STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNITED HEALTH SERVICES HOSPITALS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNITED HEALTH SERVICES HOSPITALS INC (EIN 16-1165049)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-13
IRS object ID
201212269349302081
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-13T15:21:24-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161226221EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13214ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161165049EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED HEALTH SERVICES HOSPITALS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone6077623024Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110-42 MITCHELL AVENUEAddressLine1
CityBINGHAMTONCity
StateNYState
ZIP Code13903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW J SALANGERName
TitlePRES/CEOTitle
Phone6077623024Phone
Date Signed2012-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELA M FRANCOName
PTINP00589741PTIN
Phone3154463600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW J SALANGERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110-42 MITCHELL AVENUEAddressLine1
CityBINGHAMTONCity
StateNYState
ZIP Code13903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts466329204GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UHS.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionUNITED HEALTH SERVICES HOSPITALS, INC. (HEREAFTER REFERRED TO AS UHSH), IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES AND IS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NEW YORK'S SOUTHERN TIER AND SURROUNDING AREAS. 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees4162TotalNbrEmployees
Total Nbr Volunteers642TotalNbrVolunteers
Total Gross UBI-150026TotalGrossUBI
Net Unrelated Business Txbl Income-150026NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2936173ContributionsGrantsPriorYear
Contributions Grants Current Year4237695ContributionsGrantsCurrentYear
Program Service Revenue Prior Year426712849ProgramServiceRevenuePriorYear
Program Service Revenue CY434932336ProgramServiceRevenueCY
Investment Income Prior Year857925InvestmentIncomePriorYear
Investment Income Current Year1203810InvestmentIncomeCurrentYear
Other Revenue Prior Year12780126OtherRevenuePriorYear
Other Revenue Current Year24820369OtherRevenueCurrentYear
Total Revenue Prior Year443287073TotalRevenuePriorYear
Total Revenue Current Year465194210TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year207157063SalariesEtcPriorYear
Salaries Etc Current Year210902591SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year220553267OtherExpensePriorYear
Other Expenses Current Year226245946OtherExpensesCurrentYear
Total Expenses Prior Year427710330TotalExpensesPriorYear
Total Expenses Current Year437148537TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15576743RevenuesLessExpensesPriorYear
Revenues Less Expenses CY28045673RevenuesLessExpensesCY
Total Assets BOY294178701TotalAssetsBOY
Total Assets EOY346616387TotalAssetsEOY
Total Liabilities BOY201885875TotalLiabilitiesBOY
Total Liabilities EOY239088739TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY92292826NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY107527648NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE UHSH'S PRIMARY MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT, AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense127211280Expense
Revenue221349808Revenue
DescriptionINPATIENT 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 REHABILATIVE 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, 2011 TOTALED 102,719 DISCHARGES WERE 18,266 AND AVERAGE LENGTH OF STAY WAS 5.6 DAYS. THERE WERE 1,601 BIRTHS AND 4,487 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2011. IN 2011, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO 774 INDIVIDUALS FOR WHICH $1,342,536 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense78373124Expense
Revenue190821665Revenue
DescriptionOUTPATIENT AND AMBULATORY SERVICES - UHSH ALSO PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL OUTPATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING, BREAST CENTER, GASTROENTEROLOGY LAB, CYBERKNIFE, CARDIAC CATH LAB, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES EMERGENCY DEPARTMENT, AMBULATORY, LABORATORY, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO HEMODIALYSIS, CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT CHEMICAL DEPENDENCY SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2011 TOTALED 1,465,415. INCLUDED IN THE 1,465,415 VISITS WERE 49,603 EMERGENCY ROOM VISITS, 11,048 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 22,888 VARIOUS OUTPATIENT SURGICAL CASES, 3,272 DIALYSIS TREATMENTS, 111,299 PRIMARY CARE VISITS, 80,522 SPECIALTY CARE VISITS AND 102,915 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2011 UHSH GAVE FINANCIAL ASSISTANCE TO 774 INDIVIDUALS FOR WHICH $3,159,000 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20742069Expense
Revenue11118257Revenue
DescriptionCLINICS - UHSH PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. UHSH OFFERS TWELVE FAMILY CARE CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1)BINGHAMTON FAMILY CARE, 2) BINGHAMTON PEDIATRIC CENTER, 3) CLINTON STREET (BINGHAMTON), 4) NORTHERN TIOGA, 5) DEPOSIT, 6) WINDSOR, 7) JOHNSON CITY (2), 8) MITCHELL AVENUE (BINGHAMTON), 9) CANDOR, 10) OWEGO AND 11) GREENE. OTHER OUTPATIENT SERVICES INCLUDE: 2 SCHOOL BASED HEALTH CENTERS, DIABETES MANAGEMENT CENTER, DENTAL CLINIC, NEPHROLOGY CLINIC, PLASTIC SURGERY CLINIC, AND WOMENS' HEALTH CENTER. TOTAL PATIENT VISITS/PHYSICIAN ENCOUNTERS FOR THE UHSH CLINICS AT YEAR-END 2011 TOTALED 122,243.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense157442628Expense
Revenue17308632Revenue
DescriptionALL OTHER - 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 EDUCATIONAL PROGRAMS IN WHICH GRADUATE, UNDERGRADUATE AND CONTINUING MEDICAL EDUCATION, AS WELL AS NURSING AND OTHER PROFESSIONAL AND TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, MAKE AVAILABLE WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES. IN 2011, AN ESTIMATED 237 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHSH PROGRAMS. UHSH ALSO PROVIDES PROGRAMS AND SERVICES WHICH EDUCATE OUR PATIENTS, THEIR FAMILIES, BUSINESSES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTHY LIFESTYLES, FACILITATING UNDERSTANDING OF PERSONAL HEALTH STATUS, INCREASING KNOWLEDGE OF HEALTH CARE OPTIONS, AND ENCOURAGING EFFECTIVE UTILIZATION OF THE HEALTH-CARE SYSTEM. DURING 2011, AN ESTIMATED 57,869 COMMUNITY MEMBERS WERE SERVED. UHSH INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. UHSH ALSO SPONSORS COMMUNITY ORGANIZATIONS THAT BRING PROGRAMS TO THE COMMUNITY WHICH ARE MOST DIRECTLY RELATED TO HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WITHIN THE COMMUNITY. AN ESTIMATED $200,000 IN SPONSORSHIP FUNDS WERE PROVIDED.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp157442628TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev17308632TotalOfOtherProgramServiceRev
Total Program Service Expense383769101TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096265NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4162NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed0Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT G GOMULKA- CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6077623024TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110-42 MITCHELL AVEAddressLine1
CityBINGHAMTONCity
StateNYState
ZIP Code13903ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL SCULLARD
CHAIR2.00XX000
DIANA BENDZ
IMMEDIATE PAST CHAIR2.00XX000
BRUCE BOWLING MD
1ST VICE CHAIR2.00XX000
SUSAN MISTRETTAESQ
SECRETARY2.00XX000
JEROME CANNY
BOARD MEMBER2.00X000
HORATIO DENSON
BOARD MEMBER2.00X000
SARAH GUELDNERRNDSNFAAN
BOARD MEMBER2.00X000
CAROL MILLER MD
BOARD MEMBER2.00X000
JUDITH PECKHAM
BOARD MEMBER2.00X000
JAMES VANVOORST
BOARD MEMBER2.00X000
SEAN BRADY
BOARD MEMBER2.00X000
MATTHEW SALANGER
2ND VICE CHR., CEO55.00XX63537663537636848
JAMES JEWELL MD
PHYSICIAN55.00X023876842537
ROBERT G GOMULKA
CHIEF FINANCIAL OFFICER55.00X28060318706933460
RAJESH DAVE MD
CHIEF MEDICAL OFFICER55.00X46573211643333335
JOHN CARRIGG
CHIEF OPERATING OFFICER55.00X404914036275
ELIZABETH BOLAND
CHIEF NURSING OFFICER55.00X275018029086
MICHAEL MCNALLY
V.P. HUMAN RESOURCES55.00X260104025523
MARK MCMANUS
V.P. FINANCE55.00X242087029805
CHRISTINA BOYD
V.P. COMMUNITY RELATIONS55.00X10455510455532257
NANCY RONGO
V.P. CARE MANAGEMENT55.00X176776029825
ISKANDAR KASSIS MD
DIRECTOR OF OBGYN55.00512186012251X
JAYARAMAN VENKATESHMD
NEPHROLOGIST55.00360882017335X
LILIANE EL-KASSISMD
PHYSICIAN55.00273280017833X
WILHELM OLAYINKAMD
ENDROCONLOGIST55.00259301017389X
JOHN R CUNNINGHAM MD
PHYSICIAN55.0028000701776X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4530821TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1282201TotalReportableCompFrmRltdOrgs
Total Other Compensation395535TotalOtherCompensation
Number Individuals GT100 K98NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LECHASE CONSTRUCTION
300 TROLLEY BLVDROCHESTERNY14606CONTRACTOR8572828
SIEMANS MEDICAL SOLUTIONS USA INC
PO BOX 120001 DEPT 0733DALLASTX75312MEDICAL CONSULTING6643078
SODEXO OPERATIONS LLC
PO BOX 360170PITTSBURGHPA15251FOOD SERVICES2665174
ANDREW R MANCINI ASSOCIATION
129 ODELL AVEENDICOTTNY13760CONTRACTOR2478425
MORRIS PROTECTIVE SERVICES
1723 BURNET AVESYRACUSENY13206SECURITY SERVICES1735730
FieldValueIRS element (for citing)
Number Of Contractors GT100 K79NumberOfContractorsGT100K
Government Grants2508858GovernmentGrants
All Other Contributions1728837AllOtherContributions
Total Contributions4237695TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OPERATING ROOM6219906345059563450595
LAB CLINICAL-CHEMISTRY6215003681218136812181
PHARMACY6219903092333030923330
CT SCAN6215002995150329951503
CARDIAC CATH LAB6215002142242721422427

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column252372300TotalRevenueColumn
Related Or Exempt Function Income252372300RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue434932336TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1203810TotalRevenueColumn
Exclusion$1,203,810ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4266427Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1134994Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3131433Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3131433TotalRevenueColumn
Unrelated Business Revenue-150026UnrelatedBusinessRevenue
Exclusion$3,281,459ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICES RENDERED62199029791762979176
OCCUPATIONAL HEALTH62130024189162418916
SOUTHERN TIER HLTH LNK621990267934267934

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16022910TotalRevenueColumn
Exclusion$16,022,910ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue21688936TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column465194210TotalRevenueColumn
Related Or Exempt Function Income440598362RelatedOrExemptFunctionIncome
Unrelated Business Revenue-150026UnrelatedBusinessRevenue
Exclusion$20,508,179ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3076975Total
Program Services1230790ProgramServices
Management And General1846185ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total159652451Total
Program Services144217797ProgramServices
Management And General15434654ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10515656Total
Program Services9464090ProgramServices
Management And General1051566ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25835728Total
Program Services23252155ProgramServices
Management And General2583573ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11821781Total
Program Services10639603ProgramServices
Management And General1182178ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6663325Total
Management And General6663325ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total541827Total
Management And General541827ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total193480Total
Management And General193480ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23530306Total
Program Services23530306ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1243391Total
Program Services16493ProgramServices
Management And General1226898ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5197243Total
Program Services2480093ProgramServices
Management And General2717150ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4630537Total
Program Services1398588ProgramServices
Management And General3231949ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7211706Total
Program Services4821778ProgramServices
Management And General2389928ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total671911Total
Program Services441500ProgramServices
Management And General230411ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2430707Total
Program Services2139022ProgramServices
Management And General291685ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15929798Total
Program Services14018222ProgramServices
Management And General1911576ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3222370Total
Program Services2835686ProgramServices
Management And General386684ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES34162273285072145655059
PROSTHESIS EXPENSE2856688528566885
MED/SURG SUPPLIES & SVC27574611262894251285186
DRUGS & PHARMACEUTICALS241595782409963959939

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total40315998Total
Program Services35819815ProgramServices
Management And General4496183ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total437148537Total
Program Services383769101ProgramServices
Management And General53379436ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37778031BOY
EOY60045387EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY49260576BOY
EOY56444343EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10871699BOY
EOY7740456EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10753254BOY
EOY14874065EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis420294221LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec292763515LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY113863484BOY
EOY127530706EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY49883130BOY
EOY49084003EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY16994270BOY
EOY18727139EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4774257BOY
EOY12170288EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY294178701BOY
EOY346616387EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY59847857BOY
EOY68915668EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY66138444BOY
EOY72435916EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY75899574BOY
EOY97737155EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY201885875BOY
EOY239088739EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY79343131BOY
EOY94095830EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8833939BOY
EOY9353987EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4115756BOY
EOY4077831EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92292826BOY
EOY107527648EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY294178701BOY
EOY346616387EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses28045673ReconcilationRevenueExpenses
Reconcilation Other Changes-12810851ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$26,581OtherActivitiesAmount
Total Lobbying Expenditures IIB26581TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationUHS HOSPITALS HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIP IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2080223BeginningOfYearBalance
Investment Earnings Or Losses84937InvestmentEarningsOrLosses
Grants Or Scholarships120083GrantsOrScholarships
Administrative Expenses8178AdministrativeExpenses
End Of Year Balance2036899EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1985769BeginningOfYearBalance
Investment Earnings Or Losses264023InvestmentEarningsOrLosses
Grants Or Scholarships156640GrantsOrScholarships
Administrative Expenses12929AdministrativeExpenses
End Of Year Balance2080223EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1873470BeginningOfYearBalance
Investment Earnings Or Losses321837InvestmentEarningsOrLosses
Grants Or Scholarships180000GrantsOrScholarships
Other Expenditures21992OtherExpenditures
Administrative Expenses7546AdministrativeExpenses
End Of Year Balance1985769EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2624745BeginningOfYearBalance
Investment Earnings Or Losses-543322InvestmentEarningsOrLosses
Grants Or Scholarships180000GrantsOrScholarships
Other Expenditures20864OtherExpenditures
Administrative Expenses7089AdministrativeExpenses
End Of Year Balance1873470EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.94800BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.05200PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10090027OtherCostOrOtherBasis
Book Value10090027BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis203838955OtherCostOrOtherBasis
Depreciation143285624Depreciation
Book Value60553331BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8636835OtherCostOrOtherBasis
Depreciation4112145Depreciation
Book Value4524690BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis180871494OtherCostOrOtherBasis
Depreciation145365746Depreciation
Book Value35505748BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16856910OtherCostOrOtherBasis
Book Value16856910BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings127530706TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS @ CSV2159472F
FUNDED DEPREC INVESTMENTS2800525F
ENDOWMENT INVESTMENT1940778F
INVESTMENT-UHS FOUNDATION11322187F
HEAL GRANT504177F
FieldValueIRS element (for citing)
Total Of Book Value Program Related18727139TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COST-ADDT'L MINIMUM LIABILITY$61,739,961
DEFERRED COMPENSATION PAYABLE$2,159,472
OTHER LIABILITIES$26,801,744
DUE TO AFFILIATES$7,035,978
FieldValueIRS element (for citing)
Total Of Amounts97737155TotalOfAmounts
Total Revenue465194210TotalRevenue
Total Expenses437148537TotalExpenses
Excess Or Deficit For Year28045673ExcessOrDeficitForYear
Net Unrealized GL On Investments-458568NetUnrealizedGLOnInvestments
Other-$12,352,283OtherAmount
Total Adjustments-12810851TotalAdjustments
Excess Or Deficit Per FS15234822ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt465194210TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal465194210RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990465194210TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt437148537TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal437148537ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990437148537TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE USE OF ENDOWMENT FUNDS RECEIVED FROM THE UNITED HEALTH SERVICES FOUNDATION ARE IN ACCORDANCE WITH THE DONORS' WISHES. (I.E. PEDIATRIC PROGRAMS AND CARDIAC PROGRAMS)
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 1,723,443. RETIREMENT PLAN OBLIGATION CHANGES -11,009,437. PRIOR YEAR ADJUSTMENT BY EXTERNAL AUDITORS -3,066,289. TOTAL TO SCHEDULE D, PART XI, LINE 8: -12,352,283.
PART X, LINE 2 : THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE HOSPITALS' FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE FINANCIAL STATMENTS. AS OF DECEMBER 31, 2011 THE HOSPITALS DID NOT HAVE ANY UNRECOGNIZED BENEFITS OR ANY ACCRUED INTEREST OR PENALTIES.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage201.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served2319PersonsServed
Total Community Benefit Expense1247806TotalCommunityBenefitExpense
Direct Offsetting Revenue144526DirectOffsettingRevenue
Net Community Benefit Expense1103280NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense64363088TotalCommunityBenefitExpense
Direct Offsetting Revenue61292612DirectOffsettingRevenue
Net Community Benefit Expense3070476NetCommunityBenefitExpense
Percent Of Total Expense0.00700PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served2319PersonsServed
Total Community Benefit Expense65610894TotalCommunityBenefitExpense
Direct Offsetting Revenue61437138DirectOffsettingRevenue
Net Community Benefit Expense4173756NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense11234152TotalCommunityBenefitExpense
Direct Offsetting Revenue5281307DirectOffsettingRevenue
Net Community Benefit Expense5952845NetCommunityBenefitExpense
Percent Of Total Expense0.01370PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4274128TotalCommunityBenefitExpense
Net Community Benefit Expense4274128NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense303526TotalCommunityBenefitExpense
Direct Offsetting Revenue89454DirectOffsettingRevenue
Net Community Benefit Expense214072NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2377660TotalCommunityBenefitExpense
Direct Offsetting Revenue337912DirectOffsettingRevenue
Net Community Benefit Expense2039748NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18189466TotalCommunityBenefitExpense
Direct Offsetting Revenue5708673DirectOffsettingRevenue
Net Community Benefit Expense12480793NetCommunityBenefitExpense
Percent Of Total Expense0.02870PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served2319PersonsServed
Total Community Benefit Expense83800360TotalCommunityBenefitExpense
Direct Offsetting Revenue67145811DirectOffsettingRevenue
Net Community Benefit Expense16654549NetCommunityBenefitExpense
Percent Of Total Expense0.03820PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs279NumberOfActivitiesOrPrograms
Persons Served4831PersonsServed
Total Community Building Expense18511TotalCommunityBuildingExpense
Net Community Building Expense18511NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served256PersonsServed
Total Community Building Expense118000TotalCommunityBuildingExpense
Direct Offsetting Revenue35500DirectOffsettingRevenue
Net Community Building Expense82500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense224267TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense224267NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served57569PersonsServed
Total Community Building Expense1140324TotalCommunityBuildingExpense
Direct Offsetting Revenue420773DirectOffsettingRevenue
Net Community Building Expense719551NetCommunityBuildingExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served105PersonsServed
Total Community Building Expense620258TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense620258NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs279NumberOfActivitiesOrPrograms
Persons Served62761PersonsServed
Total Community Building Expense2121360TotalCommunityBuildingExpense
Direct Offsetting Revenue456273DirectOffsettingRevenue
Net Community Building Expense1665087NetCommunityBuildingExpense
Percent Of Total Expense0.00370PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$9,804,113BadDebtExpenseAmount
Amount Attributable To1305181AmountAttributableTo
Amount Reimbursed By Medicare102045926AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare94027523CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall8018403MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
WILSON MEMORIAL REGIONAL MEDICAL CENTER
133-57 HARRISON STJOHNSON CITYNY13790XXXXOUTLYING CLINICS
BINGHAMTON GENERAL HOSPITAL
210-42 MITCHELL AVEBINGHAMTONNY13903XXXXOUTLYING CLINICS

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitPermit Lien On ResidencePermitLienOnResidenceCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyLowest Negotiated RatesLowestNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
WILSON MEMORIAL REGIONAL MEDICAL CENTER
111200.0000000000001201.0000000000001XXX11XXXX1XXX01X01
BINGHAMTON GENERAL HOSPITAL
211200.0000000000001201.0000000000001XXX11XXXX1XXX01X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities24NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WILSON PLACE AMB CARE CENTER
52 HARRISON STJOHNSON CITYNY13790OUTPATIENT SPECIAL CARE CENTER
UHSH MULTIPLE SPECIALTY CARE CENTERS
65 PENNSYLVANIA AVEBINGHAMTONNY13903OUTPATIENT SPECIAL CARE CENTER
UHSH MULTIPLE SPECIALTY CARE CENTERS
601 RIVERSIDE DRIVEJOHNSON CITYNY13790OUTPATIENT SPECIAL CARE CENTER
ENDICOTT FAMILY PRACTICE WALK-INPT
1302 E MAIN STENDICOTTNY13760OUTPATIENT SPECIAL CARE CENTER
JOHNSON CITY FAMILY CARE CENTER
40 ARCH ST WILSON HOSPITALJOHNSON CITYNY13790OUTPATIENT FAMILY CARE CENTER
CYBERKNIFE CENTER OF NEW YORK
22 HARRISON STJOHNSON CITYNY13790OUTPATIENT SPECIAL CARE CENTER
BINGHAMTON PEDIATRIC CENTER
10-42 MITCHELL AVEBINGHAMTONNY13903OUTPATIENT FAMILY CARE CENTER
BINGHAMTON FAMILY CARE CENTER - IM
SUMMITT BLDG 33 MITCHELL AVEBINGHAMTONNY13903OUTPATIENT FAMILY CARE CENTER
WILSON SQUARE
30 HARRISON STJOHNSON CITYNY13790OUTPATIENT SPECIAL CARE CENTER
SUMMIT ORTHOPEDICS
33 MITCHELL AVEBINGHAMTONNY13903OUTPATIENT FAMILY CARE CENTER
DEPOSIT FAMILY CARE CENTER
53 PINE STDEPOSITNY13754OUTPATIENT FAMILY CARE CENTER
WINDSOR FAMILY CARE CENTER
5 COLLEGE AVEWINDSORNY13865OUTPATIENT FAMILY CARE CENTER
CANDOR FAMILY CARE CENTER
59 MAIN STCANDORNY13743OUTPATIENT FAMILY CARE CENTER
NORTHERN TIOGA FAMILY CARE CENTER
119 WHIG STNEWARK VALLEYNY13811OUTPATIENT FAMILY CARE CENTER
CLINTON STREET FAMILY CARE CENTER
142 CLINTON STBINGHAMTONNY13905OUTPATIENT FAMILY CARE CENTER
BENJAMIN FRANKLIN SCHOOL-BASED
262 CONKLIN AVEBINGHAMTONNY13903OUTPATIENT SPECIAL CARE CENTER
VESTAL DERMATOLOGY
200 FRONT STVESTALNY13850OUTPATIENT SPECIAL CARE CENTER
THEODORE ROOSEVELT SCHOOL-BASED
9 OGDEN STBINGHAMTONNY13901OUTPATIENT SPECIAL CARE CENTER
JOHNSON CITY INTERNAL MEDICINE
507 MAIN STJOHNSON CITYNY13790OUTPATIENT FAMILY CARE CENTER
OWEGO FAMILY PRACTICE
502 FIFTH AVEOWEGONY13827OUTPATIENT FAMILY CARE CENTER
UPPER FRONT ST INTERNAL MED & FAM PRAC
1290 UPPER FRONT STBINGHAMTONNY13901OUTPATIENT SPECIAL CARE CENTER
ENDWELL PULMONARY & INTERNAL MEDICINE
800 HOOPER RDENDWELLNY13760OUTPATIENT SPECIAL CARE CENTER
GREENE FAMILY PRACTICE
15 BIRDSALL STGREENENY13778OUTPATIENT FAMILY CARE CENTER
UHSH MULTIPLE SPECIALTY CARE CENTERS
93 PENNSYLVANIA AVEBINGHAMTONNY13903OUTPATIENT SPECIAL CARE CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation
PART I, LINE 7: THE ORGANIZATION, UNITED HEALTH SERVICES HOSPITALS,(HEREAFTER REFERRED TO AS UHSH) HAS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2011 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.
PART I, LINE 7G: THE ORGANIZATION HAS SEVERAL PROGRAMS THAT OPERATE AT A LOSS AND ARE SUBSIDIZED BY OTHER PROGRAMS AND SERVICES. TWO OF THE MOST NOTABLE, AS WELL AS ONES WE ARE ABLE TO MEASURE/QUANTIFY, ARE THE ALCOHOL REHABILITATION PROGRAM AND INPATIENT PHYSICAL REHABILITATION PROGRAM. UHSH IS THE SOLE COMMUNITY PROVIDER FOR THESE TWO SERVICES. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE AND NET COMMUNITY BENEFITS EXPENSE FOR THESE TWO PROGRAMS.
PART II: 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, 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: JUST ASK US; PORTION DISTORTION: ASTHMA EDUCATION; GERMBUSTERS; HEART HEALTH IN SCHOOLS (BC WALKS, JR., FARM-TO-YOU, 1% OR LESS);POWERFUL TOOLS FOR CAREGIVERS; HEALTHY LIVING CLASSES FOR THOSE LIVING WITH CHRONIC DISEASES; ASTHMA DISEASE MANAGEMENT; CANCER NAVIGATION; TEA WITH RUTH; MUGS FOR MEN; LEAD EDUCATION; LACTATION CONSULTING; TOBACCO CESSATION; WORKSITE WELLNESS, BC WALKS, STAY HEALTHY SENIORS, STAY HEALTHY KID'S CLUB, MASON ON THE MOVE, DIABETES DISEASE MANAGEMENT AND CHF DISEASE MANAGEMENT. ALSO, THE PROGRAM SUPPORTS VARIOUS SUPPORT GROUPS FOR EATING DISORDERS, LYMPHEDEMA AND BREAST CANCER SURVIVORS.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2011, 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 2011, $719,551 WAS SPENT IN DELIVERING THESE PROGRAMS TO 57,869 COMMUNITY MEMBERS.- SERVING RURAL/UNDER SERVED POPULATIONS: UNITED HEALTH SERVICES HOSPITALS OPERATES 12 FAMILY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION, WHICH PROVIDED 122,243 PATIENT ENCOUNTERS IN 2011.- WOMEN'S HEALTH CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY AND 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: TEENAGE YEARS, CHILDBEARING YEARS, MID-LIFE AND SENIOR YEARS, WITH A MULTITUDE OF HEALTH ISSUES. UHSHS' FAMILY CARE CENTERS AND WOMEN'S HEALTH CENTER PARTICIPATE IN THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP) OFFERING FINANCIAL ASSISTANCE TO HELP EXPECTANT MOMS WITH THE COST OF PRENATAL CARE. DURING 2011, UHSH ASSISTED 249 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. SOPHISTICATED 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 2011, UHSH PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $200,000 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, UNITED MEDICAL ASSOCIATES AND 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), AMERICAN HEART ASSOCIATION'S HEART WALK, AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND MAKING STRIDES AGAINST BREAST CANCER, DICK'S SPORTING GOODS OPEN, AND MARCH OF DIMES' WALK AMERICA. IN SEPTEMBER OF 2011, THE UHSH TEAM PULLED TOGETHER TO RESPOND TO A TRAGIC FLOOD IN THE GREATER BINGHAMTON AREA, BRINGING IN TANKER TRUCKS OF FRESH WATER, KEEPING BOTH THE UHS WILSON AND UHS BINGHAMTON GENERAL HOSPITALS OPEN AND PROVIDING QUALITY EMERGENCY AND ESSENTIAL PATIENT CARE FOR PATIENTS AT HOSPITALS AND EMERGENCY SHELTERS. EMPLOYEES, VOLUNTEERS, AND MEDICAL STAFF PUT IN EXTRA HOURS FOR SEVERAL DAYS STARTING SEPTEMBER 7TH TO PREPARE FOR AND DEAL WITH THE MASSIVE, DEVASTATING FLOODING THROUGHOUT BROOME AND THE SURROUNDING COUNTIES. UHSH OPERATED ON BACKUP-GENERATOR POWER AS NEEDED AND MADE SURE THAT STAFF WERE APPROPRIATELY ASSIGNED TO KEY AREAS. FIVE DOCTORS, PLUS NURSES AND SUPPORT STAFF, WERE ON SITE AT EVACUATION SHELTERS, WHERE MANY PEOPLE IN THE COMMUNITY FOUND REFUGE. EVEN WHILE THEIR OWN HOMES WERE THREATENED BY RISING FLOODWATERS AND TRAVEL WAS DIFFICULT AND TREACHEROUS DUE TO CLOSED ROADS, MANY EMPLOYEES AND PHYSICIANS MADE IT IN TO WORK TO PROVIDE CARE AND KEEP HOSPITAL, SKILLED NURSING FACILITY, WALK-IN CARE, HOME CARE AND RELATED SERVICES UP AND RUNNING. WITH OVER 20,000 PEOPLE EVACUATED FROM THEIR HOMES IN THE SOUTHERN TIER, UHSH QUICKLY BECAME A KEY RESOURCE FOR PEOPLE WITH MEDICAL NEEDS. IMMEDIATELY FOLLOWING THE FLOOD, UHSH OFFERED FREE TETANUS SHOTS FOR PEOPLE INVOLVED IN FLOOD CLEAN-UP AND THE UHSH FLOOD RELIEF COMMITTEE COLLECTED AND DISTRIBUTED GOODS, AS WELL AS NEARLY $380,000 IN DONATED FUNDS TO ITS EMPLOYEES IMPACTED BY THE FLOOD.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. THE UHSH EDUCATION PROGRAM SERVES APPROXIMATELY 237 STUDENTS ANNUALLY. IN 2011, UHSH PROVIDED A TOTAL OF $620,259 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE RN EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM, AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.- FOUNDATION: THE UNITED HEALTH SERVICES FOUNDATION IS A SEPARATE 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 2011, CAPITAL CONTRIBUTIONS TO UHSH FROM THE UNITED HEALTH SERVICES FOUNDATION, INC. TOTALED $1,088,543. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHSH.
PART III, LINE 4: THE ORGANIZATION'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. LINES 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES.
PART III, LINE 8: THE ORGANIZATION 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. THE ORGANIZATION TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS INCOME THAT IS 16% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS 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. THE ORGANIZATION HAS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2011 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.
PART III, LINE 9B: THE ORGANIZATION'S POLICY CLEARLY STATES "FORWARDING A CLAIM TO A COLLECTION AGENCY WHILE FINANCIAL ASSISTANCE IS BEING DETERMINED IS PROHIBITED." AFTER A PATIENT'S REQUEST FOR FINANCIAL ASSISTANCE IS APPROVED THE ORGANIZATION WILL PROVIDE HIM (HER) WITH THE SAME LEVEL OF FINANCIAL ASSISTANCE FOR 6 MONTHS AT WHICH TIME ANOTHER EVALUATION OF THE PATIENT'S FINANCIAL CONDITION WILL BE MADE.
PART VI, LINE 2: UHSH USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2011, 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 BOARD MEMBERS ARE UTILIZED IN DETERMINING AND SHAPING OUR RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY OUR ORGANIZATION FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDES:- 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 DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH YEAR 2010 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 AGING- BROOME COUNTY URBAN LEAGUE- BROOME COUNTY YOUTH BUREAU- EXCELLUS BLUECROSS BLUE SHIELD- LOURDES HOSPITAL- MOTHERS & 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 COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THE COMMUNITY SERVICE PLAN. THE MAPP PROCESS WAS USED TO CONDUCT ASSESSMENTS OF: COMMUNITY THEMES & STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS, AND FORCES OF CHANGE. THE PROCESS RELIED HEAVILY ON THE CAPTURE AND ANALYSIS OF DATA THROUGH FOCUS GROUPS AND SURVEYS, AND THE ANALYSIS OF EXISTING DATA SETS (THE COMMUNITY HEALTH DATA SET, COUNTY HEALTH ASSESSMENT INDICATORS, BEHAVIORIAL RISK FACTOR STATISTICAL SURVEY, YOUTH RISK BEHAVIORIAL SURVEY, STATEWIDE PLANNING AND RESEARCH COUNCIL STATISTICS AND OTHER COUNTY LEVEL DATA AVAILABLE ON THE NYS HEALTH INFORMATION NETWORK)IN COMPARISON TO THE 2013 PREVENTION AGENCY GOALS. UHSH ENHANCED THE PREVENTION QUALITY INDICATORS DATA BY ADDING INCIDENCE DATA FOR BROOME COUNTY RESIDENTS WHO USE PA HOSPITALS. THE STEERING COMMITTEE SYNTHESIZED THE ASSESSMENTS IN ORDER TO IDENTIFY STRATEGIC ISSUES, 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- PARTICULAR AREAS OF CONCERN (DISPARITIES)- FEASIBILITY FOR POTENTIAL INTERVENTION- AVAILABILITY FOR FUNDING FOR INITIATIVES- FORCES FOR CHANGE (TRENDS, FACTORS AND EVENTS)- MEASURABILITY OVER TIME
PART VI, LINE 3: 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 & OUTPATIENT BILLS. THE TOTAL 2011 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHSH PATIENTS IS DETAILED IN PART 1, LINE 7.
PART VI, LINE 4: 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 340,000 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 16% POORER THAN THE UNITED STATES AVERAGE.
PART VI, LINE 5: 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.
PART VI, LINE 6: UHSH IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, 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 A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2010, THE UNITED HEALTH SERVICES 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 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 HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS 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 ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7: UHSH FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MATTHEW SALANGER
36963136963111127911127915446615446678407840105841058465380065380000
JAMES JEWELL MD
0238768000000042537028130500
ROBERT G GOMULKA
21233214155456276375181199579979408627210668711230067920045300
RAJESH DAVE MD
34791886980922142305325600640012544313614124353149240012310000
JOHN CARRIGG
324490080424000156800205950441189000
ELIZABETH BOLAND
229508045510000156800134060304104000
MICHAEL MCNALLY
21807904202500015680098430285627000
MARK MCMANUS
201856040231000154940143110271892000
CHRISTINA BOYD
8623786237183181831800669166919437943812068312068400
NANCY RONGO
147389029387000113140185110206601000
ISKANDAR KASSIS MD
5121860000000122510524437000
JAYARAMAN VENKATESHMD
3608820000000173350378217000
LILIANE EL-KASSISMD
2732800000000178330291113000
WILHELM OLAYINKAMD
2593010000000173890276690000
JOHN R CUNNINGHAM MD
280007000000017760281783000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 6THE EMPLOYEES LISTED ARE ALLOCATED THE FOLLOWING HOURS FOR WORK PERFORMED FOR THE RELATED ENTITY, UNITED HEALTH SERVICES, INC.: MATT SALANGER - 27.5, ROBERT G. GOMULKA - 22.0, DR. RAJESH DAVE - 11.0 AND CHRISTINA BOYD - 27.5
PART IIIPART I - QUESTION 4B 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.SUPPLEMENTAL INFORMATION
PART IIIPART I - QUESTIONS 6A/6B THE UNITED HEALTH SERVICES HOSPITALS 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 UNITED HEALTH SERVICES HOSPITALS AND UNITED MEDICAL ASSOCIATES, P.C.. A PORTION OF THE 2011 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THE COMBINED NET INCOME GOALS.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
146000293SEEPTFIVE2009-09-0228880000REFINANCE OF OLD ISSUE000
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
146000293BANKQLFID2010-12-1420000000CONSTRUCTION OF CLINIC BUIDING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
28880000392300033442927123899919901011
200000004000002012001119600000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100.031400.031401
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
000000

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
ExplanationISSUER NAME EIN CUSIP DATE ISSUED ISSUE PRICE DORM AUTH-STATE OF NY 14-6000293 649905QZ2 09/02/09 535,000 DORM AUTH-STATE OF NY 14-6000293 649905RA6 09/02/09 1,245,000 DORM AUTH-STATE OF NY 14-6000293 649905RB4 09/02/09 1,270,000 DORM AUTH-STATE OF NY 14-6000293 649905RC2 09/02/09 1,290,000 DORM AUTH-STATE OF NY 14-6000293 649905RD0 09/02/09 1,315,000 DORM AUTH-STATE OF NY 14-6000293 649905RE8 09/02/09 1,340,000 DORM AUTH-STATE OF NY 14-6000293 649905RG3 09/02/09 1,480,000 DORM AUTH-STATE OF NY 14-6000293 649905RH1 09/02/09 1,515,000 DORM AUTH-STATE OF NY 14-6000293 649905RF5 09/02/09 2,815,000 DORM AUTH-STATE OF NY 14-6000293 649905RJ7 09/02/09 2,800,000 DORM AUTH-STATE OF NY 14-6000293 649905RK4 09/02/09 3,095,000 DORM AUTH-STATE OF NY 14-6000293 649905RL2 09/02/09 10,180,000Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION FOR NOT FILING FORM 990-TFORM 990, PART V, LINE 3BTHE 990-T WILL BE FILED BY THE REQUIRED DUE DATE INCLUDING ANY EXTENSIONS.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION B, LINE 11THE 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.
FORM 990, PART VI, SECTION B, LINE 12THE 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.
FORM 990, PART VI, SECTION B, LINE 15IT 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.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN BTHE EMPLOYEES LISTED BELOW ARE ALLOCATED THE FOLLOWING HOURS FOR WORK PERFORMED FOR THE RELATED ENTITY, UNITED HEALTH SERVICES, INC.: MATT SALANGER - 27.5, ROBERT G. GOMULKA - 22.0, RAJESH DAVE - 11.0 AND CHRISTINA BOYD - 27.5 ADDITIONALLY, DR. JAMES JEWELL WORKS 55 WEEKLY HOURS AT ANOTHER RELATED ENTITY: UNITED MEDICAL ASSOCIATES
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 1,723,443. RETIREMENT PLAN OBLIGATION CHANGES -11,009,437. NET UNREALIZED LOSS ON INVESTMENT -458,568. PRIOR YEAR ADJUSTMENT BY EXTERNAL AUDITORS -3,066,289. TOTAL TO FORM 990, PART XI, LINE 5: -12,810,851.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UNITED HEALTH SERVICES INC
10-42 MITCHELL AVEBINGHAMTONNY13903222682421PARENT COMPANYNY501(C)(3)9BOARD OF DIRECTORS UHS INC0
CHENANGO MEMORIAL HOSPITAL INC
179 N BROAD STREETNORWICHNY13815150532180ACUTE & OUTPATIENT SERVICESNY501(C)(3)3UNITED HEALTH SERVICES INC0
DELAWARE VALLEY HOSPITAL INC
ONE TITUS PLACEWALTONNY13856150524324ACUTE & OUTPATIENT SERVICESNY501(C)(3)3UNITED HEALTH SERVICES INC0
IDEAL SENIOR LIVING CENTER INC
508 HIGH AVEENDICOTTNY13760222902896SENIOR LIVING CENTERNY501(C)(3)3UNITED HEALTH SERVICES INC0
IDEAL SENIOR LIVING CENTER HOUSING CORPORATION
508 HIGH AVEENDICOTTNY13760222902899SENIOR HOUSINGNY501(C)(3)9UNITED HEALTH SERVICES INC0
PROFESSIONAL HOME CARE INC
4401 VESTAL PARKWAY EASTVESTALNY13850161261977HOME HEALTH CARENY501(C)(3)9UNITED HEALTH SERVICES INC0
TWIN TIER HOME HEALTH INC
4401 VESTAL PARKWAY EASTVESTALNY13850222348211HOME HEALTH CARENY501(C)(3)7UNITED HEALTH SERVICES INC0
UNITED MEDMANAGEMENT INC
601 RIVERSIDE DRIVEJOHNSON CITYNY13790161396133PHYSICIAN PRACTICESNY501(C)(3)11BUNITED HEALTH SERVICES INC0
ECKELBERGER TOWER INC
156 CORLISS AVENUEJOHNSON CITYNY13790237171440MEDICAL STUDENT HOUSINGNY501(C)(3)9BOARD OF DIRECTORS UHS HOSPITALS INC0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PATHWAY HEALTH MGMT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line120 MITCHELL AVENUEAddressLine1
CityBINGHAMTONCity
StateNYState
ZIP Code13903ZIPCode
FieldValueIRS element (for citing)
EIN161228654EIN
Primary ActivityWINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC.PrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UNITED HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income-583ShareOfTotalIncome
Share Of EOY Assets5500ShareOfEOYAssets
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg