Civic Intelligence

Highmark Health

990 • Fiscal year 2024 • EIN 45-3674900

Jan 01, 2024 to Dec 31, 2024 • Filed on Nov 14, 2025

120 FIFTH AVENUE TaxPittsburgh, PA 15222

(412) 544-7000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.34x

Higher debt load relative to assets than 55% of similar nonprofits.

2024 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.38x

Higher debt load relative to revenue than 42% of similar nonprofits.

2024 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

45th percentile

2.4%

Higher net margin than 45% of similar nonprofits.

2024 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

3rd percentile

$0

Higher top officer pay than 3% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2024 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

16th percentile

-1.8%

Faster asset growth than 16% of similar nonprofits.

2024 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

39th percentile

6.0%

Faster revenue growth than 39% of similar nonprofits.

2024 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$676,663,759

Up $40,590,646 (+6.4%) from 2022

Net Assets

Up

$448,472,211

Up $38,971,254 (+9.5%) from 2022

Liabilities

Up

$228,191,548

Up $1,619,392 (+0.7%) from 2022

Revenue

Up

$602,566,971

Up $109,625,592 (+22%) from 2022

Expenses

Up

$588,232,709

Up $6,994,251 (+1.2%) from 2022

Net Income

Up

$14,334,262

Up $102,631,341 (+116%) from 2022

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800M$600M$400M$200M$0-$200MAssets 2011: $0Liabilities 2011: $02011Assets 2012: $1Liabilities 2012: $02012Assets 2013: $26,807,984Liabilities 2013: $10,790,299Net Assets 2013: $16,017,6852013Assets 2014: $89,206,516Liabilities 2014: $105,533,984Net Assets 2014: -$16,327,4682014Assets 2015: $127,264,139Liabilities 2015: $178,048,822Net Assets 2015: -$50,784,6832015Assets 2016: $179,475,778Liabilities 2016: $251,257,148Net Assets 2016: -$71,781,3702016Assets 2017: $394,513,134Liabilities 2017: $67,759,388Net Assets 2017: $326,753,7462017Assets 2018: $450,506,582Liabilities 2018: $87,533,822Net Assets 2018: $362,972,7602018Assets 2019: $520,915,329Liabilities 2019: $107,960,001Net Assets 2019: $412,955,3282019Assets 2020: $618,200,942Liabilities 2020: $181,363,067Net Assets 2020: $436,837,8752020Assets 2021: $708,603,703Liabilities 2021: $227,797,582Net Assets 2021: $480,806,1212021Assets 2022: $636,073,113Liabilities 2022: $226,572,156Net Assets 2022: $409,500,9572022Assets 2024: $676,663,759Liabilities 2024: $228,191,548Net Assets 2024: $448,472,2112024

Highlighted filing

2024

Assets$676,663,759
Liabilities$228,191,548
Net Assets$448,472,211

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$800M$600M$400M$200M$0-$200MRevenue 2011: $0Expenses 2011: $0Net Income 2011: $02011Revenue 2012: $0Expenses 2012: $0Net Income 2012: $02012Revenue 2013: $15,709,251Expenses 2013: $18,441,566Net Income 2013: -$2,732,3152013Revenue 2014: $116,656,189Expenses 2014: $140,225,956Net Income 2014: -$23,569,7672014Revenue 2015: $130,490,294Expenses 2015: $164,854,988Net Income 2015: -$34,364,6942015Revenue 2016: $229,805,147Expenses 2016: $255,825,123Net Income 2016: -$26,019,9762016Revenue 2017: $200,719,098Expenses 2017: $229,106,920Net Income 2017: -$28,387,8222017Revenue 2018: $262,189,235Expenses 2018: $253,798,747Net Income 2018: $8,390,4882018Revenue 2019: $331,096,827Expenses 2019: $313,498,195Net Income 2019: $17,598,6322019Revenue 2020: $524,612,331Expenses 2020: $552,229,740Net Income 2020: -$27,617,4092020Revenue 2021: $583,319,053Expenses 2021: $584,401,514Net Income 2021: -$1,082,4612021Revenue 2022: $492,941,379Expenses 2022: $581,238,458Net Income 2022: -$88,297,0792022Revenue 2024: $602,566,971Expenses 2024: $588,232,709Net Income 2024: $14,334,2622024

Highlighted filing

2024

Revenue$602,566,971
Expenses$588,232,709
Net Income$14,334,262
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.1
Gross Receipts
$602,851,860
Mission and Program Overview

Mission

Highmark health is the parent entity of an interdependent system designed to deliver high quality, accessible, understandable and affordable experiences, outcomes and solutions for our customers. See schedule o for our mission, vision and values.

Highmark health's mission is to improve the health and well-being of the people and communities it serves by making healthcare more accessible, understandable and affordable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$220,040,303$178,979,810▼ $41,060,493
Savings and Temporary Cash Investments$67,755,500$101,159,447▲ $33,403,947
Prepaid Expenses and Deferred Charges$32,383,687$31,993,919▼ $389,768
Intangible Assets-$7,500,000-
Accounts Receivable$131,865$799,438▲ $667,573
Pledges and Grants Receivable$0--
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$689,168,025$676,663,759▼ $12,504,266
Other Assets Total$368,856,670$356,231,145▼ $12,625,525
Liabilities
Accounts Payable and Accrued Expenses$263,210,133$211,641,579▼ $51,568,554
Other Liabilities$14,107,459$16,549,969▲ $2,442,510
Total Liabilities$277,317,592$228,191,548▼ $49,126,044
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$411,850,433$448,472,211▲ $36,621,778
Total Net Assets Fund Balance$411,850,433$448,472,211▲ $36,621,778
Total Liabilities and Net Assets / Fund Balance$689,168,025$676,663,759▼ $12,504,266

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$162,404,450$215,163,024$377,567,474
Equipment$16,113,764$53,250,834$69,364,598
Leasehold Improvements$461,596$203,647$665,243
Other Assets Org$200,576--
Compensation and Service Providers

Board Members and Trustees

NameTitle
See Schedule ON/a
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$591,788,094
Investment Income
$10,647,728
Other Revenue
$131,149
Change in Net Assets
$14,334,262

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$478,547,938
Other Expenses$106,867,771
Grants and Similar Amounts Paid$2,817,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$275,837,541$92,130,968-$367,968,509
Depreciation Depletion$52,066,307$17,390,378-$69,456,685
Other Employee Benefits$29,083,028$9,713,861-$38,796,889
Current Officers, Directors, Trustees, and Key Employees$22,087,889$7,377,453-$29,465,342
Payroll Taxes$17,427,429$5,820,839-$23,248,268
Pension Plan Contributions$13,460,436$4,495,846-$17,956,282
Travel$5,444,024$1,818,328-$7,262,352
Information Technology$3,893,550$1,300,463-$5,194,013
Conferences and Meetings$3,140,115$1,048,812-$4,188,927
All Other Expenses$2,296,832$767,152$0$3,063,984
Grants to Domestic Orgs$2,817,000--$2,817,000
Fees for Services Other$2,552,621$106,359$0$2,658,980
Other Expenses$1,008,017$336,682-$1,344,699
Insurance$863,306$288,348-$1,151,654
Comp Disqual Persons$834,066$278,582-$1,112,648
Fees for Services Lobbying$668,291--$668,291
Occupancy$406,189$135,669-$541,858
Office Expenses$273,883$91,478-$365,361
Fees for Services Accounting$231,118$9,630-$240,748
Fees for Services Legal$214,587$8,941-$223,528
Fees for Service Investment Mgmnt Fees-$126,531-$126,531
Total Functional Expenses$442,387,433$145,845,276$0$588,232,709

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community College of AlleghenyPittsburgh, PA501(c)(3)General Support$500,000
Allegheny Health NetworkPittsburgh, PA501(c)(3)General Support$385,000
The Pittsburgh FoundationPittsburgh, PA501(c)(3)General Support$270,000
County of CattaraugusOlean, NYGovGeneral Support$250,000
Ayco Charitable FoundationLatham, NY501(c)(3)General Support$140,000
Community Action of Orleans & GeneseeAlbion, NY501(c)(3)General Support$125,000
Russell Sage CollegeTroy, NY501(c)(3)General Support$125,000
Villanova UniversityVillanova, PA501(c)(3)General Support$100,000
Jdrf InternationalPittsburgh, PA501(c)(3)General Support$55,000
Carnegie Mellon UniversityPittsburgh, PA501(c)(3)General Support$50,000
The Catholic University of AmericaWashington, PA501(c)(3)General Support$50,000
Tree of Life CongregationPittsburgh, PA501(c)(3)General Support$50,000
African American Cultural CenterPittsburgh, PA501(c)(3)General Support$45,000
Will Allen FoundationPittsburgh, PA501(c)(3)General Support$40,000
Pittsburgh Urban Christian School IncPittsburgh, PA501(c)(3)General Support$30,000
Comprehensive Youth Development IncNew York, NY501(c)(3)General Support$25,000
Eastminister Presbyterian ChurchPittsburgh, PA501(c)(3)General Support$25,000
Bridge to the Mountains IncPittsburgh, PA501(c)(3)General Support$20,000
Center of LifePittsburgh, PA501(c)(3)General Support$20,000
East Liberty Family Health Care CenterPittsburgh, PA501(c)(3)General Support$20,000
Generation HopeWashington, DC501(c)(3)General Support$20,000
Penn State HealthHershey, PA501(c)(3)General Support$20,000
Community of Hope IncWashington, DC501(c)(3)General Support$15,000
Heirs Christian Center ChurchCharlotte, NC501(c)(3)General Support$15,000
The Foundation for Enhancing CommunitiesHarrisburg, PA501(c)(3)General Support$15,000
ALEX'S LEMONADE STAND FOUNDATIONWynnewood, PA501(c)(3)General Support$10,000
Bishop Canevin Catholic High SchoolPittsburgh, PA501(c)(3)General Support$10,000
Center for Public JusticeWashington, DC501(c)(3)General Support$10,000
Central Pennsylvania Food BankHarrisburg, PA501(c)(3)General Support$10,000
Donelson Christian Academy IncNashville, TN501(c)(3)General Support$10,000
Edinboro University of PaEdinboro, PA501(c)(3)General Support$10,000
FLORIDA KEYS CHILDREN'S SHELTER INCTavernier, FL501(c)(3)General Support$10,000
Freedom House IncClinton, NJ501(c)(3)General Support$10,000
Mario Lemieux FoundationPittsburgh, PA501(c)(3)General Support$10,000
Open Hand Ministries IncPittsburgh, PA501(c)(3)General Support$10,000
Penn State UniversityUniversity Park, PAGovGeneral Support$10,000
Second Harvest Food Bank of Middle Tennessee IncNashville, TN501(c)(3)General Support$10,000
Second Presbyterian ChurchNashville, TN501(c)(3)General Support$10,000
Stvincent De Paul Society Naples District Council IncNaples, PA501(c)(3)General Support$10,000
Talk the New Sex Ed IncPittsburgh, PA501(c)(3)General Support$10,000
The Advanced Leadership Institute IncPittsburgh, PA501(c)(3)General Support$10,000
The Allegheny Center Christian & Missionary Alliance ChurchPittsburgh, PA501(c)(3)General Support$10,000
The Pittsburgh PromisePittsburgh, PA501(c)(3)General Support$10,000
Tickets for Kids FoundationPittsburgh, PA501(c)(3)General Support$10,000
United Way Foundation of the Capital RegionEnola, PA501(c)(3)General Support$10,000
University of PittsburghPittsburgh, PA501(c)(3)General Support$10,000
WILL GEER'S THEATRICUM BOTANICUMTopanga, CA501(c)(3)General Support$10,000
Washington City MissionWashington, PA501(c)(3)General Support$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$14,049,969
Deferred Compensation$2,500,000
Excise Taxes Payable-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

JOSEPH GUYAUX, DAVID BLANDINO, M.D., STEVEN HOFFMAN, NACD.DC, GREGORY JORDAN, ESQ., DAVID MALONE, AND DAVID HOLMBERG - Business relationship

Form 990, Part VI, Line 4 Significant changes to organizational documents

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.

Form 990, Part VI, Line 11B Review of form 990 by governing body

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.

Form 990, Part VI, Line 12C Conflict of interest policy

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.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

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&hr) recommends and the highmark health board approves the compensation for the president and ceo of highmark health. The c&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&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&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&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.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

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&hr) recommends and the highmark health board approves the compensation for the president and ceo of highmark health. The c&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&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&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&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.

Form 990, Part VI, Line 19 Required documents available to the public

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.

Form 990, Part VII, Section A and B

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).

Form 990, PART VIII STATEMENT OF REVENUE

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).

Filing and Contact Details

Filer

Filer Name
Highmark Health
EIN
45-3674900
Phone
4125447000
Address
120 FIFTH AVENUE Tax, PITTSBURGH, PA 15222

Signing Officer

Name
Carleton Daley
Title
CFO and Treasurer
Phone
4125447000
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2011
Legal Domicile
Pa
Voting Board Members
14
Independent Board Members
13
Employees
3,561
Volunteers
13

Preparer

Firm
Pwc US Tax Llp
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Eric M Mcneil
Phone
2673303000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

EQUITY TRANSFERS FROM SUBSIDIARIES & OTHER - 36086624; Total - 36086624;

Form 990, Part IX, Statement of Functional Expenses

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.

Financial Statement Notes

Schedule D, Part XI INCLUSION IN CONSOLIDATED AUDITED FINANCIAL STATEMENT

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

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

HIGHMARK HEALTH RECORDS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY DEFINING CRITERIA THAT A TAX POSITON ON AN INDIVIDUAL MATTER MUST MEET BEFORE THAT POSITION IS RECOGNIZED. ASC 740 ALSO PROVIDES GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND ACCOUNTING IN INTERIM PERIODS. BASED ON AN ANALYSIS PREPARED BY HIGHMARK HEALTH, IT WAS DETERMINED THAT THE APPLICATION OF FASB ASC 740 HAD NO MATERIAL EFFECT ON THE RECORDED ASSETS AND LIABILITIES OF 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.

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IRS990/Desc0HIGHMARK 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 AH
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0During 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1HIGHMARK 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2MANY 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3HIGHMARK 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt4HIGHMARK 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.
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt52237410
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0WEST PENN ALLEGHENY HEALTH SYSTEM INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1CANONSBURG GENERAL HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2ALLE-KISKI MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3JEFFERSON REGIONAL MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt4GROVE CITY MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt5SAINT VINCENT HEALTH CENTER
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt016557035
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleC/DirectContactLegislatorsAmt0877233
IRS990ScheduleC/DirectContactLegislatorsInd0true
IRS990ScheduleC/GrantsOtherOrganizationsInd0false
IRS990ScheduleC/MailingsMembersInd0false
IRS990ScheduleC/MediaAdvertisementsInd0false
IRS990ScheduleC/NotDescribedSection501c3Ind0false
IRS990ScheduleC/OtherActivitiesInd0false
IRS990ScheduleC/PaidStaffOrManagementInd0true
IRS990ScheduleC/PublicationsOrBroadcastInd0false
IRS990ScheduleC/RalliesDemonstrationsInd0false
IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0HIGHMARK HEALTH ENGAGES IN LIMITED ADVOCACY WITH FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS ON HEALTHCARE LEGISLATION IMPACTING OUR ORGANIZATION AND THE COMMUNITIES WE SERVE.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY
IRS990ScheduleC/TotalLobbyingExpendituresAmt0877233
IRS990ScheduleC/VolunteersInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt016113764
IRS990ScheduleD/EquipmentGrp/DepreciationAmt053250834
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt069364598
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0461596
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt0203647
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0665243
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0282839505
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt171024932
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt22166132
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt3200576
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0INVESTMENT IN AFFILIATES
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1INTERCOMPANY RECEIVABLES
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2457B PLAN ASSETS
IRS990ScheduleD/OtherAssetsOrgGrp/Desc3ACCRUED INTEREST
IRS990ScheduleD/OtherExpensesIncludedAmt00
IRS990ScheduleD/OtherExpensesNotIncludedAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0162404450
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0215163024
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0377567474
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt014049969
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt12500000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal Income Taxes
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DEFERRED COMPENSATION
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2EXCISE TAXES PAYABLE
IRS990ScheduleD/OtherRevenueAmt00
IRS990ScheduleD/OtherRevenuesNotIncludedAmt00
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt00
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0HIGHMARK 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
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1HIGHMARK 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.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part XI INCLUSION IN CONSOLIDATED AUDITED FINANCIAL STATEMENT
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0178979810
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0356231145
IRS990ScheduleD/TotalExpensesPerForm990Amt00
IRS990ScheduleD/TotalLiabilityAmt016549969
IRS990ScheduleD/TotalRevenuePerForm990Amt00
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt010000

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$677$228$448$603$588$14.3
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$636$227$410$493$581$88.3
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$709$228$481$583$584$1.08
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$618$181$437$525$552$27.6
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$521$108$413$331$313$17.6
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$451$87.5$363$262$254$8.39
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$395$67.8$327$201$229$28.4
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$179$251$71.8$230$256$26.0
2015Detailed filing. Detailed filing data is available for this year.$127$178$50.8$130$165$34.4
2014Summary only. Only limited summary data is available for this year.$89.2$106$16.3$117$140$23.6
2013Summary only. Only limited summary data is available for this year.$26.8$10.8$16.0$15.7$18.4$2.73
2012Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00
2011Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00