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      <MissionDesc>AS THE PARENT ENTITY OF A BLENDED HEALTH ORGANIZATION, HIGHMARK HEALTH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES BY PROVIDING AFFORDABLE, ACCESSIBLE AND HIGH-QUALITY HEALTHCARE.</MissionDesc>
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      <Desc>HIGHMARK HEALTH IS THE PARENT ORGANIZATION OF A BLENDED HEALTH SYSTEM THAT INCLUDES THE ALLEGHENY HEALTH NETWORK AND HIGHMARK INC. HIGHMARK HEALTH PROVIDES STRATEGIC, OPERATIONAL AND ADMINISTRATIVE LEADERSHIP, STEWARDSHIP AND SUPPORT TO THE ALLEGHENY HEALTH NETWORK TO ENABLE IT TO EXECUTE ON ITS CHARITABLE MISSION. HIGHMARK HEALTH'S VISION IS A WORLD WHERE EVERYONE EMBRACES HEALTH. ITS MISSION IS TO CREATE A REMARKABLE HEALTH EXPERIENCE, FREEING PEOPLE TO BE THEIR BEST. THROUGH ITS STRUCTURE AS A BLENDED HEALTH ORGANIZATION, HIGHMARK HEALTH IS UNIQUELY POSITIONED TO PIONEER NEW MODELS AND TRANSFORM THE HEALTHCARE INDUSTRY TO WORK BETTER NOW AND FOR GENERATIONS TO COME. WE BELIEVE THAT WE HAVE A FUNDAMENTAL RESPONSIBILITY TO BE LEADERS AND STEWARDS IN THE COMMUNITY, WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE BY GIVING BACK TO, REINVESTING IN, AND STRENGTHENING THE COMMUNITIES WHERE OUR CUSTOMERS AND EMPLOYEES LIVE, WORK AND PLAY. HIGHMARK HEALTH, TOGETHER WITH THE ALLEGHENY HEALTH NETWORK, IS DEDICATED TO IMPROVING THE QUALITY OF CARE AND DRIVING DOWN HEALTHCARE COSTS THROUGH THE LIVING HEALTH MODEL. LIVING HEALTH HIGHMARK HEALTH'S BLENDED HEALTH SYSTEM APPROACH CONNECTS PAYERS, PROVIDERS, TECH INNOVATORS, AND COMMUNITY ORGANIZATIONS TO BUILD A HEALTH ECOSYSTEM THAT WORKS BETTER FOR EVERYONE: LIVING HEALTH. THROUGH LIVING HEALTH, HIGHMARK HEALTH IS DRIVING AN ENTERPRISE STRATEGY BY INTEGRATING HEALTH, COVERAGE AND CARE TO DELIVER A SIMPLER, MORE PERSONALIZED, AND PROACTIVE HEALTH EXPERIENCE FOR INDIVIDUALS AND CLINICIANS. LIVING HEALTH IS INTENDED TO REDUCE ORGANIZATIONAL FRICTION AND EXTRACT VALUABLE INSIGHTS WHICH WILL OPTIMIZE OUTCOMES AT A LOWER COST. THE LIVING HEALTH STRATEGY, VENDOR RELATIONSHIPS AND RELATED PARTY SERVICES ARE CONSISTENT WITH HIGHMARK HEALTH'S STATED CHARITABLE MISSION, WHICH INCLUDES: PROVISION OF ACCESS TO AFFORDABLE CARE, STRATEGIC AND OPERATIONAL/ADMINISTRATIVE LEADERSHIP FOR THE HEALTH SYSTEM AND OPERATIONAL OVERSIGHT TO ENSURE EFFECTIVE AND EFFICIENT OPERATION AND PROVISION OF HIGH-QUALITY CARE. THE LIVING HEALTH DYNAMIC PLATFORM IS BEING DESIGNED AS THE HEALTH "OPERATING SYSTEM" OF THE FUTURE AND WILL CONNECT WHAT INDIVIDUALS AND CLINICIANS NEED ON ONE DIGITAL PLATFORM. LIVING HEALTH'S SUCCESS IN ACHIEVING THE QUADRUPLE AIM (BETTER PATIENT EXPERIENCE, CLINICIAN SATISFACTION, AND HEALTH OUTCOMES, WITH LOWER COSTS) WILL PROVIDE A SUSTAINABLE ECONOMIC MODEL THAT CAN SOLVE INDUSTRY PROBLEMS AT SCALE. THE LIVING HEALTH ACTIVITIES ARE CENTRAL TO THE MISSION OF AHN - TO CREATE A REMARKABLE HEALTH EXPERIENCE, FREEING PEOPLE TO BE THEIR BEST. 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. 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, MEANINGUFL 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.</Desc>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>135669</ManagementAndGeneralAmt>
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        <Desc>NON-INCOME TAXES</Desc>
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      <SupportedOrgInformationGrp>
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        <ActivitiesEngagedOrgInvlmntInd>true</ActivitiesEngagedOrgInvlmntInd>
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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 Highmark Health Board of Directors approved amendments to the organization's governing documents to include Saint Vincent Health Center (EIN: 25-0965547) and Grove City Medical Center (EIN: 25-1340370) as supported organizations. These additions were made to advance Highmark Health's mission of supporting these organizations' charitable purposes through strategic, operational, and administrative leadership. The authority for these actions is established within the organization's governing document, and the changes were enacted through formal amendments duly approved by the Board. Additionally, Saint Vincent Health System (EIN: 25-1406710) was removed from the list of supported organizations, as it does not operate a hospital and does not meet the established criteria for a supported organization.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 6 Support to other supported orgs</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH IS THE SOLE MEMBER OF ALLEGHENY HEALTH NETWORK AND THE SOLE VOTING MEMBER OF HIGHMARK INC. HIGHMARK HEALTH EXISTS TO SUPPORT THE CHARITABLE MISSION OF ALLEGHENY HEALTH NETWORK. REFER TO SCHEDULE O FOR HIGHMARK HEALTH'S ROLE IN SUPPORTING ALLEGHENY HEALTH NETWORK. HIGHMARK HEALTH ALSO PROVIDES CERTAIN SYSTEM-WIDE ADMINISTRATIVE SERVICES TO HIGHMARK INC. HIGHMARK INC. IS A PENNSYLVANIA NONPROFIT CORPORATION AND AN INDEPENDENT LICENSEE OF THE BLUE CROSS AND BLUE SHIELD ASSOCIATION.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>MANY OF THE SUPPORTED ORGANIZATIONS' BOARD MEMBERS ALSO SERVE ON HIGHMARK HEALTH'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 HIGHMARK HEALTH.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH PROVIDES STRATEGIC, OPERATIONAL, AND ADMINISTRATIVE LEADERSHIP TO ITS SUPPORTED ORGANIZATIONS TO ENABLE THEM TO EXECUTE ON THEIR CHARITABLE MISSIONS. IF HIGHMARK HEALTH DID NOT PROVIDE THESE ACTIVITIES, EACH SUPPORTED ORGANIZATION WOULD HAVE TO UNDERTAKE THESE ACTIVITIES THEMSELVES.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged In</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH PROVIDES STRATEGIC, OPERATIONAL, AND ADMINISTRATIVE LEADERSHIP TO ITS SUPPORTED ORGANIZATIONS, INCLUDING THE PROVISION OF FINANCIAL, LEGAL, HUMAN RESOURCES, GOVERNMENT RELATIONS, AND PUBLIC RELATIONS SERVICES TO ITS SUPPORTED ORGANIZATIONS. IF HIGHMARK HEALTH DID NOT ENGAGE IN AND PROVIDE THE STRATEGIC AND ADMINISTRATIVE ACTIVITIES FOR OR ON BEHALF OF ITS SUPPORTED ORGANIZATIONS, EACH SUPPORTED ORGANIZATION WOULD UNDERTAKE THESE ACTIVITIES THEMSELVES SO THEY COULD CONTINUE TO OPERATE AND ACHIEVE THEIR CHARITABLE MISSIONS.</ExplanationTxt>
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      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH ENGAGES IN LIMITED ADVOCACY WITH FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS ON HEALTHCARE LEGISLATION IMPACTING OUR ORGANIZATION AND THE COMMUNITIES WE SERVE.</ExplanationTxt>
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        <DepreciationAmt>203647</DepreciationAmt>
        <BookValueAmt>461596</BookValueAmt>
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        <ExplanationTxt>HIGHMARK HEALTH DOES NOT ISSUE INDEPENDENT AUDITED FINANCIAL STATEMENTS. Highmark Health IS A COMPONENT OF A CONSOLIDATED AUDITED FINANCIAL STATEMENT. THE FOLLOWING ANALYSIS REPRESENTS THE RECONCILIATION BETWEEN THE NET INCOME ON THE FINANCIAL STATEMENTS AND THE NET INCOME AS REFLECTED ON IRS FORM 990, PART 1, LINE 19: (REPORTED IN THOUSANDS OF DOLLARS) NET INCOME PER FINANCIAL STATEMENTS $ 61,507 LESS: EQUITY INCOME OF OTHER SUBSIDIARIES $ 47,062 LESS: ADJUSTMENT FOR UNREALIZED INCOME $ 111 NET INCOME PER FORM 990 $ 14,334</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH RECORDS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY DEFINING CRITERIA THAT A TAX POSITON ON AN INDIVIDUAL MATTER MUST MEET BEFORE THAT POSITION IS RECOGNIZED. ASC 740 ALSO PROVIDES GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND ACCOUNTING IN INTERIM PERIODS. BASED ON AN ANALYSIS PREPARED BY HIGHMARK HEALTH, IT WAS DETERMINED THAT THE APPLICATION OF FASB ASC 740 HAD NO MATERIAL EFFECT ON THE RECORDED ASSETS AND LIABILITIES OF Highmark Health ON A STANDALONE BASIS. AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED HIGHMARK SYSTEM LEVEL ONLY, INCLUDING HIGHMARK HEALTH AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES.</ExplanationTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PITTSBURGH URBAN CHRISTIAN SCHOOL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>809 CENTER STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15221</ZIPCd>
        </USAddress>
        <RecipientEIN>251405301</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSSELL SAGE COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>65 First Street</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12180</ZIPCd>
        </USAddress>
        <RecipientEIN>141338488</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>125000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SECOND HARVEST FOOD BANK OF MIDDLE TENNESSEE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>331 GREAT CIRCLE ROAD</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37228</ZIPCd>
        </USAddress>
        <RecipientEIN>621049447</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SECOND PRESBYTERIAN CHURCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3511 BELMONT BLVD</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37215</ZIPCd>
        </USAddress>
        <RecipientEIN>620644692</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STVINCENT DE PAUL SOCIETY NAPLES DISTRICT COUNCIL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4451 MERCANTILE AVENUE</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>34104</ZIPCd>
        </USAddress>
        <RecipientEIN>591711287</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TALK THE NEW SEX ED INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2359 RAILROAD STREET</AddressLine1Txt>
          <AddressLine2Txt>APT 2616</AddressLine2Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <RecipientEIN>271563469</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE ADVANCED LEADERSHIP INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 GRANT STREET SUITE 4125</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <RecipientEIN>853695252</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE ALLEGHENY CENTER CHRISTIAN &amp; MISSIONARY ALLIANCE CHURCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 EAST OHIO STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15212</ZIPCd>
        </USAddress>
        <RecipientEIN>251048750</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CATHOLIC UNIVERSITY OF AMERICA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>620 MICHIGAN AVENUE NE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>20064</ZIPCd>
        </USAddress>
        <RecipientEIN>530196583</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR ENHANCING COMMUNITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 NORTH 3RD STREET</AddressLine1Txt>
          <AddressLine2Txt>8TH FLOOR</AddressLine2Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17101</ZIPCd>
        </USAddress>
        <RecipientEIN>010564355</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE PITTSBURGH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 PPG PLACE SUITE 250</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15222</ZIPCd>
        </USAddress>
        <RecipientEIN>250965466</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>270000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE PITTSBURGH PROMISE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1901 CENTRE AVENUE SUITE 204</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <RecipientEIN>261982661</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TICKETS FOR KIDS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 BLAW AVENUE SUITE 105</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15238</ZIPCd>
        </USAddress>
        <RecipientEIN>020559825</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TREE OF LIFE CONGREGATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5898 WILKINS AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15217</ZIPCd>
        </USAddress>
        <RecipientEIN>250979381</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY FOUNDATION OF THE CAPITAL REGION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2235 MILLENNIUM WAY</AddressLine1Txt>
          <CityNm>ENOLA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17025</ZIPCd>
        </USAddress>
        <RecipientEIN>251733405</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF PITTSBURGH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>128 N CRAIG STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <RecipientEIN>250965591</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VILLANOVA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 LANCASTER AVENUE</AddressLine1Txt>
          <CityNm>VILLANOVA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19085</ZIPCd>
        </USAddress>
        <RecipientEIN>231352688</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON CITY MISSION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>84 WEST WHEELING STREET</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <RecipientEIN>251051749</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WILL ALLEN FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5800 AYLESBORO AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15217</ZIPCd>
        </USAddress>
        <RecipientEIN>472025476</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WILL GEER'S THEATRICUM BOTANICUM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1419 N TOPANGA CANYON BLVD</AddressLine1Txt>
          <CityNm>TOPANGA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90290</ZIPCd>
        </USAddress>
        <RecipientEIN>237369475</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>48</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH AWARDS GRANTS TO ORGANIZATIONS DEMONSTRATING A CHARITABLE PURPOSE AND COMMUNITY BENEFIT ALIGNED WITH OUR MISSION. REQUESTS ARE TRACKED VIA OUR GIVING PLATFORM, REVIEWED BY THE CORPORATE GIVING TEAM, AND APPROVED BY EXECUTIVE LEADERSHIP. THE CORPORATE GIVING TEAM CONTINUOUSLY MONITORS THE USAGE OF FUNDS FOR ADHERENCE TO OUR CHARITABLE MISSION. AS PART OF THIS MONITORING, GRANTEES MAY BE REQUIRED TO SUBMIT PERIODIC REPORTS ON THEIR USE OF GRANT FUNDS. CORRECTIVE ACTION PLANS ARE IMPLEMENTED IF NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <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, AND DAVID HOLMBERG - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH'S 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 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HIGHMARK HEALTH 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 AN 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, OFFICERS, AND EXECUTIVE MANAGEMENT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH CORPORATE 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 HIGHMARK HEALTH 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 HIGHMARK HEALTH. THE COMPENSATION AND HUMAN RESOURCES COMMITTEE (C&amp;HR) RECOMMENDS AND THE HIGHMARK HEALTH BOARD APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO OF HIGHMARK HEALTH. THE C&amp;HR COMMITTEE APPROVES THE COMPENSATION OF ALL SENIOR EXECUTIVES WHO REPORT DIRECTLY TO THE PRESIDENT AND CEO OF HIGHMARK HEALTH, THE COMPENSATION OF THE PRESIDENT AND CEO OF AHN AND ALL EXECUTIVE OFFICERS OF THE ENTERPRISE WHO HAVE A BUSINESS TITLE OF EXECUTIVE VICE PRESIDENT. THE C&amp;HR COMMITTEE USES COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE EXTERNAL CONSULTANT PROVIDES A LETTER OF REASONABILITY FOR ALL OFFERS MADE TO NEW EXECUTIVES THAT REPORT TO THE HIGHMARK HEALTH CEO, AHN CEO AND THE EXECUTIVE DIRECT REPORTS OF EACH. EACH C&amp;HR COMMITTEE MEMBER APPROVING A SENIOR EXECUTIVE'S COMPENSATION ARRANGEMENT ENSURES THAT HE OR SHE HAS NO CONFLICT OF INTEREST, INCLUDING THAT HE OR SHE (A) DOES NOT ECONOMICALLY BENEFIT FROM THE PROPOSED EMPLOYMENT; (B) DOES NOT RECEIVE COMPENSATION SUBJECT TO THE APPROVAL OF THE PROPOSED EMPLOYEE; AND (C) HAS NO MATERIAL FINANCIAL INTEREST AFFECTED BY THE TRANSACTION. HIGHMARK HEALTH MANAGEMENT, IN COORDINATION WITH THE INDEPENDENT CONSULTANT TO THE HIGHMARK HEALTH C&amp;HR COMMITTEE OBTAINS APPROPRIATE MARKET COMPARABILITY DATA FOR EACH ENTITY, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS AND/OR SPECIFIC ORGANIZATION PEER GROUPS, TO PREPARE COMPENSATION RECOMMENDATIONS FOR ALL KEY EXECUTIVES, INCLUDING OFFICERS, KEY EMPLOYEES, AND OTHER DISQUALIFIED PERSONS. RECOMMENDATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE THAT IS INDEPENDENT WITH RESPECT TO THE COMPENSATION PROVIDED TO THE EXECUTIVES. COMPENSATION MAY INCLUDE SEVERAL FORMS OF CASH COMPENSATION, INCLUDING BASE SALARY, PERFORMANCE-BASED INCENTIVE COMPENSATION AND A COMPETITIVE EMPLOYEE BENEFITS PROGRAM. BASE SALARY IS THE FIXED ELEMENT OF COMPENSATION INTENDED TO ALIGN WITH EACH 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. EXECUTIVES CAN EARN INCENTIVE COMPENSATION ONLY IF THE ORGANIZATION ACHIEVES CERTAIN PRE-DETERMINED FINANCIAL AND NON-FINANCIAL GOALS. THE PLANS ARE INTENDED TO HOLD EXECUTIVES ACCOUNTABLE FOR ACHIEVING PERFORMANCE THAT IS CONSISTENT WITH THE SHORT-TERM AND LONG-TERM GOALS AND OBJECTIVES OF THE ORGANIZATION. HIGHMARK HEALTH FOLLOWS THE REQUIREMENT IN THE REGULATIONS TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH CORPORATE 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 HIGHMARK HEALTH 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 HIGHMARK HEALTH. THE COMPENSATION AND HUMAN RESOURCES COMMITTEE (C&amp;HR) RECOMMENDS AND THE HIGHMARK HEALTH BOARD APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO OF HIGHMARK HEALTH. THE C&amp;HR COMMITTEE APPROVES THE COMPENSATION OF ALL SENIOR EXECUTIVES WHO REPORT DIRECTLY TO THE PRESIDENT AND CEO OF HIGHMARK HEALTH, THE COMPENSATION OF THE PRESIDENT AND CEO OF AHN AND ALL EXECUTIVE OFFICERS OF THE ENTERPRISE WHO HAVE A BUSINESS TITLE OF EXECUTIVE VICE PRESIDENT. THE C&amp;HR COMMITTEE USES COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE EXTERNAL CONSULTANT PROVIDES A LETTER OF REASONABILITY FOR ALL OFFERS MADE TO NEW EXECUTIVES THAT REPORT TO THE HIGHMARK HEALTH CEO, AHN CEO AND THE EXECUTIVE DIRECT REPORTS OF EACH. EACH C&amp;HR COMMITTEE MEMBER APPROVING A SENIOR EXECUTIVE'S COMPENSATION ARRANGEMENT ENSURES THAT HE OR SHE HAS NO CONFLICT OF INTEREST, INCLUDING THAT HE OR SHE (A) DOES NOT ECONOMICALLY BENEFIT FROM THE PROPOSED EMPLOYMENT; (B) DOES NOT RECEIVE COMPENSATION SUBJECT TO THE APPROVAL OF THE PROPOSED EMPLOYEE; AND (C) HAS NO MATERIAL FINANCIAL INTEREST AFFECTED BY THE TRANSACTION. HIGHMARK HEALTH MANAGEMENT, IN COORDINATION WITH THE INDEPENDENT CONSULTANT TO THE HIGHMARK HEALTH C&amp;HR COMMITTEE OBTAINS APPROPRIATE MARKET COMPARABILITY DATA FOR EACH ENTITY, INCLUDING NATIONALLY PUBLISHED COMPENSATION SURVEYS AND/OR SPECIFIC ORGANIZATION PEER GROUPS, TO PREPARE COMPENSATION RECOMMENDATIONS FOR ALL KEY EXECUTIVES, INCLUDING OFFICERS, KEY EMPLOYEES, AND OTHER DISQUALIFIED PERSONS. RECOMMENDATIONS ARE REVIEWED AND APPROVED BY A COMMITTEE THAT IS INDEPENDENT WITH RESPECT TO THE COMPENSATION PROVIDED TO THE EXECUTIVES. COMPENSATION MAY INCLUDE SEVERAL FORMS OF CASH COMPENSATION, INCLUDING BASE SALARY, PERFORMANCE-BASED INCENTIVE COMPENSATION AND A COMPETITIVE EMPLOYEE BENEFITS PROGRAM. BASE SALARY IS THE FIXED ELEMENT OF COMPENSATION INTENDED TO ALIGN WITH EACH 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. EXECUTIVES CAN EARN INCENTIVE COMPENSATION ONLY IF THE ORGANIZATION ACHIEVES CERTAIN PRE-DETERMINED FINANCIAL AND NON-FINANCIAL GOALS. THE PLANS ARE INTENDED TO HOLD EXECUTIVES ACCOUNTABLE FOR ACHIEVING PERFORMANCE THAT IS CONSISTENT WITH THE SHORT-TERM AND LONG-TERM GOALS AND OBJECTIVES OF THE ORGANIZATION. HIGHMARK HEALTH FOLLOWS THE REQUIREMENT IN THE REGULATIONS TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF THE REASONABLENESS OF COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHMARK HEALTH DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY PUBLICLY AVAILABLE. HIGHMARK HEALTH'S AUDITED FINANCIAL STATEMENTS ARE INCLUDED IN A CONSOLIDATED HEALTH SYSTEM STATEMENT AND ARE AVAILABLE UPON REQUEST AND WITH CFO APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS FROM SUBSIDIARIES &amp; OTHER - 36086624; Total - 36086624;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Statement of Functional Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), HIGHMARK HEALTH HAS ELECTED TO REPORT COMPENSATION AND SCHEDULE J OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND CERTAIN HIGHLY PAID EMPLOYEES ON A CONSOLIDATED BASIS FOR ALL MEMBERS OF THE HIGHMARK HEALTH GROUP, INCLUDING THIS PARENT ORGANIZATION THAT IS THE CENTRAL ORGANIZATION OF THE GROUP, ON THE RETURN OF THE HIGHMARK GROUP RETURN. HIGHMARK HEALTH CONTINUES TO REPORT ITS SHARE OF FUNCTIONAL EXPENSES ON A STANDALONE BASIS ON PART IX.</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. PART VII, SECTION A AND B COMPENSATION OF OFFICERS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST PAID EMPLOYEES SECTION A: PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), HIGHMARK HEALTH HAS ELECTED TO REPORT COMPENSATION AND SCHEDULE J OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER HIGHLY PAID EMPLOYEES ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE HIGHMARK HEALTH GROUP, INCLUDING THIS PARENT ORGANIZATION THAT IS THE SPONSOR OF CENTRAL ORGANIZATION OF THE GROUP, ON THE RETURN OF HIGHMARK HEALTH GROUP (EIN: 82-1406555). SECTION B: PURSUANT TO TREASURY REGULATIONS SECTION 1.6033-2(D)(5), HIGHMARK HEALTH HAS ELECTED TO REPORT CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF 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 (EIN: 82-1406555).</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), 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 (EIN: 82-1406555).</ExplanationTxt>
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          <AddressLine1Txt>30 ISABELLA ST</AddressLine1Txt>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>JEFFERSON MEDICAL ASSOCIATES LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 Rugh Street</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BROKERAGE CONCEPTS LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>257 WEST GENESEE STREET</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHAUTAUQUA MEDICAL PRACTICE PC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FIRST PRIORITY LIFE INSURANCE COMPANY</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HIGHMARK COVERAGE ADVANTAGE INC</BusinessNameLine1Txt>
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