EIN>453444325</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CSI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>3508484</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>187020770</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PALLADIUM RISK RETENTION GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>409 BROAD STREET</AddressLine1Txt>
          <AddressLine2Txt>STE 270</AddressLine2Txt>
          <CityNm>SEWICKLEY</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15143</ZIPCd>
        </USAddress>
        <EIN>463476730</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WPAHS Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>36528183</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>138206712</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHYSICIAN LANDING ZONE PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>120 FIFTH AVENUE</AddressLine1Txt>
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</Return>