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      <Desc>INPATIENT AND ACUTE SERVICES - UHSH 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, AND 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, REHABILITATION CENTER, AND A TRANSITIONAL CARE UNIT. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2013 TOTALED 108,378, DISCHARGES WERE 18,962 AND AVERAGE LENGTH OF STAY WAS 5.8 DAYS. THERE WERE 1,582 BIRTHS AND 4,554 INPATIENT SURGERIES PERFORMED AT UHSH IN 2013. IN 2013, UHSH GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 400 INDIVIDUALS FOR WHICH $2,479,152 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDITH PECKHAM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES VANVOORST</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN BRADY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW SALANGER</PersonNm>
        <TitleTxt>2ND VICE CHR., CEO</TitleTxt>
        <AverageHoursPerWeekRt>27.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>683234</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>683234</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38590</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT G GOMULKA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>33.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>22.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>303788</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>202524</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33115</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAJESH DAVE MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>44.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>493228</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>123308</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33445</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN CARRIGG</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>472872</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35832</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH BOLAND</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>306832</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26955</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCNALLY</PersonNm>
        <TitleTxt>V.P. HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>271357</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26622</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK MCMANUS</PersonNm>
        <TitleTxt>V.P. FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>266939</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31349</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA BOYD</PersonNm>
        <TitleTxt>V.P. COMMUNITY RELATIONS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>27.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>109090</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>109090</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26654</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY RONGO</PersonNm>
        <TitleTxt>V.P. CARE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200083</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30951</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT MCCARTHY</PersonNm>
        <TitleTxt>VP - FINANCIAL OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>27.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>105754</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>105754</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16226</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ISKANDAR KASSIS MD</PersonNm>
        <TitleTxt>DIRECTOR OF OBGYN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>522021</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALIAKSANDAR DZMITRYIEV</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>282429</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>18560</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OLAYINKA WILHELMMD</PersonNm>
        <TitleTxt>ENDROCONLOGIST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>290259</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36363</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN R CUNNINGHAM MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>280007</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30071</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>S MANDAPALLI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>321321</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37612</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>4909214</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1223910</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>468207</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>120</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SIEMENS MEDICAL SOLUTIONS USA</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 7777 W580</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19175</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>LECHASE CONSTRUCTION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>205 INDIGO CREEK DRIVE</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14626</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>5091560</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SODEXO OPERATIONS LLC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 3601700</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>15251</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>3605811</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>LABORATORY CORP OF AMERICA HOLDINGS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 12140</AddressLine1>
            <City>BURLINGTON</City>
            <State>NC</State>
            <ZIPCode>27216</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>2782709</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>US SECURITY ASSOCIATES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 931703</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>31193</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>2177806</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>87</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2127858</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1088701</AllOtherContributionsAmt>
      <TotalContributionsAmt>3216559</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OPERATING ROOM</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>75148892</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75148892</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LAB CLINICAL-CHEMISTRY</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>41391876</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41391876</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>33521606</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33521606</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CT SCAN</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>27584057</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27584057</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CARDIAC CATH LAB</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>21056510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21056510</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>322818890</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>322818890</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>521521831</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1207556</TotalRevenueColumnAmt>
        <ExclusionAmt>1207556</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>3055153</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>922492</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2132661</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2132661</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-26034</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2158695</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>SERVICES RENDERED</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>7777488</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7777488</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEANINGFUL USE FUNDING</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4886747</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4886747</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OCCUPATIONAL HEALTH</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2529812</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2529812</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>7944658</TotalRevenueColumnAmt>
        <ExclusionAmt>7944658</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>551217312</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>536715878</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>11310909</ExclusionAmt>
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        <ProgramServicesAmt>1380898</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2071348</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>169585599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21195873</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>11408607</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1405670</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>30320755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3809064</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12731956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1591319</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1044793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10411408</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>463647</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>324142</TotalAmt>
        <ManagementAndGeneralAmt>324142</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>50384248</ProgramServicesAmt>
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        <ProgramServicesAmt>12567</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4312</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>2555277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3536985</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>5178629</TotalAmt>
        <ProgramServicesAmt>2368157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2810472</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>5515122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5687079</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>660684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211356</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>1817797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>262062</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>18133707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2614241</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3036825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437803</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>36802554</TotalAmt>
        <ProgramServicesAmt>30140712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6661842</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>33477170</TotalAmt>
        <ProgramServicesAmt>33477170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROSTHESIS EXPENSE</Desc>
        <TotalAmt>30114135</TotalAmt>
        <ProgramServicesAmt>30114135</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DRUGS &amp; PHARMACEUTICALS</Desc>
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        <ProgramServicesAmt>29378064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118178</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>45119446</TotalAmt>
        <ProgramServicesAmt>39493488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5625958</ManagementAndGeneralAmt>
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        <TotalAmt>542803320</TotalAmt>
        <ProgramServicesAmt>473560561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69242759</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>57171366</BOYAmt>
        <EOYAmt>69028721</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>60327332</BOYAmt>
        <EOYAmt>59910608</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7442125</BOYAmt>
        <EOYAmt>8875767</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>11966562</BOYAmt>
        <EOYAmt>12907194</EOYAmt>
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        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>1</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>1</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <StateRegulationInd>X</StateRegulationInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LowestNegotiatedRatesInd>X</LowestNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- FACILITY 1: WILSON MEMORIAL REGIONAL MEDICAL CENTER, - FACILITY 2: BINGHAMTON GENERAL HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2013-2017 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:YVONNE JOHNSTON- BINGHAMTON UNIVERSITY, DECKER SCHOOL OF NURSINGCLAUDIA EDWARDS- BROOME COUNTY HEALTH DEPARTMENTMARY MCFADDEN- BROOME COUNTY HEALTH DEPARTMENTDR. CHRISTOPHER RYAN- BROOME COUNTY HEALTH DEPARTMENTLEIGH ANN SCHEIDER- BROOME COUNTY HEALTH DEPARTMENTANTHONY FIALA- BROOME COUNTY LEGISLATURELYNNE ESQUIVEL- BROOME COUNTY MENTAL HEALTH DEPARTMENTKATHLEEN BUNNELL- BROOME COUNTY OFFICE FOR AGINGDON BOWERSOX- BROOME COUNTY SOCIAL SERVICES DEPARTMENTALAN BUYCK- BROOME TIOGA BOCESDR. JOHN HARDING- COMMUNITY REPRESENTATIVESHARON CHESNA- MOTHERS AND BABIES PERINATAL NETWORKCHRISTY FINCH- MOTHERS AND BABIES PERINATAL NETWORKLISA BOBBY- OUR LADY OF LOURDES HOSPITALDR. HEMANT GUPTA- OUR LADY OF LOURDES HOSPITALCAMERON SOULE- OUR LADY OF LOURDES HOSPITALWAYNE MITTEER- OUR LADY OF LOURDES HOSPITALPAM GUTH- RURAL HEALTH NETWORK OF SCNYLESLIE KANNUS- RURAL HEALTH NETWORK OF SCNYJACK SALO- RURAL HEALTH NETWORK OF SCNYLENORE BORIS- SUNY-B UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS KAREN BAYER- UNITED HEALTH SERVICES HOSPITALSROBIN KINSLOW-EVANS- UNITED HEALTH SERVICES HOSPITALSPAT WILLIAMS- UNITED HEALTH SERVICES HOSPITALSNIKKI FRENCH- UNITED WAY OF BROOME COUNTYAMELIA LODOLCE- UNITED WAY OF BROOME COUNTYLEA WEBB- WEBB CONSULTING</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHENANGO MEMORIAL HOSPITAL, DELAWARE VALLEY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5D:</FormAndLineReferenceDesc>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20D:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHS HOSPITALS WILL PROVIDE A 50% REDUCTION FROM ITS "HIGHEST" VOLUME PAYER FOR INCOMES BETWEEN 201%-25% OF FEDERAL POVERTY LEVELS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2013-2017 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:YVONNE JOHNSTON- BINGHAMTON UNIVERSITY, DECKER SCHOOL OF NURSINGCLAUDIA EDWARDS- BROOME COUNTY HEALTH DEPARTMENTMARY MCFADDEN- BROOME COUNTY HEALTH DEPARTMENTDR. CHRISTOPHER RYAN- BROOME COUNTY HEALTH DEPARTMENTLEIGH ANN SCHEIDER- BROOME COUNTY HEALTH DEPARTMENTANTHONY FIALA- BROOME COUNTY LEGISLATURELYNNE ESQUIVEL- BROOME COUNTY MENTAL HEALTH DEPARTMENTKATHLEEN BUNNELL- BROOME COUNTY OFFICE FOR AGINGDON BOWERSOX- BROOME COUNTY SOCIAL SERVICES DEPARTMENTALAN BUYCK- BROOME TIOGA BOCESDR. JOHN HARDING- COMMUNITY REPRESENTATIVESHARON CHESNA- MOTHERS AND BABIES PERINATAL NETWORKCHRISTY FINCH- MOTHERS AND BABIES PERINATAL NETWORKLISA BOBBY- OUR LADY OF LOURDES HOSPITALDR. HEMANT GUPTA- OUR LADY OF LOURDES HOSPITALCAMERON SOULE- OUR LADY OF LOURDES HOSPITALWAYNE MITTEER- OUR LADY OF LOURDES HOSPITALPAM GUTH- RURAL HEALTH NETWORK OF SCNYLESLIE KANNUS- RURAL HEALTH NETWORK OF SCNYJACK SALO- RURAL HEALTH NETWORK OF SCNYLENORE BORIS- SUNY-B UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS KAREN BAYER- UNITED HEALTH SERVICES HOSPITALSROBIN KINSLOW-EVANS- UNITED HEALTH SERVICES HOSPITALSPAT WILLIAMS- UNITED HEALTH SERVICES HOSPITALSNIKKI FRENCH- UNITED WAY OF BROOME COUNTYAMELIA LODOLCE- UNITED WAY OF BROOME COUNTYLEA WEBB- WEBB CONSULTING</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHENANGO MEMORIAL HOSPITAL, DELAWARE VALLEY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 20D:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHS HOSPITALS WILL PROVIDE A 50% REDUCTION FROM ITS "HIGHEST" VOLUME PAYER FOR INCOMES BETWEEN 201%-25% OF FEDERAL POVERTY LEVELS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>26</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UHSH WALK-INMULTIPLE SPECIALTY CARE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>4417 VESTAL PARKWAY EAST</AddressLine1>
            <City>VESTAL</City>
            <State>NY</State>
            <ZIPCode>13850</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WILSON PLACE AMBUL CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>52 HARRISON ST</AddressLine1>
            <City>JOHNSON CITY</City>
            <State>NY</State>
            <ZIPCode>13790</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WILSON SQUARE MULT SPEC CARE CTRS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>30 HARRISON ST</AddressLine1>
            <City>JOHNSON CITY</City>
            <State>NY</State>
            <ZIPCode>13790</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>BINGHAMTON CARE CENTER - INT MED</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>SUMMITT BLDG 33 MITCHELL AVE</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13903</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UHSH MULTIPLE SPECIALTY CARE CENTERS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>65 PENNSYLVANIA AVE</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13903</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UHS PHYSICAL THERAPY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>4401 VESTAL PARKWAY EAST</AddressLine1>
            <City>VESTAL</City>
            <State>NY</State>
            <ZIPCode>13850</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ENDICOTT FAMILY CARE CENTER - WALK INPT</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1302 E MAIN ST</AddressLine1>
            <City>ENDICOTT</City>
            <State>NY</State>
            <ZIPCode>13760</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>JOHNSON CITY FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>40 ARCH ST WILSON HOSPITAL</AddressLine1>
            <City>JOHNSON CITY</City>
            <State>NY</State>
            <ZIPCode>13790</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>BINGHAMTON PEDIATRIC CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>10-42 MITCHELL AVE</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13903</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CYBERKNIFE CENTER OF NEW YORK</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>22 HARRISON ST</AddressLine1>
            <City>JOHNSON CITY</City>
            <State>NY</State>
            <ZIPCode>13790</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SUMMIT ORTHOPEDICS CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>33 MITCHELL AVE</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13903</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UPPER FRONT ST INT MED &amp; FAM PRAC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1290 UPPER FRONT ST</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13901</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ENDWELL PULMONARY &amp; INTERNAL MEDICINE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>800 HOOPER RD</AddressLine1>
            <City>ENDWELL</City>
            <State>NY</State>
            <ZIPCode>13760</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>VESTAL DERMATOLOGY CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>200 FRONT ST</AddressLine1>
            <City>VESTAL</City>
            <State>NY</State>
            <ZIPCode>13850</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UHSH MULTIPLE SPECIALTY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>93 PENNSYLVANIA AVE</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13903</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>GREENE FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>15 BIRDSALL ST</AddressLine1>
            <City>GREENE</City>
            <State>NY</State>
            <ZIPCode>13778</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>DEPOSIT FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>53 PINE ST</AddressLine1>
            <City>DEPOSIT</City>
            <State>NY</State>
            <ZIPCode>13754</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WINDSOR FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>5 COLLEGE AVE</AddressLine1>
            <City>WINDSOR</City>
            <State>NY</State>
            <ZIPCode>13865</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CANDOR FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>54 MAIN ST</AddressLine1>
            <City>CANDOR</City>
            <State>NY</State>
            <ZIPCode>13743</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>OWEGO FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>42 W MAIN ST</AddressLine1>
            <City>OWEGO</City>
            <State>NY</State>
            <ZIPCode>13827</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>JOHNSON CITY INTERNAL MEDICINE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>507 MAIN ST</AddressLine1>
            <City>JOHNSON CITY</City>
            <State>NY</State>
            <ZIPCode>13790</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>NORTHERN TIOGA FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>119 WHIG ST</AddressLine1>
            <City>NEWARK VALLEY</City>
            <State>NY</State>
            <ZIPCode>13811</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CLINTON STREET FAMILY CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>142 CLINTON ST</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13905</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FAMILY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>BENJAMIN FRANKLIN SCHOOL-BASED CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>262 CONKLIN AVE</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13903</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>THEO ROOSEVELT SCHOOL-BASED CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>9 OGDEN ST</AddressLine1>
            <City>BINGHAMTON</City>
            <State>NY</State>
            <ZIPCode>13901</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UHSH MULTIPLE SPECIALTY CARE CENTERS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>601 RIVERSIDE DRIVE</AddressLine1>
            <City>JOHNSON CITY</City>
            <State>NY</State>
            <ZIPCode>13790</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SPECIALTY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION, UNITED HEALTH SERVICES HOSPITALS,(HEREAFTER REFERRED TO AS UHSH) HAS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2013 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 WE USED EXHIBIT A, CMS - 2552.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), THE ALCOHOL REHABILITATION PROGRAM, THE MENTAL HEALTH CLINIC, THE CHEMICAL DEPENDENCY CLINIC AND THE INPATIENT PHYSICAL REHABILITATION PROGRAM. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE AND NET COMMUNITY BENEFITS EXPENSE FOR THESE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>STARTING 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 $33,477,170 IN 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ARE WAYS IN WHICH UHSH'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:- UHSH STAY HEALTHY CENTER FOR COMMUNITY HEALTH, LOCATED AT THE OAKDALE MALL IN JOHNSON CITY, NEW YORK COLLABORATES WITH NUMEROUS COMMUNITY AGENCIES AND PROMOTES HEALTHY LIFESTYLES. NURSES AT OUR STAY HEALTHY PROGRAM HANDLE SPECIFIC HEALTH RELATED CALLS, PROVIDE GENERAL HEALTH AND WELLNESS INFORMATION, CUSTOMIZE PHYSICIAN REFERRALS TO MEET PATIENT NEEDS AND OFFER COMMUNITY AND HOSPITAL BASED WELLNESS PROGRAMS. THE PROGRAM INCLUDES: ASTHMA EDUCATION, JUST ASK US, HEALTHY LIVING RESOURCES, EATING DISORDERS, TOBACCO CESSATION AND BC WALKS. SPECIFIC SERVICES INCLUDE: CARE-A-VAN, LACTATION CONSULTANTS,NURSE DIRECT, STAY HEALTHY KIDS, STAY HEALTHY MAGAZINE, STAY HEALTHY SENIORS AND TEAM ACT -ALLIES IN CONQUERING TOBACCO. CLASSES OFFERED BY STAY HEALTHY INCLUDE A RANGE OF AREAS SUCH AS: BREASTFEEDING, CHILDBIRTH PREPARATION AND PARENTING, CHILDREN'S HEALTH, DIABETES, FITNESS AND EXERCISE, HEALTH AND FITNESS, MEN'S HEALTH, ORTHOPEDICS, RESPIRATORY AND HEART HEALTH, CANCER SURVIVORSHIP, SMOKING CESSATION AND WOMEN'S HEALTH. THE STAY HEALTHY CENTER ALSO 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 2013, UHSH 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 UHSH DEPARTMENTS WERE INSTRUMENTAL IN DEVELOPING AND PROVIDING THESE BENEFICIAL PROGRAMS THAT ENABLED THE COMMUNITY TO ACCESS HEALTH EDUCATION AND PREVENTION SERVICES. DURING 2013, $1,221,395 WAS SPENT IN DELIVERING THESE PROGRAMS TO 45,973 COMMUNITY MEMBERS.- SERVING RURAL/UNDER SERVED POPULATIONS: UHSH 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 258,310 PATIENT ENCOUNTERS IN 2013.- UHS PERINATAL CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY &amp; CHILDBIRTH TO BREAST HEALTH. THE STAFF OF SPECIALIZED PHYSICIANS, NURSE PRACTITIONERS AND CERTIFIED NURSE MIDWIVES HAVE CREATED A CARING, 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. UHSH'S 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. DURING 2013, UHSH ASSISTED 631 PREGNANT WOMEN WITH ACCESSING MEDICAID SERVICES.- TRANSITIONAL CARE UNIT: THE TRANSITIONAL CARE UNIT AT BINGHAMTON GENERAL HOSPITAL IS A 20 BED, MEDICARE-CERTIFIED, SKILLED NURSING UNIT FOR PATIENTS WHO HAVE PROGRESSED BEYOND HOSPITAL CARE, BUT WHO STILL NEED 24 HOUR SUPERVISION FOR A SHORT PERIOD OF TIME BEFORE RETURNING HOME. THE UNIT WAS ESTABLISHED AS PART OF A THREE YEAR NYS DEMONSTRATION PROJECT.-BRAIN/SPINE TRAUMA CENTER: 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. 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.- 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: UHSH SUPPORTS SPONSORSHIPS THAT ARE DIRECTLY RELATED TO COMMUNITY HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WHILE KEEPING WITH THE MISSION OF UHSH. DURING 2013, UHSH PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $164,000 TO A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY. - VOLUNTEERS AT COMMUNITY EVENTS: UHSH MEDICAL PROFESSIONALS FROM THE UHSH INTERNAL MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAM, UHS EMERGENCY AND TRAUMA SERVICES AS WELL AS OTHER AREAS OF UHSH 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 WEEK LONG EVENT WHICH INCLUDES THE PRACTICE ROUNDS, PRO-AM AND A COMMUNITY CONCERT), MACK SHOOT OUT LACROSSE TOURNAMENT, BINGHAMTON BRIDGE RUN, BINGHAMTON METS GAMES, BINGHAMTON SENATORS HOCKEY GAMES, JC CAROUSEL DAY AND THE CHRIS THATER RACE. THE COMMUNITY ACTIVITIES COORDINATED BY THE STAY HEALTHY CENTER ALSO RELY ON UHSH EMPLOYEES THAT VOLUNTEER THEIR TIME AT MANY OF THESE EVENTS. RESIDENCY AND EDUCATION INCENTIVES: AS A MAJOR TEACHING AND EDUCATIONAL FACILITY IN THE SOUTHERN TIER OF NEW YORK STATE AND THE SURROUNDING REGION, UHSH 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 2013 THE UHSH EDUCATION PROGRAM SERVED APPROXIMATELY 225 STUDENTS PROVIDING A TOTAL OF $646,271 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE REGISTERED NURSE EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.- UHS FOUNDATION: THE UNITED HEALTH SERVICES 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 2013, CAPITAL CONTRIBUTIONS TO UHSH FROM THE UNITED HEALTH SERVICES FOUNDATION, INC. TOTALED $784,440. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHSH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH'S FINANCIAL STATEMENTS DO NOT SPECIFICALLY REFERENCE OR DESCRIBE BAD DEBT EXPENSE. THE ORGANIZATION'S COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, SECTION A, NUMBERS 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES (SEE BELOW FOR GREATER DETAIL).PART III, SECTION A - #2 - THE COST OF BAD DEBTS IS COMPUTED BY APPLYING THE OVERALL RATIO OF PATIENT COST TO CHARGES TO THE TOTAL BAD DEBT EXPENSE. PART III, SECTION A - #3 - THE CHARITY CARE BAD DEBT IS DERIVED BY COMPUTING THE CHARGES SUBJECT TO COLLECTION WHICH IS THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND ALLOWANCES. THIS AMOUNT IS DIVIDED BY UHSH'S TOTAL GROSS CHARGES RESULTING IN THE CHARITY PERCENT WHICH IS APPLIED TO THE TOTAL COST OF BAD DEBTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH 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. UHSH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. UHSH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS AN INCOME LEVEL THAT IS 19% POORER THAN THE U.S. AVERAGE. THEREFORE, UHSH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, IT PROVIDES OVER $4,000,000 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM ARE MEDICARE BENEFICIARIES. UHSH USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2012 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH'S POLICY CLEARLY STATES "FORWARDING A CLAIM TO A COLLECTION AGENCY WHILE FINANCIAL ASSISTANCE IS BEING DETERMINED IS PROHIBITED." AFTER PATIENTS' REQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED THE ORGANIZATION WILL PROVIDE THEM WITH THE SAME LEVEL OF FINANCIAL ASSISTANCE FOR 6 MONTHS AT WHICH TIME ANOTHER EVALUATION OF THE PATIENT'S FINANCIAL CONDITION WILL BE MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2013, 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 INCLUDE:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- UHSH-SPONSORED PRIMARY MARKET RESEARCH STUDIES, INCLUDING A CONSUMER PERCEPTION SURVEY CONDUCTED BY PRC.- MARKET EXPERT SOFTWARE FROM THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHSH 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.UHSH COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2010-2013, BROOME COUNTY HEALTH DEPARTMENT- COMMUNITY HEALTH ASSSESSMENT 2010-2013, TIOGA COUNTY HEALTH DEPARTMENT- HEALTHY PEOPLE 2010- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHSH MARKET RESEARCH- UHS, INC. (OUR PARENT COMPANY) STRATEGIC PLAN - 2010-2014IN 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, UHSH 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 2010-2012 COMMUNITY SERVICE PLAN. UHSH 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, UHSH COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:- BINGHAMTON UNIVERSITY- 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 &amp; BLUE SHIELD- OUR LADY OF LOURDES HOSPITAL- MOTHERS &amp; BABIES PRENATAL NETWORK OF SCNY- SUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - UNITED HEALTH SERVICES 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 &amp; 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 2013 PREVENTION AGENDA GOALS. UHSH 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 2013 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH 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 UHSH 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. UHSH ALSO MAINTAINS A FINANCIAL ASSISTANCE HELP LINE THAT IS IDENTIFIED ON ALL INPATIENT &amp; OUTPATIENT BILLS. THE TOTAL 2013 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHSH PATIENTS IS DETAILED IN SCHEDULE H PART 1, LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH SERVES THE GREATER BINGHAMTON, NEW YORK REGION, WHICH ENCOMPASSES BROOME, EASTERN TIOGA, CHENANGO AND WESTERN DELAWARE COUNTIES, IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 403,000 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 19% POORER THAN THE UNITED STATES AVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UHSH MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE THE 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. UHSH SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 425 ACTIVE PHYSICIANS 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 SERVICE ENHANCEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED CARE DELIVERY, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHSH IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO THE UHS HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2010, THE UHS SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2011-2014. 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: CLINICAL EXCELLENCE, MARKET GROWTH, SERVICE EXCELLENCE AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE UHSH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHSH. - CLINICAL EXCELLENCE: UHSH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY AND PATIENT SAFETY. UHSH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTHCARE PROVIDER WORKFORCE.- SERVICE EXCELLENCE: ADDRESSES DELIVERING ON THE UHSH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, UHSH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE UHSH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS ON THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE LOW INCOME ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7: UHSH FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
      </SupplementalInformationDetail>
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        <CompensationBasedOnRltdOrgsAmt>98515</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>87606</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>21902</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11563</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2891</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13056</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3264</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13700</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3425</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>519984</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>129997</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN CARRIGG</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>393749</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>79123</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16320</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19512</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>508704</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH BOLAND</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>262068</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44764</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16320</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10635</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>333787</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MCNALLY</PersonNm>
        <TitleTxt>V.P. HUMAN RESOURCES</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>41335</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16320</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10302</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>297979</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK MCMANUS</PersonNm>
        <TitleTxt>V.P. FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>225291</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>41648</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16320</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15029</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>298288</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA BOYD</PersonNm>
        <TitleTxt>V.P. COMMUNITY RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>91683</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>91683</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17407</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>17407</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3491</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3491</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9836</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9836</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>122417</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>122417</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY RONGO</PersonNm>
        <TitleTxt>V.P. CARE MANAGEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>168866</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>31217</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12805</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18146</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>231034</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCCARTHY</PersonNm>
        <TitleTxt>VP - FINANCIAL OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>89006</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>89006</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16748</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>16748</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3384</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3384</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4729</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4729</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>113867</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>113867</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ISKANDAR KASSIS MD</PersonNm>
        <TitleTxt>DIRECTOR OF OBGYN</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33409</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12453</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>567883</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALIAKSANDAR DZMITRYIEV</PersonNm>
        <TitleTxt>HOSPITALIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>282429</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18075</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>300989</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OLAYINKA WILHELMMD</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18577</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17786</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN R CUNNINGHAM MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>S MANDAPALLI</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20565</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>17047</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>358933</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, QUESTION 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL THE AMOUNTS LISTED IN SCHEDULE J, PART II, COLUMN B (III) REFLECT PAYMENTS RECEIVED FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FOR THOSE INDIVIDUALS SHOWN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, QUESTIONS 6A,6B</FormAndLineReferenceDesc>
        <ExplanationTxt>UHSH'S EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF UHSH AND UNITED MEDICAL ASSOCIATES, P.C.. A PORTION OF THE 2013 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THE COMBINED NET INCOME GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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      <TaxExemptBondsProceedsGrp>
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        <InReserveFundAmt>2923000</InReserveFundAmt>
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        <SubstantialCompletionYr>1990</SubstantialCompletionYr>
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        <AdvanceRefundingInd>0</AdvanceRefundingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>20000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>400000</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>19600000</CapitalExpendituresAmt>
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        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03140</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.03140</TotalPrivateBusinessUsePct>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, PROCEEDS, COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2009, THE BONDS DISCLOSED IN COLUMN A WERE REFINANCED, THE SERIES 1989 BONDS WERE REFUNDED AND SERIES 2009 BONDS WERE ISSUED IN THE AMOUNT OF $28,800,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III QUESTION #4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIVATE USE FINANCING PERCENTAGE WAS DETERMINED BY BOND COUNSEL ON THE 2009 TAX CERTIFICATE WITH MINIMAL CHANGE IS USAGE SINCE THAT POINT IN TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC..</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UHSH BOARD OF DIRECTORS WHICH DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 (AND 990-T) TO MANAGEMENT. THE UHSH FINANCE DIVISION PREPARES THE 990 WHICH IS THEN REVIEWED BY THE UHSH CFO, UHSH CORPORATE COUNSEL AND BY UHSH'S INDEPENDENT AUDITORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A WRITTEN CONFLICT OF INTEREST POLICY WAS ADOPTED BY THE COMPANY IN MAY OF 2013. PRESENTLY, THE BYLAWS OF THE ORGANIZATION SET FORTH ITS POLICY WITH RESPECT TO CONFLICTS OF INTEREST OF ITS DIRECTORS. IN ADDITION, THE ORGANIZATION'S OFFICERS, DIRECTORS AND EMPLOYEES COMPLY WITH THE WRITTEN CONFLICT OF INTEREST POLICY OF ITS PARENT, UNITED HEALTH SERVICES, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE PHILOSOPHY OF UHSH THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR ITS WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHSH 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'S 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 UHSH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 1,247,484. RETIREMENT PLAN OBLIGATION CHANGES 17,169,593.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>10-42 MITCHELL AVE</AddressLine1>
          <City>BINGHAMTON</City>
          <State>NY</State>
          <ZIPCode>13903</ZIPCode>
        </USAddress>
        <EIN>222682421</EIN>
        <PrimaryActivitiesTxt>PARENT COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>BOARD OF DIRECTORS UHS INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CHENANGO MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>179 N BROAD STREET</AddressLine1>
          <City>NORWICH</City>
          <State>NY</State>
          <ZIPCode>13815</ZIPCode>
        </USAddress>
        <EIN>150532180</EIN>
        <PrimaryActivitiesTxt>ACUTE &amp; OUTPATIENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>DELAWARE VALLEY HOSPITAL INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>ONE TITUS PLACE</AddressLine1>
          <City>WALTON</City>
          <State>NY</State>
          <ZIPCode>13856</ZIPCode>
        </USAddress>
        <EIN>150524324</EIN>
        <PrimaryActivitiesTxt>ACUTE &amp; OUTPATIENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>IDEAL SENIOR LIVING CENTER INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>508 HIGH AVE</AddressLine1>
          <City>ENDICOTT</City>
          <State>NY</State>
          <ZIPCode>13760</ZIPCode>
        </USAddress>
        <EIN>222902896</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>IDEAL SENIOR LIVING CENTER HOUSING CORPORATION</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>508 HIGH AVE</AddressLine1>
          <City>ENDICOTT</City>
          <State>NY</State>
          <ZIPCode>13760</ZIPCode>
        </USAddress>
        <EIN>222902899</EIN>
        <PrimaryActivitiesTxt>SENIOR HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>PROFESSIONAL HOME CARE INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>4401 VESTAL PARKWAY EAST</AddressLine1>
          <City>VESTAL</City>
          <State>NY</State>
          <ZIPCode>13850</ZIPCode>
        </USAddress>
        <EIN>161261977</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>TWIN TIER HOME HEALTH INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>4401 VESTAL PARKWAY EAST</AddressLine1>
          <City>VESTAL</City>
          <State>NY</State>
          <ZIPCode>13850</ZIPCode>
        </USAddress>
        <EIN>222348211</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ECKELBERGER TOWER INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>156 CORLISS AVENUE</AddressLine1>
          <City>JOHNSON CITY</City>
          <State>NY</State>
          <ZIPCode>13790</ZIPCode>
        </USAddress>
        <EIN>237171440</EIN>
        <PrimaryActivitiesTxt>MEDICAL STUDENT HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>BOARD OF DIRECTORS UHS HOSPITALS INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>PATHWAY HEALTH MGMT INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>20 MITCHELL AVENUE</AddressLine1>
          <City>BINGHAMTON</City>
          <State>NY</State>
          <ZIPCode>13903</ZIPCode>
        </USAddress>
        <EIN>161228654</EIN>
        <PrimaryActivitiesTxt>WINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-640</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>4253</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.50000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>