UNITED HEALTH SERVICES HOSPITALS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: UNITED HEALTH SERVICES HOSPITALS INC (EIN 16-1165049)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202203189349309865
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-14T13:06:38-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	454051133	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FREED MAXICK CPAS PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	424 MAIN STREET SUITE 800	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	142023508	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161165049	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED HEALTH SERVICES HOSPITALS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	UNIT	BusinessNameControlTxt
Phone	6077623024	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10-42 MITCHELL AVENUE	AddressLine1Txt
City	BINGHAMTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13903	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN CARRIGG	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	6077623024	PhoneNum
Signature	2022-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOHN	PersonFirstNm
Person Last	CARRIGG	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY MADONIA	PreparerPersonNm
PTIN	P00405803	PTIN
Phone	7168472651	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN M CARRIGG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10-42 MITCHELL AVENUE	AddressLine1Txt
City	BINGHAMTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13903	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$826,179,364	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NYUHS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	(SEE SCHEDULE O)UNITED HEALTH SERVICES HOSPITALS, INC. (HEREAFTER REFERRED TO AS UHS HOSPITALS), IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES AND IS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NEW YORK'S SOUTHERN TIER AND SURROUNDING AREAS. UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	5777	TotalEmployeeCnt
Total Volunteers	114	TotalVolunteersCnt
Total Gross UBI	-$47,326	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$41,346,464	PYContributionsGrantsAmt
CY Contributions Grants	$12,782,549	CYContributionsGrantsAmt
PY Program Service Revenue	$691,186,858	PYProgramServiceRevenueAmt
CY Program Service Revenue	$752,869,910	CYProgramServiceRevenueAmt
PY Investment Income	$6,946,080	PYInvestmentIncomeAmt
CY Investment Income	$16,891,783	CYInvestmentIncomeAmt
PY Other Revenue	$34,247,048	PYOtherRevenueAmt
CY Other Revenue	$43,553,191	CYOtherRevenueAmt
PY Total Revenue	$773,726,450	PYTotalRevenueAmt
CY Total Revenue	$826,097,433	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$338,126,392	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$351,337,510	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$453,282,370	PYOtherExpensesAmt
CY Other Expenses	$473,788,331	CYOtherExpensesAmt
PY Total Expenses	$791,408,762	PYTotalExpensesAmt
CY Total Expenses	$825,125,841	CYTotalExpensesAmt
PY Revenues Less Expenses	-$17,682,312	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$971,592	CYRevenuesLessExpensesAmt
Total Assets BOY	$821,708,896	TotalAssetsBOYAmt
Total Assets EOY	$795,536,110	TotalAssetsEOYAmt
Total Liabilities BOY	$586,936,554	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$514,735,393	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$234,772,342	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$280,800,717	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	(SEE SCHEDULE O)THE UHS HOSPITALS' PRIMARY MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT, AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$295,586,534	ExpenseAmt
Revenue	$233,424,499	RevenueAmt
Desc	INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O)UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE AND REHABILITATIVE SERVICES ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER IS A 280-BED TEACHING HOSPITAL WHICH PROVIDES A FULL RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: CARDIOLOGY, PERINATOLOGY, OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, NEONATOLOGY, PEDIATRICS, ORTHOPEDIC, ONCOLOGY, AS WELL AS NEUROSCIENCE. WILSON MEDICAL CENTER IS A REGIONAL REFERRAL CENTER FOR THE ADVANCED PRACTICE OF EMERGENCY MEDICINE, NEUROSURGERY AND NEWBORN INTENSIVE CARE. IT IS ALSO THE SITE FOR THE PRACTICE OF OPEN-HEART SURGERY AND OTHER ADVANCED CARDIAC PROCEDURES. BINGHAMTON GENERAL HOSPITAL IS A 220-BED FACILITY OFFERING: MENTAL HEALTH SERVICES, ORTHOPEDIC AND RECONSTRUCTIVE SURGERY, DIALYSIS, AND REHABILITATION CENTER. TOTAL INPATIENT DAYS IN 2021 TOTALED 100,009, DISCHARGES WERE 18,621 AND THE AVERAGE LENGTH OF STAY WAS 5.47 DAYS. THERE WERE 898 BIRTHS AND 2,898 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2021. UHS HOSPITALS INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. IN 2021, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 955 PATIENTS FOR WHICH $3,395,057 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$70,377,746	ExpenseAmt
Revenue	$338,842,015	RevenueAmt
Desc	OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O)UHS HOSPITALS ALSO PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL OUTPATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING, GASTROENTEROLOGY LAB, CARDIAC CATH LAB, INFUSION, PHARMACY, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES EMERGENCY DEPARTMENT, AMBULATORY SURGERY, LABORATORY, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT SUBSTANCE USE DISORDER SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2021 TOTALED 1,920,718 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,920,718 VISITS WERE 42,685 EMERGENCY ROOM VISITS, 10,699 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 61,146 VARIOUS OUTPATIENT SURGICAL CASES, 228,113 SPECIALTY CARE VISITS AND 128,898 IMAGING AND RADIOLOGY OUTPATIENT VISITS. IN 2021, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 15,036 PATIENTS FOR WHICH $7,772,314 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$323,739,932	ExpenseAmt
Revenue	$180,715,741	RevenueAmt
Desc	CLINICS (SEE SCHEDULE O)UHS HOSPITALS PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. UHS HOSPITALS OFFERS SIXTEEN PRIMARY CARE CENTERS LOCATED THROUGHOUT A MULTI-NEW YORK COUNTY SERVICE AREA: 1)BINGHAMTON FAMILY CARE, 2) UPPER FRONT STREET (BINGHAMTON), 3) CLINTON STREET (BINGHAMTON), 4) NORTHERN TIOGA, 5) DEPOSIT, 6) WINDSOR, 7) JOHNSON CITY, 8) VESTAL PARKWAY (VESTAL), 9) CANDOR, 10) OWEGO, 11) GREENE, 12)ENDICOTT, 13) MAIN STREET (JOHNSON CITY), 14) BINGHAMTON PEDIATRICS, 15) HOOPER ROAD (ENDWELL) AND 16)ROBINSON STREET (BINGHAMTON). OTHER OUTPATIENT SERVICES INCLUDE: TWO SCHOOL BASED HEALTH CENTERS, THREE WALK-IN CARE CENTERS, DIABETES MANAGEMENT CENTER, DENTAL CLINIC, NEPHROLOGY CLINIC, PLASTIC SURGERY CLINIC, AND THE WOMENS' HEALTH CENTER. TOTAL PATIENT CLINIC VISITS/PHYSICIAN ENCOUNTERS FOR THE UHS CLINCS AT YEAR END 2021 TOTALED 284,800 PRIMARY CARE AND 228,113 SPECIALTY CARE VISITS.UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE EDUCATIONAL PROGRAMS IN WHICH GRADUATE, UNDERGRADUATE AND CONTINUING MEDICAL EDUCATION, AS WELL AS NURSING AND OTHER PROFESSIONAL AND TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, AND MAKING WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES AVAILABLE TO THE PUBLIC. IN 2021, APPROXIMATELY 15 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. NOTE THAT DUE TO COVID, STUDENT PARTICIPATION WAS LIMITED WHICH CAUSED THE EXTREMELY LOW NUMBERS. THERE WERE 24 STUDENTS IN 2020 AND OVER 200 STUDENTS IN 2019.UHS HOSPITALS ALSO PROVIDES PROGRAMS AND SERVICES TO EDUCATE OUR PATIENTS, THEIR FAMILIES, BUSINESSES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTHY LIFESTYLES, FACILITATING UNDERSTANDING OF PERSONAL HEALTH STATUS, INCREASING KNOWLEDGE OF HEALTH CARE OPTIONS, AND ENCOURAGING EFFECTIVE UTILIZATION OF THE HEALTH-CARE SYSTEM. NOTE THAT DURING 2021, DUE TO COVID, SERVICES WERE LIMITED IN CERTAIN AREAS FOR PART OF THE YEAR. UHS HOSPITALS ALSO SPONSORS COMMUNITY ORGANIZATIONS THAT BRING PROGRAMS TO THE COMMUNITY WHICH ARE MOST DIRECTLY RELATED TO HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WITHIN THE COMMUNITY. AN ESTIMATED $130,000 IN SPONSORSHIP FUNDS WERE PROVIDED.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$14,073,249	ExpenseAmt
Revenue	$14,071,404	RevenueAmt
Desc	ALL OTHER (SEE SCHEDULE O)UHS HOSPITALS PROVIDES VARIOUS SERVICES TO THEIR AFFILIATE COMPANIES CHENANGO MEMORIAL HOSPITAL, IDEAL SENIOR LIVING CENTER, IDEAL SENIOR LIVING CENTER HOUSING CORPORATION, TWIN TIER HOME HEALTH, PROFESSIONAL HOME CARE, AND DELAWARE VALLEY HOSPITAL IN ADDITION TO THEIR PARENT COMPANY, UNITED HEALTH SERVICES, INC. UHS HOSPITALS ALSO RENDERS SERVICES TO THE PHYSICIAN PRACTICE MEDICAL GROUP, UNITED MEDICAL ASSOCIATES, PC. SERVICES RENDERED ARE CHARGED TO THE APPROPRIATE ENTITY AT COST.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$14,073,249	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$14,071,404	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$703,777,461	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	257	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5777	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER BAGGERMAN-SYSTEM CONTROLLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6077623087	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10-42 MITCHELL AVE	AddressLine1Txt
City	BINGHAMTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13903	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEROME CANNY
BOARD MEMBER/CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
BRUCE BOWLING MD
BOARD MEMBER/1ST VICE CHAI	2.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN CARRIGG
BOARD MEMBER/2ND VICE CHR	2.00	Yes (X)	Yes (X)	$0	$1,349,218	$78,681	55.00
SUSAN MISTRETTAESQ
BOARD MEMBER/SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW SALANGER
BOARD MEMBER/SR STRATEGIC	2.00	Yes (X)		$0	$225,768	$80	20.00
LINDA BEST
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
FRANK FLOYD MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ROY GILL MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
AMY HOWARD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JULIA MILLER MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JOANN NAVARRO
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
PETER NEWMAN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JUDITH PECKHAM
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
GARY VANNOSTRAND
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
SHARON YAPLE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
RAJESH DAVE MD
EXECUTIVE VP/CHIEF MEDICAL	0.00		Yes (X)	$0	$556,124	$36,683	55.00
DAVE MACDOUGALL
SR VP OF FINANCE AND SYS	0.00		Yes (X)	$0	$30,215	$1,275	55.00
KAY BOLAND
SENIOR VICE PRESIDENT, CHI	0.00		Yes (X)	$0	$697,173	$82,733	55.00
CHRISTINA BOYD
VP COMMUNITY RELATIONS	0.00		Yes (X)	$0	$220,890	$52,409	55.00
NANCY RONGO
VP CARE MANAGEMENT	55.00		Yes (X)	$242,129	$0	$48,689
GAIL THALACKER
VP OPERATIONS	55.00		Yes (X)	$76,290	$0	$23,410	0.00
SHERI LAMOUREUX
VP HUMAN RESOURCES	0.00		Yes (X)	$0	$287,081	$18,656	55.00
DANIELLE DONLIN
VP PHYSICIAN PRACTICE	0.00		Yes (X)	$0	$225,245	$30,988	55.00
RICK BORSCHUK
CHIEF FINANCIAL OFFICER	0.00		Yes (X)	$0	$503,816	$38,922	55.00
ROBERT SCHMIDT
VP CLINICAL SERVICES	55.00		Yes (X)	$221,109	$0	$5,381	0.00
IACOVELLIANGELA
VP REVENUE CYCLE MGMT	55.00		Yes (X)	$246,663	$0	$58,973	0.00
RAHMANMOHAMMAD
VP CHIEF INFORMATION OFFICER	0.00		Yes (X)	$247,686	$0	$20,388	55.00
FNU SHAILESH MD
PHYSICIAN	55.00			$575,887	$0	$34,703		Yes (X)
SRINIVASA MANDAPALLI MD
PHYSICIAN	55.00			$467,203	$0	$34,972		Yes (X)
DEGUARDIMARY
PHYSICIAN	55.00			$246,901	$0	$18,794	0.00	Yes (X)
MAJORLESLIE
PHYSICIAN	55.00			$431,659	$0	$30,116	0.00	Yes (X)
WILHELMOLAYINKA
PHYSICIAN	55.00			$250,191	$0	$42,520	0.00	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,005,718	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,095,530	TotReportableCompRltdOrgAmt
Total Other Compensation	$658,373	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	355	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNITED MEDICAL ASSOCIATES
PO BOX 412688	BOSTON	MA	02241	MEDICAL STAFFING	$76,273,767
SUSQUEHANNA ANESTHESIA
156 CORLISS AVE SUITE 107	JOHNSON CITY	NY	13790	MEDICAL STAFFING	$15,262,232
AMN HEALTHCARE
PO BOX 56157	LOS ANGELES	CA	90074	MEDICAL STAFFING	$15,206,296
MEDICAL SOLUTIONS LLC
PO BOX 56157	MINNEAPOLIS	MN	554850737	MEDICAL STAFFING	$10,701,407
BROOME ONCOLOGY
30 HARRISON ST SUITE 100	JOHNSON CITY	NY	13790	MEDICAL STAFFING	$7,471,484

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	323	CntrctRcvdGreaterThan100KCnt
Government Grants	$12,074,853	GovernmentGrantsAmt
All Other Contributions	$707,696	AllOtherContributionsAmt
Total Contributions	$12,782,549	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LAB CLINICAL-CHEMISTRY	621500	$85,654,192	$85,654,192
MEDICAL ONCOLOGY	621990	$66,986,262	$66,986,262
OPERATING ROOM	621990	$64,978,895	$64,978,895
CT SCANS	621990	$48,867,971	$48,867,971
PHARMACY	621500	$48,496,652	$48,496,652

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$437,885,938	TotalRevenueColumnAmt
Related Or Exempt Func Income	$437,885,938	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$752,869,910	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,887,339	TotalRevenueColumnAmt
Exclusion	$16,887,339	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,259,903	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$81,931	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,177,972	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,177,972	TotalRevenueColumnAmt
Unrelated Business Revenue	-$47,326	UnrelatedBusinessRevenueAmt
Exclusion	$2,225,298	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,444	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$4,444	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,444	TotalRevenueColumnAmt
Exclusion	$4,444	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SERVICES RENDERED	621990	$14,073,249	$14,073,249
CONTRACT PHARMACY-340B	621990	$12,866,335		$12,866,335
CONTRACT REVENUE	621990	$6,688,505		$6,688,505

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,747,130	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110,500	RelatedOrExemptFuncIncomeAmt
Exclusion	$7,636,630	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$41,375,219	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$826,097,433	TotalRevenueColumnAmt
Related Or Exempt Func Income	$767,053,659	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$47,326	UnrelatedBusinessRevenueAmt
Exclusion	$46,308,551	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,033,877	TotalAmt
Program Services	$413,551	ProgramServicesAmt
Management And General	$620,326	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$270,165,471	TotalAmt
Program Services	$219,568,947	ProgramServicesAmt
Management And General	$50,596,524	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,053,392	TotalAmt
Program Services	$11,398,706	ProgramServicesAmt
Management And General	$2,654,686	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$49,670,702	TotalAmt
Program Services	$40,287,906	ProgramServicesAmt
Management And General	$9,382,796	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,414,068	TotalAmt
Program Services	$13,313,451	ProgramServicesAmt
Management And General	$3,100,617	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$16,361,916	TotalAmt
Program Services	$14,395,688	ProgramServicesAmt
Management And General	$1,966,228	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$999,921	TotalAmt
Program Services	$879,759	ProgramServicesAmt
Management And General	$120,162	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$301,444	TotalAmt
Program Services	$265,219	ProgramServicesAmt
Management And General	$36,225	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$21,156	TotalAmt
Program Services	$18,614	ProgramServicesAmt
Management And General	$2,542	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$89,498,298	TotalAmt
Program Services	$78,743,198	ProgramServicesAmt
Management And General	$10,755,100	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$31,780	TotalAmt
Program Services	$27,961	ProgramServicesAmt
Management And General	$3,819	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,075,680	TotalAmt
Program Services	$3,585,901	ProgramServicesAmt
Management And General	$489,779	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,014,480	TotalAmt
Program Services	$8,811,030	ProgramServicesAmt
Management And General	$1,203,450	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,905,092	TotalAmt
Program Services	$10,474,445	ProgramServicesAmt
Management And General	$1,430,647	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$233,622	TotalAmt
Program Services	$205,547	ProgramServicesAmt
Management And General	$28,075	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,029,258	TotalAmt
Program Services	$1,785,747	ProgramServicesAmt
Management And General	$243,511	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,501,131	TotalAmt
Program Services	$28,600,995	ProgramServicesAmt
Management And General	$3,900,136	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,534,082	TotalAmt
Program Services	$2,229,559	ProgramServicesAmt
Management And General	$304,523	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$103,817,198	$91,341,381	$12,475,817
DRUGS & PHARMACEUTICALS	$93,121,498	$81,930,994	$11,190,504
MEDICAL/SURGICAL SUPPLI	$41,296,795	$36,334,118	$4,962,677
PROSTHESIS EXPENSE	$29,580,401	$26,025,695	$3,554,706

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,464,579	TotalAmt
Program Services	$33,139,049	ProgramServicesAmt
Management And General	$2,325,530	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$825,125,841	TotalAmt
Program Services	$703,777,461	ProgramServicesAmt
Management And General	$121,348,380	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$97,229,570	BOYAmt
EOY	$68,823,760	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,836,315	BOYAmt
EOY	$68,121,639	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,036,452	BOYAmt
EOY	$15,817,998	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,011,157	BOYAmt
EOY	$23,034,690	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$809,422,222	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$525,852,516	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$278,242,391	BOYAmt
EOY	$283,569,706	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$154,256,103	BOYAmt
EOY	$135,907,006	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$114,693,997	BOYAmt
EOY	$135,956,407	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$67,402,911	BOYAmt
EOY	$64,304,904	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$821,708,896	BOYAmt
EOY	$795,536,110	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$209,545,661	BOYAmt
EOY	$180,433,838	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$285,466,619	BOYAmt
EOY	$284,414,274	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$262,845	BOYAmt
EOY	$889,101	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,661,429	BOYAmt
EOY	$48,998,180	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$586,936,554	BOYAmt
EOY	$514,735,393	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$218,130,727	BOYAmt
EOY	$260,760,164	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,641,615	BOYAmt
EOY	$20,040,553	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$234,772,342	BOYAmt
EOY	$280,800,717	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$821,708,896	BOYAmt
EOY	$795,536,110	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$971,592	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,429,388	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$47,486,171	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$21,157	OtherActivitiesAmt
Total Lobbying Expenditures	$21,157	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	UHS HOSPITALS HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIPS IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE AND UNITED IROQOUIS SELECT, LLC. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,873,818	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,623,848	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$240,000	GrantsOrScholarshipsAmt
Administrative Expenses	$9,120	AdministrativeExpensesAmt
End Year Balance	$20,248,546	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,233,697	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,888,470	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$239,940	GrantsOrScholarshipsAmt
Administrative Expenses	$8,409	AdministrativeExpensesAmt
End Year Balance	$16,873,818	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,696,534	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,870,367	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$324,485	GrantsOrScholarshipsAmt
Administrative Expenses	$8,719	AdministrativeExpensesAmt
End Year Balance	$15,233,697	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,788,401	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$829,505	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$253,053	GrantsOrScholarshipsAmt
Administrative Expenses	$9,309	AdministrativeExpensesAmt
End Year Balance	$13,696,534	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,623,910	BeginningYearBalanceAmt
Investment Earnings Or Losses	$480,808	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$318,441	GrantsOrScholarshipsAmt
Administrative Expenses	-$2,124	AdministrativeExpensesAmt
End Year Balance	$14,788,401	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02440	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.22523	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.75037	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,055,836	OtherCostOrOtherBasisAmt
Book Value	$16,055,836	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$359,930,310	OtherCostOrOtherBasisAmt
Depreciation	$229,102,313	DepreciationAmt
Book Value	$130,827,997	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,456,159	OtherCostOrOtherBasisAmt
Depreciation	$11,532,587	DepreciationAmt
Book Value	$5,923,572	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$357,155,414	OtherCostOrOtherBasisAmt
Depreciation	$285,217,616	DepreciationAmt
Book Value	$71,937,798	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,824,503	OtherCostOrOtherBasisAmt
Book Value	$58,824,503	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$283,569,706	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MUTUAL FUNDS @ FMV	$3,717,624	F
FUNDED DEPREC INVESTMENTS	$112,010,239	F
ENDOWMENT INVESTMENT	$2,423,456	F
BENEFICIAL INTEREST IN UHS FOUNDATION	$17,805,088	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$135,956,407	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES - S/T AND L/T	$12,493,132
INVESTMENTS IN SUSQUEHANNA REGIONAL PHYS./HOSP. ORG.	$1,078
CRFP FUNDS	$3,628,727
GOODWILL - SNY ASSETS	$1,200,000
VHA INVESTMENT	$138,417
MORRISON INVENTORY	$86,064
INSURANCE CLAIM PAYMENT RESERVE	$4,126,585
OPERATING LEASE RIGHT OF USE ASSETS	$42,630,901

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$64,304,904	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$11,134,142
DEFERRED COMPENSATION PAYABLE	$7,612,017
OTHER LIABILITIES	$26,851,575
DUE TO AFFILIATES	$3,400,446

Field	Value	IRS element (for citing)
Total Liability	$48,998,180	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$855,123,411	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,429,388	NetUnrealizedGainsInvstAmt
Other Revenue	$47,568,102	OtherRevenueAmt
Revenue Not Reported	$45,138,714	RevenueNotReportedAmt
Revenue Subtotal	$809,984,697	RevenueSubtotalAmt
Other Revenues Not Included	$16,112,736	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$16,112,736	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$826,097,433	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$809,095,036	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$81,931	OtherExpensesIncludedAmt
Expenses Not Reported	$81,931	ExpensesNotReportedAmt
Expenses Subtotal	$809,013,105	ExpensesSubtotalAmt
Other Expenses Not Included	$16,112,736	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$16,112,736	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$825,125,841	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE USE OF ENDOWMENT FUNDS RECEIVED FROM THE UNITED HEALTH SERVICES FOUNDATION ARE IN ACCORDANCE WITH THE DONORS' WISHES. (I.E. PEDIATRIC PROGRAMS AND CARDIAC PROGRAMS).
PART X, LINE 2:	UHSH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2021 AND 2020, UHSH DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES ARE 2018 THROUGH 2021.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RETIREMENT PLAN OBLIGATION 44,159,066. CHANGE IN INTEREST OF UHS FOUNDATION 3,327,105. CHANGE IN INTEREST RATE SWAP RENTAL EXPENSES 81,931. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE-LEASES
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 16,112,736.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 81,931.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 16,112,736.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,435,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,435,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,597,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,725,091	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,871,933	NetCommunityBenefitExpnsAmt
Total Expense	0.06410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158,032,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,725,091	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,307,064	NetCommunityBenefitExpnsAmt
Total Expense	0.06960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,958,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,958,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,516,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,634,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,881,568	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,260,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$132,107,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,153,452	NetCommunityBenefitExpnsAmt
Total Expense	0.08800	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$217,735,041	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,741,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,993,130	NetCommunityBenefitExpnsAmt
Total Expense	0.09640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$375,767,196	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$241,467,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$134,300,194	NetCommunityBenefitExpnsAmt
Total Expense	0.16600	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,940	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$131,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,958,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,958,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$608,492	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$608,492	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,698,542	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,698,542	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$16,112,736	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,435,131	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$105,531,303	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,320,526	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,789,223	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
WILSON MEMORIAL REGIONAL MEDICAL CENTER
1	33-57 HARRISON ST	JOHNSON CITY	NY	13790	WWW.NYUHS.ORG	0303001H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BINGHAMTON GENERAL HOSPITAL
2	10-42 MITCHELL AVE	BINGHAMTON	NY	13903	WWW.NYUHS.ORG	0303001H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.NYUHS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.NYUHS.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.NYUHS.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.NYUHS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.NYUHS.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: WILSON MEMORIAL REGIONAL MEDICAL CENTER, - FACILITY 2: BINGHAMTON GENERAL HOSPITAL
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5:	THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS, AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - PAT WILLIAMSWEBB CONSULTING - LEA WEBB
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A:	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B:	COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETYCOMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY BROOME COMMUNITY COLLEGESUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11:	FOCUS AREA #1: HEALTHY EATING AND FOOD SECURITY GOALS: 1.0 REDUCE OBESITY AND THE RISK OF CHRONIC DISEASE, 1.1 INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES, 1.2 INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES ACCORDING TO THE CENTERS FOR CONTROL AND PREVENTION (CDC), OBESITY AND OVERWEIGHT ARE THE SECOND LEADING CAUSE OF PREVENTABLE DEATH IN THE UNITED STATES (US), WHICH MAY QUICKLY TOP TOBACCO AS THE LEADING PREVENTABLE CAUSE OF DEATH. THE CDC ALSO STATES BY THE YEAR 2050, IF OBESITY TRENDS CONTINUE AS THEY ARE, LIFE EXPECTANCY IN THE US IS PREDICTED TO BE SHORTENED BY 2- 5 YEARS. OBESITY IS A RISK FACTOR FOR MANY CHRONIC CONDITIONS INCLUDING HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, STROKE, HEART DISEASE, TYPE 2 DIABETES, ASTHMA, SOME CANCERS, AND OSTEOARTHRITIS. ALARMINGLY, THESE CONDITIONS ARE NOW APPEARING IN ADOLESCENTS AND CHILDREN. CURRENTLY, THE PERCENT OF ADULTS WHO ARE OBESE IN BROOME COUNTY IS 25.7%, WHICH IS HIGHER THAN THE NYS PREVENTION AGENDA TARGET. THE PERCENT OF CHILDREN AND ADOLESCENTS WHO ARE OBESE IN BROOME COUNTY IS 17.7%, WHICH IS HIGHER THAN THE REST OF THE STATE AND THE NYS PREVENTION AGENDA 2 TARGET 16.7% (2016 NYS EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM). TO REDUCE THE INCIDENCE, PREVALENCE, AND BURDEN OF OBESITY AND CHRONIC DISEASE, IT IS NECESSARY FOR COMMUNITIES TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHIER BEHAVIORS AND MAKE HEALTHY CHOICES, EASIER CHOICES. THIS INVOLVES ENGAGING AND MOBILIZING KEY STAKEHOLDERS, DECISION MAKERS, AND COMMUNITY PARTNERS TO WORK WITHIN ALL LEVELS OF THE HEALTH IMPACT PYRAMID AND ACROSS ALL SECTORS TO PROMOTE "HEALTH IN ALL POLICIES." BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 177 FOCUSED EFFORTS IN THIS AREA INCLUDE INCREASING HEALTHY EATING AND FOOD SECURITY, WHILE COLLECTIVELY WORKING TO ELIMINATE RACIAL/ETHNIC AND SOCIOECONOMIC HEALTH DISPARITIES. OVERVIEW AND MEASURES GOAL 1.0: REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE IN BROOME COUNTY OBJECTIVE 1.1: BY 2024, REACH A CHILDHOOD OBESITY RATE OF 12.9% AMONG THE TARGET DEMOGRAPHIC, A REDUCTION FROM THE BASELINE OF 13.9%. TO ACCOMPLISH THIS, THE BROOME COUNTY HEALTH DEPARTMENT (BCHD) WIC PROGRAM WILL CONTINUE TO PROVIDE A DECREASED FAT WIC FOOD PACKAGE, EDUCATION ONCE A YEAR FOR CHILDREN AGES 2-4 ABOUT HEALTHY LIFESTYLES INCLUDING DIET AND EXERCISE, AND MEASURE BMIS FOR CHILDREN RECEIVING NUTRITION COUNSELING. PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BASED ON SELF-REPORT MEASURES GATHERED FROM WIC PARTICIPANTS REGARDING THEIR KNOWLEDGE AND CONSUMPTION OF HEALTHY FOODS AND BEVERAGES, IN ADDITION TO THEIR BMI DATA. PARTNER ROLES AND RESOURCES INCLUDE: BCHD PROVIDES PROMOTION OF HEALTHY LIFESTYLE EDUCATION AND SERVICES OF THE WIC PROGRAM. UHS WILL OVERSEE AND ADMINISTER UHS STAY HEALTHY KIDS PROGRAM.LOURDES WILL OVERSEE THE ACTIVITIES CONDUCTED BY THE PACT PROGRAM. BOTH UHS AND LOURDES WILL ENSURE COMMUNICATION TO PROVIDERS ABOUT REFERRALS TO THE BROOME COUNTY WIC PROGRAM, FOR PREGNANT WOMEN, LACTATING WOMEN, POST-PARTUM WOMEN, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE. OBJECTIVE 1.2: BY 2024, DECREASE THE PERCENTAGE OF SCHOOL AGE CHILDREN WITH OBESITY BY 1 % FROM 17.7% TO THE PREVENTION AGENDA GOAL OF 16.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE; THEY INCLUDE: UHS - 1) UHS STAY HEALTHY KIDS COORDINATOR CONTINUES TO WORK WITH HEAD START SCHOOLS TO PROVIDE MONTHLY CLASSES ON SITE, TO CHILDREN AGE 3-5. HEALTHY EATING AND EXERCISE TIPS ARE PROVIDED TO CHILDREN AND THEIR PARENTS. THE PROGRAM IS 18 CLASSES PER MONTH. (2) THE "KIDS ON TRACK" 8-WEEK PROGRAM CONTINUES IN THE SPRING AND FALL FOR CHILDREN 5-13. THIS PROGRAM COVERS EXERCISE AND NUTRITION APPROPRIATE TO THE AGE GROUP. K-12 SCHOOLS - 1) SCHOOL WELLNESS PROGRAMS/POLICIES - ESTABLISH AND INCORPORATE STRONG NUTRITION STANDARDS FOR FOOD MARKETED, PROVIDED AND SOLD IN SCHOOLS, PROVIDE HEALTHY EATING LEARNING OPPORTUNITIES THROUGH ROCK ON CAFE, STUDENTS USING WALKING OR BIKING TO GET TO SCHOOL, SCHOOLS PROVIDING UNIVERSAL BREAKFAST, GRAB AND GO OPTIONS, BREAKFAST IN THE CLASSROOM, INCORPORATING SMARTER LUNCH ROOM STRATEGIES TO INCREASE ACCESS AND PROMOTE HEALTHY EATING, PARTICIPATING IN FARM TO SCHOOL. THE PARTNERS' ROLES AND RESOURCES INCLUDE: UHS - PROVIDES A STAY HEALTHY KIDS COORDINATOR WHO EDUCATES HEADSTART STUDENTS, PUBLIC SCHOOL AGE CHILDREN/PARENTS ON HEALTHY EATING AND BEVERAGE CONSUMPTION CHOICES, CARE COMPASS NETWORK - INNOVATION FUNDING TO UHS FOR COMMUNITY BASED NUTRITION WELLNESS (EDUCATION TO TAKE PLACE AT CORNELL COOPERATIVE EXTENSION OF BROOME COUNTY). BCHD WILL WORK WITH SCHOOL DISTRICTS TO ENSURE WELLNESS POLICIES ARE FOLLOWING THE REQUIRED STANDARDS SET FORTH BY THE HEALTHY HUNGER FREE KIDS ACT, AND PROVIDE TECHNICAL ASSISTANCE AND SUPPORT TO ASSIST WITH ANY UPDATES. OBJECTIVE 1.3: BY 2024, DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WITH OBESITY, FROM 25.7% TO 23.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: BCHD - WORK WITH COMMUNITY BASED ORGANIZATIONS, WORKSITES AND RECREATION VENUES TO CREATE POLICIES RELATED TO SUGARY DRINK REDUCTIONS, BROOME COUNTY 178 COMMUNITY HEALTH ASSESSMENT 2019-2024 HEALTHY MEETING GUIDELINES AND/OR FOOD PROCUREMENT STANDARDS, LOURDES - DEVELOP MEDICAL WEIGHT LOSS PROGRAM TO SUPPORT PEOPLE AGED 18 YEARS AND ABOVE WITH A BMI >30 IN ACHIEVING A DECREASE IN THEIR BMI AND IMPROVEMENT IN OVERALL HEALTH, BCHD- UTILIZE NYSDOH, CDC, AND LOCALLY DEVELOPED MESSAGING TO GARNER EARNED MEDIA ON HEALTHY EATING, & PROMOTING HEALTHY BEVERAGES GOAL 1.1: INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES OBJECTIVE 1.1.1: BY 2024, DECREASE THE PERCENTAGE OF ADULTS FROM 31.9% TO 27.9%, WHO CONSUME LESS THAN ONE FRUIT AND LESS THAN ONE VEGETABLE PER DAY. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: INCREASE CHOW MOBILE MARKETS IN HIGH RISK NEIGHBORHOODS, CORNELL COOPERATIVE EXTENSION TO PROVIDE NUTRITION EDUCATION, MENU AND BUDGET PLANNING TO SNAP RECIPIENTS, OFA - PROVIDE HEALTHY MEALS & SNACK AT SENIOR CENTERS AND COMMUNITY EVENTS, INCREASE REDEMPTION OF OFFICE FOR AGING AND WIC PARTICIPANTS FARMER'S MARKET COUPONS, OPEN GROCERY STORE ON NORTHSIDE OF BINGHAMTON (FOOD DESERT) VOLUNTEERS IMPROVING NEIGHBORHOOD PROGRAM (VINES) WILL INCREASE ACCESS TO AND NUMBER OF COMMUNITY GARDENS AND FARM SHARE OPPORTUNITIES, IN HIGH RISK NEIGHBORHOODS. GOAL 1.2: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICE OBJECTIVE 1.2.1: BY 2024 LOURDES (ADULTS) INCREASE THE NUMBER OF ADULTS BY 100 (FROM 200 TO 300) THAT IMPROVE THEIR KNOWLEDGE OF AND ENGAGEMENT IN HEALTHY EATING HABITS BY UTILIZING THE FRUIT AND VEGGIE RX PROGRAM. TO ACCOMPLISH THIS LOURDES DIETICIANS IN LOURDES PRIMARY CARE PRACTICES OFFER REFERRED PATIENTS INFORMATION ON HEALTHY EATING HABITS AND "COUPONS" TO PURCHASE FRUITS AND VEGGIES. THIS IS IN COLLABORATION WITH RURAL HEALTH NETWORK AND CARE COMPASS NETWORK. OBJECTIVE 1.2.2: BY 2024, INCREASE BY 10%, FROM 22% TO 32%, THE PERCENTAGE OF WIC INFANTS WHO CONTINUE TO BE BREASTFED UNTIL 6 MONTHS. TO ACHIEVE THIS OBJECTIVE ALL WIC PRENATAL CLIENTS WILL BE OFFERED BREASTFEEDING PEER COUNSELING AND FREE BREASTFEEDING CLASSES ONCE A MONTH, ONCE BABY IS DELIVERED PEER COUNSELING SERVICES WILL BE PROVIDED FREQUENTLY AND CONSISTENTLY TO ENSURE INCREASED DURATION. GOAL 1.3: INCREASE FOOD SECURITY OBJECTIVE 1.3.1: DECREASE PERCENTAGE OF POPULATION WHO DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR FROM 13.8% TO 12.6%. INTERVENTIONS EMPLOYED TO ACHIEVE THIS OBJECTIVE INCLUDE: 1) PROMOTE AND SUPPORT SCREENING OF PEDIATRIC PATIENTS BY HEALTHCARE PROVIDERS, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO WIC AND/OR SNAP; 2) PROMOTE SCREENING OF OLDER-ADULT POPULATIONS FOR FOOD INSECURITY, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO SNAP 3) CONTINUE TO PROVIDE UNIVERSAL BREAKFAST AND LUNCH FOR K-12 IN ALL SCHOOLS 4) INCREASE PARTICIPATION IN SUMMER LUNCH SITES THAT SERVE FAMILIES THROUGHOUT BROOME COUNTY. MEASURES FOR THESE OBJECTIVES INCLUDE: WIC OBESITY -1) NUMBER OF WIC PARTICIPANTS RECEIVING A REDUCED FAT FOOD PACKAGE, PERCENTAGE OF CHILDREN WITH OBESITY (AMONG CHILDREN AGES 2-4 YEARS PARTICIPATING IN THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN [WIC]) 2) NUMBER OF WIC PARTICIPANTS RECEIVING GENERAL NUTRITION EDUCATION AND ACTIVE LEARNING INFORMATION AND BEING ASSESSED FOR HEIGHT/WEIGHT EVERY YEAR. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024SCHOOL AGE OBESITY: 1) NUMBER OF STUDENTS IMPACTED BY SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (2) NUMBER OF SCHOOL DISTRICTS ADOPTING SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (3) NUMBER OF SCHOOL DISTRICT WELLNESS POLICIES THAT ADDRESS FREE DRINKING WATER
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H:	FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA.
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 5:	THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS, AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2016-2018 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - PAT WILLIAMSWEBB CONSULTING - LEA WEBB
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6A:	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6B:	COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETY COMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY BROOME COMMUNITY COLLEGESUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 11:	FOCUS AREA #2: PREVENTIVE CARE AND MANAGEMENT THE CDC ESTIMATES THAT SIX OUT OF TEN AMERICANS HAVE AT LEAST ONE CHRONIC DISEASE, AND FOUR OUT OF TEN HAVE TWO OR MORE. THE PRODUCTIVITY AND QUALITY OF LIFE FOR PEOPLE LIVING WITH A CHRONIC DISEASE SUCH AS DIABETES, HEART DISEASE, STROKE AND CANCER IS LIMITED WHICH IN TURN IMPACTS THEIR FAMILIES AS WELL. MOST CHRONIC DISEASES ARE PREVENTABLE AND CAN BE MANAGED SUCCESSFULLY WITH HEALTHY BEHAVIOR CHANGES. IN BROOME COUNTY, SOME POPULATIONS SUFFER DISPROPORTIONATELY FROM PREVENTABLE CHRONIC DISEASE CONDITIONS. NON-HISPANIC AND BLACK POPULATIONS HAVE SIGNIFICANTLY HIGHER LEVELS OF MORTALITY AND HOSPITALIZATIONS ASSOCIATED WITH HEART/STROKE AND DIABETES INDICATORS. IN ADDITION, OTHER HEALTH DETERMINANTS SUCH AS POVERTY AND LOWER EDUCATION STATUS INCREASE THE NEED FOR CHRONIC DISEASE BROOME COUNTY 180 COMMUNITY HEALTH ASSESSMENT 2019-2024 MANAGEMENT MODELS, ESPECIALLY FOR MANY ENROLLEES OF MEDICAID MANAGED CARE PLANS WHO CONSISTENTLY RELY ON HOSPITAL EMERGENCY ROOMS FOR EMERGENT CARE OF PREVENTABLE HEALTH CONDITIONS. IT IS CRITICAL THAT THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) FOCUSES ON HELPING MEDICAID MEMBERS REDUCE THEIR RISK AND HELP MANAGE CHRONIC DISEASES AND THEIR RISK FACTORS. CHRONIC DISEASES NEED TO BE APPROPRIATELY DIAGNOSED AND MANAGED IN ORDER TO REDUCE THE COMPLICATIONS, BURDEN OF MORBIDITY, HOSPITALIZATIONS, POOR FUNCTION STATUS AND MORTALITY THAT COMES WITH CHRONIC DISEASE. NECESSARY COLLABORATIONS WITH HEALTHCARE SYSTEMS AND OTHER COMMUNITY SECTORS NEED TO ENSURE THAT SUCCESSFUL STRATEGIES EXIST FOR CHRONIC DISEASE MANAGEMENT OPPORTUNITIES, ESPECIALLY WHERE THE MOST VULNERABLE AND HIGH RISK POPULATIONS ARE CONCERNED. OVERVIEW AND MEASURES GOAL: 4.1 INCREASE CANCER SCREENING RATES OBJECTIVE 4.1: BY 2024, INCREASE THE PERCENTAGE OF ADULTS BY 5% WHO RECEIVE A COLORECTAL CANCER SCREENING BASED ON THE MOST RECENT GUIDELINES (AGES 50 TO 75 YEARS) FROM 72% TO 78% INTERVENTIONS INCLUDE: REMOVAL OF STRUCTURAL BARRIERS TO CANCER SCREENING SUCH AS PROVIDING FLEXIBLE CLINIC HOURS, OFFERING CANCER SCREENING IN NON-CLINICAL SETTINGS (MOBILE MAMMOGRAPHY VANS, FLU CLINICS), OFFERING ON-SITE TRANSLATION, TRANSPORTATION, PATIENT NAVIGATION AND OTHER ADMINISTRATIVE SERVICES AND WORKING WITH EMPLOYERS TO PROVIDE EMPLOYEES WITH PAID LEAVE OR THE OPTION TO USE FLEX TIME FOR CANCER SCREENINGS, WORK WITH CSP TO ENHANCE MARKETING AND COMMUNICATION EFFORTS AROUND COLORECTAL CANCER SCREENING IN THE PRIORITY POPULATION. GOAL 4.2: INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY OBJECTIVE 4.1.2: BY 2024, INCREASE THE PERCENTAGE OF CHILDREN AND ADOLESCENTS AGES 3 -17 YEARS WITH AN OUTPATIENT VISIT WITH A PRIMARY CARE PROVIDER OR OB/GYN PRACTITIONER DURING THE MEASUREMENT YEAR WHO RECEIVED APPROPRIATE ASSESSMENT FOR WEIGHT STATUS DURING THE MEASUREMENT YEAR BY 5% (BASELINE 75%). INTERVENTION TO ACHIEVE THIS OBJECTIVE IS BASED ON UTILIZING THE US PREVENTIVE SERVICE GUIDELINES AND HIT, TO CONSISTENTLY IMPLEMENT SCREENING PRACTICES/POLICIES TO IDENTIFY CHILDREN AT RISK FOR OVERWEIGHT OR OVERWEIGHT, AND REFER TO BEHAVIORAL AND NUTRITIONAL EDUCATION PROGRAMS. OBJECTIVE 4.2.2: BY 2024, PROMOTE AT LEAST 3 STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS. THE EVIDENCE BASED INTERVENTION THAT WILL BE USED TO PROMOTE STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS IS THE CDC MILLION HEARTS PROGRAM. GOAL 4.3: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.3.1: BY 2024, DECREASE THE PERCENTAGE BY 5% OF ADULT MEDICAID MEMBERS, IDENTIFIED THROUGH DSRIP WITH DIABETES WHOSE MOST RECENT HBA1C LEVEL INDICATED POOR CONTROL (>9%). INTERVENTIONS EMPLOYED FOR THIS OBJECTIVE INCLUDE: UHS AND LOURDES PRIMARY CARE NETWORK OFFICES TO WORK CLOSELY WITH THE DIABETES CENTERS TO IMPLEMENT STANDARDS OF MEDICAL CARE IN DIABETES, WORK WITH HIT TO IMPLEMENT/MODIFY EMR TO INCLUDE REMINDER SYSTEM FOR SCREENING, FOLLOW UP AND CASE MANAGEMENT ACTIVITIES. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 GOAL 4.4: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.4.1: BY 2024, INCREASE FROM 225 TO 325 THE NUMBER OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD, CANCER) WHO HAVE BEEN IDENTIFIED AND REFERRED TO TAKE A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION. BOTH HOSPITAL SYSTEMS WILL PROVIDE STANDARDS OF CARE TO IDENTIFY AND ASSIST WITH MANAGEMENT OF DIABETES BY: 1. PROMOTE TESTING FOR PREDIABETES, AND RISK FOR FUTURE DIABETES IN ASYMPTOMATIC PEOPLE IN ADULTS OF ANY AGE WITH OBESITY AND OVERWEIGHT (BMI 25 KG/M2 OR 23 KG/M2 IN ASIAN AMERICANS) AND WHO HAVE ONE OR MORE ADDITIONAL RISK FACTORS FOR DIABETES, INCLUDING FIRST DEGREE RELATIVE WITH DIABETES, HIGH RISK RACE/ETHNICITY, AND HISTORY OF CARDIOVASCULAR DISEASE. 2. PROMOTE TESTING FOR ALL OTHER PATIENTS BEGINNING AT 45 YEARS OF AGE. 3. PROMOTE REPEAT TESTING AT A MINIMUM OF 3-YEAR INTERVALS, WITH CONSIDERATION OF MORE FREQUENT TESTING DEPENDING ON INITIAL RESULTS AND RISK STATUS 4. REFER PATIENTS WHO ARE DIAGNOSED WITH OBESITY, CVD, OR DIABETES TO COMMUNITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (STAMFORD EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM) MEASURES FOR THESE OBJECTIVES INCLUDE: CANCER SCREENING: 1) NUMBER OF HEALTH SYSTEMS THAT IMPLEMENT OR IMPROVE PROVIDER AND PATIENT REMINDER SYSTEMS 2) NUMBER OF PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS 3) COMPLIANCE WITH SCREENING GUIDELINES AMONG PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS/AMONG PATIENTS OF HEALTH SYSTEMS THAT ADOPTED SYSTEMS 4) PROVIDER, CLINIC OR INSURER BREAST AND COLORECTAL CANCER SCREENING RATES, EARLY DETECTION OF CHRONIC DISEASES- OBESITY: 1) PERCENTAGE OF CHILDREN WHO ARE OVERWEIGHT [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 85TH TO 95TH PERCENTILE 2) PERCENTAGE OF CHILDREN WHO ARE OBESE [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 95TH PERCENTILE] 3) NUMBER & PERCENT OF CHILDREN SCREENED 4) NUMBER OF PRIMARY CARE PROVIDERS CONDUCTING BMI SCREENING 5) NUMBER OF HOSPITAL SYSTEMS IMPLEMENTING CHILDHOOD BMI SCREENING POLICY/SYSTEM CHANGE. EARLY DETECTION OF CHRONIC DISEASES-HYPERTENSION: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY PATIENTS WITH UNDIAGNOSED HTN 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH UNDIAGNOSED HTN. PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES- DIABETES: 1) SCREENING RATE FOR DIABETES AND PRE-DIABETES AMONG ADULTS AGE 45+ 2) NUMBER OF PATIENTS IDENTIFIED AS HAVING DIABETES OR PRE-DIABETES WHO RECEIVE FOLLOW-UP BY STAY HEALTHY CENTER 3)NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION 4) PERCENTAGE OF ADULTS (AGE 45+) DIAGNOSED WITH PRE-DIABETES OR TYPE 2 DIABETES WHO ARE REFERRED TO DIABETES SELF-MANAGEMENT TRAINING (DSMT) 5) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT 6) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT, 7) PERCENT OF ADULT MEDICAID MEMBERS WITH DIABETES IDENTIFIED THROUGH DSRIP WITH CONTROLLED HBA1C CHRONIC DISEASE MANAGEMENT IN THE COMMUNITY SETTING: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY, REFER PATIENTS WITH DIABETES OR PREDIABETES, OBESITY, CVD 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH DIABETES/PREDIABETES 4) NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS LIKE STAMFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM OR NATIONAL DIABETES PREVENTION PROGRAM.
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 13H:	FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA.

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - UHS WILSON PLACE SPECIALTY CARE CENTER
52 HARRISON ST	JOHNSON CITY	NY	13790	OUTPATIENT SPECIALTY CARE CENTER
2 - UHS WALK-INSPECIALTY CARE CENTER
4417 VESTAL PARKWAY EAST	VESTAL	NY	13850	OUTPATIENT PRIMARY CARE CENTER
3 - UHS WILSON SQUARE SPECIALTY CARE CENTER
30 HARRISON ST	JOHNSON CITY	NY	13790	OUTPATIENT SPECIALTY CARE CENTER
4 - UHS PRIMARY CARE - BINGHAMTON
SUMMITT BLDG 33 MITCHELL AVE	BINGHAMTON	NY	13903	OUTPATIENT PRIMARY CARE CENTER
5 - UHS PRIMARY CAREWALK-IN - ENDICOTT
1302 E MAIN ST	ENDICOTT	NY	13760	OUTPATIENT PRIMARY CARE CENTER
6 - UHS PRIMARY CARE - JOHNSON CITY
507 MAIN ST	JOHNSON CITY	NY	13790	OUTPATIENT PRIMARY CARE CENTER
7 - UHS MULTIPLE SPECIALTY CARE CENTERS
4433 VESTAL PARKWAY EAST	BINGHAMTON	NY	13903	OUTPATIENT SPECIALTY CARE CENTER
8 - UHS DERMATOLOGY
200 FRONT ST	VESTAL	NY	13850	OUTPATIENT SPECIALTY CARE CENTER
9 - UHS CYBERKNIFE CENTER
22 HARRISON ST	JOHNSON CITY	NY	13790	OUTPATIENT SPECIALTY CARE CENTER
10 - UHS PRIMARY CARE - UPPER FRONT STREET
1290 UPPER FRONT ST	BINGHAMTON	NY	13901	OUTPATIENT PRIMARY CARE CENTER
11 - UHS MULTIPLE SPECIALTY CARE CENTERS
93 PENNSYLVANIA AVE	BINGHAMTON	NY	13903	OUTPATIENT SPECIALTY CARE CENTER
12 - UHS PRIMARY CARE - ENDWELL
800 HOOPER RD	ENDWELL	NY	13760	OUTPATIENT PRIMARY CARE CENTER
13 - UHS PRIMARY CARE - GREENE
15 BIRDSALL ST	GREENE	NY	13778	OUTPATIENT PRIMARY CARE CENTER
14 - UHS PRIMARY CARE - DEPOSIT
53 PINE ST	DEPOSIT	NY	13754	OUTPATIENT PRIMARY CARE CENTER
15 - UHS PRIMARY CARE - CANDOR
54 MAIN ST	CANDOR	NY	13743	OUTPATIENT PRIMARY CARE CENTER
16 - UHS PRIMARY CARE - WINDSOR
5 COLLEGE AVE	WINDSOR	NY	13865	OUTPATIENT PRIMARY CARE CENTER
17 - UHS PRIMARY CARE - NEWARK VALLEY
119 WHIG ST	NEWARK VALLEY	NY	13811	OUTPATIENT PRIMARY CARE CENTER
18 - UHS PRIMARY CARE - CLINTON STREET
142 CLINTON ST	BINGHAMTON	NY	13905	OUTPATIENT PRIMARY CARE CENTER
19 - UHS SCHOOL-BASED HEALTH CENTER FRANKLIN
262 CONKLIN AVE	BINGHAMTON	NY	13903	OUTPATIENT PRIMARY CARE CENTER
20 - UHS SCHOOL-BASED HEALTH CENTER ROOSEVELT
9 OGDEN ST	BINGHAMTON	NY	13901	OUTPATIENT PRIMARY CARE CENTER
21 - UHS PRIMARY CARE - OWEGO
42 W MAIN ST	OWEGO	NY	13827	OUTPATIENT PRIMARY CARE CENTER
22 - UHS PEDIATRICS - BINGHAMTON
10-42 MITCHELL AVE	BINGHAMTON	NY	13903	OUTPATIENT PRIMARY CARE CENTER
23 - UHS PRIMARY CAREWALK IN - ROBINSON ST
160 ROBINSON ST	BINGHAMTON	NY	13904	OUTPATIENT PRIMARY CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	UHS HOSPITALS USES FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. PATIENTS WITH A FAMILY INCOME BELOW 200% OF THE FPL RECEIVE A 100% DISCOUNT, PATIENTS BETWEEN 201%-250% OF THE FPL RECEIVE AN 83.5% DISCOUNT, AND PATIENTS BETWEEN 251%-300% OF THE FPL RECEIVE A 67% DISCOUNT. MEDICALLY UNINSURED PATIENTS AUTOMATICALLY RECEIVE A 35% DISCOUNT GENERATED AT THE TIME OF BILLING; ONCE THIS DISCOUNT HAS BEEN APPLIED, ANY FURTHER DISCOUNTS ARE BASED ON THEIR FAMILY INCOME LIMIT.
PART I, LINE 7:	UHS HOSPITALS USED THE COST TO CHARGE METHODOLOGY UTILIZING AMOUNTS FROM OUR 2021 MEDICAID COST REPORT AND OUR 2021 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART I, LINE 7. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F BECAUSE EXHIBIT A, CMS-2552 WAS USED.
PART I, LINE 7G:	THE ORGANIZATION HAS SEVERAL PROGRAMS THAT OPERATE AT A LOSS AND ARE SUBSIDIZED BY OTHER PROGRAMS AND SERVICES. SOME OF THE MOST NOTABLE, AS WELL AS ONES WE ARE ABLE TO MEASURE/QUANTIFY ARE THE REFERRED AMBULATORY SURGERY, METHADONE TREATMENT, EMERGENCY, AND MEDICAL SURGERY. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE, AND THE NET COMMUNITY BENEFITS EXPENSE FOR THESE PROGRAMS.
PART I, LN 7 COL(F):	BEGINNING IN 2012 BAD DEBT EXPENSE WAS INCLUDED AS A REDUCTION OF PATIENT SERVICE REVENUE IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD UPDATE (ASU) NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954). THE ADOPTION OF THIS METHOD HAD THE EFFECT OF REDUCING NET PATIENT SERVICE REVENUE BY $16,112,736 IN 2021. ALTHOUGH FOR FORM 990 PURPOSES, BAD DEBTS ARE REPORTED AS AN EXPENSE RATHER THAN A REDUCTION OF PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE FOLLOWING ARE WAYS IN WHICH UHS HOSPITALS' COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:- UHS PARTNERS WITH OTHER ORGANIZATIONS TO OFFER COMMUNITY-WIDE ACTIVITIES SUCH AS THE DIABETES HEALTH FAIR, MAKING STRIDES AGAINST BREAST CANCER, SOUTHERN TIER HEART WALK, THE COLOR RUN, STAP MUD GAUNTLET, GREATER BINGHAMTON BRIDGE RUN, STEP OUT, WALK TO STOP DIABETES, UHS PEARLS OF WISDOM AND THE YMCA CORPORATE CHALLENGE.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2021, UHS HOSPITALS INVESTED SUBSTANTIAL FUNDS AND SUPPLIED HUMAN RESOURCES TO PROVIDE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, PRINTED AND ON-LINE EDUCATIONAL INFORMATION AND OTHER WELLNESS AND PREVENTION SERVICES TO THE COMMUNITY. NUMEROUS UHS HOSPITALS DEPARTMENTS WERE INSTRUMENTAL IN DEVELOPING AND PROVIDING THESE BENEFICIAL PROGRAMS THAT ENABLED THE COMMUNITY TO ACCESS HEALTH EDUCATION AND PREVENTION SERVICES. DURING 2021, OVER $2,000,000 WAS SPENT IN DELIVERING THESE PROGRAMS TO COMMUNITY MEMBERS. - SERVING RURAL/UNDERSERVED POPULATIONS: UHS HOSPITALS OPERATES 16 PRIMARY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS, AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION. THE COMBINED 19 SITES HAD 289,289 PATIENT ENCOUNTERS IN 2021. - UHS PERINATAL CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY & CHILDBIRTH TO BREAST HEALTH. THE STAFF OF SPECIALIZED PHYSICIANS, NURSE PRACTITIONERS, AND CERTIFIED NURSE MIDWIVES CREATED A CARING AND COMPASSIONATE ENVIRONMENT SERVING WOMEN AT EACH STAGE OF LIFE: FROM TEENAGE AND CHILDBEARING YEARS TO MID-LIFE AND SENIOR YEARS ALL HAVING THEIR OWN UNIQUE HEALTH ISSUES. UHS HOSPITALS' PRIMARY CARE CENTERS AND THE PERINATAL CENTER PARTICIPATE IN THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP) OFFERING FINANCIAL ASSISTANCE TO HELP EXPECTANT MOTHERS WITH THE COST OF PRENATAL CARE. -BRAIN/SPINE TRAUMA CENTER: UHS WILSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER WITHIN CENTRAL NEW YORK'S REGIONAL TRAUMA SYSTEM. THE TRAUMA CENTER ACCEPTS SEVERELY INJURED TRAUMA PATIENTS FROM ALL SURROUNDING COUNTIES AND IS THE ONLY TRAUMA CENTER IN THE SERVICE AREA. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT AT WILSON MEDICAL CENTER, WITH SPACIOUS, SPECIALIZED TRAUMA ROOMS THAT CAN PROVIDE CARE SIMULTANEOUSLY TO AS MANY AS FOUR VICTIMS OF SUDDEN, SERIOUS INJURY. DURING 2021, PRELIMINARY PLANNING FOR THE EXPANSION OF THE WILSON EMERGENCY DEPARTMENT AND UPGRADED TRAUMA AREAS BEGAN WHICH WILL BREAK GROUND IN 2022.- NEONATAL INTENSIVE CARE UNIT: AS THE PROVIDER OF THE AREA'S ONLY COMPREHENSIVE NICU, WILSON MEDICAL CENTER PROVIDES CARE TO PREMATURE INFANTS, LOW BIRTH WEIGHT BABIES AND THOSE WITH SPECIAL NEEDS. SPECIALIZED EQUIPMENT, ADVANCED TECHNOLOGY AND OUR HIGHLY-TRAINED STAFF HAVE HELPED THOUSANDS OF INFANTS SINCE THE UNIT OPENED OVER 30 YEARS AGO. THE NEW YORK STATE DEPARTMENT OF HEALTH HAS DESIGNATED THIS UNIT AS THE AREA'S ONLY LEVEL 3 NURSERY FOR CARING FOR BOTH BABIES AND THEIR MOTHERS.- EVENT SPONSORSHIPS: UHS HOSPITALS SUPPORTS SPONSORSHIPS THAT ARE DIRECTLY RELATED TO COMMUNITY HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WHILE KEEPING WITH THE MISSION OF UHS HOSPITALS. DURING 2021, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $131,000 TO A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY. - VOLUNTEERS AT COMMUNITY EVENTS: UHS HOSPITALS MEDICAL PROFESSIONALS FROM THE INTERNAL MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAM, UHS EMERGENCY AND TRAUMA SERVICES AS WELL AS OTHER AREAS OF UHS HOSPITALS VOLUNTEER THROUGHOUT THE YEAR TO STAFF MEDICAL TENTS AT NUMEROUS COMMUNITY EVENTS INCLUDING THE SPIEDIE FEST (WHICH DRAWS MORE THAN 100,000 PEOPLE), THE DICK'S SPORTING GOODS OPEN (A WEEKLONG EVENT WHICH INCLUDES THE PRACTICE ROUNDS, PRO-AM AND A COMMUNITY CONCERT), MACK SHOOT OUT LACROSSE TOURNAMENT, BINGHAMTON BRIDGE RUN, BINGHAMTON RUMBLE PONIES GAMES, AND BINGHAMTON DEVILS HOCKEY GAMES. NOTE THAT DUE TO RESTRICTIONS PLACED ON EVENTS DUE TO COVID-19, SOME OF THE EVENTS WERE CANCELLED OR DOWNSIZED IN 2021.- COVID 19 REGIONAL HUB (SOUTHERN TIER): DURING THE COVID-19 PANDEMIC, UHS HAS ADMINISTERED TENS OF THOUSANDS OF CORONAVIRUS TESTS IN BROOME, CHENAGO AND DELEAWARE COUNTIES AND PROVIDED DIRECT INPATIENT AND OUTPATIENT CARE TO COVID PATIENTS. AS A DIRECT RESULT OF OUR MEDICAL CAPABILITIES, REPUTATION FOR QUALITY CARE AND TRACK RECORD OF PROVIDING HIGH-LEVEL SERVICES ACROSS THE SOUTHERN TIER, UHS WAS SELECTED BY NEW YORK STATE TO SERVE THE IMPORTANT ROLE OF REGIONAL COVID-19 VACCINATION HUB. GOVERNMENT OFFICIALS ESTABLISHED 10 HUBS ACROSS THE STATE, EACH LED BY A HOSPITAL SYSTEM, RESPONSIBLE FOR COORDINATING VACCINE DISTRIBUTION. THE STATE CHOSE UHS AS THE LEADER OF THE SOUTHERN TIER REGIONAL VACCINATION HUB, AN AREA MADE UP OF BROOME, CHEMUNG, CHENANGO, DELAWARE, SCHUYLER, STEUBEN, TIOGA AND TOMPKINS COUNTIES. WITHIN THE FIRST FEW MONTHS, UHS' SOUTHERN TIER HUB ACHIEVED A MILESTONE BY ADMINSTERING MORE THAN 250,000 FIRST DOSES OF THE VACCINE. ALL HUB-RELATED ACTIVITIES IN THE REGION WERE LED BY UHS WITH NO COMPENSATION FROM THE STATE. EVEN AT A TIME WHEN OUR FINANCES WERE STRETCHED TO THE LIMIT, WE NEVER CURTAILED OUR LEADERSHIP OR PARTICIPATION IN THE HUB ENDEAVOR. MAINTAINING PARTNERSHIPS WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS, GROUPS, BUSINESSES AND AGENCIES TO ENSURE ACCESS TO CARE AND IMPROVE THE HEALTH STATUS OF GREATER BINGHAMTON IS A KEY PRIORITY OF UHS. AS THE PANDEMIC SURGED, OUR OWN STAFF CREATED MORE THAN 200 NEGATIVE-PRESSURE HOSPITAL ROOMS, FEATURING DOUBLE FILTERED AIR, TO CARE EXCLUSIVELY FOR COVID PATIENTS. WE ALSO EXPANDED OUR USE OF TELEHEALTH FOR THOSE PATIENTS WHO COULD NOT, OR WERE RELUCTANT TO, SEEK CARE AT A PHYSICAL LOCATION. IN 2021, UHS CONDUCTED 48,013 TELEHEALTH APPOINTMENTS TO FACILITATE ACCESS FOR THOSE PATIENTS. DURING 2021, 174,989 COVID TESTS WERE PERFORMED AND 16,172 DOSES OF VACCINE WERE ADMINISTERED THROUGH UHS COMMUNITY CLINICS.-RESIDENCY AND EDUCATION INCENTIVES: AS A MAJOR TEACHING AND EDUCATIONAL FACILITY IN THE SOUTHERN TIER OF NEW YORK STATE AND THE SURROUNDING REGION, UHS HOSPITALS SERVES AS A CLINICAL PRACTICE SITE FOR MEDICAL STUDENTS, NURSING STUDENTS, DIETARY INTERNS, LABORATORY TECHNICIANS, MANAGEMENT/BUSINESS INTERNS AND PHYSICAL THERAPY INTERNS. PROGRAMS SUCH AS THESE PROVIDE THE AREA WITH A CONSTANT SUPPLY OF WELL-TRAINED HEALTH CARE PROFESSIONALS AND ENHANCE THE ABILITY OF THE COMMUNITY TO RECEIVE STATE-OF-THE-ART, HIGH QUALITY AFFORDABLE MEDICAL CARE. IN 2021 THE UHS HOSPITALS EDUCATION PROGRAM SERVED APPROXIMATELY 81 STUDENTS PROVIDING A TOTAL OF $608,492 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE REGISTERED NURSE EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM, THE RESPIRATORY THERAPY INCENTIVE PROGRAM,THE NEWLY CREATED OR TECH INCENTVIE PROGRAM AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. - THE UHS FOUNDATION IS A SEPARATE INDEPENDENT CORPORATION DEDICATED TO RAISING FUNDS DIRECTLY FROM COMMUNITY MEMBERS AND GRANT CONTRIBUTORS FOR THE PURPOSE OF PROVIDING INCREMENTAL FINANCIAL SUPPORT TO CERTAIN MEMBERS OF THE UNITED HEALTH SERVICES HEALTH CARE SYSTEM. IN 2021, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UHS FOUNDATION, INC. TOTALED $571,000. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT AND FUNDED PATIENT PROGRAMS THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS. IN ADDITION, THROUGH A NEW INITIATIVE IN CONCERT WITH THE COMMUNITY'S "SOCK OUT CANCER" INITIATIVE, THE FOUNDATION IS ABLE TO PROVIDE FINANCIAL ASSISTANCE FOR PATIENTS CURRENTLY IN TREATMENT WHO ARE UNABLE TO MEET THE BASIC COSTS OF LIVING DUE TO THEIR NECESSARY TREATMENT AND LIFESTYLE CHANGES.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, UHS HOSPITALS (UHSH) ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIONS FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, UHSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, UHSH ALSO ANALYZES AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. UHSH CONSIDERS THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE WHEN CALCULATING ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT PROVISIONS. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 3:	THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2021 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2021 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2021, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 27.5% OF THE TOTAL BAD DEBT WRITE-OFFS.
PART III, LINE 4:	UHSH RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, UHSH RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHSH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, UHSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 8:	UHS HOSPITALS FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENEFICIARIES THAT RESULT IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. UHS HOSPITALS TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. UHS HOSPITALS' SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS AN INCOME LEVEL THAT IS 20% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, DURING 2021 IT PROVIDED OVER $11,167,000 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM WERE MEDICARE BENEFICIARIES. UHS HOSPITALS USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2021 MEDICAID COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.
PART III, LINE 9B:	UHS HOSPITALS' POLICY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHSH DOES NOT SEND AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW FOR ELIGIBITY AND/OR UHSH HAS RECEIVED COMPLETE INFORMATION FROM THE PATIENT. UHSH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHSH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION.
PART VI, LINE 2:	UHS HOSPITALS USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2021, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM OVER 20,000 CUSTOMERS AND RESPONDING TO THOSE NEEDS. ALSO, WE CONTINUALLY INVITE THE PUBLIC TO PARTICIPATE IN OUR SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR INPUT FROM STAFF, THE PUBLIC AND OUR BOARD MEMBERS ARE UTILIZED IN DETERMINING AND SHAPING OUR RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY THE HOSPITAL FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDES:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- MARKET EXPERT SOFTWARE FROM THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHS HOSPITALS ADMINISTRATIVE AND BOARD STRATEGIC PLANNING COMMITTEES.- FEEDBACK FROM KEY PHYSICIAN PARTNERSHIPS AS WELL AS INPUT FROM VARIOUS PHYSICIAN FORUMS.- QUALITATIVE SURVEYS AND FOCUS GROUPS TO CAPTURE CONSUMER FEEDBACK, PRIMARILY ON NEW PROGRAMS UNDER DEVELOPMENT.- LOCAL AND NATIONAL HEALTH-RELATED NEWS REPORTS.- REPORTS FROM INDUSTRY PUBLICATIONS AND ORGANIZATIONS.- SOCIAL MEDIAUHS HOSPITALS COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2019-2024, BROOME COUNTY HEALTH DEPARTMENT- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (UHS HOSPITALS' PARENT COMPANY) STRATEGIC PLAN: 2020-2022IN 2008, NEW YORK STATE DEPARTMENT OF HEALTH (DOH) DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH YEAR 2012 GOALS AND MEASURABLE OBJECTIVES. AS PART OF A STATEWIDE EFFORT TO EMPHASIZE LOCAL HEALTH PLANNING, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO DETERMINE TWO PUBLIC HEALTH PRIORITIES WHICH FORM THE BASIS OF THE UHSH 2019-2024 COMMUNITY SERVICE PLAN. UHS HOSPITALS IS PROUD OF THE TRADITION OF PARTNERING WITH MANY COMMUNITY AGENCIES, BOTH FORMALLY AND INFORMALLY, TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. IN ORDER TO ASSESS COMMUNITY HEALTH NEEDS FOR THIS PLAN, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:- BINGHAMTON UNIVERSITY- SUNY BROOME COMMUNITY COLLEGE- BROOME COUNTY COUNCIL OF CHURCHES- BROOME COUNTY DEPARTMENT OF SOCIAL SERVICES- BROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCIL- BROOME COUNTY HEALTH DEPARTMENT- BROOME COUNTY OFFICE FOR THE AGING- BROOME COUNTY URBAN LEAGUE- BROOME COUNTY YOUTH BUREAU- EXCELLUS BLUECROSS & BLUE SHIELD- LOURDES/ASCENSION- MOTHERS & BABIES PRENATAL NETWORK OF SCNY- SUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - UHS HOSPITALS- UNITED WAY OF BROOME COUNTYTHE BROOME AND TIOGA COUNTY COMMUNITY HEALTH ASSESSMENTS ARE THE RESULT OF THIS TASK FORCE'S COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THE COMMUNITY SERVICE PLAN. THE MAPP PROCESS WAS USED TO CONDUCT ASSESSMENTS OF: COMMUNITY THEMES & STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS AND FORCES OF CHANGE. THE PROCESS RELIED HEAVILY ON THE CAPTURE AND ANALYSIS OF DATA THROUGH FOCUS GROUPS AND SURVEYS AND THE ANALYSIS OF EXISTING DATA SETS (THE COMMUNITY HEALTH DATA SET, COUNTY HEALTH ASSESSMENT INDICATORS, BEHAVIORIAL RISK FACTOR STATISTICAL SURVEY, YOUTH RISK BEHAVIORIAL SURVEY, STATEWIDE PLANNING AND RESEARCH COUNCIL STATISTICS AND OTHER COUNTY LEVEL DATA AVAILABLE ON THE NYS HEALTH INFORMATION NETWORK) IN COMPARISON TO THE 2015 PREVENTION AGENDA GOALS. UHS HOSPITALS ENHANCED THE PREVENTION QUALITY INDICATORS DATA BY ADDING INCIDENCE DATA FOR BROOME COUNTY RESIDENTS WHO USE PENNSYLVANIA HOSPITALS. THE STEERING COMMITTEE SYNTHESIZED THE ASSESSMENTS IN ORDER TO IDENTIFY STRATEGIC ISSUES AND FORMULATE GOALS AND STRATEGIES. THE STEERING COMMITTEE USED THE FOLLOWING CRITERIA TO RATE THE PREVENTION AGENDA PRIORITIES AND ADDITIONAL PRIORITIES IDENTIFIED BY TASK FORCE MEMBERS:- POTENTIAL COSTS TO THE HEALTH CARE SYSTEM- ABSOLUTE NUMBER OF INDIVIDUALS AFFECTED- WORSENING TREND IN HEALTHCARE INDICATORS OVER THE PAST 5 YEARS- UNDERPERFORMING HEALTHY PEOPLE 2010 REPORT AND/OR NEW YORK STATE 2015 PREVENTION AGENCY GOALS- WORK TIME LOST OR DISABILITY CLAIMS- PARTICULAR AREAS OF CONCERN (DISPARITIES)- FEASIBILITY FOR POTENTIAL INTERVENTION- AVAILABILITY FOR FUNDING THE INITIATIVES- FORCES FOR CHANGE (TRENDS, FACTORS AND EVENTS)- MEASURABILITY OVER TIME
PART VI, LINE 3:	UHS HOSPITALS IS COMMITTED TO PROVIDE FINANCIAL ASSISTANCE TO ALL PATIENTS IN NEED AND TO COMMUNICATE THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ALL. OUR PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS AND PROVIDE ASSESSMENTS FOR ELIGIBILITY UNDER ANY STATE, FEDERAL OR UHS HOSPITALS FINANCIAL ASSISTANCE PROGRAM. BROCHURES AND SIGNAGE ARE POSTED IN MULTIPLE LANGUAGES AS REQUIRED BY NYS REGULATIONS AT EACH REGISTRATION/PATIENT ACCESS AREA. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. UHS HOSPITALS ALSO MAINTAINS A FINANCIAL ASSISTANCE HELP LINE THAT IS IDENTIFIED ON ALL PATIENT BILLS. THE TOTAL 2021 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHS HOSPITALS PATIENTS IS DETAILED IN SCHEDULE H PART 1, LINE 7.
PART VI, LINE 4:	UHS HOSPITALS SERVES THE GREATER BINGHAMTON, NEW YORK REGION, WHICH ENCOMPASSES BROOME, TIOGA, CHENANGO, OTSEGO, SULLIVAN, AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 368,800 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 23% POORER THAN THE UNITED STATES AVERAGE. THE MEDIAN HOUSEHOLD INCOME FOR 2021 IS $79,900 NATIONALLY VS $57,819 FOR THE UHS SERVICE AREA WITH 22.4% OF THE TOTAL HOUSEHOLDS LESS THAN $25,000 VS THE NATIONAL LEVEL OF 18%. THE PAYER MIX OF THE SERVICE AREA POPULATION IS MEDICAID 33.8%, MEDICARE 21.9%, UNINSURED 8.2% AND COMMERICALLY INSURED 36.0%.THE SERVICE AREA POPULATION OF 65+ IS 20.9% COMPARED TO 17.1% FOR THE NATION AND 17% IN NY STATE. THE OLDEST POPULATION IS IN THE RURAL AREAS OF LESS THAN 700 RESIDENTS. OUTSIDE OF THE BINGHAMTON METROPOLITAN AREA,THE SERVICE AREA IS PREDOMINANTLY RURAL.
PART VI, LINE 5:	THE UHS HOSPITALS' MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. UHS HOSPITALS SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 400 ACTIVE PHYSICIANS AND PROVIDERS AND A DIVERSE COMMUNITY BOARD OF DIRECTORS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED SOLELY TO PURCHASE NEEDED MEDICAL EQUIPMENT AND PROVIDE FOR PROGRAM AND SERVICE ENHANCEMENTS.WORK BEGAN IN 2021 TO CREATE A NEW SIX STORY, STATE-OF-THE-ART CLINICAL TOWER ON THE CAMPUS OF UHS WILSON MEDICAL CENTER IN JOHNSON CITY, FURTHERING UHS HOSPITAL'S COMMITMENT TO ENHANCING ACCESS AND CLINICAL SERVICE TO THE AREA POPULATION. THE WILSON PROJECT WILL ADD 183,375 SQUARE FEET OF SPACE TO THE EXISTING HOSPITAL WITH 120 MEDICAL/SURGICAL PRIVATE ROOMS AND CREATE UPGRADED AND EXPANDED SPACE IN THE EXISTING EMERGENCY DEPARTMENT. THE EXPECTED COMPLETION DATE IS SUMMER 2025.
PART VI, LINE 6:	UHS HOSPITALS IS AN IMPORTANT PART OF UHS, A NOT-FOR-PROFIT SYSTEM OF INTEGRATED CARE DELIVERY, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS HOSPITALS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO THE UHS HEALTHCARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. EVERY THREE YEARS, UHS HOSPITALS DEVELOPS A SYSTEM-WIDE STRATEGIC PLAN. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE UHS HEALTH SYSTEM AND ITS SERVICES TO THE COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: - IMPROVE OUR CARE: OUR MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE THROUGH OUR COMMITMENT TO EXCELLENCE IN ALL THAT WE DO. THIS MISSION DEMANDS THAT WE RESOLUTELY PURSUE WAYS TO IMPROVE OUR CARE. WE CONTINUE ON THE JOURNEY TO BECAOME A HIGH-RELIABILITY ORGANIZATION PURSUING ZERO HARM.- OPTIMIZE OUR TEAM'S POTENTIAL: UHS STRIVES TO EMPOWER EVERY EMPLOYEE, PHYSICIAN AND PROVIDER TO MAKE A MEANINGFUL DIFFERENCE FOR OUR PATIENTS, COMMUNITY AND EVOLVING HEALTHCARE SYSTEM.- MANAGE OUR COSTS: WORKING WITH A CONSULTANT, WE HAVE CONDUCTED AN ASSESSMENT TO IDENTIFY OPPORTUNITIES FOR COST SAVINGS NOW AND IN FUTURE YEARS WITH A REVENUE CYCLE MANAGEMENT SYSTEM SHOWING RESULTS SINCE 2020.- GROW OUR MARKET SHARE: WE ASPIRE TO BE THE PROVIDER OF CHOICE FOR ACCESS, QUALITY AND EXPERIENCE. WE BELIEVE OUR CORE VALUES SET US APART FROM MANY OF OUR COMPETITORS.SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS HAVE BEEN DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE UHS HOSPITALS COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHS HOSPITALS.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN CARRIGG
BOARD MEMBER/2ND VICE CHR	$0	$778,297	$0	$0	$0	$570,921	$0	$56,642	$0	$22,039	$0	$1,427,899	$0	$0
KAY BOLAND
SENIOR VICE PRESIDENT, CHI	$0	$547,173	$0	$150,000	$0	$0	$0	$67,739	$0	$14,994	$0	$779,906	$0	$0
FNU SHAILESH MD
PHYSICIAN	$575,887	$0	$0	$0	$0	$0	$8,700	$0	$26,003	$0	$610,590	$0	$0	$0
RAJESH DAVE MD
EXECUTIVE VP/CHIEF MEDICAL	$0	$547,422	$0	$0	$0	$8,702	$0	$15,631	$0	$21,052	$0	$592,807	$0	$0
RICK BORSCHUK
CHIEF FINANCIAL OFFICER	$0	$434,015	$0	$24,810	$0	$44,991	$0	$17,400	$0	$21,522	$0	$542,738	$0	$0
SRINIVASA MANDAPALLI MD
PHYSICIAN	$459,594	$0	$7,609	$0	$0	$0	$11,600	$0	$23,372	$0	$502,175	$0	$0	$0
MAJORLESLIE
PHYSICIAN	$431,659	$0	$0	$0	$0	$0	$29,291	$0	$825	$0	$461,775	$0	$0	$0
SHERI LAMOUREUX
VP HUMAN RESOURCES	$0	$287,081	$0	$0	$0	$0	$0	$14,282	$0	$4,374	$0	$305,737	$0	$0
IACOVELLIANGELA
VP REVENUE CYCLE MGMT	$246,663	$0	$0	$0	$0	$0	$38,587	$0	$20,386	$0	$305,636	$0	$0	$0
WILHELMOLAYINKA
PHYSICIAN	$250,191	$0	$0	$0	$0	$0	$16,977	$0	$25,543	$0	$292,711	$0	$0	$0
NANCY RONGO
VP CARE MANAGEMENT	$242,129	$0	$0	$0	$0	$0	$28,008	$0	$20,681	$0	$290,818	$0	$0	$0
CHRISTINA BOYD
VP COMMUNITY RELATIONS	$0	$220,890	$0	$0	$0	$0	$0	$28,502	$0	$23,907	$0	$273,299	$0	$0
RAHMANMOHAMMAD
VP CHIEF INFORMATION OFFICER	$159,849	$0	$87,837	$0	$0	$0	$6,600	$0	$13,788	$0	$268,074	$0	$0	$0
DEGUARDIMARY
PHYSICIAN	$246,901	$0	$0	$0	$0	$0	$16,754	$0	$2,040	$0	$265,695	$0	$0	$0
DANIELLE DONLIN
VP PHYSICIAN PRACTICE	$0	$225,245	$0	$0	$0	$0	$0	$27,749	$0	$3,239	$0	$256,233	$0	$0
ROBERT SCHMIDT
VP CLINICAL SERVICES	$221,109	$0	$0	$0	$0	$0	$1,327	$0	$4,054	$0	$226,490	$0	$0	$0
MATTHEW SALANGER
BOARD MEMBER/SR STRATEGIC	$0	$225,768	$0	$0	$0	$0	$0	$0	$0	$80	$0	$225,848	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART 1, LINE 4B:	FormAndLineReferenceDesc
Explanation	INDIVIDUAL PARTICIPATED IN A 457F SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. RICK BORSCHUK FOR $44,991. PAYMENT IN 2021 FROM A NON-QUALIFIED PLAN: JOHN CARRIGG $562,829 RE: SCHEDULE J, PART II, LINE 1, BIII - OTHER REPORTABLE COMPENSATI0N IN THE AMOUNT OF $562,829 INCLUDES NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). EARLY SERP DISTRIBUTIONS WERE RELATED TO INCOME TAX PAYMENTS; THE REMAINING AMOUNTS ARE DEFERRED UNTIL SUBSEQUENT TRIGGERING EVENTS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	BROOME COUNTY LOCAL DEVELOPMENT CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	300769309	BondIssuerEIN
CUSIP	114731AAO	CUSIPNum
Bond Issued	2020-08-26	BondIssuedDt
Issue Price	$295,419,885	IssuePriceAmt
Purpose	CONSTRUCTION/REFINANCE DEBT/EMR IMPLEMENTATION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$295,439,954	TotalProceedsAmt
In Reserve Fund	$125,737,876	InReserveFundAmt
Capitalized Interest	$5,153,543	CapitalizedInterestAmt
Refunding Escrow	$97,385,621	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,489,777	IssuanceCostsFromProceedsAmt
Credit Enhancement	$7,187,612	CreditEnhancementAmt
Capital Expenditures	$57,485,525	CapitalExpendituresAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	Yes (1)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A:	THE PROCEEDS FROM THE ISSUANCE OF THE BOND OFFERINGS WERE UTILIZED FOR THE REFINANCE OF EXISTING DEBT, INCLUDING THE DEFEASEMENT OF PREVIOUSLY ISSUED TAX-EXEMPT BONDS, TERMINATION OF A PRE-EXISTING SWAP AGREEMENT, AND ISSUANCE OF NEW MONEY FOR THE CONSTRUCTION OF AN INPATIENT BED FACILITY ON THE WILSON CAMPUS, THE COMPLETION OF THE EPIC INSTALLATION AND FINALLY, TO FUND BUDGETED CAPITAL PROJECTS.
PART II, LINE 3	TOTAL PROCEEDS OF ISSUE INCLUDES $20,068 IN EARNED INTEREST AND DIVIDENDS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
RICHARD BOLAND
SON OF OFFICER, KAY BOLAND	$87,428	COMPENSATION (WAGES)	0
COLETTE FLOYD
SPOUSE OF TRUSTEE, FRANK FLOYD	$53,796	COMPENSATION (WAGES)	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER APPOINTS THE ORGANIZATION'S GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UHS HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 (AND 990-T) TO MANAGEMENT. THE UHS HOSPITALS' FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO AND INDEPENDENT AUDITORS. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATION PURPOSES.
FORM 990, PART VI, SECTION B, LINE 12C	UHS HOSPITALS HAS A WRITTEN CONFLICT OF INTEREST POLICY FOLLOWED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. EACH UHS HOSPITALS AGENT MUST SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED AND ENFORCED BY THE AUDIT COMMITTEE OF THE UHS HOSPITALS PARENT COMPANY, UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION B, LINE 15	IT IS THE PHILOSOPHY OF UHS HOSPITALS THAT ALL STAFF INCLUDING THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS HOSPITALS' STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON "TOTAL REVENUE" METRICS), AND 2) A "REASONABLENESS ASSESSMENT" CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF SENIOR MANAGEMENT'S CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIAN AND NONPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 78,743,198. MANAGEMENT AND GENERAL EXPENSES 10,755,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,498,298.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 3,327,105. RETIREMENT PLAN OBLIGATION CHANGES 44,159,066. RETIREMENT PLAN OBLIGATION CHANGES CHANGE IN ACCOUNTING PRINCIPLE-OPERATING LEASES
FORM 990, PART XII, LINE 2C:	NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNITED HEALTH SERVICES INC
10-42 MITCHELL AVE	BINGHAMTON	NY	13903	222682421	PARENT COMPANY	NY	501(C)(3)	10	BOARD OF DIRECTORS UHS INC	0
CHENANGO MEMORIAL HOSPITAL INC
179 N BROAD STREET	NORWICH	NY	13815	150532180	ACUTE & OUTPATIENT SERVICES	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC	0
DELAWARE VALLEY HOSPITAL INC
ONE TITUS PLACE	WALTON	NY	13856	150524324	ACUTE & OUTPATIENT SERVICES	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC	0
IDEAL SENIOR LIVING CENTER INC
508 HIGH AVE	ENDICOTT	NY	13760	222902896	SENIOR LIVING CENTER	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC	0
IDEAL SENIOR LIVING CENTER HOUSING CORPORATION
508 HIGH AVE	ENDICOTT	NY	13760	222902899	SENIOR HOUSING	NY	501(C)(3)	10	UNITED HEALTH SERVICES INC	0
PROFESSIONAL HOME CARE INC
601 RIVERSIDE DRIVE	JOHNSON CITY	NY	13790	161261977	HOME HEALTH CARE	NY	501(C)(3)	10	UNITED HEALTH SERVICES INC	0
TWIN TIER HOME HEALTH INC
601 RIVERSIDE DRIVE	JOHNSON CITY	NY	13790	222348211	HOME HEALTH CARE	NY	501(C)(3)	10	UNITED HEALTH SERVICES INC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PATHWAY HEALTH MGMT INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20 MITCHELL AVENUE	AddressLine1Txt
City	BINGHAMTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13903	ZIPCd

Field	Value	IRS element (for citing)
EIN	161228654	EIN
Primary Activities	WINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC.	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$1,618	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,242	ShareOfEOYAssetsAmt
Ownership	0.50000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd