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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
Highmark Health Group
 
Employer identification number
82-1406555
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) SAINT VINCENT HEALTH CENTER
232 WEST 25TH STREET
ERIE,PA16544 		25-0965547 501(C)(3) 695,714       Program Support
(2) Bike Share
3328 Penn Avenue
Pittsburgh,PA15201 		46-1701053 501(C)(3) 250,000       PROGRAM SUPPORT
(3) Carlow University
3333 Fifth Avenue
Pittsburgh,PA15213 		25-0965438 501(C)(3) 100,000       PROGRAM SUPPORT
(4) City of Pittsburgh
414 Grant St Rm 462
Pittsburgh,PA15219 		25-6000879 GOVT 85,000       PROGRAM SUPPORT
(5) JDRF
501 Martindale St
Pittsburgh,PA15212 		23-1907729 501(C)(3) 75,000       PROGRAM SUPPORT
(6) American Heart Association
444 Liberty Avenue
Pittsburgh,PA15222 		13-5613797 501(C)(3) 73,750       PROGRAM SUPPORT
(7) WESTFIELD MEMORIAL HOSPITAL FOUNDATION
189 EAST MAIN STREET
WESTFIELD,NY14787 		16-0743222 501(C)(3) 50,000       PROGRAM SUPPORT
(8) Alle-Kiski Medical Center
1301 Carlisle St
Natrona HGHTS,PA15065 		25-1875178 501(C)(3) 46,000       PROGRAM SUPPORT
(9) Pittsburgh Post-Gazette
358 North Shore Dr
Pittsburgh,PA15212 		94-0692700 N/A 30,000       PROGRAM SUPPORT
(10) Center that CARES
2701 Centre Avenue
Pittsburgh,PA15219 		25-1823715 501(C)(3) 25,000       PROGRAM SUPPORT
(11) West Penn Hospital
4800 Friendship Ave
Pittsburgh,PA15224 		25-0969492 501(C)(3) 25,000       PROGRAM SUPPORT
(12) CARNEGIE MELLON UNIVERSITY
5000 Forbes Avenue
Pittsburgh,PA15213 		25-0969449 501(C)(3) 25,000       PROGRAM SUPPORT
(13) American Cancer Society
320 Bilmar Drive
pittsburgh,PA15205 		13-1788491 501(C)(3) 18,500       PROGRAM SUPPORT
(14) American Diabetes Association
112 Washington Place
Pittsburgh,PA15219 		13-1623888 501(C)(3) 17,500       PROGRAM SUPPORT
(15) Community Liver Alliance
100 W Sq Dr Ste 1930
Pittsburgh,PA15219 		46-1909171 501(C)(3) 17,500       PROGRAM SUPPORT
(16) Monroeville Area Chamber of Commerce
2790 Mosside Blvd
Monroeville,PA15146 		25-1293687 501(c)(6) 17,500       PROGRAM SUPPORT
(17) March of Dimes Foundation
5168 Campbells Run Rd
Pittsburgh,PA15205 		13-1846366 501(C)(3) 16,500       PROGRAM SUPPORT
(18) Pittsburgh North Reg Chamber of Commerce
5000 Brooktree Rd
Wexford,PA15090 		25-1374594 501(C)(6) 15,000       Program Support
(19) Susan G Komen Pittsburgh
1133 S Braddock Ave
Pittsburgh,PA15218 		81-0665396 501(C)(3) 12,500       Program Support
(20) African American Chamber of Comm Fdn Western PA
436 Seventh Avenue
Pittsburgh,PA15219 		25-1821978 501(C)(3) 10,000       PROGRAM SUPPORT
(21) ALS Association Western PA Chapter
416 Lincoln Avenue
Pittsburgh,PA15209 		23-7123851 501(C)(3) 10,000       PROGRAM SUPPORT
(22) American Lung Association of the Mid Atlantic
3001 Gettysburg Rd
Camp Hill,PA17011 		25-1825116 501(C)(3) 10,000       PROGRAM SUPPORT
(23) Arthritis Foundation
790 Holiday Drive
Pittsburgh,PA15220 		58-1341679 501(C)(3) 10,000       PROGRAM SUPPORT
(24) Bloomfield Development Corporation
366 Gross Street
Pittsburgh,PA15224 		20-5817024 501(C)(3) 10,000       PROGRAM SUPPORT
(25) Bloomfield Little Italy Days
2549 Penn Avenue
Pittsburgh,PA15222 		46-0691769 N/A 10,000       PROGRAM SUPPORT
(26) Dr Gertrude A Barber Foundation
100 Barber Place
Erie,PA16507 		25-1753149 501(C)(3) 10,000       PROGRAM SUPPORT
(27) Erie Western Pennsylvania Port Authority
1 Holland Street
Erie,PA16507 		25-1261547 GOVT 10,000       PROGRAM SUPPORT
(28) Pittsburgh Trust for Cultural Resources
803 Liberty Ave
Pittsburgh,PA15222 		25-1469002 501(C)(3) 10,000       PROGRAM SUPPORT
(29) WQED PITTSBURGH
4802 Fifth Avenue
Pittsburgh,PA15213 		25-1010296 501(C)(3) 10,000       PROGRAM SUPPORT
(30) WQLN Public Media
8425 Peach Street
Erie,PA16509 		25-1154116 501(C)(3) 9,000       PROGRAM SUPPORT
(31) The Alexis Joy D'Achille Foundation for Postpartum
2012 Lake Marshall Dr
Gibsonia,PA15044 		46-4212454 501(C)(3) 8,500       PROGRAM SUPPORT
(32) North Side Chamber of Commerce
809 Middle Street
Pittsburgh,PA15212 		25-0696267 501(c)(6) 7,600       PROGRAM SUPPORT
(33) A Glimmer of Hope Foundation
PO Box 908
Wexford,PA15090 		25-1627978 501(C)(3) 7,500       PROGRAM SUPPORT
(34) Allegheny County Medical Society Foundation
713 Ridge Ave
Pittsburgh,PA15212 		25-6064355 501(C)(3) 13,500       PROGRAM SUPPORT
(35) Culture Arts Festivals and Events
626 State Street Room 500
Erie,PA16501 		61-1428869 501(C)(3) 7,500       PROGRAM SUPPORT
(36) Extra Mile Education Foundation
603 Stanwix St
Pittsburgh,PA15222 		25-1621067 501(C)(3) 7,500       PROGRAM SUPPORT
(37) National Ovarian Cancer Coalition - Pitts
6507 Wilkins Ave
Pittsburgh,PA15217 		65-0628064 501(C)(3) 7,500       PROGRAM SUPPORT
(38) The Rotary Club of Monroeville
PO Box 368
Monroeville,PA15146 		25-1550778 501(C)(3) 6,000       PROGRAM SUPPORT
(39) Pirates Charities
115 Federal Street
Pittsburgh,PA15212 		25-1840370 501(C)(3) 5,900       PROGRAM SUPPORT
(40) National Kidney Foundation of Western Penn
2403 Sidney St
Pittsburgh,PA15203 		13-1673104 501(C)(3) 5,260       PROGRAM SUPPORT
(41) Jewish Healthcare Foundation
650 Smithfield St Suite 2400
Pittsburgh,PA15222 		25-1624347 501(C)(3) 10,000       PROGRAM SUPPORT
(42) Ryan White Coalition for 340B Drug Access
1501 M St NW 7th Floor
Washington,DC20005 		46-4949318 501(C)(4) 18,000       PROGRAM SUPPORT
(43) The Open Door Inc
PO Box 99243
Pittsburgh,PA15233 		30-0354607 501(C)(3) 110,000       PROGRAM SUPPORT
(44) Prevention Point Pittsburgh
907 West Street 5th FL
Pittsburgh,PA15221 		25-1852314 501(C)(3) 55,000       PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
38
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2017
Page 2

Schedule I (Form 990) 2017
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Neubert Nursing Scholarship 1 6,000      
(2) Seybold Nursing Scholarship 8 4,000      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. Schedule I, Part I, Line 2 ALLEGHENY HEALTH NETWORK UPPER MANAGEMENT ANALYZES REQUESTS FOR CHARITABLE DISBURSEMENTS ON AN ONGOING BASIS. DISBURSEMENTS ARE REWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE AND/OR A COMMUNITY BENEFIT AND WHO WILL PUT THE USE OF THE FUNDS TOWARDS THE CHARITABLE MISSION ON WHICH ALLEGHENY HEALTH NETWORK WAS FOUNDED.
SCHEDULE I, PART II - NON-CHARITABLE GRANTS THE HIGHMARK HEALTH GROUP PROVIDED ASSISTANCE TO ORGANIZATIONS THAT ARE NOT 501(C)(3) ORGANIZATIONS. THESE ORGANIZATIONS WERE PROVIDED ASSISTANCE TO SUPPORT THEIR UNDERTAKINGS IN CHARITABLE ENDEAVORS.
Schedule I (Form 990) 2017



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