2012-08-13T15:21:24-05:00 2011-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2011-01-01 161165049 UNITED HEALTH SERVICES HOSPITALS INC UNIT 6077623024 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 MATTHEW J SALANGER 6077623024 2012-08-13 1 ANGELA M FRANCO P00589741 3154463600 2011 2016-02-24 21:20:13Z MATTHEW J SALANGER 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 466329204 0 X WWW.UHS.NET X 1981 NY UNITED 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. 13 11 4162 642 -150026 -150026 2936173 4237695 426712849 434932336 857925 1203810 12780126 24820369 443287073 465194210 0 0 0 0 207157063 210902591 0 0 0 220553267 226245946 427710330 437148537 15576743 28045673 294178701 346616387 201885875 239088739 92292826 107527648 X THE 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. 0 0 127211280 221349808 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 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. 78373124 190821665 OUTPATIENT 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. 20742069 11118257 CLINICS - 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. 157442628 17308632 ALL 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. 157442628 17308632 383769101 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 X 265 0 1 4162 1 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 0 1 1 0 0 0 0 1 1 1 1 0 NY X ROBERT G GOMULKA- CFO 6077623024 10-42 MITCHELL AVE BINGHAMTON NY 13903 X MICHAEL SCULLARD 2.00 X X 0 0 0 DIANA BENDZ 2.00 X X 0 0 0 BRUCE BOWLING MD 2.00 X X 0 0 0 SUSAN MISTRETTAESQ 2.00 X X 0 0 0 JEROME CANNY 2.00 X 0 0 0 HORATIO DENSON 2.00 X 0 0 0 SARAH GUELDNERRNDSNFAAN 2.00 X 0 0 0 CAROL MILLER MD 2.00 X 0 0 0 JUDITH PECKHAM 2.00 X 0 0 0 JAMES VANVOORST 2.00 X 0 0 0 SEAN BRADY 2.00 X 0 0 0 MATTHEW SALANGER 55.00 X X 635376 635376 36848 JAMES JEWELL MD 55.00 X 0 238768 42537 ROBERT G GOMULKA 55.00 X 280603 187069 33460 RAJESH DAVE MD 55.00 X 465732 116433 33335 JOHN CARRIGG 55.00 X 404914 0 36275 ELIZABETH BOLAND 55.00 X 275018 0 29086 MICHAEL MCNALLY 55.00 X 260104 0 25523 MARK MCMANUS 55.00 X 242087 0 29805 CHRISTINA BOYD 55.00 X 104555 104555 32257 NANCY RONGO 55.00 X 176776 0 29825 ISKANDAR KASSIS MD 55.00 X 512186 0 12251 JAYARAMAN VENKATESHMD 55.00 X 360882 0 17335 LILIANE EL-KASSISMD 55.00 X 273280 0 17833 WILHELM OLAYINKAMD 55.00 X 259301 0 17389 JOHN R CUNNINGHAM MD 55.00 X 280007 0 1776 4530821 1282201 395535 98 0 1 0 LECHASE CONSTRUCTION 300 TROLLEY BLVD ROCHESTER NY 14606 CONTRACTOR 8572828 SIEMANS MEDICAL SOLUTIONS USA INC PO BOX 120001 DEPT 0733 DALLAS TX 75312 MEDICAL CONSULTING 6643078 SODEXO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 2665174 ANDREW R MANCINI ASSOCIATION 129 ODELL AVE ENDICOTT NY 13760 CONTRACTOR 2478425 MORRIS PROTECTIVE SERVICES 1723 BURNET AVE SYRACUSE NY 13206 SECURITY SERVICES 1735730 79 2508858 1728837 4237695 OPERATING ROOM 621990 63450595 63450595 LAB CLINICAL-CHEMISTRY 621500 36812181 36812181 PHARMACY 621990 30923330 30923330 CT SCAN 621500 29951503 29951503 CARDIAC CATH LAB 621500 21422427 21422427 252372300 252372300 434932336 1203810 1203810 4266427 1134994 3131433 3131433 -150026 3281459 SERVICES RENDERED 621990 2979176 2979176 OCCUPATIONAL HEALTH 621300 2418916 2418916 SOUTHERN TIER HLTH LNK 621990 267934 267934 16022910 16022910 21688936 465194210 440598362 -150026 20508179 3076975 1230790 1846185 159652451 144217797 15434654 10515656 9464090 1051566 25835728 23252155 2583573 11821781 10639603 1182178 6663325 6663325 541827 541827 193480 193480 23530306 23530306 1243391 16493 1226898 5197243 2480093 2717150 4630537 1398588 3231949 7211706 4821778 2389928 671911 441500 230411 2430707 2139022 291685 15929798 14018222 1911576 3222370 2835686 386684 PURCHASED SERVICES 34162273 28507214 5655059 PROSTHESIS EXPENSE 28566885 28566885 MED/SURG SUPPLIES & SVC 27574611 26289425 1285186 DRUGS & PHARMACEUTICALS 24159578 24099639 59939 40315998 35819815 4496183 437148537 383769101 53379436 0 37778031 60045387 49260576 56444343 10871699 7740456 10753254 14874065 420294221 292763515 113863484 127530706 49883130 49084003 16994270 18727139 4774257 12170288 294178701 346616387 59847857 68915668 66138444 72435916 75899574 97737155 201885875 239088739 X 79343131 94095830 8833939 9353987 4115756 4077831 92292826 107527648 294178701 346616387 X 28045673 -12810851 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26581 26581 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: UHS 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. 2080223 84937 120083 8178 2036899 1985769 264023 156640 12929 2080223 1873470 321837 180000 21992 7546 1985769 2624745 -543322 180000 20864 7089 1873470 0.94800 0.05200 0.00000 1 0 10090027 10090027 203838955 143285624 60553331 8636835 4112145 4524690 180871494 145365746 35505748 16856910 16856910 127530706 MUTUAL FUNDS @ CSV 2159472 F FUNDED DEPREC INVESTMENTS 2800525 F ENDOWMENT INVESTMENT 1940778 F INVESTMENT-UHS FOUNDATION 11322187 F HEAL GRANT 504177 F 18727139 ACCRUED PENSION COST-ADDT'L MINIMUM LIABILITY 61739961 DEFERRED COMPENSATION PAYABLE 2159472 OTHER LIABILITIES 26801744 DUE TO AFFILIATES 7035978 97737155 465194210 437148537 28045673 -458568 -12352283 -12810851 15234822 465194210 0 465194210 0 465194210 437148537 0 437148537 0 437148537 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. 1 1 X 1 X 1 X 201.000000000000 0 1 0 1 1 2319 1247806 144526 1103280 0.00250 64363088 61292612 3070476 0.00700 2319 65610894 61437138 4173756 0.00950 11234152 5281307 5952845 0.01370 4274128 4274128 0.00980 303526 89454 214072 0.00050 2377660 337912 2039748 0.00470 18189466 5708673 12480793 0.02870 2319 83800360 67145811 16654549 0.03820 279 4831 18511 18511 0.00000 256 118000 35500 82500 0.00020 224267 0 224267 0.00050 57569 1140324 420773 719551 0.00160 105 620258 0 620258 0.00140 279 62761 2121360 456273 1665087 0.00370 0 9804113 1305181 102045926 94027523 8018403 X 1 1 2 1 WILSON MEMORIAL REGIONAL MEDICAL CENTER

33-57 HARRISON ST JOHNSON CITY NY 13790

X X X X OUTLYING CLINICS 2 BINGHAMTON GENERAL HOSPITAL

10-42 MITCHELL AVE BINGHAMTON NY 13903

X X X X OUTLYING CLINICS WILSON MEMORIAL REGIONAL MEDICAL CENTER 1 1 1 200.000000000000 1 201.000000000000 1 X X X 1 1 X X X X 1 X X X 0 1 X 0 1 BINGHAMTON GENERAL HOSPITAL 2 1 1 200.000000000000 1 201.000000000000 1 X X X 1 1 X X X X 1 X X X 0 1 X 0 1 24 WILSON PLACE AMB CARE CENTER

52 HARRISON ST JOHNSON CITY NY 13790

OUTPATIENT SPECIAL CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTERS

65 PENNSYLVANIA AVE BINGHAMTON NY 13903

OUTPATIENT SPECIAL CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTERS

601 RIVERSIDE DRIVE JOHNSON CITY NY 13790

OUTPATIENT SPECIAL CARE CENTER ENDICOTT FAMILY PRACTICE WALK-INPT

1302 E MAIN ST ENDICOTT NY 13760

OUTPATIENT SPECIAL CARE CENTER JOHNSON CITY FAMILY CARE CENTER

40 ARCH ST WILSON HOSPITAL JOHNSON CITY NY 13790

OUTPATIENT FAMILY CARE CENTER CYBERKNIFE CENTER OF NEW YORK

22 HARRISON ST JOHNSON CITY NY 13790

OUTPATIENT SPECIAL CARE CENTER BINGHAMTON PEDIATRIC CENTER

10-42 MITCHELL AVE BINGHAMTON NY 13903

OUTPATIENT FAMILY CARE CENTER BINGHAMTON FAMILY CARE CENTER - IM

SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON NY 13903

OUTPATIENT FAMILY CARE CENTER WILSON SQUARE

30 HARRISON ST JOHNSON CITY NY 13790

OUTPATIENT SPECIAL CARE CENTER SUMMIT ORTHOPEDICS

33 MITCHELL AVE BINGHAMTON NY 13903

OUTPATIENT FAMILY CARE CENTER DEPOSIT FAMILY CARE CENTER

53 PINE ST DEPOSIT NY 13754

OUTPATIENT FAMILY CARE CENTER WINDSOR FAMILY CARE CENTER

5 COLLEGE AVE WINDSOR NY 13865

OUTPATIENT FAMILY CARE CENTER CANDOR FAMILY CARE CENTER

59 MAIN ST CANDOR NY 13743

OUTPATIENT FAMILY CARE CENTER NORTHERN TIOGA FAMILY CARE CENTER

119 WHIG ST NEWARK VALLEY NY 13811

OUTPATIENT FAMILY CARE CENTER CLINTON STREET FAMILY CARE CENTER

142 CLINTON ST BINGHAMTON NY 13905

OUTPATIENT FAMILY CARE CENTER BENJAMIN FRANKLIN SCHOOL-BASED

262 CONKLIN AVE BINGHAMTON NY 13903

OUTPATIENT SPECIAL CARE CENTER VESTAL DERMATOLOGY

200 FRONT ST VESTAL NY 13850

OUTPATIENT SPECIAL CARE CENTER THEODORE ROOSEVELT SCHOOL-BASED

9 OGDEN ST BINGHAMTON NY 13901

OUTPATIENT SPECIAL CARE CENTER JOHNSON CITY INTERNAL MEDICINE

507 MAIN ST JOHNSON CITY NY 13790

OUTPATIENT FAMILY CARE CENTER OWEGO FAMILY PRACTICE

502 FIFTH AVE OWEGO NY 13827

OUTPATIENT FAMILY CARE CENTER UPPER FRONT ST INTERNAL MED & FAM PRAC

1290 UPPER FRONT ST BINGHAMTON NY 13901

OUTPATIENT SPECIAL CARE CENTER ENDWELL PULMONARY & INTERNAL MEDICINE

800 HOOPER RD ENDWELL NY 13760

OUTPATIENT SPECIAL CARE CENTER GREENE FAMILY PRACTICE

15 BIRDSALL ST GREENE NY 13778

OUTPATIENT FAMILY CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTERS

93 PENNSYLVANIA AVE BINGHAMTON NY 13903

OUTPATIENT SPECIAL CARE CENTER 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 X X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 MATTHEW SALANGER 369631 369631 111279 111279 154466 154466 7840 7840 10584 10584 653800 653800 0 0 JAMES JEWELL MD 0 238768 0 0 0 0 0 0 0 42537 0 281305 0 0 ROBERT G GOMULKA 212332 141554 56276 37518 11995 7997 9408 6272 10668 7112 300679 200453 0 0 RAJESH DAVE MD 347918 86980 92214 23053 25600 6400 12544 3136 14124 3531 492400 123100 0 0 JOHN CARRIGG 324490 0 80424 0 0 0 15680 0 20595 0 441189 0 0 0 ELIZABETH BOLAND 229508 0 45510 0 0 0 15680 0 13406 0 304104 0 0 0 MICHAEL MCNALLY 218079 0 42025 0 0 0 15680 0 9843 0 285627 0 0 0 MARK MCMANUS 201856 0 40231 0 0 0 15494 0 14311 0 271892 0 0 0 CHRISTINA BOYD 86237 86237 18318 18318 0 0 6691 6691 9437 9438 120683 120684 0 0 NANCY RONGO 147389 0 29387 0 0 0 11314 0 18511 0 206601 0 0 0 ISKANDAR KASSIS MD 512186 0 0 0 0 0 0 0 12251 0 524437 0 0 0 JAYARAMAN VENKATESHMD 360882 0 0 0 0 0 0 0 17335 0 378217 0 0 0 LILIANE EL-KASSISMD 273280 0 0 0 0 0 0 0 17833 0 291113 0 0 0 WILHELM OLAYINKAMD 259301 0 0 0 0 0 0 0 17389 0 276690 0 0 0 JOHN R CUNNINGHAM MD 280007 0 0 0 0 0 0 0 1776 0 281783 0 0 0 PART I, LINE 6 THE 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 SUPPLEMENTAL INFORMATION PART III PART 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 III PART 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. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 SEEPTFIVE 2009-09-02 28880000 REFINANCE OF OLD ISSUE 0 0 0 DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 BANKQLFID 2010-12-14 20000000 CONSTRUCTION OF CLINIC BUIDING 0 0 0 28880000 3923000 33442927 1238999 1990 1 0 1 1 20000000 400000 19600000 2012 0 0 1 1 0 0 1 1 0 0.03140 0.03140 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 ISSUER 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 10,180,000 EXPLANATION FOR NOT FILING FORM 990-T FORM 990, PART V, LINE 3B THE 990-T WILL BE FILED BY THE REQUIRED DUE DATE INCLUDING ANY EXTENSIONS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990, PART VI, SECTION B, LINE 12 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. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN B THE 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. UNITED HEALTH SERVICES INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 9 BOARD OF DIRECTORS UHS INC 0 CHENANGO MEMORIAL HOSPITAL INC 179 N BROAD STREET NORWICH NY 13815 150532180 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH AVE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION 508 HIGH AVE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) 9 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161261977 HOME HEALTH CARE NY 501(C)(3) 9 UNITED HEALTH SERVICES INC 0 TWIN TIER HOME HEALTH INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 222348211 HOME HEALTH CARE NY 501(C)(3) 7 UNITED HEALTH SERVICES INC 0 UNITED MEDMANAGEMENT INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161396133 PHYSICIAN PRACTICES NY 501(C)(3) 11B UNITED HEALTH SERVICES INC 0 ECKELBERGER TOWER INC 156 CORLISS AVENUE JOHNSON CITY NY 13790 237171440 MEDICAL STUDENT HOUSING NY 501(C)(3) 9 BOARD OF DIRECTORS UHS HOSPITALS INC 0 PATHWAY HEALTH MGMT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC. NY UNITED HEALTH SERVICES INC C -583 5500 0.50000 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0