Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
UNITED HEALTH SERVICES INC
Employer identification number
22-2682421
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
6,284,299
7,527,832
7,143,402
7,824,636
8,340,672
37,120,841
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
6,284,299
7,527,832
7,143,402
7,824,636
8,340,672
37,120,841
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
37,120,841
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
6,284,299
7,527,832
7,143,402
7,824,636
8,340,672
37,120,841
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
37,890
-4,114
1,971
5,000
287
41,034
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
37,890
-4,114
1,971
5,000
287
41,034
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
6,322,189
7,523,718
7,145,373
7,829,636
8,340,959
37,161,875
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.890 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.570 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.110 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.430 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
UNITED HEALTH SERVICES INC
Employer identification number
22-2682421
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE BOARD OF DIRECTORS ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD OF THE CORPORATION SHALL NOT HAVE LESS THAN EIGHT (8) DIRECTORS AND NOT MORE THAN TWENTY THREE (23) DIRECTORS AND WILL CONSIST OF THE PRESIDENT AND CEO OF UNITED HEALTH SERVICES, INC, AND SUCH OTHER PERSONS, NOT TO EXCEED TWENTY TWO (22), AS MAY BE ELECTED BY THE MEMBERS. THE ANNUAL ELECTION OF DIRECTORS SHALL BE HELD AT THE ANNUAL MEETING OF THE CORPORATION. THE DIRECTORS SHALL BE DIVIDED INTO THREE CLASSES HAVING, AS NEARLY AS POSSIBLE, EQUAL NUMBERS OF PERSONS, AND THE PERSONS IN EACH OF THE THREE CLASSES SHALL BE ELECTED TO SERVE THREE YEAR TERMS. THE TERMS OF THE THREE CLASSES OF DIRECTORS ARE TO BE STAGGERED SO THAT ONE CLASS IS ELECTED EACH YEAR. EACH ELECTED DIRECTOR SHALL SERVE FOR THREE (3) YEARS UNTIL THE CONCLUSION OF THE ANNUAL MEETING OF THE CORPORATION AND UNTIL HIS SUCCESSOR HAS BEEN ELECTED AND QUALIFIED, OR UNTIL HIS RESIGNATION HAS BEEN TENDERED AND ACCEPTED, OR HE IS DISQUALIFIED, OR UNTIL REMOVED, OR, IF ELECTED TO FILL A VACANCY, FOR THE UNEXPIRED TERM. A DIRECTOR WHO HAS SERVED THREE CONSECUTIVE THREE-YEAR TERMS OR AN UNEXPIRED TERM AND TWO ADDITIONAL THREE-YEAR TERMS SHALL NOT BE ELIGIBLE FOR ELECTION TO THE BOARD FOR A PERIOD OF ONE YEAR. A DIRECTOR SERVING BY VIRTUE OF HIS/HER CURRENT POSITION AS PRESIDENT AND CEO OF UNITED HEALTH SERVICES, INC. SHALL SERVE ON THE BOARD UNTIL HIS/HER RESIGNATION AS SUCH PRESIDENT AND CEO HAS BEEN TENDERED AND ACCEPTED BY THE UNITED HEALTH SERVICES BOARD OF DIRECTORS, OR UNTIL REMOVED FROM THAT POSITION BY THE UNITED HEALTH SERVICES, INC. BOARD OF DIRECTORS. IN ADDITION, THE BOARD OF DIRECTORS ARE THE MEMBERS OF THE ORGANIZATION WHICH ELECT MEMBERS OF THE BOARD OF DIRECTORS, THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11
THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UNITED HEALTH SERVICES INC. MANAGEMENT, AS DELEGATED BY THE UNITED HEALTH SERVICES, INC. BOARD OF DIRECTORS. THE UNITED HEALTH SERVICES, INC. FINANCE DIVISION PREPARES THE 990 WHICH IS THEN REVIEWED BY THE UNITED HEALTH SERVICES, INC.'S CFO, VICE PRESIDENT/GENERAL COUNSEL AND INDEPENDENT AUDITORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
A WRITTEN CONFLICT OF INTEREST POLICY WAS ADOPTED BY THE COMPANY IN MAY OF 2013. DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO AND BOARD CHAIRMAN.
FORM 990, PART VI, SECTION B, LINE 15
FORM 990, PART VI, SECTION B, LINES 15 A/B IT IS THE PHILOSOPY OF UNITED HEALTH SERVICES, INC. THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS ARE STRUCTURED TO CONSIDER LOCAL, REGIONAL AND NATIONAL MARKETS FOR SIMILAR PERSONNEL TO ALLOW UNITED HEALTH SERVICES, INC. TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILLS 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 PROGRAM, THE UNITED HEALTH SERVICES, INC. BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL COMPENSATION 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 'REASONABLE ASSESSMENT' CONSISTENT WITH THE U. S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' 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 XI, LINE 9:
CHANGE IN UNRESTICTED INTEREST IN NET ASSETS OF UHS FOUNDATION,INC 1,745,886. CHANGE IN ACCRUED PENSION COSTS - LONG TERM 614,573. CHANGE IN THE RETIREMENT LIABILITY - SHORT TERM 2,235.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.